scholarly journals Investigating a Syndromic Surveillance Signal with Complimentary Data Systems

2016 ◽  
Vol 8 (1) ◽  
Author(s):  
Hilary B. Parton ◽  
Robert Mathes ◽  
Jasmine Abdelnabi ◽  
Lisa Alleyne ◽  
Andrea Econome ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Disease Surveillance ◽  
Syndromic Surveillance ◽  
Communicable Disease ◽  
Data Systems ◽  
Sales Promotions ◽  
Over The Counter ◽  
Syndromic Surveillance System ◽  
Diarrheal Illness

In early June, the New York City syndromic surveillance system detected five signals in sales of over-the-counter antidiarrheal medications. To determine if this increase reflected a concerning cluster of diarrheal illness, we examined multiple communicable disease surveillance data systems. After further investigation of syndromic and other systems, we determined that findings possibly reflected sales promotions but did not suggest increased diarrheal illness in NYC.

scholarly journals Tracking HIV Post-Exposure Prophylaxis using Syndromic Surveillance in NYC Emergency Departments

2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Stephanie Ngai ◽  
Zoe Edelstein ◽  
Julie Myers ◽  
Don Weiss
Keyword(s):  
New York ◽  
New York City ◽  
Emergency Departments ◽  
Syndromic Surveillance ◽  
The United States ◽  
Post Exposure Prophylaxis ◽  
Syndromic Surveillance System ◽  
Post Exposure ◽  
Threefold Increase ◽  
Exposure Prophylaxis

HIV post-exposure prophylaxis (PEP) prescriptions are not uniformly monitored in the United States. We developed a method to identify PEP-related visits in New York City emergency departments (EDs). Using ED data, we observed a threefold increase in PEP-related visits to NYC EDs from 2002-2013. 73% of PEP-related visits were among males, and 45% among adults ages 25-34 years. Incorporation of this method of PEP monitoring in the NYC syndromic surveillance system will be used to observe trends and inform HIV outreach efforts.

scholarly journals Building a Better Syndromic Surveillance System: the New York City Experience

2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Robert Mathes ◽  
Jessica Sell ◽  
Anthony W. Tam ◽  
Alison Levin-Rector ◽  
Ramona Lall
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Surveillance System ◽  
Syndromic Surveillance ◽  
Alternative Methods ◽  
Detection Methods ◽  
Syndromic Surveillance System ◽  
Aberration Detection ◽  
Ed Visits

The New York City (NYC) syndromic surveillance system has been monitoring syndromes from city emergency department (ED) visits since 2001. We conducted an evaluation of statistical aberration detection methods currently in use in our system as well as alternative methods, applying six temporal and four spatio-temporal aberration detection methods to two years of ED visits in NYC spiked with synthetic outbreaks. We found performance varied between the methods in regard to sensitivity, specificity, and timeliness, and implementation of these methods will depend on needs, frequency of signals, and technical skill.

Monitoring Emergency Department Visits From Puerto Rico in the Aftermath of Hurricane Maria Using Syndromic Surveillance – New York City, 2017

2019 ◽  
Vol 14 (1) ◽  
pp. 44-48
Author(s):  
Priscilla W. Wong ◽  
Hilary B. Parton
Keyword(s):  
Emergency Department ◽  
New York ◽  
New York City ◽  
Puerto Rico ◽  
York City ◽  
Surveillance System ◽  
Syndromic Surveillance ◽  
Situational Awareness ◽  
Syndromic Surveillance System ◽  
Ed Visits

ABSTRACTObjective:Syndromic surveillance has been useful for routine surveillance on a variety of health outcomes and for informing situational awareness during public health emergencies. Following the landfall of Hurricane Maria in 2017, the New York City (NYC) Department of Health and Mental Hygiene (DOHMH) implemented an enhanced syndromic surveillance system to characterize related emergency department (ED) visits.Methods:ED visits with any mention of specific key words (“Puerto,” “Rico,” “hurricane,” “Maria”) in the ED chief complaint or Puerto Rico patient home Zip Code were identified from the DOHMH syndromic surveillance system in the 8-week window leading up to and following landfall. Visit volume comparisons pre- and post-Hurricane Maria were performed using Fisher’s exact test.Results:Analyses identified an overall increase in NYC ED utilization relating to Puerto Rico following Hurricane Maria landfall. In particular, there was a small but significant increase in visits involving a medication refill or essential medical equipment. Visits for other outcomes, such as mental illness, also increased, but the differences were not statistically significant.Conclusions:Gaining this situational awareness of medical service use was informative following Hurricane Maria, and, following any natural disaster, the same surveillance methods could be easily established to aid an effective emergency response.

scholarly journals Diarrheal Illness Detected Through Syndromic Surveillance After a Massive Power Outage: New York City, August 2003

2006 ◽  
Vol 96 (3) ◽  
pp. 547-553 ◽  
Author(s):  
Melissa A. Marx ◽  
Carla V. Rodriguez ◽  
Jane Greenko ◽  
Debjani Das ◽  
Richard Heffernan ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Syndromic Surveillance ◽  
Power Outage ◽  
Diarrheal Illness

scholarly journals Game Plan: Communicable Disease Surveillance for Super Bowl XLVIII – New Jersey, 2014

2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Teresa Hamby ◽  
Andrew Walsh ◽  
Lisa McHugh ◽  
Stella Tsai ◽  
Edward Lifshitz
Keyword(s):  
New Jersey ◽  
Oral Presentation ◽  
Surveillance System ◽  
Disease Surveillance ◽  
Syndromic Surveillance ◽  
Large Scale ◽  
Communicable Disease ◽  
Super Bowl ◽  
Syndromic Surveillance System ◽  
Game Plan

This oral presentation will describe the surveillance planning and activities for a large-scale event (Super Bowl XLVIII) using New Jersey syndromic surveillance system (EpiCenter).

scholarly journals Description of a School Nurse Visit Syndromic Surveillance System and Comparison to Emergency Department Visits, New York City

2014 ◽  
Vol 104 (1) ◽  
pp. e50-e56 ◽  
Author(s):  
Elisha L. Wilson ◽  
Joseph R. Egger ◽  
Kevin J. Konty ◽  
Marc Paladini ◽  
Don Weiss ◽  
...  
Keyword(s):  
Emergency Department ◽  
New York ◽  
New York City ◽  
York City ◽  
Surveillance System ◽  
Syndromic Surveillance ◽  
School Nurse ◽  
Emergency Department Visits ◽  
Syndromic Surveillance System ◽  
Nurse Visit

scholarly journals Challenges to Implementing Communicable Disease Surveillance in New York City Evacuation Shelters after Hurricane Sandy, November 2012

2015 ◽  
Vol 130 (1) ◽  
pp. 48-53 ◽  
Author(s):  
Alison D. Ridpath ◽  
Brooke Bregman ◽  
Lucretia Jones ◽  
Vasudha Reddy ◽  
HaeNa Waechter ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Disease Surveillance ◽  
Communicable Disease ◽  
Hurricane Sandy

scholarly journals Comparison between HL7 and Legacy Syndromic Surveillance Data in New York City

2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Janette Yung ◽  
Promise Nkwocha ◽  
Anthony W. Tam ◽  
Ramona Lall ◽  
Robert Mathes
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Syndromic Surveillance ◽  
Data Format ◽  
Syndromic Surveillance System ◽  
Data Completeness ◽  
Data Formats ◽  
The City ◽  
Continue Monitoring

As part of the Center for Medicare and Medicaid Services Electronic Health Record Incentive Program, otherwise known as Meaningful Use, many New York City emergency departments participating in the city syndromic surveillance system have switched or are in the process of switching data format from text files to HL7 Messaging Standard Version 2.5.1. We evaluated data completeness, quality, and content from hospitals that are sending in both data formats in parallel. Although the sample size was small (n=4 hospitals), we found data completeness and quality improved as hospitals shifted to HL7 messaging. We will continue monitoring hospitals as they upgrade to this new format.

Investigation of Diarrheal Illness Detected Through Syndromic Surveillance After a Massive Blackout New York City, August 2003

2004 ◽  
Author(s):  
Melissa A. Marx ◽  
C. Rodriguez ◽  
J. Greenko ◽  
D. Das ◽  
F. Mostashari ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Syndromic Surveillance ◽  
Diarrheal Illness
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