Public Health in the Field and the Emergency Operations Center: Methods for Implementing Real-Time Onsite Syndromic Surveillance at Large Public Events
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Abstract Objective To develop an onsite syndromic surveillance system for the early detection of public health emergencies and outbreaks at large public events. Methods As the third largest public health jurisdiction in the United States, Maricopa County Department of Public Health has worked with academic and first-response partners to create an event-targeted syndromic surveillance (EVENTSS) system. This system complements long-standing traditional emergency department-based surveillance and provides public health agencies with rapid reporting of possible clusters of illness. Results At 6 high profile events, 164 patient reports were collected. Gastrointestinal and neurological syndromes were most commonly reported, followed by multisyndromic reports. Neurological symptoms were significantly increased during hot weather events. The interview rate was 2 to 7 interviews per 50 000 people per hour, depending on the ambient temperature. Discussion Study data allowed an estimation of baseline values of illness occurring at large public events. As more data are collected, prediction models can be built to determine threshold levels for public health response. Conclusions EVENTSS was conducted largely by volunteer public health graduate students, increasing the response capacity for the health department. Onsite epidemiology staff could make informed decisions and take actions quickly in the event of a public health emergency. ( Disaster Med Public Health Preparedness . 2013;0:1–8)Keywords:
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Public health surveillance data is critical as it provides actionable information to guide public health response. Thirty interviews were conducted across North Carolina from May to September, 2009 with local public health department staff to describe the use of routine syndromic surveillance data during a local outbreak and compared this to usage during a large, statewide outbreak, during which the state disseminated syndromic data. The study examined the use of the syndromic surveillance system (NC DETECT) and the reportable communicable disease system (NC EDSS) during the 2009 novel influenza A (H1N1) pandemic and during another respondent-selected infectious disease outbreak. A larger percent of local health department (LHD) staff reported using information from NC DETECT (52%) during the 2009 H1N1 pandemic than during another infectious disease outbreak (20%) (P value = 0.01). North Carolina local public health staff used information from syndromic surveillance data more when the state health department disseminated summary syndromic surveillance reports than when this summary information was not provided. State aggregation and dissemination of timely and disease-relevant syndromic surveillance data may facilitate greater usage of such information at the local health department level. Key words: Public health surveillance, public health practice, outbreaks, influenza A virus (H1N1) subtype.
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Job Skills. Biometrics Department. Communication Disorders Department. Dental Office. Dietary Department. Emergency Department. Medical Laboratory Department. Medical Office. Medical Records Department. Mental Health Department. Nursing Department. Occupational Therapy Department. Pharmacy Department. Physical Therapy Department. Radiology Department. Respiratory Therapy Department. Support Departments: Admitting, Business,and Central Service. Surgery Department. Veterinary Science. Vision Care. APPENDIX. GLOSSARY. INDEX.
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Objectives:To describe the rate of complaints from the parents of the children in outpatient department and emergency department,complaint categories,departments involved,outcomes of complaints.Methods:Retro- spective study was conducted to analyze the complaints made by parents of the children in outpatient department and emergency department in Shanghai Children's Medical Center from Jan.2005 to Nov.2007.The main indexes were complaints rate,department involved,complaints and outcomes.Results:The average rate of complaints was 0.133/1000 patients.Complaints relating to treatment,communication,patient' s right and access to healthcare accounted for 37.4%,29.8%,11.6% and 9.9% respectively.Apologies or explanations and educating the health- care staff resolved 73% of complaints.Conclusion:To take complaint data as quality improvement activities is rec- ommended.Interventions to decrease the number of complaints will be educating the healthcare staffs in the areas of communication,establishing reasonable procedure in outpatient department and emergency department.
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Polyembolokoilamania in the Emergency Department Polyembolokoilamania is a rare but serious medical condition that involves the presence of multiple foreign bodies in the patient's body [1]. This condition can be challenging to diagnose and manage in the emergency department. In this chapter, we will discuss the presentation, diagnosis, and management of polyembolokoilamania in the emergency department.
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The main purpose of this study is to come up with new concept and models for disaster management in terms of preparedness, response, and recovery through discussion and exploration. The overall aim of the study is to identify the needs and gaps of preparedness, response, and recovery of 2015 Earthquake and make recommendation for effective preparedness, response, and recovery for Nepal and South Asia. The study identifies a huge gap in preparedness, response, and recovery and highlights the need of introduction of concept of new model of cooperative disaster management at micro level for better preparedness, response, and recovery. This study also highlights that existing approach of disaster management policies cannot sustain for longer period at the community level and it is high time to come up with new models that community people will feel the impact. The models and concept been discussed in the paper.
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We examined local health department (LHD) preparedness capacities in the context of participation in accreditation and other performance improvement efforts. MetHODS: We analyzed preparedness in 8 domains among LHDs responding to a preparedness capacity instrument from 2010 through 2012. Study groups included LHDs that (1) were exposed to a North Carolina state-based accreditation program, (2) participated in 1 or more performance improvement programs, and (3) had not participated in any performance improvement programs. We analyzed mean domain preparedness scores and applied a series of nonparametric Mann-Whitney Wilcoxon tests to determine whether preparedness domain scores differed significantly between study groups from 2010 to 2012.
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