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Surveillance of Emergency Events U.S. Experience

Surveillance of Emergency Events U.S. Experience. CIDM Conference, N. Delhi, India February 12, 2009 Dr. Rubina Imtiaz Country Representative US Centers for Disease Control & Prevention. Overview. Public health consequences of acute HS releases Chernobyl, Ukraine; Bhopal, India;

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Surveillance of Emergency Events U.S. Experience

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  1. Surveillance of Emergency EventsU.S. Experience CIDM Conference, N. Delhi, India February 12, 2009 Dr. Rubina Imtiaz Country Representative US Centers for Disease Control & Prevention

  2. Overview • Public health consequences of acute HS releases • Chernobyl, Ukraine; • Bhopal, India; • Seveso, Italy; • Graniteville, South Carolina • No cohesive national tracking system in US • Objectives: • Improve emergency response • Improve preparedness planning & prevention-based interventions, to • Reduce # of releases and their PH impact

  3. HSEESHazardous Substances Emergency Events Surveillance • ATSDR initiated in 1993 • Earlier databases missed information • Goals: • to define distribution & characteristics of acute releases; • effects on humans; and • prevention strategies.

  4. HSEES: Design • Active surveillance in 15 states • Type of substance, # & type of injuries, # of victims • Computerized, web-based data • Full participation by states • Info available to industry, responders and public to help prevent future events

  5. Results for 1993 - 2005 • Total events= 69,991 (95% from FFs) • Substances released = 105,832 • # of victims = 25,600; deaths = 452 • Commonest victims are employees • Commonest substances: inorganic subs., VOCs, and mixtures • Respiratory irritation, headaches, dizziness and CNS symptoms

  6. Data-based Interventions • Increase general awareness • Outreach on high-risk substances (Chlorine, ammonia, cleaning products, NaOH, Hg, CO) • Targeted outreach (first responders, high-risk counties and industrial corridors, and children)

  7. Continuing Challenges • Gaps/overlaps between various agencies data • Identify core data present/needed by all • Compatibility and merger of datasets • Rapid interagency communication/sharing • More comprehensive approach • Responsiveness to national security needs • Flexibility to partner with multiple Federal, State and local agencies (needs, shared resources)

  8. National Chemical Incidents Surveillance and Prevention Program • Enhance and unify existing databases into one core data repository (NRC, CSHIB, DOT, PCCs, and CPSC). • Supplement with news media searches, additional data from pilot state HD sites (latter also used for validation)

  9. Additional resources http://www.atsdr.cdc.gov/HS/HSEES THANK YOU

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