Distributed Surveillance Taskforce for Real-time Influenza Burden Tracking and Evaluation DiSTRIBuTE

1. Distributed Surveillance Taskforce for Real-time Influenza Burden Tracking and EvaluationDiSTRIBuTE   Farzad Mostashari Donald Olson Marc Paladini International Society for Disease Surveillance www.syndromic.org

2. Outline Background on Syndromic Surveillance Potential Utility for Influenza Monitoring Implications for Nationwide Surveillance In today�s talk I will provide a brief background on syndromic surveillance, a description of NYC�s emergency department surveillance system as one example of syndromic surveillance, then focus most of my talk on the Evidence published so far about several key areas of syndromic surveillance, most importantly the demonstrated Public Health Utility.In today�s talk I will provide a brief background on syndromic surveillance, a description of NYC�s emergency department surveillance system as one example of syndromic surveillance, then focus most of my talk on the Evidence published so far about several key areas of syndromic surveillance, most importantly the demonstrated Public Health Utility.

3. Syndromic Surveillance The systematic ongoing collection, collation, analysis, and interpretation in real-time of existing health data essential for the planning, implementation, and evaluation of public health practice and emergency response. Don�t need to tell this crowdDon�t need to tell this crowd

4. Environmental Scan State and local public health agencies Bear primary responsibility for public health surveillance and outbreak response Have relationships with clinical providers and the public Many have implemented syndromic surveillance systems

5. International Society for Disease Surveillance Survey of Syndromic Surveillance UsesMarc Paladini, MPH & Amy Sonricker, MPH, ISDSJames Buehler, MD, Emory Univ. Farzad Mostashari, MD, MPH, ISDS Funded by CDC (via NACCHO cooperative agreement) Phase 1: State survey, inc. territorial & directly-funded local HDs Phase 2: Local HD survey Phase 3: Develop Social Network / Learning Community Project advisory group includes CSTE NACCHO ASTHO CDC

6. ISDS State Syndromic Surveillance Use Survey46 Respondents - 41 Use Syndromic Surveillance

7. Usefulness & Future Plans 40/41 plan to use it to monitor pandemic flu40/41 plan to use it to monitor pandemic flu

8. DiSTRIBuTE for Flu Surveillance Uses summarized counts of influenza-like-illness (ILI) syndrome reported by age group from existing syndromic surveillance systems. The data is visualized and used to provide public health practitioners with age-specific weekly trends in influenza morbidity. The DiSTRIBuTE approach changes the traditional surveillance paradigm from central data collection and analysis to one of distributed data collection and analysis with central monitoring of summary information. By limiting the data request to the information that is truly the minimum required (summarized counts), the system has retained the ability to demonstrate meaningful flu trending data quickly and cost effectively.