tetano
Editor, Senior Moderator
PLoS Curr. 2011 Aug 2;3:RRN1251.
Applying a New Model for Sharing Population Health Data to National Syndromic Influenza Surveillance: DiSTRIBuTE Project Proof of Concept, 2006 to 2009.
Olson DR, Paladini M, Lober WB, Buckeridge DL, Working Group ID.
Source
Research Director, International Society for Disease Surveillance; Director of Syndromic Surveillance, New York City Department of Health and Mental Hygiene, Queens, NY; Associate Professor; Health Informatics and Global Health, Schools of Medicine, Nursing, and Public Health; University of Washington; Associate Professor, Department of Epdidemiology and Biostatistics, McGill University, Montreal / Public Health Physician, Montreal Public Health and INSPQ and International Society for Disease Surveillance (ISDS), Distributed Surveillance Taskforce.
Abstract
The Distributed Surveillance Taskforce for Real-time Influenza Burden Tracking and Evaluation (DiSTRIBuTE) project began as a pilot effort initiated by the International Society for Disease Surveillance (ISDS) in autumn 2006 to create a collaborative electronic emergency department (ED) syndromic influenza-like illness (ILI) surveillance network based on existing state and local systems and expertise. DiSTRIBuTE brought together health departments that were interested in: 1) sharing aggregate level data; 2) maintaining jurisdictional control; 3) minimizing barriers to participation; and 4) leveraging the flexibility of local systems to create a dynamic and collaborative surveillance network. This approach was in contrast to the prevailing paradigm for surveillance where record level information was collected, stored and analyzed centrally. The DiSTRIBuTE project was created with a distributed design, where individual level data remained local and only summarized, stratified counts were reported centrally, thus minimizing privacy risks. The project was responsive to federal mandates to improve integration of federal, state, and local biosurveillance capabilities. During the proof of concept phase, 2006 to 2009, ten jurisdictions from across North America sent ISDS on a daily to weekly basis year-round, aggregated data by day, stratified by local ILI syndrome, age-group and region. During this period, data from participating U.S. state or local health departments captured over 13% of all ED visits nationwide. The initiative focused on state and local health department trust, expertise, and control. Morbidity trends observed in DiSTRIBuTE were highly correlated with other influenza surveillance measures. With the emergence of novel A/H1N1 influenza in the spring of 2009, the project was used to support information sharing and ad hoc querying at the state and local level. In the fall of 2009, through a broadly collaborative effort, the project was expanded to enhance electronic ED surveillance nationwide.
PMID:
21894257
[PubMed - as supplied by publisher]
PMCID: PMC3148528
Free full text
http://www.ncbi.nlm.nih.gov/pubmed/21894257
Applying a New Model for Sharing Population Health Data to National Syndromic Influenza Surveillance: DiSTRIBuTE Project Proof of Concept, 2006 to 2009.
Olson DR, Paladini M, Lober WB, Buckeridge DL, Working Group ID.
Source
Research Director, International Society for Disease Surveillance; Director of Syndromic Surveillance, New York City Department of Health and Mental Hygiene, Queens, NY; Associate Professor; Health Informatics and Global Health, Schools of Medicine, Nursing, and Public Health; University of Washington; Associate Professor, Department of Epdidemiology and Biostatistics, McGill University, Montreal / Public Health Physician, Montreal Public Health and INSPQ and International Society for Disease Surveillance (ISDS), Distributed Surveillance Taskforce.
Abstract
The Distributed Surveillance Taskforce for Real-time Influenza Burden Tracking and Evaluation (DiSTRIBuTE) project began as a pilot effort initiated by the International Society for Disease Surveillance (ISDS) in autumn 2006 to create a collaborative electronic emergency department (ED) syndromic influenza-like illness (ILI) surveillance network based on existing state and local systems and expertise. DiSTRIBuTE brought together health departments that were interested in: 1) sharing aggregate level data; 2) maintaining jurisdictional control; 3) minimizing barriers to participation; and 4) leveraging the flexibility of local systems to create a dynamic and collaborative surveillance network. This approach was in contrast to the prevailing paradigm for surveillance where record level information was collected, stored and analyzed centrally. The DiSTRIBuTE project was created with a distributed design, where individual level data remained local and only summarized, stratified counts were reported centrally, thus minimizing privacy risks. The project was responsive to federal mandates to improve integration of federal, state, and local biosurveillance capabilities. During the proof of concept phase, 2006 to 2009, ten jurisdictions from across North America sent ISDS on a daily to weekly basis year-round, aggregated data by day, stratified by local ILI syndrome, age-group and region. During this period, data from participating U.S. state or local health departments captured over 13% of all ED visits nationwide. The initiative focused on state and local health department trust, expertise, and control. Morbidity trends observed in DiSTRIBuTE were highly correlated with other influenza surveillance measures. With the emergence of novel A/H1N1 influenza in the spring of 2009, the project was used to support information sharing and ad hoc querying at the state and local level. In the fall of 2009, through a broadly collaborative effort, the project was expanded to enhance electronic ED surveillance nationwide.
PMID:
21894257
[PubMed - as supplied by publisher]
PMCID: PMC3148528
Free full text
http://www.ncbi.nlm.nih.gov/pubmed/21894257