Enhanced drop-in syndromic surveillance in New York City following September 11, 2001.

摘要: After the 2001 World Trade Center disaster, New York City Department of Health was under heightened alert for bioterrorist attacks in city. An emergency department (ED) syndromic surveillance system implemented with assistance Centers Disease Control and Prevention to ensure early recognition an increase or clustering disease syndromes that might represent a outbreak, whether natural intentional. The based on data collected 7 days week at area EDs. Data were translated into syndromes, entered electronic database, analyzed aberrations space time within 24 hours. From September 14–27, personnel stationed 15 EDs 24-hour basis (first staffing period); from 29–October 12, due resource limitations, 12 18-hour (second period). A standardized form used obtain demographic information classify each patient visit syndrome categories. Seven these represented manifestations agents. transfer analysis (alarms) by age occurred daily. Retrospective analyses examined trends, differences reporting between periods, staff’s experience during project. total 67,536 reports received. captured 83.9% visits first period, 60.8% second period (P<01). Five accounted more than 1% visits: trauma, asthma, gastrointestinal illness, upper/lower respiratory infection fever, anxiety. Citywide temporal alarms eight times three major bioterrorism-related syndromes. Spatial 16 hospital location 9 ZIP code same No outbreaks detected. On-site facilitate collection entry, supported daily ED visits, is feasible short-term approach high-profile events. resources required operate such system, however, cannot be sustained long term. This changed electronic-based using triage log remains operation.