MDSS System Use Statistics - U-M School of Public Health · Michigan Communicable Disease Outbreak...
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Transcript of MDSS System Use Statistics - U-M School of Public Health · Michigan Communicable Disease Outbreak...
Michigan Communicable Disease Outbreak Surveillance and InvestigationRegional Epidemiology Unit (REU), Michigan Department of Health and Human Services
Wenwen Jiang; Tiffany Henderson
Created in 2001, the REU’s core
functions and services including:
• Disease surveillance
• Support to local public health
• Regional bioterrorism planning
• Data analysis, material
distribution
• Local epidemiology activities
Regional Epidemiology Unit
To develop a manual to systematically summarize roles of MDHHS in
response to communicable disease (CD) outbreaks. The manual
should cover each process of an epidemiological investigation.
A CD is an illness due to a specific infectious agent or its toxic
products that arises through transmission of that agent or its
products from an infected person, animal or inanimate reservoir to a
susceptible host.
Internship Objective
The manual clarified roles and responsibilities of the MDHHS in
initiatives to multilevel communicable disease outbreaks.
Specific response to health threats with emerging / re-emerging
diseases and bioterrorism components were also specified.
• Weekly Lab-Epi teleconferences
• Epi and Surveillance Workgroups
• CDC Morbidity and Mortality Weekly Report (MMWR) Review
• 16th Annual Michigan Communicable Disease Conference
• Shadowing the Ingham County Health Department
• District 1 Regional Medical Response Coalition Meeting
Internship Highlights
• Verify the diagnosis to the initial notification of an outbreak.• Develop a surveillance case definition specific to the outbreak.• Make a working hypothesis on risk factors for the infection.• Find additional cases by enhancing surveillance and follow-up
commonly exposed cohorts.• Interrupt the transmission or reduce exposure.
Outbreak Confirmation
Diagnosis Verification
Environmental Assessment
Epidemiological Investigation
Prevention and Control
Communication and report
• The members of MDHHS Regional Epidemiology
Unit and the Surveillance and Infectious Disease
(SIDE) Section
• The Certificate in Healthcare Infection Control
(CHIP) program at the University of Michigan
School of Public Health
Acknowledgement
https://www26.state.nj.us/doh-shad/indicator/CatInfec.html
• Michigan Disease Surveillance System (MDSS)Use national data standards. Alerts can be set to notify epidemiologists when specific single case or cluster notification are submitted.
• Michigan Syndromic Surveillance System (MSSS)Emergency and urgent care submit pre-diagnostic data of nonspecific health indicators. MSSS sends syndromic alerts to the MDHHS.
• Laboratory-based Surveillance
• Compliant-based SurveillanceSelf-reported illness calls from citizens will be re-directly referred to the local health department where the individual resides
Disease Surveillance
www.michigan.gov/cdinfo www.michigan.gov/mdss
0
200,000
400,000
600,000
800,000
1,000,000
1,200,000
2007 2008 2009 2010 2011 2012
Nu
mb
er
MDSS System Use Statistics
Referrals
Individual Case Reports
Transactions
0
10,000
20,000
30,000
40,000
50,000
60,000
70,000
80,000
2006 2007 2008 2009 2010 2011 2012
Nu
mb
er o
f El
ectr
on
ic L
ab R
epo
rts
MDSS Electronic Messaging
Quest Diagnostic – Auburn Hills
Sparrow Labs
LabCorp
Mayo Labs
Hurley Hospital Lab
Garcia Labs
ARUP Labs
DMC Labs
MDCH Labs
2009-2013 Michigan Tuberculosis Epidemiologic Trends Report, MDHHS
Annual Michigan HIV Surveillance Report New Diagnoses and Prevalence (2015), MDHHS
https://www.mailman.columbia.edu/become-student/departments/epidemiology
Outbreak Response