USPACOM S&T Conference March 2013. Health Surveillance (c) Copyright 2006-2010 - PDC Public health surveillance is the continuous, systematic collection,

METHODS AND TOOLS TO ACHIEVE COLLABORATIVEHEALTH AND BIO SURVEILLANCE

USPACOM S&T ConferenceMarch 2013

Health Surveillance

(c) Copyright 2006-2010 - PDC

Public health surveillance is the continuous, systematic collection, analysis and interpretation of health-related data needed for the planning, implementation, and evaluation of public health practice. Such surveillance can:

serve as an early warning system for impending public health emergencies;

document the impact of an intervention, or track progress towards specified goals; and

monitor and clarify the epidemiology of health problems, to allow priorities to be set and to inform public health policy and strategies.

(World Health Organization)

Biosurveillance

“..the process of active data-gathering with appropriate analysis and interpretation of biosphere data that might relate to disease activity and threats to human or animal health — whether infectious, toxic, metabolic, or otherwise, and regardless of intentional or natural origin — in order to achieve early warning of health threats, early detection of health events, and overall situational awareness of disease activity” (Homeland Security Presidential Directive 21 (HSPD-21), 2007)



Natural Disaster Classification (CRED)

http://www.cred.be/ http://www.emdat.be/

HADR Regional Awareness Objectives Maintain Regional Hazard/Disaster Situational

Awareness Develop/Maintain Operationally Relevant Risk

Awareness of Key Regions Establish Information Sharing Networks

“Intra-DoD”Civil-MilitaryInternational-Regional

Integrate Emerging Information Collection & Sharing Technologies


Early Warning and Decision Support Applications: DisasterAWARE Integrated Multi-hazard

Hazard Monitoring Disaster Early Warning Automated / Integrated

Modeling Exposure (Risk) Maps &

Historical Hazard data Customized Impact Modeling

AND Intra-Agency Info Sharing

User Added Situation Reports Damage Products, …

Remote Access


EQVolcano

Hot Spots

RainTsunami Travel Time

Storm, EQ, Volcano Intensity Zones

Shake Maps (MMI)

Info Sharing

iPhone App

Situation Reports

May 10, 2010


Disaster Situational Awareness


GDP per capita

Average Growth of GDP

Economic Strength

Political Stability

Control of Corruption

Voice and Accountability

Rule of Law

Government Effectiveness

Government Strength

Telephone Mainlines and Cell Subscribers

Road Density

Runway Density

Infrastructure

=RISK Hazard CapacityVulnerability+ -

Index Rank Index Rank Index Rank Index RankCountry (Range 0-1) (Rank x of 53) (Range 0-1) (Rank x of 53) (Range 0-1) (Rank x of 53) (Range 0-1) (Rank x of 53)Mauritius 0.90 1 0.93 3 0.89 1 0.89 2Cape Verde 0.76 2 0.94 1 0.78 2 0.56 7Botswana 0.73 3 0.93 3 0.26 10 0.99 1Seychelles 0.71 4 0.78 6 0.71 3 0.65 6South Africa 0.61 5 0.83 5 0.51 6 0.49 8Tunisia 0.55 6 0.64 8 0.36 7 0.66 5Namibia 0.48 7 0.84 4 0.19 20 0.43 10Sao Tome and Principe 0.46 8 0.57 13 0.70 4 0.11 32Equatorial Guinea 0.39 9 0.15 45 0.24 13 0.80 3Morocco 0.38 11 0.56 14 0.27 9 0.31 16Ghana 0.38 11 0.72 7 0.14 32 0.28 17

Economic StrengthTop 10

Capacity Governance Infrastructure

Risk and Vulnerability Assessments Components of Disaster Risk Reduction

Travel Cost to ART Clinics:

Risk and Historical Hazards

• Operational Problemo Deliberate/contingency operations require

understanding/awareness of risk factors effecting mission planning and operational success

o Phase 0-5 knowledge products are required for situational awareness, assessment and decision support

• Technical Challengeo Disparate data sources- none that tie together human,

animal, vector surveillanceo Data not represented geospatiallyo Need for information service identified

Biosurveillance Challenge (COCOM)

BioServ The Challenge…

Large number of disparate health/epidemiological data sources, but not represented geospatially nor in a common environment to easily build situational awareness by fusing human, animal and vector surveillance with other key data

BioServ

The Proposed solution…Develop and apply manual and automated

processes to extract selected health/ epidemiological data

Publish and incorporate the biosurveillance information services (“BioServ”) into an existing geospatial visualization and decision support application (PDC’s DisasterAWARE)

Maintain BioServ data and layers to provide up-to-date health surveillance data.


Regional Health Surveillance


Guam Memorial Hospital Authority –Emergency Department

Total Influenza or Flu-Syndrome Cases

BioServ A collaborative approach…

Partnership○ Pacific Disaster Center○ US Naval Medical Research Unit-2 (NAMRU-2)○ US Army Public Health Command (USAPHC)○ Navy Medical Research Center, Advanced Medical

Development (NMRC AMD)


The Future … Emerging Use of Social Media/Networking to Provide

Timely Health Information in “Austere” Environments ONR Social Networking Initiatives Increased Use of “Ubiquitous” data collection resources

Increase Information Sharing & Collaboration Through Adoption of Open Standards & Interoperability Mil-Civ Trusted Environment ---Increasing “Social Capital” Open Standards/Interoperability -- ROGUE JCTD Increasing Engagement of Health “Communities of Practice” Growth of New Regional Data/Information Networks

Adoption of “System Agnostic” Knowledge Data/Information Resources


Fostering Disaster-Resilient Communities

For More Information:http://WWW.PDC.ORG

Follow us on: DisasterAWARE

Contact Us At: [email protected]

http://www.pdc.org/

USPACOM S&T Conference March 2013. Health Surveillance (c) Copyright 2006-2010 - PDC Public health surveillance is the continuous, systematic collection,

Documents

animal health

interpretation of health

health surveillancec

public health policy

pdcpublic health surveillance

pdcc copyright

remote access c copyright

related data