Applied epidemiology elective at the Centers for Disease Control and Prevention, 1997-2002.
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Biomedical subjects
Publications and source records attributed to Denise Koo.
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Statutory authority for public health surveillance is necessarily broad as previously uncharacterized diseases are regularly discovered. This article provides specific information about general disease reporting provisions in each state. The intent of these reporting laws and the Health Insurance Portability and Accountability Act Privacy Rule is to support this critical disease surveillance function for the benefit of the entire population.
The present, rapid adoption of electronic records in clinical care is likely to shift public health surveillance from passive, human-mediated abstraction to active, computer-generated reports. However, the accuracy and efficiency of this process depends upon the adoption of consistent information standards from beside to population and the relevance of these data to public health. This article outlines the current status of data standards of relevance to public health and expands upon the ideal goal state in which health information would be collected once and then reused for multiple health-related purposes, including public health surveillance.
Public health investigators have successfully carried out epidemiologic investigations of outbreaks of disease for many years. By far the majority of these outbreaks have occurred naturally. With the recent illnesses resulting from deliberate dissemination of B. anthracis on an unsuspecting population, public health investigation of diseases must now include consideration of bioterrorism as a potential cause of outbreaks of disease. The features of naturally occurring outbreaks have a certain amount of predictability in terms of consistency with previous occurrences, or at least biological plausibility. However, with a deliberately introduced outbreak or infection among a population, this predictability is minimized. In this paper, the authors propose some epidemiologic clues that highlight features of outbreaks that may be suggestive of bioterrorism. They also describe briefly the general process of involvement of agencies at various levels of government, public health and non-public health, depending on the extent of an outbreak or level of suspicion.
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Explore the source record for details and available documents.