New Jersey Experience and Protocol Development.ppt

02/23/06 NJ Experience and Protocol Development 02/23/06 New Jersey Experience and Protocol Development Teresa Hamby Infectious Zoonotic Disease Program New Jersey Department of Health Senior Services Outline Introduction Overview of NJ Surveillance Protocol Development Conclusions NJ Surveillance - Overview NJ Public Health Partners NJDHSS Local Information Network Communications System (LINCS) NJ’s HAN 22 jurisdictions statewide Regional epidemiologists in each LINCS agency Local Health Departments Total 114 Hospitals Approximately 80 acute care facilities NJ Surveillance - Components Emergency Department (ED) Surveillance Daily analysis of ED visits and admissions Enhanced during periods of heightened threat status Hospital Divert Status Housed in NJDHSS Website review Relate to ED volume NJ Surveillance - Components Communicable Disease Reporting and Surveillance System (CDRSS) Weekly reporting Over-The-Counter Drug Sales Daily RODS website review FTP download and analysis BioSense Daily review BioSense Experiences “Initiation by Smallpox” FIRST SIA follow up investigation by state or local PH Approximately three weeks after SIAs implemented Diagnosis related to vaccination reaction in military personnel Experiences Additional alerts Miscodes Plague Crimean hemorrhagic fever Vaccination-related Yellow fever Because of experiences = need for guidance in response at both state and local levels Protocol Development Need for… Role-specific guidance NJDHSS surveillance staff NJDHSS epidemiology staff Regional epidemiologists / investigators Level of response? Clear instructions for investigation and follow up Protocol Development Existing models to draw from… Republican Convention, NYC 2004 Presidential Election 2004 Smallpox Vaccination Program Protocol Elements Description of BioSense system and SIAs Instructions by staff role Assessment of true “threat”? Investigation and follow up requirements Closure of event Update Current status Review and comment by