Medical Care - Public Health Settings

Surveillance

Surveillance may be a key initial indicator for event recognition. This occurs via passive means with input of data or health (animal and human) noted information as well as active means with daily or moment to moment sampling or information. Active surveillance targets particular areas for specific medically relevant information or trends such as animal death observances, clinic volumes, and medication use (prescription and nonprescription), while passive programs involve database collection with retrospective analysis. Retail pharmacies and veterinarian clinics may be initial indicators of incidents for biological incidents. Evaluation and analysis of the data and health trending is critical for decision-making and operational planning.

Target Areas ("Active" Program)
1.
Adult and pediatric primary care clinics (consider the call-in or nurse triage line)
2.
Hospital emergency department census
3.
Public Health clinics
4.
Public school system absentee list
5.
Day care centers
6.
Retail pharmacies
7.
Veterinarian clinics
 
End-Points
1.
Daily census or absenteeism reports will allow for health trending
2.
Epidemiological investigation begins when significant deviations from normal are noted
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