{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T05:54:39Z","timestamp":1785390879909,"version":"3.55.0"},"reference-count":24,"publisher":"SAGE Publications","issue":"1_suppl","license":[{"start":{"date-parts":[[2017,7,1]],"date-time":"2017-07-01T00:00:00Z","timestamp":1498867200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Public Health Rep"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>The use of syndromic surveillance has expanded from its initial purpose of bioterrorism detection. We present 6 use cases from New York City that demonstrate the value of syndromic surveillance for public health response and decision making across a broad range of health outcomes: synthetic cannabinoid drug use, heat-related illness, suspected meningococcal disease, medical needs after severe weather, asthma exacerbation after a building collapse, and Ebola-like illness in travelers returning from West Africa.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>The New York City syndromic surveillance system receives data on patient visits from all emergency departments (EDs) in the city. The data are used to assign syndrome categories based on the chief complaint and discharge diagnosis, and analytic methods are used to monitor geographic and temporal trends and detect clusters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>For all 6 use cases, syndromic surveillance using ED data provided actionable information. Syndromic surveillance helped detect a rise in synthetic cannabinoid-related ED visits, prompting a public health investigation and action. Surveillance of heat-related illness indicated increasing health effects of severe weather and led to more urgent public health messaging. Surveillance of meningitis-related ED visits helped identify unreported cases of culture-negative meningococcal disease. Syndromic surveillance also proved useful for assessing a surge of methadone-related ED visits after Superstorm Sandy, provided reassurance of no localized increases in asthma after a building collapse, and augmented traditional disease reporting during the West African Ebola outbreak.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Practice Implications:<\/jats:title>\n                    <jats:p>Sharing syndromic surveillance use cases can foster new ideas and build capacity for public health preparedness and response.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0033354917711183","type":"journal-article","created":{"date-parts":[[2017,11,7]],"date-time":"2017-11-07T09:35:48Z","timestamp":1510047348000},"page":"23S-30S","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":34,"title":["Advancing the Use of Emergency Department Syndromic Surveillance Data, New York City, 2012-2016"],"prefix":"10.1177","volume":"132","author":[{"given":"Ramona","family":"Lall","sequence":"first","affiliation":[{"name":"Bureau of Communicable Diseases, New York City Department of Health and Mental Hygiene, Queens, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasmine","family":"Abdelnabi","sequence":"additional","affiliation":[{"name":"Bureau of Communicable Diseases, New York City Department of Health and Mental Hygiene, Queens, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Ngai","sequence":"additional","affiliation":[{"name":"Bureau of Communicable Diseases, New York City Department of Health and Mental Hygiene, Queens, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hilary B.","family":"Parton","sequence":"additional","affiliation":[{"name":"Bureau of Communicable Diseases, New York City Department of Health and Mental Hygiene, Queens, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Saunders","sequence":"additional","affiliation":[{"name":"Bureau of Communicable Diseases, New York City Department of Health and Mental Hygiene, Queens, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Sell","sequence":"additional","affiliation":[{"name":"Bureau of Communicable Diseases, New York City Department of Health and Mental Hygiene, Queens, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Wahnich","sequence":"additional","affiliation":[{"name":"Bureau of Communicable Diseases, New York City Department of Health and Mental Hygiene, Queens, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Don","family":"Weiss","sequence":"additional","affiliation":[{"name":"Bureau of Communicable Diseases, New York City Department of Health and Mental Hygiene, Queens, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert W.","family":"Mathes","sequence":"additional","affiliation":[{"name":"Bureau of Communicable Diseases, New York City Department of Health and Mental Hygiene, Queens, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,7,10]]},"reference":[{"key":"bibr1-0033354917711183","doi-asserted-by":"publisher","DOI":"10.3201\/eid1005.030646"},{"key":"bibr2-0033354917711183","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0040247"},{"issue":"3","key":"bibr3-0033354917711183","first-page":"1","volume":"6","author":"Buehler JW","year":"2008","journal-title":"Adv Dis Surveill"},{"key":"bibr4-0033354917711183","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0130468"},{"issue":"6","key":"bibr5-0033354917711183","first-page":"93","volume":"62","author":"Murphy TD","year":"2013","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"bibr6-0033354917711183","unstructured":"New York City Department of Health and Mental Hygiene. 2015 advisory #36: increase in synthetic cannabinoid (K2)\u2013related adverse events and emergency department visits, New York City. 2015. https:\/\/www1.nyc.gov\/assets\/doh\/downloads\/pdf\/ah\/Synthetic%20cannabinoids-HAN-advisory_Summer%202015%20-penultimate8.pdf. Accessed May 16, 2016."},{"key":"bibr7-0033354917711183","unstructured":"New York City Department of Health and Mental Hygiene. 2014 advisory #18: increase in synthetic cannabinoid-related adverse events and emergency department visits, New York City. 2014. https:\/\/www1.nyc.gov\/assets\/doh\/downloads\/pdf\/ah\/Synthetic%20cannabinoids-HAN-advisory-7%2027%2014%2011\u2009AM.pdf. Accessed May 16, 2016."},{"key":"bibr8-0033354917711183","unstructured":"City of New York, Office of the Mayor. Mayor de Blasio, Speaker Mark Viverito, and Health Commissioner Bassett announce 85 percent reduction in K2 related emergency visits. 2016. http:\/\/www1.nyc.gov\/office-of-the-mayor\/news\/421-16\/mayor-de-blasio-speaker-mark-viverito-health-commissioner-bassett-85-percent. Accessed May 16, 2016."},{"key":"bibr9-0033354917711183","unstructured":"New York City Department of Health and Mental Hygiene. 2016 health alert #42: heat health advisory. 2016. https:\/\/a816-health30ssl.nyc.gov\/sites\/nychan\/Lists\/AlertUpdateAdvisoryDocuments\/Heat%20Health%20Alert_20160908.pdf. Accessed January 13, 2017."},{"key":"bibr10-0033354917711183","doi-asserted-by":"publisher","DOI":"10.3201\/eid0910.030231"},{"key":"bibr11-0033354917711183","first-page":"175","volume":"54","author":"Balter S","year":"2005","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"bibr12-0033354917711183","first-page":"e500563f3ea181","volume":"4","author":"Westheimer E","year":"2012","journal-title":"PLoS Curr"},{"key":"bibr13-0033354917711183","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0125071"},{"key":"bibr14-0033354917711183","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0014677"},{"key":"bibr15-0033354917711183","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2014.05.007"},{"key":"bibr16-0033354917711183","doi-asserted-by":"publisher","DOI":"10.1186\/s40621-015-0044-5"},{"key":"bibr17-0033354917711183","doi-asserted-by":"publisher","DOI":"10.1136\/injuryprev-2015-041821"},{"key":"bibr18-0033354917711183","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2004.061358"},{"key":"bibr19-0033354917711183","doi-asserted-by":"publisher","DOI":"10.1001\/dmp.2010.32"},{"key":"bibr20-0033354917711183","doi-asserted-by":"publisher","DOI":"10.1289\/ehp.1003206"},{"key":"bibr21-0033354917711183","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2016.74"},{"key":"bibr22-0033354917711183","doi-asserted-by":"publisher","DOI":"10.5210\/ojphi.v7i1.5675"},{"key":"bibr23-0033354917711183","doi-asserted-by":"publisher","DOI":"10.5210\/ojphi.v7i3.6354"},{"key":"bibr24-0033354917711183","unstructured":"International Society of Disease Surveillance. Technical conventions use cases: asyndromic cluster detection. 2015. http:\/\/www.syndromic.org\/cop\/analytic-solutions\/technical-conventions-background\/use-cases. Accessed January 13, 2017."}],"container-title":["Public Health Reports\u00ae"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0033354917711183","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0033354917711183","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0033354917711183","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T09:34:02Z","timestamp":1777628042000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0033354917711183"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,7]]},"references-count":24,"journal-issue":{"issue":"1_suppl","published-print":{"date-parts":[[2017,7]]}},"alternative-id":["10.1177\/0033354917711183"],"URL":"https:\/\/doi.org\/10.1177\/0033354917711183","relation":{},"ISSN":["0033-3549","1468-2877"],"issn-type":[{"value":"0033-3549","type":"print"},{"value":"1468-2877","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,7]]}}}