ESR , SurvINZ and Episurv7

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ESR , SurvINZ and Episurv7
Dr Bruce Adlam bruce.adlam_at_esr.cri.nz ruth.pirie_at_e
sr.cri.nz carol.kliem_at_esr.cri.nz david.talbot_at_esr.
cri.nz
Specialist Science Solutions
Manaaki Tangata Taiao Hoki protecting people and
their environment through science
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Programmes within Population and Environmental
Health

• National Disease Surveillance
• Rare disease reporting
• Environmental Health Surveillance
• Environmental Health Indicators
• Vector ecology
• Chemical Injury Surveillance
• Research
• Soil Science
• Envirogenomics
• Microbial Forensics
• International
• Pacific (PPHSN)
• WHO
• GOARN
• National Influenza Centre
• PulseNet

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Think Surveillance

• ESR surveillance systems and surveillance
  expertise
• Surveillance is information for action to guide
  rapid response
• ESR is CRI but not just research
• Service delivery to govt
• Need efficient solutions that are self sustaining
  
• Margin is 9 ( not here to profit maximise)
• ESR can engage Health on your behalf
• Good relationship with MoH ( SurvINZ has been key
  to this)
• Others now catching on ( NZFSA, Local/Regional
  Councils)

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Notifiable Diseases Process in NZ
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Surveillance

• Notifiable Diseases Surveillance
• EpiSurv 7 - web based notification system
• EARS Early Aberration Reporting System
• Laboratory Surveillance
• GP Sentinel Influenza Surveillance
• STI Clinical and Laboratory Surveillance
• DAISY risk assessment International Surv.
• Infectious Disease modelling

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EARS for Notifiable Diseases
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Risk Assessment DAISY
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Infectious Disease Modelling
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Published Reports from National Disease
Surveillance

• Public Health Surveillance website
  www.surv.esr.cri.nz
• Monthly Surveillance report
• NZ Public Health Surveillance Report (NZPHSR)
• Annual Surveillance reports
• Weekly disease numbers report
• NZ Public Health Observatory www.nzpho.org.nz
• maps, graphs and data downloads
• Ad hoc requests can be sent to
  survqueries_at_esr.cri.nz

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Surveillance - Forces behind the change

• The world has new threats

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Failures in surveillance

• The Toronto Syndrome. Lessons learned from
  fragmented surveillance systems and poor
  integration of information

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Surveillance - Forces behind the change

• Recognised need for all of government response
• National perspective
• Timely
• Accurate
• Complete
• Integrated platform
• Enhanced surveillance
• Integration of information
• Sharing of information
• Joint response
• Rapid response

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Scope of SurvINZ Project

• All ESR systems that generate data used in
  surveillance will ultimately reside on the
  SurvINZ platform
• Surveillance EpiSurv 7/ EARS/ DAISY
• Laboratory ESR Lab
• Chemical Injury CISS
• Water WINZ 6 system
• STI surveillance
• Influenza surveillance
• Antimicrobial resistance - MRSA
• TB DNA

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EpiSurv7 system requirements

• Real-time surveillance
• Need to integrate notifiable disease records and
  laboratory records
• Need to integrate notifiable disease and
  environmental data
• Shared workspace capability
• Include Contact Tracing module
• Have capability to match with other data sources
  i.e. animal health, local body data

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EpiSurv 7

• Web based application, for surveillance data
  entry
• Simplified data entry, drop down lists etc to
  improve the quality of data at the point of entry
• Enhanced GIS capability
• Enhanced reporting capability - National and
  local level
• Combines data across a Public Health Service
• Include new diseases, alter case definitions
  without application development change
• Improved integration and capability for Outbreak
  reporting
• Real time or near real time reporting at a
  National level
• High security peace of mind - state of art audit
  trails.
• Ease of deployment and management in the external
  user environment
• Innovative remote training process at the users
  own PC

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Think surveillance
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Opening Screen - The case list (national view)
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Filter on disease (national view)
Choose specific disease to filter list
Clicking here brings up individual case report
form
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Case report form
These tabs navigate you to the various sections
of the form
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Entering a new case
Tab prints off case report form
New case brings up case report form
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Outbreak screen
Click here to brings up the outbreak screen
Click here to bring up the outbreak report form
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Outbreak report form
These tabs navigate you to the various sections
of the form
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Creating standard reports
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Sample standard report
Export in various formats
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EpiSurv 7 mapping tool
Choose variables here
Click on icon and then case for CRF
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Zoom tool
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Creating your own ad hoc report with EpiSurv 7
data extract tool
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Creating your own ad hoc report with EpiSurv 7
data extract tool
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Take home messages

• ESR develops state of the art systems, tools and
  people to provide information for action
• ESR is SurvINZ custodian data control is in the
  hands of the application owners
• The move is towards integration between relevant
  applications.
• More features are being added
• Now national system is complete ESR will now
  focus on regional customisation
• What information for action do you need?
• To guide policy
• To guide response
• What are your information integration needs?

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Demonstrations

• EpiSurv 7
• NCBID
• WINZ

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Thank you
Dr Bruce Adlam bruce.adlam_at_esr.cri.nz ruth.pirie_at_e
sr.cri.nz david.talbot_at_esr.cri.nz carol.kliem_at_esr.
cri.nz