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WHAT IS ”SYNDROMIC SURVEILLANCE”
• Syndromic surveillance, CDC, 2006
– approaches which make use of “health-related data
that precede diagnosis and signal with sufficient
probability of a case or an outbreak to warrant further
public health response”
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Fact #1: Our data are not that syndromic…
Fact #2: Our data are not that early…
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• Syndromic surveillance, CDC, 2006
– approaches which make use of “health-related data
that precede diagnosis and signal with sufficient
probability of a case or an outbreak to warrant further
public health response”
• Syndromic surveillance, Triple-S, 2013
– the real-time (or near real-time) collection, analysis,
interpretation and dissemination of health-related data to
enable the early identification of the impact (or absence of
impact) of potential human or veterinary public-health
threats which require effective public health action
WHAT IS ”SYNDROMIC SURVEILLANCE”
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HOW IT IS DONE
Animal Health data
source
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HOW IT IS DONE
Animal Health data
source
Challenge #1: Using data secondarily
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Challenge #2: We can rarely influence (and certainly never
standardize) data recording practices
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Know what you want and what you can get from the data
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Challenge #3: We want too many things from our data
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Challenge #4: Our needs are not the only ones to consider…
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Challenge #5: Our priorities can change over time
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?
Fact #1: Our data are not that syndromic…
Fact #2: Our data are not that early…
Challenge #2 : We can rarely influence (and certainly never standardize) data recording practices
Challenge #3 : We want too many things from our data
Challenge #4: Our needs are not the only ones to consider…
Challenge #5: Our priorities can change over time
Challenge #1: Using data secondarily
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ONE SOLUTION
Smarter dataSmarter systems
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ONTOLOGIES
• “An ontology defines a common
vocabulary for researchers who
need to share information in a
domain. It includes machine-
interpretable definitions of basic
concepts in the domain and
relations among them”
(Noy and McGuinness, 2001)
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SPECIFIC GOAL/DOMAIN
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DATA MODEL
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DATA MODEL
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Community involvement
Defines needs
TECHNICAL development
Builds data model
ONTOLOGY DEVELOPMENT
Provide userstories
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ONTOLOGY DEVELOPMENT
Farmer Nilsson, during his morning visit of his stables in Skåne on the 10th of June 2015, notices that his cow Daisy gave birth during the night to a calf that was dead-at-birth. He calls his vet Dr Carlsson and asks her to come and examine Daisy. The vet comes on the same day to examine Daisy, and in view of her fever, decides to take samples from both Daisy herself and the aborted foetus to send for laboratory testing. In the meantime, Farmer Nilsson notifies the abortion to the electronic cattle register. Both samples are sent to the SVA and received/processed the following day. The samples are tested for Brucellosis, BVD and neospora. On the 14th
of June, the results are back and only Daisy’s blood sample tested positive for BVD, all other tests were negative.
(credit to Flavie Vial)
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Community involvement
Defines needs
TECHNICAL development
Builds data model
ONTOLOGY DEVELOPMENT
Provide userstories
Populates ontology
Uses ontology
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HOW IT IS DONE
Animal Health data
source
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EPIDEMIOLOGICAL INTELLIGENCE
• real-time (or near real-
time) collection, analysis,
interpretation and
dissemination of health-
related data to ..
• …to provide guidance
and direction to
commanders in support of
their decisions
Fact #1: Our data are not that syndromic…
Fact #2: Our data are not that early…
Challenge #2 : We can rarely influence (and
certainly never standardize) data recording
practices
Challenge #3 : We want too many things
from our data
Challenge #4: Our needs are not the only
ones to consider…
Challenge #5: Our priorities can change over
time
Challenge #1: Using data secondarily
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• Syndromic surveillance, Triple-S, 2013
– the real-time (or near real-time) collection, analysis,
interpretation and dissemination of health-related data to
enable the early identification of the impact (or absence of
impact) of potential human or veterinary public-health
threats which require effective public health action