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Mass gathering enhanced syndromic surveillance for the 8th Micronesian Games in 2014, Pohnpei State, Federated States
Paul White1, Salanieta Saketa2, Eliaser Johnson3
1ELC Programme, PHEP Office, Commonwealth Health Care Corporation, Saipan, Commonwealth of the Northern Mariana Islands.
Abstract:
Pohnpei State's Division of Primary Health Care implemented enhanced surveillance for early warning and detection of disease to support the 8th Micronesian Games (the Games) in July 2014. The surveillance comprised 11 point-of-care sentinel sites around Pohnpei, Federated States of Micronesia, collecting data daily for eight syndromes using standard case definitions. Each sentinel site reported total acute care encounters, total syndrome cases and the total for each syndrome. A public health response, including epidemiological investigation and laboratory testing, followed when syndrome counts reached predetermined threshold levels. The surveillance was implemented using the web-based Suite for Automated Global Electronic bioSurveillance Open-ESSENCE (SAGES-OE) application that was customized for the Games. Data were summarized in daily situation reports (SitReps) issued to key stakeholders and posted on PacNet, a Pacific public health e-mail network. Influenza-like illness (ILI) was the most common syndrome reported (55%, n = 225). Most syndrome cases (75%) were among people from Pohnpei. Only 30 cases out of a total of 408 syndrome cases (7%) presented with acute fever and rash, despite the large and ongoing measles outbreak at the time. No new infectious disease outbreak was recorded during the Games. Peaks in diarrhoeal and ILI cases were followed up and did not result in widespread transmission. The technology was a key feature of the enhanced surveillance. The introduction of the web-based tool greatly improved the timeliness of data entry, analysis and SitRep dissemination, providing assurance to the Games organizers that communicable diseases would not adversely impact the Games.
Insights
Enhanced disease surveillance supported the 8th Micronesian Games, utilizing electronic bio-surveillance (Open-ESSENCE) for early warning and rapid response. This system successfully detected and managed potential outbreaks, ensuring public health safety during the event.
Area of Science:
- Public Health
- Epidemiology
- Health Informatics
Background:
- The 8th Micronesian Games presented a public health challenge due to potential disease transmission among attendees.
- Pohnpei State's Division of Primary Health Care needed a robust system for disease surveillance and early warning.
Purpose of the Study:
- To implement and evaluate an enhanced disease surveillance system for the 8th Micronesian Games.
- To ensure timely detection and response to potential infectious disease outbreaks during the event.
Main Methods:
- Established 11 sentinel sites for daily data collection on eight syndromes using standard case definitions.
- Utilized the web-based Suite for Automated Global Electronic bioSurveillance Open-ESSENCE (SAGES-OE) application for data management.
- Implemented a public health response triggered by predetermined syndrome count thresholds, including investigations and laboratory testing.
Main Results:
- Influenza-like illness (ILI) was the most frequently reported syndrome (55%).
- No new infectious disease outbreaks were recorded during the Games; minor peaks in diarrheal and ILI cases were managed effectively.
- The SAGES-OE system significantly improved data entry, analysis, and report dissemination timeliness.
Conclusions:
- The enhanced surveillance system, powered by electronic bio-surveillance technology, was effective in preventing communicable diseases from impacting the 8th Micronesian Games.
- The system provided assurance to organizers regarding the management of public health risks.
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