Communicable Disease Outbreaks in Michigan Child Care Centers Compared With State and Regional Epidemics, 2014-2017

Peter DeJonge1, Emily T Martin1, Michael Hayashi1

  • 1Peter DeJonge, Emily T. Martin, and Michael Hayashi are with the Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor. Sarah Johnson is with the University of Kansas School of Medicine, Wichita. Andrew N. Hashikawa is with the Department of Emergency Medicine, Michigan Medicine, Ann Arbor.

Insights

The Michigan Child Care Related Infections Surveillance Program (MCRISP) effectively tracks respiratory and gastrointestinal illnesses in childcare settings. This novel online system shows potential as an early warning for community-wide disease outbreaks.

Area of Science:

  • Epidemiology
  • Public Health Surveillance
  • Infectious Disease Dynamics

Background:

  • Child care centers are crucial environments for infectious disease transmission.
  • Existing surveillance systems may have limitations in timeliness and scope.
  • The Michigan Child Care Related Infections Surveillance Program (MCRISP) is a new online system for tracking illness in childcare.

Purpose of the Study:

  • To epidemiologically assess the newly established MCRISP system.
  • To evaluate the timeliness and functionality of online childcare-based surveillance.
  • To determine MCRISP's potential as an early sentinel system for community epidemics.

Main Methods:

  • Developed MCRISP epidemic curves for respiratory and gastrointestinal diseases over three seasons.
  • Compared MCRISP data with an established statewide surveillance system.
  • Analyzed surveillance data for timeliness and functionality.

Main Results:

  • MCRISP successfully generated epidemic curves for common childhood illnesses.
  • The online surveillance system demonstrated timely data collection.
  • MCRISP data showed strong correlation and potential for early detection compared to statewide data.

Conclusions:

  • Online childcare-based surveillance, like MCRISP, is a timely and functional approach.
  • MCRISP has significant potential to serve as an early sentinel system for community infectious disease outbreaks.
  • This novel system offers valuable insights into disease patterns within childcare settings.

Related Concept Videos

Steps in Outbreak Investigation01:18

Steps in Outbreak Investigation

In the ever-evolving field of public health, statistical analysis serves as a cornerstone for understanding and managing disease outbreaks. By leveraging various statistical tools, health professionals can predict potential outbreaks, analyze ongoing situations, and devise effective responses to mitigate impact. For that to happen, there are a few possible stages of the analysis:
459
Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
3.5K
Principles of Disease Surveillance01:26

Principles of Disease Surveillance

Disease surveillance is the systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice. This process integrates data dissemination to entities responsible for preventing and controlling disease, injury, and disability. Surveillance systems provide crucial information for action, helping public health authorities make informed decisions to manage and prevent outbreaks, ensure public safety, optimize...
431
Specialized Care Centers and Settings-I01:30

Specialized Care Centers and Settings-I

Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
1.4K
Prevalence and Incidence01:08

Prevalence and Incidence

In statistical epidemiology and health sciences, two essential metrics—prevalence and incidence—are fundamental for understanding disease dynamics within a population. These measures enable public health officials, epidemiologists, and researchers to assess the burden of diseases, allocate resources effectively, and design impactful public health policies and interventions.
Prevalence indicates the proportion of individuals in a population who have a specific disease or health...
1.4K
Interpreting Run Charts01:25

Interpreting Run Charts

Run charts, essentially line graphs plotted over time, serve as fundamental yet effective tools for process analysis. They chronicle data sequentially, facilitating the identification of trends, shifts, or cyclical movements. This graphical representation is instrumental in determining whether a process is stable or exhibits signs of potential instability indicative of special cause variation. In the healthcare domain, run charts depict infection rates over time, enabling hospitals to monitor...
3.0K