Deployment of the National Notifiable Diseases Surveillance System During the 2022–23 Mpox Outbreak in the United States – Opportunities and Challenges with Case Notifications During Public Health Emergencies

Details

• Personal Author:
  Do T ; Gundlapalli AV ; Harris AM ; Hughes C ; Lin XM ; Maitland A ; Murphy S ; Rainey JJ ; Velazquez-Kronen, Raquel
• Description:
  Timely case notifications following the introduction of an uncommon pathogen, such as mpox, are critical for understanding disease transmission and for developing and implementing effective mitigation strategies. When Massachusetts public health officials notified the Centers for Disease Control and Prevention (CDC) about a confirmed orthopoxvirus case on May 17, 2023, which was later confirmed as mpox at CDC, mpox was not a nationally notifiable disease. Because existing processes for new data collections through the National Notifiable Disease Surveillance System were not well suited for implementation during emergency responses at the time of the mpox outbreak, several interim notification approaches were established to capture case data. These interim approaches were successful in generating daily case counts, monitoring disease transmission, and identifying high-risk populations. However, the approaches also required several data collection approvals by the federal government and the Council for State and Territorial Epidemiologists, the use of four different case report forms, and the establishment of complex data management and validation processes involving data element mapping and record-level de-duplication steps. We summarize lessons learned from these interim approaches to inform and improve case notifications during future outbreaks. These lessons reinforce CDC's Data Modernization Initiative to work in close collaboration with state, territorial, and local public health departments to strengthen case-based surveillance prior to the next public health emergency. [Description provided by NIOSH]
• Subjects:
  Communicable Diseases Emergencies Occupational Health Public Health Safety
• Keywords:
  Disease Transmission Emergency Response Infectious Diseases Monkeypox Mpox Public Health Surveillance
• ISSN:
  1932-6203
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  Georgia ; Maryland ; Ohio ; OSHA Region 3 ; OSHA Region 4 ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DFSE - Division of Field Studies and Engineering
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  19
• Issue:
  4
• NIOSHTIC Number:
  nn:20069539
• Citation:
  PLoS One 2024 Apr; 19(4):e0300175
• Contact Point Address:
  Jeanette J. Rainey, Division of Global Health Security, Global Health Center, Centers for Disease Control and Prevention, Atlanta, GA, United States of America
• Email:
  jkr7@cdc.gov
• Federal Fiscal Year:
  2024
• Peer Reviewed:
  True
• Source Full Name:
  PLoS One
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:828108a070ce6fec44221c399f419072c5414ddf75a83e0fa4a201cc4757195ba1d3b3df30414c20f1a6cf32d9906f5d691f30e1b4f7cd46aa2e7936f47b4778
• Download URL:
  https://stacks.cdc.gov/view/cdc/207959/cdc_207959_DS1.pdf
• File Type:
  [PDF - 2.08 MB ]