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Enhanced One Health Surveillance during the 58th Presidential Inauguration—District of Columbia, January 2017

Published online by Cambridge University Press:  23 July 2019

Tiana A. Garrett-Cherry ,
Andrew K. Hennenfent ,
Sasha McGee  and
John Davies-Cole
Tiana A. Garrett-Cherry
Affiliation:
US Centers for Disease Control and Prevention, Office of Public Health Preparedness and Response, Division of State and Local Readiness, Field Services Branch, Temporary Epidemiology Field Assignee Program District of Columbia Department of Health, Center for Policy, Planning and Evaluation, Division of Epidemiology–Disease Surveillance and Investigation, Washington, DC
Andrew K. Hennenfent
Affiliation:
District of Columbia Department of Health, Center for Policy, Planning and Evaluation, Division of Epidemiology–Disease Surveillance and Investigation, Washington, DC
Sasha McGee*
Affiliation:
District of Columbia Department of Health, Center for Policy, Planning and Evaluation, Division of Epidemiology–Disease Surveillance and Investigation, Washington, DC
John Davies-Cole
Affiliation:
District of Columbia Department of Health, Center for Policy, Planning and Evaluation, Division of Epidemiology–Disease Surveillance and Investigation, Washington, DC
*
Correspondence and reprint requests to Sasha McGee, District of Columbia Department of Health, 899 North Capitol Street NE, 6th floor, Washington, DC 20002 (e-mail: [email protected]).
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Abstract

Objective:

In January 2017, Washington, DC, hosted the 58th United States presidential inauguration. The DC Department of Health leveraged multiple health surveillance approaches, including syndromic surveillance (human and animal) and medical aid station–based patient tracking, to detect disease and injury associated with this mass gathering.

Methods:

Patient data were collected from a regional syndromic surveillance system, medical aid stations, and an internet-based emergency department reporting system. Animal health data were collected from DC veterinary facilities.

Results:

Of 174 703 chief complaints from human syndromic data, there were 6 inauguration-related alerts. Inauguration attendees who visited aid stations (n = 162) and emergency departments (n = 180) most commonly reported feeling faint/dizzy (n = 29; 17.9%) and pain/cramps (n = 34;18.9%). In animals, of 533 clinical signs reported, most were gastrointestinal (n = 237; 44.5%) and occurred in canines (n = 374; 70.2%). Ten animals that presented dead on arrival were investigated; no significant threats were identified.

Conclusion:

Use of multiple surveillance systems allowed for near-real-time detection and monitoring of disease and injury syndromes in humans and domestic animals potentially associated with inaugural events and in local health care systems.

Keywords

emergency preparednesssyndromic surveillancepatient trackingmass gathering
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 14 , Issue 2 , April 2020 , pp. 201 - 207
Copyright
© 2019 Society for Disaster Medicine and Public Health, Inc.

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