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Evaluation of a Standardized Morbidity Surveillance Form for Use during Disasters Caused by Natural Hazards

Published online by Cambridge University Press:  05 May 2011

Amy H. Schnall ,
Amy F. Wolkin ,
Rebecca Noe ,
Leslie B. Hausman ,
Petra Wiersma ,
Karl Soetebier  and
Susan T. Cookson
Amy H. Schnall*
Affiliation:
Centers for Disease Control and Prevention (CDC), Division of Environmental Hazards and Health Effects, Health Studies Branch, Atlanta, Georgia USA
Amy F. Wolkin
Affiliation:
Centers for Disease Control and Prevention (CDC), Division of Environmental Hazards and Health Effects, Health Studies Branch, Atlanta, Georgia USA
Rebecca Noe
Affiliation:
Centers for Disease Control and Prevention (CDC), Division of Environmental Hazards and Health Effects, Health Studies Branch, Atlanta, Georgia USA
Leslie B. Hausman
Affiliation:
CDC, Division of Foodborne, Waterborne & Environmental Diseases, Enteric Diseases Epidemiology Branch, Atlanta, Georgia USA
Petra Wiersma
Affiliation:
CDC, Epidemic Intelligence Service, Atlanta, Georgia USA Georgia Division of Public Health, Atlanta, Georgia USA
Karl Soetebier
Affiliation:
Georgia Division of Public Health, Office of Epidemiology, Evaluation, and Health Information, Atlanta, Georgia USA
Susan T. Cookson
Affiliation:
CDC, Division of Global Disease Detection & Emergency Respponse, International Emergency and Refugee Health Branch, Atlanta, Georgia USA
*
Correspondence: Amy Helene Schnall 4770 Buford HighwayMS-F57Atlanta, Georgia 30341 USA E-mail: [email protected]
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Abstract

Introduction: Surveillance for health outcomes is critical for rapid responses and timely prevention of disaster-related illnesses and injuries after a disaster-causing event. The Disaster Surveillance Workgroup (DSWG) of the US Centers for Disease Control and Prevention developed a standardized, single-page, morbidity surveillance form, called the Natural Disaster Morbidity Surveillance Individual Form (Morbidity Surveillance Form), to describe the distribution of injuries and illnesses, detect outbreaks, and guide timely interventions during a disaster.

Problem: Traditional data sources can be used during a disaster; however, supplemental active surveillance may be required because traditional systems often are disrupted, and many persons will seek care outside of typical acute care settings. Generally, these alternative settings lack health surveillance and reporting protocols. The need for standardized data collection was demonstrated during Hurricane Katrina, as the multiple surveillance instruments that were developed and deployed led to varied and uncoordinated data collection methods, analyses, and morbidity data reporting. Active, post-event surveillance of affected populations is critical for rapid responses to minimize and prevent morbidity and mortality, allocate resources, and target public health messaging.

Methods: The CDC and the Georgia Department of Public Health (GDPH) conducted a study to evaluate a Morbidity Surveillance Form to determine its ability to capture clinical presentations. The form was completed for each patient evaluated in an emergency department (ED) during triage from 01 August, 2007 through 07 August, 2007. Data from the form were compared with the ED discharge diagnoses from electronic medical records, and kappa statistics were calculated to assess agreement.

Results: Nine hundred forty-nine patients were evaluated, 41% were male and 57% were Caucasian. According to the forms, the most common reasons for seeking treatment were acute illness, other (29%); pain (12%); and gastrointestinal illness (8%). The frequency of agreement between discharge diagnoses and the form ranged from 3 to 100%. Kappa values ranged from 0.23–1.0, with nine of the 12 categories having very good or good agreement.

Conclusion: With modifications to increase sensitivity for capturing certain clinical presentations, the Morbidity Surveillance Form can be a useful tool for capturing data needed to guide public health interventions during a disaster. A validated collection instrument for a post-disaster event facilitates rapid and standardized comparison and aggregation of data across multiple jurisdictions, thus, improving the coordination, timeliness, and accuracy of public health responses. The DSWG revised the Morbidity Surveillance Form based on information from this study.

Keywords

emergencyevaluationdisasters due to natural hazardsGeorgiahospitalmorbiditypreparednessreport formsurveillance
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 26 , Issue 2 , April 2011 , pp. 90 - 98
Copyright
Copyright Schnall © World Association for Disaster and Emergency Medicine 2011

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References

EM-DAT: Emergency Events Database. Available at http://www.emdat.be/. Accessed 27 March 2009.Google Scholar
National Weather Service (NWS): Summary of natural hazard statistics for 2007 in the United States. Available at http://www.weather.gov/os/hazstats/sum07.pdf. Accessed 27 March 2009.Google Scholar
Centers for Disease Control and Prevention (CDC): Surveillance in Hurricane Evacuation Centers—Louisiana, September–October 2005. MMWR 2006;55:32–35.Google Scholar
Centers for Disease Control and Prevention (CDC): Morbidity surveillance after Hurricane Katrina—Arkansas, Louisiana, Mississippi, and Texas, September 2005. MMWR 2005;54:727–731.Google Scholar
New Orleans evacuees can return Thursday after Gustav's glancing blow, will those who fled heed warnings next time? In: msnbc.msn.com. Available at http://www.msnbc.com/id/26501363/. Accessed 04 May 2009.Google Scholar
Ike evacuees face long stays in shelters: More than 1.2 million people flee Texas coast as hurricane approached. In: msnbc.msn.com. Available at http://www.msnbc.msn.com/id/26699413/. Accessed 04 May 2009.Google Scholar
Floret, N, Viel, J, Mauny, F, et al: Negligible risk for epidemics after geophysical disasters. Emerg Infect Dis 2006;12:543–548.CrossRefGoogle ScholarPubMed
Ivers, LC, Ryan, ET: Infectious diseases of severe weather-related and flood-related natural disasters. Curr Opin Infect Dis 2006;19:408–414.CrossRefGoogle ScholarPubMed
Noji, EK: Public health issues in disasters. Crit Care Med 2005;33:S29–S33.Google Scholar
Sharma, AJ, Weiss, EC, Young, SL, et al: Chronic disease and related conditions at emergency treatment facilities in the New Orleans area after Hurricane Katrina. Disaster Med Public Health Prep 2008;2:27–32.Google Scholar
Centers for Disease Control and Prevention (CDC): Assessment of health-related needs after Hurricanes Katrina and Rita—Orleans and Jefferson Parishes, New Orleans Area, Louisiana, October 17–22, 2005. MMWR 2006;55:38–41.Google Scholar
Kessler, RC, Wittchen, H: Post-disaster mental health need assessment surveys—the challenge of improved future research. Int J Methods Psychiatr Res 2008;17:s1–s5.CrossRefGoogle ScholarPubMed
Pfeiffer, J, Avery, MD, Benbenek, M, et al: Maternal and newborn care during disasters: thinking outside hospital paradigm. Nurs Clin N Am 2008;43:449–467.CrossRefGoogle ScholarPubMed
Brodie, M, Weitzien, E, Altman, D, et al: Experiences of Hurricane Katrina evacuees in Houston shelters: Implications for future planning. Am J Public Health 2006;96:1402–1408.CrossRefGoogle ScholarPubMed
Greenough, G, Lappi, MD, Hsu, EB, et al: Burden of disease and health status among Hurricane Katrina-displaced persons in shelters: A population-based cluster sample. Ann Emerg Med 2008;51:426–432.CrossRefGoogle ScholarPubMed
Noji, EK: The Public Health Consequences of Disasters. New York: Oxford University Press, 1997.Google Scholar
Altman, DG: Practical Statistics for Medical Research. London: Chapman and Hall, 1991, p 404.Google Scholar