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        National Syndromic Surveillance Program (NSSP)
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    About NSSP CDC and Partner Dashboards Onboarding Resources NSSP Update Success Stories Communication Resources Partnerships Free-Text Coding in ESSENCE View All
April 23, 2024
  CDC and Partner Dashboards
          What to know
            * Emergency department data can be integrated to inform publicly available dashboards.
            * These tools allow users to interact with data by tracking, analyzing, monitoring and displaying key metrics.
            * CDC partners create their own dashboards to track specific issues in their communities.
        CDC dashboards
        COVID Data Tracker
          The COVID Data Tracker showcases information reported to CDC from Jan. 21, 2020, to present.
        COVID Data Tracker is CDC's home for COVID-19 data. Interactive maps, charts and other visuals show surveillance data, including hospitalizations, vaccinations, demographic information and daily and cumulative case and death counts reported to CDC since Jan. 21, 2020. The tracker follows the burden of COVID-19 among health care personnel and across multiple health care settings, including trends in U.S. emergency department visits, which is informed by NSSP data.
        Drug Overdose Surveillance and Epidemiology (DOSE) System
          DOSE tracks all drug, all opioid, heroin and all stimulant overdoses.
        The CDC DOSE system analyzes data from syndromic surveillance systems to rapidly identify outbreaks and proFvide situational awareness of changes in drug overdose-related emergency department visits at local, state and regional levels. DOSE uses near real-time syndromic data captured by health departments to gather aggregate data on emergency department visits involving suspected all drug, all opioid, heroin and all stimulant overdoses. Aggregate data include demographic characteristics of those who overdosed, such as sex, age and county of residence.
        This information aids The Overdose Data to Action Program, which supports public health jurisdictions in collecting high quality, comprehensive and timely data on nonfatal and fatal overdoses and in using those data to inform prevention and response efforts.
        Heat and Health Tracker
          This dashboard promotes health and safety by helping people explore their community’s heat exposure.
        Heat events can threaten public health. The CDC Heat and Health Tracker displays NSSP data (rate of emergency department visits) associated with health-related illness per 100,000 emergency department visits by U.S. Department of Health and Human Services region for the selected week.
        Tick Bite Tracker
        Tick bites can lead to many diseases of public health concern. The Tick Bite Tracker uses NSSP data to display tick bites by U.S. Department of Health and Human Services region, week/month, and age/sex. Updated weekly, these data can indicate when people in different parts of the country are at greatest risk for tick bites.
          CDC-funded dashboards
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              DC Health: firearm injuries
                  Funded by a 2020 CDC grant for "Firearm Injury Surveillance Through Emergency Rooms" (FASTER), the District of Columbia Department of Health's (DC Health) Center for Policy Planning and Evaluation now conducts surveillance of firearm injury visits to city emergency departments. The FASTER dashboard pulls data from discharge diagnosis codes. Dashboard data are updated monthly and represent the number of emergency department visits for firearm injury — including assaults and accidental or self-harm shootings. DC Health uses FASTER to monitor the victimization of at-risk groups and to understand trends in firearm injury. Dashboard demographics include ZIP code, ward, age and ethnicity. Firearm injuries show those affecting District versus non-District residents, monthly trends, and incident heatmaps for day of the week and time of day. The dashboard is a tool for healthcare coordinators, academic researchers, policy makers, gun violence experts and the public.
          Partner dashboards
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              American College of Emergency Physicians: COVID-19 in US emergency departments
                  Data from the National Syndromic Surveillance Program are shown by U.S. Health and Human Services region on the American College of Emergency Physician's website. The visualizations show total emergency department visits, COVID-like illness visits and influenza-like illness visits. Data are updated weekly.
                  Dashboard excerpt reproduced by permission from the American College of Emergency Physicians (July 2022).
              State and local dashboards and reports
                  Behavioral health
                  Public Health–Seattle & King County monitors emergency department visits involving suicidal ideation or suicide attempt among King County, Wash., residents as part of community health assessment. Public Health–Seattle & King County also monitors family violence indicators, including emergency department visits involving suspected child abuse/neglect and domestic violence.
                  Environmental Health
                  The Colorado Department of Public Health and Environment contributes data to track medical visits for heat-related illness in near real-time.
                  Maine Tracking Network includes a comprehensive data portal of public health indicators, including dashboards that use NSSP data: Tracking Cold-Related Illness, Tracking Heat Illness and Tracking Tickborne Diseases. (Note. Maine's dashboard and surveillance activities were featured in the August 2021 NSSP Community of Practice call "All-Hazards Approach to Syndromic Surveillance." These calls feature the nation's best practices for using near real-time data, pairing complementary data to better understand health events and threats, and sharing information publicly to improve people's health.)
                  Virginia Department of Health (VDH) produces the Virginia Heat-Related Illness Surveillance dashboard. Virginia monitors emergency department (ED) and urgent care visits for heat-related illness from May through September each year (2015–present). The dashboard displays daily ED visits for heat-related illness and visualizations for visits by patient city/county, age and sex.
                  Infectious diseases/respiratory illness
                  Arizona provides a dashboard of Hospital COVID-Like and Influenza-Like Illness Surveillance. Syndromic surveillance detects key terms and codes within the electronic health record: chief complaint field (patient's reason for visit), discharge diagnosis field (codes for final diagnosis when patient is released), and specific free-text fields.
                  The Colorado Department of Public Health and Environment contributes data to the Viral Respiratory Diseases Data Dashboard, which monitors hospital admissions for influenza, COVID-19 and RSV.
                  Minnesota developed a comprehensive Weekly COVID-19 Report to support emergency response efforts that includes syndromic data.
                  With one click, the Nebraska Respiratory Illness Dashboard can show results for COVID-19, RSV or Influenza. Each set of visuals shows tests performed, including positive tests and percent positive; emergency department visits; and emergency department visits by age group. This is a clean, easy-to-navigate dashboard.
                  New York City monitors emergency department chief complaints related to respiratory conditions. Options abound on this dashboard. Respiratory counts (syndromes) are shown by neighborhood ZIP code. Users may select a syndrome, timeframe, time resolution, metric and visual.
                  Public Health–Seattle & King County use a dashboard to display emergency department visits and hospitalizations for COVID-like illness and pneumonia.
                  The Virginia Department of Health generates a Weekly Influenza Activity Report that summarizes key points about influenza activity in a text format to accompany data visualizations. VDH collects and analyzes data on visits to emergency departments and urgent care centers for influenza-like illness (ILI), including stratifying ILI activity by age and region. The report also includes laboratory results of confirmatory influenza tests, suspected/confirmed influenza outbreaks, and pediatric/adult influenza deaths.
                  Mental health
                  North Carolina collects near real-time emergency department data via NC DETECT. The state's Mental Health Dashboard uses these data to track ED visits for select mental health-related conditions (anxiety, depression, self-inflicted injury, suicidal ideation, trauma/stressors) and provides links to other sources of mental health data. Users can view county-level ED visit trends by gender, age group, race, ethnicity and more.
                  North Carolina collects near real-time emergency department data via NC DETECT. The state's Mental Health Dashboard uses these data to track ED visits for select mental health-related conditions (anxiety, depression, self-inflicted injury, suicidal ideation, trauma/stressors) and provides links to other sources of mental health data. Users can view county-level ED visit trends by sex, age group, race, ethnicity and more.
                  Opioids/overdoses
                  Arizona displays an Opioid Prevention dashboard of Emergency and Inpatient Visits for Suspected Drug Overdoses. The interactive dashboard lets users view data by visit year, visit type (emergency department and inpatient), and drug category (all suspected, heroin, opioid, or stimulant) and view total visits involving all suspected drug overdoses by month.
                  Illinois Department of Public Health provides an Opioid Data Dashboard that draws from NSSP and other sources. The dashboard shows mortality and morbidity trends, prescription opioid patterns, Medication Assisted Recovery coverage, Naloxone distribution trends, monthly county-level ED overdoses (by recent year), and all drug overdose mortality data (from the Statewide Unintentional Drug Overdose Reporting System).
                  Kansas provides an All-Drug Overdose ED Visit Spike and Cluster Alert Map for all drugs, any opioid, benzodiazepine, heroin and stimulants. Data can be filtered by month and year. Changes in usage can be observed by county.
                  Maine's dashboards use near real-time data to display demographics of Confirmed Drug Deaths, providing a multifaceted picture of the drug overdose crisis.
                  Minnesota provides a Syndromic Surveillance Drug Overdose Dashboard to monitor and identify trends for unintentional and undetermined suspected drug overdoses by week.
                  Virginia Department of Health provides a data portal on Opioid Indicators–Emergency Department Visits. The portal displays emergency department visit counts and rates among residents who sought emergency department care for unintentional overdose (all drugs, opioids, heroin).
                  Overall data
                  North Carolina collects near real-time emergency department data via NC DETECT, which are also displayed in its Annual ED Visit Trends. Users can view county-level ED visit trends by gender, age group, race, ethnicity and more.
                  Washington State Department of Health collects near real-time data via its Rapid Health Information NetwOrk (RHINO). RHINO integrates and shares NSSP data.
                  Reports
                  Georgia maintains Drug Overdose Syndromic Surveillance Monthly Reports that show patient emergency department visits by county, percent change in those areas, overdose emergency department visits by month, demographics, and opioid- and heroin-overdose emergency department visits.
                  Maricopa County (Arizona) develops Heat Associated Deaths and Hospital Visits weekly reports. Maricopa County contributes syndromic data to NSSP.
                  Minnesota provides a comprehensive weekly COVID-19 Report that includes syndromic surveillance data. The Minnesota Department of Health integrates a variety of data sources (case and variants, vaccine data, hospitalization and capacity, vaccine breakthrough, mortality, and emergency department chief complaints) into customized reports and dashboards.
                  Oregon Health Authority uses ESSENCE's surveillance component to generate Hazard Reports. These reports pull near real-time data that public health practitioners and hospital staff can use to monitor what's happening in emergency departments throughout the state (see example).
                  Virginia Department of Health provides monthly statistics and quarterly reports on emergency department visits for unintentional drug overdose among Virginia residents.
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    To improve public health, NSSP helps gather and provide syndromic data from collaborations with state and local health departments and others.
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