DRAFT

Pan/Parapan American Games Monitoring & Surveillance Update

______Health Unit

Report Date: ______Report Completed on: ______

Report Compiled by:Name, Title, phone number

Report Summary:

Contact:Name, title, e-mail address, phone number

DRAFT

Pan/Parapan American Games Monitoring & Surveillance Update, ______Health Unit

Report Date: ______Report Completed on: ______Contact:Name, title, e-mail address, phone number

Area / Data Source / Indicator (defined in Definition Table below) / Estimated Average Baseline / Rise in Hospital Admissions from Baseline / ACES Alarm Generated?(y/n) / Risk Assessment Score of ACES Alarm* / Actions/Comments
ACES / Total Hospital Admissions
Total ED Visits
Infectious Diseases / ACES / Gastroenteritis Syndrome
Respiratory Syndrome
Fever/ILI Syndrome
Asthma Syndrome
Dermatological InfectiousSyndrome
Sepsis Syndrome
Other unusual activity / .
Bioterrorism
Other Data Source
Non-Infectious Diseases / ACES / Injury Syndrome
Orthopedic (non-hip) Syndrome
Orthopedic (hip and femur) Syndrome
Trauma from MVC/ATV ^Syndrome
Smoke Inhalation Syndrome
Mental Health Syndrome
Toxological Syndrome
Cellulitis Syndrome
Other unusual activity
Other data source
Area / Data Source / Indicator (defined in Definition Table below) / Estimated Average Baseline / Rise in Hospital Admissions from Baseline / ACES Alarm Generated?(y/n) / Risk Assessment Score of ACES Alarm* / Actions/Comments
Environmental Health / ACES / Environmental (Heat) Syndrome
Air quality
Respiratory Syndrome
Asthma Syndrome
COPD Syndrome
PHIMS / Air Quality Index
Air Quality Health Index
Heat Alert
Smog Advisory
Natural Disasters
Extreme Weather Warnings
Other unusual activity
Hedgehog (example of other data source) / Foodborne Illness complaints
Beach DB (example of other data source) / Active Bathing Beach Postings
Other
Other / ACES / Other syndromes
iPHIS
Reportable Diseases

*Please see attached “Risk Assessment of ACES Alarms” document for scoring system.

^ Using a keyword search in ACES may be useful for this syndrome.

Codes:RED – attention required;YELLOW – warning, above expected range;↑– trending higher; ↓– trending lower

DRAFT

Definitions

Indicator / Definition
Total EDVisits / Daily count or moving average (7, 14, etc) of ED visits (all reasons) for (REGION) hospitals obtained from ACES as of (TIME ON REPORT DATE)
Total Hospital Admissions / Daily count or moving average (7, 14, etc) of hospital admissions (all reasons) for (REGION) hospitals obtained from ACES as of (TIME ON REPORT DATE).
Gastroenteritis Syndrome / Daily count or moving average (7, 14, etc) of ED visits for gastroenteritis for (REGION) hospitals obtained from ACES as of (TIME ON REPORT DATE).
Respiratory Syndrome / Daily count or moving average (7, 14, etc) of ED visits for respiratory illness for (REGION) hospitals obtained from ACES as of (TIME ON REPORT DATE).
Fever/ILI Syndrome / Daily count or moving average (7, 14, etc) of ED visits for fever/ILI for (REGION) hospitals obtained from ACES as of (TIME ON REPORT DATE).
Asthma Syndrome / Daily count or moving average (7, 14, etc) of ED visits for asthma for (REGION) hospitals obtained from ACES as of (TIME ON REPORT DATE).
Dermatological Infectious Syndrome / Daily count or moving average (7, 14, etc) of ED visits for dermatological illness for (REGION) hospitals obtained from ACES as of (TIME ON REPORT DATE).
Sepsis Syndrome / Daily count or moving average (7, 14, etc) of ED visits for sepsis for (REGION) hospitals obtained from ACES as of (TIME ON REPORT DATE).
Other unusual activity / Any other unusual activity related to infectious disease not covered by the above indicators.
Injury Syndrome / Daily count or moving average (7, 14, etc) of ED visits for injury for (REGION) hospitals obtained from ACES as of (TIME ON REPORT DATE).
Orthopedic (non-hip) Syndrome / Daily count or moving average (7, 14, etc) of ED visits for orthopedic (non-hip) syndrome for (REGION) hospitals obtained from ACES as of (TIME ON REPORT DATE).
Orthopedic (hip and femur) Syndrome / Daily count or moving average (7, 14, etc) of ED visits for orthopedic (hip and femur) syndrome for (REGION) hospitals obtained from ACES as of (TIME ON REPORT DATE).
Trauma from MVC/ATV Syndrome / Daily count or moving average (7, 14, etc) of ED visits for trauma from MVC/ATVfor (REGION) hospitals obtained from ACES as of (TIME ON REPORT DATE).
Smoke Inhalation Syndrome / Daily count or moving average (7, 14, etc) of ED visits for smoke inhalation for (REGION) hospitals obtained from ACES as of (TIME ON REPORT DATE).
Mental Health Syndrome / Daily count or moving average (7, 14, etc) of ED visits for health mental for (REGION) hospitals obtained from ACES as of (TIME ON REPORT DATE).
Toxological Syndrome / Daily count or moving average (7, 14, etc) of ED visits for toxological for (REGION) hospitals obtained from ACES as of (TIME ON REPORT DATE).
Cellulitis Syndrome / Daily count or moving average (7, 14, etc) of ED visits for cellulitis for (REGION) hospitals obtained from ACES as of (TIME ON REPORT DATE).
Other unusual activity / Any other usual activity related to non-infectious diseases not covered by the above indicators
Heat-related illness Syndrome / Daily count or moving average (7, 14, etc) of ED visits for heat-related illness for (REGION) hospitals obtained from ACES as of (TIME ON REPORT DATE).
Air quality
Respiratory Syndrome
Asthma Syndrome
COPD Syndrome / Daily count or moving average (7, 14, etc) of ED visits for respiratory illness for (REGION) hospitals obtained from ACES as of (TIME ON REPORT DATE).
Daily count or moving average (7, 14, etc) of ED visits for asthma for (REGION) hospitals obtained from ACES as of (TIME ON REPORT DATE).
Daily count or moving average (7, 14, etc) of ED visits for COPD for (REGION) hospitals obtained from ACES as of (TIME ON REPORT DATE).
Air Quality Index / AQI score for Dorset (0-15=very good; 16-31=good; 32-49=moderate; 50-99=poor; 100+=very poor)
Air Quality Health Index / AQHI score (1-3=low health risk; 4-6=moderate health risk; 7-10=high health risk; 10+ = very high health risk)

Heat Alert / Yes/no if the forecast for the next 24 for the (REGION) Airport shows one or more of: (1) high temperatures without a humidex reading equal 38C or above; (2) Forecast showing a humidex advising of 40C or higher; (3) Humidex is forecast to rise to 36 C or higher, combined with an Environment Canada Smog Alert; (4) Environment Canada issues a humidex warning for outdoor activity for people in the area.
Smog Advisory / Yes/no if a Smog Advisory has been issued (active) for (REGION) by Env.Can (
Natural Disasters
Extreme Weather Warnings / Any official weather warning for the (REGION).
Other unusual activity / Any other unusual activity related to environmental health not covered by the above indicators (hazardous material incidents, CBRN, critical technological/infrastructure)
Foodborne Illness Complaints / Daily count of foodborne illness complaints from the (REGION) as recorded in the Hedgehog Inspection Database
Active Bathing Beach Postings / Daily count of active bathing beach advisories or closures for the (REGION) as recorded in the Beach Monitoring Database
Other syndromes / Any other syndromes in ACES not covered by other indicators in which an alert was generated on the system.

Comments field to include:Actions made on ACES alarms, interpretations of trends, details of any alerts.

Please see attached ACES syndrome list for the syndrome descriptions.

Please refer to Li Liu at KFL&A Public Health for ACES syndrome descriptions and validation: (613) 549-1232 extension 1678,