Surveillance Lab Meeting

Slides:

Advertisements

Similar presentations

Population- based Surveillance of Reportable Diseases in Nursing Home Facilities in Nebraska Manjiri Joshi, MPH + Alison Keyser Metobo, MPH + + Epidemiology.

Advertisements

The Effect of Serotype on Early and Late Mortality in Invasive Pneumococcal Disease in Hull and East Yorkshire Chloe Walsh ACF infectious diseases.

U.S. Surveillance Update Anthony Fiore, MD, MPH CAPT, USPHS Influenza Division National Center for Immunizations and Respiratory Disease Centers for Disease.

Serum Procalcitonin Level and Other Biological Markers to Distinguish Between Bacterial and Aseptic Meningitis in Children A European Multicenter Case.

Exploring centre variation in RRT provision Dr Clare Castledine UKRR clinical fellow.

Ellie O’Brien & Clare Dearing May 13 th, Objectives  Prevalence of Influenza, Varicella, Tuberculosis, HIV, & STI’s  The Social Determinants of.

Flu Epidemiological Clinical Ethical Philosophical …and older people.

Urban-Rural Inequalities in Potentially Preventable Hospital Admissions Carolyn Hunter-Rowe Senior Health Intelligence Analyst Department of Public Health.

Estimation of the prevalence of diagnosed diabetes from primary care and secondary care source data: comparison of record linkage with capture- recapture.

Models for the organisation of hospital infection control and prevention programmes B. Gordts Clinical Microbiology and Infection Volume 11, Pages

Determinants Of EVD Infection Among Health Care Workers In Montserrado County, Liberia By: Nicholas N.C. Blidi Resident Cohort 8, GFELTP.

Vital Statistics Institute for Implementation Science In population health at cuNY CUNY Graduate School of Public Health and Health Policy June 2016 Disclaimer:

HIV TESTING IN NEWLY DIAGNOSED LYMPHOMAS IN NOTTINGHAM CITY HOSPITAL

Alison Keyser Metobo, MPH +

Jane E Scullion Respiratory Nurse Consultant

A “Scottish effect” for health?

Epidemiology of Staphylococcus aureus bacteremia in Denmark from 1957 to 1990 Niels Frimodt-Møller, Frank Espersen, Peter Skinhøj, Vibeke Thamdrup Rosdahl

Geographic Pattern of Type 1 Diabetes Mellitus in Children in Central Ohio: Higher risk of New Cases in Rural and Urban Areas. Sasigarn A. Bowden, MD,

K. Kümmerer, A. Henninger Clinical Microbiology and Infection

Vaccine effectiveness – 2017/18

Flu epidemiology in Scotland – season 2017/18

Characteristics of pathogenic Neisseria meningitidis in Moscow: prevalence of ‘non- European’ strains Irina S. Koroleva, Alexander E. Platonov, Arie van.

Impact of infection on admission and of the process of care on mortality of patients admitted to the Intensive Care Unit: the INFAUCI study J. Gonçalves-Pereira,

Simon Sawhney, Simon D. Fraser Advances in Chronic Kidney Disease

Incidence of childhood fractures in affluent and deprived areas

G. Cornaglia, A. Lönnroth, M. Struelens

The changing epidemiology of severe infections in the ICU

Time-trends for Gram-negative and multidrug-resistant Gram-positive bacteria associated with nosocomial infections in German intensive care units between.

Investigation Response Team: Descriptive Health Data

Herpes zoster in non-hospitalized children

K. Kümmerer, A. Henninger Clinical Microbiology and Infection

Atypical respiratory pathogens

Invasive group A, B, C and G streptococcal infections in Denmark 1999–2002: epidemiological and clinical aspects K. Ekelund, P. Skinhøj, J. Madsen, H.B.

SDG Indicators take data directly from CRVS Maternal mortality ratio Proportion of births attended by skilled health personnel Under-five.

Neonatal sepsis in Kilifi

Katherine Yulo, MD Ruchi Gupta, MD Renu Gandhe, MD

M. Giannella, B. Pinilla, J. A. Capdevila, J. Martínez Alarcón, P

E-learning course registration-and-vital-statistics-systems- basic-level-self-paced-format.

Simon Sawhney, Simon D. Fraser Advances in Chronic Kidney Disease

The emerging role of community sentinel surveillance in the understanding of the clinical features and epidemiology of acute Mycoplasma pneumoniae infection

MBL2 deficiency is associated with higher genomic bacterial loads during meningococcemia in young children T.C. Darton, D.L. Jack, M. Johnson, R. Borrow,

How to evaluate and predict the epidemiologic impact of antibiotic use in humans: the pharmacoepidemiologic approach D. Guillemot Clinical Microbiology.

Effect of social factors on winter hospital admission for respiratory disease: a case–control study of older people in the UK by Rachel E Jordan, Jeremy.

Impact of infection on admission and of the process of care on mortality of patients admitted to the Intensive Care Unit: the INFAUCI study J. Gonçalves-Pereira,

Adjusted rate ratios of hospital days and admissions for blacks and Hispanics compared with whites by age group. Adjusted rate ratios of hospital days.

Screening for Middle East respiratory syndrome coronavirus infection in hospital patients and their healthcare worker and family contacts: a prospective.

Can we control all-cause meningococcal disease in Europe?

Changes in macrolide resistance among respiratory pathogens after decreased erythromycin consumption in Taiwan P.-R. Hsueh, J.-M. Shyr, J.-J. Wu Clinical.

J. S. Oxford, S. Bossuyt, S. Balasingam, A. Mann, P. Novelli, R

Antibiotic resistance: location, location, location

Increasing incidence but decreasing in-hospital mortality of adult Staphylococcus aureus bacteraemia between 1981 and 2000 T. Benfield, F. Espersen,

Community-acquired pneumonia: epidemiologic and clinical consideration

Can β-lactams be re-engineered to beat MRSA?

Reducing antibiotic use in influenza: challenges and rewards

Communicable Disease Surveillance Centre, London

Correlation between time to positivity of blood cultures with clinical presentation and outcomes in patients with Klebsiella pneumoniae bacteraemia: prospective.

Increasing numbers of hospitalizations and deaths with mention of Clostridium difficile infection, north-eastern Italy, 2008–2013 U. Fedeli, E. Schievano,

G.M. Rossolini, E. Mantengoli Clinical Microbiology and Infection

G. De Angelis, A. Murthy, J. Beyersmann, S. Harbarth

Clinical Microbiology and Infection

Epidemiology of Staphylococcus aureus bacteremia in Denmark from 1957 to 1990 Niels Frimodt-Møller, Frank Espersen, Peter Skinhøj, Vibeke Thamdrup Rosdahl

E. Tacconelli Clinical Microbiology and Infection

Modelling during an emergency: the 2009 H1N1 influenza pandemic

Moving from recommendation to implementation and audit: Part 1

Incidence of invasive fungal disease after unmanipulated haploidentical stem cell transplantation was significantly higher than that after HLA-matched.

A)Standardised mortality ratios for chronic bronchitis in men and women (1968–1978) and b) infant mortality from bronchitis and pneumonia per 1000 births.

Bloodstream infections as a marker of community-acquired sepsis severity. Results from the Portuguese community-acquired sepsis study (SACiUCI study)

Hospital Admissions and Mortality with a Social Gradient Hospital admissions for medical conditions with a social gradient in children aged 0–14 years.

Epidemiology and predictive factors for early and late mortality in Candida bloodstream infections: a population-based surveillance in Spain M. Puig-Asensio,

Pyramid of incidence of acute cough.

Presentation transcript:

Surveillance Lab Meeting December 17, 2009

Deprivation and Disease Ecological Studies. United Kingdom and Wales. Studied the effects of social and material deprivation on hospital admission or mortality for: Gastrointestinal infection. Gynaecologic infection. Neisseria meningitidis infection. Respiratory infections: Acute respiratory infection Pneumonia Influenza

Measuring Deprivation Used Townsend Deprivation Score. Based on 1991 Census data. Proportion of households that are: owner-occupied, have no car, are overcrowded, and have unemployed residents. The more deprived, the higher the score. Divided into five deprivation categories. Postal codes linked to Townsend Deprivation Score. Cases without postal codes were normally excluded.

Results For most infectious diseases; admission rates or mortality increased significantly with increasing deprivation. Admission rates or mortality rates varied by age-group.

Infectious Intestinal Disease Admission Rates (per 10,000 population) Olowokure, B., et al. (1999).

Gynaecologic Infections Olowokure, B., et al. (2004)

Gynaecologic Infections Olowokure, B., et al. (2004)

Meningococcal Disease

Meningococcal Disease Fone et al. (2003)

Respiratory Infections Acute Respiratory Infection Pneumonia Hawker, J.I., et al. (2003)

Age and Deprivation Type of Infection Age Group Incidence Rate Ratio (95% CI) All Respiratory Infections 0-4 1.91 (1.83-2.00) 75+ 1.18 (1.12-1.25) Acute Respiratory Infections 1.89 (1.82-1.96) 5-24 1.26 (1.20-1.32) Pneumonia 1.29 (1.18-1.41) 45-75 1.31 (1.24-1.39) 1.15 (1.10-1.21)

Respiratory Mortality Jordan, R. et al. (2006).

Respiratory Mortality Jordan, R. et al. (2006).

Possible Explanations Increased exposure (Overcrowding or poor housing conditions). Reduced resistance to disease (Malnutrition, poor hygiene). Referral bias: Lower physician threshold for admission for those from deprived backgrounds. Delay in seeking healthcare. Less accessible healthcare services.

Summary There is an association between social and material deprivation and hospital admission or mortality rates. There is an association between age and hospital admission or mortality rates. Depends on infectious disease.

References Olowokure, B., et al. (1999). Deprivation and hospital admission for infectious intestinal diseases. Lancet. 353, 807-808. Olowokure, B., et al. (2004). Influence of material deprivation on hospital admissions for gynaecologic infections. European Journal of Clinical Microbiology and Infectious Diseases. 23, 535-538. Fone, D.L. et al. (2003). Meningococcal disease and social deprivation: a small area geographical study in Gwent, UK. Epidemiology and Infection. 130, 53-58. Hawker, J.I., et al. (2003). Social deprivation and hospital admission for respiratory infection: an ecological study. Respiratory Medicine. 97, 1219-1224. Jordan, R. et al. (2006). Age, sex, material deprivation and respiratory mortality. Respiratory Medicine. 100, 1282-1285.