Queen’s University Public Health Informatics (QPHI) Team Dr Kieran Moore June 13th th 2008 Centre for Studies in Primary Care Department of Family Medicine/Emergency Medicine QPHI Introduction

QPHI Agenda  Relax!  Discussion!  Feedback!  Share ideas!  Review Projects!  Future Direction  Follow up in September

Thanks to…  Department of Family Medicine and the CSPC  Physician Services Incorporated Foundation  Ministry of Health and Long Term Care  KFLA Public Health-Queen’s University  Bank of Nova Scotia

Partners Community Health and Epidemiology

TEAM…and associates  Tara Donovan  Adam Van Dyke  Jeff Aramini  Glenn Guthrie  Dillan Fernando  Alex Perry  Elizabeth Rolland  Andrew Kurc  Jaelyn Caudle

QPHI  Enhancing the health of Canadians through Public Health Informatics  Analysis of electronic data sets for real time enhanced surveillance-dashboard  Multiple disciplines-Computer Engineer and software,Mathematics, Epidemiology, Geography

Public Health  Astute clinician  Laboratory System-Reportable Diseases  Passive system…needs to be activated

Speed of a 747

Active Surveillance

Vital statistics and Coroner data

Data Options for Surveillance

Meat and tomatoes…

QPHI-CSPC Projects  Acute Care Enhanced Surveillance MOHLTC  Occupational Health July  Telehealth- December2007  Pharmacy Surveillance August 15  Primary Health Care PHAC  Geoconnection  ASSET  CRTI CCC

Telehealth Respiratory Calls (3 day MA) and Respiratory Virus isolates (x3) All Resp Flu A Flu B Flu A or B RSV PIV Adeno

Additional in the works…  Virological self sampling  Enabled through telehealth as per DL Cooper et al.

Cooper et al  292 callers sent kits  42 percent returned  16.2 % PCR positive Influenza  7.4 days between call and lab analysis  Earliest reports of the season

CODIGEOSIM  …geosimulation tools for simulating spatial temporal spread patterns and evaluating health outcomes of communicable disease  Dr Rosenberg, Dr Chen, Dr Moore  Multi site-York, Laval, Queen’s McMaster 5 universities, 22 researchers  Lymes, West Nile and Influenza

CODIGEOSIM  ) the creation of mathematical models, environmental models, mobility models, population risk models, and dynamic simulation tools to explore the spatiotemporal spread patterns and optimal control measures for a variety of communicable diseases; 2) the dynamical modeling, analysis and simulation, visualization and evaluation of the vulnerability and responses of different communities to the potential outbreak of emerging or reemerging communicable diseases and the effectiveness of corresponding human intervention measures; 3) the development of geosimulation and decision support systems for public health officers that integrate the aforementioned models, data and information, and enable what-if analyses through the specification of various kinds of scenarios such as climate/environmental change, host mobility and intervention plans.

PHL…started  Resp pathogen data regionally from PHL  Data analysis temporally and spatially  4 years of data to detect if there is a “normal” spatial spread for influenza specifically  Effect of vaccine efficacy / mismatch on temporal and spatial spread  Dr Majury…and a RA

CPCSSN-feasibility PHAC  Canadian Primary Care Sentinel Surveillance Network for Chronic Disease  7 networks across Canada  EMR surveillance  Long term tracking  5 major illnesses: Depression, Hypertension, Diabetes, Osteoarthritis, COPD  Andrew Kurc

FHT and Public Health-funded MOHLTC  Evaluation of the integration of Public Health and family health teams  Both are tasked with Health Promotion and disease prevention  Integrated, evidence based approaches  Cooperation and Coordination

NRC  ASSET project-Advanced Syndromic Surveillance and Emergency Triage  Glenn providing technical support and analysis  Kieran providing ED/SS support

Geoconnections:  Infectious Disease Simulation Tool-A Geospatial Decision Support System  Peel Public Health  U of Waterloo  QPHI  SAS Canada

ISDS  Raleigh North Carolina  December 2-5 th 2008  Submissions now!  3 tracks

Future  ESSENCE collaborations  Consultations?  Grant ideas  …..Jeff

Telehealth – All Respiratory Calls (3 day MA)

Telehealth Respiratory Calls (3 day MA) and Flu A isolates All Resp Flu A isolates