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Page 1: MDSS System Use Statistics - U-M School of Public Health · Michigan Communicable Disease Outbreak Surveillance and Investigation ... •Shadowing the Ingham County Health Department

Michigan Communicable Disease Outbreak Surveillance and InvestigationRegional Epidemiology Unit (REU), Michigan Department of Health and Human Services

Wenwen Jiang; Tiffany Henderson

Created in 2001, the REU’s core

functions and services including:

• Disease surveillance

• Support to local public health

• Regional bioterrorism planning

• Data analysis, material

distribution

• Local epidemiology activities

Regional Epidemiology Unit

To develop a manual to systematically summarize roles of MDHHS in

response to communicable disease (CD) outbreaks. The manual

should cover each process of an epidemiological investigation.

A CD is an illness due to a specific infectious agent or its toxic

products that arises through transmission of that agent or its

products from an infected person, animal or inanimate reservoir to a

susceptible host.

Internship Objective

The manual clarified roles and responsibilities of the MDHHS in

initiatives to multilevel communicable disease outbreaks.

Specific response to health threats with emerging / re-emerging

diseases and bioterrorism components were also specified.

• Weekly Lab-Epi teleconferences

• Epi and Surveillance Workgroups

• CDC Morbidity and Mortality Weekly Report (MMWR) Review

• 16th Annual Michigan Communicable Disease Conference

• Shadowing the Ingham County Health Department

• District 1 Regional Medical Response Coalition Meeting

Internship Highlights

• Verify the diagnosis to the initial notification of an outbreak.• Develop a surveillance case definition specific to the outbreak.• Make a working hypothesis on risk factors for the infection.• Find additional cases by enhancing surveillance and follow-up

commonly exposed cohorts.• Interrupt the transmission or reduce exposure.

Outbreak Confirmation

Diagnosis Verification

Environmental Assessment

Epidemiological Investigation

Prevention and Control

Communication and report

• The members of MDHHS Regional Epidemiology

Unit and the Surveillance and Infectious Disease

(SIDE) Section

• The Certificate in Healthcare Infection Control

(CHIP) program at the University of Michigan

School of Public Health

Acknowledgement

https://www26.state.nj.us/doh-shad/indicator/CatInfec.html

• Michigan Disease Surveillance System (MDSS)Use national data standards. Alerts can be set to notify epidemiologists when specific single case or cluster notification are submitted.

• Michigan Syndromic Surveillance System (MSSS)Emergency and urgent care submit pre-diagnostic data of nonspecific health indicators. MSSS sends syndromic alerts to the MDHHS.

• Laboratory-based Surveillance

• Compliant-based SurveillanceSelf-reported illness calls from citizens will be re-directly referred to the local health department where the individual resides

Disease Surveillance

www.michigan.gov/cdinfo www.michigan.gov/mdss

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MDSS System Use Statistics

Referrals

Individual Case Reports

Transactions

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MDSS Electronic Messaging

Quest Diagnostic – Auburn Hills

Sparrow Labs

LabCorp

Mayo Labs

Hurley Hospital Lab

Garcia Labs

ARUP Labs

DMC Labs

MDCH Labs

2009-2013 Michigan Tuberculosis Epidemiologic Trends Report, MDHHS

Annual Michigan HIV Surveillance Report New Diagnoses and Prevalence (2015), MDHHS

https://www.mailman.columbia.edu/become-student/departments/epidemiology

Outbreak Response

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