An Enhanced System for Monitoring Influenza and Pneumonia Deaths in Pennsylvania during the 2009-...
-
Upload
darlene-burns -
Category
Documents
-
view
213 -
download
0
Transcript of An Enhanced System for Monitoring Influenza and Pneumonia Deaths in Pennsylvania during the 2009-...
An Enhanced System for Monitoring Influenza and Pneumonia Deaths in Pennsylvania during the 2009-2010 H1N1 Novel Influenza Pandemic
Marina O. Matthew, RHIAPennsylvania Department of HealthBureau of Health Statistics and Research
Gateway to the Future:Improving the National Vital Statistics System
St. Louis, MO June 6th – June 10th, 2010
The Keystone State Population in 2008: 12,448,279 Population 65+: 1,941,000+
2nd largest percentage of elderly behind Florida;
Rural Population: 3,700,000 Area: 45,888 square miles 67 counties
If DE was a county in PA, it would rank 4th
Gateway to the Future:Improving the National Vital Statistics System
St. Louis, MO June 6th – June 10th, 2010
Pennsylvania Firsts Nation’s Capitol
York High speed multi lane highway
the PA turnpike Hospital
Pennsylvania Hospital, Philadelphia Banana Split
Latrobe, PA- 1904
Gateway to the Future:Improving the National Vital Statistics System
St. Louis, MO June 6th – June 10th, 2010
Rankings Rank first in the country in:
Mushroom production State Game Lands and licensed hunters
Scrapple production Potato Chip and Pretzel Production
Gateway to the Future:Improving the National Vital Statistics System
St. Louis, MO June 6th – June 10th, 2010
Background
Mortality tracking important modality for defining the severity of seasonal influenza
Influenza mortality surveillance is traditionally done using the 122 Cities Mortality Reporting System (National MRS) at CDC Compiles summary mortality data by age group
for all causes and Pneumonia and Influenza (P&I)
Occurs weekly by fax or voice mail Six cities in PA participate
• Allentown, Erie, Philadelphia, Pittsburgh, Reading, Scranton
Gateway to the Future:Improving the National Vital Statistics System
St. Louis, MO June 6th – June 10th, 2010
Issues with the National MRS Registrar District Coverage Areas only total 23% of PA
population and does not include major rural areas of the state
Delay in receiving the data – since only submitted weekly No consistency of data submitted
Some sites provide data on all death records submitted Some provide data only on the deaths that occur in the city in
which the office is located Some provide data only on deaths of residents of the reporting city Some provide the data only on deaths that occurred in the county
in which the city is located Some only provide data on deaths that are registered with the
local registrar in that city
Gateway to the Future:Improving the National Vital Statistics System
St. Louis, MO June 6th – June 10th, 2010
Alternative Mortality Reporting System to Address the H1N1 Pandemic
In May 2009, PA implemented a facsimile-based system for reporting of deaths in ten sentinel sites by local registrars and branch offices Includes the six Pennsylvania cities
involved in the national MRS Covers 27.4% of population (16%
increase over national MRS)
Elk
Tioga
York
Erie
Potter
Centre
Berks
Bradford
Butler
Lycoming
Bedford
Clinton
Pike
Warren
Clearfield
McKean
Crawford
Blair
Somerset
Indiana
Luzerne
Wayne
Fayette
PerryBucks
Lancaster
Mercer
Franklin
Chester
Clarion
Schuylkill
Cambria
Monroe
Huntingdon
Venango
Greene
Allegheny
Adams
Washington
Westmoreland
Jefferson
Mifflin
Fulton
Forest
Dauphin
Armstrong
Beaver
Susquehanna
Sullivan
Juniata
Union Carbon
Columbia
Lehigh
Snyder
Cumberland
Wyoming
Cameron
Lebanon
Montgomery
Lawrence
Lackawanna
Northumberland
Northampton
Delaware
Montour
Philadelphia
Erie
Altoona
Reading
Scranton
Lancaster
Allentown
Pittsburgh
Harrisburg
Philadelphia
State College
2000 Census Population Density by Census TractWith Proposed Daily Mortality Reporting Areas
Gateway to the Future:Improving the National Vital Statistics System
St. Louis, MO June 6th – June 10th, 2010
Local Registrars Entered into formal letters of engagement
with the six (6) local registrars Provided those without equipment a
combined fax and scanner machine to allow for daily reporting
Compensated at $100/month plus $1.00 for each record that had to be faxed/scanned
Maximum of $4999.99 for each local registrar
Gateway to the Future:Improving the National Vital Statistics System
St. Louis, MO June 6th – June 10th, 2010
Responsibilities of 10 Sentinel Sites Review all records received on a daily basis Any death records with the following words were
to be faxed or emailed within one (1) day of receipt Pneumonia Influenza Flu H1N1 Swine
Complete and fax or scan in a daily report listing the number of deaths by age category in addition to the P&I deaths.
Gateway to the Future:Improving the National Vital Statistics System
St. Louis, MO June 6th – June 10th, 2010
Costs of Alternate System Funding through Office of Public Health
Preparedness Relatively inexpensive
Scanners were $100 - only purchased for 4 of the 6 local registrars.
No equipment needed for the branch offices Total cost to registrars thus far: $4575.00 (May 2009-
February 2010) No monthly payments to branch offices
Staff time 30 minutes per day to process records and daily reports 30 minutes per week to update spreadsheets and maps
Gateway to the Future:Improving the National Vital Statistics System
St. Louis, MO June 6th – June 10th, 2010
Results: May 2009-February 2010 22,828 deaths reported
6.3% were P&I Of the P&I deaths:
40.3% of records were received within 2 days after death;
77.4% within 4 days after death In contrast, CDC MRS system reports were
received 7-14 days after death Detected peak of P&I deaths in PA in
2010 one week before the National MRS.
Gateway to the Future:Improving the National Vital Statistics System
St. Louis, MO June 6th – June 10th, 2010
For More InformationMarina O. Matthew, RHIADirector, Division of Statistical RegistriesBureau of Health Statistics and Research555 Walnut Street, 6th FloorHarrisburg, PA 17101(717) [email protected]
Website: www.health.state.pa.us