• J Public Health Manag Pract · Jan 2021

    Responding to the Pandemic: Challenges With Public Health Surveillance Systems and Development of a COVID-19 National Surveillance Case Definition to Support Case-Based Morbidity Surveillance During the Early Response.

    • Janet J Hamilton, Kathryn Turner, and Meredith Lichtenstein Cone.
    • Council of State and Territorial Epidemiologists, Atlanta, Georgia (Mss Hamilton and Lichtenstein Cone); and Bureau of Communicable Disease Prevention, Division of Public Health, Idaho Department of Health and Welfare, Boise, Idaho (Dr Turner).
    • J Public Health Manag Pract. 2021 Jan 1; 27 Suppl 1, COVID-19 and Public Health: Looking Back, Moving Forward: S80-S86.

    AbstractResponding to introductions of diseases and conditions of unknown etiology is a critical public health function. In late December 2019, investigation of a cluster of pneumonia cases of unknown origin in Wuhan, China, resulted in the identification of a novel coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Multiple public health surveillance actions were rapidly implemented to detect introduction of the virus into the United States and track its spread including establishment of a national surveillance case definition and addition of the disease, coronavirus disease 2019, to the list of nationally notifiable conditions. Challenges in conducting effective case-based surveillance and the public health data supply chain and infrastructure are discussed.

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