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Table 1 Information needs of the emergency response team in New Jersey

From: Initiating informatics and GIS support for a field investigation of Bioterrorism: The New Jersey anthrax experience

Information requirement

Use

Number of people exposed

Control Measures

 

   • Implementation of screening procedures

 

   • Determination of amount of drugs/vaccine

 

   • Deployment of drugs/vaccine/antidotes

 

Follow-up

 

   • Number of people exposed

 

   • People who are receiving chemoprophylaxis

 

   • Centers providing follow up services and number of patients lost

 

   • Loss of follow-up

Line listings

During the initial investigation

 

   • Case finding

 

   • Identification of people at risk

 

   • People who did not report to work/school

 

   • People admitted to hospitals that meet case definition

 

   • People who did not attend screening programs

 

   • People not receiving post exposure prophylaxis(PEP)

 

During PEP

 

   • Dissemination of information such as screening test, changes in PEP protocols,

 

   • Changes in facilities available for screening/treatment

 

   • Changes in recommendations

 

   • Case finding if the definition of exposed changes based on preliminary data

 

After the control measures are implemented

 

   • Follow-up of adverse reactions

 

   • Follow-up of special populations such as pregnant women and children

 

   • Suspected cases under investigation

 

   • Cases ruled out

 

   • Cases ruled in

Clinical information

During Initial Investigation

 

   • Location of suspected cases

 

   • Location of confirmed cases

 

   • Status of confirmatory test

 

   • Clinical condition of cases

 

Follow-up

 

   • Clinical status

 

   • Disposition

Geographic Information Systems

Base Data

 

   • Floor plan map linkable to databases

 

Case finding

 

   • County/Zip code of exposed populations

 

   • Hospital locations

 

   • Driving directions to hospitals, operation centers, and affected facilities

 

Surveillance

 

   • The number and location of emergency rooms

 

   • Hospitals included in the surveillance system

 

   • Sentinel sites

 

Environmental

 

   • Distribution of the sampling

 

   • Proportion of positive samples

 

   • Extension of the contamination

 

Epidemiology

 

   • Spatial relationship between cases and exposed population

 

   • Identification of unexposed populations

 

   • Identification of exposed population not included during the initial assessment

 

   • Distribution of cases

 

   • Distribution of deaths

 

   • Geographic distribution patterns

Guidelines

Guidelines for treatments

 

   • Frequently asked questions(FAQ) for the emergency response center

 

   • FAQ for the press

 

   • Recommendation for clinicians

 

   • Guidelines for staff

 

   • Elements of information necessary

 

   • Software algorithms implemented in other locations

 

   • Sensitivity and specificity of screening methods

Documentation

During the initial investigation

 

   • Drafts for guidelines in different versions

 

   • Drafts for paper forms to be used in all stages of the investigation

 

   • Customized reports

Laboratory Results

During the case finding

 

   • Number of samples in the laboratory

 

   • Number of positive samples

 

   • Results of confirmatory tests

 

   • Laboratories involved

 

   • Discrepancies between laboratories

Logistics

During the whole operation

 

   • Team list

 

   • Cell phones

 

   • Email addresses

 

   • Distribution by hotel, team, activities

 

   • Emergency contact numbers