A Practitioner-Driven Research Agenda for Syndromic Surveillance.

Syndromic surveillance has expanded since 2001 in both scope and geographic reach and has benefited from research studies adapted from numerous disciplines. The practice of syndromic surveillance continues to evolve rapidly. The International Society for Disease Surveillance solicited input from its global surveillance network on key research questions, with the goal of improving syndromic surveillance practice. A workgroup of syndromic surveillance subject matter experts was convened from February to June 2016 to review and categorize the proposed topics. The workgroup identified 12 topic areas in 4 syndromic surveillance categories: informatics, analytics, systems research, and communications. This article details the context of each topic and its implications for public health. This research agenda can help catalyze the research that public health practitioners identified as most important.

Use of Temperature, Humidity, and Slaughter Condemnation Data to Predict Increases in Transport Losses in Three Classes of Swine and Resulting Foregone Revenue.

The United States Department of Agriculture (USDA) Animal and Plant Health Inspection Service (APHIS) conducts weekly surveillance of slaughter condemnation rates to provide early warning for emerging diseases and to monitor health trends in swine. Swine deaths in-transit are an animal welfare concern and represent lost revenue for the swine industry. This retrospective observational study used ambient temperature and humidity data from weather stations near United States slaughter plants collected from 2010 to 2015 to predict the incidence and risk of death among swine in-transit and just prior to slaughter. The risk of death for market swine at a heat index (HI), which combines the effects of temperature and humidity, indicating moderately hot weather conditions between 85 and 92°F was 1.37 times greater than that of the baseline temperature range of 54-79°F. The risk of death for cull sows at an HI between 85 and 92°F was 1.93 times greater than that of average temperatures ranging from 54 to 79°F. Roaster swine (weigh < 220 lbs and often used for whole carcass roasting), however, had 0.80 times the risk when the HI was 85-92°F compared to a baseline temperature of 54-79°F. The risk of death for roaster swine at a minimum temperature between 40 and 50°F was 1.21 times greater than that of average temperatures ranging from 54 to 79°F. The risk of death for market swine at a minimum temperature range of 40-50°F was 0.97 times that of average temperatures ranging from 54 to 79°F. And for cull sows, the risk of death at a minimum temperature range of 40-50°F was 0.81 times the risk at the average temperature ranging from 54 to 79°F. Across the study period, cumulative foregone revenue, or revenue not realized due to swine condemnations, for all swine was $18.6 million and $4.3 million for cold temperatures and high HI ranges above the baseline, respectively. Marginal foregone revenue per hog in hotter months is higher due to seasonal peaks in swine prices. As a result of this study, the USDA-APHIS swine condemnation surveillance can incorporate weekly estimated HI values and ambient temperature data for slaughter establishments to provide additional information for analysts investigating signals (noteworthy increases above baseline) for "dead" condemnations. This study suggests that current mitigation measures are often not sufficient to prevent swine deaths due to ambient temperature extremes.

Toward One Health: are public health stakeholders aware of the field of animal health?

Motivated by the perception that human and veterinary medicines can cooperate in more ways than just fighting zoonoses, the authors organized a roundtable during the 2013 annual meeting of the International Society for Disease Surveillance (ISDS). Collaborations between human and animal health sectors were reported to often rise in response to zoonotic outbreaks (during crisis time) and be mainly based on personal networks. Ways to maintain and strengthen these links were discussed.