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Diarrheal illness detected through syndromic surveillance after a massive power outage: New York City, August 2003

Author

Listed:
  • Marx, M.A.
  • Rodriguez, C.V.
  • Greenko, J.
  • Das, D.
  • Heffernan, R.
  • Karpati, A.M.
  • Mostashari, F.
  • Balter, S.
  • Layton, M.
  • Weiss, D.

Abstract

Objectives. We investigated increases in diarrheal illness detected through syndromic surveillance after a power outage in New York City on August 14, 2003. Methods. The New York City Department of Health and Mental Hygiene uses emergency department, pharmacy, and absentee data to conduct syndromic surveillance for diarrhea. We conducted a case-control investigation among patients presenting during August 16 to 18, 2003, to emergency departments that participated in syndromic surveillance. We compared risk factors for diarrheal illness ascertained through structured telephone interviews for case patients presenting with diarrheal symptoms and control patients selected from a stratified random sample of nondiarrheal patients. Results. Increases in diarrhea were detected in all data streams. Of 758 patients selected for the investigation, 301 (40%) received the full interview. Among patients 13 years and older, consumption of meat (odds ratio [OR] = 2.7, 95% confidence interval [CI] = 1.2, 6.1) and seafood (OR = 4.8; 95% CI = 1.6, 14) between the power outage and symptom onset was associated with diarrheal illness. Conclusions. Diarrhea may have resulted from consumption of meat or seafood that spoiled after the power outage. Syndromic surveillance enabled prompt detection and systematic investigation of citywide illness that would otherwise have gone undetected.

Suggested Citation

  • Marx, M.A. & Rodriguez, C.V. & Greenko, J. & Das, D. & Heffernan, R. & Karpati, A.M. & Mostashari, F. & Balter, S. & Layton, M. & Weiss, D., 2006. "Diarrheal illness detected through syndromic surveillance after a massive power outage: New York City, August 2003," American Journal of Public Health, American Public Health Association, vol. 96(3), pages 547-553.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2004.061358_4
    DOI: 10.2105/AJPH.2004.061358
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    Cited by:

    1. Joost R. Santos & Lucia Castro Herrera & Krista Danielle S. Yu & Sheree Ann T. Pagsuyoin & Raymond R. Tan, 2014. "State of the Art in Risk Analysis of Workforce Criticality Influencing Disaster Preparedness for Interdependent Systems," Risk Analysis, John Wiley & Sons, vol. 34(6), pages 1056-1068, June.
    2. Inna Čábelková & Wadim Strielkowski & Frank-Detlef Wende & Raisa Krayneva, 2020. "Factors Influencing the Threats for Urban Energy Networks: The Inhabitants’ Point of View," Energies, MDPI, vol. 13(21), pages 1-19, October.
    3. Grineski, Sara E. & Collins, Timothy W. & Chakraborty, Jayajit, 2022. "Cascading disasters and mental health inequities: Winter Storm Uri, COVID-19 and post-traumatic stress in Texas," Social Science & Medicine, Elsevier, vol. 315(C).
    4. Imaduddin Ahmed & Priti Parikh & Parfait Munezero & Graham Sianjase & D’Maris Coffman, 2023. "The impact of power outages on households in Zambia," Economia Politica: Journal of Analytical and Institutional Economics, Springer;Fondazione Edison, vol. 40(3), pages 835-867, October.

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