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2020 Syndromic Surveillance Symposium

This Basecamp is the event space for the 2020 Syndromic Surveillance Symposium, November 17-19 form 1PM EST to 5PM EST. Learn more about upcoming sessions, how to join different rooms, and view presentations. Email Hayleigh McCall (hmccall@cste.org) if you have any issues with the site.
Maria Patselikos, Evaluation Analyst at CSTEBecky Lampkins, Manager, Surveillance/Informatics Program at CSTEMegan Toe, CSTEHayleigh McCall, Program Analyst III, Syndromic Surveillance at CSTEHenri MenagerYushiuan ChenFatema Mamou, Regional EpidemiologistAnna FrickAaron Kite-PowellNate WrightDanielle Boyd, Program Analyst at CSTEGregory DanylukMary Beth CoxMimi Huynh, Program Analyst at CSTEMwedusasa Mtenga, Migrant Health Surveillance Epidemiologist +275 others
Discussion by howard burkom ·

🤔 SaTScan and cluster detection

In the 3:15 Lightning session, the chat showed much interest in the use of SaTScan and cluster detection in general.  Some don't know about the spatial detector in ESSENCE. What's the best way to start an informal session on the topic of  cluster detection?  I'll watch this board and plan to attend some of the "happy hour".

Comments & Events

MisChele Vickers, Public Health Research Analyst III MisChele Vickers, Public Health Research Analyst III
Thanks howard burkom howard   for sparking the conversation from the Significant Findings Lighting Session! I think we are all very excited to learn more about the use of SaTScan and cluster detection, and thank you Kelley Bemis, Epidemiologist IV Kelley   for your presentation on Using rsatscan for Automated COVID-19 Cluster Detection​.
 
We can also still speak about the spatial detector in ESSENCE, for the ESSENCE users, as well.

Thanks,
MAV
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Robyn Ellis Robyn Ellis
It seems like CSTE could form a sat scan subcommittee for people to join and share information based on the high level of interest.
Natasha Close 👍
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Natasha Close Natasha Close
I believe there are existing CSTE workgroup(s) that are working on cluster detection of opioid overdoses, but the application of the method doesn't need to be topic or datasource specific.
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howard burkom howard burkom
Application dependent topics that could be worthy of discussion: outcomes collected for clustering, level of spatial aggregation, minimum number of cases, maximum diameter or included population, p-value or recurrence criterion for significance, automated reachback into data for cluster details, other second-level criteria for significance, cluster significance vs the cost of investigation, number of days back in test cylinder vs cost of redundancy, depending on the outcome
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howard burkom howard burkom
Could you provide a link to those workgroups, and do they require CSTE membership?
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Diksha Ramnani Diksha Ramnani
I'm glad there is more interest in SaTScan and cluster analysis. Perhaps we can start with an ad hoc call organized by NSSP CoP for interested parties. It would be good to identify advanced users or matured projects to help guide further discussions. 
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Joanne Bonnar Prado Joanne Bonnar Prado
Any tool that could help identify clusters as they occur, and facilitate mapping cases or other types of analysis, could be super valuable to pesticide-illness surveillance. I personally would be most interested in topic-specific application to pesticide-related illness. Is that even possible?
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David Swenson David Swenson
I believe yes, one could look at arbovirus use cases (such as West Nile Virus, Eastern Equine Encephalitis, etc.). A jurisdiction could focus on the illnesses that represent the highest cases in a given year/season.


David Swenson
AHEDD Project Manager
State of New Hampshire
Department of Health and Human Services
Division of Public Health Services
Communicable Disease Surveillance Section
29 Hazen Drive
Concord, NH 03301

Voice: 603 271-7366
Fax: 603 271-0545
E-Mail: DAVID.SWENSON@dhhs.nh.gov

STATEMENT OF CONFIDENTIALITY:
This message may contain information that is privileged and confidential and is intended for the exclusive use of the individual(s) to whom it is addressed. If you received this message in error, please contact the sender immediately and delete this electronic message and any attachments from your system.
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howard burkom howard burkom
I agree with Dave.  One of the first papers on PH use of SaTScan was on West Nile surveillance in NYC to inform spraying.  As far as application, Joanne, you need the data stream and of course the case definition for filtering, and once you pull the cases, the software doesn't care what they are.  Your domain knowledge comes in again when you choose the control parameters.
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Natasha Close Natasha Close
howard burkom howard  I don't know how to attend the CSTE workgroups, I've only heard of them. I'd be interested in learning how to select parameters for various different topics and geographies and the importance of selections. 
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howard burkom howard burkom
Oh, that was my hesitation about Diksha's suggestion--didn't know if a CSTE group already has such calls.  Would a Happy Hour session on this topic be appropriate? 
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Joanne Bonnar Prado Joanne Bonnar Prado
Thanks David Swenson and Howard Burkom for your responses to my question.
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Krystal Collier, Syndromic Surveillance Program Coordinator Krystal Collier, Syndromic Surveillance Program Coordinator
I am following up to see how we all can be more connected on this topic given not everyone is a part of all the different groups, including those hosted by CSTE.  It would be great to find a way to share some of these practices and code more openly so that if you don't participate in a specific group, you can gain access to it.
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Jennifer Kret Jennifer Kret
I regrettably was unable to attend the session where SaTScan was discussed. I wanted to mention that for several years at the CSTE Annual Conference Tom Talbot out of New York State has presented on methods using the SaTScan tool for small area estimates in Workshops https://cste.confex.com/cste/2018/meetingapp.cgi/Session/5256 as well as breakout sessions https://cste.confex.com/cste/2016/webprogram/Session4114.html with varying subject matter applications.
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MisChele Vickers, Public Health Research Analyst III MisChele Vickers, Public Health Research Analyst III
Jennifer Kret Jennifer , sorry we missed you at the session, but thanks for mentioning New York! Kelley Bemis, Epidemiologist IV Kelley had mentioned New York City’s health department methodology regarding  SaTScan for cluster detection while we were preparing for the session. Things moved kind of quickly and we, unfortunately, were not able to reach out to them in time for the Symposium. However, I think we'd love to invite them on for something in the future.  
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Joanne Bonnar Prado Joanne Bonnar Prado
More opportunities to hear about SatTScan for cluster detection and other features of ESSENCE/syndromic surveillance would be great. Thanks! 
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David Swenson David Swenson
Jennifer,

Thanks for sharing. Howard is working to connect with anybody doing SaTScan development. Tom Talbot out of New York State sounds like someone Howard should reach out to.
I found 2018 contact information for Thomas Talbot but nothing more current. Do you know if this is still a valid email contact for him?
thmstalbot@gmail.com
Department of Epidemiology and Biostatistics, University of Albany School
of Public Health, Rensselaer, NY, USA
Full list of author information is available at the end of the article

Below are two 2016 CSTE Presentation videos on the topic of using SatScan for Detecting Clustering of Health Events.
RE: Improvements in the Ease of Use of SaTScan for Detecting Clustering of Health Events<https://cste.confex.com/cste/2016/webprogram/Paper6231.html>
https://cste.confex.com/cste/2016/webprogram/Session4114.html
Thomas Talbot, New York State Department of Health
ttalbot1@nycap.rr.com<mailto:ttalbot1@nycap.rr.com>

RE: A Demonstration of the Use of SaTScan to Identify Spatio-Temporal Clusters of Salmonellosis<https://cste.confex.com/cste/2016/webprogram/Paper6232.html>
Thomas O. Talbot, New York State Department of Health
tot01@health.state.ny.us<mailto:tot01@health.state.ny.us>




David Swenson
AHEDD Project Manager
State of New Hampshire
Department of Health and Human Services
Division of Public Health Services
Communicable Disease Surveillance Section
29 Hazen Drive
Concord, NH 03301

Voice: 603 271-7366
Fax: 603 271-0545
E-Mail: DAVID.SWENSON@dhhs.nh.gov

STATEMENT OF CONFIDENTIALITY:
This message may contain information that is privileged and confidential and is intended for the exclusive use of the individual(s) to whom it is addressed. If you received this message in error, please contact the sender immediately and delete this electronic message and any attachments from your system.
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Yushiuan Chen Yushiuan Chen
This is so exciting! I always want to learn how to use SaTScan for our opioid and heroin data!!! Let’s do it!!!!
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David Swenson David Swenson
Yes! I agree Yushiuan.

David Swenson
AHEDD Project Manager
State of New Hampshire
Department of Health and Human Services
Division of Public Health Services
Communicable Disease Surveillance Section
29 Hazen Drive
Concord, NH 03301

Voice: 603 271-7366
Fax: 603 271-0545
E-Mail: DAVID.SWENSON@dhhs.nh.gov

STATEMENT OF CONFIDENTIALITY:
This message may contain information that is privileged and confidential and is intended for the exclusive use of the individual(s) to whom it is addressed. If you received this message in error, please contact the sender immediately and delete this electronic message and any attachments from your system.
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Jennifer Kret Jennifer Kret
David, 
That contact info sounds accurate for Tom. I haven't worked directly with him, but I had attended several of the workshops where he was a presenter (as mentioned). He was no longer part of a Health Department, but I think independent consultant, affiliated with University of Albany School
of Public Health. I imagine someone from CSTE staff would know for sure. 
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howard burkom howard burkom
As we discussed yesterday, we will try for a call on this subject in December, including those showing interest in yesterday's discussion, those who expressed interest but couldn't attend, and others mentioned who have applied cluster detection in public health surveillance work.  Hoping -for CSTE assistance in organizing.
Looking back on that discussion, this community has matured remarkably in scope and in depth.  Five years ago, and certainly ten, the majority of conference and webinar attendees were consumed with the burden of onboarding.  The growth since then in sophistication and readiness for advanced methodologies is striking.  Yesterday’s last-minute Happy Hour session on cluster detection attracted over 30 attendees,  some with surprising advances to share, and others who are ready to learn and embrace them.
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