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Sandia
disease tracking systems Al Zelicoff, senior scientist at DOE's Sandia National Laboratories, told members of the House Oversight and Investigations subcommittee recently that the nation's hospitals and medical clinics have an urgent need for an Internet-based disease-reporting system that would alert public health officials at the first signs of symptoms that signal a bioterrorism incident. He explained that Sandia originally developed such a system, called the Rapid Syndrome Validation Project (RSVP), as a way to verify that nations are complying with biological weapons treaties. And long before the anthrax scare that has rattled the country the past few weeks, he had been advocating widespread adoption of RSVP by medical clinics across the country as a way to quickly identify outbreaks of unusual diseases, either intentionally introduced into a population or not. "What we realized about two years ago is that good health surveillance is also good counter-terrorism against biological weapons," he says. The system comprises Internet-based, touch-screen software that allows individual physicians to quickly and easily report symptoms they think are unusual, and automatically alerts public health officials when clusters of symptoms indicate a possible outbreak of infectious disease, allowing them to respond quickly. A physician as well as a physicist, Zelicoff spent a decade practicing internal medicine before joining Sandia's Center for National Security and Arms Control 12 years ago. His work focuses primarily on preventing biological weapons proliferation, and he has served for nine years as an advisor to the US delegation to the Biological Weapons Convention. He told members of the House panel Nov. 1 that "public health systems and traditional medical care delivery systems are minimally prepared to detect the early manifestations of disease that is intentionally introduced into a community. . . . "In my ten years of medical practice, I nevernot oncesaw a physician or physician's assistant pick up the phone to report a so-called 'reportable' disease. . . . Why? The process is burdensome, inefficient, and most importantly, almost never gives anything back to the physician that is of relevance to the patient she is caring for." The New Mexico Department of Health is applying significant resources to the RSVP system, which has not yet been formally evaluated and is still under development. It is operational at the University of New Mexico Medical Center and in several other hospitals in New Mexico as well as the New Mexico Department of Health in Santa Fe. Researchers from UNM, the Health Department, and Los Alamos National Laboratory have participated in developing the system. In contrast to other sentinel networks, RSVP tracks outbreaks of syndromessigns and symptomsrather than positive diagnoses of specific diseases. It is, therefore, less specific but more sensitive than existing disease surveillance systems. The system helps physicians, hospitals, state health departments, and epidemiologists monitor the occurrence of certain illnesses that exhibit precursor symptoms similar to serious infectious diseases. By displaying syndrome information geographically, temporally, andmost importantlyimmediately, RSVP allows public health officials to distinguish between benign sicknesses and deadly diseases in a much more timely fashion than has been possible until now. Submitted by DOE's Sandia National Laboratories |
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