One Health in Action: Lyme Disease

The response to public concern of an increase in tick populations and Lyme disease prompted by a local veterinarian on a Lake Michigan island is a prime example of the One Health approach. Due to an increase in Lyme disease diagnosis in pets, the Michigan Department of Health and Human Services were invited to the island to conduct an environmental investigation and provide health education to local residents

One Health in Action: Lyme Disease

The response to public concern of an increase in tick populations and Lyme disease prompted by a local veterinarian on a Lake Michigan island is a prime example of the One Health approach. Due to an increase in Lyme disease diagnosis in pets, the Michigan Department of Health and Human Services were invited to the island to conduct an environmental investigation and provide health education to local residents

Evaluation of Legionellosis Surveillance in Michigan Focusing on Diagnostic Testing

In Michigan, legionellosis cases are reportable through the Michigan Disease Surveillance System (MDSS), a web-based database. The objectives of this study were to evaluate Michigan's legionellosis surveillance system and determine whether diagnostic methods influenced case distribution. Michigan's legionellosis surveillance system was evaluated using the 2001 MMWR surveillance system evaluation guidelines focusing on data quality, timeliness, and sensitivity. Additional analyses were performed on the diagnostic test data. The system showed moderate sensitivity, and reporting times over the 24-hour state requirements. Data completeness improved 20% over time. Decreasing culture diagnoses make linking cases to environmental sources in an outbreak investigation challenging

Evaluation of Legionellosis Surveillance in Michigan Focusing on Diagnostic Testing

In Michigan, legionellosis cases are reportable through the Michigan Disease Surveillance System (MDSS), a web-based database. The objectives of this study were to evaluate Michigan's legionellosis surveillance system and determine whether diagnostic methods influenced case distribution. Michigan's legionellosis surveillance system was evaluated using the 2001 MMWR surveillance system evaluation guidelines focusing on data quality, timeliness, and sensitivity. Additional analyses were performed on the diagnostic test data. The system showed moderate sensitivity, and reporting times over the 24-hour state requirements. Data completeness improved 20% over time. Decreasing culture diagnoses make linking cases to environmental sources in an outbreak investigation challenging

Evaluation of the Michigan Disease Surveillance System for Histoplasmosis Reporting

The histoplasmosis surveillance system was evaluated using the 2001Centers for Disease Control and Prevention Updated Guidelines for Evaluating Public Health Surveillance Systems. From 2004 to 2014, a total of 1,608 confirmed or probable cases were reported into MDSS, with a slight increasing trend in case numbers over time. Michigan’s histoplasmosis surveillance system is relatively simple, but the misclassification of cases is troublesome. Development of tools for LHDs to aid in classification of cases may improve the PPV and decrease case investigation time. Increasing the number of hospitals that report directly to MDSS would indicate more acceptability, and increase sensitivity

Evaluation of the Michigan Disease Surveillance System for Histoplasmosis Reporting

The histoplasmosis surveillance system was evaluated using the 2001Centers for Disease Control and Prevention Updated Guidelines for Evaluating Public Health Surveillance Systems. From 2004 to 2014, a total of 1,608 confirmed or probable cases were reported into MDSS, with a slight increasing trend in case numbers over time. Michigan’s histoplasmosis surveillance system is relatively simple, but the misclassification of cases is troublesome. Development of tools for LHDs to aid in classification of cases may improve the PPV and decrease case investigation time. Increasing the number of hospitals that report directly to MDSS would indicate more acceptability, and increase sensitivity