Unsafe or unhealthy environmental event or condition (optional)
Type: Hazard Indicator
Suggested Measures:
- Chemical spill (core)
- Ambient ozone concentration that exceeds the safe level (optional)
- Ambient temperature that exceeds safe threshold (optional)
- Disaster (e.g., natural, sociopolitical) (optional)
Potential Data Sources:
- ATSDR
- DOT
- EPA
[external link]
- NOAA,
NWS
[external link]
- USGS
[external link]
- States or local jurisdictions: Environmental protection agencies, especially those with indicator projects
Technical Supplement:
The technical supplement provides specific methods for using the above indicator and measures. It includes definitions, measurement criteria, data sources and surveillance systems, related indicators and limitations. If your agency is using or plans to use EPHIs, the technical supplement will provide you with a consistent method so that your results will be comparable to those of other agencies using the same indicator. To obtain a copy, please contact EPHI Project staff at 770-488-3473.
Illness or condition with suspected or confirmed environmental exposure (core)
Type: Health Effect Indicator
Suggested Measures:
- Asthma-related death (core)
- Case of methemoglobinemia (core)
- Illness attributed to ambient or drinking water contaminants (core)
- CO poisoning (not fire-related) (core)
- Hospitalization from lead poisoning in a child (core)
- Consultation or emergency department visit for possible poisoning in a child, including lead poisoning (core)
- Pesticide-related poisoning or illness (core)
- Temperature-attributed death (core)
- Food-borne illness (optional)
Potential Data Sources:
- AAPCC:
TESS
- ARC
[external link]
- CDC:
BRFSS;
Food Net;
PulseNet;
NHAMCS;
NHDS;
NHIS;
NVSS
- EPA:
NMMAPS
- HCFA:
Medicare;
Medicaid
[external link]
- NOAA (NCDC;
NWS;
NSSL)
[external link]
- States or local jurisdictions: Asthma,
CDI [external
link] and injury indicator surveillance; ambulatory care and
hospital discharge data; ME/Cs; vital statistics
- Private sector: HMOs, medical insurers
Technical Supplement:
The technical supplement provides specific methods for using the above indicator and measures. It includes definitions, measurement criteria, data sources and surveillance systems, related indicators and limitations. If your agency is using or plans to use EPHIs, the technical supplement will provide you with a consistent method so that your results will be comparable to those of other agencies using the same indicator. To obtain a copy, please contact EPHI Project staff at 770-488-3473.
Unusual pattern of illness or condition with suspected or confirmed environmental contribution (core)
Type: Health Effect Indicator
Suggested Measures:
- Rates of acute asthma events (core)
- Rates of cardiovascular and respiratory events in persons with underlying disease on days when outdoor air standards are exceeded or when temperatures are at dangerous levels (core)
- Cancer incidence and mortality rates, specifically lung cancer in non-smokers, mesothelioma, soft tissue sarcoma, and melanoma (optional)
- Incidence rates for adverse reproductive outcomes, specifically low and very low birth weight and pre-term and very pre-term births (optional)
- Incidence rates of developmental disabilities, specifically mental retardation and autism spectrum disorder (optional)
- Incidence rates of birth defects, especially cerebral palsy (optional)
- Syndromes with unknown etiologies that require emergency medical care or cause death (developmental)
Potential Data Sources:
- CDC:
MACDP;
MADDSP;
NBDPN;
NVSS
- HCFA:
Medicare;
Medicaid
[external link]
- States or local jurisdictions: Asthma surveillance
programs; cancer registries, CDI
surveillance; hospital
discharge surveys; ME/Cs; vital statistics
- Private sector: HMOs, medical insurance companies; health care databases, especially emergency department visits
Technical Supplement:
The technical supplement provides specific methods for using the above indicator and measures. It includes definitions, measurement criteria, data sources and surveillance systems, related indicators and limitations. If your agency is using or plans to use EPHIs, the technical supplement will provide you with a consistent method so that your results will be comparable to those of other agencies using the same indicator. To obtain a copy, please contact EPHI Project staff at 770-488-3473.
Use of surveillance and warning system (optional)
Type: Intervention Indicator
Suggested Measures:
- Number of surveillance systems for sentinel events, syndromes, and unusual patterns of disease that include environmental data (optional)
- Number of vector-control programs that use environmental data (optional)
Potential Data Sources:
- CDC
- States or local jurisdictions: Health, environmental protection, and natural resources agencies
Technical Supplement:
The technical supplement provides specific methods for using the above indicator and measures. It includes definitions, measurement criteria, data sources and surveillance systems, related indicators and limitations. If your agency is using or plans to use EPHIs, the technical supplement will provide you with a consistent method so that your results will be comparable to those of other agencies using the same indicator. To obtain a copy, please contact EPHI Project staff at 770-488-3473.
