We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Viewpoint |

The Role of Syndromic Surveillance in Directing the Public Health Response to the Enterovirus D68 Epidemic

Jana Shaw, MD, MPH1; Thomas R. Welch, MD2; Aaron M. Milstone, MD, MHS3,4
[+] Author Affiliations
1Division of Pediatric Infectious Diseases, Department of Pediatrics, Upstate Golisano Children’s Hospital, Syracuse, New York
2Department of Pediatrics, Upstate Golisano Children’s Hospital, Syracuse, New York
3Division of Pediatric Infectious Diseases, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland
4Department of Hospital Epidemiology and Infection Control, Johns Hopkins Hospital, Baltimore, Maryland
JAMA Pediatr. 2014;168(11):981-982. doi:10.1001/jamapediatrics.2014.2628.
Text Size: A A A
Published online


This Viewpoint discusses how early detection of enterovirus D68 can inform decisions to activate hospital preparedness and emergency response teams and promote proactive community and physician education.

Emerging infectious diseases repeatedly challenge hospitals, communities, and public health infrastructures. In the last year, pediatricians have become aware of Middle East Respiratory Syndrome (MERS) and Ebola. These diseases prompt discussion about appropriate measures to protect health care workers and prevent spread in hospitals and the community, development of rapid diagnostics for early recognition, mobilization of trained staff to care for patients, and management of increased patient volumes (“surge”). In the midst of the many unknowns uncovered in preparation for MERS and Ebola, in August 2014, Children’s Mercy Hospital in Kansas City, Missouri, and the University of Chicago Medicine Comer Children’s Hospital in Illinois reported increased pediatric hospitalizations of children with severe respiratory illness.1 Since then, many more states have reported similar trends and the numbers continue to rise.2 The rapid identification of clusters of patients admitted for similar syndromes (ie, syndromic surveillance) led to early dissemination of information to health care workers across the country and to implementation of emergency preparedness plans. Was this a successful test of our public health infrastructure?

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

4 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections