System for Rapid Assessment of Pneumonia and Influenza-Related Mortality—Ohio, 2009–2010 | Zendy

Loren Rodgers | Zendy; John Paulson | Zendy; Brian Fowler | Zendy; Rosemary E. Duffy | Zendy

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System for Rapid Assessment of Pneumonia and Influenza-Related Mortality—Ohio, 2009–2010

Author(s) -

Loren Rodgers,

John Paulson,

Brian Fowler,

Rosemary E. Duffy

Publication year - 2014

Publication title -

american journal of public health

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 2.284

H-Index - 264

eISSN - 1541-0048

pISSN - 0090-0036

DOI - 10.2105/ajph.2014.302231

Subject(s) - medicine , pneumonia , pandemic , covid-19 , preparedness , emergency medicine , h1n1 pandemic , zip code , influenza a virus , medical emergency , environmental health , infectious disease (medical specialty) , virology , disease , virus , geography , political science , law , cartography

Rapid mortality surveillance is critical for state emergency preparedness. To enhance timeliness during the 2009-2010 influenza A H1N1 pandemic, the Ohio Department of Health activated a drop-down menu within Ohio's Electronic Death Registration System for reporting of pneumonia- or influenza-related deaths approximately 5 days postmortem. We used International Classification of Diseases-Tenth Revision (ICD-10) codes, available 2-3 months postmortem as the standard, and assessed their agreement with drop-down-menu codes for pneumonia- or influenza-related deaths. Among 56 660 Ohio deaths during September 2009-March 2010, agreement was 97.9% for pneumonia (κ = 0.85) and 99.9% for influenza (κ = 0.79). Sensitivity was 80.2% for pneumonia and 73.9% for influenza. Drop-down menu coding enhanced timeliness while maintaining high agreement with ICD-10 codes.

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