Syndromic Surveillance and Public Health Emergency Preparedness, Response, and Recovery (SPHERR) Subcommittee Call - April 2, 2021 - 2:00pm EDT - CSTE

Syndromic Surveillance and Public Health Emergency
Preparedness, Response, and Recovery (SPHERR)
Subcommittee Call
April 2, 2021 – 2:00pm EDT

Agenda

•   Welcome
•   CSTE Announcements
•   The Give: Winter Storm Uri in Austin, TX: An Initial Analysis – Ashley Hawes
•   Discussion of Winter Storm Surveillance in ESSENCE
•   Conclusion
    • Next steps
    • What’s making you happy, Michelle?

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 The CSTE Disaster Epidemiology Subcommittee
will host its Annual National Disaster Epidemiology
      Workshop virtually on May 17-19, 2021.

Email syndromic@cste.org for more information.

The Give: Winter Storm Uri in Austin, TX:
      An Initial Analysis – Ashley Hawes

Winter Storm Uri in Austin, TX:
                 An Initial Analysis
                                   Ashley N. Hawes, MPH
                             Austin Public Health, City of Austin

2021 SPHERR Call April 2, 2021

Winter Storm

Winter Storm Timeline
 February 10th – Winter Storm Advisory &
  COA activated Cold Weather shelter plan
 February 12th – Winter storm warning &
  watch issued (through the 15th)
 February 13th – Winter storm warning
  extended *Power outages started*
 February 17th – Winter weather advisory &
  Water boil advisory
 February 18th – Hard Freeze Warning
 February 19th – Freeze Warning
 February 20th – Power returned to last
  portions of city
                                              10
 February 26 – Water Boil Advisory lifted

Data Types
 EMS Encounters

 Syndromic Surveillance

 Death Certificates

EMS Encounters
 In Progress – initial numbers

 On February 15th – almost
  1500 calls for service,

 Normal calls ~400/day

Syndromic Surveillance

                         32 visits

       5 visits

Unintentional Carbon Monoxide Poisoning

Motor Vehicle Crashes
 NSSP: All Traffic Related v2

                                 15

Dialysis
 NSSP: CDC Dialysis v1

                          16

Homelessness Query

Death Data
“DSHS disaster epidemiologists continue to reconcile information about causes of death. The majority of verified
deaths were associated with hypothermia. There have also been multiple deaths caused by motor vehicle
accidents, carbon monoxide poisoning, medical equipment failure, exacerbation of chronic illness, lack of home
oxygen, falls, and fire. Confirmed deaths occurred between Feb. 11 and March 5.” - DSHS
(https://dshs.texas.gov/news/updates.shtm#wn)

   Deaths in Texas: 111 (as of 3.25)

   Deaths in Travis County: 13
     9 hypothermia
     4 falls/other

We can’t forget COVID!

      At least 1 known positive COVID-19 patient in a warming center

Still to come
 Ideas to work with state to compare instances of CO poisoning and other issues
    Example: Less CO in areas where Hurricanes are more present?

 Looking at zip codes – are there ties to heat vulnerability and cold vulnerability

 Shelter Surveillance Improvements

                                                  20

Questions?
       Thank you!
Ashley.hawes@austintexas.gov

Discussion of Winter Storm
  Surveillance in ESSENCE