ISDS Annual Conference Proceedings 2015. This is an Open Access article distributed under the terms of the Creative Commons Attribution- Noncommercial 3.0 Unported License (http://creativecommons.org/licenses/by-nc/3.0/), permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. ISDS 2015 Conference Abstracts Impact of the 2015 July Heat Waves in France on Heat- Related Causes Céline Caserio-Schönemann*, Anne Fouillet, Aymeric Ung, Manuel Zurbaran, Vanina Bousquet, Karine Laaidi, Mathilde Pascal, Sébastien Denys, Thierry Cardoso and Anne Gallay French Institute for Public Health Surveillance, Saint Maurice, France Objective To present the evolution of heat-related pathologies during heat waves occurring in July 2015 in France Introduction Two major heat waves occurred in France in July 2015. A first episode characterized by early onset, intensity, large geographical coverage and duration occurred between 29th of June 8th of July. A second episode less intense was localized on the South-East of the country from 15th to 23rd of July. The French heat warning system has been operating by InVS since 2004 as part of the French National Heat Wave Plan. Warnings are based on meteorological forecasts and on real-time follow-up of specific health indicators to support decision-making. The evolutions in emergency health care facilities during the July heat waves are presented. Methods Real-time morbidity indicators are produced by the French national syndromic surveillance system SurSaUD® which is based on the daily collection of data from emergency department (ED) involved in the OSCOUR® network and from General practitioner’s emergency associations SOS Médecins (GPSM). Individual data are automatically recorded and transmitted daily to InVS including administrative, demographic and medical information (coded medical diagnosis) [1]. ED attendances and GPSM visits for all-causes and for heat- related causes are specifically followed during heat waves. Heat- related causes include heat stroke/hyperthermia, dehydration and hyponatremia in ED and heat stroke and dehydration in GPSM. These pathologies only represent a small part of the potential health impact during heat waves. They were selected for their reactivity and to provide indications on the spatio-temporal dynamics of the health impacts. Indicators are investigated by age, with a special focus on people aged 75 and over. The proportion of hospital admissions (HA) for heat-related diagnoses in the total of HA was also followed. Indicators analyses are performed at local and national levels during heat waves, which are defined at the local level when forecasted biometeorological indicators have a high probability of exceeding warning thresholds [2]. Results During both episodes, we observed a sharp increase in the number of ED attendances and GPSM visits for heat-related causes. During the first heat wave there were a total of 3 729 ED attendances and 1 456 GPSM visits for diagnoses related to heat, representing respectively 1% and 2.5% of total national activity (in comparison respectively with 0.3% and 0.6% in June 2015). A peak was recorded on the 4th of July with 497 ED attendances and 205 GPSM visits representing up to 3% and more than 8% of total activity in the most affected regions. All age groups were concerned but the elderly were mostly represented in ED visits while children and adults less than 75 years old were mostly represented in GPSM visits. ED attendances for dehydration and hyponatremia were higher in the elderly while visits for hyperthermia/heat stroke were mostly recorded in children and adults less than 75 years old. Heat indicators reached lower levels during the second heat wave, which affected a most restricted geographical area. About 3 000 ED attendances and 610 GPSM visits (respectively 0.6% and 1.2% of total activity) were recorded. The proportion of HA for heat-related diagnoses represented locally up to 8,2% of total HA during the first episode and up to 5,2% during the second episode in the most affected regions. Conclusions An increase in all heat-related indicators was observed in all age groups and particularly in the elderly during the July 2015 heatwaves. This confirms that heat-related indicators are specific and sensible. A high proportion of HA for diagnoses related to heat in the total of HA is an indicator of severity and could generate local and occasional situations of tensions in the health care system, as observed during the July heat waves. Since 2003, improvements have been made to prevent the health impacts of heat (communication, training of health professionals, access to cool rooms in nursing homes…). However, heat waves remain hazardous for population health with potential impact on ED attendances and hospitalizations. Keywords heat wave; impact assessment; emergency departements; health- related indicators Acknowledgments To OSCOUR® emergency departments and SOS Médecins associations References 1. Caserio-Schönemann C, Bousquet V, Fouillet A, Henry V. Le système de surveillance syndromique SurSaUD (R). Bull Epidémiol Hebd 2014;3-4:38-44. 2. Laaidi K, Ung A, Wagner V, Beaudeau P, Pascal M. The French Heat and Health Watch Warning System: principles, fundamentals and assessment. 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Rumoro1, Gillian S. Gibbs*1, Shital C. Shah1, Marilyn M. Hallock1, Gordon M. Trenholme1, Michael J. Waddell2 and Joseph P. Bernstein3 One Health e-Surveillance for Early Detection of Gastrointestinal Disease Outbreaks Fernando Sánchez-Vizcaíno*1, Barry Rowlingson2, Alan D Radford1, Alison Hale2, Emanuele Giorgi2, Sarah J O’Brien3, Susan Dawson4, Rosalind M Gaskell1, Philip H Jones1, Tarek Menacere1, Peter-John M Noble4, Maya Wardeh1 and Peter Diggle2 Data Blindspots: High-Tech Disease Surveillance Misses the Poor Samuel V. Scarpino*1, James G. Scott2, Rosalind Eggo2, Nedialko B. Dimitrov2 and Lauren A. Meyers2, 1 A Comparison of Clinical Surveillance Systems in New York City Lauren Schreibstein*1, Remle Newton-Dame1, Katharine H. McVeigh1, Sharon E. Perlman1, Lorna E. Thorpe2, Hannah Mandel1 and Michael Buck1 Monitoring and Evaluation Mechanism for Multi-Center Capacity Building Gestational Diabetes Program for Physicians in India Megha Sharma* Avian Flu, Ebola, MERS, and Other Emerging Challenges for Influenza Surveillance Practitioners Alan Siniscalchi2 and Brooke Evans*1 HIT Conformance Testing: Advancing Syndromic Surveillance System Interoperability Robert Snelick and Sheryl L. Taylor* Visualizing the Local Experience: HIV Data to Care Tool Lauren E. Snyder*1, Dean McEwen1, Mark Thrun2, 1 and Arthur Davidson1 Extending an Uncertainty Taxonomy for Suspected Pneumonia Case Review Brett R. South*1, 2, Heidi S. Kramer2, Melissa Castine1, Danielle Mowery1, 2, Barbara Jones2 and Wendy Chapman1, 2 Comparison of Exposure to Risk Factors for Giardiasis Among Endemic and Travel Cases Alexandra Swirski*1, David Pearl1, Andrew Peregrine1 and Katarina Pintar2 African One Health e-Surveillance Initiative Joy Sylvester*1, Herbert Kazoora2, Meeyoung Park1, Sheba Gitta2, Betiel H. Haile1 and Scott J. McNabb1 Strengthening Community Surveillance of Ebola Virus Disease in Sierra Leone AnhMinh A. Tran*, Adam Hoar, Alyssa J. Young, Allison Connolly, Mary-Anne Hartley, Samuel Boland, Brooke Mancuso, Guddu Kaur, John Esplana, Erin Polich and Laura Fisher Surveillance of Anthrax Foci Across Pipeline Constructions in Georgia, 2003-2014 Nikoloz Tsertsvadze, Lile Malania, Nato Abazashvili, Julieta Manvelian, Mariam Broladze and Paata Imnadze Situational Awareness of Health Events Using Social Media and the SMART Dashboard Ming-Hsiang Tsou2, 3, 1, Chin-Te Jung2, 3, 1 and Michael Peddecord*4, 3, 1 Evaluation of Legionellosis Surveillance in Michigan Focusing on Diagnostic Testing Leigh M. Tyndall Snow*1, 2, Veronica A. Fialkowski1, 2 and Mary Grace Stobierski1 Highway Emergency Response and Accident Mitigation Service (HERAM) – A Field Report Balaji Utla*, Dr. Shailendra Kumar B. Hegde, Dr. Sri Ranga Prasad Saride, Dr. Ramanuja Chary Kandaala, Mr. Sridhar Upadhya and Anukrati Saxena Enhancing Biosurveillance Specificity Using Praedico™, A Next Generation Application Alireza Vahdatpour2, Cynthia A. Lucero-Obusan1, Chris Lee2, Gina Oda1, Patricia Schirmer1, Anosh Mostaghimi1, Farshid Sedghi2, Payam Etminani2 and Mark Holodniy*1 Biosense and Violence: Progress Toward Violence Prevention Using Syndromic Surveillance Jennifer Vahora* and Stacey Hoferka Situational Awareness for Unfolding Gastrointestinal Outbreaks Using Historical Data Nileena Velappan*, Ashlynn Daughton, Esteban Abeyta, Geoffrey Fairchild, William Rosenberger and Alina Deshpande Interest of Prospective Spatio-Temporal Analysis from ED Data to Detect Unusual Health Events Pascal Vilain*, Sébastien Cossin and Laurent Filleul Using Syndromic Surveillance to Identify Synthetic Cannabinoids or Marijuana Adverse Health Events in Virginia Amanda Wahnich* Lessons Learned from the Transition to ICD-10-CM: Redefining Syndromic Surveillance Case Definitions for NC DETECT Anna E. Waller, Katherine J. Harmon* and Amy Ising Automating Ambulatory Practice Surveillance for Influenza-Like Illness Andrew Walsh* Enhancing EpiCenter Data Quality Analytics with R Andrew Walsh* Alcohol-Related ED Visits and Ohio State Football: Putting the O-H in ETOH Kristen A. Weiss* and Andrew Walsh Enhancing Syndromic Surveillance at a Local Public Health Department Jessica R. White* and Kate Goodin Using Syndromic Surveillance to Enhance Arboviral Surveillance in Arizona Jessica R. White*1, Sara Imholte2 and Krystal Collier2 Evaluating the BioSense Syndrome for Heat-Related Illness in Maricopa County, Arizona Jessica R. White*, Kate Goodin and Vjollca Berisha Sensitivity and Specificity of the Fever Syndromes in BioSense and ESSENCE Caleb Wiedeman* Analysis of ED and UCC Visits Related to Synthetic Marijuana in ESSENCE-FL, 2010-2015 Michael Wiese*1 and Charles R. Clark2 Comparison of Air Passenger Travel Volume Data Sources for Biosurveillance Diana Y. Wong*, Teresa Quitugua and Julie Waters A Suggestion to Improve Timely Feedback of Infectious Disease Surveillance Data at a Provincial Level in South Korea Seon-ju Yi*, Gichan Park, Hwami Kim, SoYoon Min, Jee soo Suh, Soojung Jo, Daeun Jeong, Young-Man Kim and Heeyoung Lee Update on the CDC National Syndromic Surveillance Program Paula Yoon and Michael Coletta* Use of Peripheral Health Units in Low-Transmission Ebola Virus Disease Surveillance Alyssa J. Young*, Allison Connolly, Adam Hoar, Brooke Mancuso, John Mark Esplana, Guddu Kaur, Laura Fisher, Mary-Anne Hartley and Anh-Minh A Tran Place Matters: Revealing Infectious Disease Disparities Using Area-Based Poverty Kimberly Yousey-Hindes*1, Sharon K. Greene2, Kelley Bemis3 and Kristen Soto4 Addressing Health Equity Through Data Collection and Linked Disease Surveillance Iris Zachary*1, Jeannette Jackson-Thompson1, 2, 3, Emily Leary1 and Eduardo Simoes1, 2, 3 Epizootology and Molecular Diagnosis of Lumpy Skin Diesease Among Livestock in Azerbaijan Shalala K. Zeynalova* Exploring Usability of School Closure Data for Influenza-Like Illness Surveillance Yenlik Zheteyeva*, Hongjiang Gao, Jianrong Shi and Amra Uzicanin Efficient Surveillance of Childhood Diabetes Using Electronic Health Record Data Victor W. Zhong*1, Jihad S. Obeid2, Jean B. Craig2, Emily R. Pfaff1, Joan Thomas1, Lindsay M. Jaacks3, Daniel P. Beavers4, Timothy S. Carey1, Jean M. Lawrence5, Dana Dabelea6, Richard F. Hamman6, Deborah A. Bowlby2, Catherine Pihoker7, Sharon H. Saydah8 a