ISDS Annual Conference Proceedings 2018. 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 2018 Conference Abstracts How do we present messy syndromic surveillance data to public health’s partners? David Atrubin*1, Rosa Ergas2 and Aaron Kite-Powell3 1Florida Department of Health, Tampa, FL, USA; 2Massachusetts Department of Public Health, Boston, MA, USA; 3Centers for Disease Control and Prevention, Atlanta, GA, USA Objective To discuss data disclaimers and caveats that are fundamental to sharing syndromic surveillance (SyS) data Introduction With increasing awareness of SyS systems, there has been a concurrent increase in demand for data from these systems – both from researchers and from the media. The opioid epidemic occurring in the United States has forced the SyS community to determine the best way to present these data in a way that makes sense while acknowledging the incompleteness and variability in how the data are collected at the hospital level and queried at the user level. While significant time and effort are spent discussing optimal queries, responsible presentation of the data - including data disclaimers - is rarely discussed within the SyS community. Keywords data disclaimers; data sharing; variability within the data; syndromic surveillance; emergency department data *David Atrubin E-mail: david.atrubin@flhealth.gov Online Journal of Public Health Informatics * ISSN 1947-2579 * http://ojphi.org * 10(1):e73, 2018