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A Map of Baseball Nation

A Map of Baseball Nation | National Population Health Grid | Scoop.it

"Fans may not list which team they favor on the census, but millions of them do make their preferences public on Facebook. Using aggregated data provided by the company, we were able to create an unprecedented look at the geography of baseball fandom, going down not only to the county level, as Facebook did in a nationwide map it released a few weeks ago, but also to ZIP codes."


Via Seth Dixon
Brian Altonen's insight:

Some of that red in Texas overlaps with Boston I hear.

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Greg Russak's curator insight, April 29, 2014 12:53 PM

Maps and baseball - a good combination!

Wyatt Wolf's curator insight, October 30, 2014 7:46 PM

My favorite baseball team is the Philadelphia Phillies, here's everyone else's.

Global Speechwriter's comment, November 4, 2014 2:52 AM
Jays? C'mon.

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Up to 18 labs in U.S. got live anthrax shipments

Up to 18 labs in U.S. got live anthrax shipments | National Population Health Grid | Scoop.it
Centers for Disease Control and Prevention officials said Thursday that as many as 18 labs around the country received live anthrax samples.
Brian Altonen's insight:
Even without planning, we are experts with some things pertaining to bioterrorism. Let's take a look at the numbers: 9 states + Korea, 18 labs in the U.S., 22 people in Korea exposed, so far. I don't recall any chapters on haphazardness and gross negligence in the textbooks on bioterrorism. Also, if this is pulmonary anthrax, will lessons in biology and ecology of Bacillus anthracis be added to the new refresher course proposals? Maybe a new natural breeding facility will be set up by nature, for the lab synthesized organisms now gone wild. The USA Today study of bio labs incidents demonstrates more than gross negligence. It details innumerable errors made habitually in security breaches, inadequate self-policing and public protection measures, lack of adequate oversight by federal regulators, failure to alert the proper authorities when mistakes are made, cost containment provided the edge over disease containment. According to the study, lab errors are possibly responsible for the release of foot and mouth disease in cattle, monkey's Burkholderia bird flu virus, H1N1. (An understatement.) The organisms CDC is failing to keep secure include: ebolavirus (several sorts), Marburg, pulmonary anthrax, Burkholderii pseudomallei, Neisseria meningitides, MERS, SARS, tularemia, bubonic plague, Q-fever, melioidosis, botulinum, avian flu, drug-resistant Tb, the AIDs HSCs, small pox. (Another understatement.)
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Ebola experience is a wake-up call for the WHO

Ebola experience is a wake-up call for the WHO | National Population Health Grid | Scoop.it
The World Health Organization is in need of both reform and money to give it the best chance of dealing with potential global health threats in future
Brian Altonen's insight:

Interpreting this from the point of view of an epidemiologist "outlier" . . . this is a very much an embarassing "told-you-so" experience for myself, when my students ask me about my impressions about WHO and CDC.  

 

More importantly, no matter how much financing is promised for these programs, I remind them that one has to be extremely skeptical about financial enterprises' claims bearing so much grandiosity. $75Million is a nice gesture, but if we take a look at how much has been spent in these causes over the years, we will find that this amount is still "smittens" compared with what is needed.  It is a capitalistic venture that requires higher amounts of money to prevent great amounts of doubt and skepticism from arising again.

 

The inconsequential nature of this event--providing such a large amount of revenue for a public health cause-- serves more a warning to some in public health.  It has an appeasing effect on the masses more than anything else, but not on global health epidemiologists who are realists.  

 

And chances many will marvel at this new plan, be appeased by the leaders, as we watch the IT equipment, buildings, new programs and other forms of public health and government infrastructures formed due to this symbolic funding.  

 

Yet realize, the amount of money needed to tend to Medicaid alone within the US health care system remains 20 to 50 fold higher than the amount "promised".  One has to wonder--Can such a small amount really have much of an impact on another country?  

 

To me, this means that $75 million is smittens; inadequate to meet the global health needs that currently exist.  Therefore, it serves mostly to instill hope in people, wishing that perhaps malnutrition could be lessened for a brief period of time, enabling some kids to become healthier.  Yet, we still to remember that this does nothing to prevent the next outbreak that we call be re-awakened by in the future, in other words, the next failure in this broken World Healthcare Administration system. 

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Breakthrough Innovation vs. Incremental Innovation

Breakthrough Innovation vs. Incremental Innovation | National Population Health Grid | Scoop.it
A conservative method of improving health care favors incremental innovation, or small, gradual changes to a process or product line, than breakthrough innovation, a process in which major changes need to be made to improve the system. healthcare suffers from a lack of breakthroughs--mostly because of several barriers that exist within a traditional healthcare system.
Brian Altonen's insight:
Cost is the primary deterrent to taking on new processes, new methodologies. This increase in cost that is required for any new method or process to be implemented in turn relates to the cost for the new software and hardware required, for the new training that is required, for the cost of time and personal energy needed to successfully implement, test and apply this new process. These high costs do not take into account the cost of hiring more qualified, more highly skilled workers needed to implement this new process. This is typically the greatest behavioral barrier to implementing a change when it comes to new software products. It is the retention of old mindsets and skillsets that prevents new methods from becoming the standard in an innovative healthcare system. Old management unwilling to adopt the new models are the reason for lack of change. We are still manually assessing, building, recoding, and restructuring our EMR/EHR data to make it "work" for the analyses we hope to achieve. Such efforts are very time intensive, ineffective when it comes to costs, and are the reasons many companies fail to perform even at their 90th percentile in terms of accomplishments and growth over time. Departments and programs fail due to the lack of implementing new methods and changes. Effective automated programs will more completely and more successfully define the reasons for this continued high cost of health care, and hopefully reduce their admin and system related causes.
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Washington state school district removes 143 students over vaccine law

Washington state school district removes 143 students over vaccine law | National Population Health Grid | Scoop.it
By Eric M. Johnson SEATTLE (Reuters) - A Washington state school district pulled 143 students who lacked documentation proving they had received required immunizations from classrooms on Monday, in a first-in-the-state clamp-down triggered by a recent measles epidemic. The Spokane Public Schools, the state's second-largest district, made the decision after a measles epidemic in which more than 150 people fell ill across the United States, and a whooping cough outbreak in the state's eastern city. "(The students) stay out of school until they show compliance," district spokesman Kevin Morrison said. All U.S. states require certain vaccines for students for diseases such as mumps, rubella, tetanus or polio, but school immunization laws grant exemptions to children for medical reasons, including an inhibited immune system.
Brian Altonen's insight:

Right now we are shaming the schools for allowing this to happen.  

 

However, the real culprit here is the health care system that turned away from surveilling this matter, and especially the insurance companies for not managing their clientele and for ignoring the risk of those they refused to cover on their own members.  

 

As a 20 year resident of this region, engaged in this healthcare system since the mid-1980s, I found this problem to be evident from day one.

 

People can refuse to have their kids immunized, just like people can refuse to obey signs and lights on a highway.  It is up to those responsible in the healthcare workplace/insurance industry to take preventive action, not just turn their heads the other way, and report "great success", remained blind-eyed to what is truly happening.  This ignorance of the health of the masses was a common behavior of at least one regional insurance company for the Pacific Northwest, a practice engaged in twenty years ago, and used to file poorly conceived population health reviews about childhood immunization rates five to seven years ago, well before recent knowledge about this public health failure became widely distributed.

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Pennsylvania infant died of rat bite fever: Coroner | Outbreak News Today

Pennsylvania infant died of rat bite fever: Coroner | Outbreak News Today | National Population Health Grid | Scoop.it

Rat Bite fever is actually a little more common than expected in the United States.

 

Feb 2014: "The family of 10-year-old Aidan Pankey has filed a wrongful death lawsuit against Petco, alleging that the boy died after he contracted an infectious disease from a pet rat."  


March 19, 2015: "CARLISLE, Pa. (WHTM) – A 6-month-old baby died after he was bitten by a rat that was raised as food for a family’s pet snakes, the Cumberland County coroner said Thursday."

  

Brian Altonen's insight:

Not only rodentia, other pets may be responsible for this, including hamsters and gerbils and even dogs and cats.    

 

The most recent news case for this that just hit the news is:   

Coroner: Rat bite fever to blame for baby's death.    

 http://www.wgal.com/news/coroner-rat-bite-fever-to-blame-for-babys-death/31893848 ;     

 

- - - and - -    

http://abc27.com/2015/03/19/coroner-baby-died-from-rat-bite-fever/ ;    

An interesting informative video on this is at https://www.youtube.com/watch?v=3BNWFBWXOVk        

     

A few years ago, I produced a map depicting the distribution of claims for rat bite fever across the country, the video accessible at https://www.youtube.com/watch?v=yG2yDFxIVEs    

 

Youtube is full of videos on this public health issue.  Example of a possible over reactive (biased) news video on this diagnosis is at: https://www.youtube.com/watch?v=7ZmLdlm5k1w   

 

And there's the more reliable CDC page to go to:  http://www.cdc.gov/rat-bite-fever/ ;   

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Africa's expanding farms attract more plague-infested rats: TRFN

Africa's expanding farms attract more plague-infested rats: TRFN | National Population Health Grid | Scoop.it

By Chris Arsenault ROME (Thomson Reuters Foundation) - Converting wilderness areas into farmland in East Africa may be increasing the risk of disease epidemics, as rodents crawling with plague-carrying fleas are drawn to the harvested food. . . . .

Brian Altonen's insight:

DISEASE ECOLOGY & GIS.  

 

[article continues . . . . ]  

 

In northern Tanzania, crop lands have expanded by 70 percent over the last few decades and the number of plague-carrying rodents in these corn growing lands has nearly doubled compared with neighbouring wilderness areas, said the study published in the American Journal of Tropical Medicine and Hygiene on Monday. Scientists linked an increase in corn fields – necessary to feed an expanding population – to a 20-fold rise in the population of African rats in northern Tanzania, which transmit deadly diseases to humans, including Lassa fever and plague. "Local farmers often ... store this harvested corn next to or inside their homes - baiting in the hungry field rats and increasing opportunities for human infection." In Tanzania alone, plague caused about 675 deaths from 1980 to 2011, the study said, and these numbers could rise as new wilderness areas become farmland and rat populations increase.

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An Early Study of Childhood Immunization Behaviors in the Western US

An Early Study of Childhood Immunization Behaviors in the Western US | National Population Health Grid | Scoop.it

Why don't Parents Immunize?  A poliomyelitis victim of the 1940s to 1950s. Where are most of the vaccinations refusals by parents for children?  This page focuses on the immunization problem that developed in this country over the last twenty to thirty years. 

Brian Altonen's insight:

This page includes a 9-map series of immunization refusals, noted by V-codes, for comparisons with the diagnostic ICD code generated map series.  These maps demonstrate a serious clustering of vaccine refusals in the Pacific Northwest, much more than in California.  Using krigging, I was able to identify two hot spots for non-immunized kids in the U.S.  The first is where the NY outbreak occurred last year.  The second is Seattle, WA and then Portland, OR.  This public health problem did not develop overnight.  It developed over thirty or more years, and did not become a local popular culture health fad in Portland until  the 1990s.  It was missed by most local insurance agencies and local agencies due to misinterpretation of their QIAs, which were reported as demonstrating a high degree of success in the early 1990s (one year they had a fortunate 98% completion rate).  That news story and conclusion couldn't have been further from truth that year.  Since then, health agencies and insurance companies in the Pacific Northwest haven't taken the time needed to more completely manage the care for these uninsured with unique healthcare needs.  Much of this behavior has been linked to "California attitudes" as well, but its true nidus is in the Pacific NW.   I review this cultural aspect of the Pacific Northwest in detail on several pages, providing a number of maps to back my claims; this review starts at:     http://brianaltonenmph.com/gis/population-health-surveillance/production-examples/regions-and-health/).

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Washington state teen who was shaken as a baby dies; father likely to be charged

Washington state teen who was shaken as a baby dies; father likely to be charged | National Population Health Grid | Scoop.it
By Victoria Cavaliere SEATTLE (Reuters) - A Washington state teenager who suffered life-long injuries when she was violently shaken as an infant has died, and a Seattle-area prosecutor said on Wednesday he would likely charge her biological father in her death. Baylee Duggins, 15, of Tacoma, died on Sunday from respiratory failure linked to pneumonia, according to her mother and the Pierce County Medical Examiner's Office. Duggins' biological father, Christopher Schwanz, was convicted in 2000 of second-degree child abuse for shaking the girl as an infant, leaving her severely physically and mentally impaired, according to Pierce County court records. Pierce County Prosecuting Attorney Mark Lindquist said he expects to bring a second-degree murder charge against Schwanz pending a review of the medical examiner's evidence.
Brian Altonen's insight:

The answer to this growing problem?  Perhaps it's all in the mapping.    

 

My video on the national distribution of this public health problem -     

 

https://www.youtube.com/watch?v=Y3c4A-oagjg     

 

(other child related public health issues are included as well on this page).       

 

Shaken baby.   

Teenage/childhood suicides.   

Bullying.   

 

These are the three most important socially and culturally related public health issues for 2015.     

 

Aside from not accomplishing much clinically in terms of surveilling this public health issue, very little has been done to evaluate it in  detail at the national spatial epidemiology level.    

 

If there are programs out there that are trying to aggressive research this social phenomenon locally and regionally, I would like to hear about these actual events.  With spatial statistics, we can evaluate these problems and search for the cultural and social "triggers" of these events, issues such as poverty, family unrest, sense of shame, day to day financial issues, inadequate social services programs . . .   I am more than ready to develop a national population health study project devoted to this topic.

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Two technologies meant for each other

Two technologies meant for each other | National Population Health Grid | Scoop.it

When GIS was first promoted (not including the 1973-1993/4 pre-ArcView tools), it was very distinct from the similarly sounding technology term GPS.  Skillsets for each of these two were taught as two unique training sessions.  The GIS was slightly more adapted to research related work than GPS.  But GPS was more applicable and true in terms of its presentability.  These two technologies ultimately became somewhat dependent on each other.

 

The same was true for Remote Sensing (LS, SPOT, etc.) and a host of other technologies (SLAR, AVHRR, DEM) that make use of distance to make their observations, over large areas of space, usually out of sight of whomever and whatever is being observed.  Google Map and other public mapping software made RS/Aerial photography commonplace information sources.

 

The geographic information systems (GIS) now being popularized, ranging from simple modeling programs without the spatial mathematical capabilities, to truly complex GIS becoming quite popular in many fields.   

 

 

Brian Altonen's insight:

Another form of spatial analytics made popular in the 1990s was grid analytics.  With grid analysis, you can perform many of the same calculations made using GIS, in much less time depending upon how you program your analytics system.     

 

Such is the case with NPHG.     

 

NPHG is a unique polygon/grid analytics technique I developed that carries out the basic spatial analyses provided by GIS, but with less than 1/100th the required systems time and manpower that doing the same with GIS.  

 

NPHG provides you the first insights into whatever topics you choose to researched.  These insights can be automated and can be produced on a daily or weekly basis; for thousands to tens of thousands of metrics per year using just one system.  This information can presented in "Atlas form", which in turn is useful for determining the next steps you may to take to apply a more traditional, time consuming, but visually impacting GIS analyses technique.    

 

NPHG can also be used to produce results in video form, which in turn can be reviewed in the field.  The resolution of these videos is unlimited; most are presented as national images.  But the image resolution can be modified to as small an area as you want.  (A number of my earliest examples also consisted of aerial fly-over visualization techniques, with views of zooming in on a region and then back out programmed in as well.) 

 

The benefits of NPHG is that it functions without GIS and has minimal software requirements.  It can probably work in many data analysis and calculation work stations, but certain benefits from being on a more rapid, more effective parallel programming analytics setting such as Terabyte.    

 

The figures here represent three styles for mapping the new public health problem, "bioterrorism."  All three were produced by separate research teams, two of them at about the same time in post-9-11 history (the first map, and E979.*).      

 

The upper left (first) map is a detailed review of risk areas in the U.S. based on various population density, sociological, economic, pop culture, and human ecological and behavioral study results.  The lower right map is a lightly later summary of these findings generated at the state level.   Both of these were developing using a traditional GIS, based on appearances, probably from two of the chief competitors.  

 

The base maps and results each of these require using merged, recoded, combined, reclassified and reanalyzed spatial data.   This process usually takes time to format and perfect the presentation for, not to mention the time to pull in the data and engage in whatever root analyses are necessary. 

 

The two E979 series map sets were produced using the NPHG algorithms, and took less than an hour to make all of maps, from scratch.  This mapped data was based on a review of data from about 0.5B EMR/EHR records for about 50M people.     The datapull  normally takes 5-15 minutes, the data crunch and mapping normally takes from 20 to 40 minutes.  75-100 separately analyses of E979 (total, by gender, by 4+ age groups, 10 E979 subgroups) can be completed in a day, producing just as many maps.    

 

The overlap noted for the findings in the sociological study and the NPHG EMR/EHR study is truly remarkable.     [A video I produced of it as well, is at https://www.youtube.com/watch?v=Z4RRFAfDerM ]

 

NPHG may be used for rapid surveillance and detection of unexpected spatial changes.  Any mathematical formula may be written to detect these changes (increased border differences, increased claims or diagnosis per 24 hr/per week, increased cost, significant changes in diagnosis rates over time and space).  NPHG can be used for the surveillance process; the slower GIS processing technologies can be used to further break down those regions where new risks are found to exist.

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All Foreign Diseases combined - YouTube

http://youtu.be/Nh7iU04GNXg IMG 1199 ForeignDiseases
Brian Altonen's insight:

This was produced from my spatial analysis of a combination of foreign born diseases that made their way into the country over the past decade at the time it was developed.  This information was based on regional aggregate EMR/EHR diagnostic data.   

 

The YouTube site that has this map video also has similar videomaps for other regions in the world, such as Africa, Japan, Russia, Australia.  These maps demonstrate distinct in-migration routes that are taken by different mechanisms for disease spread (anthropic versus zoonotic versus anthropozoonotic) from different countries.  Each country's ecological disease pattern does have some favorite in-migration routes.   

 

I don't recall how many diseases I merged for this project, but a typical part of the world had two series produced.  The first were primarily ecological diseases that came in, about 25-45 per region; the second were non-ecological, primarily human-based disease patterns such as culturally-bound syndromes, culturally-linked diseases and a few ecological diseases that are behavior related and not easily spread to others the victims may come in contact with in the United States.

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Measles outbreak: Michigan parents opt for vaccine waivers

Measles outbreak: Michigan parents opt for vaccine waivers | National Population Health Grid | Scoop.it
At least five people have measles in northern Michigan and others are being monitored.
Brian Altonen's insight:

From the article:  

 

"Michigan has one of the highest rates of vaccination waivers in the U.S. when it comes to its youngest school kids — a ranking that public health officials noted with frustration this week as they battled at least two vaccine-preventable diseases in two northern Michigan counties.

 

Last year, 5.9% kindergartners began the school year with waivers that exempt them from mandatory vaccines for school, according to a recent report by the U.S. Centers for Disease Control & Prevention.

 

Just three states — Oregon (7.1%), Idaho (6.4%), and Vermont (6.2%) — had higher rates of kindergartners whose parents opted them out of at least one vaccination, according to the CDC's report."

 

A related link for 25sec NHPG video of the national events (grid mapped, not age adjusted): https://www.youtube.com/watch?v=9TYCqtIg2Xs

 

An up close version depicting the Pacific Northwest events. https://www.youtube.com/watch?v=No-j1RQ9JJM

 

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Applications. A Role of GIS for Managed Care.

Applications.  A Role of GIS for Managed Care. | National Population Health Grid | Scoop.it

APPLICATIONS OF NPHG Imagine for a moment that your are the principal investigator of a recurring outbreak problem or that your are put in change of surveillance for an incoming disease from an international border, or that you are a Director for a managed care plan, or a CEO trying to make your business provide other companies with a unique service of generating reports using its Big Data.  The map presented depicts one way to classify most postings on medical geography and health.  I use this logic to define my cultural health analytics for population health monitoring programs.

Brian Altonen's insight:

Currently, my personal/professional blog site (http://brianaltonenmph.com) receives about 300 hits per day, 200 visitors per day.  Most of these hits are deliberate.  Slightly more than half of them are to my medical geography and GIS pages.    

 

 This figure depicts the cultural medical geography research methodology I developed for analyzing the thousands of ICDs that exist in our EHRs/EMRs.   To produce a culturally aware, culturally sensitive program, one that surpasses any other program out there, you have to focus on culturally-bound and culturally-linked health concerns.  For the past decade or more, we have focused on the sociocultural inequities that exist, such as lower cancer screenings and lesser timely follow-ups for the more important, less interactive social classes that comprise the U.S. patient population.     

 

We can also develop more aggressive programs designed to meet the needs of controversial immigrant populations.  We can also design programs meant to target specific communities and ethnic groups for their lower rates of child healthcare, cancer and behavioral health screenings, adult chronic disease management, and geriatric preventive care processes.  These public health and typical managed care activities are already required for most programs that are in place (although we often don't differentiate our outcomes based upon race due to missing data.)      

 

These two areas of health improvement add significantly to a culturally-targeted preventive care program.  With the right programs in place, they can even be routinely monitored on a monthly or quarterly basis.        

 

Due to their numbers in the U.S. population, the most important cultural groups we need to initiate these programs for are the African/African Americans (with nationality and regional distinctions) and the Hispanic/Latino/a population.  Different regions of the U.S. may have different emphases.  A single cultural group can have from 150 to more than 300 diagnoses and ICDs, V-codes and E-codes defined for this very complete method of EHR/EMR analysis of cultural health.    

 

If your agency, facility or managed care program were to initiate such an important cultural health evaluation and analysis program, could it be initiated by the time the next calendar year begins? the next fiscal year?        

 

If your program has an EMR/EHR in place and working, your group could have a quarterly report developed at set up for regular reporting by April 2015.    

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Bouttenouse Fever - YouTube

http://youtu.be/n5uECNUBRgw BouttenouseFever 7 0803 0%
Brian Altonen's insight:

I mapped some of the rarest diseases associated with in-migration of infected people, animals, hosts or vectors a number of years ago, soonafter successfully mapping the in-migration pattern of west nile and using this to employ GIS in identifying the location of a positive testing nidus based on a grouping of host and human cases within a 5 square mile area.

 

This collection of my 3D videos includes coverage of the following fairly rare forms of geozoonotic diagnoses:    

 

Bouttenouse Fever  - 0:22    |   

North Asian Tick Fever - Asia-Russia  -  0:21    |   

Queensland Tick Typhus -   0:23    |   

Creutzfeld Jacob, IP - 0:29     |   

Crimean or Congo Fever - Asia - Russia  -  0:41     |   

Guama Fever - 0:29     |   

Yakatopox-  0:28     |   

Omsk Fever - 0:27    |    

Guinea Worm -0:25    |   

Ratbite fever, ip - 0:36    |    

Foreign zoonotic diseases (aggregrated, depicting in-migration routes)               

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Measles dangers linger for years - Predictions for this Public Health Disaster

Measles dangers linger for years - Predictions for this Public Health Disaster | National Population Health Grid | Scoop.it
Measles can harm the immune system for up to three years, leaving survivors at a higher risk of catching other infectious and potentially deadly diseases, researchers said Thursday. It was previously known that measles could suppress the body's natural defenses for months, but the findings in the journal Science show that the dangers of the vaccine-preventable disease last much longer, by wiping out essential memory cells that protect the body against infections like pneumonia, meningitis and parasitic diseases. "In other words, if you get measles, three years down the road, you could die from something that you would not die from had you not been infected with measles," said co-author C. Jessica Metcalf, assistant professor of ecology and evolutionary biology and public affairs at Princeton University. Measles is one of the most contagious diseases of all.
Brian Altonen's insight:

Sometimes, we in the health profession are so behind in our protocols and knowledge base.  This public health concern regarding measles has been around for more than a decade in popular culture; western medicine in the US and developed countries have for the most part has turned their heads away from this important health matter.  Any individual with a child should be concerned about the current immunization refusal problem for this very reason--SSPE.  

 

The single most important public health risk to pay heed to in the upcoming years is SSPE or Subacute Sclerosing Panencephalitis, a medical condition that ensues several years after a child come in contact with measles before being vaccinate.  SSPE develops when the measles virus re-emerges in the body, and infects predominantly neurological tissue.    

 

Historically, SSPE prevailed in parts of Europe where vaccinations for the disease were scarce.  More recently, cases have erupted in developed countries, due to families with parents that refused to allow their children to have the measles vaccine, of due to exposure of their child under 1 years of age (vaccines are given to 1+ years old), to someone else's child who has the measles due to lack of vaccination.    

VIDEO (Educational):  Emmalee Smith's "The Measles: an Epic Movie".  https://www.youtube.com/watch?v=z6WT_BV-tjM   

 

VIDEO.  Oxford University:  SSPE - A serious complication of Measles. https://www.youtube.com/watch?v=aB8kGwKZiq0    

 

Merck Manual, SSPE:   http://www.merckmanuals.com/professional/pediatrics/miscellaneous-viral-infections-in-infants-and-children/subacute-sclerosing-panencephalitis-sspe  ;

 

Medline's page on SSPE:    http://www.nlm.nih.gov/medlineplus/ency/article/001419.htm ;  

 

The WHO Committee meetings on SSPE:  

 

"Subacute sclerosing panencephalitis and measles vaccination

Committee reports".  http://www.who.int/vaccine_safety/committee/topics/measles_sspe/en/  ;

 

These are my pages on SSPE:  

 

Brian Altonen.  "The Answer is Obvious: MMR or the possibility of SSPE ? Your choice."   

http://www.scoop.it/t/global-health-care/p/4036816479/2015/02/07/subacute-sclerosing-panencephalitis-more-cases-of-this-fatal-disease-are-prevented-by-measles-immunization-than-was-previously-recognized

 

My Tumblr on SSPE and a number of other Public Health concerns.   

 

http://altonenb.tumblr.com/page/4  ;

 

SSPE could become the news in the U.S. by 2020, with California or any of several places where measles outbreaks are having their effect the lead states in this potential and highly costly public health disaster.  See http://www.scoop.it/t/an-episurveillance-researchers-guide/p/4037070036/2015/02/11/california-warns-against-intentional-measles-exposures ;

  

SSPE is placed next to an unfortunate outbreak of Poliomyelitis in children as the most costly, most debilitating, most deadly class of re-emerging diseases linked to childhood immunization refusals in the U.S..

 

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Sick Dog Coughs on Owner and Gives Him the Plague

Sick Dog Coughs on Owner and Gives Him the Plague | National Population Health Grid | Scoop.it

"In the U.S., the pneumonic plague is found among prairie dogs in the Southwest, and an estimated 8 people contract it every year. 


"The bacteria that causes all plague, Yesinia pestis, is also found in the infamous bubonic plague, spread by rats in the Middle Ages and responsible for wiping out millions of people in Europe. (Note: pneumonic = respiratory, bubonic = lymphatic)"

Brian Altonen's insight:

"And according to a newly-released U.S. Centers for Disease Control and Prevention report, one Colorado man contracted the potentially fatal infection when his pit bull terrier coughed on him.

 

His dog started showing symptoms (including fever and a rigid jaw) last summer and was euthanized. But days after the dog's death, the owner was admitted to the hospital with a fever and a bloody cough. After 23 days in the hospital, he successfully recovered, along with three other people — one of his friends and two veterinarians — who were also infected."

 

 

My NPHG Video on the plague is at -- https://www.youtube.com/watch?v=A78AZDxO0II

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The valuable use of E-codes -- Accidental Gun Mishap Risk

http://youtu.be/XBHIMb1bU-k AccdtlGunMishaps 1215
Brian Altonen's insight:

It's that season again--people are now engaging in plenty of outdoor sports.  This is a review of the accidental discharge of weapons across the U.S.., based on E-codes.  

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NPHG: Production History

NPHG: Production History | National Population Health Grid | Scoop.it

Johannes Christophorus Homann.  The inventor of modern mapping, who defined the need for mapping cultures, living styles, health, and disease.  I translated a portion of this thesis, reviewable at http://wp.me/Puh6r-7MS ;

Brian Altonen's insight:

The page this ScoopIt! links you to is several years old, but still one of the best and longest demonstrations of the national population health grid project.    

 

I produced it with the goal of marketing NPHG to several of the top Healthcare Quality/Patient Safety companies in the U.S.  The goal is to merge NPHG with a standard GIS module already in place.  NPHG does mapping exceptionally fast; GIS can be used to follow up on the discoveries made utilizing NPHG.    

 

NPHG is valuable at the small area and national health level .   In theory, a company could produce a page for internal staff to access that is updated on a regular basis.  This process can be used to a standard reporting module, such as a report focused on : African/African American Health, Asian American Crosscultural Physical and Mental Health, Latino/a Healthcare Programs, High Risk/High Cost Patient Care, SES, CDM Risk-Cost and National Mental Health Cost modeling.   PW :  Homann   

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skull fractures, lt 6yo - YouTube

http://youtu.be/FCiYYEcNcI0 skullfxs ly6yo 5 0638
Brian Altonen's insight:

I made a second attempt to redesign my 3D disease mapping program was done in order to make it more "reader friendly" or pleasant to watch.     

 

The very first versions of this third generation of the product were incredibly rapid videos--the shortest rendering of diseases in the U.S. only took about 6 to 8 second to show the entire footage for, for a 360 degree turn.   

 

This is from that era of NPHG development, engaged in way back when.  The topic for that week was Child Abuse Signs--defining the most reliable indicators in the national population health database.  A little more than 150 ICDs were tested for this national population health grid monitoring program.

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FACT CHECK: What happens if Homeland Security shuts down?

FACT CHECK: What happens if Homeland Security shuts down? | National Population Health Grid | Scoop.it

LAST YEAR THIS TIME . . . . !

 

WASHINGTON (AP) — Spending for the Department of Homeland Security hangs in the balance as Congress fights over immigration matters in the agency's annual funding bill. Without action by Feb. 27, the department's budget will shut off.

Brian Altonen's insight:

https://www.pinterest.com/pin/568790627909381140/

 

Another year, another threat by Congress.

 

Is there a skip in the record?!?

 

Do they think we don't remember (most of us probably don't in Congress, a short term memory consequence of the position).

 

Exactly one year ago, the government threatened to shut down everything unless a new budget was passed.  

 

I posted the lower image in above collage on the fact that GIS wasn't being shut down.  The lack of a Signed Budget led the same bunch of national security groups throwing yet another temper tantrum now, not to mention after a very much failed year in terms of national public health security.  

 

This is one of the few times we really need to see a "Reaganist" approach be taken.  Fire them all and hire replacements, people who would most likely be wiser and better.  

 

This kind of turmoil is inevitable in many jobs, but the impact it has on the value of the job is what's so troubling.  Homeland Security needs a stable atmosphere the minimize the inevitable chaos it has to frequently suffer from.   Providing a cause for new reasons to disrupt their insecure system makes it easier for the worst of enemies to sneak in, be they simple foreign-borne diseases or even worse, terrorists.

 

This kind of news also tells the world we will be most vulnerable every year around Valentine's Day.  What they hey?  Not all nations celebrate that Christian symbol Saint Valentine the way the United States does.  This gives them the edge on us, if surprise attacks are the gifts they have in mind . . attacks on the heart of the nation and the heart of its international intelligence (II) teams, not to say there really is that much intelligence in such teams anyways.  

 

These unhappy workers need to take their anger and grudges elsewhere--like in the direction of political enemies, not their hiring teams.  II and IQ are simply not the same for these folks.

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Malt Workers Lung Disease - YouTube

http://youtu.be/Fmh1FOcMeNE IMG 0743 MaltWorkersLungDisease
Brian Altonen's insight:

Extrinsic Hypersensitivity induced hyperallegenic lung disease is a COPD induced by inhaling particular substances.  It is one of the most geographic of occupation diseases due to its the ecological limits of its cause.  I had the opportunity to work on this condition in my chemistry lab in Oregon for 20 years, monitoring the impact of frullaniosides on Pacific Northwest tree cutters inhaling the dust of these liverworts due to their occupation.  This led me to maps the series of occupational lung diseases and extrinsic allergen-induced COPDs around the country a number of years ago.  Nearly all of these maps demonstrate hot spots that are predictable based on the ecology of the causative agent.  Maple induced lung disease has its own place in the U.S. when compared with mushroom growers' lung or coal miner's lung diseases.  Mapping natural pathogens is a method to test your disease mapping skills and monitoring process.   Most of these videos are at one site on my Youtube.

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Early Test run on Occupational Lung Disease Algorithm - YouTube

http://youtu.be/aRM-uI3YFls
Brian Altonen's insight:

This is an early animated version of my algorithm for on-ras-vec, non-GIS software requiring 3D mapping programming I developed for assessing epidemiological data in record time (minutes for 10^7+ rows and procedures).  This was used to market this newest form of spatial epidemiology technology.  It focused on the ability to maneuver your projection for demonstrating different ways to view and interpret the surveillance or medical data.  Methods for highlighting particular data forms were developed.  The ability to view the 3D results from numerous angles was important.  This was a new technique for mapping I developed at the time.  Its ability to produce one half million maps, or hundreds to thousands of videos per year was its strongest selling point for potential outbreaks, biosurveillance, and homeland security applications.  

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No cure for brokenhearted: Research finds time doesn’t heal heartbreak

No cure for brokenhearted: Research finds time doesn’t heal heartbreak | National Population Health Grid | Scoop.it
A disturbing condition, known as the 'broken heart syndrome,' doesn’t necessarily heal with time, researchers at the University of Aberdeen have found. There is no treatment for the disorder, which was previously thought to recover in due course.
Brian Altonen's insight:

A comparison of population pyramid renderings of national data on this ICD demonstrates an age-gender distribution more like another older population psychological/emotionally based condition--Munchausen's.    

 

For more, read the article this is linked to, then see:    

 

http://brianaltonenmph.com/gis/population-health-surveillance/production-examples/429-83-takutsubo-or-broken-heart-syndrome/       

 

There are a number of videos of these results I produced.      

 

 See https://www.youtube.com/watch?v=NO4P-8P8de8      

 

And the past ScoopIt!        

 

http://www.scoop.it/t/globaleos/p/4010506648/2013/11/05/429-83-takot-subo-or-broken-heart-syndrome ;     

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Nationally Mapping Children's Health, Medical Care and Abuse

Nationally Mapping Children's Health, Medical Care and Abuse | National Population Health Grid | Scoop.it

The following link is to a site where the video map you see and the next ten in this series are devoted to Child's health related issues -- https://www.youtube.com/watch?v=cdcs1rPtJk8&index=239&list=UUN1qTQzREkH6ratg-pg2_fg .  

Brian Altonen's insight:

Reviewed in this series are    

 

Child Neglect     

Childhood Sexual Abuse     

Childhood Immunizations Refused     

Shaken Baby     

Physical Child Abuse     

Child Neglect     

Crack Baby Syndrome     

Fetal Exposure to Narcotics     

Shaken Baby     

Noma     

and a series of Homelessness, broken down into 7 age range specific subgroups.     

 

Each Video is amount one minute in length.  The homelessness series around about 25 seconds each.     

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Great Meaningful Use Short List

Great Meaningful Use Short List | National Population Health Grid | Scoop.it
Seeing the legislative process first hand I must admit that it’s a bit overwhelming to see the volume of legislation that they put out which is all done in this pretty cryptic legalese and full of pages of useless recaps and other fluff. I guess that’s why I found this abbreviated list of meaningful use criteria so nice:
Brian Altonen's insight:

The following listing of requirements for MU (Meaningful Use) is barely touching the basics.  

 

Let's look at it from the patient's side - - - assume for a minute I am someone with a chronic disease that needs an institution's care.  

 

My condition is continuous and lifelong--is it worth going to a place that cannot manage even the most basic pieces of my health information?  

 

Will my health itself be jeopardized?  How about my quality of life? or friendships?  

 

What if my boss knew I had this medical condition, but never told me he or she knew?  Then what?  

 

What happens if I have to go to the emergency room one day while at work?  What happens when the staff learning of my medical history due to this event?  Does my workspace even provide me with the bare essential needed should an emergency arise while I am there?  Did my HR provide me with the best healthcare insurance options?  Are the places my insurance covers at the better end of the spectrum, or the worst possible end?

 

Each on the following basic requirements has to be met for your agency or clinic or workspace or hospital to be considered physically and mentally healthy and safe, and all into the investment processes required for preventive care. 

 

So agencies and facilities that continue to bicker about these problems of meeting requirements and deadlines are telling me, their patient, that they are not into offering the best choice of services.  

 

What I do next is plain and simple--leave.    They should be de-accredited of course, but so much political complaints and threats about these actions only leaves with all of our health-related, emotional and legal guards completely down.

 

If your health care facility cannot engage in these basic tasks, your health is at risk.

 

A PATIENT HAS A RIGHT TO ASK HIS/HER HEALTHCARE DELIVERER/PLACE ABOUT HOW WELL THEY MEET THESE MOST BASIC REQUIREMENTS--IF THEY DON'T OR WON'T TELL YOU THE ANSWER TO THIS QUESTION, FIND A MORE REPUTABLE FACILITY.

 

-------------------------------------------------------------------------------------

 

NOW NPHG, OF COURSE, MANAGES ALL OF THE ABOVE WITH NO PROBLEM.

------------------------------------------------------------------------------------

 

[QUOTE OF THESE REQUIREMENTS]

 

The 15 core criteria, presented in an abbreviated format, are:
1. Use computerized physician order entry (CPOE);
2. Implement drug-drug and drug-allergy interaction checks;
3. Generate and transmit permissible prescriptions electronically;
4. Record demographics;
5. Maintain an up-to-date problem list of current and active diagnoses;
6. Maintain active medication list;
7. Maintain active medication allergy list;
8. Record, chart changes in vital signs;
9. Record smoking status for patients age 13 or older;
10. Implement one clinical decision support rule;
11. Report ambulatory clinical quality measures;
12. Provide patients with an electronic copy of their health information, upon request;
13. Provide clinical summaries for patients for each office visit;
14. Demonstrate capability to exchange key clinical information;
15. Protect electronic health information.


Five additional criteria, of the provider’s choosing, must be selected from a menu of 10 that include entering test results into an EHR as structured data, maintaining lists of patients with specific conditions, and submitting information to immunization registries ...[Read more at the above link]

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California Encephalitis - YouTube

http://youtu.be/_iAC-VTLHy0 California Encephalitis

Brian Altonen's insight:

Several months ago, cases of a suspected polio-like disease erupted in children in California.  This was one of the possible diagnoses for these events at the time.  Even though the disease mapped here is called California Encephalitis, its greater numbers and density appear throughout the eastern U.S.  This west to east migration is fairly common for diseases with strong dependency upon human carriers.      

 

Diseases that travel west to east are very important to disease geographers because they demonstrate the role latitude and weather/climate play on the disease ecology.  This enables a more efficient GIS to be developed for monitoring these events in the future.    

 

There are several very latitude-specific ICDs in the United States.  The expected climate-latitude dependent conditions or diagnoses like Guilliane-Barre, Cold induced vasodilation, and Cold Temperature (Cold antibody)-induced Hemolytic anemia do not demonstrate this anticipated latitude defined spatial distribution.  Many vector and animal host diseases are latitude linked.  The define the possible routes for a theoretical Ebola migration into the U.S. as part of the natural history, latitude defines two natural boundaries to its diffusion northward/northnortheastward, and westnorthwestward out of Texas. 

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