- Front Matter
- 10.1093/ajcp/aqac156
Let’s Modernize Public Health Care Data
- Jan 09, 2023
- American Journal of Clinical Pathology
- Harvey W Kaufman
Director of the Centers for Disease Control and Prevention (CDC), has challenged the CDC to be reestablished as the premier public health agency charged with protecting the United States from health, safety, and security threats. Dr Walensky succinctly stated the need for the CDC to "share scientific findings and data faster." 1 The coronavirus disease 2019 (COVID-19) pandemic taught us the value of daily collecting and sharing such data more quickly (ie, information from the prior day's laboratory testing, reported cases, hospitalizations, deaths, and vaccinations). National severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) seroprevalence studies of communities, supported by the CDC, provided timely insights that seropositivity was far higher than case report data suggested. 2 Weekly SARS-CoV-2 genotyping data, supported by the CDC, provided national and regional trends in the prevalence of viral variants. Likewise, the CDC provided timely weekly data updates on monkeypox that are valuable in tracking disease spread and control. ften stated, 70% of health care decisions involve clinical laboratory testing. Clinical laboratory data are vital to gain a better epidemiologic understanding of clinically significant conditions from a public health perspective (eg, COVID-19, emerging infections, sexually transmitted infections, pediatric lead poisoning, and numerous other health conditions). The core source of many CDC epidemiologic reports remains the National Health and Nutrition Examination Survey (NHANES), which has provided crucial insights into the health status of the US population since its first survey in 1971. Over time, NHANES expanded into an examination of a multitude of health conditions. Unfortunately, the NHANES survey process has failed to meet our current needs of timely, large-scale integrated health care data. The NHANES survey process relies on data from several thousand volunteers selected annually from 15 of the more than 3,000 counties in the United States. The five major components include a household questionnaire, a medical history questionnaire, dietary questionnaires, a physical examination by a physician, and special clinical procedures and tests, including x-rays and clinical laboratory testing. In addition, the CDC also regularly collates data provided by public health agencies, generally of varying quality and completeness and with sometimes long delays (years) prior to report release.
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