Vigilancia epidemiologica

Morbidity and Mortality Weekly Report
Supplement / Vol. 61 July 27, 2012

CDC’s Vision for Public Health Surveillance in the 21st Century

U.S. Department of Health and Human Services Centers for Disease Control and Prevention

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CONTENTS
Introduction ............................................................................................................1 Public HealthSurveillance in the United States: Evolution and Challenges ................................................................................3 Lexicon, Definitions, and Conceptual Framework for Public Health Surveillance ........................................................................... 10 Global Health Surveillance............................................................................. 15 The Role of Public Health Informatics in Enhancing Public Health Surveillance ........................................................................... 20 Public Health Surveillance Workforce of the Future ............................. 25 Public Health Surveillance Data: Legal, Policy, Ethical, Regulatory, and Practical Issues........................................................................................ 30 Analytical Challenges for Emerging Public Health Surveillance ...... 35

The MMWR series of publications is published by the Office of Surveillance, Epidemiology, and Laboratory Services, Centers for Disease Control and Prevention (CDC), U.S. Department of Health and Human Services, Atlanta, GA 30333. Suggested Citation: Centers for Disease Control and Prevention.[Title]. MMWR 2012;61(Suppl; July 27, 2012):[inclusive page numbers]. Thomas R. Frieden, MD, MPH, Director Harold W. Jaffe, MD, MA, Associate Director for Science James W. Stephens, PhD, Director, Office of Science Quality Stephen B. Thacker, MD, MSc, Deputy Director for Surveillance, Epidemiology, and Laboratory Services Stephanie Zaza, MD, MPH, Director, Epidemiology and Analysis Program OfficeRonald L. Moolenaar, MD, MPH, Editor, MMWR Series Christine G. Casey, MD, Deputy Editor, MMWR Series Teresa F. Rutledge, Managing Editor, MMWR Series David C. Johnson, Lead Technical Writer-Editor, Project Editor Lisa M. Lee, PhD, Stephen B. Thacker, MD, Pamela A. Meyer, PhD, Guest Editors

Centers for Disease Control and Prevention

MMWR Editorial and Production Staff

Martha F. Boyd, LeadVisual Information Specialist Maureen A. Leahy, Julia C. Martinroe, Stephen R. Spriggs, Terraye M. Starr Visual Information Specialists Quang M. Doan, MBA, Phyllis H. King Information Technology Specialists

William L. Roper, MD, MPH, Chapel Hill, NC, Chairman Matthew L. Boulton, MD, MPH, Ann Arbor, MI Dennis G. Maki, MD, Madison, WI Virginia A. Caine, MD, Indianapolis, IN Patricia Quinlisk, MD,MPH, Des Moines, IA Jonathan E. Fielding, MD, MPH, MBA, Los Angeles, CA Patrick L. Remington, MD, MPH, Madison, WI David W. Fleming, MD, Seattle, WA John V. Rullan, MD, MPH, San Juan, PR William E. Halperin, MD, DrPH, MPH, Newark, NJ William Schaffner, MD, Nashville, TN King K. Holmes, MD, PhD, Seattle, WA Dixie E. Snider, MD, MPH, Atlanta, GA Deborah Holtzman, PhD, Atlanta, GA John W. Ward, MD,Atlanta, GA Timothy F. Jones, MD, Nashville, TN

MMWR Editorial Board

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Introduction
James W. Buehler, MD Acting Director, Public Health Surveillance and Informatics Program Office (proposed) Office of Surveillance, Epidemiology, and Laboratory Services, CDC

This MMWR supplement summarizes the deliberations of CDC/ATSDR scientists and managers who met in September 2009 inAtlanta as part of the 2009 Consultation on CDC/ ATSDR’s Vision for Public Health Surveillance in the 21st Century. The meeting was convened to reflect on domestic and global public health surveillance practice and to recommend a strategic framework to advance public health surveillance to meet continuing and new challenges. The first report is an adaptation of the keynote address for the meeting,...