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JCO Clin Cancer Inform ; 5: 24-29, 2021 01.
Article in English | MEDLINE | ID: covidwho-1067368


Cancer surveillance is a field focused on collection of data to evaluate the burden of cancer and apply public health strategies to prevent and control cancer in the community. A key challenge facing the cancer surveillance community is the number of manual tasks required to collect cancer surveillance data, thereby resulting in possible delays in analysis and use of the information. To modernize and automate cancer data collection and reporting, the Centers for Disease Control and Prevention is planning, developing, and piloting a cancer surveillance cloud-based computing platform (CS-CBCP) with standardized electronic reporting from laboratories and health-care providers. With this system, automation of the cancer case collection process and access to real-time cancer case data can be achieved, which could not be done before. Furthermore, the COVID-19 pandemic has illustrated the importance of continuity of operations plans, and the CS-CBCP has the potential to provide such a platform suitable for remote operations of central cancer registries.

Cloud Computing , Data Collection/methods , Data Management/methods , Neoplasms/epidemiology , Automation , Centers for Disease Control and Prevention, U.S. , Computer Systems , Epidemiological Monitoring , Health Policy , Humans , Registries , United States
MMWR Morb Mortal Wkly Rep ; 69(45): 1671-1674, 2020 Nov 13.
Article in English | MEDLINE | ID: covidwho-922981


In the United States, outbreaks of SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19), were initially reported in densely populated urban areas (1); however, outbreaks have since been reported in rural communities (2,3). Rural residents might be at higher risk for severe COVID-19-associated illness because, on average, they are older, have higher prevalences of underlying medical conditions, and have more limited access to health care services.* In May, after a cluster of seven COVID-19 cases was identified in a rural Ohio Amish community, access to testing was increased. Among 30 additional residents tested by real-time reverse transcription-polymerase chain reaction (RT-PCR; TaqPath COVID-19 Combo Kit),† 23 (77%) received positive test results for SARS-CoV-2. Rapid and sustained transmission of SARS-CoV-2 was associated with multiple social gatherings. Informant interviews revealed that community members were concerned about having to follow critical mitigation strategies, including social distancing§ and mask wearing.¶ To help reduce the ongoing transmission risk in a community, state and county health department staff members and community leaders need to work together to develop, deliver, and promote culturally responsive health education messages to prevent SARS-CoV-2 transmission and ensure that access to testing services is timely and convenient. Understanding the dynamics of close-knit communities is crucial to reducing SARS-CoV-2 transmission.

Amish/psychology , Coronavirus Infections/epidemiology , Disease Outbreaks , Pneumonia, Viral/epidemiology , Rural Population , Adolescent , Adult , Aged , Aged, 80 and over , Amish/statistics & numerical data , COVID-19 , Child , Coronavirus Infections/transmission , Female , Humans , Male , Middle Aged , Ohio/epidemiology , Pandemics , Pneumonia, Viral/transmission , Rural Population/statistics & numerical data , Social Behavior , Young Adult