Abstract
Design: Planning for the system took almost three years. Its major components included increased surveillance of communicable diseases; presentations to sentinel emergency departments; medical encounters at Olympic venues; cruise ship surveillance; environmental and food safety inspections; surveillance for bioterrorism; and global epidemic intelligence. A daily report integrated data from all sources.
Setting: Sydney, Australia. Surveillance spanned the period 28 August to 4 October 2000.
Participants: Residents of Sydney, athletes and officials, Australian and international visitors.
Main results: No outbreaks of communicable diseases were detected. There were around 5% more presentations to Sydney emergency departments than in comparable periods in other years. Several incidents detected through surveillance, including injuries caused by broken glass, and a cluster of presentations related to the use of the drug ecstasy, prompted further action.
Conclusions: Key elements in the success of public health surveillance for the Games included its careful planning, its comprehensive coverage of public health issues, and its timely reporting and communication processes. Future systems need to be flexible enough to detect the unexpected.
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Selected References
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- Churches Tim. Health surveillance at Olympic venues: The medical encounter reporting system. N S W Public Health Bull. 2000 Aug;11(8):145–146. doi: 10.1071/nb00065. [DOI] [PubMed] [Google Scholar]
- Formica N., Tallis G., Zwolak B., Camie J., Beers M., Hogg G., Ryan N., Yates M. Legionnaires' disease outbreak: Victoria's largest identified outbreak. Commun Dis Intell. 2000 Jul;24(7):199–202. [PubMed] [Google Scholar]
- Heddurshetti Renuka, Pumpradit Wadchara, Lutwick Larry I. Pulmonary Manifestations of Bioterrorism. Curr Infect Dis Rep. 2001 Jun;3(3):249–257. doi: 10.1007/s11908-001-0027-2. [DOI] [PubMed] [Google Scholar]
- Henderson D. A. Bioterrorism as a public health threat. Emerg Infect Dis. 1998 Jul-Sep;4(3):488–492. doi: 10.3201/eid0403.980340. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jorm L. R., Thackway S. V. Foot-propelled scooter injuries during the Sydney 2000 Olympic Games period. Med J Aust. 2001 May 7;174(9):480–480. doi: 10.5694/j.1326-5377.2001.tb143382.x. [DOI] [PubMed] [Google Scholar]
- Meehan P., Toomey K. E., Drinnon J., Cunningham S., Anderson N., Baker E. Public health response for the 1996 Olympic Games. JAMA. 1998 May 13;279(18):1469–1473. doi: 10.1001/jama.279.18.1469. [DOI] [PubMed] [Google Scholar]
- Menzies Robert. Communicable disease surveillance during the Sydney 2000 Olympic and Paralympic Games. N S W Public Health Bull. 2000 Aug;11(8):146–147. doi: 10.1071/nb00066. [DOI] [PubMed] [Google Scholar]
- Pavlin J. A. Epidemiology of bioterrorism. Emerg Infect Dis. 1999 Jul-Aug;5(4):528–530. doi: 10.3201/eid0504.990412. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Pañella H., Plasència A., Sanz M., Caylà J. A. Evaluación del sistema de vigilancia epidemiológica de enfermedades infecciosas en los Juegos Olímpicos de Barcelona 1992. Gac Sanit. 1995 Mar-Apr;9(47):84–90. doi: 10.1016/s0213-9111(95)71221-3. [DOI] [PubMed] [Google Scholar]
- Schoch-Spana M. Implications of pandemic influenza for bioterrorism response. Clin Infect Dis. 2000 Nov 17;31(6):1409–1413. doi: 10.1086/317493. [DOI] [PubMed] [Google Scholar]
- Stamboulian D., Bonvehí P. E., Nacinovich F. M., Cox N. Influenza. Infect Dis Clin North Am. 2000 Mar;14(1):141–166. doi: 10.1016/s0891-5520(05)70222-1. [DOI] [PubMed] [Google Scholar]
- Weiss B. P., Mascola L., Fannin S. L. Public health at the 1984 Summer Olympics: the Los Angeles County experience. Am J Public Health. 1988 Jun;78(6):686–688. doi: 10.2105/ajph.78.6.686. [DOI] [PMC free article] [PubMed] [Google Scholar]