Critical issues in the development of health information systems in supporting environmental health: A case study of ciguatera

Goater, Sarah, Derne, Bonnie and Weinstein, Philip (2011) Critical issues in the development of health information systems in supporting environmental health: A case study of ciguatera. Environmental Health Perspectives, 119 5: 585-590. doi:10.1289/ehp.1002575


Author Goater, Sarah
Derne, Bonnie
Weinstein, Philip
Title Critical issues in the development of health information systems in supporting environmental health: A case study of ciguatera
Journal name Environmental Health Perspectives   Check publisher's open access policy
ISSN 0091-6765
1552-9924
Publication date 2011-05
Year available 2010
Sub-type Article (original research)
DOI 10.1289/ehp.1002575
Open Access Status DOI
Volume 119
Issue 5
Start page 585
End page 590
Total pages 6
Place of publication Research Triangle Park, NC, United States
Publisher U.S. Department of Health and Human Services * National Institute of Environmental Health Sciences
Collection year 2012
Language eng
Formatted abstract
Background: Emerging environmental pressures resulting from climate change and globalization challenge the capacity of health information systems (HIS) in the Pacific to inform future policy and public health interventions. Ciguatera, a globally common marine food-borne illness, is used here to illustrate specific HIS challenges in the Pacific and how these might be overcome proactively to meet the changing surveillance needs resulting from environmental change.

Objectives:
We review and highlight inefficiencies in the reactive nature of existing HIS in the Pacific to collect, collate, and communicate ciguatera fish poisoning data currently used to inform public health intervention. Further, we review the capacity of existing HIS to respond to new data needs associated with shifts in ciguatera disease burden likely to result from coral reef habitat disruption.

Discussion: Improved knowledge on the ecological drivers of ciguatera prevalence at local and regional levels is needed, combined with enhanced surveillance techniques and data management systems, to capture environmental drivers as well as health outcomes data.

Conclusions:
The capacity of public HIS to detect and prevent future outbreaks is largely dependent on the future development of governance strategies that promote proactive surveillance and health action. Accordingly, we present an innovative framework from which to stimulate scientific debate on how this might be achieved by using existing larger scale data sets and multidisciplinary collaborations.
Keyword Ciguatera
Climate change
Ecosystem health
Environmental health
Health information systems
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Online: 16 December 2010

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Public Health Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 3 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 3 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Wed, 05 Oct 2011, 11:21:18 EST by System User on behalf of School of Public Health