Public Health Reports最新文献

{"title":"Beyond Free Screening: Structural Barriers to Follow-Up Cervical Cancer Care Among Uninsured Hispanic Women in Minnesota, 2020-2021.","authors":"Jessica Pakonen, Alex Jensen, Monica Cruz Zorrilla, Rodolfo Gutierrez, Gabriela Bustamante","doi":"10.1177/00333549261442167","DOIUrl":"https://doi.org/10.1177/00333549261442167","url":null,"abstract":"<p><strong>Objectives: </strong>Uninsured or underinsured Hispanic women in Minnesota use the state's free cervical cancer screening program, Sage. Although the rate of screening program use is high, incidence of and mortality from cervical cancer persist in this group. We examined systemic barriers to follow-up cervical cancer care despite access to the free program.</p><p><strong>Methods: </strong>From fall 2020 through spring 2021, we conducted virtual focus groups with 23 Hispanic women in Minnesota who previously received Sage services. We interviewed 7 key informants, including service providers, clinic administrators, and Sage team members. Three bilingual researchers independently used inductive approaches to identify themes from transcripts, refined categories, and finalized analysis through feedback sessions. We used the social-ecological model framework to reveal barriers to follow-up care after an abnormal cervical cancer screening result.</p><p><strong>Results: </strong>Exploratory inductive analyses of data from focus groups and key informants identified 4 interconnected barriers: (1) reliance on community clinics and patient navigators, often causing navigator burnout; (2) scheduling and attending follow-up appointments at clinics outside of familiar community clinics, particularly in rural areas; (3) negative health care experiences and interpreter misuse that discouraged further care; and (4) confusion and anxiety from unexpected billing, despite Sage being a free program.</p><p><strong>Conclusions: </strong>To address the identified barriers, we recommend expanding and compensating patient navigator roles, strengthening interpreter use, and training hospital staff to reduce billing errors. Even with free screening available through Sage, structural failures (billing confusion, rural access gaps, navigator workload) undermined equitable care. Addressing these systemic issues is essential if programs like Sage are to realize their potential in reducing disparities in incidence of cervical cancer among Hispanic women.</p>","PeriodicalId":20793,"journal":{"name":"Public Health Reports","volume":" ","pages":"333549261442167"},"PeriodicalIF":2.5,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147864318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing and Applying an Evaluative Rubric to Support Continuing Education for Disease Intervention Professionals.","authors":"Bryn Hannon, Zoe Honeycutt, Minhee Kim, Christina Ludema, Kathleen Sobiech","doi":"10.1177/00333549261442171","DOIUrl":"https://doi.org/10.1177/00333549261442171","url":null,"abstract":"<p><p>The Certified in Disease Intervention (CDI) certification aims to reinforce and expand the expertise of those working at the community level to prevent the spread of infectious disease. To support the recertification process and promote continuing education of CDI competencies, a resource repository of relevant, high-quality materials is being developed. Interdisciplinary subject matter experts at Indiana University's School of Public Health-Bloomington, a Council on Education for Public Health-accredited and Association of Schools and Programs of Public Health member school, developed a systematic approach to identify and vet training resources. The result was an evidence-informed rubric for assessing multiple attributes of online training materials (including Course Overview and Introduction, Learning Objectives, Learning Assessment and Activities, Instructional Materials, Social Awareness, Scenario-Based Learning, Timeliness of Content, Course Technology, Learner Support, and Accessibility and Usability), a list of resources with evaluation outcomes, and metadata tags for populating a searchable database. The team successfully curated a robust repository of high-quality educational resources. However, the list is not exhaustive, and future work is needed to capture and evaluate more resources and update when new trainings are released for disease intervention professionals in the United States.</p>","PeriodicalId":20793,"journal":{"name":"Public Health Reports","volume":" ","pages":"333549261442171"},"PeriodicalIF":2.5,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147864315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Closeness of Social Media Contacts and Loneliness Among US Adults: A Nationally Representative Study.","authors":"Brian A Primack, Hyosin Kim, Geethika Koneru, Memuna Aslam, Jessica R Gorman","doi":"10.1177/00333549261443288","DOIUrl":"10.1177/00333549261443288","url":null,"abstract":"<p><strong>Objectives: </strong>Loneliness is strongly linked to morbidity and mortality. While social media use has been associated with increased loneliness among adolescents, little research has examined this association among adults. It is also not clear whether it is better to communicate only with close personal friends or with people one has never met in person. We examined whether real-life closeness of social media contacts was associated with loneliness among a nationally representative sample of US adults.</p><p><strong>Methods: </strong>Participants included 1512 US adults aged 30 to 70 years who were surveyed in July and August 2023. We assessed loneliness using the National Institutes of Health Patient-Reported Outcomes Measurement Information System's 4-item scale. Participants self-reported the proportion of their social media contacts whom they had \"never met in person\" (NMP) and whom they considered \"close personal friends\" (CPFs). We used logistic regression to examine associations between NMPs/CPFs and loneliness, controlling for 7 sociodemographic covariates and including survey weights to make results nationally representative.</p><p><strong>Results: </strong>In fully adjusted weighted multivariable models, participants in the highest quartile for NMPs had more than double the odds of loneliness (adjusted odds ratio = 2.33; 95% CI, 1.52-3.58) than those in the lowest quartile, and the association between NMPs and loneliness was linear (<i>P</i> < .001). However, we found no significant association between CPFs and loneliness (<i>P</i> = .93).</p><p><strong>Conclusion: </strong>While having more social media interactions with relative strangers was linked to increased loneliness, having more social media contacts who were CPFs was not linked to reduced loneliness. Future research should examine temporal associations and reasons for these findings. It may be useful for interventions to focus on reducing interactions with NMPs.</p>","PeriodicalId":20793,"journal":{"name":"Public Health Reports","volume":" ","pages":"333549261443288"},"PeriodicalIF":2.5,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13149347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147842130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Affecting Maternal Respiratory Syncytial Virus Vaccination and the Impact on Infant Hospitalization During the 2023-2024 Season in Dallas, Texas.","authors":"Nicole A Bailey, Zachary M Most","doi":"10.1177/00333549261434117","DOIUrl":"10.1177/00333549261434117","url":null,"abstract":"<p><strong>Objectives: </strong>This study assessed factors associated with respiratory syncytial virus (RSV) immunization rates among pregnant women and evaluated the effectiveness of maternal RSV vaccination on infant hospitalization rates.</p><p><strong>Methods: </strong>We collected data on mothers and their newborns born at a university-affiliated hospital in Dallas, Texas, during the 2023-2024 RSV season if they responded to a telephone survey and confirmed their vaccination status. We used logistic regression to assess associations between demographic factors and receipt of maternal RSV vaccination. We confirmed infant RSV hospitalization by telephone survey and calculated maternal RSV vaccination effectiveness against RSV-associated hospitalization.</p><p><strong>Results: </strong>From November 1, 2023, through February 29, 2024, 179 of 656 women (27%) received the maternal RSV vaccine. Women aged <30 years were less likely to be vaccinated than older women (<i>P</i> ≤ .001). Non-Hispanic White women were more likely to be vaccinated (128 of 332; 39%) than Hispanic (21 of 137; 15%) and non-Hispanic Black (7 of 113; 6%; <i>P</i> ≤ .001) women. Women with private health insurance (173 of 462; 37%) were more likely to be vaccinated than women with public (4 of 177; 2%) or no (2 of 17; 12%; <i>P</i> ≤ .001) health insurance. Almost 3% of infants born to nonvaccinated women were later hospitalized for RSV infection, whereas none of the infants whose mothers received RSV vaccination were hospitalized due to RSV (vaccine effectiveness = 100%; 95% CI, 14%-100%; <i>P</i> = .03).</p><p><strong>Conclusions: </strong>Demographic disparities existed among women who received maternal RSV vaccination, and RSV vaccination lowered infant RSV hospitalization rates.</p>","PeriodicalId":20793,"journal":{"name":"Public Health Reports","volume":" ","pages":"333549261434117"},"PeriodicalIF":2.5,"publicationDate":"2026-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13139313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147820039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Virtual Versus In-Person Prenatal Care Screenings Among Pregnant Women in the United States During the COVID-19 Pandemic, 2020-2021.","authors":"Don E Willis, Cari A Bogulski, Nirvana Manning, Clare C Brown, Austin Porter, Ji Li, James P Selig, Pearl A McElfish","doi":"10.1177/00333549261434120","DOIUrl":"10.1177/00333549261434120","url":null,"abstract":"<p><strong>Objective: </strong>The use of virtual prenatal care is rising, but its effect on the content of care is largely unknown. We examined prenatal care screenings for pregnant women in the United States during the COVID-19 pandemic (2020-2021) and assessed differences in those screenings by mode of prenatal care (ie, any virtual prenatal care vs exclusively in-person care).</p><p><strong>Methods: </strong>We used Pregnancy Risk Assessment Monitoring System Phase 8 data. Our analytical sample included mothers who gave birth in 2020 and 2021, received prenatal care, and answered both the mode of prenatal care question and all prenatal care screening questions (N = 22 991). The analytical sample included 28 study sites across the United States.</p><p><strong>Results: </strong>Mothers who used any virtual prenatal care had greater adjusted odds than mothers who used in-person care only of being screened about their knowledge of gestational weight gain (adjusted odds ratio [AOR] = 1.18; 95% CI, 1.08-1.30), cigarette use (AOR = 1.26; 95% CI, 1.02-1.54), alcohol use (AOR = 1.23; 95% CI, 1.01-1.49), intimate partner violence (IPV) (AOR = 1.72; 95% CI, 1.54-1.92), depression (AOR = 1.65; 95% CI, 1.46-1.86), substance use (AOR = 1.41; 95% CI, 1.26-1.59), HIV testing (AOR = 1.33; 95% CI, 1.22-1.46), planned breastfeeding (AOR = 1.55; 95% CI, 1.34-1.78), and planned postpartum birth control (AOR = 1.42; 95% CI, 1.27-1.60).</p><p><strong>Conclusions: </strong>The greatest benefit of virtual prenatal care may be for screening of IPV. However, we cannot definitively attribute increased odds of screenings to virtual care. Further investigation is warranted.</p>","PeriodicalId":20793,"journal":{"name":"Public Health Reports","volume":" ","pages":"333549261434120"},"PeriodicalIF":2.5,"publicationDate":"2026-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13139310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147820054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lyme Carditis Identified by a Novel Syndromic Surveillance Definition, New York State, 2017-2021.","authors":"Amy M Beeson, Jennifer L White, Abigail L Gates, David W McCormick, Alison F Hinckley, Grace E Marx","doi":"10.1177/00333549251408028","DOIUrl":"10.1177/00333549251408028","url":null,"abstract":"<p><strong>Objectives: </strong>Lyme carditis is a rare, potentially fatal manifestation of Lyme disease. Although Lyme disease is nationally notifiable, data on clinical manifestations are not collected systematically in the United States. We developed a syndromic surveillance definition to identify patients with Lyme carditis in New York State during 2017-2021.</p><p><strong>Methods: </strong>We developed a definition of Lyme carditis by using diagnostic codes and keywords to identify emergency department visits related to Lyme carditis through the National Syndromic Surveillance Program's BioSense Platform. We systematically abstracted information for each identified patient by reviewing medical records in New York State's regional health information exchange system. Physician reviewers independently assigned a clinical case status to each record. We mapped cases of Lyme carditis by county and described their characteristics.</p><p><strong>Results: </strong>We identified records for 173 individuals; 32% (n = 55) were classified as confirmed, 16% (n = 27) as probable, and 53% (n = 91) as not a case of Lyme carditis. In total, we identified 82 cases of confirmed or probable Lyme carditis; the positive predictive value of the definition was 47%. Cases occurred in 49% of New York State counties and peaked annually in July and August. Among patients with confirmed and probable Lyme carditis, age distribution was bimodal, with incidence peaking at about ages 32 and 70 years; 71% were male. Eighty-four percent had positive 2-tiered serologic test results for Lyme disease, and second- or third-degree atrioventricular block was present in two-thirds of patients (67%).</p><p><strong>Practical implications: </strong>This definition may be a useful tool to detect changing patterns of Lyme carditis in areas with a high incidence of Lyme disease.</p>","PeriodicalId":20793,"journal":{"name":"Public Health Reports","volume":" ","pages":"371-379"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12846893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146066479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Socioeconomic Status and Physical Activity Levels: Analysis of the Young Lives Cohort Study in Peru.","authors":"Angie K Miranda-Vicente, Nicole K Zevallos-Villanueva, Astrik C Fernández-Ahumada, Antonio Bernabe-Ortiz","doi":"10.1177/00333549251403890","DOIUrl":"10.1177/00333549251403890","url":null,"abstract":"<p><strong>Objectives: </strong>Physical inactivity is associated with socioeconomic and social levels; thus, individuals of low socioeconomic status are less likely than individuals of high socioeconomic status to exercise. We assessed the association between socioeconomic status and changes in physical activity levels among children from 2002 to 2017 in Peru.</p><p><strong>Methods: </strong>We conducted a secondary data analysis of the Young Lives Study (n = 2052 children aged 8 years [at baseline] and 15 years [at the end of follow-up]), a cohort with data collected in Peru. The outcomes were insufficient physical activity (<5 days of physical activity per week) and physical inactivity (<1 day of physical activity per week), and the exposure variable consisted of 2 socioeconomic indicators (maternal education and wealth index). We assessed the association between outcomes and exposures by using Poisson regression models and reported relative risks (RRs) and 95% CIs.</p><p><strong>Results: </strong>Of 1888 participants at baseline, the mean (SD) age was 7.9 (0.3) years and 946 (50.1%) were male. The prevalence of physical inactivity and insufficient physical activity was 9.1% (n = 172) and 59.4% (n = 1122), respectively. After 7.0 (SD = 0.1) years of follow-up, in the multivariable model, a high wealth index was associated with low levels of physical activity, but maternal education was not. Thus, children with a high (vs low) level of wealth index had higher rates of physical inactivity (RR = 2.11; 95% CI, 1.47-3.03) and insufficient physical activity (RR = 1.11; 95% CI, 1.03-1.19).</p><p><strong>Conclusions: </strong>Wealth index was associated with insufficient physical activity and physical inactivity, but maternal education was not. Our results suggest the need to promote physical activity levels according to social context.</p>","PeriodicalId":20793,"journal":{"name":"Public Health Reports","volume":" ","pages":"448-457"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12851906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146093942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Meta-analysis of the Prevalence of Food Insecurity Among People Experiencing Housing Insecurity and Homelessness in the United States.","authors":"Carolyn L Jackson, Cody A Hart, C Jeff Uribe-Lacy, Phillip Yang, Jack Tsai","doi":"10.1177/00333549241305349","DOIUrl":"10.1177/00333549241305349","url":null,"abstract":"<p><strong>Objectives: </strong>Studies suggest that people experiencing housing insecurity and homelessness (HIH) have varying experiences with food insecurity. We estimated the prevalence of food insecurity and identified the factors associated with it among people experiencing HIH in the United States.</p><p><strong>Methods: </strong>We conducted a meta-analysis of the prevalence of food insecurity among people experiencing HIH and a systematic review of associated factors through a comprehensive search of 8 academic databases. We identified 3398 unique articles and included 40 studies in the review that met the following criteria: included observational or experimental data on the prevalence of food insecurity among people experiencing HIH, conducted in the United States, and written in English.</p><p><strong>Results: </strong>The overall prevalence of food insecurity was 57% (95% CI, 48%-65%). Most people experiencing HIH had food insecurity, and our estimated prevalence among people experiencing HIH was >4 times higher than the prevalence in the US population. Experiencing symptoms of a mental health condition (eg, depression, posttraumatic stress disorder, anxiety) in addition to HIH was most frequently (7 datasets) associated with increased odds of food insecurity. Social and institutional support was most frequently (5 datasets) associated with decreased odds of food insecurity.</p><p><strong>Conclusion: </strong>Our findings suggest that multisector coordination is needed to address individual- and system-level factors associated with food insecurity and HIH.</p>","PeriodicalId":20793,"journal":{"name":"Public Health Reports","volume":" ","pages":"380-394"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705288/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Process and Outcome Evaluation of the National Institutes of Health Community Engagement Alliance.","authors":"Melanie C Chansky, Nancy Hood, Simani M Price, Patricia M Chen, Robyn Ferg, Lenora E Johnson, Kelli Carrington, Nathaniel Stinson, Xinzhi Zhang, George A Mensah","doi":"10.1177/00333549251404835","DOIUrl":"10.1177/00333549251404835","url":null,"abstract":"<p><strong>Objective: </strong>In 2020, the National Institutes of Health (NIH) established the Community Engagement Alliance (CEAL) to ensure that communities experiencing health disparities had a voice in finding effective solutions. This mixed-methods study evaluated processes and outcomes of CEAL.</p><p><strong>Methods: </strong>We used the National Academy of Medicine's Assessing Meaningful Community Engagement conceptual model to guide our evaluation. Data sources for the evaluation included interviews, programmatic data, community surveys, and partner surveys. We assessed the domains of strengthened partnerships, expanded knowledge, and improved health, health programs, and policies.</p><p><strong>Results: </strong>CEAL teams built a robust partnership network that reached populations most affected by COVID-19, facilitated knowledge increases among community members and partner organizations, and positively affected COVID-19 vaccination rates.</p><p><strong>Conclusions: </strong>This evaluation suggests that the infrastructure built by CEAL teams could be leveraged to address additional topics and populations of interest and enhance future National Institutes of Health-funded efforts in community-engaged research.</p>","PeriodicalId":20793,"journal":{"name":"Public Health Reports","volume":" ","pages":"354-363"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12832220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146044117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Leveraging Syndromic Surveillance for Rabies Postexposure Prophylaxis Surveillance in Maine, 2018-2022.","authors":"Liz Lamere, Haris Sohail, Sara Robinson","doi":"10.1177/00333549251413549","DOIUrl":"10.1177/00333549251413549","url":null,"abstract":"<p><strong>Objectives: </strong>In Maine, rabies postexposure prophylaxis (PEP) administration is reportable to public health. We sought to determine the objectives of the Maine Center for Disease Control and Prevention's (Maine CDC's) PEP administration surveillance system and whether the method of conducting surveillance through a manual health care provider (hereinafter, provider) reporting system meets these objectives. We also compared provider-reported PEP administrations with administrations identified in emergency department (ED) data.</p><p><strong>Methods: </strong>During September 2022, we interviewed 8 Maine CDC epidemiologists to determine system objectives. We obtained and compared PEP administration data from provider reporting system and ED data and summarized each dataset by year, exposing animal, and facility. We assessed the ability of each source to address surveillance system objectives by comparing data elements with each objective.</p><p><strong>Results: </strong>Maine CDC epidemiologists described the following objectives of the surveillance system: (1) track potential human exposures to rabid or potentially rabid animals, (2) document PEP administration trends, and (3) ensure PEP is correctly administered. They determined the third objective is not being achieved by the current system. During January 2018-June 2022, we identified 538 provider-reported PEP administrations and 1191 PEP administrations through ED data. ED data were more timely than provider reports and identified more PEP administrations, but 28% of ED records did not contain information on the exposing animal.</p><p><strong>Conclusions: </strong>Maine CDC can use ED data to document PEP administration trends in near-real time. ED data obtained from syndromic surveillance might be used in tandem with or in place of Maine CDC's traditional PEP surveillance system. We are building more complex queries that more fully capture PEP administrations to have a thorough understanding of PEP administered in Maine.</p>","PeriodicalId":20793,"journal":{"name":"Public Health Reports","volume":" ","pages":"364-370"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12872418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}