eCR Team Provides Rapid Support for Monkeypox Virus Reporting

At a glance

Electronic case reporting (eCR) can provide timely and complete data during an outbreak such as the monkeypox virus outbreak in 2022. As the eCR monkeypox virus support expands nationwide, Public Health Agencies (PHAs) can use the eCR to better understand the monkeypox outbreak and determine actions to control it.

Monkeypox virus, 3D illustration. A zoonotic virus from Poxviridae family, causes monkeypox, a pox-like disease

Full story

By sending patient data quickly between healthcare and public health, electronic case reporting (eCR) can provide the timely and complete data needed during an outbreak. The nationwide expansion of eCR is a joint collaboration among CDC, the Council for State and Territorial Epidemiologists (CSTE), and the Association for Public Health Laboratories (APHL). eCR's scalable infrastructure allows for rapid response as new outbreaks arise. Through data modernization investments and lessons learned from the COVID-19 response, the eCR team pivoted to rapidly support the monkeypox virus response in the United States.

The collaborative eCR team began working with the electronic health record industry to support the monkeypox outbreak on June 9, 2022. In just four days, many healthcare facilities were able to send monkeypox patient case reports electronically to state and local public health agencies.

As of August 22, 2022, there are 7,254 healthcare facilities that can use eCR to send monkeypox virus case reports electronically (shown in blue on the map below).

Healthcare facilities able to use eCR to send monkeypox virus cases, as of August 2022.
Healthcare facilities able to use eCR to send monkeypox virus cases, as of August 2022.

Data modernization improvements also enabled state and local public health agencies to receive monkeypox case report data electronically using eCR. Forty-five (45) state and local public health agencies can receive monkeypox virus case reports as of August 22, 2022 (shown in green on the map below).

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Public health agencies able to receive monkeypox virus case reports, as of August 2022.

The number of healthcare facilities that can report monkeypox virus cases electronically through eCR and the number of public health agencies that can receive the data using eCR continue to grow. As the eCR monkeypox virus support expands nationwide, state, local, and territorial public health agencies (PHAs) can use the electronic case reports to better understand the outbreak and determine appropriate actions to control it. Efforts are also underway to connect both tribal healthcare and tribal public health authorities to eCR. PHAs also share the electronic case reports with CDC as anonymized cases through the National Notifiable Diseases Surveillance System.

The eCR team's quick response to the monkeypox virus outbreak highlights the importance of collaboration among partners. A core program supporting the CDC Data Modernization Initiative, eCR is enhancing case surveillance for both routine and emergency responses by providing data that are timelier, richer, and more complete than manual case reporting, while reducing burden on healthcare and public health.