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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">JMIR</journal-id>
      <journal-id journal-id-type="nlm-ta">Online J Public Health Inform</journal-id>
      <journal-title>Online Journal of Public Health Informatics</journal-title>
      <issn pub-type="epub">1947-2579</issn>
      <publisher>
        <publisher-name>JMIR Publications</publisher-name>
        <publisher-loc>Toronto, Canada</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">v9i1e7642</article-id>
      <article-id pub-id-type="doi">10.5210/ojphi.v9i1.7642</article-id>
      <title-group>
        <article-title>Roles of Health Literacy in Relation to Social Determinants of Health and Recommendations for Informatics-Based Interventions: Systematic Review</article-title>
      </title-group>
      <pub-date pub-type="epub">
        <year>2017</year>
      </pub-date>
      <volume>9</volume>
      <issue>1</issue>
      <elocation-id>e7642</elocation-id>
      <abstract>
        <p>Objective</p>
        <p>The National Biosurveillance Integration Center (NBIC) is</p>
        <p>developing a scalable, flexible open source data collection, analysis,</p>
        <p>and dissemination tool to support biosurveillance operations by</p>
        <p>the U.S. Department of Homeland Security (DHS) and its federal</p>
        <p>interagency partners.</p>
        <p>Introduction</p>
        <p>The NBIC integrates, analyzes, and distributes key information</p>
        <p>about health and disease events to help ensure the nation’s responses</p>
        <p>are well-informed, save lives, and minimize economic impact. NBIC</p>
        <p>serves as a bridge between Federal, State, Local, Territorial, and</p>
        <p>Tribal entities to conduct biosurveillance across human, animal, plant,</p>
        <p>and environmental domains. The integration of information enables</p>
        <p>early warning and shared situational awareness of biological events</p>
        <p>to inform critical decisions directing response and recovery efforts.</p>
        <p>To meet its mission objectives, NBIC utilizes a variety of data</p>
        <p>sets, including open source information, to provide comprehensive</p>
        <p>coverage of biological events occurring across the globe. NBIC</p>
        <p>Biofeeds is a digital tool designed to improve the efficiency of</p>
        <p>reviewing and analyzing large volumes of open source reporting</p>
        <p>by biosurveillance analysts on a daily basis; moreover, the system</p>
        <p>provides a mechanism to disseminate tailored feeds allowing NBIC to</p>
        <p>better meet the specific information needs of individual, interagency</p>
        <p>partners. The tool is currently under development by the Department</p>
        <p>of Energy (DOE), Pacific Northwest National Laboratory (PNNL)</p>
        <p>and it is in a testing and evaluation phase supported by NBIC</p>
        <p>biosurveillance subject matter experts. Integration with the Defense</p>
        <p>Threat Reduction Agency (DTRA), Biosurveillance Ecosystem</p>
        <p>(BSVE) is also underway. NBIC Biofeeds Version 1 is expected to</p>
        <p>be fully operational in Fiscal Year 2017.</p>
        <p>Methods</p>
        <p>The PNNL is applying agile methodology to streamline the build</p>
        <p>of NBIC Biofeeds to specifications required for operational use by</p>
        <p>NBIC and its federal interagency partners. Biosurveillance, analytics,</p>
        <p>and system engineering subject matter experts provide guidance on</p>
        <p>the implementation of features in the tool to ensure functionality</p>
        <p>aligns with operational workflows and production support. PNNL is</p>
        <p>leveraging software from a previous government effort to repurpose</p>
        <p>the technology to meet NBIC needs. NBIC Biofeeds incorporates</p>
        <p>the open source, document-orientated MongoDB database to capture</p>
        <p>user- and system-generated metadata on hundreds of thousands</p>
        <p>of records, in part, to establish baselines to aid prospective and</p>
        <p>retrospective analysis on emerging biological events. NBIC Biofeeds</p>
        <p>integrates a biosurveillance taxonomy (uniquely developed by NBIC),</p>
        <p>which includes input from interagency partners to recognize critical</p>
        <p>characteristics of a biological event. In NBIC Biofeeds Version</p>
        <p>1, metadata capture of reported events is done manually by NBIC</p>
        <p>analysts; however, moving forward in Version 2, the tool will be</p>
        <p>further automated to flag significant reporting on biological events</p>
        <p>with a human remaining in the loop to confirm the validity of the</p>
        <p>system-generated tags.</p>
        <p>Results</p>
        <p>To serve as a one-stop tool for open source biosurveillance,</p>
        <p>NBIC Biofeeds automatically harvests information from thousands</p>
        <p>of websites, utilizing third party aggregators, paid subscriptions to</p>
        <p>data feeds, and scraping of high priority sources. Users can develop</p>
        <p>desired queries for automatic updating, leverage a unique review</p>
        <p>and curation mechanism, and further analyze data from topical,</p>
        <p>geographic, and temporal visualization features in the tool. To meet</p>
        <p>NBIC’s information sharing needs, the tool allows for design of</p>
        <p>tailored RSS feeds and electronic message-based delivery of analysis</p>
        <p>on biological events, intended for recipients in the government with</p>
        <p>unique missions around human, animal, plant, and environmental</p>
        <p>health.</p>
        <p>Conclusions</p>
        <p>Through current testing and evaluation – underway by</p>
        <p>biosurveillance subject matter experts – NBIC Biofeeds is</p>
        <p>demonstrating value in supporting open source biosurveillance</p>
        <p>by the Center for more rapid recognition and sharing of key event</p>
        <p>characteristics. Centralizing access and analysis of this dataset</p>
        <p>into a single system is increasing the efficiency of daily, global</p>
        <p>biosurveillance, while enhancing the value of information identified</p>
        <p>through use of the querying, curation, and production support features</p>
        <p>in the tool.</p>
      </abstract>
    </article-meta>
  </front>
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