Disease Surveillance & Investigation - The Public Health Nurse (PHN) at the Sarpy/Cass Department of Health & Wellness works diligently in the early detection, intervention, prevention and education of communicable diseases.

A disease investigation begins when the PHN is informed of laboratory results through the National Electronic Disease Surveillance System (NEDSS), area laboratories, or clinicians about a possible communicable disease. The PHN follows up by calling physicians offices to verify patient, diagnosis and clinical history. The nurse continues the investigation by contacting the individual for pertinant history; the information is then reported back into the NEDSS system.

Tuberculosis Investigation and Case Management - The Sarpy/Cass Department of Health & Wellness is contracted by the State of Nebraska Tuberculosis (TB) Program to conduct investigations of active TB cases, including investigating case contacts.  The PHN also case manages individuals in Sarpy and Cass counties who have been diagnosed with active TB.  This involves working closely with the patient’s physician to observe the patient through Direct Observation Therapy (DOT), ensuring compliance with the prescribed treatment. You can find more information on TB at www.hhs.state.ne.us/cod/Tuberculosis/tbindex.htm

If you have any questions, or would like more information regarding disease surveillance in Sarpy or Cass counties, contact Monica Ulses, RN, at 339-4334 x 203, or mulses@sarpy.com. More information on specific disease topics can be found at Health Topics A-Z

School Surveillance - The Sarpy/Cass Department of Health & Wellness monitors absentee rates with a school-based surveillance program to track communicable disease outbreaks and/or possible emergency-related events. Any absence rate over 10% is investigated and reported to the Nebraska Department of Health and Human Services.

If you have any questions regarding our School Surveillance program, please contact Cindy Ossino at 339-4334 x 204, or cossino@sarpy.com.