OutbreakNet Enhanced Sites

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Map of United States highlighting OutbreakNet Enhanced sites: Alabama, Alaska, Arkansas, Arizona, California, Chicago, Florida, Georgia, Hawaii, Indiana, Kansas, Louisiana, Massachusetts, Michigan, Nebraska, New Hampshire, New Mexico, New York, Philadelphia, Texas, Rhode Island, Virginia, Washington, and Washington D.C.

There are 29 sites participating in OutbreakNet Enhanced, including 26 states and 3 large cities.

OBNE Sites At-a-Glance

Table showing OBNE sites with population data, year joined, structure, and responsibility.
Site Population1 Year Joined Structure Initial Case Interviewing Responsibility Whole Genome Sequencing Certified2
Alabama 4,874,747 2016 Largely centralized District investigator (state staff physically located in the district) In Progress
Alaska 739,795 2016 Centralized Public health nurses Yes
Arizona 7,016,270 2015 Decentralized Local health departments, with the option to delegate to state health department Yes
Arkansas 3,004,279 2017 Centralized Regional Communicable Disease Nurse Specialists and Central Office Epidemiologist Yes
California 39,536,653 2017 Decentralized Local health departments Yes
Chicago 2,716,450 2016 Decentralized City health department In Progress
District of Columbia (D.C.) 693,972 2017 Centralized Local epidemiologists Yes
Florida 20,984,400 2016 Shared Local health departments Yes
Georgia 10,429,379 2015 Shared Shared between local and state epidemiologists Yes
Hawaii 1,427,538 2017 Centralized Local epidemiological specialists Yes
Illinois 12,802,023 2017 Decentralized Local health departments with assistance by central investigation team In Progress
Indiana 6,666,818 2016 Decentralized Shared between local health departments and central investigation team Yes
Iowa 3,145,711 2018 Decentralized Local public health agencies Yes
Kansas 2,913,123 2015 Decentralized Local health departments, with the option to delegate to state health department Yes
Kentucky 4,454,189 2018 Decentralized Local health departments Yes
Louisiana 4,684,333 2017 Largely centralized State health department Yes
Massachusetts 6,859,819 2015 Decentralized Local health departments Yes
Michigan 9,962,311 2015 Decentralized Local health departments Yes
Nebraska 1,920,076 2017 Decentralized Local health departments Yes
New Hampshire 1,342,795 2015 Largely centralized Centralized for all but two cities Yes
New Mexico  2,088,070 2015 Centralized State health department Yes
New York (State) 11,226,701 2015 Decentralized Shared between local health departments and central investigation team Yes
Pennsylvania 12,805,537 2017 Mixed Local health departments and state health center Yes
Philadelphia 1,580,863 2016 Centralized City and county health departments Yes
Rhode Island 1,059,639 2015 Centralized State health department Yes
Texas 28,304,596 2016 Largely decentralized Local health departments Yes
Virginia  8,470,020 2015 Largely centralized Local health departments Yes
Washington 7,405,743 2015 Decentralized Local health departments Yes
Wyoming 579,315 2018 Centralized State health department Yes

Download table [PDF – 77.1 KB]

12017 Population Estimates https://www.census.gov/quickfacts/

2PulseNet whole genome sequencing (WGS) certification is required for all laboratorians generating WGS data. The certification assures that the data generated are comparable between all PulseNet labs and meets a high standard of quality. Once certified, the laboratorian can directly submit WGS data to PulseNet Central, CDC, for further analysis that will help detect outbreaks.