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From 2003 to 2005, the Missouri Department of Health and Senior Services (DHSS) designed and implemented a new "syndromic" surveillance system.
It allows public health officials to use hospital electronic medical records to detect unusual clusters of disease symptoms that might signal an outbreak related to bioterrorism agents, such as anthrax, plague and smallpox, or more common conditions, such as influenza or sexually transmitted diseases.
The Robert Wood Johnson Foundation (RWJF) supported this project with an unsolicited grant of $343,788. The project also received funding under two programs of the Centers for Disease Control and Prevention (CDC): the Emergency Preparedness & Response, Bioterrorism program and the National Electronic Disease Surveillance System (NEDSS).