RT Journal Article SR Electronic T1 Use of syndromic surveillance data to monitor poisonings and drug overdoses in state and local public health agencies JF Injury Prevention JO Inj Prev FD BMJ Publishing Group Ltd SP i43 OP i49 DO 10.1136/injuryprev-2015-041821 VO 22 IS Suppl 1 A1 Ising, Amy A1 Proescholdbell, Scott A1 Harmon, Katherine J A1 Sachdeva, Nidhi A1 Marshall, Stephen W A1 Waller, Anna E YR 2016 UL http://injuryprevention.bmj.com/content/22/Suppl_1/i43.abstract AB Background The incidence of poisoning and drug overdose has risen rapidly in the USA over the last 16 years. To inform local intervention approaches, local health departments (LHDs) in North Carolina (NC) are using a statewide syndromic surveillance system that provides timely, local emergency department (ED) and Emergency Medical Services (EMS) data on medication and drug overdoses.Objective The purpose of this article is to describe the development and use of a variety of case definitions for poisoning and overdose implemented in NC's syndromic surveillance system and the impact of the system on local surveillance initiatives.Design, setting, participants Thirteen new poisoning and overdose-related case definitions were added to NC's syndromic surveillance system and LHDs were trained on their use for surveillance purposes. Twenty-one LHDs were surveyed on the utility and impact of these new case definitions.Results/Conclusions Ninety-one per cent of survey respondents (n = 29) agreed or strongly agreed that their ability to access timely ED data was vital to inform community-level overdose prevention work. Providing LHDs with access to local, timely data to identify pockets of need and engage stakeholders facilitates the practice of informed injury prevention and contributes to the reduction of injury incidence in their communities.