Oral Health Surveillance

**Overview**
This data package includes the Behavioral Risk Factor Surveillance System for indicators of adult oral health from 2012-2014 and child oral health from 1993-2015. It comprises information in tracking state efforts to improve oral health and contributions to progress toward the national targets for Healthy People program objectives. It also consists of annual data regarding Water Fluoridation Reporting System (WFRS), state and national Water Fluoridation Systems and Public Water Systems (PWS).

**Description**
This data package contains the National Oral Health Surveillance System (NOHSS) collaborative effort between Centers for Disease Control and Prevention's (CDC's) Division of Oral Health and the Association of State and Territorial Dental Directors (ASTDD). NOHSS Adult Indicators estimates are prepared from the Behavioral Risk Factor Surveillance System (BRFSS) and it includes indicators of adult oral health. NOHSS is designed to monitor the burden of oral disease, use of the oral health care delivery system, and the status of community water fluoridation on both a national and state level. It is also designed to track oral health surveillance indicators based on data sources and surveillance capacity available to most states.

The Council of State and Territorial Epidemiologists (CSTE) and the National Association of Chronic Disease Directors (NACDD) were instrumental in developing the framework for chronic disease surveillance indicators, including these oral health indicators. Oral Health Data includes the following indicators of adult oral health from the NOHSS: i). Dental Visit, ii). Teeth Cleaning, iii). Complete Tooth Loss, and iv). Lost 6 or More Teeth. NOHSS Child Indicators includes the following indicators of children’s oral health: i). Percentage of 3rd-grade students with caries experience, including treated and untreated tooth decay, ii). Percentage of 3rd-grade students with untreated tooth decay, and iii). Percentage of 3rd-grade students with dental sealants on at least one permanent molar tooth. Water Fluoridation Reporting System (WFRS) is designed to track all community water systems including 1) fluoridated water systems; 2) water systems that add fluoride; 3) water systems that are naturally fluoridated; 4) water systems that are not fluoridated.

National- and state-based surveys monitor the oral health status of the U.S. population and the WFRS compiles data useful for monitoring access to and evaluating the quality of water fluoridation programs at the state and water system levels. The number of communities and people who benefit from water fluoridation is continuing to grow. In 2014, 74.4% of the U.S. population on public water systems, or a total of 211,393,167 people, had access to fluoridated water. CDC monitors the progress of the nation and individual states toward meeting the Healthy People 2020 objective on community water fluoridation — that 79.6% of people on public water systems will receive water that has the optimum level of fluoride recommended for preventing tooth decay.

**Benefits**
- Useful for doctors, medical health planners, dentists, medical research groups and medical students. oral health surveillance database is available on the centers for disease control and prevention website in raw form, whereas a john snow labs (jsl) customer gets it in clean and normalized form ready to use and create his own custom reports. easy to comprehend for the customers who are unfamiliar with the medical terminologies as all abbreviated terms are replaced with full form, centers for disease control and prevention original datasets which are full of abbreviations.

**License Information**
The use of John Snow Labs datasets is free for personal and research purposes. For commercial use please subscribe to the [Data Library](https://www.johnsnowlabs.com/marketplace/) on John Snow Labs website. The subscription will allow you to use all John Snow Labs datasets and data packages for commercial purposes.

**Included Datasets**
- [NOHSS Adult Indicators BRFSS Data](https://www.johnsnowlabs.com/marketplace/nohss-adult-indicators-brfss-data)
- This dataset includes information from Behavioral Risk Factor Surveillance System (BRFSS) for indicators of adult oral health for 2012 to 2016. National estimates are represented by the median prevalence among 50 states and the District of Columbia data.
- [National Oral Health Surveillance System Adult Indicators](https://www.johnsnowlabs.com/marketplace/national-oral-health-surveillance-system-adult-indicators)
- This dataset includes information from Behavioral Risk Factor Surveillance System (BRFSS) for indicators of adult oral health for even years from 2012 through 2014. National estimates are represented by the median prevalence among 50 states and the District of Columbia data. Estimates are prepared from the BRFSS public use data sets.
- [National Oral Health Surveillance System Child Indicators](https://www.johnsnowlabs.com/marketplace/national-oral-health-surveillance-system-child-indicators)
- This dataset includes information from data for School year-end 1994 through year-end 2017. State oral health surveys are the data sources for these indicators. States periodically conduct independent screening surveys of a probability sample designed to be representative of all third grade students in the state.
- [Selected Indicators for ASTDD Synopses of SOH Programs](https://www.johnsnowlabs.com/marketplace/selected-indicators-for-astdd-synopses-of-soh-programs)
- This dataset includes information useful in tracking states’ efforts to improve oral health and contributions to progress toward the national targets for Healthy People objectives for oral health.
- [State and National Water Fluoridation System and Public Water Systems](https://www.johnsnowlabs.com/marketplace/state-and-national-water-fluoridation-system-and-public-water-systems)
- This dataset comprises of the Water Fluoridation Reporting System (WFRS) which has been developed to provide tools to assist states in managing fluoridation programs for the years 2016 and 2017. WFRS is designed to track all community water systems including: 1) fluoridated water systems; 2) water systems that add fluoride; 3) water systems that are naturally fluoridated; 4) water systems that are not fluoridated.
- [Water Fluoridation Reporting System Annual Data](https://www.johnsnowlabs.com/marketplace/water-fluoridation-reporting-system-annual-data)
- This dataset comprises of Water Fluoridation Statistics which is an annual report of the percentage and number of people receiving fluoridated water from 2012 through 2016.
- [Water Fluoridation Reporting System and Public Water Systems](https://www.johnsnowlabs.com/marketplace/water-fluoridation-reporting-system-and-public-water-systems)
- This dataset comprises of the Water Fluoridation Reporting System (WFRS) which has been developed to provide tools to assist states in managing fluoridation programs during 2017. WFRS is designed to track all community water systems including: 1) fluoridated water systems; 2) water systems that add fluoride; 3) water systems that are naturally fluoridated; 4) water systems that are not fluoridated.
- [Water Fluoridation Statistics About People Receiving Fluoridated Water](https://www.johnsnowlabs.com/marketplace/water-fluoridation-statistics-about-people-receiving-fluoridated-water)
- This dataset comprises of Water Fluoridation Statistics which is a biennial report of the percentage and number of people receiving fluoridated water from 2000 through 2014.

**Data Engineering Overview**
**We deliver high-quality data**
- Each dataset goes through 3 levels of quality review
- 2 Manual reviews are done by domain experts
- Then, an automated set of 60+ validations enforces every datum matches metadata & defined constraints
- Data is normalized into one unified type system
- All dates, unites, codes, currencies look the same
- All null values are normalized to the same value
- All dataset and field names are SQL and Hive compliant
- Data and Metadata
- Data is available in both CSV and Apache Parquet format, optimized for high read performance on distributed Hadoop, Spark & MPP clusters
- Metadata is provided in the open Frictionless Data standard, and its every field is normalized & validated
- Data Updates
- Data updates support replace-on-update: outdated foreign keys are deprecated, not deleted

**Our data is curated and enriched by domain experts**

Each dataset is manually curated by our team of doctors, pharmacists, public health & medical billing experts:
- Field names, descriptions, and normalized values are chosen by people who actually understand their meaning
- Healthcare & life science experts add categories, search keywords, descriptions and more to each dataset
- Both manual and automated data enrichment supported for clinical codes, providers, drugs, and geo-locations
- The data is always kept up to date – even when the source requires manual effort to get updates
- Support for data subscribers is provided directly by the domain experts who curated the data sets
- Every data source’s license is manually verified to allow for royalty-free commercial use and redistribution.

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