Every morning, Nebraska’s public health and emergency response directors begin their day by reviewing a dashboard showing the number of COVID-19 diagnoses and deaths, as well as counties with higher vulnerable populations. With a click, Nebraska’s pandemic response leaders can see each hospital and how many beds it has, where dialysis centers, long term care facilities, and pharmacies are located, who the emergency response coordinator is and how many electricity-dependent Medicare beneficiaries are in each county.
 
Developed by Dr. Babak Jalalzadeh-Fard, postdoctoral research associate at University of Nebraska Medical Center and Dr. Jesse E. Bell, Claire Hubbard Professor of Health and Environment at the University of Nebraska Medical Center’s College of Public Health and Faculty Fellow of the Daugherty Water for Food Global Institute, the dashboard began as a way to map vulnerable populations and health care resources throughout Nebraska.
 
"I pulled together a team of people from UNMC [the University of Nebraska Medical Center] and the University of Nebraska-Lincoln to try to understand the impacts of weather and climate extremes on human health," said Bell. "We received funding through the Nebraska Research Initiative to understand things like flooding, heat waves and droughts and the potential health impacts they have on Nebraska." 
 
Bell said he wanted to create a social vulnerability map similar to one he helped develop when he worked for the Centers for Disease Control and Prevention. "When I was at the CDC, we did some social vulnerability mapping for extreme heat events," he said. "I also did some work looking at a fungal infection in the southwest region of the United State know as Valley fever. So, I thought to use that kind of approach to develop a dashboard for Nebraska."
 
With funding and a team of researchers from the University of Nebraska, Bell began to work on the project in early fall 2019. "We needed a postdoctoral researcher to help with this work. It took us a little while to fill that position. We found Dr. Babak Fard. He has a background in engineering with extensive experience in programming and data science and worked on vulnerability to heatwaves. He did his PhD at Northeastern University up in the Boston area. I hired him in November."
 
"As COVID-19 was spreading and we were seeing more and more cases, I pulled Dr. Fard aside and said we should look at vulnerability mapping for the populations that are most susceptible here in Nebraska," Bell explained. "It [COVID-19] was taking hold in places like Italy and New York and the time to prepare and act is sooner than later. Since we were already pulling together health data for floods and droughts, let’s see if we can do this so that health departments and healthcare facilities can have easy access to information they need."
 
Bell and his team collaborated with the CDC and Nebraska health care providers to collect the data, which Dr. Fard added to the dashboard in an easily navigated layout.
 
The dashboard includes three separate tabs of information in a map overlay of Nebraska. The first tab shows the number of COVID-19 confirmed cases and deaths; hospital and nursing home contacts and capacities; pharmacies; and, local health director contacts. The second tab page shows social vulnerability data by county, which includes socioeconomic status, household composition and disability, minority status and language, and housing and transportation information. The third tab includes population densities for persons 60 and older in 10-year increments.
 
Rachel Lookadoo, JD, another UNMC professor working on the project, connected the research team with federal, state and local health departments. "So we are sharing the dashboard with them and getting it into their hands so they can use it for preparedness planning and response efforts, as well," said Bell.
 
Bell said this dashboard is the only one he is aware of with this level of detail. "Right now we’re seeing anywhere between 600 and more than 1000 clicks on this site a day. The leads of the ASPR Region VII grant and the HHS Region VII health administrator reached out to me, asking to expand the data to include the rest of the region, which includes Kansas, Iowa and Missouri."
 
"Hopefully, at some point, COVID-19 will go away, but there will always be something else to face," Bell added. "For any type of disaster, this dashboard would be really beneficial. I think state health departments would like to have it as a capability in-house, so they can keep it updated with their local area information."
 
The expanded COVID-19 dashboard, including data for Nebraska, Kansas, Iowa and Missouri, is expected to be released by the week of April 12.