Ian Painter, PhD¹, Julie Eaton, PhD², Matt Johnson, BN³, Don Olson, PhD⁴, Anne Gifford, MPH⁴, Debra Revere, MS⁵ and William Lober, MD³, 1School of Public Health, University of Washington, Shoreline, WA, 2Department of Mathematics and Computer Science, University of Puget Sound, Tacoma, WA, 3School of Nursing, University of Washington, Seattle, WA, 4International Society for Disease Surveillance, Brighton, MA, 5School of Public Health, University of Washington, Seattle, WA