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Objective The state of Maryland has incorporated 100% of its public school systems into a statewide disease surveillance system. This session will discuss the process, challenges, and best practices for expanding the ESSENCE system to include school absenteeism data as part of disease surveillance. It will also discuss the plans that Maryland has for using this new data source, as well as the potential for further expansion.doi:10.5210/ojphi.v5i1.4582 fatcat:k72rjjmitfamherobdp2c2df24