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The epidemic intelligence meeting

The epidemic intelligence meeting. Katrine Borgen Department of Infectious Disease Epidemiology Norwegian Institute of Public Health EpiTrain V, Vilnius October 2007. Epidemic intelligence . Conseptual framework Systematic collection verification communication

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The epidemic intelligence meeting

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  1. The epidemic intelligence meeting Katrine Borgen Department of Infectious Disease Epidemiology Norwegian Institute of Public Health EpiTrain V, Vilnius October 2007

  2. Epidemic intelligence • Conseptual framework • Systematic • collection • verification • communication of information on potential health threats

  3. Objective • Detect/identify • Verify • Rapidly assess …information on potential (inter)national health threats, which may affect populations in your country or your country’s nationals worldwide Recommend public health measures!

  4. Event-based surveillance Indicator-based surveillance Report Data CollectAnalyseInterpret CaptureFilterVerify Signal Assess Disseminate Public health alert • National & • International Investigate Control measures Who & how?

  5. How do we practically do this?

  6. Organising epidemic intelligence • Regular meetings • Quality control systems • Outbreak responsible unit • Data base for possible threats • Bulletin for reporting threats

  7. The epidemic intelligence meeting

  8. Structure • Participants • Frequency and duration • Information sources • Reporting • Target group • Evaluation

  9. Participants • Laboratory • Epidemiology • Authorities • Specialists? • Decision makers? Feasible Limit no. of participants

  10. Frequency • Weekly • Monthly • When ”needed” • Where should the meeting be held?

  11. National Surveillance systems Early warning system Laboratories Clinicians Participants Networks Media International WHO – IHR ECDC EWRS NGOs Disease networks Eurosurveillance ProMED Literature Information sources

  12. How, what and when to report? • Written summary • All alerts or only assessed alerts? • Timely distribution by e-mail the same day • Confidentiality?

  13. Who receives the report? • Participants • National authorities • Public health professionals • National, regional, local level • Other partners? • Depending on the alerts • International counterparts

  14. Evaluation • Does the meeting meet its objective? • Are alerts assessed appropriately and timely? • Changes in structure according to needs?

  15. Dutch example • Since 1999 at National Public Health Inst. • Weekly early warning committee meetings • Medical microbiologists • Infectious disease epidemiologists • Food authorities national level • National coordination centre infectious disease • Participants report possible alerts • Assess alerts – recommend action • Report

  16. The IHR surveillance system Mass media, GPHIN, MediSYS, Google, NGOs, ProMED etc + other countries do surveillance verify WHO Local level National IHR Focal Point notify,inform,consult in confidence do surveillance assess national events

  17. IHR Obligations to build capacities Article 5+13 and Annex 1A Epidemic intelligence • Detect events • Report events • Assess events • Notify events to WHO • Respond to events

  18. Communications within IHR Surveillance responsible Public health services National IHR Focal Point WHO EURO IHR Focal Point Points of entry The Epidemic intelligence meeting is one way to structure this communication Clinics and hospitals

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