Transcript PHE core slides

The PHE Field Epidemiology
Service
Dr Paul Crook
Consultant Epidemiologist
Field Epidemiology Services, Victoria
Serving Kent, Surrey & Sussex, London, Thames Valley and Wessex PHE Centres
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Organisational structure
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Part of Health Protection Directorate of PHE
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Staff of 27
- Regional epidemiologists
- Scientists
- Information officers/ managers
- Admin team
- Trainees - Public health / European Epi (EPIET) / UK Field Epi (FETP)
Field Epidemiology Services, Victoria
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Overview of role
Both ACUTE and STRATEGIC
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Intelligence
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Field investigations and response
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Surveillance
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Rapid research and development
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Epidemiology training
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Acute work – field investigation
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Acute work – field investigation
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Intelligence
Multiple sources of PHE data
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Some collected locally
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e.g. HPZone, laboratory data, London TB register, antenatal hepatitis B
Some collected centrally by National Centre for Infectious Disease
Surveillance (NCIDS)
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e.g. GUMCAD (STI data), unlinked anonymous surveys
Use other sources of information e.g. ONS
Field Epidemiology Services, Victoria
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Laboratory surveillance
Responsible for laboratory surveillance (Cosurv) and antimicrobial surveillance
(Amsurv)
LabBase 2
(National database)
CoSurv Region DB
CoSurv
data file
Laboratory
(Labmod)
LabBase data file
MDP DB
Mandatory
data file
PDS
Patient Demographics
HPZone data files
HPUs
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What do we do with the information?
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Identify and respond to outbreaks
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Outputs / ad hoc data requests to inform
- Assessment of need
- Service design and improvement
- Priorities and policy
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Whole range of stakeholders
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Commissioners / Clinicians / EHOs
PHE Centre / HPTs / Local authorities / CCGs / NHS England / third sector
Public - media
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Outbreak detection - exceedances
Field Epidemiology Services, Victoria
Cryptosporidiosis cluster maps
Research undertaken with
TVHPU
(In submission)
Enhanced surveillance
on all cases
Modelling to identify
clusters
Modelling increased
sensitivity
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Incident communication
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Sexual health
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Prevalence of diagnosed HIV in London
residents (15-59 yrs) by MSOA, 2011
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Field Epidemiology Services, Victoria
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Field Epidemiology Services, Victoria
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Research into gonorrhoea
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Access
• Under 20s and South Asian tend to seek care more locally whereas
MSM tend seek care further away
• Long opening hours and weekend opening times of GUM clinics seem
to attract people out of their area
Le Polain de Waroux O, Hughes G, Maguire H, Crook P. Factors associated with travel to non-local
genitourinary medicine clinics for sexual health care: an analysis of patients diagnosed with gonorrhoea in
London, 2009-10: Int J of STD and AIDS Jul 19 2013
• Risk factors
• Black Caribbean women have 5 times risk of gonorrhoea than White
women: Black Caribbean men have 2.6 times risk. Even controlling for
deprivation
Le Polain de Waroux O, Ross H, Hughes G, Crook PD. Spatial clustering of gonorrhoea in London and its
association with socio-demographic risk factors: A Bayesian spatial modelling approach. Epidemiol Infect. 2013
Apr 8:1-10
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TB
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BBV
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VPD
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Outputs
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Evaluation
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GI
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HCAI
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Future
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Refining outputs (more consistent nationally)
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More efficient / automated systems
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Working closer with other PHE Directorates (Chief Knowledge Officer)
- E.g. pulling together SH data
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How you can help us
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Feedback!
Field Epidemiology Services, Victoria