Transcript European Programme for Intervention Epidemiology Training

European Programme for
Intervention Epidemiology
Training
EPIET
 Created in 1994
 Funded by the European Commission (60%) and EU
Member States until 2007
Project Leader: Annika Linde (Sweden)
Coordinators:
• Arnold Bosman, based at ECDC in Stockholm, Sweden (100%,
leading coordinator)
• Marta Valenciano, based at Carlos III in Madrid, Spain (100%)
• Viviane Bremer, based at RKI in Berlin, Germany (40%)
• Richard Pebody, based at HPA-CfI in London, UK (40%)
Administration:
- Carole Desmoulins, Anna Bohlin, Kristina Mittag-Leffler,
Therese Leike
EPIET programme objectives
To:
 Strengthen CD surveillance & control in EU
 Develop a European network of intervention
epidemiologists
 Develop a response capacity inside & beyond EU:
 surveillance
 outbreak investigations
 applied research
Training objectives
 Plan, implement, evaluate a surveillance system
 Perform outbreak investigations
 Develop a research project on a relevant public
health issue
 Acquire oral and written scientific
communication skills
 Acquire teaching skills
Training format
 Theoretical training
 An introductory course (3 weeks), open to
external participants
 At least 6 one-week training modules rotating in
EU Member States
 Learning by doing practical training
 23 months
 At a European public health institute
 On site supervision by senior epidemiologists and
from EPIET coordinators
Time frame per cohort
Cohort 10: 14 fellows
Sept-Oct 04
Each cohort begins with a 3weeks introductory course, and
ends with a scientific seminar,
where each fellow presents
his/her work.
Sept-Oct 06
Cohort 11: 16 fellows
Sept-Oct 05
Sept-Oct 07
Cohort 12: 13 fellows
Sept-Oct 06
Sept-Oct 08
Introductory course, content
 Lectures from field
epidemiologists
 Interactive case studies
based on real
investigations
 Development of a study
protocol based on real
PH issue
 Surveillance exercise
 Communication
exercises
Since 2004 in Menorca, Spain
Training modules in 2000-2006
 Biostatistics (Porto, Rome)
 Communication (London, Berlin)
 Rapid assessment techniques in emergency
situations (Veyrier, Berlin)
 Time series analysis and Geographic Information
System (Athens, Madrid, Veyrier, Bilthoven)
 Vaccinology (Glasgow, Helsinki, Stockholm, London)
 Data management (Bilthoven)
 Computer & outbreak investigations
(Heraklion, Athens, Paris, Malta, Budapest)
 Bioterrorism (Berlin)
 Time Series Analysis, Logistic Regression (Bordeaux)
 Scientific Writing (Berlin)
Training sites in Europe
“learning by doing”
 25 Nations
+ Norway
+ Switzerland +WHO
 24 Training sites
(16 for cohort 12)
Sites in red: open
for cohort 12
Glasgow
Belfast
Helsinki
Helsinki
Oslo Stockholm
Stockholm
Oslo
Copenhagen
Copenhagen
Belfast Glasgow
DublinCardiff
Warsaw
Dublin Cardiff
London Bilthoven
Berlin
London Bilthoven
SouthWest
Berlin
Brussels
Prague
Prague
Paris Paris
Vienna Budapest
Geneva
Geneva
Lyon Lyon
Madrid
Madrid
Rome
Rome
Athens
Supervision of fellows
 Supervision on site by at least 1 senior
epidemiologist
 Draft protocols/reports/manuscripts sent to
coordinators
 Viadesk as virtual office
Outbreak investigations (examples)
 Campylobacter and norovirus linked to communal
water in Sweden, 2002
 Q-Fever associated with sheep market in Germany,
2002
 Avian influenza in poultry cullers in NL, 2003
 Legionella associated with cooling towers in France,
2003
 Hepatitis A in homosexual men in Denmark, 2004
 Tuberculosis in supermarket in NL, 2005
 S. Hadar associated with roasted chicken in Spain,
2005
 Giardia linked to communal water in Norway, 2005
 S. DT 104 associated with pork meat in NL, 2005/6
EU Cross-border Investigations
1999-2006
 Salmonella paratyphi B among EU tourists returning
from Turkey, 1999
 Clostridium infection and deaths among intravenous
drug users, England, Scotland, Ireland, 2000
 EU-wide outbreak of
Salmonella typhimurium 204b, 2000
 Meningitis W135 in pilgrims returning from the Haj,
2000, 2001
 Hepatitis A in Ibiza and German tourists, 2001
 An outbreak of gastroenteritis in holiday-makers
travelling to Andorra, January-February 2002
 Hepatitis A among returning travellers from Egypt,
2004
Research Projects (examples)
 Risk factors (RF) for Hantavirus in France and Belgium
 RF for meningococcal meningitis in day care centres,
Ireland
 RF for Q fever in Germany
 RF for sporadic cases of Listeriosis in France
 RF for MRSA in nursing homes, Germany
 RF for Hep C in hemodialysis Unit, France
 RF for sporadic campylobacteriosis, Ireland
 RF for CA-MRSA, Switzerland
 RF for syphilis, Sweden
 Influenza vaccine effectiveness, Denmark
Surveillance Projects (Examples)
 Establishment of new surveillance
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Norovirus in Sweden
Congenital toxoplasmosis in France
CA-MRSA in Switzerland
Heat and cold-related mortality in Spain
Winter mortality in the UK
Sales of flu medicine in Ireland
 Evaluation of surveillance system
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EHEC in France
STI in Finland
Syphilis in Germany
Tuberculosis in Spain
EPIET international missions (1)
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Outbreak investigations
Infants deaths following immunisation (Egypt)
Tularaemia (Kosovo)
Suspected anthrax (Ethiopia)
Ebola (Uganda, Gabon, Sudan)
Hepatitis E (Sudan)
Marburg fever (Angola)
Measles (Nigeria, Niger, DRC)
SARS (Hongkong)
Meningitis (Sri Lanka)
Avian influenza (Vietnam, Turkey, Azerbaijian)
EPIET international missions (2)
 Surveillance projects and surveys
 Cholera Surveillance (Mozambique)
 Unsafe Injection Practices survey (Burkina Faso)
 Assessment of neonatal tetanus status (Zimbabwe)
 Vaccine coverage (Côte d’Ivoire, Republic of Guinea, EastTimor, Pakistan)
 SARS (Hong Kong)
 Retrospective Mortality Survey (Darfur, Sudan)
 Nutritional survey (Niger, East-Timor)
 Early warning system (Pakistan after Earthquake)
 Avian influenza (Georgia, Azerbaijian)
Number of graduated EPIET Fellows 1995-2006
by Country of Origin and Country of Training (nr=98)
Hosted
Sent
Austria
Belgium
Denmark
Finland
France
Germany EPIET
Germany FETP
Greece
Ireland
Italy
Japan
Norway EPIET
Norway FETP
Portugal
South Africa
Spain
Sweden
Switzerland
The Netherlands
United Kingdom
WHO
21
18
15
12
9
6
3
0
3
6
9
Number of EPIET fellows
12
15
18
21
Scientific Seminar
 Annually in October, following the introductory
course
 Gathers
 EPIET fellows
 EPIET alumni
 FETPs Europe
 Supervisors and colleagues from training sites
 EPIET Fellows prepared by “project review” module
 Review of methods and presentations during 1 week
in late August
Additional challenges
 Select the best fellows while
maintaining equity of access
 Identify new training sites
 Identify more supervisors
Estonia
 Develop training material
Latvia
Lithuania
 Increase cross border and
Poland
international missions
Cezch Rep.
Slovakia
 Strengthen links with FETPs
Hungary
Slovenia
 Develop additional FETPs
 Integration in ECDC
Malta
Cyprus
European added value
 Promotion of field epidemiology in EU
 Contribution to the European Network for
surveillance and control of CD
 Training of trainers in EPIET host institutes
 Promotion of national training programmes
 Increased mobility of epidemiologists
 Cross border investigations in EU
 International missions
EPIET and ECDC
 Integration in the ECDC from 2006
 Cohort 12 financed through ECDC project
grant
 EPIET alumni as key role players in ECDC
More information
More information is available on the web at:
 http://www.epiet.org
Or writing an e-mail to:
 [email protected]
Thank you
European
Programme
for Intervention
Epidemiology
Training