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

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
of information on potential health threats
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!
Event-based surveillance
Indicator-based surveillance
Report
Data
Collect
Analyse
Interpret
Capture
Filter
Verify
Signal
Who & how?
Assess
Disseminate
Public health alert
Investigate
Control measures
National &
International
How do we practically do this?
Organising epidemic intelligence
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Regular meetings
Quality control systems
Outbreak responsible unit
Data base for possible threats
Bulletin for reporting threats
The epidemic intelligence meeting
Structure
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Participants
Frequency and duration
Information sources
Reporting
Target group
Evaluation
Participants
• Laboratory
• Epidemiology
• Authorities
• Specialists?
• Decision makers?
Feasible
Limit no. of participants
Frequency
• Weekly
• Monthly
• When ”needed”
• Where should the meeting be held?
Information sources
National
International
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Surveillance systems
Early warning system
Laboratories
Clinicians
Participants
Networks
Media
WHO – IHR
ECDC
EWRS
NGOs
Disease networks
Eurosurveillance
ProMED
Literature
How, what and when to report?
• Written summary
• All alerts or only assessed alerts?
• Timely distribution by e-mail the same day
• Confidentiality?
Who receives the report?
• Participants
• National authorities
• Public health professionals
– National, regional, local level
• Other partners?
– Depending on the alerts
– International counterparts
Evaluation
• Does the meeting meet its objective?
• Are alerts assessed appropriately and
timely?
• Changes in structure according to needs?
Dutch example
• Since 1999 at National Public Health Inst.
• Weekly early warning committee meetings
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Medical microbiologists
Infectious disease epidemiologists
Food authorities national level
National coordination centre infectious disease
• Participants report possible alerts
• Assess alerts – recommend action
• Report
The IHR surveillance system
Mass media, GPHIN,
MediSYS, Google, NGOs,
ProMED etc + other
countries
Local
level
National
IHR Focal
Point
WHO
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
Communications within IHR
Surveillance
responsible
Public health
services
National IHR
Focal Point
WHO EURO
IHR Focal Point
Points of entry
Clinics and
hospitals
The Epidemic intelligence
meeting is one way to
structure this communication