Stocktake, Edinburgh 15 Nov 2010

Capacity and resilience –What can be learned from othersDr Pasi Penttinen

Smörgåsbord – examples in capacity and resilience

How do we train and retain?

European Programme for Intervention Epidemiology Training (EPIET)

Strengthen CD surveillance & control in EU

Develop a European network of intervention epidemiologists

– Training fellows and externals together– Training of trainers– Sustaining and strengthening a network of training sites

Develop a response capacity inside & beyond EU:– surveillance

– outbreak investigations

– applied research

Central field-epidemiologic group (CFG; Sweden)• Established in early 2000’s• To strengthen preparedness for national and

international outbreaks• Consists of healthcare personnel, vets,

epidemiologists• ”Reserve force” - Trains regularly• Participates in international missions• Supports local PH authorities in outbreaks

How do we organise resources?

EU funding

• DG research (http://ec.europa.eu/research/index.cfm?lg=en)• 7th Framework programme• Research executive agency• European research council

• DG SANCO• Executive Agency for Health and Consumers (

http://ec.europa.eu/eahc/index.html)• ECDC (

http://www.ecdc.europa.eu/en/aboutus/calls/Pages/ProcurementsandGrants.aspx)

Partnerships

• Working with the private sector• THL (FIN) providing CRO services to GSK• SMI (SWE) partnering with sms early warning

service• Working across government• THL using military surveillance for influenza• Working with Civil Protection on preparedness• Working with Development Aid offices in

international work

How can technology help?

Web-based surveillance systems

What about real-time monitoring of capacity in healthcare / ICU?

HPZone -A real-time decision support system

http://hpzoneinfo.in-fact.com/

Main activities: Collecting information

Daily review/verification/discussion of threats

Storage of relevant information + dissemination

Support Outbreak Response activities

Strengthen epidemic intelligence in Member States

Scientific guidance & development of knowledge base

Main outputs: Daily RT report (ECDC internal distribution) Weekly risk monitoring bulletins (CDTR) Threat assessments (when necessary) Annual report on emerging threats

Epidemic Intelligence in the ECDC EOC

How do we set standards?

Evidence based methods for Public Health Establishment of good proceduresTraining of personnel (internally and externally –

together with competent bodies)Development of methods on how to work evidence

based within the frame of infectious diseasesThe use of systematic literature reviewsTransparency of processes for data collection and

production of scientific advice

ECDC course available in 2011 ->

Wikimanual for field epidemiology

Collaborative, peer-reviewed documentFlexible and adaptableAlways up-to-date

ECDC product ready in 20111