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Affiliation / Financial interest
Commercial Company Grants/research support: Honoraria or consultation fees: Participation in a company sponsored bureau: Stock shareholder: Spouse / partner: Other support / potential conflict of interest:
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The role of epidemic intelligence and surveillance in predicting and managing epidemics
Dr Thomas Mollet - ECDC
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Introduction Contents Objectives of early detection and surveillance
Epidemic Intelligence Event based and indicator based surveillance Examples
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Objectives of Early Detection and Surveillance
ECDC mission: to identify, assess and communicate current and emerging threats to human health posed by infectious diseases Risk assessment
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Objectives of Early Detection and Surveillance
Health security at EU level
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Objectives of Early Detection and Surveillance
Surveillance for action
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Objectives of Early Detection and Surveillance
Risk assessment vs risk management
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Epidemic Intelligence
Epidemic intelligence benefit
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Epidemic Intelligence
Epidemic Intelligence: Systematic collection and collation of information from a variety of sources, which is then validated and analysed with the purpose to speed up the detection of potential health threats and allows if necessary, timely response through an adequate risk assessment.
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Event based and indicator based surveillance
Complementary surveillances
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Event based and indicator based surveillance
Specificities
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Event based surveillance
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Event based surveillance
Common approach
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Event based surveillance
Screening: detecting new threat from unlimited amount of public health information
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Event based surveillance
Timeliness
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Event based surveillance
Restricted network
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Event based surveillance
Filtering: deciding which screened information is relevant Criteria varies from a country to another IHR and EWRS criteria International vs national threat
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Event based surveillance
Validation: confirming the accuracy and credibility Smallpox in DRC ? No Zika cases in Belize?
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Event based surveillance
Analysis: evaluating the information with a focus on public health risk Time Place Person
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Example - Ebola
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Example - Zika
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Example – yellow fever
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Conclusion EI cannot predict outbreaks, but can identify favourable determinants for future outbreaks (vector, climate, political context, mass gathering…) EI aims to support management of outbreaks and EI is the first step for response
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Question 1 2239 What is epidemic Intelligence? Choose one answer.
a. A process to detect, validate, analyse and investigate signals that may represent a public health threat b. A process to monitor web sources in order to identify public health threats c. A process that will replace classical diseases surveillance d. A process that is possible only with a laptop and an internet connection Question 8 – page 13 from the handbook 2239
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Question 1 What is epidemic Intelligence? Choose one answer.
a. A process to detect, validate, analyse and investigate signals that may represent a public health threat b. A process to monitor web sources in order to identify public health threats c. A process that will replace classical diseases surveillance d. A process that is possible only with a laptop and an internet connection Question 8 – page 13 from the handbook
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Question 2 Why Event Based Surveillance is so important in Epidemic intelligence? Choose more answers. a. Because it allows detection of rare events b. Because it is less costly than indicator based surveillance c. Because it detects real outbreak faster d. Because it will replace indicator based surveillance in the future Question 8 – page 13 from the handbook 2240
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Question 2 Why Event Based Surveillance is so important in Epidemic intelligence? Choose more answers. a. Because it allows detection of rare events b. Because it is less costly than indicator based surveillance c. Because it detects real outbreak faster d. Because it will replace indicator based surveillance in the future Question 8 – page 13 from the handbook
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Question 3 Epidemic Intelligence refer to: Choose one answer. a. Human infectious diseases only b. Human infectious diseases and bacteriological threat (Bio terrorism) only c. All hazards d. One health Question 8 – page 13 from the handbook 2242
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Question 3 Epidemic Intelligence refer to: Choose one answer. a. Human infectious diseases only b. Human infectious diseases and bacteriological threat (Bio terrorism) only c. All hazards d. One health Question 8 – page 13 from the handbook
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Question 4 What are the mandatory reporting networks for EU countries? Choose more answers. a. IHR 2005 (International Health Regulation) b. EWRS (Early Warning and Response System) c. DRS (Diseases Reporting System) d. GAORN (The Global Outbreak Alert and Response Network) Question 8 – page 13 from the handbook 2243
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Question 4 What are the mandatory reporting networks for EU countries? Choose more answers. a. IHR 2005 (International Health Regulation) b. EWRS (Early Warning and Response System) c. DRS (Diseases Reporting System) d. GAORN (The Global Outbreak Alert and Response Network) Question 8 – page 13 from the handbook
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Question 5 What is the place of Twitter in Epidemic Intelligence? Choose one answer. a. Important as everybody has a Twitter account b. Negligible as only few people share data about their own health c. Negligible because it is not a reliable source d. Important as institution use it to communicate Question 8 – page 13 from the handbook 2244
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Question 5 What is the place of Twitter in Epidemic Intelligence? Choose one answer. a. Important as everybody has a Twitter account b. Negligible as only few people share data about their own health c. Negligible because it is not a reliable source d. Important as institution use it to communicate Question 8 – page 13 from the handbook
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