1. Stocktake, Edinburgh 15 Nov 2010 Capacity and resilience – What can be learned from others Dr Pasi Penttinen

2. Smörgåsbord – examples in capacity and resilience Evidence- Based Methods Standards WikiManual EU funding Partnerships Cross-sectoral SmiNet HPZone EOC CFG EPIET Academic double-role PeopleTechnology PracticesResources

3. How do we train and retain?

4. 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

5. 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

6. Strengths: Recruitment Synergies in research and capacity building Weaknesses: Only part-time commitment ot PH Opportunities: New methods New financing sources Threats: Unclear loyalties? Tendency to become research-driven Academic double-roles

7. How do we organise resources?

8. EU funding DG research (http://ec.europa.eu/research/index.cfm?lg=en)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)http://ec.europa.eu/eahc/index.html ECDC (http://www.ecdc.europa.eu/en/aboutus/calls/Pages/Procure mentsandGrants.aspx)http://www.ecdc.europa.eu/en/aboutus/calls/Pages/Procure mentsandGrants.aspx

9. 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

10. How can technology help?

11. Web-based surveillance systems What about real-time monitoring of capacity in healthcare / ICU?

12. HPZone - A real-time decision support system http://hpzoneinfo.in-fact.com/

13. 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

14. How do we set standards?

15. Evidence based methods for Public Health Establishment of good procedures Training of personnel (internally and externally – together with competent bodies) Development of methods on how to work evidence based within the frame of infectious diseases The use of systematic literature reviews Transparency of processes for data collection and production of scientific advice ECDC course available in 2011 ->

16. Wikimanual for field epidemiology Collaborative, peer-reviewed document Flexible and adaptable Always up-to-date ECDC product ready in 20111