1. Information system of European Centre for Disease Prevention and Control The European Surveillance System (TESSy) – Strengthening the infectious disease surveillance in Europe Per Rolfhamre, Surveillance Unit, European Centre for Disease Prevention and Control Istanbul, 25 September, 2009

2. The European Surveillance System (TESSy) - Surveillance Unit Support strengthening of national surveillance systems Establish EU-wide standard case reporting Monitor trends of diseases across Europe to provide a rationale for public health actions in MS Disseminate the results to stakeholders for timely public health actions at EU and MS level Coordinate the integrated operations of the Dedicated Surveillance Networks

3. The European Surveillance System (TESSy) - Starting point List of 47 notifiable diseases + AMR+ nosocomial infections 17 dedicated surveillance networks (DSNs): Cover 20 diseases (+ 3 not on the list) 27 Member States + 3 EEA/EFTA with their own surveillance systems Mandatory, voluntary Population based, sentinel Data from laboratories, physicians, hospitals Case-based, aggregated Sometimes more than one system per disease per country

4. The European Surveillance System (TESSy) - Starting point MS DSN Impact for member states Huge workload Different interfaces for data upload Different database formats Impact for DSN hubs Data cleaning effort for all member states Feedback for all member states

5. The European Surveillance System (TESSy) - One-stop-shop MS National institutes Disease experts General public AF members MB members WHO EMCDDA EFSA Others … TESSy Data upload and access Data access MSs Data users The European Surveillance System MS

6. The European Surveillance System (TESSy) - Architecture

7. Access Point Move freely between systems User management Standardization of terms Nomination management

8. The European Surveillance System (TESSy) - Upload formats XML and CSV

9. The European Surveillance System (TESSy) - Manual data entry

10. The European Surveillance System (TESSy) - Validation results

11. The European Surveillance System (TESSy) - Getting data out…

12. The European Surveillance System (TESSy) - Time line and some numbers…  Oct 2006 – TESSy development started  Jan 2008 – TESSy grand opening  Jan 2008 to Sept 2009 –450 TESSy users trained on-site –Eight hours of on-line training material –Data on 47 diseases for 30/53 countries collected –3573 files uploaded –3.45 million cases reported –11.5 million validation messages produced