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ECDC 2005 Protecting health in Europe – the new European Centre for Disease Prevention and Control Denis Coulombier.

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Presentation on theme: "ECDC 2005 Protecting health in Europe – the new European Centre for Disease Prevention and Control Denis Coulombier."— Presentation transcript:

1 ECDC 2005 Protecting health in Europe – the new European Centre for Disease Prevention and Control Denis Coulombier

2 ECDC 2005 Health threats in Europe – 21st century challenges New threats emerge –SARS, pandemic flu, WNV, antimicrobial resistance Old diseases reemerge –HIV/AIDS, STI, TB, food borne diseases Threat of bioterrorism EU without borders: free movements of goods and people Diseases spread within hours in a globalized and interconnected world

3 ECDC 2005 Pre-ECDC capacity EU funded surveillance networks since 1999 (2119/98/EC) –Well functioning within their remits, but … … uncoordinated … do not cover all diseases under 2119/98 … funding not sustainable Weak response capacity –SARS, anthrax threats, pandemic flu 10 new member states

4 ECDC 2005 ECDC milestones (I) July 2003: Commissions proposal to establish the Centre December 2003: Council decision that Sweden will host the Centre April 2004: Regulation 851 establishing the Centre September 2004: 1st meeting of Management Board with international launch December 2004: Director Zsuzsanna Jakab nominated March 2005: Director takes office (start-up phase) May 2005: Centre operational

5 ECDC 2005 ECDC milestones (II) : Building up the centre –Staff –Networking –Operations 2007: Evaluation of the possible need to extend the scope of the Centres mission

6 ECDC 2005 What kind of ECDC Small but very well-connected –Spider in the web An expert institution that makes a difference A one-stop-shop for CD information and advice An important player on the global arena Moving fast –even faster than ambitious Work Programme

7 ECDC 2005 Very broad mandate Founding Regulation 851/2004/EC Close cooperation with MS and EU bodies Surveillance Risk identification and risk assessment Preparedness planning Response to health threats and events Training Communication Scientific opinions and guidelines

8 ECDC 2005 Organisation Director Chief scientist -- Unit for Scientific Advice Unit for Surveillance & Communication Unit for Preparedness & Response Management & Administration Advisers, info

9 ECDC 2005 Matrix organisation Horizontal, matrix type of projects in priority areas –Influenza –Antimicrobial resistance –HIV/AIDS and STI –Zoonoses

10 ECDC 2005 Horizontal projects (I) Pandemic and avian influenza –Monitoring and assessing the threat day-by-day –Strengthening European and country preparedness (assessment tool + country visits) –Developing surveillance of seasonal, epizootic and pandemic influenza –Teleconferences with all stakeholders –Monitoring scientific development, providing scientific opinion and promoting scientific issues –Advocating for pandemic influenza preparedness –Developing tools and guidelines –Supporting MS for investigation and response –Coordinating risk assessment activities in the event of a pandemic influenza or an avian influenza public health crisis –Developing partnership

11 ECDC 2005 Horizontal projects (II) Antimicrobial resistance –Coordinate and support various ongoing activities –Add resistance components in all relevant surveillance networks (TB, HIV, enteric infections, etc) –Harmonisation and QA of surveillance data –Combine data on resistance and consumption –Inventory of actions in MS –Evaluate the costs of AMR –Evaluate the scientific basis for intervention –Develop tools and guidelines

12 ECDC 2005 Unit for Scientific Advice (I) Provide sound and independent technical and scientific advice Well acquainted with the front-line of research in all areas of CD control –Actively participate in all key scientific conferences and meetings Network of experts and scientists in Europe –Inventory of resources Build on the scientific competence and experience within the NSI and DSNs

13 ECDC 2005 Unit for Scientific Advice (II) Set up independent advisory panels and initiate studies Cover all categories of CDs listed in Decision 2119/98/EC and develop guidelines and other tools Be strong on new and emerging health threats including antimicrobial resistance Support member states in national endeavours

14 ECDC 2005 Unit for Scientific Advice – Work Plan 2005 (I) Operating procedures and ToRs in place –Rules for answering scientific questions –ToR for Scientific Panels Scientific Panels operational –Six panels with 11 members each agreed on –Support staff for panels –First meeting of Panels Collaboration with laboratories –Clear guidelines for how ECDC will cooperate with EU labs

15 ECDC 2005 Unit for Scientific Advice – Work Plan 2005 (II) Collaboration with learned societies to secure scientific input –OP for cooperation with learned societies ECDC guidelines on specific diseases/issues –Priority list –OP for producing guidelines –Sample guideline Internal weekly summaries of new scientific findings

16 ECDC 2005 ECDC with no laboratories Build on what already exists in Member States to avoid duplication Support MS response capacity by always knowing where appropriate lab. capacity is located Ensuring microbiological expertise through secondments and short-term positions Build up a system of reference labs

17 ECDC 2005 Unit for Surveillance and Communication (I) Gradually coordinate/integrate surveillance networks into ECDC Incorporate technical aspects of surveillance components of DSN into the Centre Promote an increase in coverage and effectiveness of the surveillance networks as well as quality control Technical assistance to MS on surveillance issues

18 ECDC 2005 Unit for Surveillance and Communication (II) Avoid all duplicate reporting Data standardisation and comparability –Denominators Harmonisation of laboratory methods Further integration of sub-typing data Surveillance public health action Surveillance Research Alternative surveillance systems

19 ECDC 2005 Unit for Surveillance and Communication (III) Public and privileged web pages Surveillance reports –Weekly (electronic) epidemiological report –Annual epidemiological report Articles in scientific journals Risk communication strategy for target groups

20 ECDC 2005 Road map for future surveillance 2005 Agreements on data access Consultation process Technical systems for storing/accessing data Strategy document (several steps) 2006 Build close links to the BSN Detailed evaluation of networks (SURVEVAL) 2007/2008 (as present network contracts ends) Full coordination of all surveillance activities

21 ECDC 2005 Surveillance and Communication Work Plan 2005 (I) Development of a surveillance strategy –Site visits in 10 MS + Commission –Web based questionnaires to all MS and learned societies –Strategy document presented to MB Integrated operations of networks –Inventory of set-ups of networks –Re-establishment of the Network Forum –Agreements for database access and database transfers

22 ECDC 2005 Surveillance and Communication Work Plan 2005 (II) Surveillance data bases at ECDC –Contract with IT company to develop specification for integrated/combined data bases –Liaise with IT persons of surveillance networks regarding characteristics of network databases –Acquisition of hardware/software for databases

23 ECDC 2005 Surveillance and Communication Work Plan 2005 (III) Preparations for evaluations of networks –General protocol for evaluation with disease- specific aspects Zoonoses report –Data base of BSN adjusted to fit zoonoses report (human data) –Data flow from MS tested in a dummy run in preparation of zoonoses report in 2006

24 ECDC 2005 Unit for Preparedness and Response (I) Keep track of emerging health threats inside and outside the EU –ProMed, GOARN, GPHIN, GIDEON and other Community alert systems Have the organisation and capacity for timely advice on such threats Assist the Commission by operating the Early Warning and Response System (EWRS) with a 24h/7d duty system

25 ECDC 2005 Unit for Preparedness and Response (II) Provide technical assistance in outbreak investigation and response –Identify outbreak assistance teams (OAT) –Identify and mobilize lab capacity –Training activities (follow-up of EPIET) –Memorandum of understanding with international partners (WHO) –Inventory and development of response guidelines

26 ECDC 2005 Unit for Preparedness and Response – Work Plan 2005 (I) Improved preparedness to tackle PH crises –Pandemic preparedness assessment tool –Outbreak assistance teams mechanisms in place –Training module on Outbreak Assistance Team coordination –Intervention kits for outbreak assistance teams

27 ECDC 2005 Unit for Preparedness and Response – Work Plan 2005 (II) Improved detection of emerging threats in Europe –Threat tracking tool (3T) –Weekly threat monitoring bulletin –Annual report on emerging threats –EWRS operated by ECDC –Meeting with MS on epidemic intelligence

28 ECDC 2005 Unit for Preparedness and Response – Work Plan 2005 (III) Improved coordination of risk assessment and support during PH crisis –Crisis room operational –Internal public health crisis operation plan –External public health crisis operation plan Improved country capacity for CD surveillance and response –Capacity strengthening policy developed

29 ECDC 2005 ECDC role in outbreaks Outbreak in 1 MS –ECDC may be invited by MS to assist –Co-ordinate EU risk assessment and response (if EU threat) Outbreak affecting more than 1 MS –Coordinated approach to investigation and response –Cooperate closely with other EU agencies –Ensure proper communication through the network, with the Commission and the public –Offer assistance

30 ECDC 2005 Outbreaks outside the EU Risk assessment –Potential to spread to MS –Need for co-ordinated preparedness and response –Recommendations to MS and Commission Support to response upon request from –WHO-HQ, through GOARN, by mobilizing EU expertise –WHO-EURO for non-EU European countries –Countries if perceived added value for EU

31 ECDC 2005 ECDC Staffing and budget 2005: 29 staff 5 M 2006: 50 staff16 M + 3 M Proposal 2007: 70 staff41 M 2008:120 staff80 M 2009:170 staff80 M 2010:220 staff90 M 2011:270 staff90 M :300 staff90 M

32 ECDC 2005 ECDC will commission independent external evaluation in May 2007 of its achievements; The evaluation will also assess: –The possible need to extend the scope of the Centres mission to other areas of public health, such as health monitoring –Timing of further reviews Scope of ECDC

33 ECDC 2005 Key message ECDC could only be strong if built on strong European networks and ideas ECDC will provide needed services and give a clear added value to the European CD control ECDC will channel the best available resources (own and others) to where they will be best needed

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