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European Programme for Intervention Epidemiology Training

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Presentation on theme: "European Programme for Intervention Epidemiology Training"— Presentation transcript:

1 European Programme for Intervention Epidemiology Training

2 EPIET Created in 1994 Funded by the European Commission (60%) and EU Member States until 2007 Project Leader: Annika Linde (Sweden) Coordinators: Arnold Bosman, based at ECDC in Stockholm, Sweden (100%, leading coordinator) Marta Valenciano, based at Carlos III in Madrid, Spain (100%) Viviane Bremer, based at RKI in Berlin, Germany (40%) Richard Pebody, based at HPA-CfI in London, UK (40%) Administration: - Carole Desmoulins, Anna Bohlin, Kristina Mittag-Leffler, Therese Leike

3 EPIET programme objectives
To: Strengthen CD surveillance & control in EU Develop a European network of intervention epidemiologists Develop a response capacity inside & beyond EU: surveillance outbreak investigations applied research The objective of EPIET are to: Strengthen CD surveillance Develop European network of intervention epidemiologists Develop European response capacity Surveillance Outbreak investigations Applied research Contribute to development of Network for the surveillance and control of CD

4 Training objectives Plan, implement, evaluate a surveillance system
Perform outbreak investigations Develop a research project on a relevant public health issue Acquire oral and written scientific communication skills Acquire teaching skills

5 Training format Theoretical training
An introductory course (3 weeks), open to external participants At least 6 one-week training modules rotating in EU Member States Learning by doing practical training 23 months At a European public health institute On site supervision by senior epidemiologists and from EPIET coordinators

6 Time frame per cohort Cohort 10: 14 fellows Cohort 11: 16 fellows
Each cohort begins with a 3-weeks introductory course, and ends with a scientific seminar, where each fellow presents his/her work. Sept-Oct 04 Sept-Oct 06 Cohort 11: 16 fellows Sept-Oct 05 Sept-Oct 07 Cohort 12: 13 fellows Sept-Oct 06 Sept-Oct 08

7 Introductory course, content
Lectures from field epidemiologists Interactive case studies based on real investigations Development of a study protocol based on real PH issue Surveillance exercise Communication exercises Since 2004 in Menorca, Spain

8 Training modules in 2000-2006 Biostatistics (Porto, Rome)
Communication (London, Berlin) Rapid assessment techniques in emergency situations (Veyrier, Berlin) Time series analysis and Geographic Information System (Athens, Madrid, Veyrier, Bilthoven) Vaccinology (Glasgow, Helsinki, Stockholm, London) Data management (Bilthoven) Computer & outbreak investigations (Heraklion, Athens, Paris, Malta, Budapest) Bioterrorism (Berlin) Time Series Analysis, Logistic Regression (Bordeaux) Scientific Writing (Berlin)

9 Training sites in Europe “learning by doing”
25 Nations + Norway + Switzerland +WHO 24 Training sites (16 for cohort 12) Sites in red: open for cohort 12 Helsinki Helsinki Oslo Oslo Stockholm Stockholm Glasgow Copenhagen Belfast Belfast Glasgow Copenhagen Cardiff Dublin Cardiff Dublin Warsaw London London Bilthoven Berlin Bilthoven SouthWest Berlin Brussels Prague Prague Paris Paris Vienna Budapest Geneva Geneva Lyon Lyon Rome Madrid Madrid Rome Athens

10 Supervision of fellows
Supervision on site by at least 1 senior epidemiologist Draft protocols/reports/manuscripts sent to coordinators Viadesk as virtual office

11 Outbreak investigations (examples)
Campylobacter and norovirus linked to communal water in Sweden, 2002 Q-Fever associated with sheep market in Germany, 2002 Avian influenza in poultry cullers in NL, 2003 Legionella associated with cooling towers in France, 2003 Hepatitis A in homosexual men in Denmark, 2004 Tuberculosis in supermarket in NL, 2005 S. Hadar associated with roasted chicken in Spain, 2005 Giardia linked to communal water in Norway, 2005 S. DT 104 associated with pork meat in NL, 2005/6

12 EU Cross-border Investigations 1999-2006
Salmonella paratyphi B among EU tourists returning from Turkey, 1999 Clostridium infection and deaths among intravenous drug users, England, Scotland, Ireland, 2000 EU-wide outbreak of Salmonella typhimurium 204b, 2000 Meningitis W135 in pilgrims returning from the Haj, 2000, 2001 Hepatitis A in Ibiza and German tourists, 2001 An outbreak of gastroenteritis in holiday-makers travelling to Andorra, January-February 2002 Hepatitis A among returning travellers from Egypt, 2004

13 Research Projects (examples)
Risk factors (RF) for Hantavirus in France and Belgium RF for meningococcal meningitis in day care centres, Ireland RF for Q fever in Germany RF for sporadic cases of Listeriosis in France RF for MRSA in nursing homes, Germany RF for Hep C in hemodialysis Unit, France RF for sporadic campylobacteriosis, Ireland RF for CA-MRSA, Switzerland RF for syphilis, Sweden Influenza vaccine effectiveness, Denmark

14 Surveillance Projects (Examples)
Establishment of new surveillance Norovirus in Sweden Congenital toxoplasmosis in France CA-MRSA in Switzerland Heat and cold-related mortality in Spain Winter mortality in the UK Sales of flu medicine in Ireland Evaluation of surveillance system EHEC in France STI in Finland Syphilis in Germany Tuberculosis in Spain

15 EPIET international missions (1)
Outbreak investigations Infants deaths following immunisation (Egypt) Tularaemia (Kosovo) Suspected anthrax (Ethiopia) Ebola (Uganda, Gabon, Sudan) Hepatitis E (Sudan) Marburg fever (Angola) Measles (Nigeria, Niger, DRC) SARS (Hongkong) Meningitis (Sri Lanka) Avian influenza (Vietnam, Turkey, Azerbaijian)

16 EPIET international missions (2)
Surveillance projects and surveys Cholera Surveillance (Mozambique) Unsafe Injection Practices survey (Burkina Faso) Assessment of neonatal tetanus status (Zimbabwe) Vaccine coverage (Côte d’Ivoire, Republic of Guinea, East-Timor, Pakistan) SARS (Hong Kong) Retrospective Mortality Survey (Darfur, Sudan) Nutritional survey (Niger, East-Timor) Early warning system (Pakistan after Earthquake) Avian influenza (Georgia, Azerbaijian)

17 Number of graduated EPIET Fellows 1995-2006 by Country of Origin and Country of Training (nr=98)
Hosted Sent Number of EPIET fellows

18 Scientific Seminar Annually in October, following the introductory course Gathers EPIET fellows EPIET alumni FETPs Europe Supervisors and colleagues from training sites EPIET Fellows prepared by “project review” module Review of methods and presentations during 1 week in late August

19 Additional challenges
Select the best fellows while maintaining equity of access Identify new training sites Identify more supervisors Develop training material Increase cross border and international missions Strengthen links with FETPs Develop additional FETPs Integration in ECDC Latvia Slovakia Estonia Lithuania Poland Cezch Rep. Hungary Slovenia Cyprus Malta

20 European added value Promotion of field epidemiology in EU
Contribution to the European Network for surveillance and control of CD Training of trainers in EPIET host institutes Promotion of national training programmes Increased mobility of epidemiologists Cross border investigations in EU International missions In addition to training EPIET fellows, the programme has so far helped Europe to develop by ensuring the: Promotion of field epidemiology in EU Contribution to the European Network for surveillance and control of CD Training of trainers in EPIET host institutes Promotion of national training programmes Increased mobility of epidemiologists across EU International missions Cross border investigations in EU

21 EPIET and ECDC Integration in the ECDC from 2006
Cohort 12 financed through ECDC project grant EPIET alumni as key role players in ECDC

22 More information
More information is available on the web at: Or writing an to:

23 Thank you European Programme for Intervention Epidemiology Training

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