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Update on the EPIET programme Marion Muehlen and Katharina Alpers EPIET and PAE scientific coordinators.

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Presentation on theme: "Update on the EPIET programme Marion Muehlen and Katharina Alpers EPIET and PAE scientific coordinators."— Presentation transcript:

1 Update on the EPIET programme Marion Muehlen and Katharina Alpers EPIET and PAE scientific coordinators

2 1 EPIET European Programme for Intervention Epidemiology Training Started 1996, funded by EU Commission and Member States From Nov 07 funded by ECDC/EU Member States Coordinators: Viviane Bremer, based at ECDC in Stockholm, Sweden (100%, leading coordinator) Alicia Barrasa, based at Carlos III in Madrid, Spain (100%) Marion Muehlen, based at HPA-CfI in London, UK (60%) Brigitte Helynck, based at INVS in Paris (50%) Marie-Anne Botrel, based at INVS in Paris (50%) Doris Radun, based at RKI in Berln (80%) Katharina Alpers (100% PAE-Coordinator) Administration: Anna Bohlin, Claudia Metz-Ruffer, ECDC staff

3 2 EPIET programme objectives To: 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

4 3 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 4 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 5 Modules Compulsory Introductory course Computer tools in outbreak investigations Vaccinology Project review Multivariate analysis Optional Scientific writing Time series analysis Lab and epi Rapid assessment of complex emergency situations

7 6 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 7 Course Modules in 2002-2007 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) Vaccines (Glasgow, Helsinki, Stockholm, London, Bilthoven) Data management (Bilthoven) Computer & outbreak investigations (Heraklion, Paris, Athens, Prague, Budapest, Malta, Vienna, Sesimbra) Bioterrorism (Berlin) Logistic Regression (Bordeaux, Madrid) Scientific Writing (Berlin) Multivariable Analysis (Stockholm)

9 8 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 linked to 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

10 9 Choice of modules Skills assessment form at start of training Depending on Previous skills Local training opportunities Future needs

11 10 EU Cross-border Investigations 1999-2007 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

12 11 Research Projects (examples) Risk factors (RF) for Hantavirus in France and Belgium RF for meningococcal meningitis in day care centers, 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 Seroprevalence of WNV among German and Austrian bird-ringers RF for sporadic campylobacteriosis, Ireland RF for CA-MRSA, Switzerland RF for syphilis, Sweden Influenza vaccine effectiveness, Denmark

13 12 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 Northern Ireland Evaluation of surveillance systems EHEC in France STI in Finnland Syphilis and Influenza in Germany Tuberculosis in Spain

14 13 EPIET international missions (1) Outbreak investigations Infant deaths following immunisation (Egypt) Tularaemia (Kosovo) Suspected anthrax (Ethiopia) Ebola (Uganda, Gabon, Sudan) Hepatitis E (Sudan) Marburg fever (Angola) Measles (Nigeria, Niger, DRC, Serbia, Kosovo) SARS (Hong Kong) Meningitis (Sri Lanka) Avian influenza (Vietnam, Turkey, Azerbaijan) Mumps (Moldovia) Meningitis (Burkina Faso)

15 14 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 dIvoire, 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, Azerbaijan)

16 15 Scientific Conference ESCAIDE annually in fall co-organized ECDC, EPIET, EAN, TEPHINET-Euro Slots for EPIET fellows 500 persons from European and international field epidemiology EPIET fellows, alumni, FETPs Europe, supervisors and colleagues from training sites EPIET Fellows prepared by project review module Review of methods and presentations during a whole week, this year in September Satellite workshops: training the trainers organized by EPIET, Tephinet, EAN, PAE and FETP- Canada

17 16 modules outbreak investigation surveillance- project research project teaching ESCAIDE SeptOktNovDezJanFebMrzAprMaiJunJulAugSepOktNovDezJanFebMrzAprMaiJunJulAugSepOktNov Time frame Year 1 Year 2

18 17 Practical Training learning by doing 27 Nations + Norway + Switzerland + WHO + EpiCentre / MSF + ECDC 27 Training sites (23 for cohort 11-13)

19 18 Who does What? ECDC Pays grants and expenses for modules and international missions Training sites Host fellow, offer supervision, activities and projects Supervisors First responsible for training the fellow Teaching Coordinators Overall responsible for training Review all work of fellows Advise supervisors on questions Organise training modules / courses Supervise international missions

20 19 Supervision of fellows Supervision on site by at least 1 senior epidemiologist (4 hours/week) Draft protocols/reports/manuscripts sent to all coordinators Viadesk as virtual office Final work uploaded to folder on viadesk

21 20 Time frame per cohort Sept-Oct 07Sept-Oct 09 Cohort 13: 13 fellows Sept-Oct 08 Cohort 12: 13 fellows Sept-Oct 06 Each cohort begins with an introductory course, and ends with a scientific seminar, where each fellow presents his/her work. Cohort 14: 19 fellows Sept-Oct 08Sept-Oct 10

22 21 Selection process 1 st stage Check eligibility (ECDC human resources) ECDC Selection Panel goes through all applications and selects eligible candidates MS rank 2 best candidates - for this years selection process this had NO effect on eligibility for ECDC selection panel! 2 nd stage Candidates choose 3 preferred training sites Face to face interview with ECDC selection panel 3 rd stage Training site market Interviews with training sites 4 th stage Final selection meeting between panel and host site representatives and placement of candidates

23 22 Output of EPIET 1995-2007 Cohort 1-12: 124 fellows trained in EPIET 39 in EU FETPs (Germany, Norway, Sweden) 149 (93%) graduated (diploma) Network of trainers (until 2007) 12 different modules 252 individual trainers 55 organisations

24 23 Number of graduated EPIET Fellows 1995-2008 by Country of Origin/Training (nr=146) Hosted Sent Number of EPIET fellows

25 24 EPIET graduates working in MS (1998-2007) Place of workNumber EU Member States89 ECDC6 Norway4 Switzerland1 Ouside Europe9 Global level (WHO, NGO's, UN etc)20 Unknown1 Total130

26 25 Next challenges for EPIET Training seats Equity of access Number of salaries Trainers Expand training sites to all EU member states Increase number of trainers National field epidemiology training programmes Increase synergy with national FETPs Create new FETPs Training material

27 26 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

28 27 More information More information is available on the web at: Or writing an e-mail to:

29 28 Thank you European Programme for Intervention Epidemiology Training

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