european programme for intervention epidemiology training
TRANSCRIPT
European Programme for Intervention Epidemiology
Training
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
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
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
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
Time frame per cohort
Sept-Oct 06 Sept-Oct 08
Cohort 12: 13 fellows
Sept-Oct 06
Cohort 10: 14 fellows
Sept-Oct 04
Sept-Oct 07
Cohort 11: 16 fellows
Sept-Oct 05
Each cohort begins with a 3-weeks introductory course, and ends with a scientific seminar, where each fellow presents his/her work.
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
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)
Training sites in Europe “learning by doing”
Oslo
Helsinki
Copenhagen
Madrid Rome
BerlinBilthoven
Paris
Belfast
DublinLondon
Cardiff
Glasgow
LyonGeneva
Stockholm
Prague
Glasgow
Paris
Belfast
Cardiff
RomeMadrid
Helsinki
StockholmOslo
Brussels
Bilthoven Berlin
Copenhagen
LyonGeneva
London
Dublin
PragueSouthWest
Budapest
Warsaw
Vienna
Athens
25 Nations + Norway + Switzerland +WHO
24 Training sites (16 for cohort 12)
Sites in red: open for cohort 12
Supervision of fellows
Supervision on site by at least 1 senior epidemiologist
Draft protocols/reports/manuscripts sent to coordinators
Viadesk as virtual office
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
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
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
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
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)
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)
Number of graduated EPIET Fellows 1995-2006 by Country of Origin and Country of
Training (nr=98) Hosted
Sent
Number of EPIET fellows
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
Additional challenges
Latvia
Slovakia
Estonia
Lithuania
Poland
Cezch Rep.
HungarySlovenia
CyprusMalta
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
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
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
EPIET and ECDC
Integration in the ECDC from 2006 Cohort 12 financed through ECDC project
grant
EPIET alumni as key role players in ECDC
More information
More information is available on the web at:
http://www.epiet.org
Or writing an e-mail to:
Thank you
EuropeanProgramme for Intervention Epidemiology Training