Post on 13-May-2018
EpiSouth Plus (2010-14)
Health Security Workshop: How to benefit from European projects? CHAFEA – Brussels, 13-14 November 2014
Maria Grazia Dente
Communicable Disease Epidemiology Unit
National Institute of Health, Rome-Italy
EpiSouth Plus
(2010-14)
General Objective
to increase the health security in the Mediterranean area and South-East
Europe by enhancing and strengthening the preparedness to common
health threats and bio-security risks at national and regional levels in the
countries of EpiSouth Network in the framework of the IHR implementation
1. ITALY 2. FRANCE 4. SPAIN 5. BULGARIA 6. CROATIA 7. GREECE 8. MALTA 9. ROMANIA 10. SLOVENIA
11.MECIDS-Middle East
Consortium on Infectious Disease Surveillance;
12.WHO-IHR International Health Regulations Coordination, Lyon, France
1. ALBANIA 2. ALGERIA 3. BOSNIA & HERZEGOVINA 4. EGYPT 5. FYROM–Former Yugoslav Republic
of Macedonia 6. ISRAEL 7. JORDAN 8. KOSOVO 9. LEBANON 10. LIBYA 11. MONTENEGRO 12. MOROCCO 13. PALESTINE 14. SERBIA 15. SYRIA 16. TUNISIA
Partners in EpiSouth Plus
1. ECDC-European Centre for Disease Prevention and Control, Stockholm, Sweden;
2. EUROPEAN UNION DG SANCO Public Health Directorate, Luxembourg;
3. EUROPEAN AGENCY FOR HEALTH AND CONSUMERS, Luxembourg;
4. EUROPEAN UNION EuropeAid, Brussels, Belgium;
5. MOH-Ministry of Health, Rome, Italy;
6. WHO–EMRO Regional Office for Eastern Mediterranean, Cairo, Egypt;
7. WHO-EURO Regional Office for Europe, Copenhagen, Denmark;
8. SHIPSAN- Ship sanitation project
9. SEEHN- South East Europe Health network
http://www.episouthnetwork.org/
Collaborating Institutions in EpiSouth Plus
Objectives
i. Establishment of a Mediterranean Regional Laboratories Network
ii. Promotion of common procedures in Generic Preparedness and Risk Management
iii. Enhancing Mediterranean Early Warning Systems and cross-border Epidemic Intelligence
iv. Facilitating IHR implementation
Methods 1. Network development
- The EpiSouth Network was shaped around the definition coined by Chisholm in
1998 that identifies a Network as “a set of autonomous organizations that come
together to reach goals that none of them can reach separately”.
-the strategies were considered in the light of critical aspects connected with the
desirable long term impact of the results.
2. Implementation of the activities
-training needs assessments;
-prioritization exercises;
-situation analysis;
-development of Strategic Documents based on studies and lessons learned;
-design and delivery of trainings and technical workshops;
-a web based access-restricted platform, to share cross-border alerts for early
warning;
- a web based portal to disseminate project’s information and results.
From an European
project… (9 EU Countries)
… to a
Mediterranean Network of
PHI/MoH and LAB (27
Countries: 10 EU, 17 non-EU)
Main results and achievements
* Croatia EU Country on 1° July 2013
Main results and achievements
• Network development (Public Health Institutes/MoH and Lab)
Main results and achievements
• Training
Capacity building process
Core-Capacity for preparedness Assessments (Epi & Lab training needs)
Two Workshops (sharing experiences);
Four Trainings (strenghtening
capacities: Preparedness , WNV, Dengue, biosafety);
EI stages
Ca
pa
citie
s in
sta
lled
Emergency Preparedness &
Response Planning (EPREP) Tool
Simulation Exercise (performing)
Identification of priority areas for lab network
• Questionnaire to define the priority areas for the Region (Aug. 2011)
West Nile virus, Biosafety and Dengue -first questionnaire (27 countries) to select the Lab to be included in the EpiSouth Lab Network as per set minimum requirements (Lab that are a reference for Dengue and West Nile or the Lab of Virology which are dealing with these pathogens if no specific reference laboratories exist); - second questionnaire to assess the needs of the selected lab;
12
13
-one-week training on Dengue/Biosafety at Institut
Pasteur, Paris (July 2012)
-one-week training on WNV at ISCIII, Madrid (June
2013)
- Evaluation Quality Assessment for Dengue and West
Nile
-«onsite» training
- stages at the Institut Pasteur
Lab capacity building
3 different tools to share information on public health threats
Weekly e-Web bulletin
n=264 (since March 2008)
PUBLIC
ad hoc
Thematic Notes (CCHF, Melamine, Arenavirus, H1N1,
Alkhurma, West Nile, Hajj pilgrimage, Olympic games, FIFA
world cup, NCoV , YF, etc.)
PUBLIC
Live Secure platform
For EpiSouth countries
RESTRICTED
Added Value of the EpiSouth Thematic Notes
Availability of an overview on selected health threats from the unique
regional perspective of the Mediterranean.
Increased awareness of public health risks from this Mediterranean regional
perspective
Leading to…
More than thematic notes… annual surveys.
Since unprecedent WN outbreak in 2010: close monitoring of the all related events (eweb and thematic notes)
Survey launched in EpiSouth countries during 3 consecutive years:
3 outbreaks documented: 2010, 2011 & 2012.
Contribution from FPs and country laboratory contacts
Excellent Response rate and countries’ feedback
Enhanced collaboration between EPI and LAB Networks
SUPPORT THE IMPLEMENTATION OF IHR-WHO IN THE MEDITERRANEAN
COUNTRIES
The “EpiSouth Plus National Situation Analysis” (ENSA), was designed to describe
how four countries of the EpiSouth network have addressed coordination of
surveillance between PoE and NHS:
How the exchange of information is organized;
Availability of formal procedures in place and legal constraints;
Main strengths and challenges.
F. Riccardo, P. Nabeth, G. Priotto, M.G. Dente, A. Leventhal, L. Vellucci, T. F. Melillo, S. A. Saleh, A. Rguig on
behalf of the EpiSouth WP7 Steering Team. The EpiSouth Plus Project. Situation analysis on coordination of
surveillance between points of entry and the national health system- Methodology Available at:
http://www.episouthnetwork.org/sites/default/files/outputs/wp7_ensa_methodology.pdf
F. Riccardo, P. Nabeth, G. Priotto, MG. Dente, S. Declich. The EpiSouth Plus Project. WP7 – EpiSouth
Plus Strategic Document: Coordination of epidemiological surveillance between points of entry and the
national health system in the framework of the international health regulations 2005 in the EpiSouth region.
Available at: http://www.episouthnetwork.org/.
The EpiSouth National situation analysis
Italy Participating for scenario 2: Large
States with extensive coastlines and
strongly decentralized health systems
Malta Participating for scenario1: Small
coastal states and islands
Jordan Participating for scenario
3: States with little or no
coastlines
Morocco Participating for scenario 4:
Large States with extensive
coastlines and centralized HS
PARTICIPATING COUNTRIES
The EpiSouth National situation analysis Recurring strengths> reccomandations
• Invest on a solid legal framework that is supportive to the
implementation of coordinated surveillance between PoE and NHS
in the framework of IHR. This framework should establish a strong
link between the IHR NFP and the Competent Health Authorities
(CHA) at PoE;
• Ensure the presence of dedicated personnel covering the function
of CHA in PoE. This personnel should work with other actors in the
PoE, in liaison with the IHR NFP;
• Elaborate and update national protocols and local processes and
procedures on coordination of human health surveillance between
PoE and the NHS;
• Ensure, through training, that those protocols, processes and
procedures are known and applied consistently at central and PoE
level.
Sustainability
Networks (Epi & Lab)
Identification of further needs and priorities
New Projects:
MediLabSecureIntegrated Surveillance.pptx
MediEpiet
Methodology Appropriate/suitable
approaches for other initiatives and studies
WHO Guidance for PoE
Chafea Celeste Study on preparednessISS MG DENTE Celeste.pptx
Deliverables Possible use in other contexts
EPREP Tool
Lab resources mapping
Lab Directory
EpiSouth Project
European Health Award 2014
Winner
EHFG President Prof Helmut Brand said in his praise of the project:
• “The project is of particular importance for strengthening preparedness to health
threats, health security and bio-security, also outside the EU“.
• “The achievements of EpiSouthPlus are an eloquent example that in the field of
public health, cross-border cooperation is not just useful but, in many cases
such as these, simply indispensable”
The Award is dedicated to all those who have inspired, participated,
supported, and advised the EpiSouth Network. It is thanks to those
experts that the implementation of the EpiSouth and the EpiSouth Plus
Projects’ activities was possible and that the Projects’ results were
achieved.
Acknowledgements
The EpiSouth-Plus project was co-funded by the European Union DG
SANCO/EAHC, now renamed Consumers Health And Food Executive
Agency (CHAFEA), and DEVCO/EuropeAid together with the
participating national partner Institutions. The financial support of the
Italian Ministry of Health and ECDC is also acknowledged.
The contents of this presentation are the sole responsibility of the authors and can in no way be taken to reflect the views of the European Union.
EpiSouth Plus Leadership Project leader: S. Declich – ISS, Italy Coordination, co-leaders: M.G. Dente – ISS, Italy & M. Bejaoui – MoH, Tunisia Dissemination, co-leaders: M.Fabiani – ISS, Italy & D. Lausevic – PHI, Montenegro Evaluation, leader: G. Salamina – ASLTO1, Italy Lab Network, co-leaders: K. Victoir – IP, France & G. Korukluoglu – PHI, Turkey Preparedness Planning, co-leaders: F. Simon Soria, R. Cano, C. Martin Pando – ISCIII, Spain & D. Hannoun – PHI, Algeria & D. Simic – PHI, Serbia Early Warning and Cross-border Epidemic Intelligence, co-
leaders: P. Barboza, Fatima Aït-Belghiti- InVS, France & MECIDS (Israel, Jordan,
Palestine) IHR Implementation, co-leaders: F. Riccardo – ISS, Italy and P. Nabeth – WHO, France