WHO Global Salm-Surv: WHO Global Salm-Surv: A Global A Global Salmonella Salmonella Surveillance NetworkSurveillance Network

World Health Organization, Geneva

Centers for Disease Control and Prevention, Atlanta

Danish Veterinary Laboratory, Copenhagen

Overview Overview

Purpose of Global Salm-SurvMembersLogic ModelProgramsFuture Plans

Global Salm-SurvGlobal Salm-Surv

A global network of people and institutions involved in Salmonella surveillance, serotyping and antimicrobial resistance testing

Purpose of Global Salm-Surv Purpose of Global Salm-Surv

To strengthen and enhance the capacities of national and regional laboratories in Salmonella surveillance and antimicrobial resistance in humans, food and animals

Global Salm-Surv Logic ModelGlobal Salm-Surv Logic Model

Global Salm-Surv

Electronic Discussion

Group

Training Courses

EQAS

Country Databank

At least 50 messages in 2001

At least 80 participants in 30

countries

Top 5 needs identified, by country

200 participants

At least 50 countries’ data loaded for 1999

Need for improved communication between

countries

Need for global surveillance systems

Need for quality assurance in laboratories

2001 Objectives Identified Needs

Global Salm-Surv MembershipGlobal Salm-Surv Membership

General Member =

A person involved in Salmonella surveillance, serotyping or antimicrobial susceptibility testing

Global Salm-Surv MembershipGlobal Salm-Surv Membership

Member Institution =

An institution that provides national or regional Salmonella summary data

Danish Veterinary Laboratory, Copenhagen

Global Salm-Surv MembershipGlobal Salm-Surv Membership

233 Members

62 Member Institutions

90 Countries

Global Salm-Surv MembersGlobal Salm-Surv Members

88% isolate Salmonella

86% serotype Salmonella

79% perform antimicrobial susceptibility tests

Global Salm-Surv MembersGlobal Salm-Surv Members

62% test human isolates

93% test non-human isolates 65% animal sources

67% environmental sources

89% foodborne sources

Global Salm-Surv ProgramsGlobal Salm-Surv Programs

Electronic Discussion GroupRegional Training CoursesExternal Quality Assurance System (EQAS)Web Site & Country DatabankReference Services

Electronic Discussion GroupElectronic Discussion Group

Weekly messages on current Salmonella topics, including outbreaks, serotypes and antimicrobial resistance

Moderated discussion group via e-mailAll general members Messages archived on Web site

Regional Training CoursesRegional Training Courses

Step 1 Basic MicrobiologyStep 2 Microbiology + Basic Epidemiology Step 3 Advanced Epidemiology

Courses2000 Thailand, Argentina, Greece2001 Thailand, China, Mexico, ArgentinaProposed: Greece, Poland, Russia

External Quality Assurance External Quality Assurance System: 2000System: 2000

8 Salmonella enterica strains1 Escherichia coli strainSerotyped and tested for antimicrobial

susceptibility44 laboratories35 countriesFree

External Quality Assurance External Quality Assurance System: 2000System: 2000

76% Salmonella serotypes correct92% antimicrobial susceptibility tests

correct28% E.coli tests incorrect

External Quality Assurance External Quality Assurance System: 2001System: 2001

200 Global Salm-Surv laboratoriesRecruitment in Winter 2001 Global Salm-Surv ‘Certification’

Global Salm-Surv Web Site & Global Salm-Surv Web Site & Country DatabankCountry Databank

See Web Site at: www.who.ch/salmsurv

Global Salm-Surv Web SiteGlobal Salm-Surv Web Site

Membership and EQAS FormsFrequently Asked QuestionsRelated LinksCountry Databank

Global Salm-Surv Country Global Salm-Surv Country DatabankDatabank

Annual Salmonella summary dataTop 15 Salmonella serotypes Data provided by Global Salm-Surv

Member InstitutionsInteractive databases

Global Salm-Surv Reference Global Salm-Surv Reference TestingTesting

Serotyping and phagetypingAntimicrobial susceptibility testing PFGEGenetic characterization of antibiotic

resistance genes Other analyses

Global Salm-Surv Future PlansGlobal Salm-Surv Future Plans

Needs assessment of membersFormative evaluation of programExtension of training courses to additional

regionsStrengthen partnerships between

epidemiologists and microbiologists in member countries

For More Information…For More Information…

For more information on Global Salm-Surv,

please visit the Web site at www.who.ch/salmsurv

Or contact: globalsalm-surv@listserv.cdc.gov

Fax: 1.404.371.5444, attn Global Salm-Surv