Introduction to ProMED
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1 ECDC Epidemic Intelligence tutorial Unit 2 Screening ProMED-mail - the Program for Monitoring Emerging Diseases - is an Internet-based reporting system dedicated to rapid global dissemination of information on outbreaks of infectious diseases and acute exposures to toxins that affect human health, including those in animals and in plants grown for food or animal feed. Electronic communications enable ProMED-mail to provide up-to-date and reliable news about threats to human, animal, and food plant health around the world, seven days a week. ProMED-mail is open to all sources and free of political constraints. Sources of information include media reports, official reports, online summaries, local observers, and others. Reports are often contributed by ProMED-mail subscribers. A team of expert human, plant, and animal disease moderators screen, review, and investigate reports before posting to the network. Reports are distributed by to direct subscribers and posted immediately on the ProMED-mail web site. ProMED-mail currently reaches over 40,000 subscribers in at least 185 countries. More information is available online at: The ProMED-mail electronic outbreak reporting system was inaugurated on the Internet in August 1994 to monitor emerging infectious diseases globally Moderated lists and website Free subscription 44,000 subscribers in > 170 countries All reports are screened by expert Moderators before posting Average of 7 reports per day European Centre for Disease Prevention and Control, Stockholm, 2010
2 Traditional public health reporting ProMED surveillance One medicine ProMed considers disease without regard to species and recognizes the commonality of human and veterinary health human pathogens 58% are zoonotic 130 of the 177 recently emerged pathogens zoonotic (RR=2.0) Zoonoses in disease emergence 1407 human pathogens 58% are zoonotic 130 of the 177 recently emerged pathogens zoonotic (RR=2.0) 2
3 How ProMED-mail Operates Locations of ProMED-mail staff 32 staff members in 15 countries 3
4 Information flow: overview Receipt of information 4
5 Sources of information Official reports from Regional, National, International Public Health Authorities including labs ProMED-mail participant/subscribers Lay press reports Other unofficial or informal sources Blogs Chat rooms Websites Videos (You tube, etc.) SMS messages Internal Review and Verification Dissemination of Information 5
6 Regional Programs of ProMED-mail ProMED-Esp, ProMED-Port: Already well-established in Latin America Mekong Basin Disease Surveillance Collaboration (MOHs of Cambodia, China, Laos, Myanmar, Thailand, Vietnam,WHO, Rockefeller) East Africa Integrated Disease Surveillance Network (MOHs of Kenya, Tanzania, Uganda, WHO, Rockefeller) ProMED-RUS (Russian language reports from the countries of the newly independent states of the former Soviet Union) ProMED version française, targeting francophone Africa and Islands of Indian Ocean Summary ProMED-mail serves as an early-warning system for emerging diseases Combines rapid reporting from a wide range of sources with expert commentary Human driven: Provides a forum for cooperation among diverse groups and encourages input from users Multiple disease reporting systems are complementary and enhance detection Free subscription at ProMED publications available on line at: K. Ben Jebara & A. Shimshony, International monitoring and surveillance of animal diseases using official and unofficial sources. Veterinaria Italiana, 42 (4), Peter Cowen, Tam Garland, Martin E. Hugh-Jones, Arnon Shimshony, Stuart Handysides, Donald Kaye, Lawrence C. Madoff, Marjorie P. Pollack, Jack Woodall. Evaluation of ProMED-mail as an electronic early warning system for emerging animal diseases: 1996 to JAVMA, Vol 229, No. 7, October 1, 2006 pp Madoff L., Cooperation between animal and human health sectors is key to the detection, surveillance, and control of emerging disease, IMED 2007 meeting in Vienna, February Euro Surveill 2006;11(12):E Lawrence C. Madoff and John P. Woodall, The Internet and the Global Monitoring of Emerging Diseases: Lessons from the First 10 Years of ProMED-mail, Archives of Medical Research, Volume 36, Issue 6, November-December 2005, Pages Lawrence C. Madoff, ProMED-mail: An Early Warning System for Emerging Diseases, Clinical Infectious Diseases 2004; 39: Woodall, John P. Global surveillance of emerging diseases: the ProMED-mail perspective. Cad. Saúde Pública. [online]. 2001, vol.17 suppl. [cited 28 July 2005], p Woodall, J. Combating Infectious Disease & Toxin Outbreaks, Natural & Man-made, through the Internet, (PowerPoint presentation). Woodall, J. SIM Quarterly, Outbreak meets the Internet: Global epidemic monitoring by ProMED-mail, June 1997 Stephen S. Morse, Barbara Hatch Rosenberg and Jack Woodall, Global Monitoring of Emerging Diseases: Design for a Demonstration Program, Health Policy, 38 (1996) Stephen S. Morse, Controlling Infectious Diseases, May
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