Fourth Meeting of the Surveillance and Studies in a Pandemic Working Group, Stockholm, July Scope and purpose

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1 Fourth Meeting of the Surveillance and Studies in a Pandemic Working Group,. Background Scope and purpose The European Centre for Disease Prevention and Control (ECDC) is an EU agency 1 with a mandate to operate the EU surveillance networks (former dedicated surveillance networks, DSNs) and to identify, assess, and communicate current and emerging threats to human health from communicable diseases (CDs). Recognising the importance of surveillance in a pandemic (SiaP), ECDC has been developing European thinking on SiaP with EU/EEA Member States through a series of meetings and papers 2,3 which have also included the important contribution of modelling 4. This has been developed in parallel with WHO thinking and recommendations. 5 Apart from studying just the reporting elements there are a number of unknowns (or gaps) that need to be estimated to improve the country response, and for this purpose the ECDC has expanded the scope from SiaP to surveillance and studies in a pandemic or SSiaP. With the growing threat of influenza A (H5N1) and the current pandemic of influenza A (H1N1)v, several countries have already undertaken the opportunity to put into practice or 1 Established by the European Parliament and Council Regulation 851/2004 of 21 April For more information about the structure and organization of ECDC please refer to 2 ECDC (2007) Working Group Influenza Surveillance in a Pandemic August Nicoll A & ECDC Influenza Project team (2007). Public Health Measures in an Influenza Pandemic the importance of surveillance. Eurosurveillance ECDC (2008b) Now casting and short-term forecasting during influenza pandemics Report of focused developmental ECDC workshop Stockholm, November WHO Global surveillance during an influenza pandemic April

2 activate a number of the reporting systems and concepts. Their experiences and lessons will be vital to facilitate that other countries deal with these issues in a more effective manner. Some work has already been done by ECDC and Member States on the issue of Monitoring (WHO Component 3) around an Advisory Forum Work Group and agreed notes from that meeting are attached. The SiaP paper concluded that there will be tasks that all countries should be doing, and some where it would be sufficient if they are only done in a few as long as protocols are comparable and data and analyses are rapidly shared. However, to be comparable then the work in these few countries needs to be undertaken in a standardised way. Therefore, the purpose of the meeting is To review whether the parameters laid out in the SiaP paper still hold under the current experience or whether some can be dropped or others have to be added To take stock of the various activities that countries are doing regarding the strategic parameters To bring the countries planning/already preparing the various activities together and try to agree on protocols To identify strategic parameters no country is working on, but estimates of which would be needed Specific Objectives To share the country experiences with A(H1N1)v to date and discuss the various Strategic Parameters related to action; To learn from the experience abroad, especially that in North America; To identify groups and investigators who are undertaking relevant work in Europe and in other Regions of the world to enable the ECDC to link up and work with them to share their knowledge, experiences and lessons learnt with other countries; To specifically address the issue of Monitoring in a pandemic (WHO Component 3) and agree the minimum that EU Member States can reasonably deliver in a pandemic; To plan joint work activities through the rest of 2009 and the first half of It should be noted that the meeting will not deal with vaccine and antiviral effectiveness and safety work though this will be noted in the output. This also applies to estimates of the effectiveness of interventions. 2

3 Planned outcomes 1. A minimum set of indicators for surveillance and for monitoring in a pandemic that all EU/EEA countries can deliver and that are in accordance with the WHO indicators. 2. A live catalogue of more specialised work being undertaken in EU/EEA Member States with contact details to be retained and updated by ECDC and shared with MS and WHO 3. A clear workplan for these areas indicating what needs to be undertaken by ECDC and Member States in 2009/10 3

4 Day 1 Tuesday 14 th July - Anders Gustav Auditorium Registration at ECDC Welcome and reminder where we are now ECDC Andrea Ammon Session One Chair Andrea Ammon :30 Overview of Surveillance and Studies in a Pandemic - Andrea Ammon 09:30 10:00 The North American experience, including preparations for autumn - Lynette Brammer CDC 10:00 10:30 Update on WHO plans for Surveillance in a pandemic Tony Mounts WHO HQ 10:30 10:45 Coffee break Session Two Chair Caroline Brown Surveillance and Studies in a Pandemic the gaps 10:45 11:15 Case based reporting and analysis in a pandemic introduced by Isabelle Devaux & Mika Salminen Country Experience - Spain Silvia Jimenez Jorge, 11:15 11:45 ILI surveillance introduced by Flaviu Plata Country Experience - UK John Watson 11:45 12:15 Monitoring in a Pandemic introduced by Andrew Amato-Gauci Country Experience - USA Lynette Brammer WHO plans - Tony Mounts 12:15 12:30 Discussion Lunch 4

5 13:30 15:00 Surveillance and Studies in a Pandemic the gaps 13:30 14:00 Hospital surveillance including SARI introduced by Phillip Zucs Country Experience - Romania Florin Popovici 14:00 14:30 Outbreak investigations introduced by Viviane Bremer & Rene Snacken Country Experience - Germany Udo Buchholz, Country Experience - Denmark Steffen Glissmann 14:30 15:00 Mortality Monitoring introduced by Piotr Kramarz & Anne Mazick EuroMoMo Experience - Anne Mazick Discussion 15:00 15:15 Coffee break Session Three Chair John Watson Studies and Surveillance in a Pandemic the gaps 15:15 15:45 Analytic Studies introduced by Bruno Ciancio Country Experience - France Isabelle Bonmarin 15:45 16:15 Laboratory Based Studies introduced by Maria Zambon Country/CNRL Experience UK Maria Zambon 16:15 16:45 Serological studies introduced by Angus Nicholl and Mika Salminen Country Experience - Germany Udo Buchholz, Country Experience - Finland Ilkka Julkunen 16:45 17:00 Discussion Dinner (First Hotel Reisen) 5

6 Day 2 Wednesday 15 th July - Anders Gustav Auditorium Summary of the previous days discussions Angus Nicoll Session Four Chair Angus Nicoll 09:15 10:45 Working Group 1 (Chair TBD) Working Group 2 (Chair TBD) Working Group 3 (Chair TBD) Case based reporting and surveillance of Severe Acute Respiratory Infection (SARI) Serological studies and virological surveillance Influenza-like Illness/ Acute Respiratory Infection (ILI/ARI) surveillance and monitoring of the pandemic Coffee break 11:00 12:30 Working Group 1 (cont.) Working Group 2 (cont.) Working Group 3 (cont.) Case based reporting and surveillance of Severe Acute Respiratory Infection (SARI) Serological studies and virological surveillance Influenza-like Illness/ Acute Respiratory Infection (ILI/ARI) surveillance and monitoring of the pandemic Lunch SMI Session Four Chair Andrew Amato Report by the working groups Discussion Coffee break 6

7 ECDC Influenza A(H1N1) Modelling Group - introduced by Tommi Asikainen ECDC Experiences of modelling Influenza A(H1N1)v in Mexico, USA and UK Neil Ferguson, Imperial College (through phone) Modelling spread of flu and effects of intervention on European level through different models Andrea Pugliese, University of Trento Modelling Influenza A(H1N1)v in Gemany Mathias an der Heiden, Robert Koch Insitute Discussion Discussion on the next steps 1645 Closing remarks Andrea Ammon 7

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