GSS to GFN. Dr. Hilde Kruse Programme Manager Food Safety WHO/Europe

Transcription

1 GSS to GFN Dr. Hilde Kruse Programme Manager Food Safety WHO/Europe

2 PRESENTATION OUTLINE GSS & GFN: The Basics GSS From Birth to Reincarnation GFN Ever Improving Future Forecast

3 THE BASICS GSS? GFN? WHAT are they? GSS = Global Salm-Surv Network of Institutions, Individuals & Resources Focus on Salmonella Evolved into GFN GFN= Global Foodborne Infections Network Formerly GSS Wide Reach: Foodborne & Other Enteric Infections Up & Active Today

4 THE BASICS They do WHAT? Build capacity to detect, control and prevent foodborne infections Provide Ways to Report & Share Information Strengthen "integrated surveillance, investigation, prevention and control of foodborne and enteric illnesses" and their causative pathogens WHO. "An integrated approach to food safety and zoonoses: Building capacity to detect, control and prevent foodborne infections." Food Safety and Zoonoses, Accessed 11 September 2013.

5 THE BASICS You use them WHEN? During Outbreaks Ongoing Surveillance Refreshing Skills Learning Skills Amending Protocols Informing Policy Questions & Concerns As Much as Possible!

6 THE BASICS You use them HOW? Solicit Advice, Data, Answers Participate in Offerings Contribute Advice, Data, Resources

7 THE BASICS You use them WHY? Improve Food Safety (National, Regional, Global) Strengthen Capacities (Training, Databases, Protocols) Increase Trust & Confidence Timely Effective Responses Tangible Benefits Communication and Collaboration

8 THE BASICS You join WHO?

9 BEYOND THE BASICS How did such networks and partnerships come into being? How did they develop over time? What was learned along the way? How do these lessons apply to current disease surveillance in Europe?

10 GSS: FROM BIRTH TO REINCARNATION

11 ! GSS CONCEPTION WHO 1997 Survey 1/3 Member States No Basic Infrastructure Lack Lab-Based Surveillance Capacity Salmonella Serotyping Capabilities Deficient CDC. Accessed 30 September 2013.

12 GSS BIRTH Year: 2000 Certificate of Birth Name: Parents: WHO Global Salmonella Surveillance (WHO Global Salm-Surv, GSS) WHO CDC (US) Danish National Food Institute (DTU Food)

13 GSS DEVELOPMENT 1 st Annual WHO Global Salm-Surv Strategic Planning Meeting 2001 Copenhagen, Denmark Developed Strategic Plan for

14 GSS DEVELOPMENT 5 Main Goals I. Strengthen Capacities II. Establish Centers of Excellence III. Foster Collaboration IV. Enhance Reporting V. Promote Communication

15 GSS DEVELOPMENT Strengthening Capacities How: C.V.: Training Courses External Quality Assurance System (EQAS) Provision of Materials, Manuals, Testing 30 International Training Courses >600 Professionals Trained Trainees from over 90 Countries >200 Labs Participated in EQAS Lab Manuals in 5 Languages Antisera Kit Distribution

16 GSS ACCOMPLISHMENTS WHO GSS Training Courses, WHO. WHO Global Salm-Surv progress report ( ). DRAFTv6. p. 14, Figure 4.

17 GSS ACCOMPLISHMENTS Past European Offerings National Institute of Hygiene, Warsaw, Poland 18 Participating Countries 3 Courses (Microbiology I & II, Lab Surveillance) Laboratory of Zoonosis, Moscow, Russia; Central Research Inst. of Epi. 10 Participating Countries 1 Course (Microbiology I) Institut Pasteur-St. Petersburg, Russia 10 Participating Countries 2 Courses (Microbiology I & II) Kazakhstan School of Public Health, Almaty, Kazakhstan 4 Participating Countries 1 Course (Basic Epidemiology) WHO. WHO Global Salm-Surv progress report ( ). DRAFTv6.

18 GSS ACCOMPLISHMENTS Foster Collaboration & Promote Communication How: Advocate for Political Support Encourage Projects Among Trainees Practical Applications of Training Electronic Discussion Group listserv Reference Testing C.V.: National & Regional Projects Slovenia Burden of Illness National Project Partnership Formation Field Epi Training Programs Fogarty International Center (US NIH) > 165 messages disseminated through listserv WHO. WHO Global Salm-Surv progress report ( ). DRAFTv6.

19 GSS ACCOMPLISHMENTS Enhance Reporting How: GSS Country Databank Web-Based, Password-Protected Salmonella serotype C.V.: Secure, Searchable Salmonella Serotype Information Serotype by Year, Region, Nation Human, Animal, Food, Feed, Environmental Isolates Databank Membership: 141 countries (through 2005) 2005 Published Manuscript Describing Databank Data WHO. WHO Global Salm-Surv progress report ( ). DRAFTv6. p. 23, Figure 27.

20 GSS GROWTH Annual # Courses: 2 in in 2004 By 2005: > 850 Members 141 Countries WHO. WHO Global Salm-Surv progress report ( ). DRAFTv6. p. 7, Figure 3.

21 GSS GROWTH Global Change Increased Surveillance Capacity Increasing Global Population Increased Trade & Travel Increased Awareness & Importance of Pathogens Other Than Salmonella

22 GFN EVER IMPROVING GSS Renamed to GFN Hi My Name is... GSS X GFN Reflection of a scope...beyond Salmonella Of a broader and more comprehensive focus ~Dr. Danilo Lo-Fo-Wong Alovering. (2011). Danilo Lo Fo Wong, director of the World Health Organization Food Safety and Zoonoses department and GFN coordinator. Food & Agriculture, Research Media, Ltd. Accessed 30 September 2013.

23 GFN EVER EVOLVING GSS GFN Transition Didn t Happen Overnight Cumulative Process, Gradual Evolution Name Change GFN E.Coli V. cholerae; Brucella MRSA 1 st S. Typhi demo; Shigella Bench-top Training on Salmonella First Joint Lab/Epi Course Campylobacter Global Foodborne Infections Network (GFN) 7 October 2013

24 GFN EVER IMPROVING Core Mission & Goals Remain GSS: Stated Goals GFN: Stated Goals Strengthen Capacities Strengthen Capacities Establish Centres of Excellence Foster Collaboration Promote Communication Enhance Reporting Raise Awareness of GFN Foster Partnerships Engage Decision Makers Support Member States to Generate Data & Apply it WHO. Global foodborne infections network (GFN): Strategic plan Global Foodborne Infections Network (GFN) 7 October 2013

25 GFN EVER IMPROVING KEY Difference Between GSS & GFN: SCOPE & SCALE OF OFFERINGS GFN: Bigger, Broader, Better WHO. Global foodborne infections network (GFN): Strategic plan

26 GFN EVER IMPROVING 6 Programme Components I. International Training Courses II. Salmonella Surveillance System III. Annual External Quality Assurance System (EQAS) IV. Focused Regional & National Projects V. Reference Testing Services VI. Communications WHO. Global foodborne infections network (GFN): Strategic plan

27 GFN EVER IMPROVING GFN External Quality Assurance System (EQAS) Aims: To have laboratories evaluate their performance of serotyping and antimicrobial susceptibility testing (AST) To improve quality of surveillance data To assess the quality of Salmonella serotyping and AST in laboratories worldwide To evaluate the effect of the training courses To identify barriers for serotyping and AST Global Foodborne Infections Network (GFN) 10 October 2013

28 ~ 180 labs from ~ 80 countries participate annually Proficiency test Serotyping / AST Salmonella strains Id of Campylobacter/Shigella strains 1 blank sample Supplier of ref. strain ATCC Results GFN EVER IMPROVING GFN External Quality Assurance System (EQAS) submitted through secure website Instant individual evaluation reports Yearly over-all evaluation reports posted on the web Global Foodborne Infections Network (GFN) 10 October 2013

29 GFN EVER IMPROVING GFN Country Databank countries signed up countries signed up DTU Food, Technical University of Denmark

30 GFN EVER IMPROVING In total by August 2013, national data: 2,247,754 isolates included in the CDB (1,746,601 of which are from human origin) 359 different serotypes reported DTU Food, Technical University of Denmark

31 GFN EVER IMPROVING Registration Process New members register on-line After validation, member information is transferred to the database Members continue to submit Top15-lists Development of visualization tool in the pipeline DTU Food, Technical University of Denmark

32 Include more data Other pathogens AMR profiles GFN EVER IMPROVING Portal Lite: Connects Country Databank to WHONET Database Chemical contaminants Explanatory factors Consumption Trade Animal production Meteorological data Global Foodborne Infections Network (GFN) 7 October 2013

33 GFN EVER IMPROVING Projects & Publications Pathogen-specific projects (e.g. S Weltevreden, S Lamphun, S Corvalis, S Hiduddify, S Concord ) Burden of Illness Studies (e.g. Jordan, Slovenia, the Caribbean) Enhanced Surveillance Studies (e.g. China, Fiji, Philippines, Kazakhstan) > 30 projects conducted > 25 peer-reviewed articles Translating and summarizing scientific evidence to comprehensive messages for decision makers Global Foodborne Infections Network (GFN) 7 October 2013

34 Training Manuals By pathogen Salmonella GFN EVER IMPROVING Campylobacter E. coli O157 Shigella Basic & Advanced methods Isolation, ID, Serotyping AST, PCR, PFGE Various languages English, French, Spanish, Russian, Chi nese Global Foodborne Infections Network (GFN) 7 October 2013

35 GFN EVER IMPROVING International Training Courses Joint Epidemiology & Laboratory Integrated surveillance Risk assessment Country Plans of Action Advocacy and Communication Information sharing networks Microbiology Global/Region-specific pathogens (e.g. Salmonella, Campylobacter, E. coli, V. cholerae, S. Typhi, Brucella, Shigella, Listeria, C. botulinum) Quality assurance, Biosafety Antimicrobial Susceptibility Testing Epidemiology Outbreak detection and response Evaluation of surveillance systems Study design Source attribution Burden of disease Global Foodborne Infections Network (GFN) 7 October 2013

36 GFN EVER IMPROVING Ashgabat, Turkmenistan September 2013

37 GFN EVER IMPROVING Familiar Face(s) of Collaboration Global Foodborne Infections Network (GFN) 7 October 2013

38 GFN EVER IMPROVING Upcoming Courses Uzbekistan November 2013 Georgia, Caucasus Region Spring 2014

39 FUTURE FORECAST On the Drawing Board: Some Ideas for Future Evolution & Expansion of GFN Needs-based approaches and closely working with WHO Regional and Country Offices Beyond training and over-all scope of activities

40 FUTURE FORECAST GFN Vision: A world where all countries have more capacity to prevent and control foodborne and other enteric infections

41 FUTURE FORECAST GFN Mission: To enable countries to detect, control, and prevent foodborne and other enteric infections by: Building capacity for integrated surveillance; & Fostering collaboration among human health, veterinary, food and other relevant sectors

42 ONE HEALTH Don t Wait PARTICIPATE! Whether you work with Mice or Men, You too can join GFN!

43 CREDITS Alicia May Leahy MD/PhD Candidate Texas A&M Health Science Center Intern, Food Safety WHO Regional Office for Europe Dr. Danilo Lo Fo Wong Senior Advisor Antimicrobial Resistance WHO Regional Office for Europe Copenhagen, Denmark

44 CREDITS Amy Louise Cawthorne GFN Facilitator Department of Food Safety and Zoonoses World Health Organization Geneva, Switzerland Tim Corrigan Project Officer Department of Food Safety and Zoonoses World Health Organization Geneva, Switzerland Gillian Mylrea Deputy Head International Trade Department World Organisation for Animal Health

45 THANK YOU!