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Fouillet Anne

Description

Co-financed by the European Commission through the Executive Agency for Health and Consumers, the European Triple-S project (Syndromic Surveillance Survey, Assessment towards Guidelines for Europe) was launched in 2010 for a 3-year period and includes 24 organizations in 13 countries. Numerous European countries have created SyS systems. These systems analyze and report their SyS findings to local, regional or national public-health authorities in accordance with their national priorities. But the country outputs are not systematically reported and compared at the EU level, hindering a global overview and interpretation of the health situations observed in different regions or countries in Europe. The Triple-S project has thus proposed a strategy for coordinating the comparison and interpretation of SyS information across Europe to produce a Europe-wide epidemiological picture of a given health event in a timely manner, and thereby support coordinated public-health action.

Objective

To present a proposal for coordinating syndromic surveillance (SyS) systems operated by European countries and for comparing findings from these systems.

Submitted by knowledge_repo… on
Description

The Triple-S project (Syndromic Surveillance Systems in Europe, www.syndromicsurveillance.eu), co-financed by the European Commission and involving twenty four organizations from fourteen countries was launched in September 2010 with the following objectives 1) performing an inventory of existing or planned SyS systems in Europe both in animal and public health, 2) building a network of experts involved in SyS 3) producing guidelines to implement SyS systems, 4) developing synergies between human and animal health SyS systems. The project is based on a cooperation between human and animal health experts, as supported by the One Health initiative [1].

Objective: 

The objective of this study, based on the Triple-S project outputs, was to present the existing synergies between human and animal health syndromic surveillance (SyS) systems in Europe and a proposal to enhance this kind of collaboration.

 

Submitted by Magou on
Description

The French syndromic surveillance system SurSaUD was set up by the French institute for public health surveillance (InVS) in 2004. The system is based on three main data sources: 1) the attendances in the Emergency departments (ED), 2) the consultations to emergency General Practitioners’ associations SOS Médecins, 3) the mortality data from civil status offices and e-certificates.

In 2012, 400 of the 710 ED and 59 of the 62 GP’s associations are involved in the system. 80% of the national mortality is also collected. Given this large database and the need to analyze data in a short delay to reach the early warning objective of the system, a specific software has been developed.

 

Objective

The presentation describes the design and the main functionalities of the software developed to support the data management and data analysis of the French syndromic surveillance system.

Submitted by hparton on
Description

Since 2004, the French syndromic surveillance system SurSaUD® coordinated by the French Public Health Agency (Sante publique France) daily collects morbidity data from two data sources: the emergency departments (ED) network Oscour® and the emergency general practitioners associations SOS Medecins. Almost 92% of the French ED attendances are recorded by the system. SOS Medecins network is a group of 62 associations of general practitioners, dispatched all over the territory. Sante publique France received data from 61 out of 62 associations. Both data sources collect medical diagnosis, using ICD10 codes in the ED network and specific medical thesaurus in SOS Medecins associations. These data are routinely analyzed to detect and follow-up various expected or unusual public health events all over the territory. The system is also used for reassurance of decision makers. In that framework, in March 2017, the French Ministry of Health requested Sante publique France to validate a potential scarlet fever outbreak in France.

Objective:

Describe a case study of validation of a scarlet fever outbreak using syndromic surveillance data sources.

Submitted by elamb on
Description

After the major impact of the 2003 heat wave, France needed a reactive, permanent and national surveillance system enabling to detect and to follow-up various public health events all over the territory including overseas. In June 2004, the French syndromic surveillance system based on the emergency department (ED) has been implemented by the national institute for public health surveillance (InVS). Beginning with 23 ED in 2004, the network has progressively included new ED and several steps have contributed to accelerate this permanent increase. A first evaluation of this data source was conducted for the specific surveillance of heat wave.

Objective

Implemented 10 years ago, the French emergency department surveillance system (Oscour Network) has been assessed using four major evaluation criteria in syndromic surveillance: stability, coverage, data quality and utility.

Submitted by teresa.hamby@d… on
Description

Since the terrorist attacks against the satirical newspaper Charlie Hebdo in January 2015, France has activated the highest level of its national anti-terrorist security plan. A new terrorist attack occurred the 26th of June at 9:50 AM in a gas production plant located in the industrial area of Saint Quentin Fallavier nearby Lyon (East -South-of France). The plant produces several different chemical products like gas and plastics and employed 40 people. The attack resulted in an explosion followed by fire. The French Institute for Public Health Surveillance (InVS) was alerted at 11 AM and decided to implement with its Rhône-Alpes regional office a protocol to timely assess the potential health impact on the population living or working around the attack area on emergency health care facilities (EHCF).

Objective

To timely assess the potential health impact on the population living or working in a terrorist attack area using syndromic surveillance

Submitted by teresa.hamby@d… on
Description

In December 2013, an emergence of chikungunya was observed in the French Caribbean region. Starting on the Saint-Martin island, the epidemic of chikungunya spread in Martinique on December 2013. The first cases were then observed in Guadeloupe in December 2013 and in January 2014 in the French Guyana. A specific surveillance system has been implemented based on a sentinel general practitioners’ network enabling the estimation of the number of cases clinically suggestive. Severity of this arbovirus is assessed using the number of hospitalized cases. The syndromic surveillance system SurSaUD, based on the daily collection of two complementary morbidity data sources, is also implemented in these territories and has contributed to the surveillance of this outbreak.

Objective

Description of the temporal pattern of the chikungunya epidemic and the characteristics of patients in the French overseas territories of Americas using the French syndromic surveillance system SurSaUD.

 

Submitted by Magou on
Description

In June 2004, the French syndromic surveillance system based on the ED has been implemented by the French institute for public health surveillance (InVS), starting with 23 ED. In August 2014, about 600 ED (40,000 daily attendances) are included in the Oscour network, recording 80% of the national total attendances.

Asthma is one of the about 60 syndromic indicators monitored each day and followed all over the year.

This indicator presents important fluctuations and can be influenced by several environmental and infectious but also societal factors. Particularly factors like air pollution are known to have both short and long term impact on asthma while thunderstorms are associated with acute outbreaks of asthma.

Objective

Description of the temporal pattern of the daily number of attendances in emergency departments (ED) for asthma in Paris area and identification of the main factors influencing this indicator.

Submitted by teresa.hamby@d… on
Description

Since 2004, the French syndromic surveillance system Oscour® has been implemented by the national institute for public health surveillance (InVS) and is daily used to detect and follow-up various public health events all over the territory [1]. Beginning with 23 ED in 2004, the coverage and data quality have permanently been increasing until including about 650 ED in August 2015. Initially based on a voluntary participation of ED, a mandatory transmission has been decided in July 2013, with major modification on the structural organization of the data transmission in some regions and on coding practices of the new ED. Besides this juridical context, the system is based on automatically data collection by ED physicians without recording added information for public health surveillance. This represents the main theorical condition to ensure stability and quality, even in case of occurrence of major public health events susceptible to drastically increase the workload [2].

Objective

Identification of the main factors influencing the stability and the quality of the French Emergency departments (ED) syndromic surveillance system.

Submitted by Magou on