Hulth Anette

Antibiotic resistance is a mounting public health threat calling for action on global, national and local levels. Antibiotic use has been a major driver of increasing rates of antibiotic resistance. This has given rise to the practice of antibiotic stewardship, which seeks to reduce unnecessary antibiotic use across different care settings. Antibiotic stewardship has been increasingly applied in hospital settings, but adoption has been slow in many ambulatory care settings including primary care of humans. Uptake of antibiotic stewardship in veterinary care has been similarly limited. Audit and feedback systems of antibiotic use coupled with patterns of antibiotic use and best practice guidelines have proven useful in outpatient settings, but scale-up is limited by heterogeneous systems of care and limited resources.

Objective: To develop, evaluate, and implement a universal online platform - termed OPEN Stewardship - to promote responsible antimicrobial prescribing (antimicrobial stewardship).

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 [1]. It involves 24 organisations from 13 countries. The project's final purpose is to increase the European capacity for real-time surveillance and monitoring of the health burden of expected and unexpected health-related events. Based on inventories of European SyS systems [2;3], eight country visits [4] and experts advice, the project has developed scientific guidelines that aim at providing scientific and technical guidance for the development and implementation of SyS systems for both human and animal health.

Objective

To present the Guidelines for implementing syndromic surveillance (SyS) systems at a national, regional or local level.

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.

Infectious disease surveillance for generating early warnings to enable a prompt response during mass gatherings has long been a challenge in India as well as in other parts of the world. Ujjain, Madhya Pradesh in Central India hosted one of the largest religious festival in the world called ‘Simhasth kumbh mela’ on the banks of River Kshipra, where more than 50 million attendees came for holy dip during April 22 to May 21, 2016. The attendees included pilgrims (residents and visitors), observers, officials and volunteers. We developed an android application with automated summary reports and an interactive dashboard for syndromic surveillance during the gathering.

Objective:

To develop, test and study tablet-based participatory syndromic surveillance system for common infectious disease conditions at community level in Simhashta religious mass gathering in Ujjain, India, 2016.