evaluation of severe influenza surveillance in europe

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Presentation by Julien Beauté of ECDC at the Joint WHO/Europe & ECDC Annual Influenza Surveillance Meeting, Vienna, Austria, 11–13 June 2014.

TRANSCRIPT

Page 1: Evaluation of severe influenza surveillance in europe

Julien Beauté, ECDC

Joint WHO/Europe & ECDC Annual Influenza Surveillance Meeting

Vienna, 11-13 June 2014

Evaluation of severe influenza surveillance in Europe

Background

• 2009 influenza pandemic

− First attempt to monitor severe cases at EU level

− Rapid development of surveillance – July 2009

• 2010-to the present date

− Six to ten EU/EEA countries reporting (seven for the 2013/14 season)

− Thirteen countries reported SARI data to EuroFlu for the 2013/14 season (including two EU countries)

− Cases admitted to intensive care units or any ward

− Sentinel or comprehensive surveillance

Joint WHO/Europe & ECDC Annual Influenza Surveillance Meeting

Vienna, 11-13 June 2014

Page 3: Evaluation of severe influenza surveillance in europe

Outputs

Joint WHO/Europe & ECDC Annual Influenza Surveillance Meeting

Vienna, 11-13 June 2014

• Weekly influenza bulletins

• ECDC seasonal risk assessment

• Annual reports

• Peer-reviewed publications

Evaluation of severe influenza surveillance

• To provide ECDC with:

− Clear statement on epidemiological and public health usefulness

− Future scenarios and recommendations

• Requested deliverables:

− Description of the surveillance of severe influenza in all the EU/EEA states

− Review of the surveillance at the EU/EEA level

− Comparison with systems elsewhere

− Guidance for future

Joint WHO/Europe & ECDC Annual Influenza Surveillance Meeting

Vienna, 11-13 June 2014

Evaluation of severe influenza surveillance

• Findings:

− Heterogeneity of systems in place hinders any significant added value from an European perspective

− Example of federally organised countries (e.g. U.S.) strongly argues in favour of more harmonised systems

Joint WHO/Europe & ECDC Annual Influenza Surveillance Meeting

Vienna, 11-13 June 2014

Page 6: Evaluation of severe influenza surveillance in europe

Key features of severe influenza surveillance systems in EU/EEA countries

Joint WHO/Europe & ECDC Annual Influenza Surveillance Meeting

Vienna, 11-13 June 2014

Page 7: Evaluation of severe influenza surveillance in europe

37th ECDC Advisory Forum, 27 Feb 2014

• Options

− Abandon severe influenza surveillance

− Proceed with the current strategy aiming at improving harmonisation and increasing the number of participating countries

− Proceed with the current system, but restrict severe influenza surveillance to intensive care units

− Establish a new surveillance system based on a European network of sentinel hospitals

− …

Joint WHO/Europe & ECDC Annual Influenza Surveillance Meeting

Vienna, 11-13 June 2014

Page 8: Evaluation of severe influenza surveillance in europe

Recommendations

• 37th ECDC Advisory Forum, 27 Feb 2014

– Proceed with the current system, but restrict severe influenza surveillance to intensive care units

– Clarify the objectives of severe influenza surveillance at the European level

• EISN Coordination Committee meeting, 19 Mar 2014

– Convince countries collecting data to participate

– Agree on denominator data

– Explore alternative monitoring systems

– Estimate risk factors for severe disease

Joint WHO/Europe & ECDC Annual Influenza Surveillance Meeting

Vienna, 11-13 June 2014

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