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15th International Congress on Infectious Diseases Bangkok, Thailand • June 13~16, 2 0 1 2 Organized by the International Society for Infectious Diseases In collaboration with the Infectious Disease Association of Thailand Final Program 15th International Congress on Infectious Diseases Poster Presentations ~ Thursday, June 14, 2012 Session 41 Poster & Exhibition Hall Level 22 12:45–14:15 Thursday, June 14, 2012 Infectious Disease Surveillance THURSDAY • June 14, 2012 41.001Activity of Tigecycline and comparators against aerobic intra-abdominal pathogens in Asia/Pacific: 2004–2011 R. Badal1, M. Hackel1, S. Bouchillon1, B. Johnson1, D. Hoban1, S. Hawser2, M. Dowzicky3 1 Schaumburg, IL (USA), 2Epalinges (Switzerland), 3Collegeville, PA (USA) 41.002Development of lateral flow test for the fast identification of Vibrio cholerae O1 E. Baranova Obolensk (Russian Federation) 41.003Factors related to the occurence of poliomyelitis in Nepal A. Bhattachan1, S. Jareinpituk1, P. Satitvipawee1, W. Schluter2, T. Sedai2, S. Upreti3 1 Bangkok (Thailand), 2Lalitpur (Nepal), 3 Kathmandu (Nepal) 41.004Potential threat of asymptomatic Leishmania donovani infection in Nepal N. R. Bhattarai1, B. Khanal1, S. Rijal1, J.-C. Dujardin2 1 Dharan (Nepal), 2Antwerp (Belgium) 41.005The molecular epidemiology of varicellazoster virus (VZV) in Czech Republic V. Bostik, R. Chlibek, M. Salavec, J. Smetana, P. Kosina, P. Prasil, S. Plisek, M. Splino, P. Bostick Hradec Kralove (Czech Republic) 41.006Transforming national human and veterinary disease surveillance systems from paper into integrated electronic form in the FSU countries A. Burdakov, A. Oukharov, T. Wahl Overland Park, KS (USA) 41.007Burden of dengue infection in children and adults of Bang Phae district, Ratchaburi province: The DVI project in Thailand P. Chanthavanich1, C. Sirivichayakul1, K. Limkittikul1, A. Riewpaiboon1, A. Sabchareon1, J. Lim2, B. Maskery2, A. Amarasinghe2, L. J. Da Sliva2 1 Bangkok (Thailand), 2Seoul (Korea, Republic of) 54 Final Program 41.008Incidence of invasive Salmonella infections in Agogo, Ghana F. Marks1, L. Cruz Espinoza1, Y. AduSarkodie2, N. Sarpong2, R. Krumkamp3, W. Loag3, T. F. Wierzba1, C. Meyer3, J. May3 1 Seoul (Korea, Republic of), 2Kumasi (Ghana), 3 Hamburg (Germany) 41.009Spatio-temporal dispersion of Aedes taeniorhynchus in Florida M. Falkner, K. J. Linthicum, S. C. Britch, L. Mao, A. Tatem Gainesville, FL (USA) 41.010Impact of immunization against hepatitis B virus in areas of high endemicity in Brazil G. Figueiredo1, R. MOREIRA1, M. R. Cardoso1, L. Pereira2, G. Coral3, A. Stein3, C. Braga2, U. Montarroyos2, R. Ximenes2 1 São Paulo (Brazil), 2Recife (Brazil), 3Porto Alegre (Brazil) 41.011Epidemiology of human leptospirosis in Mayotte and identification of circulating Leptospira isolates T. Lernout1, P. Bourhy2, L. Collet1, A. Achirafi1, C. Giry1, F. Petinelli1, M. Picardeau2, L. Filleul3 1 Mamoudzou (France), 2Paris (France), 3 Saint Denis, Reunion (France) 41.012A measles case study in a traveller: An international challenge A. Fior1, V. Moneti1, I. Mendes2, Y. Shigaeva3, S. Rodrigues1, E. Pinto1, F. Borges1, K. Mansinho1 1 Lisbon (Portugal), 2Cascais (Portugal), 3 Beja (Portugal) 41.013WHO polio laboratory network in Europe— safeguarding the frontiers using modern technology E. Gavrilin, A. Goel, R. Spataru, M. Mulders, R. Martin Copenhagen (Denmark) 41.014Early warning and epidemic intelligence in the Mediterranean region and Balkan countries: an EpiSouth network challenge F. Ait Belghiti1, C. Giese1, P. Barboza1, E. Anis2, M. Bromberg3, M. Bejaoui4, Z. Vratnica5, D. Lausevic5, N. Ramadani6, A. Kavaleshi6, A. Leventhal2, S. Husseini2, R. S. Y. Al-Haddadin7, C. Gauci8, T. Melillo Fenech8, M. Ben Ghorbal4, A. Rguig9 1 Saint Maurice (France), 2Jerusalem (Israel), 3 Tel Hashomer (Israel), 4Tunis (Tunisia), 5 Poddgorica (Montenegro), 6Prishtina (Kosovo, Republic of), 7Amman (Jordan), 8 Msida (Malta), 9Rabat (Morocco) Early warning and Epidemic Intelligence in the Mediterranean region and Balkan countries: an EpiSouth network challenge F. Ait Belghiti1, C. Giese1, P. Barboza2, E. Anis3, M. Bromberg4, M. Bejaoui5, Z. Vratnica6, D. Lausevic6, N. Ramadani7, A. Kavaleshi7, A. Leventhal8, S. Husseini9, R. S. Y. Al-Haddadin10, C. Gauci11, T. Melillo Fenech11, M. Ben Ghorbal5, A. Rguig12 1/ Institut de Veille Sanitaire (InVS), International department, Saint-Maurice/FR – 2/ institut de Veille Sanitaire, Saint-Maurice/FR – 3/ Israel Ministry of Health, Public Health Services, Jerusalem/IL – 4/ Ministry of Health, Israel Center for Disease Control, Tel Hashomer/IL – 5/ Ministère de la santé publique, Communicable diseases, Tunis/TN – 6/ Institute of Public Health, Communicable diseases, Poddgorica/ME – 7/ National Institute for Public Health of Kosova, University hospital center, Prishtina/KV – 8/ Ministry of Health, Communicable diseases, Jerusalem/IL – 9/ MECIDS, Search for common ground, Jerusalem/IL – 10/ Ministry of Health, Communicable diseases, Amman Al Shmeisani/JO 11/ Ministry for Social Policy, Communicable diseases, Msida/MT – 12/ Ministry of Health, Directorate of Epidemiology and Diseases Control (DELM), Rabat/MA EpiSouth Thematic Notes EpiSouth: Network for the control of communicable diseases in Mediterranean countries • Thematic Notes ad hoc - To further document special public event or outbreak or disease (CCHF, Melamine, Arenavirus, H1N1, Alkhurma, West Nile, Hajj pilgrimage, Olympic games, FIFA world cup,etc.) • EpiSouth network started in October 2006 • The network is composed of 27 countries and 7 Working programmes (WP) • Objective of the EpiSouth PLUS project: - Increase the health security in the Mediterranean area and SouthEast Europe by enhancing and strengthening the preparedness to common health threats and bio-security risks at national and regional levels in the countries of the EpiSouth network. • Epidemic intelligence (EI) and cross-border alerts, one of WP is managed by Institut de Veille Sanitaire (InVS), the French institute for public health surveillance. The EpiSouth Early warning System • Mediterranean Alert Early warning system • Secured web site (confidential) • Objective of this WP - Enhance Mediterranean Early Warning functions allowing alerts and Epidemic intelligence information sharing among EpiSouth countries - Share verified information detected through epidemic intelligence - Development of a Mediterranean Early Alert System through secure exchange platform for national cross-border alerts • To share national alerts /confidential information • Operational since November 09 • Accessible to - EpiSouth FP (NPHI, MoH) - Majors Stakeholders: WHO, ECDC, EC • Complements existing systems : WHO, E.U. / ECDC • Overview of alerts posted on the platform: - 115 Alerts/postings . 107 in EpiSouth countries - 94% . 8 in non EpiSouth countries - 6% . By year: 2009: 21 postings (19%) 2010: 58 postings (51%) 2011: 34 postings (30%) 2012: 2 postings Rationale for Epidemic Intelligence (EI) • The EI objective is to detect, using formal and informal sources (media internet…) health threats that may affect EpiSouth countries’ population. • In all countries devoted resources to public health are limited and duplication should be minimised as much as possible. The EI carried out by EpiSouth is initially based on the expertise developed since 2002, by the Institut de Veille Sanitaire (InVS). EI Definition and characteristics • 22 countries (areas affected): - 77% from EpiSouth (n=17) vs 23% non-EpiSouth (n=5) • EI aims to identify potential health risks for the EpiSouth countries population in all EpiSouth territories: travellers, immigrants and expatriates. • 32 diseases • EI complements “traditional” epidemiological surveillance • EI is NOT “international surveillance” ( i.e. no objective of exhaustivity) EpiSouth support to major public health crisis • Tailored to respond to EpiSouth countries needs The Novel A(H1N1) pandemic in 2009 • Only verified information disseminated • Source of data: EpiSouth countries • Not limited to infectious diseases • Data collected: - Confirmed cases - Case definition and case management - Deaths / severe cases - Transmission, circulation intensity - Imported VS local cases Detection of primary signals • Regular monitoring of official websites WHO, OIE … ECDC, and other Regional networks … MoHs, MoAs … Public Health Institutes & Laboratories Local partners : NGOs, private sector… • Confirmed cases forwarded to ECDC (esp. Middle-East, North African region) • Descriptive analysis on a weekly basis • Development of signal selection criteria and a validation strategy. • Information shared with the network: - Daily bulletin (the first 2 months); - Twice a week (intermediate period) - Weekly bulletin (until the end) West Nile virus outbreaks in the Mediterranean area • 2010 WN epidemic - Unexpected high viral circulation. - Provided broad perspective of WNV circulation (Survey + case counts) - Heterogeneity of resources available for WN surveillance - Countries considering implementation of WN surveillance Criteria for EpiSouth • 2011 WN epidemic - Similar dynamic compared to 2010. - 2010 was not an isolated event - Work performed in 2010 raised awareness on not fully operational surveillance in place - Surveillance systems have been strengthened in some countries - Articulation and synergies with other WP especially WP4-laboratory Geographical criteria - Risk of spread to an EpiSouth country(ies) - Risk of imported cases - Countries of origin of migrants - Countries with expatriate community - Touristic destinations - Neighbouring areas EpiSouth network perspectives Criteria related to the nature of the threat - Mortality - Morbidity - Transmissibility / spread - Knowledge of the causal agent - Re-emergence of a previously controlled disease • Common understanding and expectation from epidemic intelligence throughout the area • It raised awareness on regional and cross-border issues • Created trust, cohesion and concrete collaboration among PH officers of 27 countries • Fills a gap in a region where countries belong to different political/supranational entities that is not addressed, as a whole, neither by the European Commission nor by WHO • Need to strengthen public health information sharing in the area EpiSouth tools: 3 different formats Key role for regional networks The EpiSouth Weekly Epidemiological bulletin • e-Web: Weekly epidemiological bulletin n=215 (as of 1st June 2012) - Every Thursday - In English, available on line, free - Sent automatically to recipients - Only verified information - Only alert of interest for EpiSouth - Contribute to countries’ international threats monitoring - 754 events - 87 themes; - 137 geo. areas (01/06/2012) Acknowledgements The EpiSouth-Plus project is co-funded by the European Union DG SANCO/EAHC and EuropeAid together with the participating national partner Institutions. The financial support of the Italian Ministry of Health and ECDC is also acknowledged. The Project is led by The Italian National Institute of health and counseled by an Advisory Board composed by EC, ECDC, WHO and other international experts. The contents of this presentation are the sole responsibility of the authors and can in no way be taken to reflect the views of the European Union. Contact : Coralie Giese ([email protected]) - Institut de veille sanitaire - 12, rue du Val d’Osne 94415 Saint-Maurice Cedex - Tél : +33 (0)21 1 41 79 57 41 - Fax : +33 (0)1 41 79 69 65 June 2012 - 13-16 June 2012, ICID, Bangkok, Thailand Criteria related to the nature of the agent - Transmission mode - Severity - Lethality - Emerging phenomenon - Epidemiological changes - Geographical patterns of transmission Global crises = Global response