Protecting health in Europe the new European Centre for Disease

Protecting health in Europe – the new European Centre for Disease Prevention and Control Karl Ekdahl Detached National Expert Karl Ekdahl 2005 Pre-ECDC capacity • EU-funded surveillance networks since 1999 (2119/98/EC) – Well functioning within their remits, but … … uncoordinated … do not cover all diseases under 2119/98 … funding not sustainable • Weak response capacity – SARS, anthrax threats, pandemic flu • 10 new member states Karl Ekdahl 2005 ECDC milestones (I) • July 2003: Commission’s proposal to establish the Centre • December 2003: Council decision that Sweden will host the Centre • April 2004: Regulation 851 establishing the Centre • September 2004: 1st meeting of Management Board with international launch • December 2004: Director Zsuzsanna Jakab nominated • March 2005: Director takes office (start-up phase) • May 2005: Centre operational Karl Ekdahl 2005 ECDC milestones (II) • 2005-2006: Building up the centre – Staff – Networking – Operations • 2007: Evaluation of the possible need to extend the scope of the Centre’s mission Karl Ekdahl 2005 ECDC Staffing and budget • 2005: • 2006: Proposal • 2007: • 2008: • 2009: • 2010: • 2011: • 2012-13: Karl Ekdahl 2005 29 staff 50 staff 70 staff 120 staff 170 staff 220 staff 270 staff 300 staff 5M€ 16 M € 41 80 80 90 90 90 M M M M M M € € € € € € Organisation Director Unit for Scientific Advice Unit for Surveillance & Communication Unit for Preparedness & Response Management & Administration Karl Ekdahl 2005 Unit for Scientific Advice (I) • Provide sound and independent technical and scientific advice • Well acquainted with the front-line of research in all areas of CD control – Actively participate in all key scientific conferences and meetings • Network of experts and scientists in Europe – Inventory of resources • Build on the scientific competence and experience within the NSI and DSNs Karl Ekdahl 2005 Unit for Scientific Advice (II) • Set up independent advisory panels and initiate studies • Cover all categories of CDs listed in Decision 2119/98/EC and develop guidelines and other tools • Be strong on new and emerging health threats including antimicrobial resistance • Support member states in national endeavours Karl Ekdahl 2005 ECDC with no laboratories • Build on what already exists in Member States to avoid duplication • Support MS response capacity by always knowing where appropriate lab. capacity is located • Ensuring microbiological expertise through secondments and short-term positions • Build up a system of reference labs Karl Ekdahl 2005 Unit for Surveillance and Communication (I) • Gradually coordinate/integrate surveillance networks into ECDC • Incorporate technical aspects of surveillance components of DSN into the Centre • Promote an increase in coverage and effectiveness of the surveillance networks as well as quality control • Technical assistance to MS on surveillance issues Karl Ekdahl 2005 Unit for Surveillance and Communication (II) • Avoid all duplicate reporting • Data standardisation and comparability – Denominators • • • • • Harmonisation of laboratory methods Further integration of sub-typing data Surveillance  public health action Surveillance  Research Alternative surveillance systems Karl Ekdahl 2005 Unit for Surveillance and Communication (III) • Public and privileged web pages • Surveillance reports – Weekly (electronic) epidemiological report – Annual epidemiological report • Articles in scientific journals • Risk communication strategy for target groups Karl Ekdahl 2005 Road map for future surveillance 2005 • Agreements on data access • Consultation process • Technical systems for storing/accessing data • Strategy document (several steps) 2006 • Build close links to the BSN • Detailed evaluation of networks (SURVEVAL) 2007/2008 (as present network contracts ends) • Full coordination of all surveillance activities Karl Ekdahl 2005 Scope of ECDC from 2010 • First rock solid in CDs = priority 1 • Review starts in May 2007 – Co-decision of Council and EP needed to extend scope • Even if this happens not be before 2010 – 5 years only for CDs • If extended: gradual process starting with – Health monitoring, analysis and reporting – Additional resources needed Karl Ekdahl 2005 Success builds on good partnerships • Member states and European Commission • National surveillance institutes and reference laboratories • Scientific community • Other EU agencies – EFSA, EMEA, EEA • Countries outside the EU and international organizations – Neighbouring countries, CDC, WHO Karl Ekdahl 2005 Key message • ECDC could only be strong if built on strong European networks and ideas • ECDC will provide needed services and give a clear added value to the European CD control • ECDC will channel the best available resources (own and others) to where they will be best needed Karl Ekdahl 2005 EuroTB and the ECDC (A. Infuso) • First contacts in April – Need of our work to show results – Consultation process in June 05 – Evaluation in 2006 – Integration after 2007 • Communication – Public data sets and outputs – Answer to requests within time availability Uncertainties (A. Infuso) • • • • EU Bureaucracy Insufficient future funding Basic surveillance network Location to be defined (decentralised or SWE)