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Syllabus M dengue fever

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					                                                           Syllabus M2 :

                    Summary of the different MPH modules, M1 and M2, ECTS value
                                 and teaching schedule, academic year 2010-2011

Key Words:
Molecular biology, Pathogenesis, Infectious disease, Genetic disease
Incentives, Health care regulation, Information asymmetry, Economic evaluation, Health econometrics, Sociology and political science in health;
Health economics; Health geography and demography; Health education; Law and health, Behavioral sciences
Global health, International health, Developing countries, Burden of diseases, Health inequalities, Complex emergencies
Biostatistics, Theoretical modeling, Medical information system, Epidemiology of infectious diseases, Integrative modeling, Multiple linear regression,
Logistic regression,

Epidemiology, Causal inference, AIDS, Stroke and cardiovascular disease, Life table, Survival analysis, Cohort studies, Case control studies,
Ecological studies, Proportional hazards, Poisson regression
Environmental health, Occupational health, Exposure sciences, Health risk assessment, Toxicology, Environmental epidemiology, Vulnerability,
Globalization and health, Global change and health, Ecology of infectious disease, Climate change and health, Large-scale transportation and disease,
Ecosystem alteration and disease emergence. Anthropogenic effects, Health impacts

Vector-borne disease; Dengue fever; Public intervention; Interdisciplinary approach; Public health; Diagnosis.

Humanitarian health, humanitarian emergency interventions, international law, operational research, developing countries, ethics and humanitarian

Key Words referencies:

EHESP, Master, Public, Health, Population, Interdisciplinary, Biology, Infectious, Disease, Genetic, Sciences, Care, Management, Leadership,
Regulation, Economic, Evaluation, Sociology, Policy, Politics, Decision making, Geography, Demography, Education, Law, Behavioral, Global,
International, Burden, Inequalities, Biostatistics, Modeling, Information, Epidemiology, Regression, Logistic, Causal, Inference, Life, Table, Survival,
      Analysis, Cohort, Studies, Case control, Ecological, Proportional, Hazards, Environmental, Occupational, Exposure, Risk, Assessment, Toxicology,
      Vulnerability, Globalization, Change, Climate, Ecosystem, Emerging, Impacts, Vector, Dengue, Humanitarian health, humanitarian Action.

N°                                                                                                                                                                   ECTS    period
           Module title             Coordinator                                                       Syllabus                                                               (week,
                                                      Learning objectives: at the end of the module, the students should be able to:
      Interdisciplinary module 3                       - To complete
        "Introduction to health
                                     Colin TINSLEY
118            sciences"                                                                                                                                                    35, 2010
                                                      See summary of module 118 in the M1 programme. This module is also offered to M2 students who wish
      (optional for M2 students)                      to acquire basic knowledge in health sciences

                                                      This optional module is offered to M2 students whose background does not incorporate quantitative
      Preparation module in basic
                                                      sciences. It will allow an initiation to basic statistics and computer usage and will be considered as pre-
        statistics and computer     Avner BAR HEN                                                                                                                           35, 2010
                 sciences                             requisite for the regular core modules

                                                      The aim of this 5 days module is to fulfil the following objectives:

                                                              To provide knowledge of measures of health and burden of diseases in populations focusing on
                                                               infectious diseases and nutrition;
                                                              To improve understanding of how health care expenditures may contribute to economic growth;
                                                              To read critically and assess journal articles on costs and benefits of health care expenditures;
                                                              To introduce concepts of assessment of alternative policies for improving the efficiency of
                                                               resource allocation in the health sector;
                                                              To understand the limitations of economic evaluation in the health sector;
                                                              To learn about critical barriers to coordinated action in global health, e.g. intellectual property
      Interdisciplinary module 1
201                                 Philippe GUERIN            rights; trade-offs between bilateral and multilateral aid for development; incentives for research     3     41, 2010
           “Global health”
                                                               & development of drugs and medical commodities that meet the needs of the world‟s population;
                                                               and safety issues related to migration and epidemics;
                                                              To describe the different actors operating in global health and understand their strengths and
                                                              To provide a broad understanding of complex emergencies and describe responses in such
                                                              To approach ethical issues related to global health, e.g. guidance to conduct research, human
                                                               right aspect, gender disparity.

                                                      Group work, including simple practical exercises and discussion of key publications from the literature
                                                      will be organized.

                                                      Learning objectives: at the end of the module, the students should be able to:

                                                      - Identify basic theories, concepts and models from a range of social and behavioural disciplines that are
                                                          used in public health research and practice.
                                                      - Identify the causes and nature of social and behavioural factors that affect health of individuals and
      Core curriculum – Social and                    - Identify critical stakeholders (individuals, organizations and community), steps and procedures for the         36-40,
202   behavioral sciences in public   Jocelyn RAUDE       planning, implementation and evaluation of public health programs, policies and interventions.            3
                                                      The module devoted to behavioral and social sciences in public health addresses the cognitive,
                                                      behavioral, social and cultural factors related to individual and population health and health disparities.
                                                      Research and practice in this area contributes to the development, administration and evaluation of
                                                      programs and policies in public health and health services to promote and sustain healthy environments
                                                      and healthy lives for individuals and populations.

                                                      Learning objectives: at the end of the module, the students should be able to:
                                                       - To complete

                                                      This epidemiology section will comprise a common body of studies followed by Minors and/or Majors.
                                                      At the end of the M2, students will have a substantial understanding of epidemiological methods as well
                                                      as a substantive specialty at the master‟s level.

                                                      Common body of studies will establish epidemiology as one of the pillars of public health and will give
                                                      the student the elementary skills to understand the basics of epidemiology, function at an entry level and
                                                      go forward to further epidemiologic studies. Specifically, the student will understand that the discipline
                                                      covers a full range of disease occurrence and views causation from one end to the end, i.e. from molecular
           Core curriculum –             Moïse        factors to social and cultural determinants of disease.                                                           36-40,
203                                                                                                                                                                 3
             Epidemiology             DESVARIEUX      In specific terms, the course objectives will be for the student to be able to discuss:                            2010

                                                          -    the role of epidemiology in the broader field of public health
                                                          -    the principles of disease prevention within a population
                                                          -    the terminology used in epidemiology and their precise definition and understanding
                                                          -    the computation and interpretation of basic population measures of health and disease occurrence
                                                          -    distinguish between basic measures of association, including odds ratio, risk ratio, rate ratio,
                                                               incidence density ratio, attributable risk and population attributable risk

                                                      Lecture topics will thus be:

                                                          1- Concepts in infectious disease epidemiology (historical epidemiology; John Snow; Inference and
                                                             infectious disease; The limitations of the Pasteur model to modern knowledge)
                                                      2- Concepts in chronic disease epidemiology (the time sequence effect; the Framingham legacy; the
                                                           development of survival models; the multiple causation model)
                                                      3- Clinical trials design; early clinical trials; the issue of randomization; the ethics of
                                                           randomization: when is enough enough? the issue of single, double and triple blind; efficacy
                                                           versus efficiency
                                                      4- Cohort studies (time sequence: do you have time? rare events versus rate exposures; history;
                                                           basic analysis; case control studies; rare exposures; analytical issues; matched case control (very
                                                      5- Appropriate measures of associations for the designs above (their computation; their
                                                      6- Confounding
                                                      7- Screening
                                                  The subjects above are meant as an overview and introduction to these complex subjects of epidemiologic
                                                  research and method. The course will be organized in two parts: lectures by professors and invited guests;
                                                  break out groups sections with team leaders where the concepts are described and applied

                                                  Learning objectives: at the end of the module, the students should be able to:
                                                   - To complete

                                               This module provides an overview of methodological approaches and their applications, bearing in mind
          Core curriculum –                    their present day and future impact on public health. Three topics, namely biostatistics, mathematical and            36-40,
204   Information Sciences and   Avner BAR-HEN computational modelling and information sciences, are covered, with special emphasis on applications to           3
                                               public health. For each topic, the course goes over historical developments, the state of the art and
                                               potential future directions. Furthermore, a conference deals with the present situation in Europe for each

                                                   Learning objectives: at the end of the module, the students should be able to:
                                                   - To complete

         Core curriculum ––                       A comparative approach to the analysis of health systems and policies, with an emphasis on critical
       Management and health         Karine       assessment of current and future policy options and issues.
           policy sciences         CHEVREUL                                                                                                                          36-40,
205                                                                                                                                                              3
      “Health care systems and     and Sarah       This module examines the context of the development of health policies: it describes the objectives of             2010
              policies”            THOMSON        health care systems and the measurement of performance. It addresses the policy process. The role of the
                                                  state and other stakeholders' role in health care is described. It examines recent changes due to
                                                  rationalization and the creation of health assessment agencies.

                                                  This provides students with competencies to analyze the management of health care systems and the
                                                  reforms implemented
                                                      Learning objectives: at the end of the module, the students should be able to:
                                                       - Critically assess the methods and tools used to characterize exposure to environmental agents in
                                                         epidemiological or risk assessment studies
                                                       - Describe specific epidemiological methods used to study spatial en temporal variations of health
                                                         variables and in occupational epidemiology
                                                       - Explain the general mechanisms of toxicity in eliciting a toxic response to environmental agents

           Core curriculum –                          This introductory module for the second year of the Master will focus on three methodological domains
                                      Denis ZMIROU-                                                                                                                     36-40,
206       Environmental and                           and on their applications to environmental and occupational health issues: first, epidemiological methods    3
                                         NAVIER                                                                                                                          2010
      occupational health sciences                    developed specifically for the investigation of health problems resulting from air pollution or water
                                                      contaminants, or challenges posed by emerging pollutants will be presented. Second, the various
                                                      developments available in the field of human exposure assessment will be presented and their respective
                                                      strengths and limitations will be discussed. Finally, experimental models and state of knowledge in the
                                                      field of carcinogenesis, neurotoxicity, respiratory and reproductive toxicology in relation with
                                                      environmental and occupational exposures will be presented.

                                                      This course is designed to introduce students to major issues related to assessment of public health
                                                      strategies, interventions and their impact.
                                                      The course is recommended for students who have an interest in better understanding how evaluation of
                                                      public health programs may be used as a tool to set priorities when resources are scarce in both developed
                                                      and developing countries. These may cover a range of cases from prevention of vector-borne diseases to
                                                      the introduction of a new drug or a technology as well as influenza vaccination, or improvement of
                                                      quality of life for senior practicing physical activity.
                                                      The course will introduce students to some basic measures and sources of data used to study population-
                                                      based programs or sample-based interventions. The course will also explore some economic and statistic
                                                      methods that are commonly used to evaluate such strategies and programs.
                                                      Learning objectives:
       Minor A of the Social and      BELLANGER
                                                      1. Develop an understanding of the basic concepts that are used to evaluate strategies and programs. We
      behavioral sciences in public       and
208                                                   will focus mainly on valuing health, quality of life, and how to use appropriate statistical techniques to   3   44, 2010
      health track « Evaluation of      Josselin
                                                      answer empirical questions.
       public health programs »       THUILLIEZ
                                                      2. Develop an understanding of how data are collected, including survey data (Demographic and Health
                                                      Surveys - DHS, OECD, WHO), how to access and use them.
                                                      3. Be able to use and interpret basic measures, including, cost benefit ratio, Quality adjusted life year
                                                      (QALY), incremental cost effectiveness ratio (ICER).
                                                      4. Develop an awareness of contemporary social and contextual issues as they are covered in the press
                                                      and on the internet (e.g. vaccination, prevention). Make connections between evaluation, social
                                                      consequences and policy implications.
                                                      Economic, social and ethical rationale for evaluation, concepts and purposes are presented in
                                                      Part of the class is dedicated to research design purposes:
                                                        1. Defining correctly the question/problem to be studied.

                                                        2. Identifying the relevant outcome measures.

                                                        3. Understanding the mechanisms that underlie the question.

                                                        4. Identifying the needs for data and information.

                                                        This module is devoted to furthering a scientific understanding of social, environmental and individual
                                                        determinants as they affect health status and quality of life. It also examines the processes of planning,
                                                        implementing, managing, and assessing health education and promotion interventions. It encompasses
                                                        empirical research, case studies, program evaluations, literature reviews, and discussions of theories of
                                                        health behaviour and health status, as well as strategies to improve health interventions that could reduce
                                                        disease or accident-related risks by modifying health care services, physical environments, health beliefs,
       Minor B of the Social and                        attitudes, or behaviours.
      behavioral sciences in public
                                      Eric Breton and   Learning objectives: at the end of the module, the students should be able to:
209     health track « Behavior                                                                                                                                       3   46, 2010
                                      Jocelyn RAUDE
          sciences and health
              education»                                1. Identify basic theories, concepts and models from a range of social and behavioural disciplines that
                                                           are used in health education and promotion.
                                                        2. Describe steps and procedures for the planning, implementation and evaluation of health promotion
                                                           and education programs and interventions.
                                                        3. Specify multiple targets and levels of intervention for health promotion and education programs .

                                                        Learning objectives: at the end of the module, the students should be able to:
                                                         - To complete

                                                        This minor will provide a more detailed overview of design, method, substantive and analytical issues
                                                        pertaining to infectious disease epidemiology. It will cover :

                                                            -    the epidemiology and control of tuberculosis; from a hereditary hypothesis to an infectious one;
       Minor A d’Epidémiologie :                                 the evolution over time; the reality of transmission and prevention; control and rate computation;
                                         Andrea                  drug resistance and transmission; implications for control;
210      « Infectious Disease                                                                                                                                         3   43, 2010
                                        HOWARD              -    the epidemiology of cholera; John Snow and lessons learned; the recent epidemics; waterborne
                                                                 diseases: how do we assess the risk?
                                                            -    the epidemiology of HIV and AIDS; rates of transmission assessments; individual versus
                                                                 population risk; social networks (assortative, dissassortative); infection versus disease;
                                                                 international reality versus western; the debate about the virus; epidemiology of STI; the sexual
                                                            -    the epidemiology of influenza: what is it; epidemic and variation; the vaccine: production, guess,
                                                                 assessment and risk; the national policies; trends and computations of trends: pros and cons; flu,
                                                                 avian flu, cold: what is it? transportation and flu: social networks.
                                                  Prerequisite: to be completed

                                                  Learning objectives: at the end of the module, the students should be able to:
                                                   - To complete

                                                  This minor will provide a more detailed overview of design, method, substantive and analytical issues
                                                  pertaining to chronic disease epidemiology. It will cover:

                                                      -    Infectious causes versus chronic slow causes
                                                      -    Implications for causal thinking and analysis
                                                      -    Issues of time
      Minor B of the Epidemiology                     -    The epidemiology of risk factors
211     track: « Chronic disease    Ryan DEMMER                                                                                                               3   44, 2010
            epidemiology »                        Specific issues:

                                                      - Epidemiology of cancer: breast cancer risk among women; computation of risk; population versus
                                                      individual risk; cancers in the western world; cancers and diet; trends in cancer; risk factors for

                                                      - Epidemiology of CVD; trends ; CVD in the world; CVD and diet; risk factors

                                                  Prerequisite: to be completed

                                                  Learning objectives: at the end of the module, the students should be able to:
                                                   - To complete

                                      Karine      A comparative approach to development of health and healthcare policies emphasizing present and future
                                    CHEVREUL      policy options and problems.
      Minor A of the Management
       and health policy sciences                                                                                                                                   44,
212                                  and Sarah     This module examine the models for financing health care: methods for funding health systems (tax,         3
        track: « Financing health                 social and private health insurance, user charges, medical savings accounts) and methods of defining             2010
                  care»                           benefits, allocating resources for health care, purchasing health services, paying health care providers;
                                                  influencing doctors practice and patient behaviour are described. It provides students with knowledge for
                                                  understanding current reforms in financing health care and their advantages and shortcomings with
                                                  regards to the objectives of health care systems.

                                                  Prerequisite: None
                                                   Learning objectives: at the end of the module, the students should be able to:
                                                    - To complete
           Minor B of the
                                                   The module will provide students with an understanding of different tools used at the steps of the
       Management and health                       management cycle : evaluation ex ante, priority setting, project planning and evaluation ex post.
        policy sciences track:
213    « Management tools in       Stefan KABENE   The management cycle will be described as a general scheme and illustrated on specific topics geared      3   47, 2010
         health services and                       towards healthcare, namely : evaluation in health care, appraisal in HRM, assessment in crisis
              systems»                             management, planning, in health care, project management in health services.

                                                   A critical analysis of the role of tools in management will conclude the module.

                                                    Prerequisite: None
                                                   Learning objectives
                                                   The objective of this course is to develop a calculus-level understanding and working knowledge of
                                                   spatial models. The course provides an introduction to the rudiments of statistical inference based on
                                                   spatially correlated data. Method of estimation and testing will be developed for geostatistical models
                                                   based on variograms and spatial autogressive models. Concepts, methods and applications are
                                                   emphasized, rather than theory.

                                                   Successful completion of this course will provide you with a foundation for understanding spatial
                                                   statistical inference material presented in other courses.

                                                   We shall complete the following concepts :
      Minor A of the Information
214                                Avner BAR HEN                                                                                                             3   47, 2010
      Sciences and biostatistics                           Introduction to Spatial Data: Types of spatial data, autocorrelation functions, stationarity,
        track: « Geostatistic»                              isotropy.
                                                           Spatial Predictiction: Optimal prediction, ordinary and universal kriging, cokriging.
                                                           Autoregressive Models: Lattice data, Simultaneous and Conditional Models, Parameter
                                                           Spatial Regression: Linear and generalized linear models with correlated data, Estimation and

                                                   Spatial Point Patterns: Random, Aggregated and Regular Patterns, Complete Spatial Randomness, second
                                                   order properties.

                                                   Prerequisite: M1 level in quantitative analysis
                                                  Learning objectives: at the end of the module, the students should be able to:
                                                   - To complete

                                                  “R” is a language and environment for statistical computing and graphics. R is highly extensible and is a
      Minor B of the Information
                                                  free software. It compiles and runs on a wide variety of UNIX platforms, Windows and MacOS. The
      Sciences and biostatistics
                                     Arnaud LE    course assumes no prior knowledge of R and covers the following topics.
215   track: « Introduction to R:                                                                                                                             3   43, 2010
       computing, graphics and
                                                  Prerequisite: you are assumed to be familiar with elementary statistical methodology such as regression
              statistics »
                                                  models, analysis of variance, hypothesis testing, etc.

                                                  Learning objectives: at the end of the module, the students should be able to:

                                                  - identify environmental media of concern regarding physical and chemical properties of pollutants

                                                  - cite possible sampling and analyses for a pollutant in a exposure medium (to be able to discuss with a

                                                  - cite and use databases for hazard identification and dose response relationship choice

                                                  - distinguish if exposure can be measured or must be modeled

                                                  - identify data required by atmospheric and multimedia modeling

            Minor A of the                        - cite main uncertainties due to modeling exposure
          Environmental and
216   occupational health sciences                - calculate exposure and risk estimators                                                                    3   46, 2010
          track: « Health risk
             assessment»                          - distinguish variability and uncertainty

                                                  - describe a tiered approach for uncertainty handling

                                                  The risk assessment module encompasses the following topics:

                                                           Environmental fate, sampling and measuring of pollutants
                                                               o Chemical properties of pollutants and environment that influence transfer, accumulation
                                                                   and degradation
                                                               o Sampling and measurement techniques and performance
                                                           Hazard identification and dose-response relationship evaluation
                                                               o Human and animal data for evaluating toxicity
                                                               o Animal to human and low doses extrapolation
                                                               o Toxicity reference values construction and choice
                                                              Exposure assessment
                                                                   o Direct and indirect approaches
                                                                   o Measuring and modeling exposure
                                                              Risk assessment
                                                                   o Risk indicators
                                                                   o Variability and uncertainty propagation with Monte Carlo techniques
                                                     After theoretical overview of current knowledge and practice, a large part of time will be dedicated to “as
                                                     real” work with laboratory visit and work on PC for information searching, exposure modeling and risk

                                                     Prerequisite: L level in sciences.
                                                     Learning objectives: at the end of the module, the students should be able to:
                                                     - explain the major phenomena involved in global environmental changes;
                                                     - explain how these phenomena impact on human health;
                                                     - critically assess scientific studies and political decisions on the subject.

                                                     This module aims at identifying the biotic and abiotic factors as well as understanding the mechanisms
            Minor B of the                           responsible for the emergence and reemergence of infectious diseases at the global scale. This includes
                                                     climate changes, deforestation, urbanisation, agriculture development and globalisation of human
          Environmental and
                                                     exchanges. The infectious diseases the most affected by these changes are naturally the ones that are the
      occupational health sciences
217                                  Marc CHOISY     most linked to the environment, either directly such as cholera or indirectly such as vector-borne diseases    3   47, 2010
            track: « Global                          (e.g. malaria, dengue where the dynamics of the vector species is strongly dependent on the environment).
      environmental changes and                      A particular attention will be given to infectious diseases of domestic, agricultural and wild animal
                health»                              species since a number of new human infectious diseases appear to originate from these animal hosts (e.g.
                                                     SARS, avian flu, HIV/AIDS). The course will discuss the major emerging infectious diseases of the last
                                                     three decades, emphasizing the transfer of expertise between basic science and policy makers (e.g. WHO,
                                                     various NGO, and governments) in fighting these diseases the most efficiently.

                                                     Prerequisite: none

                                                     Learning objectives: at the end of the module, the students should be able to:
                                                     At the end of this module, students will be able to:

                                                        understand the overall framework of humanitarian action and its complexity
                                                        relate humanitarian health to public health in developing countries and thereby consider what could
      Minor A of the Humanitarian                        be their role in such a context, as public health professionals
                                     Jean François
218   health track: « Environment                       comprehend the evolution of humanitarian action and ideas, and question its upcoming challenges            3   43, 2010
      of the humanitarian action »                      describe the political, legal, social-cultural environment of humanitarian action
                                                        identify the different aspects of a humanitarian mission and the components of a humanitarian project
                                                        identify the different phases of a project and to familiarize with key concepts and tools of the project
                                                         planning process
                                                        The main objective of this module is to provide students with a common understanding of humanitarian
                                                        action, going through its different aspects, and introducing them to the main concepts of humanitarian
                                                        The course will cover topics such as history of humanitarian action, basic notions of international
                                                        humanitarian law, project cycle and concern for quality, new challenges and raising issues. The module
                                                        will be taught through interactive presentations and case studies, by experienced professional
                                                        humanitarian actors.
                                                        This module proposes a comprehensive introduction for public health professionals wanting to start or
                                                        pursue a career in the humanitarian health field.
                                                        By the end of this and the other humanitarian health modules, students should have developed a good
                                                        understanding of the overall context and components of the humanitarian action, relate humanitarian
                                                        health to public health in developing countries and thereby consider what could be their role in such a
                                                        context, as public health professionals.
                                                  Learning objectives: at the end of the module, the students will be able to:
                                                   Synthesize the complex social, political, economic, geographic, and public health parameters that
                                                     define the dynamic of a given humanitarian crisis
                                                   Analyze the strengths and weaknesses of health systems in developing countries by using appropriate
                                                     tools in order to prioritize humanitarian health response actions
      Minor B of the Humanitarian                    - describing the context : policy, social and economic issues of the crisis and involved
              health track:       Françoise JABOT         actors/institutions/organizations and their logics
219       « Understanding and       and François     - understanding roles and strategies of different actors and institutions                                        3   46, 2010
        analyzing the context of     PETITJEAN       - establishing a diagnosis of the situation: relevant data and indicators, synthesis and data analysis
         developing countries »                           allowing formulating the statements

                                                        This module aims to present the specific context of developing countries and the factors influencing the
                                                        stability of health systems. Consequently, it implies the description of the main health issues, the
                                                        framework of health systems (history of health policies, institutions and, their strategies for action) and
                                                        typologies of health systems in different areas (Africa, Asia, Latin America…).
                                                        Learning objectives: at the end of the module, the students should be able to:
                                                         - To complete

                                                     This module is based on evidence that chronic diseases have become a major public health concern not
       Major A of the Social and                     only in high income countries, but also in low and middle ones. In the developed countries, chronic
                                         Blanche LE
      behavioral sciences in public
                                      BIHAN, Martine diseases are frequently seen in association with aging. Although we recognize that efforts have been made
220    health track: « Aging, long                   to tackle this problem in terms of medical and social care, improvement is still needed in terms of life-        3   49, 2010
                                       BELLANGER et
         term care and chronic                       long prevention. This course focuses on social, organisational and behavioural approaches and methods in
                                      Claude MARTIN
                disease»                             order to provide a good understanding of the public health issues involved. Intersectorial actions and
                                                     policies implemented by national and sub-national policy makers and planners are analysed and reviewed.
                                                     A comprehensive and integrated approach in terms of the „long term care model‟ forms the thread
                                                     running through the course. Particular attention is given to interactions between various health and social
                                                     professionals, between hospitals and nursing homes, as well as to interactions between informal resources
                                                       and formal resources. Students will have the opportunity to study and assess a wide range of international
                                                       policies and reforms and their impacts.

                                                  Innovation may encompass a wide range of phenomena including ideas, knowledge, beliefs, social norms,
                                                  products, services, technologies or processes and even cultures as long as they are perceived as being
                                                  new. Within the health domain innovation thus may involve actual products, technologies, drugs, medical
                                                  devices but also new management methods, ways of organisation, original therapeutic processes,
                                                  techniques of health promotion, the advent of new scientific disciplines such as nanotechnology and
                                                  pharmacogenomics. Classically innovation science, after Everett Rogers, is concerned with studying and
                                                  understanding the social processes of diffusion (or non-diffusion) and adoption (or lack of adoption) of
                                                  innovations as epitomised by the well known S-curve. Within this course combining workshops and
                                                  problem based learning techniques we will study well-known technological examples from the health
                                                  field such as drugs, non-invasive medical technologies such as medical imagery, but also look at
                                                  management and organisational innovations such as DRGs. Much emphasis will be placed on achieving a
                                                  good understanding of the multiple factors explaining the success and failure of innovation diffusion and
                                                  adoption. To achieve this we will also make reference to complementary theoretical approaches such as
                                                  Actor Network theory. Such approaches will allow the students to grasp how an interdisciplinary
                                                  approach, involving both physical and social sciences, is necessary in order to understand what is at stake
       Major B of the Social and       William    within the innovation process. The course aims to introduce students to what makes for successful
222   behavioral sciences in public SHERLAW and innovation and diffusion, highlighting the role of different stakeholders in fostering successful innovation        3   3, 2011
      health track: « Innovation » Michel LOUAZEL as well as favouring the avoidance of potential pitfalls. We believe within the health field this is of
                                                  particular importance both from a human and economic perspective.

                                                       Learning objectives: at the end of the module, the students should be able to:

                                                       - Define and describe innovation, diffusion and its different phases.

                                                       - Identify the key factors explaining success or failure of innovation and diffusion through reference to
                                                           theoretical models and practice within the health sector and beyond..

                                                       - Describe the role of different stakeholders involved in the innovation process within different areas of
                                                          the health field.

                                                       - Have an initial understanding of how innovation and diffusion science can contribute to public health

                                                       - Through applying a problem based learning approach to the study of a case of innovation come to
                                                          achieve experiential insights into managing the introduction of innovation
                                                 Learning objectives: at the end of the module, the students should be able to:
                                                  - To complete

                                                 The majors are intended to be specialties in epidemiologic fields at the master‟s level. The majors
                                                 include 3 modules: the first 2 are methodological in nature, advanced in content and reasoning, and meant
                                                 to delve into methodological advances in the field of epidemiology.
           Major A of the
                                    Sharon    Major A will be conceptual and methodological::
        Epidemiology track :
                                 SCHWARTZ and
223   « Concepts, methods and                                                                                                                                 3   50, 2010
                                     Moïse       1- causal inference in Epidemiology
      design in Epidemiology »    DESVARIEUX     2- Practical framework: developing hypothesis
                                                 3- Designs: experimental and Cohort
                                                 4- Design: Case control, nested case-control and case-cohort studies
                                                 5- Design: Ecological, cross-sectional
                                                 6- Operationalization of hypotheses
                                                 7- When to act? When is enough enough?

                                                 Prerequisite: to be completed

                                                 Learning objectives: at the end of the module, the students should be able to:
                                                  - To complete

                                                 Major B will be analytical and will bridge biostatistics and epidemiology. In other words, it will provide
          Major B of the                         the epidemiological explanation and rationale as well as the tools behind certain analytical decisions.
        Epidemiology track:
                                   Mary Beth         1-       Analytical approaches: Equal observation periods
          « Analysis and
224                                                  2-       Analytical approaches: Unequal observation periods                                              3   01, 2011
          measurement in            TERRY
                                                     3-       Sampling and Power
          Epidemiology »                             4-       Measurement error in Epidemiology and its impact
                                                     5-       Matched designs and analysis
                                                     6-       Life table and survival analysis
                                                     7-       Proportional hazards in epidemiology
                                                     8-       Age cohort period effect and Poisson regression

                                                 Prerequisite: to be completed
          Major C of the           Viviane       Learning objectives: at the end of the module, the students should be able to:
        Epidemiology track:
                                  KOVESS         - grasp some elements for comparisons between countries and cultures, the age trends of the disorders
          “Mental health
225                               MASFETY        along the life cycle : children and aged people plus at risk population such homeless.                       3   03, 2011
                                                 - describe mental health care systems including the involuntary placement systems across European
                                               The module aims to provide basic knowledge of the diverse psychiatric disorders and mental health
                                               dimensions: psychological distress and wellbeing, their determinants and some elements of the mental
                                               health care system. The module will allow the students to be familiar with the measurement issues for
                                               mental health, its determinants including the respective place for genetics and environment and the
                                               distribution of the main mental health disorders

                                               The module will allow the students to be familiar with the measurement issues for mental health, its
                                               determinants including the respective place for genetics and environment and the distribution of the main
                                               mental health disorders
                                               In addition he will be able to grasp some elements for comparisons between countries and cultures, the
                                               age trends of the disorders along the life cycle : children and aged people plus at risk population such

                                               He will also have elements to describe mental health care systems including the involuntary placement
                                               systems across European countries.
                                               Learning objectives: at the end of the module, the students should be able to:
                                                - To complete

                                               The course is intended to develop practical management skills and to teach the student how to manage

                                               First, we will focus on the very important task of managing people working in groups with a focus on
                                               team design and communication. The course will touch on the need to measure individual as well as
            Major A of the
                                               group productivity, efficiency and the outputs of the organization as well as its ability to maintain itself
       Management and health
                                               and its mission.
        policy sciences track:
        “Decision Making for       Sébastien   The position of the organization in its environment will be the focus of the second half of the course
226                                                                                                                                                             3   50, 2010
      Health Care Organizations:   WOYNAR      where we will discuss the principles of organizational design in terms of its relationship to environmental
       Organization Design and                 stresses and opportunities and the importance of strategic alliances. Coping with the environment requires
              Behavior »                       adaptation and change; the organization must be a learning unit. Part of that learning process is the
                                               development of meaningful indicators and measures that will help the manager to cope with the day to
                                               day needs of leadership, but also support the strategic planning that is necessary to ensure the future of the

                                               Practical management issues, such as conflict management and negotiation skills, will also be addressed.
                                               The assimilation of the topics covered in this class will be done though an integrated case study.

                                               Prerequisite: prior experience in management is an advantage and will help leveraging this class
                                                      Learning objectives: at the end of the module, the students should be able to:
                                                       - To complete
              Major B of the
        Management and health                         If policy makers can learn from experience, this unit is a comparative approach to the development of
                                       Karine         health care systems in advanced countries emphasising present and future policy options and problems. It
          policy sciences track:
                                    CHEVREUL and
      « International comparisons                     describe, among other: policies implemented to improve quality and safety in health care services,             3   02, 2011
227                                    Sarah
          of health systems and                       regulation of the pharmaceutical markets, challenges in the long-term care sector; development of mental
                policies »                            health care…

                                                      Prerequisite: None

                                                      Learning objectives: at the end of the module, the students should be able to:
                                                       - To complete

                                                      More than ever before, public health needs and healthcare delivery have seen evolving requirements for
                                                      optimal and effective management of care models. From technology and knowledge on one hand to new
                                                      issues and practice challenges on the other hand, the objective of this module is to provide students with
                                                      the most up-to-date knowledge, skills and abilities in the management of innovative healthcare delivery
                                                      for the population at large. Public health needs and the delivery of healthcare have experienced many
                                                      changes as well as challenges in the last millennium. The future holds even greater challenges given the
                                                      rise of new information and communication technologies, team work collaborative strategies, operational
            Major C of the                            management methods and knowledge-transfer approaches. Today‟s global financial and human resources
       Management and health                          crisis in public health and healthcare delivery is an indication of future trends and a calling for new
         policy sciences track:                       solutions must be addressed if patient and populations‟ care are not to be further compromised.
         « Innovative Success
228                                 Stefane KABENE The objective of this module is to familiarize students with an overview of current management                    3   3, 2011
      Strategies in Public Health
                                                   procedures and strategies. Upon the completion of this module, attendees will have a better understanding
      & Health Care Delivery for
                                                   of the unique challenges facing public health professionals and healthcare delivery to global populations.
        the New Millennium »
                                                   This course will review the following:

                                                          o   Public Private Partnerships (P3s) which have become an interesting alternative in the delivery of
                                                               healthcare and other public services in recent years.

                                                          o   Knowledge management approaches and their impact on decision-making models.

                                                          o   Latest operation research findings and their use in the healthcare field with a specific focus on
                                                               emergency room procedures.

                                                          o   Teams, job description and perceived risk. Using a comparative analysis, the corporate, aviation
                                                               and healthcare fields will be reviewed. An analysis of team structures within the three fields will
                                                               show that the level of perceived risk is directly related to the level of control imposed by
                                                               management. This will help students to understand what is necessary in the process of dealing
                                                               with emergencies.

                                                         o    The Team of Leaders (ToL) concept developed recently by the US Army to face challenges other
                                                               than war and to address management of healthcare operations in unstable mega-scale
                                                               environments and human disasters.

                                                         o    Use of Information and Communication Technology (ICT) to improve communication and
                                                               performance in complex systems such as public health and healthcare delivery. The case of
                                                               SARS and H1N1 will be used to demonstrate both poor and improved communication.

                                                     This module offers an opportunity for participants to have practical applications of theoretical models
                                                     through a case study approach. This will allow for in depth review, analysis and greater awareness of the
                                                     future development and trends in management methodology required in the field of public health and
                                                     healthcare delivery.

                                                     Learning objectives: at the end of the module, the students should be able to:
                                                      - To complete

                                                     The WHO Framework Convention on Tobacco Control (WHO FCTC) is the first treaty negotiated under
                                                     the auspices of the World Health Organization. The WHO FCTC is an evidence-based treaty that
                                                     reaffirms the right of all people to the highest standard of health. The WHO FCTC represents a paradigm
                                                     shift in developing a regulatory strategy to address addictive substances; in contrast to previous drug
                                                     control treaties, the WHO FCTC asserts the importance of demand reduction strategies as well as supply
                                                     issues. The WHO FCTC was developed in response to the globalization of the tobacco epidemic. The
                                                     spread of the tobacco epidemic is facilitated through a variety of complex factors with cross-border
                                                     effects, including trade liberalization and direct foreign investment. Other factors such as global
                                                     marketing, transnational tobacco advertising, promotion and sponsorship, and the international movement
      Major D of the Management                      of contraband and counterfeit cigarettes have also contributed to the explosive increase in tobacco use.      01, 2011
239    and health policy sciences
      track: « Tobacco control an                    This module is designed to develop knowledge on the tobacco epidemic, mechanisms and obligations
                                    Sylviane RATTE   contained in the FCTC for the 168 countries that have ratified. It will provide students with the essential
       example for health policy
                                          and        basic knowledge on the different policy areas covered by the FCTC and it will present a comprehensive
             management »            Emmanuelle      public health policy management.
                                                     The core demand reduction provisions in the WHO FCTC contained in articles 6-14:

                                                         -    Price and tax measures to reduce the demand for tobacco, and
                                                         -    Non-price measures to reduce the demand for tobacco, namely: Protection from exposure to
                                                              tobacco smoke; Regulation of the contents of tobacco products; Regulation of tobacco product
                                                                disclosures; Packaging and labeling of tobacco products; Education, communication, training
                                                                and public awareness; Tobacco advertising, promotion and sponsorship; and Demand reduction
                                                                measures concerning tobacco dependence and cessation.

                                                       The core supply reduction provisions in the WHO FCTC contained in articles 15-17: Illicit trade in
                                                       tobacco products; Sales to and by minors; and Provision of support for economically viable alternative

                                                       In addition, the major will provide students with an overview of the accompanying essential measures and
                                                       strategies namely public health information, mass media, coalition building , involvement of civil society.
                                                       It will provide students with the opportunity to understand the special context tobacco control evolves in
                                                       and the necessity to protect health policy from any tobacco industry interference.

                                                       Students will have a good grasp of what is meant by tobacco control, and understanding of the key
                                                       framework of the FCTC for the implementation of effective tobacco control policy.

                                                       Learning objectives: at the end of the module, the students should be able to:
                                                             - Critically assess the methods for smoking cessation
                                                             - Describe the different health care systems provided for smoking cessation,
                                                             - Explain the future stakes for tobacco control in a perspective of harm reduction, economical
                                                                 aspects and the specific part played by the civil society.

                                                       This module will be targeted at students who already have a good grasp of the FCTC general framework.
             Major E of the                            It will be focused on two aspects: the treatment and the regulation of tobacco products and other political
        Management and health                          perspectives of tobacco control.
          policy sciences track:
      “Strategies and case studies   Yves MARTINET Treatment should be an essential component of a tobacco control strategy and should be integrated with                03, 2011
240                                                other tobacco control policies. For example, taxation increases should be combined with greater
       to reduce the burden of an
      industrial epidemic through                  availability of treatment (see also Treatment Guidelines section of the Efficacy section). Article 14 of the
                                                   Framework Convention on Tobacco Control creates an obligation for Parties to take effective measures to
       the example of the tobacco
                                                   promote adequate treatment for tobacco dependence.
                                                       This module will also develop the economical cost of smoking in a society : social coast, obstacle to an
                                                       economical development… and the particular part played by the civil society to tackle this epidemic.

                                                       Students will gain in knowledge and skills in tobacco control including at a practical level as well as
                                                       knowledge regarding tobacco products, treatment of the tobacco dependence, and the health care systems.

      Major A of the Information                       Learning objectives: at the end of the module, the students should be able to:
229   Sciences and biostatistics     Elisabeta VERGU       - Critically read and analyse research articles featuring modelling-based epidemiological studies;        3   49, 2010
        track: « Modelling of                              - Provide the general ideas for constructing and analysing simple models of epidemic spread and
         infectious diseases »                         control;
                                                       - Interpret models outputs as information that help guide public health decision making.

                                                   Mathematical models are conceptual tools that describe the functioning of systems of objects. In
                                                   epidemiology, they contribute to the understanding of fundamental epidemiological processes or are used
                                                   to predict disease spread at various spatial-temporal scales and its prevention and control. Alone or
                                                   combined with economic cost-effectiveness studies, mathematical models and associated statistical
                                                   techniques have become invaluable decision-making tools in public health in general and in planning
                                                   mitigation strategies against any epidemic of a communicable disease in particular.
                                                   The main objective of this course is to provide students with the knowledge and skills that enable them (i)
                                                   to critically read and analyze research articles featuring modelling-based epidemiological studies and also
                                                   (ii) to construct and interpret simple models for describing epidemic spread and control.
                                                   The course will present the simplest models and methods used in infectious diseases modelling either
                                                   conceptually or practically (through computer-based exercises and critical reading of scientific research
                                                   articles) and will illustrate this methodology with several developed examples from public health field. Its
                                                   content may be split into several parts:
                                                   - Brief overview of the basic concepts and ideas of modelling: (i) presentation of main classes of
                                                   epidemic models (population vs individual based, deterministic vs stochastic, spatial models), (ii)
                                                   construction of SIR-like models and calculation of basic reproductive numbers (R0);
                                                   - First example: bioterrorism-related epidemics illustrated through modelling-based studies of detection
                                                   and spread of smallpox, pneumonic plague, Ebola and anthrax outbreaks;
                                                   - Second example: control of infectious diseases illustrated with a modelling-based approach of measles
                                                   vaccination in epidemic context;
                                                   - Introduction to the methods and issues surrounding estimation from data of epidemic models
                                                   parameters: (i) basic concepts and tools and (ii) computer practice with Berkeley Madonna software;
                                                   - Third example: influenza as a case study through model-based insights into (i) past influenza pandemics
                                                   and (ii) geographical spread of influenza in the US using mortality data.

                                                   Learning objectives: at the end of the module, the students should be able to:

                                                           Define concepts of information and information systems.
                                                           List the different stages in the information cycle.
      Major C of the Information                           Describe and practice the classification systems of patients into groups homogeneous
      Sciences and biostatistics       Isabelle
231                                                         in terms of hospital resource use on an international scale.                                          3   2, 2011
      track: «Information systems   BICHINDARITZ
      in public health »                                   List legal references for health information protection and apply them to the design of
                                                            an information assurance plan.
                                                           Define an information assurance plan and choose pertinent techniques for protecting
                                                            health information.
                                                           Describe the content and organization of an electronic health record (EHR) and of a
        personal medical record.
       List the challenges, standards, and tools related to multimedia data.
       Search efficiently for information in particular on the Internet.
       Compare human computer interaction and information presentation modalities.
       Support Public Health decision and resource planning through information technology.
       List and describe standards for health information interchange and architectures for
        distributed information.
       Evaluate information systems.
       Determine information needs and apply methods for information systems definition
        and management in Public Health.


Following the rapid growth of health information, the Information Systems course focuses on
the integration of information in Public Health supported by information technology. The
course provides an international and global perspective through the intervention of experts
from around the world. The core teaching is that health information represents a major and
strategic advantage for the Public Health professional. Specific challenges addressed cover the
design and management of information systems, information retrieval, search, processing,
transmission, exchange, as well as information protection and assurance. Following this
module, the Public Health professional will master pertinent concepts, processes, and skills to
assist in defining and achieving Public Health goals through information technology.

       Principles of information and information systems.
       The information cycle – design/creation, retrieval/search,
        use/processing/presentation, transmission/exchange, protection/assurance.
       Classification systems of patients into groups homogeneous in terms of hospital
        resource use, such as Diagnostic Related Groups (DRG) and Programme de
        Médicalisation du Système d’Information (PMSI).
       Legal matters.
       Health information security.
       Electronic medical records and personal health records.
       Complex and multimedia information – texts, images, geographic information systems,
        genetic data.
       Information retrieval and search.
       Human computer interaction.
       Decision support and enterprise resource planning (ERP).
                                                            Information exchange and distribution over the Internet, standards.
                                                            Information systems evaluation.

                                                     Project management, organizational factors.
                                                     Learning objectives: at the end of the module, the students should be able to:
                                                      - Identify the main determinants of (new) infectious disease risks in a changing world
                                                      - Critically assess the quality and opportunity of national and international public health policies
                                                         when facing these new disease risks
                                                      - Specify environmental risk assessment methods that are applied for microbial agents
                                                      - Put new emerging infectious disease risks into perspective with other (agriculture, demography,
                                                         pollution, international travel and trade,…) dimension of globalization

                                                     The course covers interdisciplinary scientific issues such as environmental systems, ecology,
                                                     epidemiology, population dynamics, biomathematics and biostatistics, biodiversity changes, ecosystem
                                                     modifications, climate change, agriculture development and intensive farming, transcontinental air
                                                     transport and international trade, established and emerging diseases. The instructors are renowned
                                                     international specialists in medical sciences, ecology/evolutionary biology and biomathematics affiliated
                                                     to the most famous universities and research institutes in the world. The course discusses the many
             Major A of the
                                                     different examples of disease emergence/outbreaks and their spatial spread, that are interconnected to
          Environmental and
                                     Jean-François   Earth systems disruption/alteration and globalization events. It particularly focuses on the dynamics of
      occupational health sciences
                                       GUEGAN        Earth physical/biological systems and the impacts of increasing human population/consumption on these
232         track : « Global                                                                                                                                       3   49, 2010
                                                     systems. The syllabus is organized around major questions including (i) the exploration of the linkages
        environmental changes:
                                                     between diseases and globalization due to environmental hazards and modernization (e.g. transcontinental
           advanced topics »
                                                     air transport of goods and people), (ii) the examination of the consequences of these connections on
                                                     human health, and (iii) the evaluation of the risks associated with not considering the complexity of these
                                                     webs of interactions. Strong emphasis will be made (i) on the consequences of nowadays vaccine
                                                     strategies for disease,control and their consequences on disease agent persistence, spread and evolution,
                                                     and (ii) the interactions between complex disease systems and public health economy with an emphasis
                                                     on situations in developing countries, i.e., Africa. Recent applications to public health policies and
                                                     decisions by international WHO, UNEP, UNESCO, ICSU programmes in environmental health sciences
                                                     research initiatives and health perspectives will be discussed within the framework of the “emerging
                                                     field” called Conservation Medicine or Darwinian Medicine

                                                     Prerequisite: Good training, or research interest, in biology, international public health, science of
                                                     complexity are requested. Strong aptitude to re-interpret basic knowledge in medical sciences and
                                                     biology. Course #217 attending is an advantage to follow course #230, not an obligation.

            Major B of the                           Learning objectives: at the end of the module, the students should be able to:
                                     Denis ZMIROU-
233                                                   - Critically assess the quality of the methods used in risk assessment papers and reports                    3   2, 2011
          Environmental and             NAVIER
                                                      - Identify the main sources of uncertainties that lie in a risk assessment study and assess their impact
      occupational health sciences                         on the study results and interpretation
      track : «Advanced issues in                      -   Specify environmental risk assessment methods that are applied for microbial agents.
           risk assessment »
                                                      This specialization module, covering both methodological and applied issues in risk assessment, aims to
                                                      train the type of qualified professionals who are urgently needed in Europe and beyond, in particular in
                                                      the framework of the implementation of the REACH system for hazard and risk assessment of chemical
                                                      substances. This curriculum will also represent meeting opportunities for French and international
                                                      researchers in this field which experiences a steady development, a promise for collaborative scientific
                                                      production in support to public policies targeted at controlling risks related to the general and
                                                      occupational environments. This programme is, by nature, inter-disciplinary, at the interface between
                                                      toxicology, biomathematical modeling, epidemiology and engineering sciences.

                                                      Students will be exposed to state-of-the-art presentations from leading scientists in their field, dealing
                                                      with hazard dose-response modeling, assessment of cumulative exposures, alternative methods currently
                                                      under development for hazard characterization, and with extrapolation issues regarding short to long term
                                                      exposures, hazard and risks from mature to less mature (infant and children) organisms, or from animals
                                                      to humans. Illustrations will encompass chemical substances and physical stressors, along with microbial
                                                      agents encountered in the environment and at the workplace.

                                                      Prerequisite: module 216 or equivalent.

                                                      Learning objectives: at the end of the module, the students should be able to:
                                                       - To complete

                                                  The toxicity of chemicals or of other environmental stressors is highly dependent on exposure
                                                  conditions and on the particular vulnerability of the individual or group of persons. The module will
             Major C of the                       address these issues with some emphasis on vulnerability during development and growth and on
                                                  occupational exposures. The module is essentially multidisciplinary with epidemiological, toxicological
          Environmental and
                                                  and social sciences perspectives. The following items will be discussed: importance of windows of
      occupational health sciences
                                                  exposure to carcinogens or reprotoxic agents during pregnancy, in early life and at the workplace;
234   track : «Critical windows of Robert BAROUKI vulnerability of children to physical agents; transgenerational epigenetic effects both in experimental          3   3, 2011
             exposures and                        animals and in humans; examples of gene-environment interaction and mechanistic basis of
              vulnerability»                      vulnerability, notably during development.
                                                  The courses are highly interactive and students are expected to do some reading before attending the
                                                  course (required reading will be posted on the site before the course). The major aim is to delineate new
                                                  paradigms of toxicity which cannot be restricted to the dose of the toxic agents and to provide students
                                                  with the ability to understand some mechanisms of vulnerability, the identification of windows of
                                                  toxicity and long term effects (including transgenerational effects).
                                                  Prerequisite: Some background in biological basis of disease and molecular biology is helpful. Such
                                                  background is provided by the M1 (for example course 118)
                                                      Learning objectives: at the end of this module, students will be able to:
                                                          -    manage or coordinate a humanitarian health emergency situation:
                                                          -    assess in the field the health needs of populations including applying appropriate epidemiological
                                                               methods in crisis situations;
                                                          -    design humanitarian health actions that respond to assessed population health needs and list the
                                                               priority problems identified on site (infectious risks in bringing together a population, influx of
                                                               injured or sick people, supply of food and drinking water, dealing with psychological trauma…);
                                                          -    make use epidemiological control tools and follow health indicators to evaluate and adapt a
                                                               humanitarian operational plan.

                                                      The international solidarity applies to different contexts. NGOs operate in emergencies situations or
                                                      crises that can be very different: international conflicts, civil wars, natural disasters, technological
      Major A of the Humanitarian                     disasters…
                                        Pierre        Those events appear in social, political, economical contexts that have to be taken into account for the
             health track:
235                                   SALIGNON        humanitarian emergency response to ensure efficacy, acceptability and thus security for the team. The            3   49, 2010
      Humanitarian health in crisis
               situations                             implementation of humanitarian actions should take place after a thorough analysis of the specific
                                                      country context.
                                                      Multiple humanitarian organizations and stakeholders operate concurrently and mostly in a
                                                      complementary manner. A particular attention has to be paid on coordination to avoid duplication of
                                                      efforts and the waste of the resources.

                                                      Whatever the causes of the crisis, the field work often produces repeated scenarios, even though each of it
                                                      is specific to its context: refugee camps, epidemic risks, lack of drinking water or food, destruction of the
                                                      local health system, brain drain or death of competent national health workers and other human resources.
                                                      Therefore, implementers and decision-maker who take part in the humanitarian response should know
                                                      how to master the most frequently encountered situations and be able to manage the technical aspects of
                                                      the most common interventions.

                                                      Learning objectives: at the end of the module, the students will be able to:
                                                       Identify and operationalize intervention strategies to strengthen health systems in crisis situations
      Major B of the Humanitarian                        addressing weaknesses at system level, policy level or health intervention level
                                        François         - identifying tracks of action, in reference to the recognized strategies, programming interventions
             health track:
                                      PETITJEAN          - discussing and proposing the most efficient strategies in a contextualized intervention
        “Strengthening health
236                                   and Françoise      - implementing and monitoring an action plan.                                                                 3   1, 2011
       systems to prevent and
        manage humanitarian              JABOT
                                                      It is essential to strengthen health systems in order to: anticipate crises, react in the most appropriate way
               crises”                                to crises situations and, evolve favorably to emerge from crises.

                                                      This module presents the key elements to take into account interventions either in the framework of a
                                                     stable context or in the sorting out of crisis: the main intervention strategies to reinforce health systems
                                                     are discussed. These strategies concern either the whole system organization (to promote an integrated
                                                     system), main resources (health professionals, medicine, various founding) or public policies: targeted
                                                     policies (e.g. mother and child), thematic ones (e.g. tuberculosis) or territorial ones.
                                                     The courses imply the contributions from managers and coordinators of national and international health
                                                     programs as well as faculty. A workshop is dedicated to the comparison between various intervention
                                                 Learning objectives: at the end of the module, the students will be able to:
                                                    - understand the rationale for humanitarian research and evidence-based humanitarian practice and
                                                        explore the process of humanitarian research – from hypothesis generation to final product – and
                                                        understand the practical challenges to performing rigorous epidemiologic study in insecure
                                                    - apply methodologies available for estimating changing populations in crisis zones due to
                                                        migration and rapid population fluxes, design quantitative population-based sampling methods
                                                        for humanitarian consensus indicators and understand their limitations.
                                                    - use quantitative and qualitative research methods in humanitarian contexts to inform program
                                       Gregg            decision and generate evidence-based humanitarian practice, measuring program effectiveness
                                    GREENOUGH           and impact, and their implication for the coordination of relief in the broader context of a
                                      Harvard           humanitarian crisis.
                                                    - understand the ethical principles of engaging human subjects in humanitarian research and the
                                                        potential pitfalls and unforeseen consequences of research on vulnerable populations.
      Major C of the Humanitarian
             health track:             Rebecca       In this module, students will discuss the rationale for humanitarian research, become familiar with the
237      “Humanitarian health        FREEMAN-        roles of academia, non-governmental organizations, and multi-lateral organizations in evidence-based           3   3, 2011
       information management          GRAIS         humanitarian practice and understand the practical challenges to performing rigorous epidemiologic study
       and operational research”      Francesco      in insecure environments. The module discusses process and outcome indicators that measure
                                      CHECCI         humanitarian program effectiveness and impact and their implication for the coordination of relief in the
                                                     broader context of a humanitarian crisis.
                                       Philippe      Establishing population denominators is essential for interpreting health outcome measures for policy and
                                       GUERIN        humanitarian relief programming. During conflict and disasters, migration and rapid population fluxes
                                                     occur. The module will explore the application of epidemiology, demography, and other disciplines to
                                                     estimating these challenging populations and the role emerging technologies can play in these
                                                     applications.: i.e. various quantitative population-based sampling methods employed in humanitarian
                                                     settings, particularly in measuring consensus indicators of mortality and morbidity; nutrition and food
                                                     security; access to health services, water and sanitation; and the incidence of communicable diseases and
                                                     related statistical tools.
                                                     Teaching approaches: Lectures, group work, case studies, laboratory exercise, practice with methods of
                                                     population estimation, including on the ground methods, technologic applications, and secondary data
                                                    Learning objectives: at the end of the module, the students should be able to:
                                                     - To complete

                                               The main objective of this course is to provide students with the methods and main concepts of the major
                                               disciplines involved in the process of surveillance, identification of signals, monitoring and control of
                                               emerging or re-emerging diseases, possibly leading to outbreaks or epidemics. This implies an
                                   A. FLAHAULT interdisciplinary approach through development of cases studies and specific teaching on the contribution
      Interdisciplinary module 2               of epidemiology, virology, immunology, social and behavioural sciences, entomology, clinical research
207                                                                                                                                                               3    23, 2011
         “Emerging diseases”
                                               and animal health, to the knowledge and intervention. A focus will be made on vector-borne diseases as
                                               chikungunya fewer in the Indian ocean and Ross River virus (RRV) in Australia. Specific concepts in
                                               public health epidemiology and ecology will be examined and discussed so that students develop an
                                               appreciation of symptom nature and severity, as well as issues of case definition and diagnosis. Finally,
                                               analytical studies of these diseases as risks will be dealt with examining models of disease ecology and
                                               epidemiology, as well as issues of study design for elucidating such diseases risks.

                                                    The 4.5 months ‘Practicum’ is where students will have the opportunity to apply the expertise they have
                                                    gained during the MPH curriculum to specific public health issues. Students are invited to take the
                                                    initiative and make proposals for placement locations and topics they are interested to work for. EHESP
                                                    also prospects internship locations and offers a variety of possibilities, in limited number. Students will
              Practicum            Denis ZMIROU-                                                                                                                        5-22,
238                                                 be placed under the supervision of a trained professional (‘professional advisor’) in one of the many         24
                                      NAVIER                                                                                                                            2011
                                                    services (hospital, health agency, local health authority, industry, research laboratory …) associated with
                                                    the MPH, both in France and abroad, and of one faculty dedicated to this task (‘academic advisor’). At
                                                    the end of the Practicum, students will write a report that will take the form of a paper to be submitted
                                                    in an international journal, and will make an oral dissertation before the MPH faculty.

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