Global Public Health Intelligence Network (GPHIN) Reseau Mondial d Information en Santé Publique (RMISP) Michael Blench
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1 1 Global Public Health Intelligence Network (GPHIN) Reseau Mondial d Information en Santé Publique (RMISP) Michael Blench GPHIN Technical Advisor & Project Coordinator
2 2 GPHIN - Background An early-warning system for potential public health threats worldwide Monitors global media sources in nine languages (Arabic, Chinese Simplified and Traditional, English, Farsi, French, Portuguese, Russian and Spanish) Gathers relevant information in near real-time and on a 24/7 basis; sends GPHIN alerts to users when appropriate Web based ( thin client ) password protected
3 3 GPHIN Complements the Public Health Surveillance Systems Regional / International level Analysis and Feedback. Support Policy, target funding Central level Analyze, Investigate, Confirm, Plan, Fund, Respond, Feedback Intermediate level Analyze, Investigate, Report, Respond, Feedback WHO Ministry of Health Time (Days \ Weeks / Months) Peripheral level Detect, Treat, Report GPHIN Early Warning System
4 4 GPHIN s Modus Operandi Timeline: Hours Days Detection by GPHIN Dissemination by GPHIN Verification by users Information on Public Health Risks Intelligence on Public Health Risks
5 GPHIN Taxonomy? Human diseases SARS, H1N1 5? Animal diseases Ebola in pigs? Plant diseases Asian soybean rust? Other biologics Pathogens? Chemical incidents Chlorine spill? Radioactive incidents Nuclear material trafficking? Unsafe products Salmonella, Listeria? Natural disasters Tsunami 2004, Sichuan earthquake
6 6 GPHIN's Versatility : Information for Action Detect potential public health threats Estimate magnitude of the public health threat Determine geographic distribution of public health threat Identify control and preventative measures considered and implemented Monitor concerns of the general public Observe situational politics
7 7 GPHIN Workflow Data Collection Advanced Analytics Multilingual Real Time Intelligence Rendering Multilingual Sources News Media Automated / Manually Entered Duplicate Elimination Translation Metadata Insertion (Taxonomy) Categorization Relevancy Score En Fr Fa Es Ru Ar Zhs Zht Pt Publish Manual Analysis Triage: 1.Publish or 2. Publish with alert or 3. Irrelevant Irrelevant
8 8 Analyst s Responsibilities Review reports for public health relevance and disseminate alerts Monitor events of concern Maintain: Search syntaxes taxonomy and data dictionaries Ministry of Health Website links Prepare reports Respond to inquiries / requests from GPHIN Users Identify any technical difficulties to be addressed Duty Officer
9 GPHIN s early reporting of A/H5N1 virus in Iran September 13, 2005: First media report of avian influenza in birds in Iran. October 6, 2005: Media report states that Minister of Agriculture notified Vice-President that chicken farms are contaminated with the lethal bird flu strain. February 14, 2006: Iran officials confirm the presence of A/H5N1 in swans Time Line (days) Initial report about the presence of avian influenza in birds in Iran - not confirmed by Iranian officials Media reports about the presence of avian influenza in birds in Iran - not confirmed by Iranian officials Media report about the presence of avian influenza in birds in Iran - confirmed by Iranian officials
10 GPHIN s early reporting of A/H1N1, Mexico 10
11 GPHIN's contribution in reporting disease events at WHO 11 Verification status of events by initial reporting source, 1 January - 31 December 2006 (n=279) Number of Events Discarded Unverified Verified 20 0 News Media Official Other Report Source Source: Epidemic alert and verification: summary report Wkly Epidemiol Rec. 2007;82:111 6.
12 12 GPHIN Users - International World Health Organization (WHO) UN Food and Agriculture Organization (FAO) World Organization for Animal Health (OIE) European Commission (EC) European Centre for Disease Prevention and Control (ECDC) US Centers for Disease Control and Prevention (CDC) Government Institutions of various countries: Algeria, Australia, Brazil, China, France, India, Italy, Germany, Mexico, Netherlands, Switzerland, United Kingdom, United States
13 13 Next Steps Strengthen linkages within PHAC program areas Expand news sources Improve system robustness Technology shift to accommodate images, sounds and video GIS More visualizations ( dashboards )
14 14 Merci / Thank You Contact information: Michael Blench Phone: (613) michael_blench@phac-aspc.gc.ca or gphin_rmisp@phac-aspc.gc.ca
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