Cascade Model of Field Epidemiology Training Programme (FETP)

2018 ◽  
Vol 20 (2) ◽  
pp. 144-150
Author(s):  
Dhananjay Srivastava
Keyword(s):  
Public Health ◽  
Disease Surveillance ◽  
International Health ◽  
Training Programme ◽  
Public Health Workforce ◽  
Public Health Action ◽  
Health Security ◽  
Field Epidemiology ◽  
Health Action ◽  
Training Programmes

India has the responsibility to interpret and initiate appropriate public health action and notify those events that are of public health emergencies of international concern (PHEIC) as a signatory to International Health Regulation (IHR) (2005) and Global Health Security Agenda (GHSA). The aim of the human resource goal of GHSA is to ensure adequate numbers of trained personnel for response to a public health emergency. Epidemiologists are an essential component of the public health workforce, and in ‘ Delhi Declaration of Epidemiology’ capacity building in epidemiology was identified as an important and urgent issue. Field epidemiology training programmes (FETPs) are competency-based training and service programmes in applied epidemiology and public health for building capacity which enhances better health response in the country. The goal of FETP is to build public health and epidemiological capacity through training to create high-calibre field epidemiologists and to strengthen the disease surveillance. The proposed cascade FETP model for India in this article is to strengthen epidemiological skills and disease surveillance at every level of health system in India. Expansion of FETPs to several institutions while maintaining the quality was emphasized to meet the global requirement of public health cadre, that is, one epidemiologist per 200,000 population.

Waterborne Disease Surveillance: The Case for a Closer Interaction between the UNECE Protocol on Water and Health and the International Health Regulations (2005)

2010 ◽  
Vol 12 (3) ◽  
pp. 287-302
Author(s):  
Stefania Negri
Keyword(s):  
Public Health ◽  
Disease Surveillance ◽  
International Health ◽  
Early Warning Systems ◽  
Integrated System ◽  
Whole Body ◽  
Waterborne Diseases ◽  
Health Security ◽  
International Agencies ◽  
Legal Frameworks

AbstractThe UNECE Protocol on Water and Health prioritises prevention and control of waterborne diseases in the European Region. In order to protect public health from water-related outbreaks, the Protocol mandates the Parties to establish, improve and maintain comprehensive national and local surveillance as well as early warning systems. It also promotes international cooperation among Member States and fosters the development of joint and coordinated action aimed to complement or strengthen national capacities of response. Coordination and liaison with competent international agencies and organisations acting in the field of public health and disease surveillance is instead almost completely neglected. Despite the gap in the agreement, the relevance to the Protocol of existing surveillance networks has increasingly been acknowledged. Following this trend, the Protocol Bodies are exploring the opportunities for a closer interaction with regional and global alert and response systems. This effort is commendable, but much more can be done to reach a more intense cooperation and achieve a globally integrated system of disease surveillance. Harmonisation of legal frameworks (in this case, the UNECE Protocol, the EU legislation and the IHR 2005) and a better synergy among relevant networks will enhance protection of global health security, avoid useless duplications of efforts, and ensure coherence of the whole body of international law on public health.

scholarly journals The role of Namibia Field Epidemiology and Laboratory Training Programme in strengthening the public health workforce in Namibia, 2012–2019

2021 ◽  
Vol 6 (4) ◽  
pp. e005597
Author(s):  
Kofi Mensah Nyarko ◽  
Leigh Ann Miller ◽  
Andrew L Baughman ◽  
Puumue Katjiuanjo ◽  
Michele Evering-Watley ◽  
...  
Keyword(s):  
Public Health ◽  
Health System ◽  
Health Workforce ◽  
Public Health System ◽  
Training Programme ◽  
Public Health Workforce ◽  
Surveillance Systems ◽  
The Public ◽  
Field Epidemiology ◽  
Laboratory Training

Namibia faces a critical shortage of skilled public health workers to perform emergency response operations, preparedness activities and real-time surveillance. The Namibia Field Epidemiology and Laboratory Training Programme (NamFELTP) increases the number of skilled public health professionals and strengthens the public health system in Namibia. We describe the NamFELTP during its first 7 years, assess its impact on the public health workforce and provide recommendations to further strengthen the workforce. We reviewed disease outbreak investigations and response reports, field projects and epidemiological investigations conducted during 2012–2019. The data were analysed using descriptive methods such as frequencies and rates. Maps representing the geographical distribution of NamFELTP workforce were produced using QGIS software V.3.2. There were no formally trained field epidemiologists working in Namibia before the NamFELTP. In its 7 years of operation, the programme graduated 189 field epidemiologists, of which 28 have completed the Advanced FELTP. The graduates increased epidemiological capacity for surveillance and response in Namibia at the national and provincial levels, and enhanced epidemiologist-led outbreak responses on 35 occasions, including responses to outbreaks of human and zoonotic diseases. Trainees analysed data from 51 surveillance systems and completed 31 epidemiological studies. The NamFELTP improved outcomes in the Namibia’s public health systems; including functional and robust public health surveillance systems that timely and effectively respond to public health emergencies. However, the current epidemiological capacity is insufficient and there is a need to continue training and mentorship to fill key leadership and strategic roles in the public health system.

scholarly journals Building a new platform to support public health emergency response in Africa: the AFENET Corps of Disease Detectives, 2018–2019

2020 ◽  
Vol 5 (10) ◽  
pp. e002874
Author(s):  
Ben Masiira ◽  
Simon N Antara ◽  
Herbert B Kazoora ◽  
Olivia Namusisi ◽  
Notion T Gombe ◽  
...  
Keyword(s):  
Public Health ◽  
Health Workforce ◽  
Health Workers ◽  
Rapid Response Team ◽  
Public Health Emergency ◽  
Sub Saharan Africa ◽  
Public Health Workforce ◽  
Health Security ◽  
Field Epidemiology ◽  
Sub Saharan

Public health emergency (PHE) response in sub-Saharan Africa is constrained by inadequate skilled public health workforce and underfunding. Since 2005, the African Field Epidemiology Network (AFENET) has been supporting field epidemiology capacity development and innovative strategies are required to use this workforce. In 2018, AFENET launched a continental rapid response team: the AFENET Corps of Disease Detectives (ACoDD). ACoDD comprises field epidemiology graduates and residents and was established to support PHE response. Since 2018, AFENET has deployed the ACoDD to support response to several PHEs. The main challenges faced during ACoDD deployments were financing of operations, ACoDD safety and security, resistance to interventions and distrust of the responders by some communities. Our experience during these deployments showed that it was feasible to mobilise and deploy ACoDD within 48 hours. However, the sustainability of deployments will depend on establishing strong linkages with the employers of ACoDD members. PHEs are effectively controlled when there is a fast deployment and strong linkages between the stakeholders. There are ongoing efforts to strengthen PHE preparedness and response in sub-Saharan Africa. ACoDD members are a competent workforce that can effectively augment PHE response. ACoDD teams mentored front-line health workers and community health workers who are critical in PHE response. Public health emergence response in sub-Saharan Africa is constrained by inadequacies in a skilled workforce and underfunding. ACoDD can be utilised to overcome the challenges of accessing a skilled public health workforce. To improve health security in sub-Saharan Africa, more financing of PHE response is needed.

scholarly journals Lessons from the first 6 years of an intervention-based field epidemiology training programme in Papua New Guinea, 2013–2018

2019 ◽  
Vol 4 (6) ◽  
pp. e001969 ◽  
Author(s):  
Barry Ropa ◽  
James Flint ◽  
Michael O'Reilly ◽  
Boris Igor Pavlin ◽  
Rosheila Dagina ◽  
...  
Keyword(s):  
Public Health ◽  
Health Outcomes ◽  
Papua New Guinea ◽  
New Guinea ◽  
Training Programme ◽  
Health Interventions ◽  
Public Health Workforce ◽  
Public Health Interventions ◽  
Independent State ◽  
Field Epidemiology

Papua New Guinea (PNG) faces a critical shortage of human resources to address pressing public health challenges arising from an increasing burden of communicable and non-communicable diseases. PNG is an independent State in the Pacific and home to 8.2 million people. Resource and infrastructure constraints due to the country’s challenging geography have made it difficult and expensive to deliver health services and implement health programmes. The National Department of Health and its partners developed a field epidemiology training programme of Papua New Guinea (FETPNG) to strengthen the country’s public health workforce. The training programme covers field epidemiology competencies and includes the design, implementation and evaluation of evidence-based interventions by Fellows. From 2013 to 2018, FETPNG graduated 81 field epidemiologists. Most FETPNG graduates (84%) were from provincial or district health departments or organisations. Many of their intervention projects resulted in successful public health outcomes with tangible local impacts. Health challenges addressed included reducing the burden of multi-drug resistant-tuberculosis (TB), increasing immunisation coverage, screening and treating HIV/TB patients, and improving reproductive health outcomes. FETPNG Fellows and graduates have also evaluated disease surveillance systems and investigated disease outbreaks. Early and unwavering national ownership of FETPNG created a sustainable programme fitting the needs of this low-resource country. A focus on designing and implementing effective public health interventions not only provides useful skills to Fellows but also contributes to real-time, tangible and meaningful improvements in the health of the population. The graduates of FETPNG now provide a critical mass of public health practitioners across the country. Their skills in responding to outbreaks and public health emergencies, in collecting, analysing and interpreting data, and in designing, implementing and evaluating public health interventions continues to advance public health in PNG.

Estimating the number of cases during COVID-19 pandemics using a web-based tool: first week results of “COVID-19 TRENDS” social media project in the Araba-Alava province in Basque country, Spain. (Preprint)

2020 ◽  
Author(s):  
Ignacio Garitano ◽  
Manuel Linares ◽  
Laura Santos ◽  
Ruth Gil ◽  
Elena Lapuente ◽  
...  
Keyword(s):  
Public Health ◽  
Social Media ◽  
Response Rate ◽  
Basque Country ◽  
Case Definition ◽  
Public Health Action ◽  
Web Based ◽  
Health Action ◽  
Estimate Number ◽  
Media Project

UNSTRUCTURED On 28th February a case of COVID-19 was declared in Araba-Álava province, Spain. In Spain, a confinement and movement restrictions were established by Spanish Government at 14th March 2020. We implemented a web-based tool to estimate number of cases during the pandemic. We present the results in Áraba-Álava province. We reached a response rate of 10,3% out a 331.549 population. We found that 22,4 % fulfilled the case definition. This tool rendered useful to inform public health action.

scholarly journals Reconciling Epidemiology’s Aspirations and Capabilities

2020 ◽  
Author(s):  
David A Savitz
Keyword(s):  
Public Health ◽  
Epidemiologic Studies ◽  
Public Health Importance ◽  
Public Health Action ◽  
Action Current ◽  
Current Trends ◽  
The Face ◽  
Health Action ◽  
New Challenges ◽  
Health Applications

Abstract Interpreting the results of epidemiologic studies calls for objectivity and rigorous scrutiny, acknowledging the limitations that temper the applicability of the findings to public health action. Current trends have posed new challenges to balancing goal of scientific objectivity and validity with public health applications. The ongoing tension between epidemiology’s aspirations and capability has several sources: the need to overpromise in research proposals, compromising methodologic rigor because of public health importance, defending findings in the face of hostile critics, and appealing to core constituencies who have specific expectations from the research.

scholarly journals Risk factors, symptom reporting, healthcare-seeking behaviour and adherence to public health guidance: protocol for Virus Watch, a prospective community cohort study

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e048042
Author(s):  
Andrew Hayward ◽  
Ellen Fragaszy ◽  
Jana Kovar ◽  
Vincent Nguyen ◽  
Sarah Beale ◽  
...  
Keyword(s):  
Public Health ◽  
Cohort Study ◽  
Online Survey ◽  
Respiratory Infections ◽  
Advisory Group ◽  
Antibody Testing ◽  
Public Health Action ◽  
Nasal Swabs ◽  
Health Action ◽  
Minority Ethnic

IntroductionThe coronavirus (COVID-19) pandemic has caused significant global mortality and impacted lives around the world. Virus Watch aims to provide evidence on which public health approaches are most likely to be effective in reducing transmission and impact of the virus, and will investigate community incidence, symptom profiles and transmission of COVID-19 in relation to population movement and behaviours.Methods and analysisVirus Watch is a household community cohort study of acute respiratory infections in England and Wales and will run from June 2020 to August 2021. The study aims to recruit 50 000 people, including 12 500 from minority ethnic backgrounds, for an online survey cohort and monthly antibody testing using home fingerprick test kits. Nested within this larger study will be a subcohort of 10 000 individuals, including 3000 people from minority ethnic backgrounds. This cohort of 10 000 people will have full blood serology taken between October 2020 and January 2021 and repeat serology between May 2021 and August 2021. Participants will also post self-administered nasal swabs for PCR assays of SARS-CoV-2 and will follow one of three different PCR testing schedules based on symptoms.Ethics and disseminationThis study has been approved by the Hampstead National Health Service (NHS) Health Research Authority Ethics Committee (ethics approval number 20/HRA/2320). We are monitoring participant queries and using these to refine methodology where necessary, and are providing summaries and policy briefings of our preliminary findings to inform public health action by working through our partnerships with our study advisory group, Public Health England, NHS and government scientific advisory panels.

Sign in / Sign up

Export Citation Format

Share Document