scholarly journals Syndromic surveillance and UEFA Euro 2016 in France – Health impact assessment

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Erica Fougère ◽  
Céline Caserio-Schönemann ◽  
Jamel Daoudi ◽  
Anne Fouillet ◽  
Marc Ruello ◽  
...  
Keyword(s):  
Public Health ◽  
Impact Assessment ◽  
Santé Publique ◽  
Syndromic Surveillance ◽  
Health Impact Assessment ◽  
Health Impact ◽  
Health Surveillance ◽  
Syndromic Surveillance System ◽  
Health Event ◽  
Sante Publique

ObjectiveTo describe the surveillance indicators implemented for the healthimpact assessment of a potential health event occurring before, duringor after the UEFA Euro 2016 football matches in order to timelyimplement control and prevention measures.IntroductionFrance hosted 2016 UEFA European Football Championshipbetween June 10 and July 10. In the particular context of severalterrorist attacks occurring in France in 2015 [1], the French nationalpublic health agency « Santé publique France » (formerly FrenchInstitute for Public Health Surveillance-InVS) was mandated bythe Ministry of Health to reinforce health population surveillancesystems during the UEFA 2016 period. Six French regions and10 main stadiums hosted 51 matches and several official andnonofficial dedicated Fan Zones were implemented in many citiesacross national territory. Three types of hazard have been identified inthis context: outbreak of contagious infectious disease, environmentalexposure and terrorist attack.The objectives of health surveillance of this major sportingevent were the same as for an exceptional event including massgathering [2] : 1/ timely detection of a health event (infectiouscluster, environmental pollution, collective foodborne disease...)to investigate and timely implement counter measures (control andprevention), 2/ health impact assessment of an unexpected event.The French national syndromic surveillance system SurSaUD® wasone of the main tools for timely health impact assessment in thecontext of this event.MethodsFrench national syndromic SurSaUD® system has been setup in 2004 and supervised by Santé publique France for 12 years.It allows the daily automatic collation of individual data from over650 emergency departments (ED) involved in the OSCOUR®network and 61 emergency general practitioners’ (GPs) associations(SOS Médecins) [3]. About 60,000 attendances in ED (88% of thenational attendances) and 8,000 visits in SOS Médecins associations(95% of the national visits) are daily recorded all over the territoryand transmitted to Santé publique France.Medical information such as provisional medical diagnosiscoded according to the International Classification of Diseases, 10thRevision (ICD-10) for EDs and specific thesaurus for SOS Médecinsis routinely monitored through different syndromic indicators (SI).SI are defined by medically relevant clusters of one or severaldiagnoses, serving as proxies for conditions of public health interest.From June 10 to July 10, 19 SI were daily analyzed throughautomatic national and regional dashboards. SI were divided into3 groups of public health surveillance interest :1/ description of population health: injuries, faintness, myocardialinfarction, alcohol, asthma, heat-related symptoms, anxious troubles ;2/ infectious diseases/symptoms with epidemic potential ordiseases/symptoms linked with an environmental exposure: fever,fever associated with cutaneous rash, meningitis, pneumonia,gastroenteritis, collective foodborne disease ;3/ symptoms potentially linked with a CBRN-E exposure:influenza-like illness, burns, conjunctivitis, dyspnea/ difficultybreathing, neurological troubles, acute respiratory failure.Daily analysis were integrated into specific UEFA 2016surveillance bulletins and daily sent to the Ministry of Healthincluding week-ends.ResultsSI followed during the UEFA Euro 2016 period were nonspecificand potentially affected or influenced by several events appart fromthe championship. Between June 10 and July 10, two moderateheat-wave periods occurred on a large part of mainland France : thefirst one from June 22 to 25 (beginning in the West-South of Franceand then moving North and East of the country) and the secondone from July 8 to 11 in the East-South. An increase in heat-relatedindicators (hyperthermia/heat stroke, dehydration, hyponatremia andburns) has been observed during both periods in five French regionsincluding four hosting regions. Only minor increases in the other SIfollowed during the Euro 2016 period were observed.ConclusionsHealth surveillance implemented during 2016 UEFA EuropeanFootball Championship through a daily analysis of non-specificSI from the French syndromic surveillance system SurSaUD® didnot show any major variation associated with the sporting event.The observed variations were related with specific environmentalconditions (heat-waves). Together with the health surveillancesystem, preventive plans were set up during the event essentially byoffering flyers with information and useful tips on the main preventiveattitudes and measures to adopt in a summer festive context (risksassociated with alcohol and drug intake, injuries, heat and sunexposure, dehydration, unprotected sexual behaviour...).

scholarly journals Are the French SAMU data relevant for health surveillance?

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Isabelle Pontais ◽  
Florian Franke ◽  
Barbara Philippot ◽  
François Valli ◽  
Gilles Viudes ◽  
...  
Keyword(s):  
Intensive Care ◽  
Pilot Study ◽  
Santé Publique ◽  
Syndromic Surveillance ◽  
Health Impact ◽  
Health Surveillance ◽  
Data Sources ◽  
Daily Data ◽  
Sante Publique

ObjectiveTo evaluate whether SAMU data could be relevant for health surveillance and proposed to be integrated into the French national syndromic surveillance SurSaUD® system.IntroductionThe syndromic surveillance SurSaUD® system developed by Santé publique France, the French National Public Health Agency collects daily data from 4 data sources: emergency departments (OSCOUR® ED network) [1], emergency general practioners (SOS Médecins network), crude mortality (civil status data) and electronic death certification including causes of death [2]. The system aims to timely identify, follow and assess the health impact of unusual or seasonal events on emergency medical activity and mortality. However some information could be missed by the system especially for non-severe (absence of ED consultation) or, in contrast, highly severe purposes (direct access to intensive care units).The French pre-hospital emergency medical service (SAMU) [3] represents a potential valuable data source to complete the SurSaUD® surveillance system, thanks to reactive pre-hospital data collection and a large geographical coverage on the whole territory. Data are still not completely standardized and computerized but a governmental project to develop a national common IT system involving all French SAMU is in progress and will be experimented in the following years.MethodsA pilot study was performed in the South of France PACA region, where data from the six local SAMU structures are centralized into an interconnected database. A minimal set of variables required for health monitoring (administrative and medical items) and modalities for data extraction and transmission to Santé publique France were defined.SAMU data were transmitted daily to Santé Publique France and the PACA regional team developed a Microsoft Access® application to import decrypted data, request database and analyze indicators.Retrospective part of the study was performed over a 2-year period (2013-2014) and the prospective part during 2015 was based on daily data collection. Completeness and quality of variables were analyzed. SAMU indicators including several level of specificity were built and compared to existing SurSaUD® indicators in different situations (for detection, seasonal follow-up and health impact assessment) using Spearman coefficient correlation.ResultsDuring the pilot study, data from five of the six SAMU structures of PACA region were structured enough to be analyzed. On the study period, almost 2,400,000 files were recorded and 89% contain medical information. Data completeness was high (87%) and stable during the whole period. The annual rate of SAMU solicitation was 16 for 100 inhabitants at the regional scale. 15% of the records were opened only for medical advice. In contrast, patients were evacuated directly in intensive care unit in 9.5% of cases without ED admission. Coding quality depended on the existence and the use of official thesauri and varied widely among SAMU structures. Despite coding variations, SAMU indicators for winter epidemics were significantly correlated with ED and SOS Médecins indicators. Respectively with ED flu, bronchiolitis and gastroenteritis indicators, the strongest correlations were found for SAMU lower respiratory infection (0.74), SAMU bronchiolitis (0.72) and SAMU gastroenteritis / diarrhea / vomiting (0.81).ConclusionsThis pilot study demonstrated the feasibility to collect daily SAMU activity data. The key strengths of SAMU data were a large geographic coverage, the subsidiarity with SurSaUD® system data sources, the follow-up of prehospital activity and for patients directly admitted into an intensive care unit. Some limitations were highlighted related to differences in coding practices especially for medical diagnosis. The generalization of this study will require the standardization of coding practices and homogenization of thesaurus. The implementation of the national SAMU information system should allow in a very next future to widely progressing on these topics.References[1] Fouillet A, Bousquet V, Pontais I, Gallay A and Caserio-Schönemann C. The French Emergency Department OSCOUR Network:Evaluation After a 10-year Existence. Online Journal of Public Health Informatics ISSN 1947-2579-7(1):e74, 2015[2] Caserio-Schönemann C, Bousquet V, Fouillet A, Henry V. Le système de surveillance syndromique SurSaUD (R). Bull Epidémiol Hebd 2014;3-4:38-44.[3] Baker, D.J.. The French prehospital emergency medicine system (SAMU): An introduction(2005) CPD Anaesthesia, 7 (1), pp. 20-25.

Health Impact Assessment of Cyclone Bejisa in Reunion Island (France) Using Syndromic Surveillance

2015 ◽  
Vol 30 (2) ◽  
pp. 137-144 ◽  
Author(s):  
Pascal Vilain ◽  
Frédéric Pagès ◽  
Xavier Combes ◽  
Pierre-Jean Marianne Dit Cassou ◽  
Katia Mougin-Damour ◽  
...  
Keyword(s):  
Impact Assessment ◽  
Surveillance System ◽  
Syndromic Surveillance ◽  
Health Impact Assessment ◽  
Carbon Monoxide Poisoning ◽  
Health Impact ◽  
Reunion Island ◽  
Power Outages ◽  
Syndromic Surveillance System ◽  
Réunion Island

AbstractIntroductionOn January 2, 2014, Cyclone Bejisa struck Reunion Island (France). This storm led to major material damages, such as power outages, disturbance of drinking water systems, road closures, and the evacuation of residents. In this context, the Regional Office of French Institute for Public Health Surveillance in Indian Ocean (Cire OI) set up an epidemiological surveillance in order to describe short-term health effects of the cyclone.MethodsThe assessment of the health impact was based mainly on a syndromic surveillance system, including the activity of all emergency departments (EDs) and the Emergency Medical Service (EMS) of the island. From these data, several health indicators were collected and analyzed daily and weekly. To complete this assessment, all medical charts recorded in the EDs of Reunion Island from January 2, 2014 through January 5, 2014 were reviewed in order to identify visits directly and indirectly related to the cyclone, and to determine mechanisms of injuries.ResultsThe number of calls to the EMS peaked the day of the cyclone, and the number of ED visits increased markedly over the next two days. At the same time, a significant increase in visits for trauma, burns, and carbon monoxide poisoning was detected in all EDs. Among 1,748 medical records reviewed, eight visits were directly related to the cyclone and 208 were indirectly related. For trauma, the main mechanisms of injury were falls and injuries by machinery or tools during the clean-up and repair works. Due to prolonged power outages, several patients were hospitalized: some to assure continuity of care, others to take care of an exacerbation of a chronic disease. An increase in leptospirosis cases linked to post-cyclone clean-up was observed two weeks after the cyclone.ConclusionInformation based on the syndromic surveillance system allowed the authors to assess rapidly the health impact of Cyclone Bejisa in Reunion Island; however, an underestimation of this impact was still possible. In the near future, several lines of work will be planned by the authors in order to improve the assessment.VilainP, PagèsF, CombesX, Marianne Dit CassouPJ, Mougin-DamourK, Jacques-AntoineY, FilleulL. Health impact assessment of Cyclone Bejisa in Reunion Island (France) using syndromic surveillance. Prehosp Disaster Med. 2015;30(2):1-8

scholarly journals The Public Health Implications of Brexit in Wales: A Health Impact Assessment (HIA) approach

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
L Green
Keyword(s):  
Public Health ◽  
Impact Assessment ◽  
Health Impact Assessment ◽  
Evidence Synthesis ◽  
Well Being ◽  
Health Impact ◽  
Health Impacts ◽  
Advisory Group ◽  
The European Union ◽  
Health And Social Care

Abstract On March 29th 2019, the United Kingdom was due to exit the European Union (EU) in a process known informally as ‘Brexit’. The 2 years before this time (and ongoing) experienced a period of unprecedented political and social upheaval with many unknowns and much uncertainty attached to the outcomes and future impact of withdrawal and transitionary period. Public Health Wales commissioned the Wales Health Impact Assessment (HIA) Support Unit to carry out a HIA of Brexit in Wales to assess the potential impact, extent and nature of ‘Brexit’ on health and wellbeing in Wales which would to inform its planning, future work and support other bodies decision-making, planning and policymaking. A comprehensive HIA was conducted over a 6 month period in 2018/19, steered by a Strategic Advisory Group. Methods included; a literature review; stakeholder workshop; interviews with policy leads, a community health profile, and report with evidence synthesis. Trade agreements, economic impacts, changing relationships with EU agencies, uncertainty and loss of regulatory alignment were key pathways for health impacts to occur. Potential impacts included; food standards/safety; environmental regulations; working conditions; and health and social care. Many impacts will affect the whole population. Vulnerable populations included; children/young people; those at risk of unemployment;Welsh areas receiving significant EU funding. Potential indirect impacts were identified on mental well-being. Brexit has the potential to impact significantly on the determinants of health.The HIA has informed and influenced cross-sector planning and policy in response to the short/long-term implications of Brexit to ensure that health and inequalities are considered at every juncture.This unique work demonstrates continued leadership by Wales in the field of impact assessment and ‘health in policies’ and has been positively received. It has transferable learnings for many nation states and health policy leads. Key messages Brexit is a major policy change with major health impacts. HIA is an informative and influencing process to support planning and future policy making.

scholarly journals The Public Health Implications of Brexit: A Health Impact Assessment Approach

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
L Green
Keyword(s):  
Public Health ◽  
Impact Assessment ◽  
Health Impact Assessment ◽  
Health Impact ◽  
Complex Nature ◽  
The Public ◽  
Wide Range ◽  
The Impact ◽  
The Eu ◽  
Public Bodies

Abstract On March 29th 2019, the United Kingdom (UK) was due to exit the EU in a process known informally as ’Brexit’. This exit and entry into a 2-year transition is a period of unprecedented political and social upheaval - with many unknowns and much uncertainty attached to the outcomes and future impact. In preparation for Brexit, Public Health Wales commissioned the Wales HIA Support Unit to carry out a health impact assessment of Brexit in Wales to support and inform its and other public bodies planning and future work. This paper examines the unique HIA carried out between July and December 2018 on the impact of the UK withdrawal from the EU in Wales. It discusses the robust, participatory process undertaken, the stakeholders involved and the benefits reaped from this. It highlights the evidence gathered and analysed including the collection methods, the complex nature of the work and disseminates the main findings from the HIA including the potential determinants of health and population groups identified. Finally, it describes the challenges faced, how these were overcome, and the huge benefits, impact and influence it has had to date across a wide range of UK and Welsh organisations and public bodies. This work demonstrates continued leadership in the field of impact assessment and spearheads the requirement for public bodies to carry out HIAs as part of the forthcoming statutory requirements of the Public Health (Wales) Act 2017 an can inform practice at a global level. Key messages HIA can inform and influence action in response to important strategic decisions. The Brexit HIA is a unique example which can inform international HIA practice.

scholarly journals Institutionalizing health impact assessment in London as a public health tool for increasing synergy between policies in other areas

Public Health ◽  
2010 ◽  
Vol 124 (2) ◽  
pp. 107-114 ◽  
Author(s):  
J. Mindell ◽  
C. Bowen ◽  
N. Herriot ◽  
G. Findlay ◽  
S. Atkinson
Keyword(s):  
Public Health ◽  
Impact Assessment ◽  
Health Impact Assessment ◽  
Health Impact
Sign in / Sign up

Export Citation Format

Share Document