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Projet Triple-S

Publié le 16/10/2017

Syndromic surveillance systems in Europe

To meet the Triple-S objective of analysing syndromic surveillance systems throughout Europe, we conducted an inventory. The results are found here :

If you are representing a syndromic surveillance system in Europe and would like to suggest changes to this list, please contact us: info@syndromicsurveillance.eu

More details on this inventory can be found in this report

Last updated August 17, 2016.

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    SIDARTHa Tyrol (active since 2012)

    SIDARTHa as implemented in the state of Tyrol in Austria currently automatically analyses routinely collected data from the state emergency medical dispatch centre (Leitstelle Tirol) for various syndromes (communicable and non-communicable). Automatic reports are sent by email daily to the decision makers at the dispatch centre and to the regional public health authority. It is planned to include routine data from other emergency care sources in the future.

    Contact: Gernot Vergeiner

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    SIDARTHa Leuven (pilot phase 2009-2010)

    SIDARTHa was tested in the city of Leuven in Belgium in a pilot application analysing routinely collected data from the emergency department at the University Hospitals Leuven mainly for influenza-like-illness. It is planned to further explore the automatic implementation of SIDARTHa in the future.

    Contact: Jean-Bernard Gillet

    UREG - Emergency Registration (planned for 2014)

    The system, created by the FPS Public Health, is based on emergency services and is intended to set up an early warning system to detect a crisis situation in Belgium. UREG collects data 24/7 in all hospitals of the country and is also designed to support the action of the federal services for the crisis management.

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    Network for surveillance and control of communicable diseases (active since April 2002)

    The Surveillance of Communicable Diseases depends on four systems: i) the Mandatory Notified Communicable Diseases; plus three voluntary Systems; ii) the Sentinel Network, reporting 11 diseases/syndromes based on clinical diagnosis; iii) Laboratory Network, reporting isolation of microorganisms/ positive serology results by microbiology laboratories of private/public sector; iv) Sexually Transmitted Diseases Network, reporting a number of STDs by Gynaecologists and Dermatologists.

    Contact: Chrystalla Hadjianastasiou or Meropi Maria Charalambous

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    Bioalarm(active since April 2006)

    Early warning syndromic surveillance; Ambulance dispatches. Outbreak detection; Mathematical algorithms, cluster identification and generation of maps. Full country coverage.

    Contact: Frank Kristoffersen

    DMOS - Danish medical on-call service ILI surveillance (active since October 2006)

    A year-round simple electronic reporting system was established in Denmark in collaboration with the Danish medical on-call service (DMOS). Real-time surveillance of influenza-like illness (ILI) was achieved by a simple checkbox for ILI inserted in the electronic health record.

    Contact: Kare Molbak

    SIDARTHa Capital Region Denmark (planned for 2013)

    SIDARTHa is currently planned to be implemented in the Capital Region of Denmark starting 2013. It will first be based on routinely collected data from the emergency medical dispatch centre analysing different syndromes (communicable and non-communicable events).

    Contact: Freddy Lippert

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    AvoHilmo (active since January 2011)

    AvoHilmo is an on-line data collection to the national health care service register at THL from primary health care centres.

    Contact: Mikko Virtanen

    Health Gate (active since January 2001)

    Health portal for medical professionals; Health portal for general public. Correlation between search terms and serologically verified epidemics.

    Contact: Pekka Mustonen

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    ASTER - Alerte et surveillance en temps réel (active since October 2004)

    ASTER (Alerte et Surveillance en Temps Réel) is an epidemiological surveillance system for the early warning of natural or aggressive biological threats. It is specifically tailored for a nomadic data collection and allows using various transmission facilities.

    Contact: Herve Chaudet

    SurSaud Surveillance sanitaire des urgences et des décès(active since 2004)

    The French syndromic surveillance system implemented by the French institute for public health surveillance (Institut de Veille Sanitaire, InVS) since 2004 consists in a network based on different sources of data available in real time from: 1) hospital emergency departments, 2) GP emergency and healthcare network and 3) mortality registry offices. These daily collected data can be used for early detection of abnormal health-related events or to quantify the health impact of major events.

    Contact: Celine Caserio

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    EpiLag - Epidemiological situation telephone conference (active since January 2009)

    A weekly epidemiological situation telephone conference (Epidemiologische Lage Konferenz or EpiLag) for information exchange among representatives in the Department for Infectious Disease Epidemiology at the RKI, representatives and infectious disease consultants within each of the 16 federal-state governmental public health agencies, and the federal armed forces. The EpiLag was created as a routine, structured channel to handle event-based information with potential national and regional infectious-disease relevance, rare or special events that are of immediate interest or events that require collaborative discussion and potential action.

    Contact: Edward Velasco

    GrippeWeb (active since March 2011)

    Interested participants register on the website www.grippeweb.rki.de, enter some basic data, including their e-mail address then they receive weekly an email if they have had an acute respiratory illness.

    Intensified Surveillance of Women’s World Cup 2011 (active from June 27 to July 15, 2011)

    Surveillance for mass gatherings of prior unknown scale – A strategy to tailor an adequate enhanced surveillance for the FIFA Women’s World Cup in Germany 2011. Project serves as a model for future enhanced surveillance at similar mass gathering events.

    Contact: Edward Velasco

    SIDARTHa Göppingen(pilot phase 2009-2010)

    SIDARTHa was tested in the county of Göppingen in Germany in a pilot application analysing routinely collected data from one ambulance service (staffed with emergency physicians) in the county, mainly for influenza-like-illness, local acute gastrointestinal outbreak detection and for risk assessment during the volcanic ash cloud covering Europe in 2010. It is planned to further explore the automatic implementation of SIDARTHa in the future.

    Contact: Matthias Fischer  

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    Athens Olympic syndromic surveillance (active from August 1 to October 30, 2004)

    The 2004 Olympics Syndromic Surveillance System used data from emergency departments of major hospitals (including paediatric hospitals) in Athens and other major Olympic cities. Surveillance was conducted for 10 syndromes: 1) respiratory infection with fever; 2) bloody diarrhoea; 3) gastroenteritis (diarrhoea, vomit) without blood; 4) febrile illness with rash; 5) meningitis, encephalitis, or unexplained acute encephalopathy/delirium; 6) suspected acute viral hepatitis; 7) botulism-like syndrome; 8) lymphadenitis with fever; 9) sepsis or unexplained shock; and 10) unexplained death with history of fever.

    Contact: Urania Dafni                                       

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    National Special Medical Information System (planned for September 2013)

    The system will collect the following data: Mandatory reportable communicable diseases; Daily mortality data; Daily emergency admission data; Daily hospital admission data; Daily meteorological data; Daily air pollution data; Daily pollen data. The daily morbidity and mortality trends will be analysed. Thresholds for alerts will be defined. The daily environmental data will also be analysed in parallel, and the relationship between daily health outcome and environmental data will be assessed. Reports of the assessments will be produced and disseminated.

    Contact: Anna Paldy

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    GP influenza sentinel surveillance system (active since October 2000)

    Influenza surveillance using computerised sentinel general practices in Ireland was established in 2000. This surveillance scheme is a collaboration between the Health Protection Surveillance Centre (HPSC), the Irish College of General Practitioners (ICGP), the National Virus Reference Laboratory (NVRL) and the Departments of Public Health. Sixty sentinel general practices covering 5.7% of the national population participate and undertake clinical surveillance of influenza like illness (ILI) and virological surveillance of influenza on a weekly basis.ILI is defined as per the Irish case definition which is the same as the EU case definition. Virological surveillance for influenza involves sending a combined nasal and throat swab, to the NVRL, on at least one patient per week where a clinical diagnosis of ILI is made during the influenza season. Weekly reports are produced during the influenza season (Weeks 40 to 20) and fortnightly reports are produced during the summer.

    Contact: Joan O Donnell

    GP out-of-hours syndromic surveillance system (active since May 2009)

    The GP out of hours syndromic surveillance system is a tele-health system which provides weekly figures on self reported influenza like illness in the community. It covers approximately 70% of the national population with 7 out of 9 GP out of hours services providing data. It is a collaboration between the GP out of hours service, the Health Services Executive and the Health Protection Surveillance Centre.

    Contact: Joan O Donnell

    GP sentinel surveillance system (active since October 2000)

    The Irish GP sentinel surveillance scheme is a collaboration between the Health Protection Surveillance Centre (HPSC), the Irish College of General Practitioners (ICGP),the National Virus Reference Laboratory (NVRL) and the regional Departments of Public Health. Sixty sentinel general practices covering 5.7% of the national population have been recruited to report on the number of patients withclnical chickenpox, shingles, measles, mumps, rubella and gastroenteritis, on a weekly basis. Monthly reports are produced all year round.

    Contact: Joan O Donnell

    Sentinel hospital surveillance system (active since January 2002)

    The regional departments of Public Health have established at least one sentinel hospital in each health authority area to report data on total hospital admissions, total emergency admissions and total respiratory admissions by age group on a weekly basis. Currently nine sentinel hospitals including one paediatric hospital participates. The definition of respiratory illness in this instance includes upper respiratory tract infection, lower respiratory tract infection, pneumonia, asthma, chronic bronchitis, and exacerbations of chronic obstructive airways disease. This scheme is a collaboration between sentinel hospital data providers, regional departments of public health and the HPSC.

    Contact: Joan O Donnell

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    Emergency room admission surveillance (active since January 2008)

    The syndromic surveillance system is based on a network of emergency services from which the system collects a minimum set of information weekly. the aim is to build a system of ongoing monitoring of potential emergency situations that can occur both in large urban areas, both during periods of public health high alert such as, for example, heat waves, periods of influenza, pandemic emergencies, events that attract large numbers of people (mass gathering events). The network currently involves 7 regions, 40 emergency departments.

    Contact: Carlo Di Pietrantonj

    Integrated surveillance system for the 2006 Winter Olympic and Paralympic Games in Italy (active from February 1 to March 31, 2006)

    An integrated epidemiological surveillance and response system was set up for the 2006 Olympic Winter Games in Torino between 1 February - 31 March. The system was a cooperation between the regional and national health authorities, and its aims were early detection of any adverse health events (particularly clusters of communicable diseases), and prompt and effective response. The data sources and results are summarized below: Statutory notifications of infectious diseases, based on physician’s notifications. Laboratory-based surveillance of invasive diseases. Sentinel surveillance of influenza-like illness. Syndromic surveillance was set up specifically for the Olympic Games. seven accident and emergency departments of local hospitals. 19 on-call medical services. Toxic exposure surveillance.

    Contact: Vittorio Demicheli

    Syndromic surveillance system for epidemic prone diseases set up following increased migration flows (active since April 2011)

    Following the 2011 North Africa Crisis, Italy witnessed an increased influx of migrants and established a syndromic surveillance system to monitor the health status of this immigrant population. A daily notification grid of 13 syndromes was prepared. Cases fitting the case definitions are sent daily to ISS from immigration centres and local/regional health authorities. Thresholds were calculated to detect significant differences between the observed and expected incidence of each syndrome in order to issue statistical alarms to be further investigated. Dissemination of results occurs weekly through a bulletin published online.

    Syndromic surveillance system of respiratory infections, gastroenteritis, acute hepatitis, fever and other diseases (active since July 2007)

    In July 2007 a pilot chief complaint Emergency Department Syndrome surveillance system, based on data collected at “San Martino” and "G. Gaslini", regional reference hospital for adults and children in Liguria, began. Five syndromes have been under investigation by the syndromic surveillance system, namely, influenza-like illness, low respiratory tract infections, not-haemorrhagic gastroenteritis, acute hepatitis, fever with rash (maculopapular and vescicular).

    Contact: Filippo Ansaldi

    The Latium Region syndromic surveillance system (active since March 2006)

    The Latium Region Syndromic surveillance system is based on the Emergency Informative System, that, since 2000, has recorded all emergency ward admissions in Lazio from all Emergency departments in the Region

    Contact: Stefano Genio

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    Temporary syndromes surveillance system for European basketball championship (active from August 25 to September 25, 2011)

    Temporary syndrome surveillance system for European basketball championship.

    Contact: Nerija Kupreviciene

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    SIDARTHa Cantabria (active since 2009)

    SIDARTHa as implemented in the Autonomous Region of Cantabria in Spain currently automatically analyses routinely collected data from the emergency department of the region’s reference hospital, the University Hospital Marqués de Valdecilla in Santander for various syndromes (communicable and non-communicable). The system is based on a web-application that automatically displays the daily updated analysis results via a restricted website to the decision makers in the hospital and to the regional public health authority.

    Contact: Luis Garcia-Castrillo Riesgo 

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    GET WELL - Generating Epidemiological Trends from WEb Logs, Like(active since June 2009)

    GET WELL is a surveillance system that can generate epidemiological trends from anonymous web query logs from a Swedish medical web site. Tailored and fully automatic analyses are in place for influenza and winter vomiting disease.

    Contact: Anette Hulth                                       

    Hälsoläge (active since 2012)

    The Swedish Healthcare Guide 1177 (“1177 Vårdguiden”) is a 24/7 healthcare advice service. The Public Health Agency of Sweden has developed a syndromic surveillance system for early event detection and situational awareness based on data from the service. The data consist of daily frequencies of contact causes (symptoms), with spatial resolution at the level of zip codes. In addition to national surveillance conducted by the agency, regional and local authorities have online access to daily monitoring of outbreak signals, as well as spatial and temporal statistics.

    Contact: Par Bjelkmar

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    SAM@EMR – Surveillance, Assurance and Monitoring in the Euregio Maas-Rhine(research project since 2010)

    SAM@EMR is a research project running in the border region of Belgium, Germany, and the Netherlands in the Euregio Maas-Rhine with the aim to setup and test a cross-border syndromic surveillance system based on routinely collected emergency medical data.

    Contact: Alexandra Ziemann or Thomas Krafft

    Surveillance Network Netherlands(pilot phase from May 1, 2011)

    The Surveillance Network Netherlands monitors, analyses and reports weekly rates of morbidity and mortality based on symptoms, complaints and diagnoses as registered in electronic medical records of all patients enlisted with the participating general practitioners.

    Contact: Mariette Hooiveld

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    England and Wales: EDSSS - Emergency Department Syndromic Surveillance System (active since April 2010)

    The Emergency Department Syndromic Surveillance System (EDSSS) is a sentinel emergency department surveillance system that monitors daily attendance data from a snetwork of emergency department across England.

    Contact: Alex Elliot

    England and Wales: GP Out of Hours (active since April 2010)

    The HPA GP out of hours surveillance system monitors community morbidity through out of hours GP activity. This daily system provides the ability to monitor GP activity during evening, night and public holidays, thus complementing the in hours GP systems in existence.

    Contact: Alex Elliot

    England and Wales: HPA telehealth syndromic surveillance system (active since 1999)

    General public-health surveillance, Outbreak detection, Measure health impact of extreme weather events (all), Measure health impact of natural disasters (all), Measure health impact of manmade disasters (e.g., industrial or nuclear disasters), Chemical poisoning, Food poisoning, Detection of other public health threats (generic system capable of providing information on generic issues), Health surveillance at mass gathering events (e.g., Olympics)

    Contact: Gillian Smith

    England and Wales: HPA/QSurveillance National Surveillance System (active since January 2005)

    The HPA/QSurveillance National Syndromic Surveillance System is a large UK-based GP surveillance network that reports on GP consultations for a range of clinical and syndromic indicators. The system reports routinely on a weekly basis but can report daily data.

    Contact: Gillian Smith

    England and Wales: RCGP WRS - Royal College of General Practitioners Weekly Returns Service (active since June 1967)

    Weekly information from nationally representative population covering 1 million persons derived from electronic records of consultations in general practice. Information on age specific morbidity by diagnosis and grouped diagnoses.

    Contact: enquiries@rcgpbhamresunit.nhs.uk

    Northern Ireland: GP flu sentinel surveillance scheme (active since October 2000)

    Surveillance of flu/Fli using a GP sentinel practice network covering 11% of the population.

    Contact: Brian Smyth

    Northern Ireland: OOH Flu surveillance                                                                       

    Surveillance of Flu/Fli of contacts to Out of Hours (OOH) services.

    Contact: Brian Smyth

    Scotland: NHS 24 syndromic surveillance (active since May 2004)

    Systematic analysis of call presentations to 24 hour national telehealth triage service. This produces regular weekly reports on the trends of key indicator conditions such as colds and flu for Scotland.

    Contact: Malcolm Alexander

    Scotland: Syndromic Surveillance in Scotland (active since June 2005)

    National Health Service (NHS) patient telephony - NHS 24 - for a range of syndromic surveillance topics, General Practitioner Primary Care syndrome analysis for influenza & electronic reporting of NHS general practice pharmacy data.

    Contact: Jim McMenamin

    Wales: GP surveillance in Wales (active since January 1987)

    Surveillance of GP consultations for common infectious and non-infectious diseases through Audit+. Routine weekly sentinel surveillance with capability for extension to daily total population, or targeted, surveillance.

    Contact: Daniel Thomas

    Wales: Surveillance in OOH services in Wales (active since January 2010)

    Surveillance of common infectious and non-infectious diseases seen in out-of-hours services in Wales.

    Contact: Daniel Thomas

If you are representing a syndromic surveillance system in Europe and would like to suggest changes to this list, please contact us: info@syndromicsurveillance.eu

Note that the list contains projects with very different status: some are operational systems, others are pilot projects, while some correspond to databases with syndromic information not yet used for surveillance.

Last updated November 8, 2014.

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    GMON (Health Monitoring System for Cattle)  

    GMON is a wide health monitoring project started in 2006. Veterinary diagnostic data, to be documented by law (law of animal drug control) is standardised, validated and recorded into a central cattle database. Besides the provision of reports for herd management and preventive measures, the assessment of breeding values for health traits and monitoring of health statuses are project objectives.

    Contact: Walter Obritzhauser

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    MoSS: Monitoring and Surveillance System-Emergences2    

    MoSS was a web application/multilingual website allowing for the time and geo-referenced descriptions of atypical syndromes, the clustering of similar cases, the onset of an alert signal sent to best-fitting experts, active until December 2011. The communication around the cases was organized on dedicated forum pages, leading to the early identification of the causative agent(s).

    Contact: Marc Dispas

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    VETSTAT

    All data on purchase of medicine (antimicrobials and vaccines) to production animals are collected in Denmark (how much/which antimicrobials are subscribed by the veterinarian). Data can easily be amalgamated to look on the usage on e.g. specific animal species / disease syndromes / specific antimicrobials / some geographical areas or the entire country in the objective to control the usage of antimicrobials.

    Contact: Kristian Moller

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    Kuukausi-ilmoitus

    Kuukausi-ilmoitus is a Finnish program in which veterinarians must give a monthly report about certain notifiable diseases to the central veterinary authorities. The report also contains information about other animal diseases and syndromic illnesses. No statistical analyses are performed on these data at that stage.

    NASEVA

    Naseva is an online register for Finnish cattle farms. The system documents the history of the health care management on the farms at the national level. Data is collected from veterinarians (farm visits, management plan), laboratories (sample results), slaughterhouses (meat inspection data) and veterinary or production surveillance databases (via interface; production data and medication data) and from the farms (medication data). Data are not used for syndromic surveillance at that stage.

    Contact: Erja Tuunainen 

    SIKAVA

    Sikava is an online register for health classification of Finnish pig farms. The system documents the history of the health care management on the farms at the national level. Data is collected from veterinarians (farm visits, management plan), laboratories (sample results), slaughterhouses (meat inspection data) and veterinary or production surveillance databases (via interface; production data and medication data) and from the farms (medication data). Data are not used for syndromic surveillance at that stage.

    Contact: Sanna Nikunen

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    NERGAL-Abattoir

    NERGAL-Abattoir is a pilot data basis created in 2005 to collect data in ten bovine abattoirs in real time during the slaughtering process. A study will be conducted from 2011 to 2014 to evaluate the relevance of these data to implement a syndromic surveillance system. Propositions to improve the existing system will be noted and taken into account for the future version of Nergal-Abattoir which is provided to be developing in more abattoirs in France.

    Contact: Celine Dupuy

    OMAR

    The OMAR project (Observatoire de la Mortalité des Animaux de Rente) was launched in 2009 with the aim to analyze data collected by fallen stock companies, and to design a monitoring system able to detect anomalies possibly associated with health events. Pick calls from farmers to rendering plants are daily registered (including number of animals, species, age group, farm location, date of call) and automatically transmitted to the system. About 1.2 million cattle death notifications are yearly collected. For now only retrospective analysis were conducted, the interest of these data for syndromic surveillance is still being evaluated.

    Contact: Jean-Baptiste Perrin

    REPAMO (French network for the surveillance of Mollusc diseases)

    Since 1992, REPAMO is the French surveillance system dedicated to wild and farmed marine mollusc diseases. It is run by Ifremer on behalf of the Ministry of Agriculture and has 19 correspondents in 13 locations on the Channel, Atlantic and Mediterranean coasts of France. Data are collected from local competent authority, laboratories and REPAMO correspondents. The objectives of the system are the notifiable disease surveillance, the mortality outbreaks investigations and the implementation of 2-3 years surveys on targeted host-pathogen associations

    Contact: Cyrille François

    SAGIR

    Since 50 years, SAGIR carries out epidemiosurveillance and epidemiovigilance of wildlife fatal or disabling diseases, including toxicovigilance, in order to help the hunting managers and risk assessors and managers. SAGIR network is a participatory network of wildlife surveillance, which aims at conducting outbreak-based surveillance and when necessary, it also implements targeted surveillance. Three objectives guide the network: conservation, public and animal health. Data are collected from laboratories, hunter’s federation and public technician. There is no syndromic surveillance system in place at that stage.

    Contact: Anouk Decors

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    MBL  (Dairy cow mortality)    

    MBL is a survey conducted from 01/01/2002 to 31/12/2008 on dairy cattle more than 24 months so as to evaluate local patterns of mortality and to test data availability and reliability. Death notifications from veterinary services were used to model mortality and detect excess of mortality as an alert. This survey was a preliminary work for the future implementation of a syndromic surveillance system based on mortality data in Italy.

    Contact: Ines Crescio

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    EPI (System for monitoring, reporting and notification of animal diseases)

    EPI is a web based application which allows data transfer in real time. The system comprises three different parts. The first part covers an animal disease notification system of OIE listed diseases at our national level. The second part is used for the diagnostics, which includes all procedures; including sampling from the field, as well as examinations and results from the labs. The last part covers mandatory vaccinations on the national level. Currently we are developing a fourth part, which will be used for disease outbreak management and control.

    Contact: Marko potocnik

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    PROVIMER

    PROVIMER is a system developed by the Government of Catalonia for the surveillance of data from fallen stock collectors, with the aim of detecting possible outbreaks of animal diseases in its early stages. Routine weekly data transfer, for baseline mortality monitoring and detection of abnormal values, is complemented with immediate email notification of carcass collection requests exceeding acceptable limits (number of animals by specie, according to the insurance company criteria).

    Contact: Lucas Arinero Aparicio

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    Centrala Djurdatabasen (CDB) Central Cattle Database

    The central cattle registry, held by the Board of Agriculture, is a mandatory system for the identification and registration of bovine animals. It is primarily used in authority controls of stock numbers but it has/can also be used for contact tracing during outbreaks. The database is also a link in the national system for blood sampling of cattle at abattoirs (for surveillance purposes). Extracts from the database are regularly downloaded and used by abattoirs to check the age of animals slaughtered, to decide on BSE control measures. Information about animal movements and death with cause of death are registered in the data base. Data are currently not used for syndromic surveillance.

    Contact: Ann Lindberg

    Djursjukdata (National Animal Disease Recording System)    

    Djursjukdata is a central registry on veterinary treatments held by the Board of Agriculture that mainly concerns production animals. Data such as clinical diagnoses, treatment prescribed, drugs name and quantity are reported by veterinary practitioners in the field. Data are currently not used for syndromic surveillance.

    Contact: Ann Lindberg

    Kodatabasen

    Kodatabasen is the dairy industry’s database. Information on all herds and cows affiliated to production recording (milk or meat), pedigree registration, AI services and any of the control programmes that the industry is responsible for are registered. Information from slaughterhouses and diagnostic laboratories are also registered. Certain herd health indicators are monitored on a regular basis, covering several areas such as calf and young stock health, udder health, claw health, metabolic disorders, culling and mortalities, reproduction etc. The data are currently not used for syndromic surveillance.

    Contact: Ann Lindberg

    SVAs system för Laboratorie Arbete (SVALA) (SVA’s system for Laboratory work)

    SVALA is the LIMS system of the National Veterinary Institute (SVA), which is the major diagnostic lab for animal diseases (production, companion and wild animals) in Sweden, covering pathology, bacteriology, virology, parasitology as well as chemistry. Data are currently not used for syndromic surveillance.

    Contact: Ann Lindberg

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    Animal Health System

    The Animal Health System is a project still in its pilot phase whose objectives are general health surveillance and the early detection of new and re-emerging diseases in production and wild animals. The potential application of a syndromic surveillance system for livestock health is being investigated using data from the Federal Veterinary Office such as the national cattle registry, post-mortem inspection results (at the carcass-level) in the slaughterhouses, laboratory test requests by veterinarians and production indicators such as bulk milk sampling test results. Furthermore, we are looking into incorporating additional private data on fallen stock (held by rendering plants), milk production and reproduction indicators (held by breeding associations), post-mortem inspection results at the organ-level (held by slaughterhouses) and reports of equine neurological disorders to the Equinella network. Very little clinical or treatment data are currently centrally recorded in Switzerland but the project is considering ways to encourage data transmission from veterinary clinics and farmers. Passive monitoring of wildlife health is carried out by FIWI (the national reference laboratory).

    Contact: Jurg Danuser

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    GD Monitor/GD Animal Health Monitor

    Since 2002, a telephone helpdesk has been implemented in the Netherland for production animals. Farmers and veterinarians can contact the helpline and data on animal disease, symptoms or syndromes are collected in a database. Census data from other sources are used (rendering plant, Identifaction&registration system, breeding organizations, milk quality data, milk production data, farm voluntary health certification statuses, AHS laboratory results). Statistical analyses are performed and outputs are discussed within an experts group to interpret alert and determine relevant investigation. Quarterly reports for Government, levy boards and industry are produced.

    Contact: Linda van Wuyckhuise

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    BEVA/AHT/Defra Equine Surveillance Reports    

    The quarterly equine disease surveillance reports are produced by the Department for Environment, Food and Rural Affairs (Defra), the British Equine Veterinary Association (BEVA) and the Animal Health Trust (AHT). The report collates equine disease data arising from multiple diagnostic laboratories and veterinary practices throughout the United Kingdom giving an insight into equine disease occurrence on a national and international scale. Introduction of a syndromic surveillance component is planned on 2012/2013.

    Contact: Andrew Paterson

    Farmfile

    The FarmFile database includes epidemiological data on all diagnostic submissions sent to AHVLA Regional Laboratories.  The data are used to identify changes in the profile of endemic disease and the emergence of undefined disease. Scheduled reports include analyses of; disease trends, submissions where a diagnosis is not reached (DNR), syndromes and data quality.

    Contact: Eamon Watson

    AM (ante mortem) & PM (post mortem) Data Recording System

    AM and PM is an electronic system to enable the collection of AM & PM inspection results at slaughterhouses for all species (currently used for poultry and pigs; in progress for cattle, sheep and other species). One of the objectives is that the system could create a data base for Great Britain and generates automatic reports to fulfil the requirements for the collection and communication of inspection results (CCIR). Data are not used for syndromic surveillance at that stage.

    Contact: Alex Gonzalez

    Over 48 month (O48M) Fallen stock    

    Data are collected from farmers and rendering plants on dead cattle over 48 months through surveillance for TSE (brain stem testing of older cattle). Information on date of death and reason for death (in a free text field) is available. ”Reason for death” is only available for adult on-farm cattle deaths. Data are not used for syndromic surveillance at that stage.

    Contact: Eamon Watson

    Poultry Practice Data

    Poultry practice Data is a database to record pathology data directly from poultry veterinarians. Data collected are simple data about husbandry, disease picture and post mortem observations from a standard list. Data are not used for syndromic surveillance at that stage.

    Contact: Eamon Watson

    SAVSNET (Small Animal Veterinary Surveillance Network)

    SAVSNET is a national initiative to ethically collect data from companion small animals (Cats, dogs, rabbits etc) from two sources in the UK; Commercial diagnostic labs and veterinary surgeons in practice. The data will be analysed for temporal and spatial patterns, and risk factors for health and disease (eg age, sex, breed). Data analyses will be published on line for members of the public and vets, and in peer reviewed papers where appropriate. Scientists will be able to apply for access to data.

    Contact: Alan Radford

    Vet. Surveillance Division (VSD) telephone log

    VSD telephone log is a database to record data from telephone discussions between AHVLA laboratories and vet practitioners about animal health for production animals. Data from individual laboratories are aggregated and analyzed to supplement routine surveillance activities.

    Contact: Eamon Watson

    VetCompass (Veterinary Companion Animal Surveillance System)

    The Royal Veterinary College (RVC), in collaboration with the University of Sydney, is undertaking a nationwide survey of small animal disease. The aims of this project are to investigate the range and frequency of small animal health problems seen by veterinary surgeons working in general practice in the United Kingdom and highlight major risk factors for these conditions. We are doing this through the routine capture of first opinion clinical data via electronic patient records held with practices’ Practice Management Systems (PMSs).

    Contact: Dan O'Neill

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