Published on 20/04/2011 - Latest update on 16/01/2012

Triple S project (Syndromic Surveillance Survey, Assessment towards guidelines for Europe)

Since September 2010, InVS has been coordinating the Triple S-AGE European project (Syndromic Surveillance Survey, Assessment towards Guidelines for Europe), which brings together 24 organizations in 14 countries for a three-year period.
The purpose of the project is to increase the capacity of European countries to develop real-time or near real-time surveillance systems, and to consider a joint approach towards syndromic surveillance in order to improve responses to public health threats.

The Triple S project will draw up an inventory of the syndromic surveillance systems already operational in Europe as well as those whose development is in the pipeline. In addition to the inventory, organized visits in countries that have syndromic surveillance systems will make it possible to carry out in-depth analyses to gain a better understanding of their specific aspects. The outcome of the project will be presented as a harmonized European strategy proposal in the area of syndromic surveillance.

In addition to its scientific aspects, the project will lay the foundations for a network of European experts specialized in designing and implementing syndromic surveillance systems; this will provide Member States with scientific and technical assistance for the implementation of such mechanisms for both animal and human health. Indeed, one of the characteristics of the project is the cooperation between specialists of animal health and human health, who share mutual concerns about the harmonization of definitions, analyses and evaluation methodologies of syndromic surveillance systems.

An advisory committee to include representatives from ECDC (European Centre for Disease Control and Prevention), DGSanco (Directorate General for Health and Consumers of the European Commission), WHO-Europe (World Health Organization, regional European office) and ISDS (International Society for Disease Surveillance) will help to take into consideration the needs of these various entities in terms of real-time or near real-time surveillance, and to facilitate the sharing of good practices at worldwide level, thanks to the relationships with the ISDS.

Associate partners

Sweden - Smittskyddsinstitutet (SMI)

Denmark - Statens Serum Institut (SSI)

Italy - Istituto Superiore di Sanita (ISS)

United Kingdom - Health Protection Agency (HPA)

United Kingdom - Health Protection Scotland (HPS)

Germany / The Netherlands - GEOMED Research Forschungsgesellschaft mbH (GEOMED) – Maastricht University (as of the first quarter of 2011)

Hungary - National Institute of Environmental Health (NIEH)

Belgium - Institute of Public Health (IPH)

Finland - Terveyden ja hyvinnoinnin laitos (THL)

Greece - National and Kapodistrian University of Athens (NKUA)

France - Université de la Méditerranée, Aix-Marseille II (Univmed)

France - French Agency for Food, Environmental and Occupational Health Safety (Anses)

Collaborating partners

The Netherlands - Centrum Infectieziektebestrijding, Epidemiologie en Surveillance (RIVM)

Spain - Direccio General de Salut Publica de Barcelona

Italy - International Society of Doctors for the Environment (ISDE)

Latvia - State Agency “Latvian Infectology Centre”

Portugal - Ministry of Health of Portugal

France - Reseau Sentinelles (INSERM)

Denmark - National Veterinary Institute

Advisory committee

WHO-Europe (World Health Organization, regional European office)

ISDS (International Society for Disease Surveillance)

ECDC (European Centre for Disease control and Prevention)

DG SANCO C3 (Directorate General for Health and Consumers of the European Commission)


Triple S-AGE (Syndromic Surveillance Survey, Assessment towards Guidelines for Europe) European project:

International Society for Disease Surveillance:  


Soler MS, Fouillet A, Viso AC, Josseran L, Smith GE, Elliot AJ, et al. Assessment of syndromic surveillance in Europe. Lancet 2011;378(9806):1833-4. 

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