Dr Philippe Barboza

Manager, Detection Verification and Risk Assessment WHO, Health Emergencies Programme

Epidemic Intelligence from Open Sources

(EIOS)

HEALTH

programme EMERGENCIES 2

WHO –Health Emergency programme

Prevent Recover Prepare Detect Respond

May 2016 –WHO Health Emergencies Programme (WHE) Fundamental changes, among other Detection of public health crises at centre of WHO activities Single approach across 3 WHO levels Health emergency information & risk assessment departments

WHE

HEALTH

programme EMERGENCIES 3

Improving global epidemic intelligence

input

process

detect

verify

analyse

assess

Dissem-

inate

respond

epidemic

intelligence

- Comprehensive - Bring initiatives together

- Expand input:

- Volume of sources

- Variety of sources

- Velocity of sources

- Improve assessment

- Accessible - Global, national and local use

- Build capacity

- Collaborative - Bring people together

- Facilitate communication

- Form expert communities

HEALTH

programme EMERGENCIES 4

WHO & Epidemic Intelligence milestones

Collaboration WHO - Canada to develop

GPHIN (Global Public Health Intelligence Network)

Global Health Security Initiative endorses

EAR (Early Alerting and Reporting platform)

WHO – European Commission develop

HDRAS (Hazard Detection and Risk Assessment System)

HEALTH

programme EMERGENCIES 5

Evidence based : need supra-system

for a new EI initiative

World Health Emergencies Programme Created

Prevent, Prepare, Detect, Rapidly Respond and Recover

“No super-system exists to pool expert systems' expertise

and more initiatives must be developed in this direction.” Barboza P, Vaillant L, Mawudeku A, Nelson NP, Hartley DM, Madoff LC, et al. (2013) Evaluation of Epidemic Intelligence Systems

Integrated in the Early Alerting and Reporting Project for the Detection of A/H5N1 Influenza Events. PLoS ONE8(3): e57252.

https://doi.org/10.1371/journal.pone.0057252

HEALTH

programme EMERGENCIES

EIOS conception

90s-2007

Goals • Capitalize on existing

• Foster synergies

• Pool expertise

• Reduce duplication

• Increased adaptability

Integrated collaboration

1st Phase

EAR (GHSI)

2008-2016

HDRAS

2017

EIOS

Roll out 2nd

Phase

HEALTH

programme EMERGENCIES 7

The EIOS Initiative

WHO leadership - WHE Mandate

Minimise hazards’ impact through improved detection

Strengthen global/national/subnational capacities

Promote development of Event-Based surveillance

Collaborative approach

Close collaboration with external EBS expert

Enable exchange of expertise, pooling of resources

Address needs of a wide array or users

Resources, context, needs

Domains (all hazards, zoonosis biological chemical …)

HEALTH

programme EMERGENCIES 8

EIOS technical process

Scrape

Categorise

Tag

De-duplicate

Translate

Share

process

HEALTH

programme EMERGENCIES 9

EIOS System: output

HEALTH

programme EMERGENCIES 10

EIOS System: output

HEALTH

programme EMERGENCIES 11

EIOS System: input

Rapid Collection

Traditional and Social Media

Government Sources

Over 1 million articles /week

Secure access

Communication within communities

Communication across communities

Verify open source information

Contribute new information and analysis

Browse

Search / Filter

Read

Comment

user

communication

HEALTH

programme EMERGENCIES 12

The EIOS - Zoonosis

~60% existing human infections

>75% emerging human infections

~80% potential bioterrorist agents (source: OIE; http://www.oie.int/en/for-the-media/onehealth/ ) z

oonotic

Animal/plant diseases affect nutrition, health & trade

Improved

detection

Operational

model

HEALTH

programme EMERGENCIES 13

Next Steps & Target Dates*

Draft three-year plan and

documentation

Secure long-term funding

Test and evaluate system

System roll out (new users)

Collaborative enhancements

(system evolution)

start end

October

2017

December

2017

November

2017

April

2018

May

2018

October

2018

ongoing

ongoing

ongoing

*contingent on approvals, progress, resources & details to be articulated in three-year plan

HEALTH

programme EMERGENCIES 14

The EIOS Initiative: perspective

World Health Emergencies Programme Created

Prevent, Prepare, Detect, Rapidly Respond and Recover

Documentation, Planning, Roadmap, Funding

Core EIOS System

Develop & Expand Communication on System

User Network Expansion and Training

2017 2018 2019 2020

Testing, Monitoring & Evaluation

Collaborative Enhancements to System

Dr Philippe Barboza

Manager Detection Verification and Risk Assessment

WHO, Health Emergencies Programme

Thank you