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Information system of European Centre for Disease Prevention and Control The European Surveillance System (TESSy) – Strengthening the infectious disease surveillance in Europe Per Rolfhamre, Surveillance Unit, European Centre for Disease Prevention and Control Istanbul, 25 September, 2009

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Page 1: Information system of European Centre for Disease Prevention and Control The European Surveillance System (TESSy) – Strengthening the infectious disease

Information system of European Centre for Disease Prevention and Control

The European Surveillance System (TESSy)

– Strengthening the infectious disease surveillance in Europe Per Rolfhamre, Surveillance Unit,

European Centre for Disease Prevention and Control

Istanbul, 25 September, 2009

Page 2: Information system of European Centre for Disease Prevention and Control The European Surveillance System (TESSy) – Strengthening the infectious disease

The European Surveillance System (TESSy)- Surveillance Unit

• Support strengthening of national surveillance systems

• Establish EU-wide standard case reporting

• Monitor trends of diseases across Europe to provide a rationale for public health actions in MS

• Disseminate the results to stakeholders for timely public health actions at EU and MS level

• Coordinate the integrated operations of the Dedicated Surveillance Networks

Page 3: Information system of European Centre for Disease Prevention and Control The European Surveillance System (TESSy) – Strengthening the infectious disease

The European Surveillance System (TESSy)- Starting point

• List of 47 notifiable diseases + AMR+ nosocomial infections

• 17 dedicated surveillance networks (DSNs):• Cover 20 diseases (+ 3 not on the list)

• 27 Member States + 3 EEA/EFTA with their own surveillance systems• Mandatory, voluntary• Population based, sentinel• Data from laboratories, physicians, hospitals• Case-based, aggregated• Sometimes more than one system per disease per country

Page 4: Information system of European Centre for Disease Prevention and Control The European Surveillance System (TESSy) – Strengthening the infectious disease

The European Surveillance System (TESSy)- Starting point

MS

MS

MS

MS

MS

MS

MS

MS

MS

MS

MS

MS

MS

DSN

DSN

DSN

DSN

DSN

DSN

DSN

DSN

DSN

DSN

DSN

Impact for member states

• Huge workload• Different interfaces

for data upload• Different database

formats

Impact for DSN hubs• Data cleaning

effort for all member states

• Feedback for all member states

Page 5: Information system of European Centre for Disease Prevention and Control The European Surveillance System (TESSy) – Strengthening the infectious disease

The European Surveillance System (TESSy)- One-stop-shop

MS

National institutes

Disease experts

General public

AF members

MB members

WHO

EMCDDA

EFSA

Others

TESSy

Data

uplo

ad a

nd

acc

ess

Data

acce

ss

MSs Data users

The European Surveillance System

MS

MS

MS

MS

MS

MS

MS

MS

MS

MS

MS

MS

Page 6: Information system of European Centre for Disease Prevention and Control The European Surveillance System (TESSy) – Strengthening the infectious disease

The European Surveillance System (TESSy)- Architecture

WEB TIER

IIS 6

ASP.NET

SQL Server Reporting Services 2005 (SSRS)

Active Directory Federation Services (ADFS)

DATA TIER

SQL Server 2005

SQL Server Integration Services 2005 (SSIS)

Active Directory

.NET

Page 7: Information system of European Centre for Disease Prevention and Control The European Surveillance System (TESSy) – Strengthening the infectious disease

The European Surveillance System (TESSy)- Architecture

Access Point

Move freely

between systems

User management

Standardization of terms

Nomination

management

Page 8: Information system of European Centre for Disease Prevention and Control The European Surveillance System (TESSy) – Strengthening the infectious disease

The European Surveillance System (TESSy)- Upload formats

XML and CSV

Page 9: Information system of European Centre for Disease Prevention and Control The European Surveillance System (TESSy) – Strengthening the infectious disease

The European Surveillance System (TESSy)- Manual data entry

Page 10: Information system of European Centre for Disease Prevention and Control The European Surveillance System (TESSy) – Strengthening the infectious disease

The European Surveillance System (TESSy)- Validation results

Page 11: Information system of European Centre for Disease Prevention and Control The European Surveillance System (TESSy) – Strengthening the infectious disease

The European Surveillance System (TESSy)- Getting data out…

Page 12: Information system of European Centre for Disease Prevention and Control The European Surveillance System (TESSy) – Strengthening the infectious disease

The European Surveillance System (TESSy)- Time line and some numbers…

Oct 2006 – TESSy development started Jan 2008 – TESSy grand opening Jan 2008 to Sept 2009

– 450 TESSy users trained on-site– Eight hours of on-line training material– Data on 47 diseases for 30/53 countries collected– 3573 files uploaded– 3.45 million cases reported– 11.5 million validation messages produced