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Dr. Virginia Estevez, Senior Expert GIS Scottsdale, August 20–22, 2012 Using GIS for infectious diseases prevention and control in Europe ESRI Health GIS Conference

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Page 1: Using GIS for infectious diseases prevention and control ... · Using GIS for infectious diseases prevention and control in Europe. Scottsdale, 20-22 August, 2012. First steps done

Dr. Virginia Estevez, Senior Expert GISScottsdale, August 20–22, 2012

Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Page 2: Using GIS for infectious diseases prevention and control ... · Using GIS for infectious diseases prevention and control in Europe. Scottsdale, 20-22 August, 2012. First steps done

Agenda

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

•ECDC overview

•Origins of GIS project

•GIS standards in use

•Enterprise GIS (EMMA)

•Other GIS activities

Page 3: Using GIS for infectious diseases prevention and control ... · Using GIS for infectious diseases prevention and control in Europe. Scottsdale, 20-22 August, 2012. First steps done

ECDC overview

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

The European Centre for Disease Prevention and Control (ECDC), is the

European Union agency with the responsibility of strengthening EU defences

against infectious diseases.

ECDC's mission:

To identify, assess & communicate

current & emerging threats to

human health posed by infectious

diseases.

To support and help to coordinate

EU countries’ preparedness and

response capacities.

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1st July 2012

GIS Team

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

Page 5: Using GIS for infectious diseases prevention and control ... · Using GIS for infectious diseases prevention and control in Europe. Scottsdale, 20-22 August, 2012. First steps done

Agenda

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

•ECDC overview

•Origins of GIS project

•GIS standards in use

•Enterprise GIS (EMMA)

•Other GIS activities

Page 6: Using GIS for infectious diseases prevention and control ... · Using GIS for infectious diseases prevention and control in Europe. Scottsdale, 20-22 August, 2012. First steps done

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

ECDC identified GIS as a powerful tool, both for tasks within ECDC & to

present information to its external partners with the aim of strengthening

Europe’s defence against infectious diseases.

Objective:

1.Improve current disease mapping capabilities.

2.Support a plethora of tasks and processes within Units where there is a

need for a GIS component.

Origins of GIS project at ECDC, I

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ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

Origins of GIS project at ECDC, II

1. Elaboration of a GIS needs Assessment Report.

2. Creation of a European Environment and Epidemiology (E3) Network.

3. Allocation of budget to support the future Enterprise GIS development work.

Existing work:

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Outbreak assessmentField epidemiology

Responses

Middle termassessmentsMonitoring

trends

Early warningfunctions

Health threatsPreparedness

Environmental /socio-economic data

Inputs scientific network Multidisciplinary approach

EpidemicIntelligence

Surveillance Scientific Advice / Disease Specific Programs

Response

GIS (Core Function at ECDC)

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

Page 9: Using GIS for infectious diseases prevention and control ... · Using GIS for infectious diseases prevention and control in Europe. Scottsdale, 20-22 August, 2012. First steps done

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

First steps done in GIS work

Recognition of ECDC projects with a potential GIS component

Identification of all geospatial data available at ECDC

Recognition of GIS users’ needs & requirements on Geospatial information

Discussions with ESRI distributor on the support provided

Acquisition of new ESRI licences.

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Current on-going work

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

Establishment of some standards

Creation of internal procedures for the use of GIS services

Design & implementation of an Enterprise GIS

Establishments of contacts with EU agencies & IOs for developing

common GIS initiatives, access specific spatial data, benchmarking, etc…

Technical & analytical support to in-house projects with a GIS component.

Page 11: Using GIS for infectious diseases prevention and control ... · Using GIS for infectious diseases prevention and control in Europe. Scottsdale, 20-22 August, 2012. First steps done

Agenda

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

•ECDC overview

•Origins of GIS project

•GIS standards in use

•Enterprise GIS (EMMA)

•Other GIS activities

Page 12: Using GIS for infectious diseases prevention and control ... · Using GIS for infectious diseases prevention and control in Europe. Scottsdale, 20-22 August, 2012. First steps done

GIS standards in use

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

GIS Software:

ArcGIS for Server 10.NET Advanced Enterprise Ed.

ArcGIS APIs for Silverlight

ArcGIS for SharePoint

ESRI Developer Network (EDN) licences

ArcInfo

ArcEditor

ArcView

Spatial Analyst

Geostatistical Analyst

Source: ESRI Inc.

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GIS standards in use

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

Source: ECDC, Terminology Server Applic.

Geographicalnames:

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ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

GIS standards in use

Geo-coding of disease data in Europe: Nomenclature of territorial units for statistics (NUTS). EUROSTAT

NUTS CODE

SE

SE1

SE11

SE110

SE12

SE121

SE122

SE123

SE124

SE125

Page 15: Using GIS for infectious diseases prevention and control ... · Using GIS for infectious diseases prevention and control in Europe. Scottsdale, 20-22 August, 2012. First steps done

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

GIS standards in use

Population data: EUROSTAT

Freely available up to NUTs 3 level

Updated on yearly basis

GEO_ID GEO_NAME CNTR_NAMEPopulation 

2010Population 

2011SE SWEDEN SWEDEN 9,340,682 9,415,570SE1 Östra Sverige SWEDEN 3,577,474 3,623,591SE11 Stockholm SWEDEN 2,019,182 2,054,343SE110 Stockholms län SWEDEN 2,019,182 2,054,343SE12 Östra Mellansverige SWEDEN 1,558,292 1,569,248SE121 Uppsala län SWEDEN 331,898 335,882SE122 Södermanlands län SWEDEN 269,053 270,738SE123 Östergötlands län SWEDEN 427,106 429,642SE124 Örebro län SWEDEN 278,882 280,230SE125 Västmanlands län SWEDEN 251,353 252,756

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ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

GIS standards in use

Mapping guidelines

Coordinating systems:

Lambert Conformal Conic (European Extent)Robinson Projection (Worldwide Extent)WGS 1984 Web Mercator Auxiliary Sphere (Web maps)

Colour Palettes / Data classification:

Measles vaccine coverage 80 - 89 %

90 - 94 %

≥ 95 %

No coverages reported in 2010

Not included

Number of cases1 - 500

501 - 1500

1501 - 5000

> 5000

Page 17: Using GIS for infectious diseases prevention and control ... · Using GIS for infectious diseases prevention and control in Europe. Scottsdale, 20-22 August, 2012. First steps done

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

On-going work with GIS Standards:

Metadata:

•INSPIRE

•ECDC Core metadata standards:

•ECDC unique identifier

•ECDC title

•ECDC owner

•ECDC object date

•ECDC subject what

•ECDC publicity

Data formats

Geospatial Web Services

Page 18: Using GIS for infectious diseases prevention and control ... · Using GIS for infectious diseases prevention and control in Europe. Scottsdale, 20-22 August, 2012. First steps done

Agenda

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

•ECDC overview

•Origins of GIS project

•GIS standards in use

•Enterprise GIS (EMMA)

•Other GIS activities

Page 19: Using GIS for infectious diseases prevention and control ... · Using GIS for infectious diseases prevention and control in Europe. Scottsdale, 20-22 August, 2012. First steps done

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

Why an Enterprise GIS?

This GIS solution did not allow to get access to timely, accurate &

guaranteed geospatial information.

ECDC had a GIS departmental structure that served the needs of the

particular sections/teams, instead of the entire organization as an entity

Page 20: Using GIS for infectious diseases prevention and control ... · Using GIS for infectious diseases prevention and control in Europe. Scottsdale, 20-22 August, 2012. First steps done

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

Benefits of having an Enterprise GIS?

Having a robust, integrated GIS system that meets organization needs

Encourage to use a common infrastructure thorough the organization

Share the geospatial information available within the organization

Provide accessibility to a common geospatial data repository

Existence of a single source for maps

Promote the use of standardized geospatial data, tools and services.

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ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

ECDC Mapping & Multilayer Analysis (EMMA)

Started in May 2011

Took over the recommendations included in the GIS Needs Assessment report (June 2010)

Was planned as a centralized GIS platform to support disease mapping, dataanalysis & data sharing among ECDC experts & to extranet public, which willfacilitate the communication on public health threats

This system will contribute to the compilation of standardized spatial data

Its implementation will be supported by the establishment of internal SOPs.

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ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

ECDC Mapping & Multilayer Analysis (EMMA)

Phase IIPhase I

Disease Mapping

Application

Connection toOthers Internal

Systems & Development

of Map Catalogue functionalities

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Rapid & friendly web application

Inclussion of an entry data module to facilitate mapping work (CSV file)

Update & edit event data

Elaboration of two types of maps: Choropleth & Graduated symbols

Map various spatial resolutions (NUTS)

Customized data classification

Export tool

Provision of standard GIS tools

Phase I: Disease Mapping Application

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

ECDC Mapping & Multilayer Analysis (EMMA)

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Establishment & maintenance of map services

Geodatabase hosting & management services

Integration with internal disease data systems

Web connection to external sources

Development of map catalogue functionalities

Identification of ancillary datasets of interest for

ECDC experts, & provision of guidelines for comsumption.

Phase II: Integration with Internal Systems &Map catalogue functionalities

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

ECDC Mapping & Multilayer Analysis (EMMA)

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SharePoint 2010

ArcGIS for SharePoint

ArcGIS Server

ArcSDE + Microsoft SQL Server

ECDC Mapping & Multilayer Analysis (EMMA)

Technology

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

Page 26: Using GIS for infectious diseases prevention and control ... · Using GIS for infectious diseases prevention and control in Europe. Scottsdale, 20-22 August, 2012. First steps done

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

ECDC Mapping & Multilayer Analysis (EMMA)

Workflow of disease mapping process

CSV

ArcGIS ServerGO MAPPING!

The future...

EU agencies

Member States

ECDC Business applications

Geodatabases

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ECDC Mapping & Multilayer Analysis (EMMA)System Architecture

Front end

Back end

GO MAPPING!

Business applications Desktop applications

Web Services

Maps

Geocodification

Geodata

ArcGIS Server

Geospatialdata

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

Page 28: Using GIS for infectious diseases prevention and control ... · Using GIS for infectious diseases prevention and control in Europe. Scottsdale, 20-22 August, 2012. First steps done

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

ECDC Mapping & Multilayer Analysis (EMMA)

EPIS-FWDVbornetWN

Disease ExpertDisease Expert

GIS ExpertEMMAOperationalWorkflow

Page 29: Using GIS for infectious diseases prevention and control ... · Using GIS for infectious diseases prevention and control in Europe. Scottsdale, 20-22 August, 2012. First steps done

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

ECDC Mapping & Multilayer Analysis (EMMA)

Page 30: Using GIS for infectious diseases prevention and control ... · Using GIS for infectious diseases prevention and control in Europe. Scottsdale, 20-22 August, 2012. First steps done

ECDC Mapping & Multilayer Analysis (EMMA)

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

Page 31: Using GIS for infectious diseases prevention and control ... · Using GIS for infectious diseases prevention and control in Europe. Scottsdale, 20-22 August, 2012. First steps done

Agenda

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

•ECDC overview

•Origins of GIS project

•GIS standards in use

•Enterprise GIS (EMMA)

•Other GIS activities

Page 32: Using GIS for infectious diseases prevention and control ... · Using GIS for infectious diseases prevention and control in Europe. Scottsdale, 20-22 August, 2012. First steps done

Provision of GIS Services upon request

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

Any GIS related task in support of the day to day business activities of ECDC

In place:

In the pipeline:

Installation & management of Desktop ArcGIS SW licences

Development of mapping components

Mapping desktop support

Technical GIS support

Provision of GIS development & testing

Provision & maintenance of Web GIS mapping services

Storage & maintenance of Geospatial data

User accessibility to specific Geodatabases.

Other GIS activities

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Other GIS activities

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

European, Epidemiological & Environmental (E3)Network Geoportal

Web platform to facilitate the exchange of data & scientific results of E3Community

A metadata server

A tool to enhance the scientific knowledge among ECDC experts & E3scientists

A tool to contribute to the prevention, surveillance & response of infectiousdiseases threats in Europe.

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ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

Search & discovery

of resources

Retrieval & visualization

of results

Previsualization datasets

Metadata visualization

Creation & upload of

metadata

Identity of the project

Data download

User registration.

European, Epidemiological & Environmental(E3) network Geoportal

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ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

European, Epidemiological & Environmental(E3) network Geoportal

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European, Epidemiological & Environmental (E3) network Geoportal

Components:

SharePoint 2010; Visual Studio 2010

ArcGIS API for Silverlight; Microsoft SQL.

Technology:

Front end Back end

Web application

Different type of users

File archive of E3 data

Share Point Application

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

Page 37: Using GIS for infectious diseases prevention and control ... · Using GIS for infectious diseases prevention and control in Europe. Scottsdale, 20-22 August, 2012. First steps done

ECDC Measles and Rubella Monitoring (EMMO)Monthly bulleting to report enhanced surveillance data and epidemicIntelligence information for both diseases. Reporting period: June 2011 – May 2012

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

Page 38: Using GIS for infectious diseases prevention and control ... · Using GIS for infectious diseases prevention and control in Europe. Scottsdale, 20-22 August, 2012. First steps done

ECDC Measles and Rubella Monitoring (EMMO)

Reporting period: June 2011 – May 2012

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

Page 39: Using GIS for infectious diseases prevention and control ... · Using GIS for infectious diseases prevention and control in Europe. Scottsdale, 20-22 August, 2012. First steps done

West Nile (WN) fever results from infection by West Nile virus. Its presencein humans is a notifiable disease at the EU level.

West Nile fever maps

Weekly maps for the current transmissionseason

Contains currentsituation + evolutionduring past week

Some tables: Affectedareas, cumulative number of cases, dateof 1st case report.

Source: L. Marrama (SRS-EVD). West Nile Mapping tool – Year 2.ECDC. Stockholm, June 2012

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

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West Nile fever maps

Some basic tools to facilitate the Geo-reference of cases: Google Earth

Identification of NUTS2/3 or GAUL1/GAUL2

Source: L. Marrama (SRS-EVD). West Nile Mapping tool – Year 2.ECDC. Stockholm, June 2012

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

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West Nile fever maps

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

Page 42: Using GIS for infectious diseases prevention and control ... · Using GIS for infectious diseases prevention and control in Europe. Scottsdale, 20-22 August, 2012. First steps done

West Nile fever maps

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

Page 43: Using GIS for infectious diseases prevention and control ... · Using GIS for infectious diseases prevention and control in Europe. Scottsdale, 20-22 August, 2012. First steps done

Conclussions

GIS technology:

Supports a wide diversity of working areas at ECDC

Contributes to the development of geospatial standards for disease data

Helps to better identify disease patterns

Allows sharing of geo-information using a common platform

Represents an unifying role: Integrates different objectives, projects &

expertises within the organization

Plays an essential role in communicating information related to public health.

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

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GIS Team:

Dr. Lorenzo de Simone, Expert GIS

Mr. Silviu Ionescu, Senior GIS Analyst

Mr. Vladimir Knezevic, Senior Web GIS Developper

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe

Page 45: Using GIS for infectious diseases prevention and control ... · Using GIS for infectious diseases prevention and control in Europe. Scottsdale, 20-22 August, 2012. First steps done

Dr. Virginia Estevez+46 858 601 352

[email protected] [email protected]

ESRI Health GIS ConferenceScottsdale, 20-22 August, 2012Using GIS for infectious diseases prevention and control in Europe