17/03/2017 H2020H2020-DSRDSR-4-2014 Overview of the PANDEM project Máire Connolly, PANDEM coordinator National University of Ireland Galway This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 652868 Outline l Current context l What are the threats? l Scope of PANDEM l Outcome of PANDEM 1 17/03/2017 Influenza pandemics in 20th/21st Century Spread of 1918 Influenza Pandemic 1918: “Spanish Flu” 1957: “Asian Flu” 40-50 million deaths 1-4 million deaths H1N1 H2N2 1968: “Hong Kong Flu” 1-4 million deaths H3N2 2009: H1N1 Pandemic 284,000 deaths H1N1 Current context • Decision 1082/2013/EU on Serious cross border threats to health • European Court of Auditors – importance of protecting EU citizens from pandemics and other serious cross border threats to health, 2016 • OECD’s Future Global Shocks - cascading risks that become active threats as they spread across global systems – pandemic major threat • WHO – new Health Emergencies programme • World Bank working on financing pandemic preparedness 2 17/03/2017 What are the threats? l Novel strain of known virus eg H1N1 influenza virus l Newly identified species or strains eg Zika, Ebola, SARS, Nipah….... What are the threats? l Poor biosafety leading to accidental release from a laboratory l Bioterrorism - deliberate release of a biological agent e.g. anthrax l Micro-organisms found to be resistant to antimicrobial agents– MDR-TB, MRSA 3 17/03/2017 Source: Prediction and prevention of the next pandemic zoonosis Prof Stephen S Morse et al Lancet; Volume 380, No. 9857, p1956–1965, 1 December 2012 PANDEM – Topic call DRS-04 – Specific challenge • Pandemics pose a major health and security threat to EU citizens • Improving capacity-building is key to fight epidemics and pandemics • EU must increase its efforts to improve domestic and global risk assessment, surveillance, communication capability and governance • Reducing disease transmission through public education is also crucial 8 4 17/03/2017 The origins of PANDEM….. • Initial work on H2020 call in December 2013 • At the same time, Ebola was emerging in West Africa • Late detection and ineffective initial containment measures led to a full scale global emergency • Weaknesses in surveillance, communications and governance systems at national, EU & global level • Poorly coordinated international response lacked the tools and systems to control the outbreak 5 17/03/2017 PANDEM PANDemic risk and Emergency Management • • • • • • Horizon 2020: Secure Societies Work Programme Phase I demo project Multi-disciplinary collaboration of seven institutions Project budget - €1.3M Project duration - 18 months started Sept 2015 Project areas: • Surveillance • Communication • Governance Objectives of PANDEM project • Review and assess current best practice for pandemic preparedness and response in three core areas • Identify major gaps/improvement needs and research priorities • Identify innovative solutions for improved technologies, systems and capacity that would reduce health, security, environmental and economic impact of future pandemics 6 17/03/2017 PANDEM work approach WP1 - NUIG Project Management & Co-ordination WP6 WP2 FoHM Threat analysis Risk assessment Surveillance Best practice User needs Research priorities WP3 WP4 IGS LSHTM Communication Public information Governance Legal frameworks Best practice User needs Research priorities Best practice User needs Research priorities WP5 NUIG WHO Integrated solution specification Demonstration concepts Research and training priorities Tools/systems improvement needs Integrated gap analysis Road Map for Phase II WP7 - NUIG Awareness Raising & Dissemination Methodology of PANDEM • Large-scale pandemic of sudden onset • Review of tools, systems and practices at Member States, European Union and global level • Review of previous EU research projects • Key informant interviews • Case studies: EU countries, USA and EU response to Ebola outbreak • Expert workshops in Brussels: February and September 2016 7 17/03/2017 PANDEM: SURVEILLANCE Source: The Hidden Geometry of Complex, Network-Driven Contagion Phenomena Dirk Brockmann, Dirk Helbing, Science 13 Dec 2013: Vol. 342, Issue 6164, pp. 1337-1342 • Disease spread analysed via the “effective distance” rather than geographical distance, two locations connected by airline flights are effectively close • Applied to predict disease arrival times or disease source PANDEM: Communications 8 17/03/2017 PANDEM: Diagnostics THANK YOU! 9
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