Using GIS for infectious diseases prevention and control in Europe

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

Agenda •ECDC overview •Origins of GIS project •GIS standards in use •Enterprise GIS (EMMA) •Other GIS activities Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

ECDC overview 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. Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

GIS Team

1st July 2012

Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

Agenda •ECDC overview •Origins of GIS project •GIS standards in use •Enterprise GIS (EMMA) •Other GIS activities Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

Origins of GIS project at ECDC, I 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.

Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

Origins of GIS project at ECDC, II Existing work: 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.

Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

GIS (Core Function at ECDC)

Middle term assessments Monitoring trends

Early warning functions Health threats Preparedness

Outbreak assessment Field epidemiology Responses

Surveillance

Epidemic Intelligence

Response

Using GIS for infectious diseases prevention and control in Europe

Environmental /socio-economic data Inputs scientific network Multidisciplinary approach

Scientific Advice / Disease Specific Programs

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

First steps done in GIS work

9 Recognition of ECDC projects with a potential GIS component 9 Identification of all geospatial data available at ECDC 9 Recognition of GIS users’ needs & requirements on Geospatial information 9 Discussions with ESRI distributor on the support provided 9 Acquisition of new ESRI licences.

Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

Current on-going work

9 Establishment of some standards 9 Creation of internal procedures for the use of GIS services 9 Design & implementation of an Enterprise GIS 9 Establishments of contacts with EU agencies & IOs for developing common GIS initiatives, access specific spatial data, benchmarking, etc… 9 Technical & analytical support to in-house projects with a GIS component.

Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

Agenda •ECDC overview •Origins of GIS project •GIS standards in use •Enterprise GIS (EMMA) •Other GIS activities Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

GIS standards in use GIS Software: 9ArcGIS for Server 10.NET Advanced Enterprise Ed. 9ArcGIS APIs for Silverlight 9ArcGIS for SharePoint 9ESRI Developer Network (EDN) licences 9ArcInfo 9ArcEditor 9ArcView 9Spatial Analyst 9Geostatistical Analyst Source: ESRI Inc.

Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

GIS standards in use Geographical names:

Source: ECDC, Terminology Server Applic.

Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

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

Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

GIS standards in use Population data: 9EUROSTAT 9Freely available up to NUTs 3 level 9Updated on yearly basis GEO_ID SE SE1 SE11 SE110 SE12 SE121 SE122 SE123 SE124 SE125

GEO_NAME SWEDEN Östra Sverige Stockholm Stockholms län Östra Mellansverige Uppsala län Södermanlands län Östergötlands län Örebro län Västmanlands län

CNTR_NAME SWEDEN SWEDEN SWEDEN SWEDEN SWEDEN SWEDEN SWEDEN SWEDEN SWEDEN SWEDEN

Using GIS for infectious diseases prevention and control in Europe

Population  Population  2010 2011 9,340,682 9,415,570 3,577,474 3,623,591 2,019,182 2,054,343 2,019,182 2,054,343 1,558,292 1,569,248 331,898 335,882 269,053 270,738 427,106 429,642 278,882 280,230 251,353 252,756 ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

GIS standards in use Mapping guidelines Coordinating systems: 9 Lambert Conformal Conic (European Extent) 9 Robinson Projection (Worldwide Extent) 9 WGS 1984 Web Mercator Auxiliary Sphere (Web maps)

Colour Palettes / Data classification: Number of cases

Measles vaccine coverage

1 - 500

80 - 89 %

501 - 1500

90 - 94 %

1501 - 5000

≥ 95 % No coverages reported in 2010

> 5000

Using GIS for infectious diseases prevention and control in Europe

Not included

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

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 Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

Agenda •ECDC overview •Origins of GIS project •GIS standards in use •Enterprise GIS (EMMA) •Other GIS activities Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

Why an Enterprise GIS?

9ECDC had a GIS departmental structure that served the needs of the particular sections/teams, instead of the entire organization as an entity

9This GIS solution did not allow to get access to timely, accurate & guaranteed geospatial information.

Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

Benefits of having an Enterprise GIS? 9Having a robust, integrated GIS system that meets organization needs 9Encourage to use a common infrastructure thorough the organization 9Share the geospatial information available within the organization 9Provide accessibility to a common geospatial data repository 9Existence of a single source for maps 9Promote the use of standardized geospatial data, tools and services. Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

ECDC Mapping & Multilayer Analysis (EMMA) 9 Started in May 2011 9 Took over the recommendations included in the GIS Needs Assessment report (June 2010) 9 Was planned as a centralized GIS platform to support disease mapping, data analysis & data sharing among ECDC experts & to extranet public, which will facilitate the communication on public health threats 9 This system will contribute to the compilation of standardized spatial data

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

Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

ECDC Mapping & Multilayer Analysis (EMMA)

Phase I

Phase II

Disease Mapping Application

Connection to Others Internal Systems & Development of Map Catalogue functionalities

Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

ECDC Mapping & Multilayer Analysis (EMMA) Phase I: Disease Mapping Application 9 Rapid & friendly web application 9 Inclussion of an entry data module to facilitate mapping work (CSV file) 9 Update & edit event data 9 Elaboration of two types of maps: Choropleth & Graduated symbols 9 Map various spatial resolutions (NUTS) 9 Customized data classification 9 Export tool 9 Provision of standard GIS tools Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

ECDC Mapping & Multilayer Analysis (EMMA) Phase II: Integration with Internal Systems & Map catalogue functionalities

9 Establishment & maintenance of map services 9 Geodatabase hosting & management services 9 Integration with internal disease data systems 9 Web connection to external sources 9 Development of map catalogue functionalities 9 Identification of ancillary datasets of interest for ECDC experts, & provision of guidelines for comsumption.

Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

ECDC Mapping & Multilayer Analysis (EMMA) Technology

9SharePoint 2010 9ArcGIS for SharePoint 9ArcGIS Server 9ArcSDE + Microsoft SQL Server

Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

ECDC Mapping & Multilayer Analysis (EMMA) Workflow of disease mapping process CSV

GO MAPPING!

ArcGIS Server

Geodatabases

ECDC Business applications

The future...

Member States

EU agencies

Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

ECDC Mapping & Multilayer Analysis (EMMA) System Architecture GO MAPPING!

Business applications

Front end

Desktop applications

Maps

Geospatial data

Geocodification Geodata

Web Services

ArcGIS Server



Back end Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

ECDC Mapping & Multilayer Analysis (EMMA) EMMA Operational Workflow

GIS Expert Disease Expert

Disease Expert

EPIS-FWD Vbornet WN

Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

ECDC Mapping & Multilayer Analysis (EMMA)

Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

ECDC Mapping & Multilayer Analysis (EMMA)

Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

Agenda •ECDC overview •Origins of GIS project •GIS standards in use •Enterprise GIS (EMMA) •Other GIS activities Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

Other GIS activities Provision of GIS Services upon request Any GIS related task in support of the day to day business activities of ECDC

In place: 9 Installation & management of Desktop ArcGIS SW licences 9 Development of mapping components 9 Mapping desktop support 9 Technical GIS support 9 Provision of GIS development & testing

In the pipeline: 9 Provision & maintenance of Web GIS mapping services 9 Storage & maintenance of Geospatial data 9 User accessibility to specific Geodatabases. Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

Other GIS activities European, Epidemiological & Environmental (E3) Network Geoportal 9 Web platform to facilitate the exchange of data & scientific results of E3 Community 9 A metadata server 9 A tool to enhance the scientific knowledge among ECDC experts & E3 scientists 9 A tool to contribute to the prevention, surveillance & response of infectious diseases threats in Europe.

Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

European, Epidemiological & Environmental (E3) network Geoportal 9 Search & discovery

of resources 9Retrieval & visualization of results 9Previsualization datasets 9Metadata visualization 9Creation & upload of metadata 9Identity of the project 9Data download 9User registration.

Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

European, Epidemiological & Environmental (E3) network Geoportal

Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

European, Epidemiological & Environmental (E3) network Geoportal Components: Front end

Back end

9 Web application

9 File archive of E3 data

9 Different type of users

9 Share Point Application

Technology: 9 SharePoint 2010; Visual Studio 2010 9 ArcGIS API for Silverlight; Microsoft SQL. Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

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

Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

ECDC Measles and Rubella Monitoring (EMMO) Reporting period: June 2011 – May 2012

Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

West Nile fever maps West Nile (WN) fever results from infection by West Nile virus. Its presence in humans is a notifiable disease at the EU level. 9 Weekly maps for the current transmission season 9 Contains current situation + evolution during past week 9 Some tables: Affected areas, cumulative number of cases, date of 1st case report. Source: L. Marrama (SRS-EVD). West Nile Mapping tool – Year 2. ECDC. Stockholm, June 2012

Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

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

Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

West Nile fever maps

Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

West Nile fever maps

Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

Conclussions GIS technology: 9

Supports a wide diversity of working areas at ECDC

9 Contributes to the development of geospatial standards for disease data 9 Helps to better identify disease patterns 9 Allows sharing of geo-information using a common platform 9 Represents an unifying role: Integrates different objectives, projects & expertises within the organization 9 Plays an essential role in communicating information related to public health.

Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

GIS Team:

Dr. Lorenzo de Simone, Expert GIS

Mr. Silviu Ionescu, Senior GIS Analyst

Mr. Vladimir Knezevic, Senior Web GIS Developper

Using GIS for infectious diseases prevention and control in Europe

ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

Dr. Virginia Estevez +46 858 601 352 [email protected] Using GIS for infectious diseases prevention and control in Europe

[email protected] ESRI Health GIS Conference

Scottsdale, 20-22 August, 2012

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