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Climate Change Adaptation: Progress on the E3 Network. 5 th EIONET workshop on Climate Change Impacts, Vulnerability and Adaptation 30 June 2011. Bertrand Sudre - Office of the Chief Scientist European Centre for Disease Prevention and Control.
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Climate Change Adaptation: Progress on the E3 Network 5th EIONET workshop on Climate Change Impacts, Vulnerability and Adaptation 30 June 2011 Bertrand Sudre - Office of the Chief Scientist European Centre for Disease Prevention and Control
European Environment and EpidemiologyE3 network Integrate environmental and epidemiological data Improved population health Public health action Essentialinformation Increasedunder-standing
Inte-grate Merge E3 Analyse Inter-pret European Environment and Epidemiology : E3 network Epidemic intelligence and surveillance (ECDC, WHO) Environmental and land-use data (EEA, SEIS, EDEN,...) Demographic and socioeconomic data (Eurostat, ...) 3
Specific aims of theE3 network • Enhancing analytic capability: link environmental data to surveillance data for trends and forecasts / for long-term adaptation to climatic and ecologic changes. • Enhancing and accelerating response capability: link environmental data to outbreak scenarios for efficient response. • Disseminate information: guide policy, practices, and other interventions. • Support public health research: relationship between disease and the environment. • Promote advance collaborations: EU agencies and other governmental and non-governmental organizations. • Inform and strengthen Member States: activities in preparing for the health impacts of climate change. 4
Inte-grate Merge E3 Analyse Inter-pret Features of the E3 network Infectious diseases epidemiology Determinants Epi intelligence ID surveillance Meteorology Entomology Water quality Air quality Flora Fauna Geography/geology Satellite data SES data Demography Agriculture Land use Socio economic etc. 5
Features and challenges of the E3 network • Provide rapid / easy access to environmental and epidemiologic data • Increase use of available data sets (long term view) • Analyze data across geographic and political boundaries and recognize disease trends • Link exposure-disease data : quantify magnitude of risk • Promote European standards for environmental / epi data • Provide quality control
Improving EDEN Re-structure Re-organise
E3 metadata processing E3 Metadata Tools MetadataBuilder MetadataTranslator MetadataCompiler Data providers Inspire directive march 2007 9
E3 GeoData: Examples of Eco-Climatic determinants
E3 Data: Examples of socio-economic determinants 12
E3 Proof Of Concept (EPOC) Studies • Objectives Illustrate how existing or future E3 archive/geo-data can be used in the areas of disease risk study, disease vector mapping and early warning. • Different potential uses of disease and environmental data. • On going assessment of selected diseases : • Leptospirosis • Salmonellosis • Vector BD : Mosquitoes • Tick borne disease : Tick borne encephalitis
EPOC: Mosquitoes maps • Vector distribution maps, • using data held within the E3 archives, • are being refined and reprocessed to assess new ways of identifying areas (ecological niche) • into which Aedesalbopictus may spread from current distributions. Predicted future routes of spread of Aedesalbopictus: Details of Mahalanobis distance of Global model (Mahalanobis distance = the environmental distance between the two sets of points adjusted for the covariance of the variables). The MD images are stretched over a range of values to reveal areas of greatest similarity to presently occupied areas. River systems are the likely major spread routes in Europe .
EPOC: Tick-borne encephalitis (TBE) • The risk maps for southern Sweden (held within the E3 archives) are being used to investigate whether independent meteorological and other data sets can provide a basis for predictions. WILD BOAR
E3 pilot study: TBE Risk and Increase in Spring Temperatures • Spring temperatures above certain thresholds promote disease transmission between ticks, which is one of several factors increasing disease risk. • Cumulative measures of spring temperatures between 7 and 10 degrees (cumulative day degrees, CCD) have been shown to differentiate between locations that are at high and low risk in the summer and autumn. • Ongoing development : evaluation of satellite estimations - prospective validation (intra-annual validation), and this model may have the potential to be used for warning system. 17
E3 pilot study: TBE Risk and Increase in Spring Temperatures Red areas are predicted TBE presence (>+75% probability) NLDA for 1986-2007. Circles are cumulative day degrees values: green =low; yellow=medium; red=high 18
E3 pilot studies : ? Added values • It is a prototype forecastingdisease model for Europe and climate sensitive diseases • Apply risk model to other members states in EU • Promote direct use of risk maps in public health (currently underutilized) • “knowledge – capacity – expertise” building • Promote network of excellence : collaboration with external partners and it is an example of interface/application for other projects 19
Others related projects • Decision-making tool for climate change and food and waterborne diseases • Decision-making tool is based on mathematical models / different climate scenario • Risk assessment framework : quantitative approach based on a priori model (= combination of successive modules describing the transmission pathway) • DG CLIMA Clearinghouse website
Others related projects • Decision-making tool for climate change and food and waterborne diseases • Decision-making tool based on mathematical models / different climate scenario : • Risk assessment framework : quantitative approach based on a priori model (combination of successive modules describing the transmission pathway) • DG CLIMA Clearinghouse website • Health indicators for Climate Change report EEA 2012 • Health indicators i.e : • Aedes albopictus suitabilitymap • Tick borne disease : Borreliosis (Lyme disease) • Food and water borne diseases • ...
ECDC : • Office of chief scientist • Health Impact Section • Jan Semenza • Bertrand Sudre • Jonathan Suk • E3 : ECDC – EDEN project • EPOC studies : ECDC sections - Oxford university – ERGO – AVIA GIS • Impact of Climate Change on Food- and Water-borne Infectious Diseases in Europe • Decision-making tool : RIVM (NL) – DG Clima Clearinghouse - EEA • Health indicators for Climate change report EEA 2012 : ECDC experts – Health Impact Section