Transcript Epidemic Intelligence Service Presentation

Center for Surveillance, Epidemiology,
and Laboratory Services
EIS
The Epidemic Intelligence Service
Danice Eaton, MPH, PhD
CAPT, US Public Health Service
Lead, Field Response and Support Team
Center for Surveillance, Epidemiology, and Laboratory Services
Centers for Disease Control and Prevention
Atlanta, Georgia USA
What is the Epidemic Intelligence Service (EIS)?
Training through service
on the front lines of Public Health
CDC’s 2-year training program in the practice of applied epidemiology
EIS Officers
 Are physicians, veterinarians, scientists, and other health professionals
 Complete a 2-year, on-the-job training, and service fellowship
 Serve our country while learning to apply epidemiology
 Gain practical skills to become future leaders
60+ Years of Training, Service, and Response
1950s:
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Polio Vaccines
Lead Paint
H2N2 Pandemic
1990s:
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Cryptosporidium
E-Coli
West Nile Virus
1960s:
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Smallpox eradication
Cancer clusters
War in Nigeria
H3N2 Pandemic
2000s:
1970s:
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Lead in fuel
Lassa Fever
Ebola Virus Disease
Legionella
Reye’s Syndrome
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9-11
Anthrax attacks
SARS
Hurricane Katrina
H1N1 Pandemic
2010s:
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Toxic Shock Syndrome
HIV Pandemic
Salmonella in Oregon
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Haiti Earthquake
Mediterranean Coronavirus
Ebola Virus Disease
Zika Virus
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1980s:
http://www.cdc.gov/eis/downloads/eis-timeline-booklet.pdf
EIS Training
 90% “on-the-job”
 Develop applied epidemiology
skills
 Quantitative skills
 Research design
 Epidemiologic judgment
 Health communications
EIS Service
 Domestic and international service
 Respond to requests for epidemiologic assistance
 Prevention
 Disease and injury control
 Health promotion
 Capacity building
EIS Officer Assignments
State or Local Health Department (Field)
 Broad, front-line public health experience
 Surveillance, investigation, and intervention
Headquarters
 Specialized, disease- or problem-specific experience (e.g., vaccine
preventable disease, STD, injury, ectopic pregnancy)
 Surveillance, investigation, and policy development
Current EIS Officers Assigned to Field Positions (n=43)
City/County Assignments:
• Chicago
• District of Columbia
• LA County
• NYC
• San Diego
• Seattle/King County
• Tri-County (CO)
Springer2
Other Partner Assignments:
• Kaiser
• Northwest Portland Area
Indian Health Board
• SAMHSA
= County, city, agency, or other public
health partner
 32 assigned to state and territorial health departments
 11 assigned to city, county, and federal partners
Hosting Field EIS Officers
 Must meet following criteria
– Capacity to provide strong professional supervision
– Availability of field investigation opportunities
– Availability of data for analytic projects
– Participation in EIS Conference and matching process
 Interested in hosting an EIS Officer?
– Contact Jennifer Wright ([email protected]) by August 31
– Site visit will be conducted with eligible sites
Epidemiological Assistance (Epi-Aids)
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Mechanism for CDC to respond rapidly to requests
for assistance during outbreaks or other urgent
health events
Infectious or non-infectious
Short-term (generally 1–3 weeks)
Focus is to make practical prevention and control
recommendations
Cornerstone of EISO training experience
Requests must come from appropriate health
authority (e.g., state epi, tribal chief, ministry of
health)
Public health authority provides overall leadership of
investigation and owns all the data
Reasons for Requesting an Epi-Aid
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Increase the workforce available for rapid response
Streamline access to CDC subject matter experts and laboratory
resources
Build epidemiologic capacity through collaboration with CDC staff
Provide the opportunity to train and mentor EIS officers and other
trainees
Who Can Request an Epi-Aid
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An appropriate public health authority must invite CDC to assist in
the investigation, such as
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State or territorial epidemiologist
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Tribal chief
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Foreign countries’ ministers of health
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Federal agency officials
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American military base commanding generals
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CDC’s Vessel Sanitation Program officials
Requests from local jurisdictions
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Requests typically come from the state
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Official letter of invitation can come from state or local authorities
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EIS program will assess state concurrence with the request
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EIS program will facilitate state-local coordination and discussion of concerns
regarding request for CDC assistance, if needed
Steps to Request an Epi-Aid
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Assistance to local jurisdictions are generally requested by the state
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Contact your state epidemiologist or other health official to discuss the need
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In coordination with state, contact CDC
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Official invitation can come from local authorities; CDC will assess state concurrence
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EIS program will facilitate state-local coordination and discussion of concerns regarding
request for CDC assistance, if needed
How to Contact CDC
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Contact CDC subject matter experts directly
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Contact the EIS Office
• At any time: Email [email protected] (Best!)
• During business hours (8:00am–4:30pm ET): Call the EIS Office at 404-498-6110
• After business hours: Call the Emergency Operations Center at 770-488-7100
For more information, contact CDC
1-800-CDC-INFO (232-4636)
TTY: 1-888-232-6348 www.cdc.gov
The findings and conclusions in this report are those of the authors and do not necessarily
represent the official position of the Centers for Disease Control and Prevention.