- GPHIN is an early warning system that monitors global media sources in multiple languages to gather information on potential public health threats and send alerts to users. - It aims to complement existing public health surveillance systems by providing regional and international analysis to support policymaking and funding decisions. - The system detects information on public health risks from media reports and disseminates alerts to users within hours to days for verification.

1. Global Public Health Intelligence Network (GPHIN) Reseau Mondial d’Information en Santé Publique (RMISP) Michael Blench GPHIN Technical Advisor & Project Coordinator

2. Presentation Outline Overview of GPHIN Information Workflow Successes Users

3. GP HIN - Background An early-warning system for potential public health threats worldwide Monitors global media sources in nine languages (Arabic, Chinese Simplified and Traditional, English, Farsi, French, Portuguese, Russian and Spanish) Gathers relevant information in near real-time and on a 24/7 basis; sends GPHIN alerts to users when appropriate Web based (‘thin client’) Encrypted authentication

4. GPHIN Complements the Public Health Surveillance Systems Regional / International level Analysis and Feedback. Support Policy, target funding Central level Analyze, Investigate, Confirm, Plan, Fund, Respond, Feedback Intermediate level Analyze, Investigate, Report, Respond, Feedback Peripheral level Detect, Treat, Report Time (Days \ Weeks / Months) Ministry of Health WHO GPHIN – Early Warning System Time (Days \ Weeks / Months) Time (Days \ Weeks / Months)

5. GPHIN’s Modus Operandi Information on Public Health Risks Intelligence on Public Health Risks Detection by GPHIN Dissemination by GPHIN Verification by users Timeline: Hours – Days

6. GPHIN Taxonomy ☑ Human diseases – SARS, H1N1 ☑ Animal diseases – Ebola in pigs, H5N1 ☑ Plant diseases – Asian soybean rust ☑ Other biologics – Pathogens ☑ Chemical incidents – Chlorine spill ☑ Radioactive incidents – Nuclear material trafficking ☑ Unsafe products – Salmonella, Listeria ☑ Natural disasters – Earthquakes

8. GPHIN's Versatility : Information for Action Detect potential public health threats Estimate magnitude of the public health threat Determine geographic distribution of public health threat Analysis of risks possibly associated Identify control and preventative measures considered / implemented Monitor concerns of general public Observe situational politics

9. Components of the GPHIN System Automated Processes Human Analysis

11. Analyst’s Responsibilities Review reports for public health relevance and disseminate alerts Monitor events of concern Maintain: Search syntaxes taxonomy and data dictionaries Ministry of Health Website links Prepare reports Respond to inquiries / requests from GPHIN Users Identify any technical difficulties to be addressed Duty Officer

12. Multilingual Real Time Intelligence Rendering Multilingual Sources News Media Translation Data Collection Advanced Analytics Automated / Manually Entered En Fr Es Ru Ar Zhs Zht Pt Fa 0 20 85 100 3. Irrelevant Manual A nalysis Triage: 2. Publish with alert 1.Publish or or Irrelevant Publish GPHIN Workflow Duplicate Elimination Metadata Insertion (Taxonomy) Categorization Relevancy Score

13. Epi X Risk Analysis APEC Global Disease HPA EC CDTR IHR Decision Instrument Daily Huddles (onsite/telephone ) GIS MOH websites FDA / HC/ CFIA / FAO / OIE/ WHO Eurosurveillance Reports ProMED MedIsys Health Map Gideon Web Archives

14. Writing Style of Journalist Yellow Fever 18 November 2003 Tampa Tribune An epidemic of penalties have thwarted many drives, resulting in a three- game losing streak and essentially leaving the Bucs' season on life support . Yellow fever grips Oasis 24 February 2006 Kalgoorlie Miner AN OUTBREAK of yellow fever struck the Oasis last Friday when John Paul College held its annual swimming carnival.

15. en/Sheep with Sheep pox /NOT SMALLPOX Article below is NOT AN ALERT, we did research and found that it was translated from a Greek article and the term smallpox was used instead of SHEEP POX (an error of the Newspaper). Source: ERT Regions: Europe Place Name: Greece Sheep with Smallpox Smallpox cases have been located in a flock of sheep in Mandamados, Lesvos. The Lesvos Veterinary Department proceeded with the extermination and sanitary burial of the diseased animals. It also imposed the stock farm under ten-kilometre area quarantine. It is likely that the disease originated from the Turkish coast, where it has spread. The authorities have appealed to all stock breeders to report any smallpox cases to the local veterinaries immediately. Stock breeders, whose animals are put to death, are fully compensated. Scientists have ruled out the possibility of people to be infected from the disease. Link: http://news.ert.gr/en/1/22716.asp

16. GPHIN’s early reporting of A/H5N1 virus in Iran

17. GPHIN’s early reporting of A/H1N1, Mexico

18. GPHIN’s Core Operations

19. Source: Epidemic alert and verification: summary report 2006. Wkly Epidemiol Rec. 2007;82:111–6. GPHIN's contribution in reporting disease events at WHO

21. Contact information: Michael Blench Phone: (613) 957-3567 Email : [email_address] or [email_address] Merci / Thank You