Pasteur Institute - Ho Chi Minh City
Training Center
INTERNATIONAL WORKSHOP
OUTBREAK INVESTIGATION AND ACUTE RESPONSE
4-8 NOVEMBER 2013, HO CHI MINH CITY, VIETNAM
PROGRAM
AMBASSADE DE FRANCE
Délégation régionale de Coopération
INDEX
Foreword
………………………………
3
Opening Address
………………………………
4
Organizing Committee
………………………………
5
Faculty
………………………………
5
Participants
………………………………
6
Program
………………………………
8
2
Foreword
Infectious disease is the single biggest cause of death worldwide. New infectious agents,
such as the recent novel coronavirus in the Arab Peninsula, and new strains of avian
influenza in China, continually emerge and require new investigations. Effective control
and prevention of disease outbreaks depend on early detection, rapid on-site investigation
and timely and appropriate interventions. In line with the regional training needs in the
Asian-Pacific Region, the International Network of Pasteur Institutes in South-East Asia, in
close partnership with the Australian National University and the support of the Regional
Scientific Cooperation Service of France (SCAC), is organizing an international workshop
on “Outbreak Investigation and Acute Response”.
This workshop will allow participants to acquire the skills to choose the appropriate
analytical study design during an outbreak investigation, develop questionnaires and draw
conclusions that guide public health actions, communicate findings of an outbreak
investigation for various audiences and conduct similar training in their own institutions
or countries. The course is specifically designed for health personnel from countries in
South East Asia involved in surveillance activities and outbreak investigation.
The workshop will be organized in the International Training Center of the Pasteur
Institute in Ho Chi Minh City, which was inaugurated in 2011. Our overarching goal is to
establish the foundation of a top training program for epidemiologists working in research
and public health in the region, in order to strengthen that ability to react to acute
infectious threats.
3
Opening Address of Mr. Fabrice MAURIES
Consul General of France in Ho Chi Minh City
I am particularly pleased to be at the opening of this international workshop that marks
yet another significant initiative during the Année de la France au Vietnam.
It seems particularly appropriate that the Pasteur Institute of HCMC is involved in
collaboration with Institut Pasteur International Network in this celebratory year, as this is
where it all began for the Pasteur Network more than 120 years ago, with the foundation
of the first Pasteur Institute outside of France.
What makes the Pasteur Network unique is the sharing of common missions, values and
culture of excellence and solidarity in research, teaching and public health. This is
workshop illustrates these characteristics. An international team of epidemiologists from
Australia and Singapore complementing local expertise, an international group of trainees
from all countries in SEA gather here to discuss new approaches developed in public
health surveillance and operational research.
In our society information plays an ever prominent role and a rapid, effective investigation
in response to outbreaks is essential to draw conclusions that will guide public health
actions and to communicate findings for various audiences. The aim of all training
programs in not only to teach a small number of health personnel from countries in South
East Asia involved in surveillance activities and outbreak investigation, but also, and more
importantly, to give them the skills to conduct similar training in their institutions or
countries. This is the long-lasting effect of a successful program that will benefit society at
large.
The Pasteur Network has a strong focus on infectious diseases, which are the single biggest
cause of death worldwide. New infectious agents, such as the recent novel coronavirus in
the Arab Peninsula, and new strains of avian influenza in China, continually emerge and
require new investigations. Effective control and prevention of disease outbreaks depend
on early detection, rapid on-site investigation and timely and appropriate interventions.
This is why the international workshop “Outbreak Investigation and Acute Response” is
timely and in line with the national and regional priorities of the public health sector.
I understand that it is the second year in a row that an international workshop in
epidemiology is organized at the Pasteur Institute of Ho Chi Minh City together with the
Pasteur International Network and the support of the French Scientific Cooperation
Program in the region. It is my hope that this will be the foundation of a world-class
training program for epidemiologists working in research and public health in the region,
in order to strengthen that ability to react to acute infectious threats.
Let me conclude with a warm welcome to all trainees and many thanks to the Teaching
Teams for your effort and dedication.
4
Organizing Committee
ROBERTO BRUZZONE
NGHIA PHAN
HKU-Pasteur Research Pole
School of Public Health
The University of Hong Kong, Hong Kong SAR
Email: bruzzone@hku.hk
International Training Center
Pasteur Institute of Ho Chi Minh City
Vietnam
phan.tu.nghia@gmail.com
Faculty
HOANG QUOC CUONG
STEPHANIE DAVIS
Department of Epidemiology
Pasteur Institute of Ho Chi Minh City
Vietnam
cuonghqpasteur@gmail.com
National Centre for Epidemiology & Population Health
Australian National University
Australia
Stephanie.Davis@anu.edu.au
DO VAN DUNG
DAVID HARLEY
University of Medicine and Pharmacy
Ho Chi Minh City
Vietnam
dovandzung@gmail.com
National Centre for Epidemiology & Population Health
Australian National University
Australia
David.Harley@anu.edu.au
ALDEN HENDERSON
VU THỊ QUE HUONG
DPHSWD
Center for Disease Control and Prevention
Atlanta, USA
akh0@cdc.gov
Department of Microbiology and Immunology
Pasteur Institute of Ho Chi Minh City
Vietnam
huongpasteur@hotmail.com
ANDREW LOVER
LUONG CHAN QUANG
Saw Swee Hock School of Public Health
National University Singapore
Singapore
andrew_arnold_lover@nuhs.edu.sg
Department of Epidemiology
Pasteur Institute of Ho Chi Minh City
Vietnam
lcq3372@yahoo.com
5
Participants
CHUM Channimol
DO Lien Anh Ha
US Naval Medical Research Unit 2
Phnom Penh, Cambodia
chumnimol@yahoo.com
Oxford University Clinical Research Unit
Ho Chi Minh City, Vietnam
hadla@oucru.org
DOAN NGOC Minh Quan
INDRA Jaya
Pasteur Institute of Ho Chi Minh City
Vietnam
hunk0706@yahoo.com
Ministry of Health of Indonesia
Jakharta, Indonesia
jayaindra@yahoo.com
KHATTINGNAVONG Phonepadith
KHENG Sereisophea
Institut Pasteur du Laos
Vientiane, Lao PDR
phonepadithk@gmail.com
US Naval Medical Research Unit 2
Phnom Penh, Cambodia
Sereisophea.Kheng@namru2.org.kh
KHINE Wai Wai Oo
Khuu Van Nghia
Mahidol University
Bangkok, Thailand
khinewaioo@gmail.com
Pasteur Institute of Ho Chi Minh City
Vietnam
khuu.nghia@gmail.com
KYAW Win Mar
LAO Malayvanh
Tan Tock Seng Hospital
Singapore
mar_kyaw_win@ttsh.com.sg
Institut Pasteur du Laos
Vientiane, Lao PDR
malayvanh_Lao@yahoo.com
Laura Merson
LEUANGVILAY Phetdavanh
Oxford University Clinical Research Unit
Ho Chi Minh City, Vietnam
lmerson@oucru.org
World Health Organization
Vientiane, Lao PDR
sunn263@hotmail.com
LUU NGUYEN Thang
LUY Malen
National Institute of Hygiene and Epidemiology
Hanoi, Vietnam
luuthangnihe@gmail.com
US Naval Medical Research Unit 2
Phnom Penh, Cambodia
maienluy@yahoo.com
MANUN Kazi Taib
NGUYEN Le Manh Hung
International Centre for Diarrhoeal Disease
Research
Dhaka, Bangladesh
taib@icddrb.org
Institute of Hygiene and Epidemiology
Tay Nguyen, Vietnam
lehungnguyen80@yahoo.com
NGUYEN Thanh Chung
NGUYEN Thi Bich Ngoc
National Institute of Hygiene and Epidemiology
Hanoi, Vietnam
bsnguyenthanhchung@gmail.com
Pasteur Institute of Ho Chi Minh City
Vietnam
bnsapphire@gmail.com
6
NGUYEN QUOC Huy
PICHIT Pin
Pasteur Institute of Ho Chi Minh City
Vietnam
bsnguyenquochuy@gmail.com
US Naval Medical Research Unit 2
Phnom Penh, Cambodia
Pin.pichit@gmail.com
SOE AUNG May
SONTISIRIKIT Sarinthorn
Uniersity of Medicine1
Yangon, Myanmar
Maysoeag2010@gmail.com
Ministry of Public Health
Bangkok, Thailand
mambow2005@gmail.com
SRIDHAR Revathi
SUBIDO, Maria Tricia
National University Health System
Singapore
revathi_sridhar@nuhs.edu.sg
Research Institute for Tropical Medicine
Muntinlupa, Philippines
tricia_subido@yahoo.com
THAO Phan Thi Thanh
TRAN Thi Thu Nga
Institute of Hygiene and Epidemiology
Tay Nguyen, Vietnam
Phan_thao25@yahoo.com
Pasteur Institute of Ho Chi Minh City
Vietnam
thunga_tranthi@yahoo.com
WIGNJADIPUTRO Ira
ZANARATH Phanoula
Ministry of Health of Indonesia
Jakarta, Indonesia
sin_ik_1999@yahoo.com
World Health Organization
Vientiane, Lao PDR
zanarathp@wpro.who.int
7
Program
4 November 2013
8:00 – 8:30
1. Opening ceremony
Tran Thi Giang Huong
Head of the Department of International Cooperation, Ministry of Health,
Vietnam
Phan Trong Lan
Pasteur Institute of Ho Chi Minh City, Vietnam
Roberto Bruzzone
HKU – Pasteur Research Pole, Hong Kong SAR
Fabrice Mauriès
Consul General of France in Ho Chi Minh City, Vietnam
8:30 – 9:00
2. Trainees’ pre-test
9:00 –9:45
3. Outbreak investigation: Rationale and terminology
Andrew Lover
National University Singapore, Singapore
9:45 – 10:00
Break
10:00 – 11:00
4. Epidemiologic steps in outbreak investigation
Stephanie Davis
Australian National University, Australia
11:00 – 12:00
5. Introduction to case study 1
David Harley
Australian National University, Australia
12:00 – 13:30
Lunch
13:30 – 15:00
6. Case study 1: Focus on outbreak detection and basic response,
including developing a case definition
Stephanie Davis, David Harley, Andrew Lover, Hoang Quoc Cuong,
Luong Chan Quang
15:00 – 15:15
Break
15:15 – 17:00
6. Case study 1: Focus on outbreak detection and basic response,
including developing a case definition
Stephanie Davis, David Harley, Andrew Lover, Hoang Quoc Cuong,
Luong Chan Quang
17:00 – 17:15
Break
17:15 – 18:30
7. Trainees’ self-presentations
8
5 November 2013
8:00 – 8:45
8. Detect and confirm outbreak
Andrew Lover
National University Singapore, Singapore
8:45 –9:45
9. Operational issues in outbreak investigation
Do Van Dung
University of Medicine and Pharmacy in Ho Chi Minh City, Vietnam
9:45 – 10:00
Break
10:00 – 11:00
10. Case definition and conducting case finding
David Harley
Australian National University, Australia
11:00 – 12:00
11. Epidemiologic study design
David Harley
Australian National University, Australia
12:00 – 13:30
Lunch & Group Photo
13:30 – 15:00
12. Case study 2: Using a cohort design
Stephanie Davis, David Harley, Andrew Lover, Hoang Quoc
Cuong, Luong Chan Quang
15:00 – 15:15
Break
15:15 – 17:00
12. Case study 2: Using a cohort design
Stephanie Davis, David Harley, Andrew Lover, Hoang Quoc
Cuong, Luong Chan Quang
17:00 – 17:15
Break
17:15 – 18:30
13. Trainees’ self-presentations
9
6 November 2013
7:00 – 13:00
14. Field study at Thu Duc Preventive Medicine Center
 Transfer to Thu Duc PMC by car (4x16 seats)
 Introduction to outbreak investigation and reporting of
communicable diseases at Thu Duc PMC
 Trainees are divided into 4 groups and visit 4 wards to
investigate cases of HFMD or Dengue under the supervision of
PMC officers
 Debriefing on filed study Thu Duc PMC
 Transfer back to PI-HCMC
Teaching Team
13:00 – 14:30
Lunch
14:30 – 15:30
15. Develop and test hypothesis: hypothesis generation using
case studies and introduction to statistical testing
David Harley
Australian National University, Australia
15:30 – 15:45
Break
15:45 – 17:00
16. Role of laboratory in outbreak investigation
Vu Thi Que Huong
Pasteur Institute of Ho Chi Minh City, Vietnam
17:00 – 17:15
Break
17:15 – 18:30
17. Trainees’ self-presentations
10
7 November 2013
8:00 – 9:30
18. Preparation of an outbreak report 90min
Do Van Dung
University of Medicine and Pharmacy in Ho Chi Minh City, Vietnam
9:30 –9:45
Break
9:45 – 10:45
19. Introduction to risk assessment and risk communication
Do Van Dung
University of Medicine and Pharmacy in Ho Chi Minh City, Vietnam
10:45 – 12:00
20. Exercise on risk assessment
Do Van Dung
University of Medicine and Pharmacy in Ho Chi Minh City, Vietnam
12:00 – 13:30
Lunch
13:30 – 14:30
21. Preparation of study questionnaire 45min
Stephanie Davis
Australian National University, Australia
14:30 – 14:45
Break
14:45 – 17:00
22. Epi-info exercise (Version 7)
Stephanie Davis
Australian National University, Australia
17:00 – 17:15
Break
17:15 – 18:30
23. Trainees’ self-presentations
11
8 November 2013
8:00 – 8:45
24. Environmental and other additional studies
Alden Henderson
US CDC
8:45 –9:45
25. Control and response measures
Alden Henderson
US CDC
9:45 – 10:00
Break
10:00 – 11:00
26. Common pitfalls in outbreak investigations
Alden Henderson
US CDC
11:00 – 12:00
27. Preparation of public health recommendation
Alden Henderson
US CDC
12:00 – 13:30
Lunch
13:30 – 14:30
28. Post-test
14:30 – 15:30
29. Course evaluation
15:30 – 15:45
30. Closing remarks
Teaching Team
19:00
Dinner
12