Réseau Sentinelles
The Réseau Sentinelles (French: "Network of Guardians") is a French organization for monitoring the national health status. The network currently consists of 1260 general practitioners , the médecins sentinelles ("guard doctors"); that is 2% of all freelance family doctors in France. The participants monitor and report the occurrence of 14 selected diseases to a control center.
The network was founded in 1984 by the Paris epidemiologist Alain-Jacques Valleron (born 1943). Today it is led by Research Group No. 707 of the Institut national de la santé et de la recherche médicale , part of the Pierre and Marie Curie University in Paris.
Constant monitoring of health indicators
The national surveillance system enables the collection, analysis, prediction and immediate reporting of the latest epidemiological data resulting from the work of general practitioners. It is also part of the French Health Administration ( Institut de Veille Sanitaire ).
14 diseases are monitored, 11 of them infections:
- Flu since 1984,
- Acute diarrhea ( diarrhea , gastroenteritis ) since 1990,
- Measles since 1984,
- Mumps since 1985,
- Chickenpox since 1990,
- Herpes zoster since 2004,
- Urethritis in men since 1984 and
- Hepatitis A, B, C since 2000,
as well as 3 non-infectious indicators:
- Bronchial asthma since 2002,
- Attempted suicide since 1999, and
- inpatient hospital admissions since 1997.
In the case of influenza , gastroenteritis and chickenpox , this monitoring can detect and predict the occurrence of national and regional epidemics , and warnings can be issued.
The anonymous data are forwarded by the guards via the Internet . With their help, the database is created in a geographic information system. A weekly information sheet ( SentiwebHebdo ) is published on the homepage every Tuesday and sent via email to over 4,000 subscribers and the leading national media. An annual balance sheet is also published.
research
The information given in the Réseau Sentinelles allows the development of models for the detection, warning and prediction of epidemics on different geographical levels.
Practical epidemiology
The Sentinelles doctors carry out selective epidemiological investigations. The epidemiological guidelines issued by the Association des épidémiologistes de langue française are observed during implementation . All examinations have a serial number, which is in a written protocol, and are the subject of a final study report. They are subjected to internal revision procedures aimed at ensuring their quality and have received a positive rating from the CNIL national data protection commission (No. 471 393). The results of these studies can be viewed on the network's website.
swell
- ↑ documentation / yearly reports ( Memento of the original from October 13, 2005 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice.
- ↑ D. Costagliola, A. Flahault, D. Galinec, P. Garnerin, J. Menares, AJ Valleron: A routine tool for detection and assessment of epidemics of influenza-like syndromes in France. In: American Journal of Public Health . Volume 81, Number 1, January 1991, pp. 97-99, ISSN 0090-0036 . PMID 1983924 . PMC 1404927 (free full text).
- ↑ C. Viboud: Prediction of the Spread of Influenza Epidemics by the Method of Analogues. In: American Journal of Epidemiology. 158, 2003, pp. 996-1006, doi : 10.1093 / aje / kwg239 .
