GHME 2013 Conference Session: Global and national Burden of Disease III Date: June 18 2013 Presenter: Alessandro Cassini Institute: European Center for Disease Prevention and Control

1. Improving the usability and communication of
burden of disease methods and outputs: the
experience of the BCoDE software toolkit
Alessandro Cassini, European Centre for Disease Prevention and Control
GHME Conference, Seattle, 18 June 2013
BCoDE – Burden of Communicable
Diseases in Europe

2. The experience of the BCoDE software toolkit – GHME Conference 2013 18 June 2013
Burden of Communicable Diseases in Europe
project (BCoDE)
• ECDC has initiated the BCoDE study in 2009 in order to assess the
comparative impact of infectious diseases in Europe
• A large academic and public health consortium is involved in
framing the methodology and implementing the estimations at MS
level
• The BCoDE approach is pathogen-based following ECDC`s
mandate to survey and collect EU CDs case-base data (TESSy
database)
• Models are incidence-based: results express
the burden of acute infections and the
projected burden due to sequelae

3. The experience of the BCoDE software toolkit – GHME Conference 2013 18 June 2013
Burden of Communicable Diseases in Europe
project (BCoDE)
The BCoDE study will allow assessment of the
comparative impact of infectious diseases
Objective: introduce an evidence-based approach to
health description
Objective: provide a tool for planning and prioritisation
Objective: overview of surveillance data availability and
quality
Objective: communication of complex
information to decision makers

4. The experience of the BCoDE software toolkit – GHME Conference 2013 18 June 2013
The Toolkit for burden estimation: a service
for EU member states
A user-friendly and ready-to-use toolkit for
communicable disease burden estimation is
being finalized in 2013
EU member states and EEA countries are
encouraged to employ the toolkit and undergo
their national burden of communicable diseases
estimation

5. The experience of the BCoDE software toolkit – GHME Conference 2013 18 June 2013
19 countries involved for 32 diseases
Bulgaria
Czech Republic
Denmark
Estonia
Finland
France
Germany
Greece
Hungary
Ireland
Italy
Netherlands
Norway
Portugal
Slovakia
Slovenia
Spain
Sweden
United Kingdom

6. The experience of the BCoDE software toolkit – GHME Conference 2013 18 June 2013
Introducing the tool: the main page

7. The experience of the BCoDE software toolkit – GHME Conference 2013 18 June 2013
External libraries

8. The experience of the BCoDE software toolkit – GHME Conference 2013 18 June 2013
Selecting the countries and the diseases

9. The experience of the BCoDE software toolkit – GHME Conference 2013 18 June 2013
Main inputs: number of cases and factors
adjusting for under-estimation

10. The experience of the BCoDE software toolkit – GHME Conference 2013 18 June 2013
Main denominators: LE and population data

11. The experience of the BCoDE software toolkit – GHME Conference 2013 18 June 2013
Critically exploring the outcome tree

12. The experience of the BCoDE software toolkit – GHME Conference 2013 18 June 2013
Running the models

13. The experience of the BCoDE software toolkit – GHME Conference 2013 18 June 2013
Main output table

14. The experience of the BCoDE software toolkit – GHME Conference 2013 18 June 2013
Considering the impact of sequelae

15. The experience of the BCoDE software toolkit – GHME Conference 2013 18 June 2013
More detailed information

16. The experience of the BCoDE software toolkit – GHME Conference 2013 18 June 2013
Demographic details with uncertainty levels

17. The experience of the BCoDE software toolkit – GHME Conference 2013 18 June 2013
Tridimensional bubble charts

18. The experience of the BCoDE software toolkit – GHME Conference 2013 18 June 2013
Tridimensional bubble charts

19. The experience of the BCoDE software toolkit – GHME Conference 2013 18 June 2013
Ranking of diseases: the table

20. The experience of the BCoDE software toolkit – GHME Conference 2013 18 June 2013
Ranking of diseases: the bar chart

21. The experience of the BCoDE software toolkit – GHME Conference 2013 18 June 2013
Burden of Communicable Diseases in Europe
project (BCoDE)
The BCoDE study will allow assessment of the
comparative impact of infectious diseases
Objective: introduce an evidence-based approach to
health description
Objective: provide a tool for planning and prioritisation
Objective: overview of surveillance data availability and
quality
Objective: communication of complex
information to decision makers

22. The experience of the BCoDE software toolkit – GHME Conference 2013 18 June 2013
Questions and thank you
For further suggestions, comments and questions please email:
BCoDE@ecdc.europa.eu
Alessandro.Cassini@ecdc.europa.eu