Results of the International Workshop 'From Global Burden of Disease Studies to National Burden of Disease Surveillance'

Scheidt-Nave, C.Ziese, T.Fuchs, J.Kraywinkel, K.Lippe, E. von derEckmanns, T.Haller, S.Buchholz, U.Plaß, Dietrich2024-06-162024-06-162016https://doi.org/10.60810/openumwelt-4664https://openumwelt.de/handle/123456789/7491Background: Health systems all over the world need adapt to the new challenges that result from sociodemographic, epidemiologic and environmental changes. The challenges arise from infectious diseases and antimicrobial/antibiotic resistance but also from a vastly increasing burden of noncommunicableand age-related health conditions. The Global Burden of Disease (GBD) framework was first introduced the early 1990s with the aim to permit a first global comprehensive and comparable evaluation of population health [1]. With the new update of the GBD, experts at the Institute for Health Metrics and Evaluation (IHME) in Seattle have refined the methodology to permit burden of disease analyses that are comparable over time. Increasingly individual countries have not only joined the GBD network, but also initiated national burden of disease studies adapted to the specific Public Health challenges in their countries [2-4]. So far, Germany has only participated with single experts or provided national health survey data [5]. The international workshop "From Global Burden of Disease Studies to National Burden of Disease SurveillanceŁ aimed to enhance the cooperation in public health research and exchange of information between GBD researchers and public and environmental health institutes in Germany. Methods: The Workshop was organized by the Robert Koch Institute (RKI) and the German Environment Agency (UBA) in cooperation with the German Society for Epidemiology (DGEpi) e.V. and Bielefeld University.The framework, methodology and results from recent GBD analyses were presented by T. Achoki andM. Forouzanfar (IHME) and J. Schmidt (Public Health England). C.E. Stein (WHO) reflected on criticalaspects of the methodology and the need for adjustments towards country-specific challenges. Researchers from the RKI presented analyses from non-communicable disease surveillance in Germany including Public Health and data challenges and different approaches for estimating the burden of communicable diseases using the examples of healthcare associated infections and influenza. D. Plass (UBA) described environmental burden of disease assessments for Germany. Results: The workshop provided deeper insight into the concepts and methodology of the GBD framework and clearly demonstrated the potential to use this approach for country-specific Public Health research and evaluation, not only at the national but also at smaller geographical level. Theworkshop stimulated ideas for improving data collection systems and the use of already available data sources. Setting up a continuous research network turned out to be a central issue, to strengthen collaboration and to jointly use this the methodology to identify important health changes and intervention effects. Cooperation will be essential to further improve analysis methods and data transparency. Conclusions: National burden of disease surveillance is considered being not only a mission, but a dynamic process of important value for Public Health in Germany. The following next steps were envisaged: Set up a national burden of disease research network between IHME and national institutes and built up a training program to strengthen the knowledge of country experts. It is also aimed to foster research in the fields of disability weights, co-/multimorbidity and frailty indicators. Further, regional differences and also social disparities should be covered.© C Scheidt-Nave1, T Ziese1, J Fuchs1, K Kraywinkel1, E von der Lippe1, T Eckmanns1, S Haller1, UBuchholz1, D Plaß21 Onlineressource (1 Poster)online resourceenghttp://rightsstatements.org/vocab/InC/1.0/Results of the International Workshop 'From Global Burden of Disease Studies to National Burden of Disease Surveillance'Conference proceedings