JMIR J Med Internet Res Journal of Medical Internet Research 1438-8871 Gunther Eysenbach Centre for Global eHealth Innovation, Toronto, Canada v1isuppl1e27 10.2196/jmir.1.suppl1.e27 Abstract FTO2/438: Implementation of a Telematics System for the Management of Epidemic Emergencies Bellini S 1 Colangeli P 1 Isocrono E 1 Giovannini A 1 Di Francesco C 1 Caporale V 1 1 Istituto Zooprofilattico Sperimentale dell'Abruzzo e del Molise, Teramo Italy Jul-Sep 1999 19 9 1999 1 suppl1 e27 Except where otherwise noted, articles published in the Journal of Medical Internet Research are distributed under the terms of the Creative Commons Attribution License (http://www.creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 1999 Introduction

A system to support decisions and operations in cases of epidemic emergency has been designed and implemented, in order to improve the decision-making capabilities of Veterinary Services for outbreaks of exotic diseases.

 Methods

The system implementation consisted of: 1) drafting contingency plans for OIE List A diseases; 2) implementing an automated information network, linking Local Veterinary Unit and the Regional Epidemiological Centre; 3) implementing a Geographical Information System (GIS), to be automatically connected to the animal identification database and to the ANIMO (Animal Movement) system; 4) supplying the personnel of Veterinary Services with the necessary tools, instruments and materials; 5) personnel training. Integration of activities led to the implementation of a telematic support system for the management of epidemic emergencies, providing the Veterinary Services with the information necessary to the management of exotic disease outbreaks. The system has been implemented from a structural point of view as follows:

Data warehouse design and implementation, fed by ORACLE DATA MART SUITE operational databases,

Implementation within the Istituto Zooprofilattico Sperimentale dell'Abruzzo e del Molise Web site, of a controlled access telematic system, where:

static pages were implemented in HTML and the dynamic ones in PERL;

GIS was used to design and update maps;

Downloading of documents and forms was made possible as well as the generation of tables and graphs in real time.

 Results

In the event of an outbreak it is possible to: map relevant data and information (i.e. Protection and Surveillance Zones); to produce disease trend data both in tabular and graphical form and the indicators for the disease management and control. Contingency plans of OIE list A disease are provided through the Internet for consultation and downloading. All the forms for administrative and epidemiological data collection are provided for and can sent by e-mail to the proper veterinary authority and other stakeholders.

 Discussion

The system has been tested both by a simulated foot and mouth disease outbreak and a real Swine Vesicular Disease outbreak. The existence of written and standardised procedures, the availability of updated and pertinent information for outbreaks management and the support of a telematic system has allowed the rationalisation the actions to be implemented and to speed up intervention time.

 Telematic System Disease Outbreak Management Epidemic Emergencies;