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Geneva State, General directorate of health (DGS)Contact person:Dr Philippe SudreMédecin cantonal délégué Département de l'économie et de la santé (DES) Direction générale de la santé Avenue de Beau-Séjour, 22-24, case postale 76 1211 Genève 4 Plainpalais, Switzerland Tel +41 22 546 50 52 Fax +41 22 546 50 66 Description of the institutionIn Switzerland, responsibility for the surveillance and prevention of infectious diseases is shared by the Federal Office of Public Health (FOPH) and cantonal authorities (26 cantons). National policy making is the main task of the FOPH and the federal "law on epidemics" identifies the "médecin cantonal" (a sort of State epidemiologist or local chief medical officier) as the main health authority at cantonal level for infectious diseases surveillance and prevention. In addition, cantons have their own set of law, rules and regulations, as well as prevention programmes and projects under the leadership of an elected state councillor. Direct interventions are therefore the responsibility of cantonal authorities including outbreak detection and investigation. Surveillance and prevention activities (e.g. vaccine campaigns, Aids and drug prevention programmes) are mostly designed and evaluated by the FOPH. They are implemented, monitored and sometimes also evaluated at cantonal level. Geneva is an international city with many UN organisations and international businesses, and great proximity with neighbouring FranceOpportunitiesThe trainee is assigned to the Epidemiology & Infectious Diseases service ("Service épidémiologie et maladies transmissibles") of the General Directorate of Health. In the past few years, activities have included the investigation of legionnaire disease clusters, assessment of vaccination coverage, surveys of MRSA colonisation among residents of nursing homes, surveillance of gonorrhoea, community acquired MRSA and LGV, analysis of hepatitis C and HIV surveillance data, measles, hepatitis E, diphyllobothrium latum outbreaks investigation, intervention after wild polio virus detection in sewage, HPV vaccine and mass pre-pandemic vaccine campaign planning, SARS, pandemic preparedness, etc. Day to day activities include the emergency public health management of meningitis, Lassa fever, tuberculosis, etc. In addition, the trainee may have the opportunity to set up "elective rotation" at the Geneva University Hospital infection control department and will have the opportunity to work on specific projects in Bern at the FOPH (such as evaluation of surveillance systems or conduct outbreak investigations).SupervisionThe trainee is supervised by Dr Philippe Sudre. Dr Sudre is a senior epidemiologist trained in France and Canada (Mc Gill University), an ex- Epidemic Intelligence Service officer at the Center for Disease Control (USA). He has worked with WHO tuberculosis programme (1990-93), and has been involved with the EPIET programme since its inception. Dr Sudre is Privat Docent of the University of Geneva Medical SchoolWhile collaborating at the FOPH, the trainee may be directly supervised by epidemiologists working there. Language requirementsGeneva working language is French. English, however, is often used because of the large international community of Geneva. German may be very useful to at the FOPH in Bern and communicate with German speaking counterparts in Switzerland.Training historyNumber of EPIET fellows trained at institute: two ( 2003, 2005)Available as a training site for cohort 14: Yes |
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