Project structure
PHRESH is organized into several complementary Work Packages (WPs), each covering a key component of the project. Together, they form a coherent system, from data collection to data use, including coordination, sustainability, and communication.
Technical Work Packages
WP2: Extending the SORMAS implementation
WP2 is the technical pillar of the project. Its aim is to extend the use of the SORMAS platform (Surveillance Outbreak Response Management and Analysis System), initially deployed for COVID-19, to all notifiable diseases in Luxembourg as well as to vector surveillance, within a One Health approach.
WP2 includes the introduction of automated digital investigations, the standardization of data flows, and the development of mechanisms that allow harmonized transmission of information to European and international systems, in particular those of the European Centre for Disease Prevention and Control (ECDC) and the World Health Organization (WHO). In practical terms, this involves substantial development and adaptation work to gradually integrate new diseases, as each disease requires specific configuration (case definitions, questionnaires, reporting pathways, workflows, and management and follow-up rules) to accurately reflect legal requirements, field practices, and the needs of epidemiological surveillance.
WP3: One Health and establishment of a national exchange platform
WP3 strengthens collaboration between national institutions and supports an integrated approach to managing health risks. It aims to link data from human, animal, and environmental health in order to detect health threats earlier and make responses more effective.
In practical terms, WP3 focuses on improving surveillance of food-borne, water-borne, vector-borne, and zoonotic diseases. A key component of WP3 is the development of a secure national digital exchange platform, designed to facilitate communication between national public health and One Health stakeholders.
WP4: Hospital surveillance
WP4 is dedicated to infectious disease surveillance in hospitals, particularly in emergency departments, which are a key observation point for detecting the emergence and evolution of infectious events in the population. This work builds on the activities launched in 2024 under the RASSUR project (Recueil Automatisé – Système de SURveillance syndromique dans les services d’urgence). PHRESH aims to secure these achievements by embedding them in a sustainable digital infrastructure and strengthening their integration with the other components of national surveillance.
WP4 is based on close collaboration with hospitals, involving hospital management, emergency department teams, clinicians, IT services, and public health authorities. The work includes defining the relevant data to be collected and automatically integrating these data from hospital information systems in a form that does not allow patient identification. The information is processed and analysed by time period, geographical area, age group, and syndromic category, with the aim of producing automated daily epidemiological indicators essential for the early detection of unusual events. In addition to daily monitoring, the data will be subject to a formal weekly analysis, presented in an epidemiological bulletin published each week on santesecu.lu and intended for health authorities, partners, and the general public.
WP5: Communicable disease surveillance dashboard
WP5 aims to make infectious-disease surveillance data more accessible, clearer, and easier to use through interactive dashboards.
This includes creating several dashboards tailored to specific audiences (health authorities, health professionals, and the general public) strengthening transparency and supporting data-driven decisions based on timely information.
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