National Burden of Disease Study in Belgium: Overview and Tools

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The Belgian National Burden of Disease Study, led by Brecht Devleesschauwer, focuses on epidemiology and public health initiatives in Belgium. The study involves survey research, disease burden assessments, and the development of tools like the DALY Calculator for health impact calculations. The study aims to provide local context and data for better policymaking and stakeholder engagement.


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  1. Belgian National Burden of Disease Study Brecht Devleesschauwer 15/09/2016 Rue Juliette Wytsmanstraat 14 | 1050 Brussels | Belgium T +32 2 642 5035 | brecht.devleesschauwer@wiv-isp.be | http://www.wiv-isp.be

  2. Welcome Managing Director Office of the Managing Director Office of Operations Communicable and infectious diseases Food, medicines & consumer safety Expertise, services & customer relations Public Health &Surveillance Surveys, lifestyles & chronic disease Epidemiology of infectious diseases Healthcare- associated infections Health systems research Cancer centre National burden of disease

  3. Welcome Surveys, Lifestyle, Chronic Diseases Health Inequalities Policy support Drugs and Illegal Substances Public Health Indicators Public Health Genomics Survey Research SMPH methodology National Health Status National burden of disease

  4. Why Belgian NBD study? Ownership and sustainability Local context access to local data contextual knowledge interpretation interaction with local stakeholders more credibility to local stakeholders Methodological flexibility own assumptions versus e.g. global interpolations own priorities, e.g., national and regional estimates Process as such impetus to appraise local data quality capacity building: awareness, critical mass, scientific process National burden of disease

  5. NBD Coordinator Develop NBD support tools Initiate, support and harmonize DALY initiatives Interact with stakeholders National burden of disease

  6. NBD support tools DALY folder in Common NBD Guidelines harmonize initiatives comparability DALY workshop in-house capacity building 2 day hands-on training 5-6 October 2016 DALY calculation tools further development of DALY Calculator for R command line + online interface National burden of disease

  7. DALY Calculator DALY package (version 1.4.0) free and open-source graphical user interface for probabilistic DALY calculations in National burden of disease

  8. DALY Calculator Probabilistic Sensitivity Analysis (Uncertainty Analysis) National burden of disease

  9. NBD Initiatives Initiate, support and harmonize DALY initiatives Responsibilities NBD Coordinator methodological advice general coordination Unit provide baseline epidemiological data review disease models (health states, transition probabilities) implement DALY calculations National burden of disease

  10. NBD Initiatives Initiate, support and harmonize DALY initiatives Ongoing activities SLCD: burden of chronic diseases EID: burden of infectious diseases HSR ?? HAI-AMR ?? CC ?? National burden of disease

  11. Burden of infectious diseases Initiative launched by EID unit Based on ECDC BCoDE toolkit disease models translated into SAS incidence ~ EpiLabo data automated DALY calculation framework Future steps review of BCoDE disease models multipliers (underreporting correction) expert opinion? international literature? national gastroenteritis survey? National burden of disease

  12. Interaction with stakeholders Stakeholder meeting, 28 September 2016 Participants Federal, Regional Health Ministries, Administrations Statistics Belgium, Federal Planning Bureau, Superior Health Council, FPS Social Security RIZIV-INAMI, Farmanet, KCE, IMA-AIM BCR, Intego, VITO Belgian Universities National burden of disease

  13. Interaction with stakeholders Stakeholder meeting, 28 September 2016 Expected outcomes foster awareness, uptake and support enhance willingness to share data create supervisory committee National burden of disease

  14. Interaction with stakeholders Stakeholder meeting, 28 September 2016 Preliminary agenda WIV-ISP Symposium: Towards a Belgian National Burden of Disease Study Welcome Prof Dr Herman Van Oyen (WIV-ISP) 14:00 14:15 Disability-Adjusted Life Years: historical and technical background Prof Dr Niko Speybroeck (Universit catholique de Louvain) 14:15 14:45 Dutch national burden of disease study: policy implications Dr Henk Hilderink (RIVM) 14:45 15:15 Towards a Belgian national burden of disease study Dr Brecht Devleesschauwer (WIV-ISP) 15:15 16:00 Conclusions and closure Prof Dr Herman Van Oyen (WIV-ISP) 16:00 16:15 National burden of disease

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