iepidemiology

Selected projects

Public health surveillance, health information systems, evidence reviews and medical writing.

Surveillance data on a screen

2024 – ongoing

Evaluation of SARI surveillance within SiVIRA, Spain

Evaluation of the hospital-based severe acute respiratory infection (SARI) surveillance within the Spanish Acute Respiratory Infection Surveillance System (SiVIRA), for the National Centre of Epidemiology (ISCIII). The evaluation combines system data with a census survey of the 18 regional coordinators and 50 sentinel hospitals of the network.

Blood-pressure cuff, stethoscope and a survey questionnaire

2025 – 2026

Cardiovascular risk factor survey (DICA), Región de Murcia

Commissioned by the Public Health Authority of the Región de Murcia to draft the discussion of the DICA study, a regional survey-based assessment of cardiovascular risk factors within the noncommunicable disease surveillance agenda: critical review of the survey methodology and data quality, synthesis of the findings against national and international literature, and publication-ready text.

  • Noncommunicable diseases
  • Medical writing
Cover of the European health report 2024: keeping health high on the agenda
Cover: © WHO Regional Office for Europe

2024 – 2025

European Health Report 2024 — medical writing

Medical writer for European health report 2024: keeping health high on the agenda, for the WHO Regional Office for Europe, Data and Digital Health Division.

  • Health information systems
  • Medical writing

2024

EHR-based bloodstream infection surveillance, Spain

Supported the national protocol and implementation of automated, electronic health record-based surveillance of bloodstream infections and candidaemia in hospitalised patients in Spain, for CCAES (Spanish Ministry of Health). The protocol was presented at the 2025 annual meeting of the Spanish Society of Epidemiology (SEE).

  • Electronic health records
  • Public health surveillance
Capsules spilling from a pill bottle

Independent practice

Industry and medical-device work

For pharmaceutical and medical-device companies I have carried out, among other work:

  • Targeted literature and clinical-guideline reviews to define the clinical indications and settings of care of a medical therapy in several European countries and the United States (hospital care, procedural sedation and anaesthesia in outpatient settings, and pre-hospital emergency care), including project management and medical writing.
  • Landscape reviews of medical-device technologies: device types, consumables, indications, medical specialties and trends in use.
  • Systematic reviews of randomised trials of interventional treatments in acute cardiovascular and neurovascular conditions, describing patient characteristics and functional outcomes and identifying the patient profiles with the poorest outcomes.
  • Market assessments: procedure volumes by territory, patient population sizing and review of clinical society guidelines.

  • Market assessment
  • Systematic review
Cover of my consultancy report Assessment of the Sentinel Surveillance System for Respiratory Viruses in Ukraine, January 2024

2023 – 2024

Respiratory virus surveillance system evaluation, Ukraine

Led a comprehensive evaluation of the respiratory virus surveillance system for the WHO Ukraine Country Office, including an evaluation mission, training sessions, site visits and report production.

  • Public health surveillance
  • System evaluation
Hospital corridor and a workstation monitor showing surveillance data

2023

SARI surveillance through secondary use of electronic health records, Spain

With ECDC funding and under the technical direction of CCAES (Spanish Ministry of Health), supported the roll-out of SARI surveillance through secondary use of electronic health records for the National Centre of Epidemiology (ISCIII): coordination of field data collection, and surveillance and evaluation protocols and reports.

  • Electronic health records
  • Public health surveillance
Hands reviewing printed statistical tables and charts with a pencil

2023

Health information system assessments, Serbia and Slovakia

Consultant for the Data and Digital Health Division of the WHO Regional Office for Europe on national health information system assessments in Serbia and Slovakia: civil registration and vital statistics, mortality and cause-of-death data, disease registries such as cancer registries, medicines registries and health statistics. The work included country assessment missions and the assessment reports.

  • Health information systems
  • System evaluation
Cover of the WHO/Europe support tool to strengthen health information systems, second edition
Cover: © WHO Regional Office for Europe

2020 – 2023

Infectious disease surveillance module, WHO/Europe health information system support tool

For the Data and Digital Health Division of the WHO Regional Office for Europe: development of the infectious disease surveillance module of the WHO/Europe support tool to assess and strengthen health information systems, and related training materials; evaluation of the health information system for respiratory infections in Georgia (2022, WHO Country Office); and a systematic review and articles on electronic health records and lessons from the COVID-19 pandemic.

Health worker taking a respiratory swab, with an epidemic curve on a screen behind

2019 – 2023

Respiratory virus surveillance, Central Asia and the Caucasus

WHO Regional Office for Europe consultant in respiratory virus surveillance. I led monitoring and evaluation of sentinel acute respiratory infection surveillance in Armenia, Georgia, Kyrgyzstan, Turkmenistan, Ukraine and Uzbekistan, with site assessments, on-site training in data management and analysis, and facilitation of high-level policy meetings. I supported national influenza focal points in Armenia, Azerbaijan, Georgia, Kyrgyzstan, Tajikistan, Turkmenistan, Ukraine and Uzbekistan in adapting surveillance to COVID-19, and the COVID-19 response in Azerbaijan (2020).

  • Public health surveillance
  • Training
Notebook and pen

2015 – 2018

Literature reviews and pharmacoepidemiology support

Through a contract research organisation (CRO), for pharmaceutical clients: systematic and targeted literature reviews on background incidence and prevalence rates, pathogen surveillance, and vaccine efficacy, effectiveness and safety; a gastrointestinal burden-of-disease study with nationwide data from 16 EU countries, including norovirus modelling based on real-world hospital discharge data to generate real-world evidence (RWE); analysis of clinical databases in R; protocols, reports, posters and manuscripts.

  • Systematic review
  • Real-world evidence
Ebola coordination signage in Forécariah, Guinea

2015 – 2016

Outbreak deployments — Ebola and Zika

Epidemiologist on the Ebola virus disease response in Forécariah, Guinea (GOARN mission, WHO and ECDC): surveillance, case investigation and contact follow-up, description of the outbreak, investigation of its source, and QGIS training for WHO surveillance staff. Facilitator and evaluator of Ebola simulation exercises for the Ministry of Health of Mali in Bamako, organised by WHO (2015). Zika outbreak consultancy in Guinea-Bissau (WHO, 2016): surveillance and reporting, case definitions and investigation forms, training of surveillance officers, surveillance of microcephaly, and identification of community-based surveillance resources.

  • Outbreak investigation
  • Preparedness and response

Earlier assignments

  1. 2014 – 2015 Contingency planning and simulation exercises for transboundary animal diseases (EuFMD / FAO, Rome). Creation of a repository of information on simulation exercises, guidelines on validating contingency plans, a European network of preparedness planners and webinars. Knowledge bank
  2. 2014 RISKSUR (EU FP7) project on frameworks and tools for risk-based surveillance design, Animal Health and Veterinary Laboratories Agency, United Kingdom.
  3. 2012 – 2014 TAIEX expert, European Commission (Turkish Cypriot community): generic contingency plan for exotic animal diseases, evaluation of a brucellosis serosurveillance pilot, and outbreak investigation training for veterinary staff.
  4. 2009 – 2012 Epidemiologist, Associate Professional Officer, FAO Emergency Centre for Transboundary Animal Diseases, Egypt: evaluation of the avian influenza surveillance system, redesign of the epidemiological surveillance strategy of the veterinary services, and support to control of highly pathogenic avian influenza, including control and biosecurity on poultry farms.
  5. 2008 Researcher, National Centre of Epidemiology (ISCIII): EU-funded project on the impact of immigration on HIV and tuberculosis epidemiology in the Mediterranean Basin. Eurosurveillance 2008
  6. 2006 – 2008 Field Epidemiology Training Programme fellow (ISCIII): outbreak investigations, evaluation of the Spanish sentinel networks for influenza surveillance (2007 – 2008), and member of the ECDC-commissioned evaluation team of the European Influenza Surveillance Scheme, EISS (2008). EpiInfo trainer at the National School of Health.
  7. 2005 – 2006 Trainee, European Commission DG SANCO, eradication and epidemiology sector, Brussels, Belgium.
  8. 2001 – 2005 Local Veterinary Inspector, United Kingdom: meat hygiene and animal welfare controls, residue sampling, export certification, and brucellosis and tuberculosis testing, including TB outbreak investigation.