e-Buge-Bug the EU initiative for school children the EU initiative for school children

Tereza Kopřivová HerotováTereza Kopřivová Herotová

What is e-Bug projectWhat is e-Bug project

e-Bug is a European wide antibiotic and e-Bug is a European wide antibiotic and hygiene teaching resource for junior and hygiene teaching resource for junior and senior school childrensenior school children

Funded by DG Sanco (EU Commission)Funded by DG Sanco (EU Commission) The project is lead by the Health Protection The project is lead by the Health Protection

Agency (HPA) Primary Care Unit in Agency (HPA) Primary Care Unit in Gloucester, UK and involves a consortium Gloucester, UK and involves a consortium of 1of 188 partner EU countries partner EU countries: 10 Associate : 10 Associate and 8 Collaboratingand 8 Collaborating

10 Associate Partners10 Associate Partners BelgiumBelgium the Czech Republicthe Czech Republic DenmarkDenmark FranceFrance GreeceGreece ItalyItaly PolandPoland PortugalPortugal SpainSpain United KingdomUnited Kingdom

8 Collaborating 8 Collaborating PartnersPartners

CroatiaCroatia FinlandFinland HungaryHungary IrelandIreland LatviaLatvia LithuaniaLithuania SlovakiaSlovakia SloveniaSlovenia

E-Bug projectE-Bug project

Associate partnersAssociate partners

46 % of Europan 46 % of Europan Population Population

300 mil. people300 mil. people

62% of European Population62% of European Population

Collaborative partnersCollaborative partners

15% of European 15% of European Population Population

90 mil. people90 mil. people

Why e-Bug?Why e-Bug?

DH SMACDH SMAC

Committee 1998Committee 1998: : Teaching about antibiotics should be included as part of the National Curriculum

Many do not understand Many do not understand antibioticsantibiotics

0 20 40 60

% respondents with wrong answer % respondents don't know

Antibiotics work on most coughs & colds

Antibiotics can kill bacteria

Antibiotics can kill viruses

Antibiotics can kill bacteria that normally live on the skin and gut

Bacteria that normally live on the skin and in the gut are good for you

And 16-24 year olds are less knowledgeable

Ferech, M. et al. JAC 2006 58:401-407

Total antibiotic use in European countries 2003

Antibiotic use: outpatient penicillin Antibiotic use: outpatient penicillin usage correlated with usage correlated with

penicillin resistance, Europe, penicillin resistance, Europe, 20052005

Source: Goossens et al. 2005

Antibiotic use: evolution of penicillin resistance of

Staphylococcus aureus

The five key areas for containment The five key areas for containment of antimicrobial resistance of antimicrobial resistance

Rational drug use and regulation

Research and development

Animal husbandry, agriculture, aquaculture

Surveillance

Infection prevention

Reducing infection rates Reducing infection rates should reduce antibiotic should reduce antibiotic

use in childrenuse in children!! Spread of infection is Spread of infection is

mainly via mainly via sneezing/coughing and sneezing/coughing and contaminated handscontaminated hands

Handwashing Handwashing interventions reduce interventions reduce illnesses and illnesses and absenteeism in schoolsabsenteeism in schools

The aims of e-Bug The aims of e-Bug activitiesactivities

• Increase understanding of microbesIncrease understanding of microbes

• Improve personal hygieneImprove personal hygiene

• Teach:Teach:

Prevention better than curePrevention better than cure

Benefits of antibioticsBenefits of antibiotics

Overuse of antibiotics may have Overuse of antibiotics may have adverse effectadverse effect

Developing e-Bug style Developing e-Bug style & content& content

Brainstorming sessions with teachers & Brainstorming sessions with teachers & partnerspartners::

Suit range of teaching styles Suit range of teaching styles

Have IT linksHave IT links

Be student friendly Be student friendly

MUST link closely to National CurriculumsMUST link closely to National Curriculums

Development of Junior Development of Junior and Senior Charactersand Senior Characters

Clothing

Hair styles

‘Girly look’

Amy and Harry

Development of bug Development of bug characterscharacters

Good Bugs Bad Bugs

Junior bugs Senior bugs

Bacteria

Fungus

Viruses

e-Bug Lesson Plan Junior schoole-Bug Lesson Plan Junior school1. Introduction to microbes They are found everywhere even though you can’t see them. There are three types of micro-organisms

2. Good Microbes Good bacteria keep us healthy, Bacteria can be put to good use

3. Bad Microbes Sometimes microbes can make us sick

4. Prevention of Infection Prevention when possible is better than cure Keep your bad microbes to yourself Our body helps defend against microbes

Hand hygiene

How, When and Why to wash your hands

Respiratory hygiene

Cover your coughs and sneezes

Vaccines

Vaccines are important to prevent a range of infections (including the flu)There are not vaccines for ALL infections

5. Treatment of Infection Most common infections get better on their own through time, bed rest, liquid intake

and healthy living Antibiotics : If you have antibiotics, finish the course

Junior Microbe activityJunior Microbe activity

Respiratory Hygiene activity

Best part: sneezing

because you get to use the snot

gun

Holding a tissue in front of your nose

spreads less germs

Junior antibiotic activityJunior antibiotic activity

It really hurts and I think

I’m getting a cough.

Don’t you have any antibiotics at home you

can take? Reading the comic

Not to use someone elses

antibiotics

Best part: What we learnt:

All antibiotics are different

e-Bug Lesson Plan Senior schoole-Bug Lesson Plan Senior school1. Introduction to microbes There are three different types of micro organism (bacteria, virus, fungi) They are found everywhere even though you can’t see them They are found in your body

2. Good Microbes Good bacteria can help keep us healthy Most Microbes are good for us, They can be put to good use We need bacterial colonisation to live a healthy life (normal flora) Protect your flora

3. Spread and Prevention of Infection Sometimes microbes can make us sick Prevention where possible is better than cure Don’t spread your bad microbes to others Our body helps defend against microbes Different routes of infection are hands, water, air, STI, blood

1. Hand hygiene - How, When and Why to wash your hands

2. Respiratory hygiene - Cover your coughs and sneezes How and why this is important

3. Vaccines - Vaccines help prevent a range of bacterial and viral infections Previously common infections are rare due to vaccines There are not vaccines for all infections Most common infections are not prevented by vaccines

4. Sexual transmitted infecions

4. Treatment of Infection Most common infections get better on their own through time, bed rest, liquid intake and healthy living

Antibiotics - If you have antibiotics, finish the course; Do not use leftover or other people antibiotics; Overuse of antibiotics can damage our normal / good bacteria; Bacteria are becoming resistant to antibiotics due to overuse

Senior antibiotic activitySenior antibiotic activity

That’s amazing – this bug’s

killed by all of them

Food hygiene activityFood hygiene activitySeeing the

microbes was really cool

It was a different type

of lesson

I never knew bacteria were

alive

It was really hard to keep the

bacteria off the salad

Germs can spread very

easily

Always wash hands when dealing with

food

Hand hygiene activity

There are loads of bacteria on your

body

I learnt how to stop microbes

spreading

I learnt to wash your hands all the

time

Development of Development of WebsiteWebsite

www.e-Bug.eu All pack contentAll pack content Teacher presentations to aid lesson plansTeacher presentations to aid lesson plans Games for classroom or home playGames for classroom or home play Revision sections for students Revision sections for students

e-Bug e-Bug Time-linesTime-lines1-3m Jun 06 - Aug 06 appoint UK staff

3-12m Sep 06 - May 07 research across Europe

13-21m Jun 07 - Feb 08 pack and website in England

22-27m Mar 08 - Aug 08 translation in 9 AP countries

27-39m Aug 08 - Aug 09 dissemination in AP countries

22-39m Mar 08 - Aug 09 evaluation in 3 AP countries

36m May 09 presentation to collaborating countries

Pack EvaluationPack Evaluation

France, Czech Republic and England

Control and Intervention schools

86 schools and 6290 students (52% senior)

Questionnaires pre and 2-4 weeks post activities

Significant increase in knowledge in all activity areas

Where e-Bug fits into the Where e-Bug fits into the CurriculumCurriculum

ScienceScienceScienceScienceSpainSpain

ScienceScienceScienceSciencePortugalPortugal

ReligionReligion

PerioPerio

ScienceScienceScienceSciencePolandPoland

ScienceScienceScienceScienceItalyItaly

ScienceScienceScienceScienceGreeceGreece

PSHEPSHE

BiologyBiologyScienceScienceScienceScienceGreat BritainGreat Britain

ScienceScienceScienceScienceFranceFrance

ScienceScienceScienceScienceDenmarkDenmark

Homeland studyHomeland study

ChemistryChemistry

BiologyBiologyScienceScienceScienceScience**Czech RepublicCzech Republic

ScienceScienceScienceScienceBelgiumBelgium

PrimaryPrimary SecondarySecondary

* And in Slovenia, Slovakia and Latvia science (natural and social) account for the largest portion of time in the curriculum.

e-Bug in the Czech Republice-Bug in the Czech RepublicImplementation Review - adaptation to the CR school system Translation - pack and website (available Sept. 09)

Promotion - Teachers fairs and science fairs (2008 - 2010).

− Links in packs to related websites and vice versa.

− Information letter to all primary and secondary schools (August ’09).

− Teachers magazines and websites

− Science teachers networks

Endorsement - Project supported by Ministries of Health and Education and Johnson&Johnson

Printing – All Czech primary and secondary schools receive a free printed copy (4,000 primary and 3,600 secondary schools)

ConclusionConclusion

Distribution of over 13.000 free copies in Distribution of over 13.000 free copies in BelgiumBelgium

++

Further promotion of e-bug websiteFurther promotion of e-bug website

==

Maximum possible coverage of overMaximum possible coverage of over

1.5 million students1.5 million students

((15% of total population15% of total population))

Thank you for your Thank you for your attentionattention