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e-Buge-BugResearch Period Research Period
FindingsFindings
Research ReportResearch Reporta)a) The science school curriculum content associate The science school curriculum content associate
partner countriespartner countries
b)b) Public antibiotic or hand hygiene campaigns and Public antibiotic or hand hygiene campaigns and existing websitesexisting websites
c)c) Pattern of antibiotic use, infectious disease and Pattern of antibiotic use, infectious disease and countries customs and culturescountries customs and cultures
d)d) Details of Stakeholders who would be interested in the Details of Stakeholders who would be interested in the use and dissemination of the packsuse and dissemination of the packs
e)e) Details of other pan-European campaigns Details of other pan-European campaigns
MethodsMethods
• Belgium Belgium
• Czech RepublicCzech Republic
• DenmarkDenmark
• France France
• Great BritainGreat Britain
• GreeceGreece
• ItalyItaly
• PolandPoland
• PortugalPortugal
• SpainSpain
• A questionnaire was devised for distribution to A questionnaire was devised for distribution to each Associated partner each Associated partner
• Teacher focus groups were carried out in the UK Teacher focus groups were carried out in the UK
a)a) The science school curriculum content associate The science school curriculum content associate partner countriespartner countries
b)b) Public antibiotic or hand hygiene campaigns and Public antibiotic or hand hygiene campaigns and existing websitesexisting websites
c)c) Pattern of antibiotic use, infectious disease and Pattern of antibiotic use, infectious disease and countries customs and culturescountries customs and cultures
d)d) Details of Stakeholders who would be interested in the Details of Stakeholders who would be interested in the use and dissemination of the packsuse and dissemination of the packs
e)e) Details of other pan-European campaignsDetails of other pan-European campaigns
ObjectivesObjectives
• Examine the educational structure across each Examine the educational structure across each associate partner country associate partner country
• Assess what children are being taught in school Assess what children are being taught in school with regards to with regards to
• good and bad microbes good and bad microbes • hand hygiene hand hygiene • respiratory hygienerespiratory hygiene• antibiotic useantibiotic use• vaccinesvaccines
• Decide where and how e-Bug will fit into the Decide where and how e-Bug will fit into the curriculumcurriculum
Pre school
Primary
Lower Secondary
Upper Secondary
Compulsory Full Time Education
Education Structure across EuropeEducation Structure across Europe
3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
SpainSpain
PortugalPortugal
PolandPoland
ItalyItaly
GreeceGreece
Great Britain SCOGreat Britain SCO
Great Britain NIRGreat Britain NIR
Great Britain WALGreat Britain WAL
Great Britain ENGGreat Britain ENG
FranceFrance
DenmarkDenmark
Czech Republic Czech Republic
Belgium GRBelgium GR
Belgium FLBelgium FL
Belgium FRBelgium FR
Student Age (years)
Junior packs
Senior packs
SloveniaSlovenia
SlovakiaSlovakia
LithuaniaLithuania
LatviaLatvia
Ireland Ireland
HungaryHungary
FinlandFinland
CroatiaCroatia
3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
SpainSpain
PortugalPortugal
PolandPoland
ItalyItaly
GreeceGreece
Great Britain SCOGreat Britain SCO
Great Britain NIRGreat Britain NIR
Great Britain WALGreat Britain WAL
Great Britain ENGGreat Britain ENG
FranceFrance
DenmarkDenmark
Czech Republic Czech Republic
Belgium GRBelgium GR
Belgium FLBelgium FL
Belgium FRBelgium FR
3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
Junior packs
Senior packs
Associate and Collaborating CountriesAssociate and Collaborating Countries
Curriculum contentCurriculum contentMicrobesMicrobes
About micro organisms?About micro organisms?
The difference between bacteria, The difference between bacteria, virus and fungi?virus and fungi?
About good and bad microbes?About good and bad microbes?
That microbes are found That microbes are found everywhere everywhere
There are different species of There are different species of bacteriabacteria
CZ FR GB EL IT PL
Primary Lower Secondary Included Not Included
• Children are taught about microbes at both Children are taught about microbes at both Junior and Senior schoolsJunior and Senior schools
• With the exception of France and Great Britain, With the exception of France and Great Britain, children are taught about the different types of children are taught about the different types of microbes in both Junior and Senior Schoolsmicrobes in both Junior and Senior Schools
Curriculum contentCurriculum contentMicrobesMicrobes
The importance of hand hygiene?The importance of hand hygiene?
How to wash their hands properly?How to wash their hands properly?
That microbes can spread via That microbes can spread via unclean hands?unclean hands?
The difference between clean and The difference between clean and sterile ?sterile ?
When to wash their hands, before When to wash their hands, before eating, etc?eating, etc?
CZ FR GB EL IT PL
Curriculum contentCurriculum contentHand HygieneHand Hygiene
Primary Lower Secondary Included Not Included
Curriculum contentCurriculum contentHand HygieneHand Hygiene
• All countries include structured hand hygiene in All countries include structured hand hygiene in the curriculum of both Junior and Senior schoolsthe curriculum of both Junior and Senior schools
• All countries teach that disease can spread via All countries teach that disease can spread via unclean handsunclean hands
• None of the countries teach the recommended 8 None of the countries teach the recommended 8 steps of hand washing at Junior school levelsteps of hand washing at Junior school level
Curriculum ContentCurriculum Contentrespiratory hygienerespiratory hygiene
The difference between a cold/flu?The difference between a cold/flu?
That a virus causes the flu?That a virus causes the flu?
That sneezing can spread germs?That sneezing can spread germs?
To cover their mouth when they To cover their mouth when they sneeze?sneeze?
Why they should do this?Why they should do this?
CZ FR GB EL IT PL
Primary Lower Secondary Included Not Included
Curriculum contentCurriculum contentrespiratory hygienerespiratory hygiene
• All countries teach the importance of covering All countries teach the importance of covering the mouth and nose when sneezingthe mouth and nose when sneezing
• All countries teach that disease can spread via All countries teach that disease can spread via sneezingsneezing
• The difference between the cold/flu is only The difference between the cold/flu is only taught in senior schools with the exception of taught in senior schools with the exception of Greece and PolandGreece and Poland
Curriculum contentCurriculum contentAntibiotic useAntibiotic use
Antibiotics kill bacteria Antibiotics kill bacteria
Antibiotics do not kill viruses Antibiotics do not kill viruses
Antibiotics also kill the good bacteria Antibiotics also kill the good bacteria
Antibiotics do not cure the cough/fluAntibiotics do not cure the cough/flu
The importance of finishing a course of The importance of finishing a course of antibiotics antibiotics
Bacteria are becoming resistant to antibiotics Bacteria are becoming resistant to antibiotics
How bacteria become resistant to antibiotics. How bacteria become resistant to antibiotics.
Antibiotic resistant bacteria are becoming a Antibiotic resistant bacteria are becoming a problem in hospitals problem in hospitals
CZ FR GB EL IT PL
Primary Lower Secondary Included Not Included
Curriculum contentCurriculum contentAntibiotic useAntibiotic use
• All countries teach that antibiotics are used to All countries teach that antibiotics are used to treat infectiontreat infection
• Detail of education on antibiotics varies across Detail of education on antibiotics varies across EuropeEurope
• Education on antibiotic resistance is limited Education on antibiotic resistance is limited across Europe across Europe
• Only 2 out of 6 countries teach that antibiotic Only 2 out of 6 countries teach that antibiotic resistance is a serious problemresistance is a serious problem
Where e-Bug fits into the CurriculumWhere e-Bug fits into the Curriculum
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.
Availability of computer access in schools
0
20
40
60
80
100
Belgium CzechRep
France GB Greece Italy Poland
Junior schools Computer access Junior schools Broadband
Senior schools Computer access Senior schools Broadband
IT InformationIT Information
* * Mostly dial up connectionMostly dial up connection
(:) Information unknown(:) Information unknown
(:)(:) (:)(:)** **
a)a) The science school curriculum content associate The science school curriculum content associate partner countriespartner countries
b)b) Public antibiotic or hand hygiene campaigns and Public antibiotic or hand hygiene campaigns and existing websitesexisting websites
c)c) Pattern of antibiotic use, infectious disease and Pattern of antibiotic use, infectious disease and countries customs and culturescountries customs and cultures
d)d) Details of Stakeholders who would be interested in the Details of Stakeholders who would be interested in the use and dissemination of the packsuse and dissemination of the packs
e)e) Details of other pan-European campaignsDetails of other pan-European campaigns
1(b) Public Campaigns1(b) Public Campaigns
• We asked AP’s to provide details of national public We asked AP’s to provide details of national public campaigns in:campaigns in:
• Hand WashingHand Washing• Antibiotics Antibiotics • Respiratory HygieneRespiratory Hygiene
• Campaigns categorised into target audienceCampaigns categorised into target audience::• Health Service Health Service • General PublicGeneral Public• School aged childrenSchool aged children
Overall SummaryOverall Summary
• Details of 58 CampaignsDetails of 58 Campaigns– Deep information websitesDeep information websites
• Focusing on detailed informationFocusing on detailed information
– Message based campaignsMessage based campaigns • Focusing on a small number of key pointsFocusing on a small number of key points
ExamplesExamples
• What types of media are being used for What types of media are being used for campaigns?campaigns?
• For each topicFor each topic• Who are campaigns aimed at?Who are campaigns aimed at?• What are common messages?What are common messages?
MediaMedia
Poster Poster
Folder / PackFolder / Pack
CDCD
WebsiteWebsite
TVTV
NoveltiesNovelties
LeafletsLeaflets
RadioRadio
NewspaperNewspaper
EventEvent
BookBook
BG FR GB EL IT PL
Used in campaigns Not used in campaigns
Hand Washing VisualsHand Washing Visuals
Hand Washing VisualsHand Washing Visuals
Hand Washing – WhoHand Washing – Who
Health ServiceHealth Service
General Public (adult)General Public (adult)
School AgedSchool Aged
BG FR GB EL IT PL
Targets this audience Does not target this audience
Hand Washing Hand Washing MessagesMessages
Wash to avoid infection spreadWash to avoid infection spread
Wash your hands (without reason)Wash your hands (without reason)
Hand Washing TechniqueHand Washing Technique
BG FR GB EL IT PL
Used in campaigns Not used in campaigns
Hand Washing Hand Washing SlogansSlogans
• The Infections Stop Here (FR)The Infections Stop Here (FR)
• Hands Carry the Infections (FR)Hands Carry the Infections (FR)
• Progress Passes Through You (FR)Progress Passes Through You (FR)
• Wash Your HandsWash Your Hands
• Wash hands / avoid infection (BELG)Wash hands / avoid infection (BELG)
• Summer in good hands (BELG)Summer in good hands (BELG)
• Together we can fight infection (UK)Together we can fight infection (UK)
• Hands up for hygiene (UK)Hands up for hygiene (UK)
• Don’t cross them, wash them (UK)Don’t cross them, wash them (UK)
Hand Washing Hand Washing Slogans Slogans
““a simple gesture can limit the risk of infectiona simple gesture can limit the risk of infection” (FR)” (FR)
Hand Washing - SlogansHand Washing - Slogans
““Hands up for hygiene” (UK)Hands up for hygiene” (UK)
Antibiotics VisualsAntibiotics Visuals
Antibiotics VisualsAntibiotics Visuals
Antibiotics Antibiotics Who Who
Health ServiceHealth Service
General Public (adult)General Public (adult)
School AgedSchool Aged
BG FR GB EL IT PL
Used in campaigns Not used in campaigns
Antibiotics Antibiotics MessagesMessages
BG FR GB EL IT PL
Use antibiotics for right things Use antibiotics for right things
Always finish your courseAlways finish your course
Preserve effective antibioticsPreserve effective antibiotics
Don’t overuse antibioticsDon’t overuse antibiotics
Antimicrobial resistanceAntimicrobial resistance
Used in campaigns Not used in campaigns
Antibiotics SlogansAntibiotics Slogans
• Use antibiotics less, and in the right way (BELG)Use antibiotics less, and in the right way (BELG)
• Use them for the right reason (BELG)Use them for the right reason (BELG)
• Antibiotics aren’t automatic (FR)Antibiotics aren’t automatic (FR)
• Don’t Wear Me Out (UK)Don’t Wear Me Out (UK)
• Ask about your antibiotics (UK)Ask about your antibiotics (UK)
• Antibiotics Don’t Work on ColdsAntibiotics Don’t Work on Colds
• ““Safe Drugs” (POL)Safe Drugs” (POL)
Respiratory Hygiene - VisualsRespiratory Hygiene - Visuals
Respiratory Hygiene - VisualsRespiratory Hygiene - Visuals
Respiratory Hygiene - WhoRespiratory Hygiene - Who
Health ServiceHealth Service
General Public (adult)General Public (adult)
School AgedSchool Aged
BG FR GB EL IT PL
Targets this audience Doesn’t Target this audience
Respiratory Hygiene Respiratory Hygiene MessagesMessages
Get your vaccinationGet your vaccination
Cold / flu informationCold / flu information
Sinus infection informationSinus infection information
BG FR GB EL IT PL
Used in campaigns Not used in campaigns
Respiratory Hygiene Respiratory Hygiene SlogansSlogans
• Adopt these gestures to protect us (FR)Adopt these gestures to protect us (FR)
• Coughs and sneezes spread diseases (UK)Coughs and sneezes spread diseases (UK)
• Sneeze in your sleeve (Sweden, Canada, USA)Sneeze in your sleeve (Sweden, Canada, USA)
Often, no repeated or iconic ‘slogans’Often, no repeated or iconic ‘slogans’
Mainly information focusedMainly information focused
Section 1(b) - SummarySection 1(b) - Summary
• No overall ‘European’ look of campaignsNo overall ‘European’ look of campaigns
• No single defining characters or slogansNo single defining characters or slogans
• Lack of existing campaigns aimed at school pupils Lack of existing campaigns aimed at school pupils in antibiotics usagein antibiotics usage
• Lack of respiratory hygiene campaigns that focus Lack of respiratory hygiene campaigns that focus on spread of infectionon spread of infection
a)a) The science school curriculum content associate The science school curriculum content associate partner countriespartner countries
b)b) Public antibiotic or hand hygiene campaigns and Public antibiotic or hand hygiene campaigns and existing websitesexisting websites
c)c) Pattern of antibiotic use, infectious disease and Pattern of antibiotic use, infectious disease and countries customs and culturescountries customs and cultures
d)d) Details of Stakeholders who would be interested in the Details of Stakeholders who would be interested in the use and dissemination of the packsuse and dissemination of the packs
e)e) Details of other pan-European campaignsDetails of other pan-European campaigns
1(c) Patterns of…1(c) Patterns of…
• We asked AP’s to give us details of We asked AP’s to give us details of patterns of:patterns of:
• Antibiotic UsageAntibiotic Usage• Population DynamicsPopulation Dynamics• InfectionInfection
• Focus on important results for e-BugFocus on important results for e-Bug• Differences between countriesDifferences between countries• Important messagesImportant messages• Interesting resultsInteresting results
Antibiotic AvailabilityAntibiotic Availability
• In all countries, antibiotics only available In all countries, antibiotics only available with prescriptionwith prescription
Exception: Greece allows prescription and Exception: Greece allows prescription and over counter over counter
UK and Poland allow very UK and Poland allow very limited topical limited topical
antibiotic OTCantibiotic OTC
Antibiotics - AdvertisingAntibiotics - Advertising
• Across all countries, no advertising to Across all countries, no advertising to publicpublic
Exception: Czech Republic, where advertising Exception: Czech Republic, where advertising allowed in all media allowed in all media
Antibiotics - UsageAntibiotics - Usage
• Reasons for over-prescribingReasons for over-prescribing– Patient pressurePatient pressure
– CautionCaution• Including the inability to properly diagnose.Including the inability to properly diagnose.
– Socio-cultural factorsSocio-cultural factors
Population DynamicsPopulation Dynamics
• Across Europe there is a significant mix of raceAcross Europe there is a significant mix of race• In e-Bug we will ensure that there is a mix of race in human In e-Bug we will ensure that there is a mix of race in human
characterscharacters
• The national language is taught to all citizensThe national language is taught to all citizens• No need for multiple language versions of e-Bug for any No need for multiple language versions of e-Bug for any
countrycountry
Exception: BelgiumException: Belgium
Patterns of InfectionPatterns of Infection
• No strong themes relevant for e-Bug as a wholeNo strong themes relevant for e-Bug as a whole
• Individual countries may have pack tailored to Individual countries may have pack tailored to their country’s recent outbreaks.their country’s recent outbreaks.
a)a) The science school curriculum content associate The science school curriculum content associate partner countriespartner countries
b)b) Public antibiotic or hand hygiene campaigns and Public antibiotic or hand hygiene campaigns and existing websitesexisting websites
c)c) Pattern of antibiotic use, infectious disease and Pattern of antibiotic use, infectious disease and countries customs and culturescountries customs and cultures
d)d) Details of Stakeholders who would be interested in Details of Stakeholders who would be interested in the use and dissemination of the packsthe use and dissemination of the packs
e)e) Details of other pan-European school education Details of other pan-European school education campaignscampaigns
StakeholdersStakeholders
• During pack developmentDuring pack development• Ministries of HealthMinistries of Health• Ministries of Education Ministries of Education • Schools / TeachersSchools / Teachers
• For Pack ImplementationFor Pack Implementation• Schools / teachers Schools / teachers • Education ShowsEducation Shows• Outreach ProgrammesOutreach Programmes• Microbiological SocietiesMicrobiological Societies
a)a) The science school curriculum content associate The science school curriculum content associate partner countriespartner countries
b)b) Public antibiotic or hand hygiene campaigns and Public antibiotic or hand hygiene campaigns and existing websitesexisting websites
c)c) Pattern of antibiotic use, infectious disease and Pattern of antibiotic use, infectious disease and countries customs and culturescountries customs and cultures
d)d) Details of Stakeholders who would be interested in the Details of Stakeholders who would be interested in the use and dissemination of the packsuse and dissemination of the packs
e)e) Details of other pan-European campaignsDetails of other pan-European campaigns
Pan European CampaignsPan European Campaigns
• Healthy CitiesHealthy Cities• www.healthycities.org www.healthycities.org
• Help For a life without tobaccoHelp For a life without tobacco• www.en.help-eu.com www.en.help-eu.com
• European Sexual Awareness eventsEuropean Sexual Awareness events• www.essm.org www.essm.org
• Red Cross European Road Safety CampaignRed Cross European Road Safety Campaign• www.1-life.info/2003/info/ www.1-life.info/2003/info/
Pan European Education Pan European Education CampaignsCampaigns
• CALIBRATECALIBRATE• supporting the collaborative use and exchange of supporting the collaborative use and exchange of
learning resources in schools learning resources in schools
• EurydiceEurydice• Information network on education in EuropeInformation network on education in Europe
• EuropaEuropa• Higher education in EuropeHigher education in Europe
• InsightInsight• Examining e-learning across EuropeExamining e-learning across Europe
• My EuropeMy Europe• Community of over 6000 schools learning about what it Community of over 6000 schools learning about what it
means to be Europeanmeans to be European
Thank you Thank you Any comments?Any comments?