
The Indispensable Role of Field Epidemiologists in Public Health
In an age characterized by the rapid spread of diseases and complex health emergencies, the significance of field epidemiologists cannot be overstated. Acting as the world’s “disease detectives,” they are at the forefront of public health, contributing to the early detection, control, and management of both communicable and non-communicable diseases. This article delves into the multifaceted role of field epidemiologists and underscores their importance in safeguarding global health.
The Frontline Warriors: COVID-19 and Beyond
As the COVID-19 pandemic has swept the globe, field epidemiologists have been pivotal in containment and management efforts. They have been involved in contact tracing, case investigations, community engagement, data collection and analysis, and much more. All pandemics, including COVID-19, begin as localized outbreaks, making field epidemiologists critical assets for early detection and control at the community level.
The Pillars of Public Health
Preparedness and Response
Field epidemiologists contribute to every pillar of public health, from coordination and surveillance to operations. They are equipped with the skills to navigate a broad array of health challenges and establish sustainable surveillance systems. These capabilities are not only vital in immediate responses but also instrumental in preventing future health emergencies.
Driving Improvements in Health Systems
Studies and investigations led by field epidemiologists often result in substantial improvements in public health service delivery. Whether it’s optimizing sanitation systems or boosting vaccination coverage, their work serves as the empirical backbone for targeted interventions and policy decisions.
Evidence-Based Impact on Public Health Policies
Around the globe, field epidemiologists advance scientific understanding that informs and strengthens public health policies. Their grassroots-level knowledge and experience enable them to provide decision-makers with the information required to craft effective health interventions and programs.
One Health Paradigm
Field epidemiologists increasingly operate under the One Health framework, addressing health issues at the intersection of humans, animals, and the environment. This holistic approach allows them to respond effectively to a wide range of health issues, including those affecting vulnerable populations in conflict zones and humanitarian emergencies.
Vital Role in Animal Health
The importance of veterinary field epidemiologists has grown in response to the increasing number of zoonotic disease outbreaks. Approximately 60 to 70% of emerging infectious diseases in humans originate from animals. Veterinary field epidemiologists are critical for identifying and controlling these diseases, such as rabies and avian influenza, which can lead to substantial health and socioeconomic emergencies.
Building Multisectoral Capacity
There is a pressing need to enhance the capabilities of animal and environmental health sectors in the field of epidemiology. Animal health is not only vital for addressing zoonotic diseases but also crucial for food security, livelihoods, and economic stability.
Conclusion
Field epidemiology serves as the backbone of public health, providing the evidence needed to drive impactful interventions. Whether investigating localized outbreaks or participating in the containment of global pandemics, field epidemiologists’ contributions are invaluable in shaping health policies and preparedness. Investing in the training and deployment of field epidemiologists, across both human and animal health sectors, will undeniably lead to stronger, more resilient public health systems worldwide.
—
For further information and resources, please contact us.
From One Idea to a Global Network
A visual journey through 70+ years of field epidemiology training around the world:

The Epidemic Intelligence Service (EIS) was established by the CDC in 1951 as a two‑year post‑doctoral applied epidemiology training program aimed at rapidly responding to public health threats. The inaugural class began training in Atlanta in July 1951, comprising 22 physicians and one sanitary engineer.
EIS served as the prototype for later Field Epidemiology Training Programs, providing a model of “learning through doing”

The first FETP beyond U.S. borders was established in Canada in 1975, marking the international uptake of the EIS model
Thailand established the first Field Epidemiology Training Program (FETP) outside North America, with support from the CDC and initial funding from USAID. It was the first country to formally use the term "FETP". The two-year in-service program trained public health professionals through outbreak investigations, surveillance, and field placements—laying the foundation for regional capacity-building and One Health integration.

The European Programme for Intervention Epidemiology Training (EPIET) was launched in 1995 under the European Commission by former EIS officers. It provided two-year fellowships for medical and public health professionals across the EU, including outbreak investigations, surveillance, field research, teaching and scientific writing. In 2006, the newly formed European Centre for Disease Prevention and Control (ECDC) adopted the programme, and EPIET's yearly Scientific Seminar became the ESCAIDE conference.

In 1997, the Training Programs in Epidemiology and Public Health Interventions Network (TEPHINET) was formalized as a global professional network unifying FETPs worldwide. By 2019, it included 71 member programs in over 100 countries

The EAN (https://epietalumni.net) provides a community for field epidemiologists and public health microbiologists to stay connected after completing their fellowship, and forms a largely European cross-border professional network. It was established as an independent association in 2000. The EAN members are alumni from EPIET, EUPHEM and ‘EPIET-associated programmes’, including the German Postgraduate Training in Applied Epidemiology, and other European national Field Epidemiology Training Programmes (FETPs) such as the United Kingdom (UK)-FETP. The EAN also welcomes ‘external’ members who meet similar objectives to the EAN and can provide relevant expertise to the network.


EpiSUS—the Field Epidemiology Training Program tailored to Brazil’s Sistema Único de Saúde (SUS)—was launched in 2000 under technical cooperation with the U.S. CDC. The program provided advanced-level in‑service training rooted in Brazil’s public health system, eventually achieving full national stewardship by 2009

The African Field Epidemiology Network (AFENET) was established around 2005–2006 to unify African FETPs and FELTPs, promoting standardization, sustainability, and scaling of epidemiological training, especially in support of the IDSR strategy.


The network of South American Field Epidemiology Training Programs (FETPs), or REDSUR, aims to strengthen activities focused on epidemiology and public health promotion across South America. As FETPs in the region work to grow their programs, including launching frontline and intermediate tiers, REDSUR aims to serve as a collaborative network that supports the development and strengthening of training programs through partnership and sharing of best practices among its member countries. These efforts also come during a time of considerable focus on building regional workforce capacity to detect and respond to public health threats.

In 2008, the European Public Health Microbiology Training Programme (EUPHEM) was initiated by the ECDC as a distinct, two‑year postgraduate fellowship track. It was designed to strengthen capacity in public health microbiology across Europe, enabling fellows to apply both microbiological and epidemiological methods to communicable disease surveillance and response
The inaugural cohort began with just two EUPHEM fellows, marking the start of a dedicated specialist path for microbiologists within the ECDC’s portfolio

The South Asia Field Epidemiology and Technology Network (SAFETYNET) was established in 2009 as a non-profit consortium to support collaboration among FETPs across South and Southeast Asia. SAFETYNET promotes applied epidemiology, workforce development, and regional preparedness through joint training, research, and knowledge exchange among member countries including India, Bangladesh, Nepal, and Bhutan.

EMPHNET was founded in 2009 to serve as an umbrella for FETPs in the Eastern Mediterranean Region, initially including Saudi Arabia, Egypt, Jordan, and Pakistan; later expanding to Morocco, Iraq, Yemen (2011), Tunisia (2017), Afghanistan (2018), Bangladesh (2020), Lebanon and Oman (2022), and Qatar (2023).
In 2015, EMPHNET inaugurated the Center of Excellence for Applied Epidemiology (CEAE) to support FETPs through research, e-learning, and technological innovation.
In response to gaps exposed during the West Africa Ebola outbreak, FETP‑Frontline, a three-month, local-level training initiative, was launched to strengthen decentralized surveillance capacity. By late 2016, 1,354 graduates across 24 countries had been trained

The Global Field Epidemiology Partnership (GFEP) was launched to create a holistic, coordinated platform for multiple stakeholders—CDC, WHO, TEPHINET, and others—to strategically align global FETP efforts