PREPACT – Improving RSV and HMPV testing and surveillance in older adults
Sponsor: Sanofi
Project Status: ONGOING (September 2024 – December 2027)
What aims and scope
Respiratory syncytial virus (RSV) and human metapneumovirus (HMPV) are significant causes of respiratory illness and hospitalisation among older adults. Yet both remain underdiagnosed and under-recognised, while testing and surveillance practices vary across Europe, limiting effective prevention and health system preparedness. PREPACT aims to improve RSV and HMPV diagnosis, testing and surveillance in older adults by identifying barriers, strengthening stakeholder collaboration and developing practical recommendations. Through research, national consultations and European dialogue, the initiative seeks to translate evidence into coordinated action to better protect older populations.
How it became possible
PREPACT combines research, health management expertise and stakeholder engagement to address challenges in RSV and HMPV testing and surveillance. Beginning with a diagnostic receptivity assessment in France, Germany, Italy, Spain and the United Kingdom, the initiative expanded into national consultations to identify practical barriers and opportunities for improvement. It now brings national experiences into European policy discussions to build consensus on shared priorities and actions for strengthening surveillance and testing.
Where EHMA delivers
2025 – Building the evidence
The first phase of PREPACT focused on understanding the barriers and drivers influencing the diagnosis, testing and surveillance of RSV and HMPV among older adults. EHMA coordinated a multi-country receptivity assessment covering France, Germany, Italy, Spain and the United Kingdom, drawing on scientific literature and expert contributions from outpatient and hospital settings. The findings informed a White Paper and policy recommendations highlighting gaps in diagnostic practices, surveillance and awareness, as well as opportunities to strengthen health system responses.
2026 – From evidence to national dialogue
Building on the initial assessment, PREPACT expanded its focus to the practical challenges of improving RSV and HMPV testing and surveillance within national health systems. EHMA is convening five national workshops in France, Germany, Italy, Spain and the United Kingdom, bringing together public health authorities, healthcare professionals, surveillance experts, health managers and other relevant stakeholders. The workshops examine country-specific barriers, including diagnostic pathways, surveillance arrangements, professional awareness and coordination between healthcare settings. They provide opportunities to identify practical improvements and develop recommendations grounded in national experiences.
National workshops
- Italy: Workshop report (English) | Workshop report (Italian)
- Spain: coming soon
- Germany: coming soon
- UK: coming soon
- France: coming soon
2027 – Building European consensus
The third phase will connect the evidence and national experiences gathered in previous years with European policy priorities. EHMA will organise a European consensus-building World Café bringing together representatives of European institutions and organisations, national public health authorities, healthcare managers, surveillance experts and other stakeholders. Through structured discussions, participants will examine common challenges, identify opportunities for national and European cooperation and agree on practical priorities for strengthening RSV and HMPV testing and surveillance among older adults.
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This project is supported by Sanofi. Sanofi has had no influence or editorial control over the project and its outputs. The views and opinion of any project outputs are of the authors and not necessarily those of Sanofi.
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