Implementation of the One Health approach to fight arbovirus infections in the Mediterranean and Black Sea Region: Assessing integrated surveillance in Serbia, Tunisia and Georgia.
Crimean Congo Haemorrhagic Fever
One Health
West Nile virus
arboviruses
surveillance
vector-borne infections
Journal
Zoonoses and public health
ISSN: 1863-2378
Titre abrégé: Zoonoses Public Health
Pays: Germany
ID NLM: 101300786
Informations de publication
Date de publication:
05 2019
05 2019
Historique:
received:
06
06
2018
revised:
21
09
2018
accepted:
06
12
2018
pubmed:
7
2
2019
medline:
30
4
2019
entrez:
7
2
2019
Statut:
ppublish
Résumé
In the Mediterranean and Black Sea Region, arbovirus infections are emerging infectious diseases. Their surveillance can benefit from one health inter-sectoral collaboration; however, no standardized methodology exists to study One Health surveillance. We designed a situation analysis study to document how integration of laboratory/clinical human, animal and entomological surveillance of arboviruses was being implemented in the Region. We applied a framework designed to assess three levels of integration: policy/institutional, data collection/data analysis and dissemination. We tested the use of Business Process Modelling Notation (BPMN) to graphically present evidence of inter-sectoral integration. Serbia, Tunisia and Georgia participated in the study. West Nile Virus surveillance was analysed in Serbia and Tunisia, Crimea-Congo Haemorrhagic Fever surveillance in Georgia. Our framework enabled a standardized analysis of One Health surveillance integration, and BPMN was easily understandable and conducive to detailed discussions among different actors/institutions. In all countries, we observed integration across sectors and levels except in data collection and data analysis. Data collection was interoperable only in Georgia without integrated analysis. In all countries, surveillance was mainly oriented towards outbreak response, triggered by an index human case. The three surveillance systems we observed prove that integrated surveillance can be operationalized with a diverse spectrum of options. However, in all countries, the integrated use of data for early warning and inter-sectoral priority setting is pioneeristic. We also noted that early warning before human case occurrence is recurrently not operationally prioritized.
Sections du résumé
BACKGROUND
In the Mediterranean and Black Sea Region, arbovirus infections are emerging infectious diseases. Their surveillance can benefit from one health inter-sectoral collaboration; however, no standardized methodology exists to study One Health surveillance.
METHODS
We designed a situation analysis study to document how integration of laboratory/clinical human, animal and entomological surveillance of arboviruses was being implemented in the Region. We applied a framework designed to assess three levels of integration: policy/institutional, data collection/data analysis and dissemination. We tested the use of Business Process Modelling Notation (BPMN) to graphically present evidence of inter-sectoral integration.
RESULTS
Serbia, Tunisia and Georgia participated in the study. West Nile Virus surveillance was analysed in Serbia and Tunisia, Crimea-Congo Haemorrhagic Fever surveillance in Georgia. Our framework enabled a standardized analysis of One Health surveillance integration, and BPMN was easily understandable and conducive to detailed discussions among different actors/institutions. In all countries, we observed integration across sectors and levels except in data collection and data analysis. Data collection was interoperable only in Georgia without integrated analysis. In all countries, surveillance was mainly oriented towards outbreak response, triggered by an index human case.
DISCUSSION
The three surveillance systems we observed prove that integrated surveillance can be operationalized with a diverse spectrum of options. However, in all countries, the integrated use of data for early warning and inter-sectoral priority setting is pioneeristic. We also noted that early warning before human case occurrence is recurrently not operationally prioritized.
Identifiants
pubmed: 30724030
doi: 10.1111/zph.12562
pmc: PMC6850493
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
276-287Investigateurs
Vesna Knjeginic
(V)
Borka Stojkovic
(B)
Tatjana Labus
(T)
Vesna Milicevic
(V)
Ljubisa Veljovic
(L)
Jelena Maksimovic-Zoric
(J)
Vera Stoiljkovic
(V)
None Svetlana Filipovic Vignjevic
Jelena Protic
(J)
Marija Zgomba
(M)
Dusan Petric
(D)
Dragana Despot
(D)
Branislav Pesic
(B)
Katarina Serovic
(K)
Ivan Aleksic
(I)
Ivana Djuric
(I)
Dragan Ilic
(D)
Svetlana Vrga
(S)
Ljiljana Pavlovic
(L)
Dragana Plavsa
(D)
Edita Grego
(E)
None Dr Milan Jovanović Batut
Kaouther Harabech
(K)
None Ministère de la Santé Publique
None Nissaf Ben Alaya
Souha Bougatef
(S)
Henda Triki
(H)
Ali Bouattour
(A)
Mohamed Rebhi
(M)
Jabeur Daaboub
(J)
Lamia Somai
(L)
Malek Zerlli
(M)
Kaouther Oukaili
(K)
None Heni Haj Ammar
Chedia Sghaier
(C)
Naouel Fatnassi
(N)
Sana Kalthoum
(S)
Anissa Dhaouadi
(A)
None Abdelhak Ben Youness
Issam Mahale
(I)
Mongi Marzouk
(M)
None Sassi Ben Bdira
Samia Grira
(S)
Sonia Ayadi
(S)
None Mastouri
Allad Faten
(A)
Ben Abdelkader
(B)
Giorgi Chakhunashvili
(G)
Giorgi Babuadze
(G)
Nana Mamuchishvili
(N)
Gvantsa Chanturia
(G)
Ekaterine Adeishvili
(E)
Lasha Avaliani
(L)
Lena Ninidze
(L)
Natia Kartskhia
(N)
Ana Gulbani
(A)
Maka Kokhreidze
(M)
Marina Donduashvili
(M)
Anna Kekelidze
(A)
Informations de copyright
© 2019 The Authors. Zoonoses and Public Health Published by Blackwell Verlag GmbH.
Références
Comp Immunol Microbiol Infect Dis. 2013 May;36(3):233-9
pubmed: 23260374
Front Public Health. 2015 Jun 08;3:157
pubmed: 26106592
One Health. 2016 Nov 16;3:5-10
pubmed: 28616496
BMC Public Health. 2016 Dec 3;16(1):1219
pubmed: 27914465
Curr Trop Med Rep. 2017;4(1):27-39
pubmed: 28386524
Curr Top Microbiol Immunol. 2013;365:127-51
pubmed: 24264885
Onderstepoort J Vet Res. 2014 Apr 23;81(2):E1-6
pubmed: 25005124
PLoS Negl Trop Dis. 2012;6(9):e1836
pubmed: 23029593
Int J Environ Res Public Health. 2013 Aug 09;10(8):3543-62
pubmed: 23939389
Int J Environ Res Public Health. 2015 Jun 15;12(6):6745-70
pubmed: 26084000
Sci Rep. 2017 Aug 2;7(1):7134
pubmed: 28769039
Prev Vet Med. 2015 Jun 1;120(1):124-30
pubmed: 25722055
Int J Environ Res Public Health. 2018 Mar 10;15(3):
pubmed: 29534445
Infect Ecol Epidemiol. 2015 May 29;5:28132
pubmed: 26027713
Zoonoses Public Health. 2019 May;66(3):276-287
pubmed: 30724030
Comp Immunol Microbiol Infect Dis. 2013 May;36(3):211-6
pubmed: 23711930