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Gomes H, de Jesus AG, Quaresma JAS. Identification of risk areas for arboviruses transmitted by Aedes aegypti in northern Brazil: A One Health analysis. One Health 2023; 16:100499. [PMID: 36844974 PMCID: PMC9945760 DOI: 10.1016/j.onehlt.2023.100499] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2022] [Revised: 02/01/2023] [Accepted: 02/02/2023] [Indexed: 02/09/2023] Open
Abstract
Introduction The complex and growing problem generated by the rapid expansion of unplanned urban areas includes high population density and increased infestation by vectors responsible for the transmission of several diseases. This requires interdisciplinary and intersectoral interventions due to the burden of diseases, especially those caused by arboviruses, which can present severe forms and generate significant pressure on health systems, especially in more vulnerable regions. The objective of this study was to analyze the spatial distribution of arboviruses transmitted by Aedes aegypti (dengue, Zika, and chikungunya) and assess their correlations with demographic, social, and environmental data from the state of Tocantins, Brazil. Methods This was an ecological time series study of the dengue, Zika, and chikungunya arboviruses in the state of Tocantins. Local Moran's indices were used to observe the spatial autocorrelation of cases and to delimit clusters of high and low risks, correlating them with socioenvironmental indicators, in addition to analyses to detect case clusters. Results The state reported a mean incidence of 591 annual cases of arbovirus infections per 100,000 inhabitants and a stationary trend with seasonal pattern. Female Pardo individuals aged 20-39 years, with an education level of below college education, were the most affected; Palmas and Araguaína, the two largest cities in the state in terms of economy and population, were the most affected. Conclusion A better understanding of the interaction between social characteristics, the environment, and ecology of wild animals and vectors is important for the development of mechanisms to predict outbreaks as well as to develop strategies to reduce and/or mitigate recurring arboviral epidemics and other diseases.
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Affiliation(s)
- Helierson Gomes
- Department of Collective Health, Federal University of Northern Tocantins (UFNT), Tocantins, Brazil,Health Sciences Center, Federal University of Northern Tocantins, Street Dionísio Farias, 838 - Lot. de Fatima, Araguaína - TO, Brazil CEP: 77814-350, Brazil,Corresponding author at: Department of Collective Health, Federal University of Northern Tocantins, Tocantins, Brazil.
| | - Andrielly Gomes de Jesus
- Department of Collective Health, Federal University of Northern Tocantins (UFNT), Tocantins, Brazil,Health Sciences Center, Federal University of Northern Tocantins, Street Dionísio Farias, 838 - Lot. de Fatima, Araguaína - TO, Brazil CEP: 77814-350, Brazil
| | - Juarez Antônio Simões Quaresma
- Tropical Medicine Center / Federal University of Pará, Pará, Brazil,Department of Pathology / State University of Pará, Pará, Brazil,School of Medicine / São Paulo University, São Paulo, Brazil
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Durrance-Bagale A, Marzouk M, Agarwal S, Ananthakrishnan A, Gan S, Hayashi M, Jacob-Chow B, Jiayun K, Tung LS, Mkhallalati H, Newaz S, Omar M, Sittimart M, Ung M, Yuze Y, Yang HL, Howard N. Operationalising Regional Cooperation for Infectious Disease Control: A Scoping Review of Regional Disease Control Bodies and Networks. Int J Health Policy Manag 2022; 11:2392-2403. [PMID: 35042324 PMCID: PMC9818116 DOI: 10.34172/ijhpm.2021.176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2021] [Accepted: 12/25/2021] [Indexed: 01/21/2023] Open
Abstract
BACKGROUND The rapid spread of the coronavirus disease 2019 (COVID-19) pandemic demonstrates the value of regional cooperation in infectious disease prevention and control. We explored the literature on regional infectious disease control bodies, to identify lessons, barriers and enablers to inform operationalisation of a regional infectious disease control body or network in southeast Asia. METHODS We conducted a scoping review to examine existing literature on regional infectious disease control bodies and networks, and to identify lessons that can be learned that will be useful for operationalisation of a regional infectious disease control body such as the Association of Southeast Asian Nations (ASEAN) Center for Public Health Emergency and Emerging Diseases. RESULTS Of the 57 articles included, 53 (93%) were in English, with two (3%) in Spanish and one (2%) each in Dutch and French. Most were commentaries or review articles describing programme initiatives. Sixteen (28%) publications focused on organisations in the Asian continent, with 14 (25%) focused on Africa, and 14 (25%) primarily focused on the European region. Key lessons focused on organisational factors, diagnosis and detection, human resources, communication, accreditation, funding, and sustainability. Enablers and constraints were consistent across regions/ organisations. A clear understanding of the regional context, budgets, cultural or language issues, staffing capacity and governmental priorities, is pivotal. An initial workshop inclusive of the various bodies involved in the design, implementation, monitoring or evaluation of programmes is essential. Clear governance structure, with individual responsibilities clear from the beginning, will reduce friction. Secure, long-term funding is also a key aspect of the success of any programme. CONCLUSION Operationalisation of regional infectious disease bodies and networks is complicated, but with extensive groundwork, and focus on organisational factors, diagnosis and detection, human resources, communication, accreditation, funding, and sustainability, it is achievable. Ways to promote success are to include as many stakeholders as possible from the beginning, to ensure that context-specific factors are considered, and to encourage employees through capacity building and mentoring, to ensure they feel valued and reduce staff turnover.
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Affiliation(s)
- Anna Durrance-Bagale
- National University of Singapore, Saw Swee Hock School of Public Health, Singapore, Singapore
- London School of Hygiene and Tropical Medicine, London, UK
| | - Manar Marzouk
- National University of Singapore, Saw Swee Hock School of Public Health, Singapore, Singapore
| | | | - Aparna Ananthakrishnan
- Health Intervention and Technology Assessment Program, Ministry of Public Health, Nonthaburi, Thailand
| | - Sarah Gan
- National University of Singapore, Saw Swee Hock School of Public Health, Singapore, Singapore
| | - Michiko Hayashi
- National University of Singapore, Saw Swee Hock School of Public Health, Singapore, Singapore
| | - Beth Jacob-Chow
- National University of Singapore, Saw Swee Hock School of Public Health, Singapore, Singapore
| | - Koh Jiayun
- National University of Singapore, Saw Swee Hock School of Public Health, Singapore, Singapore
| | - Lam Sze Tung
- National University of Singapore, Saw Swee Hock School of Public Health, Singapore, Singapore
| | - Hala Mkhallalati
- National University of Singapore, Saw Swee Hock School of Public Health, Singapore, Singapore
| | - Sanjida Newaz
- Department of Community Health Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada
| | - Maryam Omar
- Chelsea and Westminster Hospital NHS Foundation Trust, London, UK
| | - Manit Sittimart
- Health Intervention and Technology Assessment Program, Ministry of Public Health, Nonthaburi, Thailand
| | - Mengieng Ung
- Lee Kuan Yew Centre for Innovative Cities, Singapore University of Technology and Design, Singapore, Singapore
| | - Yang Yuze
- National University of Singapore, Saw Swee Hock School of Public Health, Singapore, Singapore
| | - Hsu Li Yang
- National University of Singapore, Saw Swee Hock School of Public Health, Singapore, Singapore
| | - Natasha Howard
- National University of Singapore, Saw Swee Hock School of Public Health, Singapore, Singapore
- London School of Hygiene and Tropical Medicine, London, UK
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Delesalle L, Sadoine ML, Mediouni S, Denis-Robichaud J, Zinszer K, Zarowsky C, Aenishaenslin C, Carabin H. How are large-scale One Health initiatives targeting infectious diseases and antimicrobial resistance evaluated? A scoping review. One Health 2022; 14:100380. [PMID: 35386427 PMCID: PMC8978269 DOI: 10.1016/j.onehlt.2022.100380] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2021] [Revised: 03/18/2022] [Accepted: 03/18/2022] [Indexed: 11/28/2022] Open
Abstract
While One Health initiatives are gaining in popularity, it is unclear if and how they are evaluated when implementation at scale is intended. The main purpose of this scoping review was to describe how One Health initiatives targeting infectious diseases and antimicrobial resistance at a large scale are evaluated. Secondary objectives included identifying the main facilitators and barriers to the implementation and success of these initiatives, and how their impacts were assessed. Twenty-three studies evaluating One Health initiatives were eligible. Most studies included the human (n = 22) and animal (n = 15) sectors; only four included the environment sector. The types of evaluated initiative (non-exclusive) included governance (n = 5), knowledge (n = 6), protection (n = 17), promotion (n = 16), prevention (n = 9), care (n = 8), advocacy (n = 10) and capacity (n = 10). Studies used normative (n = 4) and evaluative (n = 20) approaches to assess the One Health initiatives, the latter including impact (n = 19), implementation (n = 8), and performance (n = 7) analyses. Structural and economic, social, political, communication and coordination-related factors, as well as ontological factors, were identified as both facilitators and barriers for successful One Health initiatives. These results identified a wide range of evaluation methods and indicators used to demonstrate One Health's added values, strengths, and limitations: the inherent complexity of the One Health approach leads to the use of multiple types of evaluation. The strengths and remaining gaps in the evaluation of such initiative highlight the relevance of comprehensive, mixed-method, context-sensitive evaluation frameworks to inform and support the implementation of One Health initiatives by stakeholders in different governance settings. Studies evaluating One Health initiatives were scarce. Only One Health initiatives related to infectious diseases were evaluated. Evaluations were mainly conducted using quantitative approaches. Involvement of the community was identified as a major facilitator.
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Affiliation(s)
- Léa Delesalle
- Département de Pathologie et Microbiologie, Faculté de Médecine Vétérinaire de l'Université de Montréal, Canada
- Centre de Recherche en Santé Publique (CReSP), Montréal, Canada
- Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique (GREZOSP), St-Hyacinthe, Canada
| | - Margaux L. Sadoine
- Département de Médecine Sociale et Préventive, École de Santé Publique de l'Université de Montréal, Canada
- Centre de Recherche en Santé Publique (CReSP), Montréal, Canada
| | - Sarah Mediouni
- Département de Pathologie et Microbiologie, Faculté de Médecine Vétérinaire de l'Université de Montréal, Canada
- Centre de Recherche en Santé Publique (CReSP), Montréal, Canada
- Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique (GREZOSP), St-Hyacinthe, Canada
| | | | - Kate Zinszer
- Département de Médecine Sociale et Préventive, École de Santé Publique de l'Université de Montréal, Canada
- Centre de Recherche en Santé Publique (CReSP), Montréal, Canada
| | - Christina Zarowsky
- Département de Médecine Sociale et Préventive, École de Santé Publique de l'Université de Montréal, Canada
- Centre de Recherche en Santé Publique (CReSP), Montréal, Canada
| | - Cécile Aenishaenslin
- Département de Pathologie et Microbiologie, Faculté de Médecine Vétérinaire de l'Université de Montréal, Canada
- Centre de Recherche en Santé Publique (CReSP), Montréal, Canada
- Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique (GREZOSP), St-Hyacinthe, Canada
| | - Hélène Carabin
- Département de Pathologie et Microbiologie, Faculté de Médecine Vétérinaire de l'Université de Montréal, Canada
- Département de Médecine Sociale et Préventive, École de Santé Publique de l'Université de Montréal, Canada
- Centre de Recherche en Santé Publique (CReSP), Montréal, Canada
- Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique (GREZOSP), St-Hyacinthe, Canada
- Corresponding author at: Faculté de Médecine Vétérinaire, 3200 rue Sicotte, Saint-Hyacinthe J2S 2M2, Québec, Canada.
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Mikaty G, Matheus S, Donoso Mantke O, McCulloch E, Zeichhardt H, Manuguerra JC. Evaluation of the diagnostic capacities for emerging arboviral diseases in the international network MediLabSecure from 2014 to 2018 - Importance of external quality assessments. J Infect Public Health 2021; 15:203-209. [PMID: 35038668 PMCID: PMC8656250 DOI: 10.1016/j.jiph.2021.12.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Revised: 11/16/2021] [Accepted: 12/05/2021] [Indexed: 10/31/2022] Open
Abstract
BACKGROUND Emerging infectious diseases pose an increasing threat to all nations around the world, including to developed countries. By definition, because they are rare or unknown, public health systems are not well prepared against these emerging diseases. To be fully prepared, countries must have implemented surveillance systems to monitor rare or unusual sanitary events. METHODS The capacity of diagnostic laboratories is a key component of surveillance systems since they are in charge of identifying the pathogens responsible for outbreaks in a timely manner. The MediLabSecure project aims at implementing a comprehensive surveillance system for vector-borne diseases around the Mediterranean and Black Sea regions. From 2014 to 2018, the human-virology group of MediLabSecure notably supported the implementation of molecular diagnostic capacities for eight arboviruses and one coronavirus in 19 laboratories of its network through sharing of protocols and reagents, and technical training of the scientific staff of beneficiary laboratories. RESULTS We report the results of External Quality Assessments for four of these viruses to assess the efficiency of the diagnostic for these threats emerging in the geographic area. The results for these EQA demonstrate the success of the project in the implementation of diagnostic technics for the identification of Dengue, Chikungunya, Zika, and West Niles viruses in laboratories that did not have the capacity before. However, results also show that some work is still to be done to strengthen the newly acquired capacity. CONCLUSION The MediLabSecure project deployed an effort to build an efficient capacity in identifying and survey the emergence of arboviruses in the Mediterranean area. Diagnostic technics were successfully implemented in many of the laboratories of the network, but the effort must be maintained over time to strengthen these capacities.
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Affiliation(s)
- Guillain Mikaty
- Institut Pasteur, Université de Paris, Environment and Infectious Risk research Unit - Laboratory for Urgent Response to Biological Threats (ERI-CIBU), Paris, France.
| | - Séverine Matheus
- Institut Pasteur, Université de Paris, Environment and Infectious Risk research Unit - Laboratory for Urgent Response to Biological Threats (ERI-CIBU), Paris, France
| | | | - Elaine McCulloch
- Quality Control for Molecular Diagnostics (QCMD), Glasgow, United Kingdom
| | - Heinz Zeichhardt
- INSTAND; Gesellschaft zur Förderung der Qualitätssicherung in medizinischen Laboratorien e.V., Düsseldorf, Germany
| | - Jean-Claude Manuguerra
- Institut Pasteur, Université de Paris, Environment and Infectious Risk research Unit - Laboratory for Urgent Response to Biological Threats (ERI-CIBU), Paris, France
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Evaluation of West Nile Virus Diagnostic Capacities in Veterinary Laboratories of the Mediterranean and Black Sea Regions. Pathogens 2020; 9:pathogens9121038. [PMID: 33322276 PMCID: PMC7763240 DOI: 10.3390/pathogens9121038] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2020] [Revised: 12/06/2020] [Accepted: 12/08/2020] [Indexed: 01/18/2023] Open
Abstract
The increasing incidence of West Nile virus (WNV) in the Euro-Mediterranean area warrants the implementation of effective surveillance programs in animals. A crucial step in the fight against the disease is the evaluation of the capacity of the veterinary labs to accurately detect the infection in animal populations. In this context, the animal virology network of the MediLabSecure project organized an external quality assessment (EQA) to evaluate the WNV molecular and serological diagnostic capacities of beneficiary veterinary labs. Laboratories from 17 Mediterranean and Black Sea countries participated. The results of the triplex real time RT-PCR for simultaneous detection and differentiation of WNV lineage 1 (L1), lineage 2 (L2) and Usutu virus (USUV) were highly satisfactory, especially for L1 and L2, with detection rates of 97.9% and 100%, respectively. For USUV, 75% of the labs reported correct results. More limitations were observed for the generic detection of flaviviruses using conventional reverse-transcription polymerase chain reaction (RT-PCR), since only 46.1% reported correct results in the whole panel. As regards the serological panel, the results were excellent for the generic detection of WNV antibodies. More variability was observed for the specific detection of IgM antibodies with a higher percentage of incorrect results mainly in samples with low titers. This EQA provides a good overview of the WNV (and USUV) diagnostic performance of the involved veterinary labs and demonstrates that the implemented training program was successful in upgrading their diagnostic capacities.
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Turell MJ, Cohnstaedt LW, Wilson WC. Effect of Environmental Temperature on the Ability of Culex tarsalis and Aedes taeniorhynchus (Diptera: Culicidae) to Transmit Rift Valley Fever Virus. Vector Borne Zoonotic Dis 2020; 20:454-460. [PMID: 32017863 DOI: 10.1089/vbz.2019.2554] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Rift Valley fever virus (RVFV) causes severe disease in domestic ungulates (cattle, goats, and sheep) and a febrile illness in humans (with ∼1% case fatality rate). This virus has been spreading geographically, and there is concern of it spreading to Europe or the Americas. Environmental temperature can significantly affect the ability of mosquitoes to transmit an arbovirus. However, these effects are not consistent among viruses or mosquito species. Therefore, we evaluated the effect of incubation temperatures ranging from 14°C to 30°C on infection and dissemination rates for Culex tarsalis and Aedes taeniorhynchus allowed to feed on hamsters infected with RVFV. Engorged mosquitoes were randomly allocated to cages and placed in incubators maintained at 14°C, 18°C, 22°C, 26°C, or 30°C. Although infection rates detected in Cx. tarsalis increased with increasing holding temperature, holding temperature had no effect on infection rates detected in Ae. taeniorhynchus. However, for both species, the percentage of mosquitoes with a disseminated infection after specific extrinsic incubation periods (4, 7, 10, 14, 17, or 21 days) increased with increasing incubation holding temperature, even after adjusting for the apparent increase in infection rate in Cx. tarsalis. The effects of environmental factors, such as ambient temperature, need to be taken into account when developing models for viral persistence and spread in nature.
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Affiliation(s)
- Michael J Turell
- Virology Division, Department of Vector Assessment, U.S. Army Medical Research Institute of Infectious Diseases, Frederick, Maryland
| | - Lee W Cohnstaedt
- Arthropod-Borne Animal Diseases Research Unit, Center for Grain and Animal Health Research, Manhattan, Kansas
| | - William C Wilson
- Arthropod-Borne Animal Diseases Research Unit, Center for Grain and Animal Health Research, Manhattan, Kansas
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7
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Amato L, Dente MG, Calistri P, Declich S. Integrated Early Warning Surveillance: Achilles' Heel of One Health? Microorganisms 2020; 8:E84. [PMID: 31936412 PMCID: PMC7022449 DOI: 10.3390/microorganisms8010084] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2019] [Revised: 12/30/2019] [Accepted: 01/02/2020] [Indexed: 01/02/2023] Open
Abstract
Emerging and re-emerging infectious diseases and zoonoses indicate the importance of the One Health (OH) approach for early warning. At present, even when surveillance data are available, they are infrequently timeously shared between the health sectors. In the context of the MediLabSecure (MLS) Project, we investigated the collection of a set of surveillance indicators able to provide data for the implementation of integrated early warning systems in the 22 MLS countries of the Mediterranean, Black Sea and Sahel regions. We used an online questionnaire (covering vector, human, and animal sectors), focusing on seven relevant arboviruses, that was submitted to 110 officially appointed experts. Results showed that West Nile virus was perceived as the most relevant zoonotic pathogen, while Dengue virus was the most relevant non-zoonotic pathogen in the study area. Data collection of early warning indicators is in place at a different level for all the investigated pathogens and in almost all the MLS Countries. Further assessments on the reliability of the collection in place and on the feasibility of piloting an integrated early warning system for arbovirus could verify if integrated early warning really represents the Achilles' heel of OH.
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Affiliation(s)
- Laura Amato
- National Centre for Global Health, Istituto Superiore di Sanità, 00161 Rome, Italy; (L.A.); (S.D.)
- Public Health and Infectious Diseases Department, Sapienza University of Rome, 00185 Rome, Italy
| | - Maria Grazia Dente
- National Centre for Global Health, Istituto Superiore di Sanità, 00161 Rome, Italy; (L.A.); (S.D.)
| | - Paolo Calistri
- National Reference Center for Veterinary Epidemiology, Istituto Zooprofilattico Sperimentale dell’Abruzzo e del Molise ′G.Caporale′, 64100 Teramo, Italy;
| | - Silvia Declich
- National Centre for Global Health, Istituto Superiore di Sanità, 00161 Rome, Italy; (L.A.); (S.D.)
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Together in the Fight against Arthropod-Borne Diseases: A One Health Perspective. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16234876. [PMID: 31817032 PMCID: PMC6926610 DOI: 10.3390/ijerph16234876] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/09/2019] [Accepted: 08/14/2019] [Indexed: 01/27/2023]
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9
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Riccardo F, Monaco F, Bella A, Savini G, Russo F, Cagarelli R, Dottori M, Rizzo C, Venturi G, Di Luca M, Pupella S, Lombardini L, Pezzotti P, Parodi P, Maraglino F, Costa AN, Liumbruno GM, Rezza G, The Working Group. An early start of West Nile virus seasonal transmission: the added value of One Heath surveillance in detecting early circulation and triggering timely response in Italy, June to July 2018. ACTA ACUST UNITED AC 2019; 23. [PMID: 30107870 PMCID: PMC6092914 DOI: 10.2807/1560-7917.es.2018.23.32.1800427] [Citation(s) in RCA: 35] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
In Italy, the 2018 West Nile virus transmission season started early with a high number of cases reported. One-Health surveillance, within the Italian West Nile national preparedness and response plan, detected viral circulation 9 days before symptom-onset of the first confirmed human case; triggering timely implementation of blood and transplant safety measures. This is an example of how functional coordination allows health authorities to use early warning triggers from surveillance systems to implement preventive measures.
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Affiliation(s)
- Flavia Riccardo
- Department of Infectious Diseases, National Institute of Health, Rome, Italy
| | - Federica Monaco
- Istituto Zooprofilattico Sperimentale Abruzzo e Molise, Teramo, Italy
| | - Antonino Bella
- Department of Infectious Diseases, National Institute of Health, Rome, Italy
| | - Giovanni Savini
- Istituto Zooprofilattico Sperimentale Abruzzo e Molise, Teramo, Italy
| | - Francesca Russo
- Directorate of Prevention, Food Safety, and Veterinary Public Health, Veneto Region, Venice, Italy
| | - Roberto Cagarelli
- Directorate of Prevention, Food Safety, and Veterinary Public Health, Emilia-Romagna Region, Bologna, Italy
| | - Michele Dottori
- Istituto Zooprofilattico Sperimentale Lombardia ed Emilia-Romagna, Sezione di Reggio Emilia, Italy
| | - Caterina Rizzo
- Bambino Gesù Children's Hospital, Rome, Italy.,Department of Infectious Diseases, National Institute of Health, Rome, Italy
| | - Giulietta Venturi
- Department of Infectious Diseases, National Institute of Health, Rome, Italy
| | - Marco Di Luca
- Department of Infectious Diseases, National Institute of Health, Rome, Italy
| | - Simonetta Pupella
- Italian National Blood Centre, National Institute of Health, Rome, Italy
| | - Letizia Lombardini
- Italian National Transplant Centre, National Institute of Health, Rome, Italy
| | - Patrizio Pezzotti
- Department of Infectious Diseases, National Institute of Health, Rome, Italy
| | | | | | | | | | - Giovanni Rezza
- Department of Infectious Diseases, National Institute of Health, Rome, Italy
| | - The Working Group
- The members of the working group are listed at the end of the article
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Clow KM, Leighton PA, Pearl DL, Jardine CM. A framework for adaptive surveillance of emerging tick-borne zoonoses. One Health 2019; 7:100083. [PMID: 30809583 PMCID: PMC6376153 DOI: 10.1016/j.onehlt.2019.100083] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2018] [Revised: 02/07/2019] [Accepted: 02/09/2019] [Indexed: 12/19/2022] Open
Abstract
Significant global ecological changes continue to drive emergence of tick-borne zoonoses around the world. This poses an important threat to both human and animal health, and highlights the need for surveillance systems that are capable of monitoring these complex diseases effectively across different stages of the emergence process. Our objective was to develop an evidence-based framework for surveillance of emerging tick-borne zoonoses. We conducted a realist review to understand the available approaches and major challenges associated with surveillance of emerging tick-borne zoonoses. Lyme disease, with a specific focus on emergence in Canada, was used as a case study to provide real-world context, since the process of disease emergence is ongoing in this country. We synthesize the results to propose a novel framework for adaptive surveillance of emerging tick-borne zoonoses. Goals for each phase of disease emergence are highlighted and approaches are suggested. The framework emphasizes the needs for surveillance systems to be inclusive, standardized, comprehensive and sustainable. We build upon a growing body of infectious disease literature that is advocating for reform to surveillance systems. Although our framework has been developed for tick-borne zoonoses, it is flexible and has the potential to be applied to a variety of other vector-borne and zoonotic diseases.
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Affiliation(s)
- Katie M. Clow
- Department of Population Medicine, Ontario Veterinary College, University of Guelph, 50 Stone Road East, Guelph, Ontario N1G 2W1, Canada
| | - Patrick A. Leighton
- Department of Pathology and Microbiology, Faculty of Veterinary Medicine, University of Montréal, 3200 Rue Sicotte, Saint-Hyacinthe, Quebec J2S 2M2, Canada
| | - David L. Pearl
- Department of Population Medicine, Ontario Veterinary College, University of Guelph, 50 Stone Road East, Guelph, Ontario N1G 2W1, Canada
| | - Claire M. Jardine
- Department of Pathobiology, Ontario Veterinary College, University of Guelph, 50 Stone Road East, Guelph, Ontario N1G 2W1, Canada
- Canadian Wildlife Health Cooperative, University of Guelph, 50 Stone Road East, Guelph, Ontario N1G 2W1, Canada
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Jourdain F, Samy AM, Hamidi A, Bouattour A, Alten B, Faraj C, Roiz D, Petrić D, Pérez-Ramírez E, Velo E, Günay F, Bosevska G, Salem I, Pajovic I, Marić J, Kanani K, Paronyan L, Dente MG, Picard M, Zgomba M, Sarih M, Haddad N, Gaidash O, Sukhiasvili R, Declich S, Shaibi T, Sulesco T, Harrat Z, Robert V. Towards harmonisation of entomological surveillance in the Mediterranean area. PLoS Negl Trop Dis 2019; 13:e0007314. [PMID: 31194743 PMCID: PMC6563966 DOI: 10.1371/journal.pntd.0007314] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
BACKGROUND The Mediterranean Basin is historically a hotspot for trade, transport, and migration. As a result, countries surrounding the Mediterranean Sea share common public health threats. Among them are vector-borne diseases, and in particular, mosquito-borne viral diseases are prime candidates as (re)emerging diseases and are likely to spread across the area. Improving preparedness and response capacities to these threats at the regional level is therefore a major issue. The implementation of entomological surveillance is, in particular, of utmost importance. Guidance in designing entomological surveillance systems is critical, and these systems may pursue different specific objectives depending on the disease. The purpose of the proposed review is to draw up guidelines for designing effective and sustainable entomological surveillance systems in order to improve preparedness and response. However, we make it clear that there is no universal surveillance system, so the thinking behind harmonisation is to define evidence-based standards in order to promote best practises, identify the most appropriate surveillance activities, and optimise the use of resources. Such guidance is aimed at policymakers and diverse stakeholders and is intended to be used as a framework for the implementation of entomological surveillance programmes. It will also be useful to collaborate and share information with health professionals involved in other areas of disease surveillance. Medical entomologists and vector control professionals will be able to refer to this report to advocate for tailored entomological surveillance strategies. The main threats targeted in this review are the vectors of dengue virus, chikungunya virus, Zika virus, West Nile virus, and Rift Valley fever virus. The vectors of all these arboviruses are mosquitoes. METHODS Current knowledge on vector surveillance in the Mediterranean area is reviewed. The analysis was carried out by a collaboration of the medical entomology experts in the region, all of whom belong to the MediLabSecure network, which is currently funded by the European Union and represents an international effort encompassing 19 countries in the Mediterranean and Black Sea region. FINDINGS Robust surveillance systems are required to address the globalisation of emerging arboviruses. The prevention and management of mosquito-borne viral diseases must be addressed in the prism of a One Health strategy that includes entomological surveillance as an integral part of the policy. Entomological surveillance systems should be designed according to the entomological and epidemiological context and must have well-defined objectives in order to effect a tailored and graduated response. We therefore rely on different scenarios according to different entomological and epidemiological contexts and set out detailed objectives of surveillance. The development of multidisciplinary networks involving both academics and public authorities will provide resources to address these health challenges by promoting good practises in surveillance (identification of surveillance aims, design of surveillance systems, data collection, dissemination of surveillance results, evaluation of surveillance activities) and through the sharing of effective knowledge and information. These networks will also contribute to capacity building and stronger collaborations between sectors at both the local and regional levels. Finally, concrete guidance is offered on the vector of the main arbovirus based on the current situation in the area.
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Affiliation(s)
- Frédéric Jourdain
- French National Research Institute for Sustainable Development, Research unit MIVEGC IRD-CNRS-Montpellier University, Montpellier, France
| | - Abdallah M. Samy
- Entomology Department, Faculty of Science, Ain Shams University, Cairo, Egypt
| | - Afrim Hamidi
- University of Prishtina, Faculty of Agriculture and Veterinary Sciences, Prishtina, Kosovo
| | - Ali Bouattour
- Université de Tunis El Manar, Institut Pasteur de Tunis, LR11IPT03 Service d’entomologie médicale, Tunis, Tunisia
| | - Bülent Alten
- Hacettepe University, Faculty of Science, Biology Department, Ecology Section, Ankara, Turkey
| | - Chafika Faraj
- Laboratoire d'Entomologie Médicale, Institut National d'Hygiène, Rabat, Morocco
| | - David Roiz
- French National Research Institute for Sustainable Development, Research unit MIVEGC IRD-CNRS-Montpellier University, Montpellier, France
| | - Dušan Petrić
- Faculty of Agriculture, Department of Phytomedicine and Environment Protection, Laboratory for Medical Entomology, University of Novi Sad, Novi Sad, Serbia
| | - Elisa Pérez-Ramírez
- Centro de Investigación en Sanidad Animal, Instituto Nacional de Investigación y Tecnología Agraria y Alimentaria (INIA-CISA), Carretera Algete-El Casar, Valdeolmos, Madrid, Spain
| | - Enkeledja Velo
- Control of Infectious Diseases Department, Institute of Public Health, Tirana, Albania
| | - Filiz Günay
- Hacettepe University, Faculty of Science, Biology Department, Ecology Section, Ankara, Turkey
| | - Golubinka Bosevska
- Institute of Public Health of R. Macedonia, Laboratory for virology and molecular diagnostics, Skopje, the Former Yugoslav Republic of Macedonia
| | - Ibrahim Salem
- Ministry of Health, Central public health laboratory, Ramallah, Palestine
| | - Igor Pajovic
- University of Montenegro, Biotechnical Faculty, Podgorica, Montenegro
| | - Jelena Marić
- PI Veterinary Institute of the Republic of Srpska, Banja Luka, Bosnia and Herzegovina
| | - Khalil Kanani
- Parasitic and Zoonotic Diseases Department, Vector-Borne Diseases programmes manager, MOH, Ramallah, Jordan
| | - Lusine Paronyan
- Epidemiology of Vector borne and Parasitic diseases, National Center for Disease Control and Prevention, Ministry of Health, Yerevan, Armenia
| | - Maria-Grazia Dente
- National Center for Global Health, Istituto Superiore di Sanità, Rome, Italy
| | - Marie Picard
- French National Research Institute for Sustainable Development, Research unit MIVEGC IRD-CNRS-Montpellier University, Montpellier, France
| | - Marija Zgomba
- Faculty of Agriculture, Department of Phytomedicine and Environment Protection, Laboratory for Medical Entomology, University of Novi Sad, Novi Sad, Serbia
| | - M'hammed Sarih
- Laboratoire des Maladies Vectorielles, Institut Pasteur du Maroc, Casablanca, Morocco
| | - Nabil Haddad
- Laboratory of Immunology and Vector-Borne Diseases, Faculty of Public Health, Lebanese University, Fanar, Lebanon
| | - Oleksandr Gaidash
- State Body “Ukrainian I. I. Mechnikov Research Anti-Plague Institute of Ministry of Health of Ukraine”, Laboratory of Especially Dangerous Infections Epizootology, Odessa, Ukraine
| | - Roena Sukhiasvili
- National Center for Disease Control and Public Health, Tbilisi, Georgia
| | - Silvia Declich
- National Center for Global Health, Istituto Superiore di Sanità, Rome, Italy
| | - Taher Shaibi
- Reference Laboratory of Parasites & Vector Borne Diseases, NCDC Libya, and Zoology Department, Faculty of Science, University of Tripoli, Libya
| | - Tatiana Sulesco
- Institute of Zoology, Ministry of Education, Culture and Research, Chisinau, Moldova
| | - Zoubir Harrat
- Laboratoire éco-épidémiologie Parasitaire et Génétique des Populations, Institut Pasteur d’Algérie, Algiers, Algeria
| | - Vincent Robert
- French National Research Institute for Sustainable Development, Research unit MIVEGC IRD-CNRS-Montpellier University, Montpellier, France
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12
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Dente MG, Riccardo F, Bolici F, Colella NA, Jovanovic V, Drakulovic M, Vasic M, Mamlouk H, Maazaoui L, Bejaoui M, Zakhashvili K, Kalandadze I, Imnadze P, Declich S. 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. Zoonoses Public Health 2019; 66:276-287. [PMID: 30724030 PMCID: PMC6850493 DOI: 10.1111/zph.12562] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2018] [Revised: 09/21/2018] [Accepted: 12/06/2018] [Indexed: 12/17/2022]
Abstract
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.
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Affiliation(s)
| | | | | | | | - Verica Jovanovic
- Institute of Public Health "Dr Milan Jovanović Batut", Belgrade, Serbia
| | - Mitra Drakulovic
- Institute of Public Health "Dr Milan Jovanović Batut", Belgrade, Serbia
| | - Milena Vasic
- Institute of Public Health "Dr Milan Jovanović Batut", Belgrade, Serbia
| | - Habiba Mamlouk
- Ministère de la Santé Publique/Direction des soins de santé de base, Tunis, Tunisia
| | - Latifa Maazaoui
- Ministère de la Santé Publique/Direction des soins de santé de base, Tunis, Tunisia
| | - Mondher Bejaoui
- Ministère de la Santé Publique/Direction des soins de santé de base, Tunis, Tunisia
| | | | - Irine Kalandadze
- National Center for Disease Control and Public Health, Tbilisi, Georgia
| | - Paata Imnadze
- National Center for Disease Control and Public Health, Tbilisi, Georgia
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