Abstract
OBJECTIVE
To identify stakeholders who should be included in a Michigan-based avian influenza surveillance system (AISS) and to describe their avian influenza (AI) surveillance and reporting needs.
DESIGN
Cross-sectional survey involving a convenience sample of respondents.
SAMPLE
272 federal, state, and local governmental and regulatory agency professionals; veterinarians and laboratory professionals in academia; private practice veterinarians; and poultry industry members.
PROCEDURES
A needs assessment survey that focused on stakeholder identification, current surveillance methods, information sharing, and desired AISS enhancements was administered by mail, and responses were summarized.
RESULTS
Various AISS stakeholders were identified, among whom the requirements for surveillance information and methods of reporting (including via a World Wide Web-based database, e-mail, and a website) differed. Although 90% of all respondent types indicated that poultry industry representatives were key stakeholders, < 33% of poultry industry respondents indicated that private practice veterinarians and personnel in laboratories or public agencies should be considered stakeholders. The predominant concern (55.4% of respondents) regarding the current AISS was the effectiveness of communication among agencies, industry, and the public. The primary challenge identified by respondents was confidentiality (30.2% of respondents).
CONCLUSIONS AND CLINICAL RELEVANCE
In Michigan-and potentially in other regions of the United States-integration of Internet-related data systems and stakeholder communication is likely to promote earlier identification of AI, achieve more effective responses to outbreaks, reduce morbidity among humans and other animals, and decrease outbreak-associated financial losses. Stakeholder education and technological safeguard assurances will be essential in AISS enhancement.
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