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Zhang XX, Lederman Z, Han LF, Schurer JM, Xiao LH, Zhang ZB, Chen QL, Pfeiffer D, Ward MP, Sripa B, Gabriël S, Dhama K, Acharya KP, Robertson LJ, Deem SL, Aenishaenslin C, Dantas-Torres F, Otranto D, Grace D, Wang Y, Li P, Fu C, Poeta P, Md Tanvir Rahman, Kassegne K, Zhu YZ, Yin K, Liu J, Wang ZJ, Guo XK, Gong WF, Schwartländer B, Ren MH, Zhou XN. Towards an actionable One Health approach. Infect Dis Poverty 2024; 13:28. [PMID: 38610035 PMCID: PMC11010417 DOI: 10.1186/s40249-024-01198-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2024] [Accepted: 03/28/2024] [Indexed: 04/14/2024] Open
Abstract
BACKGROUND Despite the increasing focus on strengthening One Health capacity building on global level, challenges remain in devising and implementing real-world interventions particularly in the Asia-Pacific region. Recognizing these gaps, the One Health Action Commission (OHAC) was established as an academic community for One Health action with an emphasis on research agenda setting to identify actions for highest impact. MAIN TEXT This viewpoint describes the agenda of, and motivation for, the recently formed OHAC. Recognizing the urgent need for evidence to support the formulation of necessary action plans, OHAC advocates the adoption of both bottom-up and top-down approaches to identify the current gaps in combating zoonoses, antimicrobial resistance, addressing food safety, and to enhance capacity building for context-sensitive One Health implementation. CONCLUSIONS By promoting broader engagement and connection of multidisciplinary stakeholders, OHAC envisions a collaborative global platform for the generation of innovative One Health knowledge, distilled practical experience and actionable policy advice, guided by strong ethical principles of One Health.
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Affiliation(s)
- Xiao-Xi Zhang
- School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China
- Institute of One Health, Shanghai Jiao Tong University, Shanghai, People's Republic of China
| | - Zohar Lederman
- Medical Ethics and Humanities Unit, Hong Kong University, Hong Kong, People's Republic of China
| | - Le-Fei Han
- School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China
- Institute of One Health, Shanghai Jiao Tong University, Shanghai, People's Republic of China
| | - Janna M Schurer
- Center for One Health, University of Global Health Equity, Butaro, Rwanda
| | - Li-Hua Xiao
- College of Veterinary Medicine, South China Agricultural University, Guangzhou, People's Republic of China
| | - Zhi-Bing Zhang
- School of Ecology and Environment, Hainan University, Haikou, Hainan, People's Republic of China
| | - Qiu-Lan Chen
- Branch of animal and vector-borne diseases, Division of Infectious Disease Control, Chinese Center for Disease Control and Prevention, Beijing, People's Republic of China
| | - Dirk Pfeiffer
- Centre for Applied One Health Research and Policy Advice, Department of Infectious Diseases and Public Health, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Hong Kong SAR, People's Republic of China
- Department of Pathobiology and Population Sciences, Royal Veterinary College, London, United Kingdom
| | - Michael P Ward
- Sydney School of Veterinary Science, The University of Sydney, Camden, Australia
| | - Banchob Sripa
- Tropical Disease Research Center, Department of Tropical Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
| | - Sarah Gabriël
- Laboratory of foodborne parasitic zoonoses, Department of translational physiology, infectiology and public health, Chair Faculty Committee on Internationalisation, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium
| | - Kuldeep Dhama
- Division of Pathology, ICAR-Indian Veterinary Research Institute (IVRI), Bareilly, Uttar Pradesh, India
| | - Krishna Prasad Acharya
- Department of Livestock Services, Animal Quarantine Office-Kathmandu, Budhanilkantha, Kathmandu, Nepal
| | - Lucy J Robertson
- Parasitology, Department of Paraclinical Sciences, Faculty of Veterinary Medicine, Norwegian University of Life Sciences, Ås, Norway
| | - Sharon L Deem
- One Government Drive, Saint Louis Zoo Institute for Conservation Medicine, St. Louis, USA
| | - Cécile Aenishaenslin
- Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique (GREZOSP), Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Québec, Canada
- Centre de recherche en santé publique de l, Université de Montréal et du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montréal, Québec, Canada
| | - Filipe Dantas-Torres
- Department of Immunology, Aggeu Magalhães Institute, Oswaldo Cruz Foundation (Fiocruz), Recife, Brazil
| | - Domenico Otranto
- Department of Veterinary Medicine, University of Bari, Valenzano, Italy
- Department of Pathobiology, Faculty of Veterinary Science, Bu-Ali Sina University, Hamedan, Iran
| | - Delia Grace
- Natural Resources Institute, University of Greenwich, Chatham Maritime, UK
- International Livestock Research Institute, Nairobi, Kenya
| | - Yang Wang
- Director of Key Laboratory of Animal Antimicrobial Resistance Surveillance, Ministry of Agriculture and Rural Affairs, Beijing, People's Republic of China
| | - Peng Li
- Institute of Animal Science, Chinese Academy of Agricultural Sciences, Beijing, People's Republic of China
| | - Chao Fu
- Key Laboratory of Ecosystem Network Observation and Modeling, Institute of Geographic Sciences and Natural Resources Research, Chinese Academy of Sciences, Beijing, People's Republic of China
- United Nations Environment Programme-International Ecosystem Management Partnership (UNEP-IEMP), Beijing, People's Republic of China
| | - Patrícia Poeta
- Microbiology and Antibiotic Resistance Team, Department of Veterinary Sciences, University of Trás-os-Montes and Alto Douro, Vila Real, Portugal
- Associate Laboratory for Green Chemistry, Chemistry Department, University Nova of Lisbon, Lis-bon, Portugal
| | - Md Tanvir Rahman
- Department of Microbiology and Hygiene, Bangladesh Agricultural University, Mymensingh, Bangladesh
| | - Kokouvi Kassegne
- School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China
- Institute of One Health, Shanghai Jiao Tong University, Shanghai, People's Republic of China
| | - Yong-Zhang Zhu
- School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China
- Institute of One Health, Shanghai Jiao Tong University, Shanghai, People's Republic of China
| | - Kun Yin
- School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China
- Institute of One Health, Shanghai Jiao Tong University, Shanghai, People's Republic of China
| | - Jiming Liu
- Faculty of Science, Hong Kong Baptist University, Hong Kong SAR, People's Republic of China
| | - Zhao-Jun Wang
- School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China
- Institute of One Health, Shanghai Jiao Tong University, Shanghai, People's Republic of China
| | - Xiao-Kui Guo
- School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China
- Institute of One Health, Shanghai Jiao Tong University, Shanghai, People's Republic of China
| | - Wen-Feng Gong
- The Bill &, Melinda Gates Foundation, Seattle, WA, USA
| | - Bernhard Schwartländer
- German Ministry of Foreign Afairs (Former Assistant Director General and Chef de Cab‑inet of Dr Tedros at the World Health Organization), Berlin, Germany
| | - Ming-Hui Ren
- School of Public Health, Peking University, Beijing, People's Republic of China
| | - Xiao-Nong Zhou
- School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.
- Institute of One Health, Shanghai Jiao Tong University, Shanghai, People's Republic of China.
- National Institute of Parasitic Diseases at Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases, Shanghai, People's Republic of China.
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Lima-Campêlo VR, Paradis ME, Arango-Sabogal JC, Beauregard N, Roy JP, Racicot M, Aenishaenslin C, Dufour S. Biosecurity adoption in Québec dairy farms: results from a risk assessment questionnaire analyzed using conventional and unsupervised artificial intelligence methods. J Dairy Sci 2024:S0022-0302(24)00620-9. [PMID: 38522832 DOI: 10.3168/jds.2023-24256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2023] [Accepted: 02/20/2024] [Indexed: 03/26/2024]
Abstract
This study documents the current state of biosecurity on dairy farms in Québec following the implementation of a mandatory biosecurity risk evaluation that was part of the proAction® accreditation program developed by Dairy Farmers of Canada. Using a cross-sectional design, 3,825 risk assessment questionnaires completed between 2018 and 2021 were extracted from Vigil-Vet database, which is a software utilized by veterinarians for conducting the proAction® risk assessment. Descriptive statistics were used to summarize the practices adopted by dairy producers. Additionally, multiple correspondence analysis was used to explore the association between the diseases of most concern and the adoption of biosecurity practices. Moreover, we used a hierarchical cluster analysis on principal components to identify distinct patterns of biosecurity practices among dairy producers. This analysis enabled the identification of typologies or clusters of farms based on the specific biosecurity practices they currently employ. The results of the descriptive statistics indicated that mastitis was the disease of most concern for most dairy farmers (40%). Moreover, given that only 10% of the 2,237 dairy farmers who acquired animals adhered to quarantine practices, there seems to be a need for improved implementation of biosecurity measures aimed at restricting the introduction of diseases when introducing new animals. Conversely, cleaning stalls and health equipment were adequately addressed by 95% and 86% of dairy producers, respectively. The multiple correspondence analysis indicated no significant association between the disease of most concern and the farm's biosecurity profile, except for respondents who identified digital dermatitis as their disease of most concern. Through the hierarchical cluster analysis, 3 clusters were identified among 3,581 farms: (1) Cluster 1 included farms with good management of sick animals; (2) Cluster 2 included farms with good management of young animals; and (3) Cluster 3 included farms with poor management of sick animals and young animals. Our study makes an important contribution by providing valuable insights into the biosecurity practices currently adopted on Québec dairy farms. It establishes a baseline for assessing progress in biosecurity practices adoption and serves as a reference point for future evaluations. In addition, these findings play a key role in monitoring the effectiveness of interventions aimed at improving biosecurity on dairy farms. By making use of this knowledge, stakeholders can make informed decisions that prioritize animal health, increase productivity, and ensure sustainability of the dairy industry.
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Affiliation(s)
- V R Lima-Campêlo
- Département de pathologie et microbiologie, Faculté de médecine vétérinaire, Université de Montréal, C.P. 5000, Saint-Hyacinthe, QC, J2S 7C6, Canada.
| | - M-E Paradis
- Association des médecins vétérinaires praticiens du Québec - DSAHR, 800, avenue Ste-Anne, bureau 400, Saint-Hyacinthe, QC, J2S 5G7, Canada
| | - J C Arango-Sabogal
- Département de pathologie et microbiologie, Faculté de médecine vétérinaire, Université de Montréal, C.P. 5000, Saint-Hyacinthe, QC, J2S 7C6, Canada
| | - N Beauregard
- School of Industrial Relations, Université de Montréal, Montréal, QC, H3C 3J7, Canada
| | - J-P Roy
- Département de sciences cliniques, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, J2S 7C6, Canada
| | - M Racicot
- Département de pathologie et microbiologie, Faculté de médecine vétérinaire, Université de Montréal, C.P. 5000, Saint-Hyacinthe, QC, J2S 7C6, Canada
| | - C Aenishaenslin
- Département de pathologie et microbiologie, Faculté de médecine vétérinaire, Université de Montréal, C.P. 5000, Saint-Hyacinthe, QC, J2S 7C6, Canada
| | - S Dufour
- Département de pathologie et microbiologie, Faculté de médecine vétérinaire, Université de Montréal, C.P. 5000, Saint-Hyacinthe, QC, J2S 7C6, Canada
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Guillot C, Aenishaenslin C, Acheson ES, Koffi J, Bouchard C, Leighton PA. Spatial multi-criteria decision analysis for the selection of sentinel regions in tick-borne disease surveillance. BMC Public Health 2024; 24:294. [PMID: 38267914 PMCID: PMC10809750 DOI: 10.1186/s12889-024-17684-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Accepted: 01/05/2024] [Indexed: 01/26/2024] Open
Abstract
BACKGROUND The implementation of cost-effective surveillance systems is essential for tracking the emerging risk of tick-borne diseases. In Canada, where Lyme disease is a growing public health concern, a national sentinel surveillance network was designed to follow the epidemiological portrait of this tick-borne disease across the country. The surveillance network consists of sentinel regions, with active drag sampling carried out annually in all regions to assess the density of Ixodes spp. ticks and prevalence of various tick-borne pathogens in the tick population. The aim of the present study was to prioritize sentinel regions by integrating different spatial criteria relevant to the surveillance goals. METHODS We used spatially-explicit multi-criteria decision analyses (MCDA) to map priority areas for surveillance across Canada, and to evaluate different scenarios using sensitivity analyses. Results were shared with stakeholders to support their decision making for the selection of priority areas to survey during active surveillance activities. RESULTS Weights attributed to criteria by decision-makers were overall consistent. Sensitivity analyses showed that the population criterion had the most impact on rankings. Thirty-seven sentinel regions were identified across Canada using this systematic and transparent approach. CONCLUSION This novel application of spatial MCDA to surveillance network design favors inclusivity of nationwide partners. We propose that such an approach can support the standardized planning of spatial design of sentinel surveillance not only for vector-borne disease BDs, but more broadly for infectious disease surveillance where spatial design is an important component.
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Affiliation(s)
- C Guillot
- Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Department of Pathology and Microbiology, Faculty of Veterinary Medicine, University of Montreal, Montreal, Quebec, Canada.
- Faculty of Medicine and Health Sciences, University of Sherbrooke, Sherbrooke, Quebec, Canada.
- Centre de recherche en santé publique (CRESP) de l'Université de Montréal et du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, University of Montreal, Montreal, Quebec, Canada.
| | - C Aenishaenslin
- Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Department of Pathology and Microbiology, Faculty of Veterinary Medicine, University of Montreal, Montreal, Quebec, Canada
- Centre de recherche en santé publique (CRESP) de l'Université de Montréal et du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, University of Montreal, Montreal, Quebec, Canada
| | - E S Acheson
- Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Department of Pathology and Microbiology, Faculty of Veterinary Medicine, University of Montreal, Montreal, Quebec, Canada
- Public Health Risk Sciences Divisions, National Microbiology Laboratory, Public Health Agency of Canada, Saint-Hyacinthe, Quebec, Canada
| | - J Koffi
- Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Department of Pathology and Microbiology, Faculty of Veterinary Medicine, University of Montreal, Montreal, Quebec, Canada
- Policy Integration and Zoonoses Division, Centre for Food-borne, Environmental and Zoonotic Infectious Diseases, Public Health Agency of Canada, Saint-Hyacinthe, Quebec, Canada
| | - C Bouchard
- Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Department of Pathology and Microbiology, Faculty of Veterinary Medicine, University of Montreal, Montreal, Quebec, Canada
- Public Health Risk Sciences Divisions, National Microbiology Laboratory, Public Health Agency of Canada, Saint-Hyacinthe, Quebec, Canada
| | - P A Leighton
- Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Department of Pathology and Microbiology, Faculty of Veterinary Medicine, University of Montreal, Montreal, Quebec, Canada
- Centre de recherche en santé publique (CRESP) de l'Université de Montréal et du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, University of Montreal, Montreal, Quebec, Canada
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de Lagarde M, Fairbrother JM, Archambault M, Dufour S, Francoz D, Massé J, Lardé H, Aenishaenslin C, Paradis ME, Terrat Y, Roy JP. Clonal and plasmidic dissemination of critical antimicrobial resistance genes through clinically relevant ExPEC and APEC-like lineages (ST) in the dairy cattle population of Québec, Canada. Front Microbiol 2024; 14:1304678. [PMID: 38304859 PMCID: PMC10830774 DOI: 10.3389/fmicb.2023.1304678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2023] [Accepted: 12/18/2023] [Indexed: 02/03/2024] Open
Abstract
Antimicrobial resistance can be effectively limited by improving the judicious use of antimicrobials in food production. However, its effect on the spread of AMR genes in animal populations is not well described. In the province of Québec, Canada, a new legislation implemented in 2019 has led to an unprecedented reduction in the use of critical antimicrobials in dairy production. We aimed to investigate the potential link between ESBL/AmpC E. coli isolated before and after legislation and to determine the presence of plasmids carrying genes responsible for critical AMR. We collected fecal samples from calves, cows, and manure pit from 87 Québec dairy farms approximately 2 years before and 2 years after the legislation came into effect. The whole genomes of 183 presumptive ESBL/AmpC E. coli isolated after cefotaxime enrichment were sequenced. Their phylogenetic characteristics (MLST, serogroup, cgMLST) and the presence of virulence and resistance genes and replicons were examined. A maximum likelihood phylogenetic tree was constructed based on single nucleotide polymorphism (SNPs). We identified 10 clonal lineages (same cgMLST) and 7 clones (SNPs ≤ 52). Isolates belonging to these clones could be found on different farms before and after the legislation, strongly suggesting a clonal spread of AMR genes in the population during this 4-year period. All isolates were multidrug resistant (MDR), with clone 2 being notable for the presence of macrolide, fluoroquinolone, and third-generation cephalosporin resistance genes. We also identified clinically relevant ExPEC (ST10) and APEC-like lineages (ST117, ST58, ST88) associated with the presence of ExPEC and APEC virulence genes, respectively. Our data also suggests the presence of one epidemic plasmid belonging to the IncY incompatibility group and carrying qnrs1 and blaCTX-M-15. We demonstrated that AMR genes spread through farms and can persist over a 4-year period in the dairy cattle population through both plasmids and E. coli clones, despite the restriction of critical antimicrobial use. MDR ExPEC and APEC-like STs are present in the normal microbiota of cattle (more frequently in calves). These data increase our knowledge on gene dissemination dynamics and highlight the fact that biosecurity measures should be enhanced in this industry to limit such dissemination.
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Affiliation(s)
- Maud de Lagarde
- Department of Clinical Sciences, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
- Regroupement Front de Recherche du Québec – Nature et Technologie (FRQNT) Op+lait, Saint-Hyacinthe, QC, Canada
| | - John Morris Fairbrother
- World Organization of Animal Health Reference Laboratory for Escherichia coli, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
- Swine and Poultry Infectious Diseases Research Center (CRIPA-FQRNT), Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
- Department of Pathology and Microbiology, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - Marie Archambault
- Regroupement Front de Recherche du Québec – Nature et Technologie (FRQNT) Op+lait, Saint-Hyacinthe, QC, Canada
- Swine and Poultry Infectious Diseases Research Center (CRIPA-FQRNT), Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
- Department of Pathology and Microbiology, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - Simon Dufour
- Regroupement Front de Recherche du Québec – Nature et Technologie (FRQNT) Op+lait, Saint-Hyacinthe, QC, Canada
- Department of Pathology and Microbiology, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - David Francoz
- Department of Clinical Sciences, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
- Regroupement Front de Recherche du Québec – Nature et Technologie (FRQNT) Op+lait, Saint-Hyacinthe, QC, Canada
| | - Jonathan Massé
- Regroupement Front de Recherche du Québec – Nature et Technologie (FRQNT) Op+lait, Saint-Hyacinthe, QC, Canada
- Department of Pathology and Microbiology, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - Hélène Lardé
- Department of Clinical Sciences, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
- Regroupement Front de Recherche du Québec – Nature et Technologie (FRQNT) Op+lait, Saint-Hyacinthe, QC, Canada
- Department of Clinical Sciences, Ross University School of Veterinary Medicine, St. Kitts, St. Kitts and Nevis
| | - Cécile Aenishaenslin
- Department of Pathology and Microbiology, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
- Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique, Faculté de Médecine Vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada
- Centre de recherche en santé publique de l’Université de Montréal et du Centre Intégré Universitaire de Santé et de Service Sociaux (CIUSSS) du Centre-Sud-de-l’Île-de-Montréal, Montréal, QC, Canada
| | - Marie-Eve Paradis
- Association des médecins vétérinaires praticiens du Québec, Saint-Hyacinthe, QC, Canada
| | - Yves Terrat
- Consortium Santé Numérique de l’Université de Montréal, Montréal, QC, Canada
| | - Jean-Philippe Roy
- Department of Clinical Sciences, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
- Regroupement Front de Recherche du Québec – Nature et Technologie (FRQNT) Op+lait, Saint-Hyacinthe, QC, Canada
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Bowser N, Bouchard C, Sautié Castellanos M, Baron G, Carabin H, Chuard P, Leighton P, Milord F, Richard L, Savage J, Tardy O, Aenishaenslin C. Self-reported tick exposure as an indicator of Lyme disease risk in an endemic region of Quebec, Canada. Ticks Tick Borne Dis 2024; 15:102271. [PMID: 37866213 DOI: 10.1016/j.ttbdis.2023.102271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Revised: 09/13/2023] [Accepted: 10/07/2023] [Indexed: 10/24/2023]
Abstract
BACKGROUND Lyme disease (LD) and other tick-borne diseases are emerging across Canada. Spatial and temporal LD risk is typically estimated using acarological surveillance and reported human cases, the former not considering human behavior leading to tick exposure and the latter occurring after infection. OBJECTIVES The primary objective was to explore, at the census subdivision level (CSD), the associations of self-reported tick exposure, alternative risk indicators (predicted tick density, eTick submissions, public health risk level), and ecological variables (Ixodes scapularis habitat suitability index and cumulative degree days > 0 °C) with incidence proportion of LD. A secondary objective was to explore which of these predictor variables were associated with self-reported tick exposure at the CSD level. METHODS Self-reported tick exposure was measured in a cross-sectional populational health survey conducted in 2018, among 10,790 respondents living in 116 CSDs of the Estrie region, Quebec, Canada. The number of reported LD cases per CSD in 2018 was obtained from the public health department. Generalized linear mixed-effets models accounting for spatial autocorrelation were built to fulfill the objectives. RESULTS Self-reported tick exposure ranged from 0.0 % to 61.5 % (median 8.9 %) and reported LD incidence rates ranged from 0 to 324 cases per 100,000 person-years, per CSD. A positive association was found between self-reported tick exposure and LD incidence proportion (ß = 0.08, CI = 0.04,0.11, p < 0.0001). The best-fit model included public health risk level (AIC: 144.2), followed by predicted tick density, ecological variables, self-reported tick exposure and eTick submissions (AIC: 158.4, 158.4, 160.4 and 170.1 respectively). Predicted tick density was the only significant predictor of self-reported tick exposure (ß = 0.83, CI = 0.16,1.50, p = 0.02). DISCUSSION This proof-of-concept study explores self-reported tick exposure as a potential indicator of LD risk using populational survey data. This approach may offer a low-cost and simple tool for evaluating LD risk and deserves further evaluation.
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Affiliation(s)
- Natasha Bowser
- Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique (GREZOSP), Faculté de Médecine Vétérinaire, Université de Montréal, Saint-Hyacinthe, Québec, Canada; Centre de Recherche en Santé Publique (CReSP) de l'Université de Montréal et du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montréal, Québec, Canada; Département de Pathologie et de Microbiologie, Faculté de Médecine Vétérinaire, Université de Montréal, Canada.
| | - Catherine Bouchard
- Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique (GREZOSP), Faculté de Médecine Vétérinaire, Université de Montréal, Saint-Hyacinthe, Québec, Canada; Public Health Risk Sciences Division, National Microbiology Laboratory, Public Health Agency of Canada, Saint-Hyacinthe, Québec, Canada; Département de Pathologie et de Microbiologie, Faculté de Médecine Vétérinaire, Université de Montréal, Canada
| | | | - Geneviève Baron
- Direction de la Santé Publique, CIUSSS de l'Estrie-CHUS, Québec, Canada; Département Des Sciences de la Santé Communautaire, Faculté de Médecine et Des Sciences de la Santé, Université de Sherbrooke, Sherbrooke, Canada
| | - Hélène Carabin
- Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique (GREZOSP), Faculté de Médecine Vétérinaire, Université de Montréal, Saint-Hyacinthe, Québec, Canada; Centre de Recherche en Santé Publique (CReSP) de l'Université de Montréal et du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montréal, Québec, Canada; Département de Pathologie et de Microbiologie, Faculté de Médecine Vétérinaire, Université de Montréal, Canada; Département de Médecine Sociale et Préventive, École de santé publique de l'Université de Montréal, Canada
| | - Pierre Chuard
- Department of Geography, Planning and Environment, Concordia University, Montreal, Canada
| | - Patrick Leighton
- Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique (GREZOSP), Faculté de Médecine Vétérinaire, Université de Montréal, Saint-Hyacinthe, Québec, Canada; Centre de Recherche en Santé Publique (CReSP) de l'Université de Montréal et du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montréal, Québec, Canada; Département de Pathologie et de Microbiologie, Faculté de Médecine Vétérinaire, Université de Montréal, Canada
| | - François Milord
- Département Des Sciences de la Santé Communautaire, Faculté de Médecine et Des Sciences de la Santé, Université de Sherbrooke, Sherbrooke, Canada; Institut national de santé publique du Québec, Québec, Canada
| | - Lucie Richard
- Centre de Recherche en Santé Publique (CReSP) de l'Université de Montréal et du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montréal, Québec, Canada; Faculté des Sciences Infirmières, Université de Montréal, Canada
| | - Jade Savage
- Department of Biology and Biochemistry, Bishop's University, Canada
| | - Olivia Tardy
- Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique (GREZOSP), Faculté de Médecine Vétérinaire, Université de Montréal, Saint-Hyacinthe, Québec, Canada; Public Health Risk Sciences Division, National Microbiology Laboratory, Public Health Agency of Canada, Saint-Hyacinthe, Québec, Canada
| | - Cécile Aenishaenslin
- Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique (GREZOSP), Faculté de Médecine Vétérinaire, Université de Montréal, Saint-Hyacinthe, Québec, Canada; Centre de Recherche en Santé Publique (CReSP) de l'Université de Montréal et du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montréal, Québec, Canada; Département de Pathologie et de Microbiologie, Faculté de Médecine Vétérinaire, Université de Montréal, Canada
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6
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Daigle L, Ravel A, Lévesque F, Mokoush KN, Rondenay Y, Simon A, Aenishaenslin C. Barriers and opportunities for improving dog bite prevention and dog management practices in northern Indigenous communities. Front Vet Sci 2023; 10:1199576. [PMID: 37795013 PMCID: PMC10546191 DOI: 10.3389/fvets.2023.1199576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2023] [Accepted: 08/16/2023] [Indexed: 10/06/2023] Open
Abstract
Globally, people living in northern Indigenous communities are at higher risk of dog bites than the rest of the population living in North America, with annual incidence ranging from 0.61 to 59.6/10,000 inhabitants. Considering that rabies is endemic in wild canid populations in certain regions of the Arctic, the prevention of dog bites and the management of dog populations are of crucial importance for public health in these contexts. Most northern communities lack access to veterinary services, mainly due to their remote geographical location and to limited financial resources. Currently, northern Indigenous communities are using different approaches and strategies to prevent dog bites and manage dog populations, but the effectiveness of these approaches sometimes lacks evidence, and their low acceptability may affect their implementation. This study aims to describe (1) the current access and uses of veterinary services, and (2) the perceived barriers and opportunities related to dog population management practices currently implemented, or that could be implemented, in a Naskapi community and an Innu community located in northern Quebec (Canada). Quantitative data were collected through a survey to inhabitants on veterinary services (n = 122). Qualitative data were collected using individual interviews to inhabitants and health professionals to describe how dog population management measures were perceived, and to identify barriers and opportunities related to their implementation (n = 37). Descriptive and inferential analysis (quantitative data) and thematic analysis (qualitative data) were performed. Results show that the two main measures implemented at the time of the study - dog culling and short-duration veterinary clinics - were not perceived as fully acceptable and sustainable. Reinforcing access to veterinary services and other dog-related services, such as shelters and training programs on dogs, was identified as a need to improve dog bites prevention and dog population management in remote Indigenous communities. The implementation of animal health measures should be decided by concerned Indigenous communities to follow decolonial practices. It includes ensuring informed consent of dog owners, improving communication before, during and after interventions, separating veterinary services from rehoming and, most importantly giving back to Indigenous communities the complete leadership over animal health in their communities.
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Affiliation(s)
- Laurence Daigle
- Département de Pathologie et Microbiologie, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada
- Groupe de Recherche en Épidémiologie des Zoonoses et Santé publique, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada
- Centre de Recherche en Santé Publique de l’Université de Montréal et du Centre Intégré Universitaire de Santé et de Services Sociaux (CIUSSS) du Centre-Sud-de-l’île-de-Montréal, Montreal, QC, Canada
| | - André Ravel
- Département de Pathologie et Microbiologie, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - Francis Lévesque
- École d’études autochtones, Université du Québec en Abitibi-Témiscamingue, Val-d’Or, QC, Canada
| | | | - Yves Rondenay
- Centre Hospitalier Universitaire Vétérinaire, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - Audrey Simon
- Département de Pathologie et Microbiologie, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada
- Groupe de Recherche en Épidémiologie des Zoonoses et Santé publique, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - Cécile Aenishaenslin
- Département de Pathologie et Microbiologie, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada
- Groupe de Recherche en Épidémiologie des Zoonoses et Santé publique, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada
- Centre de Recherche en Santé Publique de l’Université de Montréal et du Centre Intégré Universitaire de Santé et de Services Sociaux (CIUSSS) du Centre-Sud-de-l’île-de-Montréal, Montreal, QC, Canada
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7
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Denis-Robichaud J, Millar N, Hongoh V, Carabin H, Richard L, Aenishaenslin C. Professional characteristics, attitudes, and practices associated with stress and quality of life among Canadian animal health workers. Can Vet J 2023; 64:854-863. [PMID: 37663029 PMCID: PMC10426241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 09/05/2023]
Abstract
Objective To describe the knowledge, attitudes, and practices (KAP) towards COVID-19 of Canadian companion animal health workers (AHW); to measure their perceived stress and quality of life (QoL); and to explore professional risk factors associated with stress and QoL. Sample We sampled 436 companion animal veterinarians and technicians. Procedure The study had cross-sectional and cohort components. It was conducted online in August to December 2020, and repeated in May to July 2021, using a questionnaire assessing the respondents' professional characteristics, COVID-19 KAP, perceived stress, and QoL. Results Overall, AHW had sufficient knowledge of COVID-19 transmission, and reported having adopted good preventive practices. Since the beginning of the pandemic, participants reported increases in new clients (76%), in refusal of new clients (53%), and in pet euthanasia (24%). Increased client refusal and pet euthanasia were associated with greater stress and poorer professional QoL, whereas perceived susceptibility to and adoption of measures against COVID-19 were associated with lower stress and better QoL. Conclusion and clinical relevance For AHW, professional characteristics were associated with stress and professional QoL. This information is important for developing strategies to cope with the ongoing shortage of AHW and with future public health crises.
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Affiliation(s)
- José Denis-Robichaud
- Independent researcher, Amqui, Québec G5J 2N5 (Denis-Robichaud); Département de pathologie et microbiologie, Faculté de médecine vétérinaire de l'Université de Montréal, 3200 rue Sicotte, Saint-Hyacinthe, Québec J2S 2M2 (Millar, Hongoh, Carabin, Aenishaenslin); Département de médecine sociale et préventive, École de santé publique de l'Université de Montréal, 7101 avenue du Parc, Montréal, Québec H3N 1X9 (Carabin); Faculté des sciences infirmières, Université de Montréal, 2375 chemin de la Côte-Ste-Catherine, Montréal, Québec H3T 1A8 (Richard); Centre de Recherche en Santé Publique, 7101 avenue du Parc, Montréal, Québec H3N 1X9 (Millar, Carabin, Richard, Aenishaenslin); Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique, 3190 rue Sicotte, Saint-Hyacinthe, Québec J2S 2M1 (Denis-Robichaud, Millar, Hongoh, Carabin, Aenishaenslin)
| | - Nikky Millar
- Independent researcher, Amqui, Québec G5J 2N5 (Denis-Robichaud); Département de pathologie et microbiologie, Faculté de médecine vétérinaire de l'Université de Montréal, 3200 rue Sicotte, Saint-Hyacinthe, Québec J2S 2M2 (Millar, Hongoh, Carabin, Aenishaenslin); Département de médecine sociale et préventive, École de santé publique de l'Université de Montréal, 7101 avenue du Parc, Montréal, Québec H3N 1X9 (Carabin); Faculté des sciences infirmières, Université de Montréal, 2375 chemin de la Côte-Ste-Catherine, Montréal, Québec H3T 1A8 (Richard); Centre de Recherche en Santé Publique, 7101 avenue du Parc, Montréal, Québec H3N 1X9 (Millar, Carabin, Richard, Aenishaenslin); Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique, 3190 rue Sicotte, Saint-Hyacinthe, Québec J2S 2M1 (Denis-Robichaud, Millar, Hongoh, Carabin, Aenishaenslin)
| | - Valérie Hongoh
- Independent researcher, Amqui, Québec G5J 2N5 (Denis-Robichaud); Département de pathologie et microbiologie, Faculté de médecine vétérinaire de l'Université de Montréal, 3200 rue Sicotte, Saint-Hyacinthe, Québec J2S 2M2 (Millar, Hongoh, Carabin, Aenishaenslin); Département de médecine sociale et préventive, École de santé publique de l'Université de Montréal, 7101 avenue du Parc, Montréal, Québec H3N 1X9 (Carabin); Faculté des sciences infirmières, Université de Montréal, 2375 chemin de la Côte-Ste-Catherine, Montréal, Québec H3T 1A8 (Richard); Centre de Recherche en Santé Publique, 7101 avenue du Parc, Montréal, Québec H3N 1X9 (Millar, Carabin, Richard, Aenishaenslin); Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique, 3190 rue Sicotte, Saint-Hyacinthe, Québec J2S 2M1 (Denis-Robichaud, Millar, Hongoh, Carabin, Aenishaenslin)
| | - Hélène Carabin
- Independent researcher, Amqui, Québec G5J 2N5 (Denis-Robichaud); Département de pathologie et microbiologie, Faculté de médecine vétérinaire de l'Université de Montréal, 3200 rue Sicotte, Saint-Hyacinthe, Québec J2S 2M2 (Millar, Hongoh, Carabin, Aenishaenslin); Département de médecine sociale et préventive, École de santé publique de l'Université de Montréal, 7101 avenue du Parc, Montréal, Québec H3N 1X9 (Carabin); Faculté des sciences infirmières, Université de Montréal, 2375 chemin de la Côte-Ste-Catherine, Montréal, Québec H3T 1A8 (Richard); Centre de Recherche en Santé Publique, 7101 avenue du Parc, Montréal, Québec H3N 1X9 (Millar, Carabin, Richard, Aenishaenslin); Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique, 3190 rue Sicotte, Saint-Hyacinthe, Québec J2S 2M1 (Denis-Robichaud, Millar, Hongoh, Carabin, Aenishaenslin)
| | - Lucie Richard
- Independent researcher, Amqui, Québec G5J 2N5 (Denis-Robichaud); Département de pathologie et microbiologie, Faculté de médecine vétérinaire de l'Université de Montréal, 3200 rue Sicotte, Saint-Hyacinthe, Québec J2S 2M2 (Millar, Hongoh, Carabin, Aenishaenslin); Département de médecine sociale et préventive, École de santé publique de l'Université de Montréal, 7101 avenue du Parc, Montréal, Québec H3N 1X9 (Carabin); Faculté des sciences infirmières, Université de Montréal, 2375 chemin de la Côte-Ste-Catherine, Montréal, Québec H3T 1A8 (Richard); Centre de Recherche en Santé Publique, 7101 avenue du Parc, Montréal, Québec H3N 1X9 (Millar, Carabin, Richard, Aenishaenslin); Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique, 3190 rue Sicotte, Saint-Hyacinthe, Québec J2S 2M1 (Denis-Robichaud, Millar, Hongoh, Carabin, Aenishaenslin)
| | - Cécile Aenishaenslin
- Independent researcher, Amqui, Québec G5J 2N5 (Denis-Robichaud); Département de pathologie et microbiologie, Faculté de médecine vétérinaire de l'Université de Montréal, 3200 rue Sicotte, Saint-Hyacinthe, Québec J2S 2M2 (Millar, Hongoh, Carabin, Aenishaenslin); Département de médecine sociale et préventive, École de santé publique de l'Université de Montréal, 7101 avenue du Parc, Montréal, Québec H3N 1X9 (Carabin); Faculté des sciences infirmières, Université de Montréal, 2375 chemin de la Côte-Ste-Catherine, Montréal, Québec H3T 1A8 (Richard); Centre de Recherche en Santé Publique, 7101 avenue du Parc, Montréal, Québec H3N 1X9 (Millar, Carabin, Richard, Aenishaenslin); Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique, 3190 rue Sicotte, Saint-Hyacinthe, Québec J2S 2M1 (Denis-Robichaud, Millar, Hongoh, Carabin, Aenishaenslin)
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8
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Moura P, Collineau L, Sandberg M, Tomassone L, De Meneghi D, Norström M, Bennani H, Häsler B, Colomb-Cotinat M, Bourély C, Filippitzi ME, Mediouni S, Boriani E, Asaduzzaman M, Caniça M, Aenishaenslin C, Alban L. Users' perception of the OH-EpiCap evaluation tool based on its application to nine national antimicrobial resistance surveillance systems. Front Public Health 2023; 11:1138645. [PMID: 37404278 PMCID: PMC10315896 DOI: 10.3389/fpubh.2023.1138645] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2023] [Accepted: 05/26/2023] [Indexed: 07/06/2023] Open
Abstract
Introduction Antimicrobial resistance (AMR) is a One Health (OH) challenge. To achieve or maintain an effective and efficient AMR surveillance system, it is crucial to evaluate its performance in meeting the proposed objectives, while complying with resource restrictions. The OH-EpiCap tool was created to evaluate the degree of compliance of hazard surveillance activities with essential OH concepts across the following dimensions: organization, operational activities, and impact of the surveillance system. We present feedback on the application of the OH-EpiCap tool from a user's perspective, based on the use of the tool to evaluate nine national AMR surveillance systems, each with different contexts and objectives. Methods The OH-EpiCap was assessed using the updated CoEvalAMR methodology. This methodology allows the evaluation of the content themes and functional aspects of the tool and captures the user's subjective experiences via a strengths, weaknesses, opportunities, and threats (SWOT) approach. Results and Discussion The results of the evaluation of the OH-EpiCap are presented and discussed. The OH-EpiCap is an easy-to-use tool, which can facilitate a fast macro-overview of the application of the OH concept to AMR surveillance. When used by specialists in the matter, an evaluation using OH-EpiCap can serve as a basis for the discussion of possible adaptations of AMR surveillance activities or targeting areas that may be further investigated using other evaluation tools.
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Affiliation(s)
- Pedro Moura
- National Food Institute, Technical University of Denmark, Lyngby, Denmark
| | - Lucie Collineau
- University of Lyon - French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Epidemiology and Surveillance Support Unit, Lyon, France
| | - Marianne Sandberg
- National Food Institute, Technical University of Denmark, Lyngby, Denmark
| | - Laura Tomassone
- Department of Veterinary Sciences, University of Turin, AgroVet campus, Grugliasco-Turin, Italy
| | - Daniele De Meneghi
- Department of Veterinary Sciences, University of Turin, AgroVet campus, Grugliasco-Turin, Italy
| | | | - Houda Bennani
- Veterinary Epidemiology Economics and Public Health Group, Department of Pathobiology and Population Sciences, Royal Veterinary College, London, United Kingdom
| | - Barbara Häsler
- Veterinary Epidemiology Economics and Public Health Group, Department of Pathobiology and Population Sciences, Royal Veterinary College, London, United Kingdom
| | | | - Clémence Bourély
- French Ministry of Agriculture and Food, General Directorate for Food, Animal Health Unit, Paris, France
| | - Maria-Eleni Filippitzi
- Laboratory of Animal Health Economics, Aristotle University of Thessaloniki, Thessaloniki, Greece
- Veterinary Epidemiology Unit, Sciensano, Brussels, Belgium
| | - Sarah Mediouni
- Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | | | - Muhammad Asaduzzaman
- Department of Community Medicine and Global Health, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway
| | - Manuela Caniça
- National Reference Laboratory of Antibiotic Resistances and Healthcare Associated Infections, Department of Infectious Diseases, National Institute of Health Dr. Ricardo Jorge, Lisbon, Portugal
| | - Cécile Aenishaenslin
- Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - Lis Alban
- Department of Food Safety, Veterinary Issues and Risk Analysis, Danish Agriculture and Food Council, Copenhagen, Denmark
- Department of Veterinary and Animal Sciences, University of Copenhagen, Frederiksberg, Denmark
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9
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Gallo-Cajiao E, Lieberman S, Dolšak N, Prakash A, Labonté R, Biggs D, Franklin C, Morrison TH, Viens AM, Fuller RA, Aguiar R, Fidelman P, Watson JEM, Aenishaenslin C, Wiktorowicz M. Global governance for pandemic prevention and the wildlife trade. Lancet Planet Health 2023; 7:e336-e345. [PMID: 37019574 PMCID: PMC10069821 DOI: 10.1016/s2542-5196(23)00029-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2021] [Revised: 11/04/2022] [Accepted: 02/10/2023] [Indexed: 06/19/2023]
Abstract
Although ideas about preventive actions for pandemics have been advanced during the COVID-19 crisis, there has been little consideration for how they can be operationalised through governance structures within the context of the wildlife trade for human consumption. To date, pandemic governance has mostly focused on outbreak surveillance, containment, and response rather than on avoiding zoonotic spillovers in the first place. However, given the acceleration of globalisation, a paradigm shift towards prevention of zoonotic spillovers is warranted as containment of outbreaks becomes unfeasible. Here, we consider the current institutional landscape for pandemic prevention in light of ongoing negotiations of a so-called pandemic treaty and how prevention of zoonotic spillovers from the wildlife trade for human consumption could be incorporated. We argue that such an institutional arrangement should be explicit about zoonotic spillover prevention and focus on improving coordination across four policy domains, namely public health, biodiversity conservation, food security, and trade. We posit that this pandemic treaty should include four interacting goals in relation to prevention of zoonotic spillovers from the wildlife trade for human consumption: risk understanding, risk assessment, risk reduction, and enabling funding. Despite the need to keep political attention on addressing the current pandemic, society cannot afford to miss the opportunity of the current crisis to encourage institution building for preventing future pandemics.
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Affiliation(s)
- Eduardo Gallo-Cajiao
- School of Marine and Environmental Affairs, University of Washington, Seattle, WA, USA.
| | | | - Nives Dolšak
- School of Marine and Environmental Affairs, University of Washington, Seattle, WA, USA
| | - Aseem Prakash
- Center for Environmental Politics, Department of Political Science, Seattle, WA, USA
| | - Ronald Labonté
- School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada
| | - Duan Biggs
- School of Earth and Sustainability, Northern Arizona University, Flagstaff, AZ, USA; Resilient Conservation, Centre for Planetary Health and Food Security, School of Environment and Science, Griffith University, Nathan, QLD, Australia; Centre for Complex Systems in Transition, Stellenbosch University, Stellenbosch, South Africa
| | | | - Tiffany H Morrison
- School of Geography, Earth and Atmospheric Sciences, University of Melbourne, Parkville, VIC, Australia; College of Science and Engineering, James Cook University, Townsville, QLD, Australia
| | - A M Viens
- School of Global Health and Global Strategy Lab, York University, Toronto, ON, Canada
| | - Richard A Fuller
- School of Biological Sciences, The University of Queensland, Brisbane, QLD, Australia
| | - Raphael Aguiar
- Dahdaleh Institute for Global Health Research, York University, Toronto, ON, Canada
| | - Pedro Fidelman
- Centre for Policy Futures, The University of Queensland, Brisbane, QLD, Australia
| | - James E M Watson
- School of Earth and Environmental Sciences, The University of Queensland, Brisbane, QLD, Australia
| | - Cécile Aenishaenslin
- Centre de Recherche en Santé Publique, Université de Montréal et du CIUSSS Centre-Sud de l'Île de Montréal, Montreal, QC, Canada; Research Group on Epidemiology of Zoonoses and Public Health, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - Mary Wiktorowicz
- Dahdaleh Institute for Global Health Research, York University, Toronto, ON, Canada
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10
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Pelletier J, Guillot C, Rocheleau JP, Bouchard C, Baron G, Bédard C, Dibernardo A, Lindsay LR, Leighton PA, Aenishaenslin C. The added value of One Health surveillance: data from questing ticks can provide an early signal for anaplasmosis outbreaks in animals and humans. Can J Public Health 2023; 114:317-324. [PMID: 36471231 PMCID: PMC10036682 DOI: 10.17269/s41997-022-00723-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/22/2022] [Accepted: 11/09/2022] [Indexed: 12/12/2022]
Abstract
OBJECTIVE In 2021, a first outbreak of anaplasmosis occurred in animals and humans in southern Québec, with 64% of confirmed human cases located in Bromont municipality. Ixodes scapularis ticks and Peromyscus mouse ear biopsies collected in Bromont from 2019 to 2021 were analyzed for Anaplasma phagocytophilum (Ap) with the objective of determining whether an early environmental signal could have been detected before the outbreak. METHODS Samples were collected for a concurrent study aiming to reduce Lyme disease risk. Between 2019 and 2021, up to 14 experimental sites were sampled for ticks and capture of small mammals took place on three sites in 2021. Samples were screened for Ap using multiplex real-time PCR, and genetic strains were identified using a single-nucleotide polymorphism assay. RESULTS Analyses showed an increase of 5.7% in Ap prevalence in ticks (CI95: 1.5-9.9) between 2019 and 2020, i.e., one year before the outbreak. A majority of Ap-positive ticks were infected with the zoonotic strain (68.8%; CI95: 50.0-83.9) during the study period. In 2021, 2 of 59 captured Peromycus mice were positive for Ap, for a prevalence of 3.4% (CI95: 0.4-11.7). CONCLUSION We conclude that data collected in Bromont could have provided an early signal for an anaplasmosis risk increasing in the targeted region. This is a reminder that integrated surveillance of tick-borne diseases through structured One Health programs, i.e. systematically integrating data from humans, animals and the environment, can provide useful and timely information for better preparedness and response in public health.
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Affiliation(s)
- Jérôme Pelletier
- Département de pathologie et microbiologie, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Québec, Canada.
- Groupe de recherche en épidémiologie des zoonoses et santé publique, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Québec, Canada.
- Centre de recherche en santé publique de l'Université de Montréal et du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Université de Montréal, Montréal, Québec, Canada.
| | - Camille Guillot
- Département de pathologie et microbiologie, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Québec, Canada
- Groupe de recherche en épidémiologie des zoonoses et santé publique, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Québec, Canada
- Centre de recherche en santé publique de l'Université de Montréal et du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Université de Montréal, Montréal, Québec, Canada
| | | | - Catherine Bouchard
- Groupe de recherche en épidémiologie des zoonoses et santé publique, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Québec, Canada
- Public Health Risk Sciences Division, National Microbiology Laboratory, Public Health Agency of Canada, Saint-Hyacinthe, Québec, Canada
| | - Geneviève Baron
- Direction de la santé publique du CIUSS de l'Estrie, Sherbrooke, Québec, Canada
- Département des sciences de la santé communautaire, Faculté de médecine et des sciences de la santé, Université de Sherbrooke, Sherbrooke, Québec, Canada
| | - Christian Bédard
- Département de pathologie et microbiologie, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Québec, Canada
- Centre de diagnostic vétérinaire de l'Université de Montréal, Saint-Hyacinthe, Québec, Canada
| | - Antonia Dibernardo
- One Health Division, National Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Manitoba, Canada
| | - L Robbin Lindsay
- One Health Division, National Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Manitoba, Canada
| | - Patrick A Leighton
- Département de pathologie et microbiologie, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Québec, Canada
- Groupe de recherche en épidémiologie des zoonoses et santé publique, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Québec, Canada
- Centre de recherche en santé publique de l'Université de Montréal et du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Université de Montréal, Montréal, Québec, Canada
| | - Cécile Aenishaenslin
- Département de pathologie et microbiologie, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Québec, Canada
- Groupe de recherche en épidémiologie des zoonoses et santé publique, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Québec, Canada
- Centre de recherche en santé publique de l'Université de Montréal et du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Université de Montréal, Montréal, Québec, Canada
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11
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Alban L, Bordier M, Häsler B, Collineau L, Tomassone L, Bennani H, Aenishaenslin C, Norström M, Aragrande M, Filippitzi ME, Moura P, Sandberg M. Capturing systematically users' experience of evaluation tools for integrated AMU and AMR surveillance. Front Vet Sci 2023; 10:1107122. [PMID: 37035822 PMCID: PMC10081675 DOI: 10.3389/fvets.2023.1107122] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Accepted: 03/06/2023] [Indexed: 03/30/2023] Open
Abstract
Tackling antimicrobial resistance (AMR) is a goal for many countries. Integrated surveillance of antimicrobial use (AMU) and resistance is a prerequisite for effective risk mitigation. Regular evaluation of any surveillance is needed to ensure its effectiveness and efficiency. The question is how to evaluate specifically integrated surveillance for AMU and AMR. In an international network called CoEvalAMR, we have developed guidelines for selection of the most appropriate tools for such an evaluation. Moreover, we have assessed different evaluation tools as examples using a country case format and a methodology with a focus on the user's experience. This paper describes the updated methodology, which consists of a brief introduction to the case and to the tool separately. Moreover, there are 12 functional aspects and nine content themes which should be scored using a 4-tiered scale. Additionally, four Strengths, Weaknesses, Opportunities, Threats (SWOT) questions should be addressed. Results are illustrated using radar diagrams. An example of application of the updated methodology is given using the ECoSur evaluation tool. No tool can cover all evaluation aspects comprehensively in a user-friendly manner, so the choice of tool must be based upon the specific evaluation purpose. Moreover, adequate resources, time and training are needed to obtain useful outputs from the evaluation. Our updated methodology can be used by tool users to share their experience with available tools, and hereby assist other users in identifying the most suited tool for their evaluation purpose. Additionally, tool developers can get valuable information for further improvements of their tool.
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Affiliation(s)
- Lis Alban
- Department for Food Safety, Veterinary Issues and Risk Analysis, Danish Agriculture and Food Council, Copenhagen, Denmark
- Department of Veterinary and Animal Sciences, University of Copenhagen, Frederiksberg, Denmark
| | - Marion Bordier
- ASTRE, Université de Montpellier, CIRAD, INRAE, Montpellier, France
- Laboratoire National de l'Elevage et de Recherches Vétérinaires, Institut Sénégalais de Recherches Agricoles, Dakar, Senegal
- CIRAD, UMR ASTRE, Dakar, Senegal
| | - Barbara Häsler
- Veterinary Epidemiology Economics and Public Health Group, Department of Pathobiology and Population Sciences, Royal Veterinary College, London, United Kingdom
| | - Lucie Collineau
- University of Lyon, French Agency for Food, Environmental and Occupational Health & Safety (ANSES), Laboratory of Lyon, Epidemiology and Surveillance Support Unit, Lyon, France
| | - Laura Tomassone
- Department of Veterinary Sciences, University of Turin, Grugliasco (Turin), Italy
| | - Houda Bennani
- Veterinary Epidemiology Economics and Public Health Group, Department of Pathobiology and Population Sciences, Royal Veterinary College, London, United Kingdom
| | - Cécile Aenishaenslin
- Département de pathologie et microbiologie, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - Madelaine Norström
- Department of Animal Health, Welfare and Food Safety, Norwegian Veterinary Institute, Ås, Norway
| | - Maurizio Aragrande
- Department of Agricultural and Food Sciences, University of Bologna, Bologna, Italy
| | - Maria Eleni Filippitzi
- Laboratory of Animal Health Economics, Aristotle University of Thessaloniki, Thessaloniki, Greece
- Veterinary Epidemiology Unit, Sciensano, Brussels, Belgium
| | - Pedro Moura
- National Food Institute, Technical University of Denmark, Lyngby, Denmark
| | - Marianne Sandberg
- National Food Institute, Technical University of Denmark, Lyngby, Denmark
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12
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Millar N, Dufour S, Lardé H, Roy JP, Belloc C, Francoz D, Paradis MÈ, Archambault M, Fairbrother JM, Aenishaenslin C. Barriers and facilitators to implementing a new regulation restricting antimicrobial use in dairy production in Québec, Canada: A qualitative study. Front Vet Sci 2023; 10:1025781. [PMID: 37008362 PMCID: PMC10060835 DOI: 10.3389/fvets.2023.1025781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2022] [Accepted: 02/23/2023] [Indexed: 03/18/2023] Open
Abstract
With the emergence of antimicrobial resistance (AMR), many countries are implementing restrictive regulations to reduce antimicrobial use (AMU) in animal production. Although these measures are effective at the national level, their implementation may generate challenges for producers and veterinarians. The objective of this study was to explore the barriers and facilitators of implementing a new regulation restricting the use of antimicrobials of very high importance for human health in the dairy production sector in the province of Québec, Canada. Individual interviews were conducted with fifteen veterinarians and twenty-seven dairy producers. Thematic analysis was performed based on the COM-B model of behavior change (capability-opportunity-motivation-behavior). Our results indicated that the lack of availability of alternative treatments, the long delays related to diagnostic tests and the fear of economic consequences were major barriers to the implementation of the regulation. A small number of producers also perceived that the regulation negatively impacted the health and wellbeing of their animals. Additionally, participants acknowledged the importance of early education and training to better understand the purpose of the regulation and increase its acceptability. Lastly, most participants reported that they had not only reduced their use of antimicrobials of very high importance for human health following the regulation, but they had also increased preventive practices on their farm. This study reveals that the implementation of restrictive regulations to reduce AMU in animal production can lead to multiple challenges in practice. Our results highlight the need for better communication and training of producers and veterinarians before and during the implementation of similar regulations in the future and underline the importance of measuring the direct and indirect impacts of those regulations on productivity and on animal health and wellbeing.
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Affiliation(s)
- Nikky Millar
- Department of Pathology and Microbiology, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
- Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
- Centre de recherche en santé publique, Université de Montréal et Centre intégré de santé et de services sociaux du Québec du Centre-Sud-de-l'Île-de-Montréal, Montréal, QC, Canada
- Fond de recherche Nature et technologies du Québec (FRQNT)—Regroupement FRQNT Op+lait, Saint-Hyacinthe, QC, Canada
| | - Simon Dufour
- Department of Pathology and Microbiology, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
- Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
- Fond de recherche Nature et technologies du Québec (FRQNT)—Regroupement FRQNT Op+lait, Saint-Hyacinthe, QC, Canada
| | - Hélène Lardé
- Department of Pathology and Microbiology, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
- Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
- Fond de recherche Nature et technologies du Québec (FRQNT)—Regroupement FRQNT Op+lait, Saint-Hyacinthe, QC, Canada
- Ross University School of Veterinary Medicine, Basseterre, Saint Kitts and Nevis
| | - Jean-Philippe Roy
- Fond de recherche Nature et technologies du Québec (FRQNT)—Regroupement FRQNT Op+lait, Saint-Hyacinthe, QC, Canada
- Department of Clinical Sciences, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - Catherine Belloc
- Biologie, Épidémiologie et Analyses de risque en santé animale (BIOEPAR), ONIRIS-INRAE, Nantes, France
| | - David Francoz
- Fond de recherche Nature et technologies du Québec (FRQNT)—Regroupement FRQNT Op+lait, Saint-Hyacinthe, QC, Canada
- Department of Clinical Sciences, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - Marie-Ève Paradis
- Association des médecins vétérinaires praticiens du Québec, Saint-Hyacinthe, QC, Canada
| | - Marie Archambault
- Department of Pathology and Microbiology, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
- Fond de recherche Nature et technologies du Québec (FRQNT)—Regroupement FRQNT Op+lait, Saint-Hyacinthe, QC, Canada
| | - John Morris Fairbrother
- Department of Pathology and Microbiology, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - Cécile Aenishaenslin
- Department of Pathology and Microbiology, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
- Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
- Centre de recherche en santé publique, Université de Montréal et Centre intégré de santé et de services sociaux du Québec du Centre-Sud-de-l'Île-de-Montréal, Montréal, QC, Canada
- *Correspondence: Cécile Aenishaenslin
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13
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Bouchard C, Dumas A, Baron G, Bowser N, Leighton PA, Lindsay LR, Milord F, Ogden NH, Aenishaenslin C. Integrated human behavior and tick risk maps to prioritize Lyme disease interventions using a 'One Health' approach. Ticks Tick Borne Dis 2023; 14:102083. [PMID: 36435167 DOI: 10.1016/j.ttbdis.2022.102083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Revised: 10/25/2022] [Accepted: 11/09/2022] [Indexed: 11/21/2022]
Abstract
Lyme disease (LD) risk is emerging rapidly in Canada due to range expansion of its tick vectors, accelerated by climate change. The risk of contracting LD varies geographically due to variability in ecological characteristics that determine the hazard (the densities of infected host-seeking ticks) and vulnerability of the human population determined by their knowledge and adoption of preventive behaviors. Risk maps are commonly used to support public health decision-making on Lyme disease, but the ability of the human public to adopt preventive behaviors is rarely taken into account in their development, which represents a critical gap. The objective of this work was to improve LD risk mapping using an integrated social-behavioral and ecological approach to: (i) compute enhanced integrated risk maps for prioritization of interventions and (ii) develop a spatially-explicit assessment tool to examine the relative contribution of different risk factors. The study was carried out in the Estrie region located in southern Québec. The blacklegged tick, Ixodes scapularis, infected with the agent of LD is widespread in Estrie and as a result, regional LD incidence is the highest in the province. LD knowledge and behaviors in the population were measured in a cross-sectional health survey conducted in 2018 reaching 10,790 respondents in Estrie. These data were used to create an index for the social-behavioral component of risk in 2018. Local Empirical Bayes estimator technique were used to better quantify the spatial variance in the levels of adoption of LD preventive activities. For the ecological risk analysis, a tick abundance model was developed by integrating data from ongoing long-term tick surveillance programs from 2007 up to 2018. Social-behavioral and ecological components of the risk measures were combined to create vulnerability index maps and, with the addition of human population densities, prioritization index maps. Map predictions were validated by testing the association of high-risk areas with the current spatial distribution of human cases of LD and reported tick exposure. Our results demonstrated that social-behavioral and ecological components of LD risk have markedly different distributions within Estrie. The occurrence of human LD cases or reported tick exposure in a municipality was positively associated with tick density and the prioritization risk index (p < 0.001). This research is a second step towards a more comprehensive integrated LD risk assessment approach, examining social-behavioral risk factors that interact with ecological risk factors to influence the management of emerging tick-borne diseases, an approach that could be applied more widely to vector-borne and zoonotic diseases.
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Affiliation(s)
- Catherine Bouchard
- Public Health Risk Sciences Division, National Microbiology Laboratory, Public Health Agency of Canada, Saint-Hyacinthe, Québec, Canada; Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Faculté de médecine vétérinaire (FMV), Université de Montréal, Saint-Hyacinthe, Québec, Canada.
| | - Ariane Dumas
- Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Faculté de médecine vétérinaire (FMV), Université de Montréal, Saint-Hyacinthe, Québec, Canada
| | - Geneviève Baron
- Direction de la santé publique de l'Estrie, CIUSSS de l'Estrie-CHUS, Sherbrooke, Québec, Canada
| | - Natasha Bowser
- Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Faculté de médecine vétérinaire (FMV), Université de Montréal, Saint-Hyacinthe, Québec, Canada; Centre de recherche en santé publique, Université de Montréal et CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montréal, Québec, Canada
| | - Patrick A Leighton
- Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Faculté de médecine vétérinaire (FMV), Université de Montréal, Saint-Hyacinthe, Québec, Canada; Centre de recherche en santé publique, Université de Montréal et CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montréal, Québec, Canada
| | - L Robbin Lindsay
- Zoonotic Diseases and Special Pathogens, National Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Manitoba, Canada
| | - François Milord
- Direction de santé publique de la Montérégie, Centre intégré de santé et de services sociaux Montérégie-Centre, Longueuil, Canada
| | - Nicholas H Ogden
- Public Health Risk Sciences Division, National Microbiology Laboratory, Public Health Agency of Canada, Saint-Hyacinthe, Québec, Canada; Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Faculté de médecine vétérinaire (FMV), Université de Montréal, Saint-Hyacinthe, Québec, Canada; Centre de recherche en santé publique, Université de Montréal et CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montréal, Québec, Canada
| | - Cécile Aenishaenslin
- Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Faculté de médecine vétérinaire (FMV), Université de Montréal, Saint-Hyacinthe, Québec, Canada; Centre de recherche en santé publique, Université de Montréal et CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montréal, Québec, Canada
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14
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Daigle L, Ravel A, Rondenay Y, Simon A, Mokoush KN, Aenishaenslin C. Knowledge, attitudes, and practices regarding dogs and dog bites in Indigenous northern communities: A mixed methods study. Front Vet Sci 2023; 10:1080152. [PMID: 36891468 PMCID: PMC9986472 DOI: 10.3389/fvets.2023.1080152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Accepted: 01/24/2023] [Indexed: 02/22/2023] Open
Abstract
Introduction The singular relationship developed over the years between northern Indigenous peoples and dogs has been profoundly changed through historical trauma, settlements and increased use of snowmobiles. Issues related to dogs have become increasingly complex and worrisome with the endemic presence of the rabies virus among Arctic fox populations, and given the fact that northern Indigenous peoples may have a higher risk of dog bites than the general population. This study aimed to investigate factors related to the risk of dog bites in Naskapi and Innu communities located in northern Quebec (Canada) by (1) describing the knowledge, attitudes and practices (KAP) regarding dogs and dog bites in these communities, and (2) analyzing experiences of inhabitants and health professionals with regard to dog bites and their management. Methods A mixed methods study design that combined an observational cross-sectional survey and individual interviews was used. The survey collected data on KAP regarding dogs and dog bites among 122 respondents. Individual interviews (n = 37) were then conducted with victims of dog bites, owners of dogs that have bitten a person before, and health professionals. Descriptive and inferential analysis (quantitative data) and thematic analysis (qualitative data) were performed. Results and discussion Results highlighted that 21% of respondents have had a dog bite in their lifetime. Most respondents were not aware of the risk of contracting rabies following a dog bite, although rabies risk perception was associated with risk perception of dogs (linear regression: coefficient = 0.69, 95% CI = 0.36-1.02). The odds of being more knowledgeable on rabies were higher (logistic regression: OR = 2.92, 95% CI = 1.07-7.98) among young adults. Dogs were perceived as both threats and protectors by community members. When the fear of dogs was present, it affected the quality of life of some inhabitants. There was confusion about responsibilities in the management of biting dogs, although protocols to follow after a bite were clear for health care professionals. This study revealed a lack of awareness and knowledge about dog bites and rabies risks in both communities. Results provide important knowledge for the development of interventions adapted to northern Indigenous communities.
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Affiliation(s)
- Laurence Daigle
- Département de pathologie et microbiologie, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada.,Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada.,Centre de recherche en santé publique de l'Université de Montréal et du Centre intégré universitaire de santé et de services sociaux (CIUSSS) du Centre-Sud-de-l'île-de-Montréal, Montréal, QC, Canada
| | - André Ravel
- Département de pathologie et microbiologie, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - Yves Rondenay
- Centre Hospitalier Universitaire Vétérinaire, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - Audrey Simon
- Département de pathologie et microbiologie, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada.,Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | | | - Cécile Aenishaenslin
- Département de pathologie et microbiologie, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada.,Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada.,Centre de recherche en santé publique de l'Université de Montréal et du Centre intégré universitaire de santé et de services sociaux (CIUSSS) du Centre-Sud-de-l'île-de-Montréal, Montréal, QC, Canada
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15
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Pelletier J, Rocheleau JP, Aenishaenslin C, Dimitri Masson G, Lindsay LR, Ogden NH, Bouchard C, Leighton PA. Fluralaner Baits Reduce the Infestation of Peromyscus spp. Mice (Rodentia: Cricetidae) by Ixodes scapularis (Acari: Ixodidae) Larvae and Nymphs in a Natural Environment. J Med Entomol 2022; 59:2080-2089. [PMID: 35980603 DOI: 10.1093/jme/tjac106] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/13/2022] [Indexed: 06/15/2023]
Abstract
The development of interventions that reduce Lyme disease incidence remains a challenge. Reservoir-targeted approaches aiming to reduce tick densities or tick infection prevalence with Borrelia burgdorferi have emerged as promising ways to reduce the density of infected ticks. Acaricides of the isoxazoline family offer high potential for reducing infestation of ticks on small mammals as they have high efficacy at killing feeding ticks for a long period. Fluralaner baits were recently demonstrated as effective, in the laboratory, at killing Ixodes scapularis larvae infesting Peromyscus mice, the main reservoir for B. burgdorferi in northeastern North America. Here, effectiveness of this approach for reducing the infestation of small mammals by immature stages of I. scapularis was tested in a natural environment. Two densities of fluralaner baits (2.1 baits/1,000 m2 and 4.4 baits/1,000 m2) were used during three years in forest plots. The number of I. scapularis larvae and nymphs per mouse from treated and control plots were compared. Fluralaner baiting reduced the number of larvae per mouse by 68% (CI95: 51-79%) at 2.1 baits/1,000 m2 and by 86% (CI95: 77-92%) at 4.4 baits/1,000 m2. The number of nymphs per mouse was reduced by 72% (CI95: 22-90%) at 4.4 baits/1,000 m2 but was not significantly reduced at 2.1 baits/1,000 m2. Reduction of Peromyscus mouse infestation by immature stages of I. scapularis supports the hypothesis that an approach targeting reservoirs of B. burgdorferi with isoxazolines has the potential to reduce tick-borne disease risk by decreasing the density of infected ticks in the environment.
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Affiliation(s)
- Jérôme Pelletier
- Département de pathologie et microbiologie, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Québec, Canada
- Groupe de recherche en épidémiologie des zoonoses et santé publique, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Québec, Canada
- Centre de recherche en santé publique de l'Université de Montréal et du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montréal, Québec, Canada
| | - Jean-Philippe Rocheleau
- Groupe de recherche en épidémiologie des zoonoses et santé publique, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Québec, Canada
- Département de santé animale, CÉGEP de Saint-Hyacinthe, Saint-Hyacinthe, Québec, Canada
| | - Cécile Aenishaenslin
- Département de pathologie et microbiologie, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Québec, Canada
- Groupe de recherche en épidémiologie des zoonoses et santé publique, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Québec, Canada
- Centre de recherche en santé publique de l'Université de Montréal et du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montréal, Québec, Canada
| | - Gabrielle Dimitri Masson
- Département de pathologie et microbiologie, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Québec, Canada
- Groupe de recherche en épidémiologie des zoonoses et santé publique, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Québec, Canada
| | - L Robbin Lindsay
- One Health Division, National Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Manitoba, Canada
| | - Nicholas H Ogden
- Groupe de recherche en épidémiologie des zoonoses et santé publique, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Québec, Canada
- Public Health Risk Sciences Division, National Microbiology Laboratory, Public Health Agency of Canada, Saint-Hyacinthe, Québec, Canada
| | - Catherine Bouchard
- Groupe de recherche en épidémiologie des zoonoses et santé publique, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Québec, Canada
- Public Health Risk Sciences Division, National Microbiology Laboratory, Public Health Agency of Canada, Saint-Hyacinthe, Québec, Canada
| | - Patrick A Leighton
- Département de pathologie et microbiologie, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Québec, Canada
- Groupe de recherche en épidémiologie des zoonoses et santé publique, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Québec, Canada
- Centre de recherche en santé publique de l'Université de Montréal et du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montréal, Québec, Canada
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16
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Guillot C, Bouchard C, Aenishaenslin C, Berthiaume P, Milord F, Leighton PA. Criteria for selecting sentinel unit locations in a surveillance system for vector-borne disease: A decision tool. Front Public Health 2022; 10:1003949. [PMID: 36438246 PMCID: PMC9686450 DOI: 10.3389/fpubh.2022.1003949] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Accepted: 10/10/2022] [Indexed: 11/11/2022] Open
Abstract
Objectives With vector-borne diseases emerging across the globe, precipitated by climate change and other anthropogenic changes, it is critical for public health authorities to have well-designed surveillance strategies in place. Sentinel surveillance has been proposed as a cost-effective approach to surveillance in this context. However, spatial design of sentinel surveillance system has important impacts on surveillance outcomes, and careful selection of sentinel unit locations is therefore an essential component of planning. Methods A review of the available literature, based on the realist approach, was used to identify key decision issues for sentinel surveillance planning. Outcomes of the review were used to develop a decision tool, which was subsequently validated by experts in the field. Results The resulting decision tool provides a list of criteria which can be used to select sentinel unit locations. We illustrate its application using the case example of designing a national sentinel surveillance system for Lyme disease in Canada. Conclusions The decision tool provides researchers and public health authorities with a systematic, evidence-based approach for planning the spatial design of sentinel surveillance systems, taking into account the aims of the surveillance system and disease and/or context-specific considerations.
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Affiliation(s)
- Camille Guillot
- Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada,Faculté de médecine et des sciences de la santé, Université de Sherbrooke, Sherbrooke, QC, Canada,Centre de recherche en santé publique de l'Université de Montréal et du CIUSSS du Centre-Sud-de-l'île-de-Montréal (CReSP), Montréal, QC, Canada,*Correspondence: Camille Guillot
| | - Catherine Bouchard
- Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada,Public Health Risk Sciences Division, National Microbiology Laboratory, Public Health Agency of Canada, St. Hyacinthe, QC, Canada
| | - Cécile Aenishaenslin
- Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - Philippe Berthiaume
- Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada,Public Health Risk Sciences Division, National Microbiology Laboratory, Public Health Agency of Canada, St. Hyacinthe, QC, Canada
| | - François Milord
- Faculté de médecine et des sciences de la santé, Université de Sherbrooke, Sherbrooke, QC, Canada
| | - Patrick A. Leighton
- Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada,Centre de recherche en santé publique de l'Université de Montréal et du CIUSSS du Centre-Sud-de-l'île-de-Montréal (CReSP), Montréal, QC, Canada
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Aenishaenslin C, Batal M, Boiteux M, Bouchard M, Brun Y, Brodeur J, Carabin H, Carrier J, Kasisi R, Kritikou E, Lavoie JP, Lavoie-Tremblay M, Merry L, Monnais L, Sauvé S, Stafford L, Michel JJT, Tremblay H. "COP26: what is the message for public health?" Response from the Université de Montréal One Health initiative. Can J Public Health 2022; 113:788-789. [PMID: 35969352 PMCID: PMC9481794 DOI: 10.17269/s41997-022-00677-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Accepted: 07/12/2022] [Indexed: 06/15/2023]
Affiliation(s)
- Cécile Aenishaenslin
- Faculté de médecine vétérinaire, Université de Montréal, Montréal, Québec, Canada
| | - Malek Batal
- Faculté de médecine, Université de Montréal, Montréal, Québec, Canada
| | - Manon Boiteux
- Vice-rectorat à la recherche, à la découverte, à la création et à l'innovation, Université de Montréal, Montréal, Québec, Canada.
| | - Michèle Bouchard
- École de santé publique, Université de Montréal, Montréal, Québec, Canada
| | - Yves Brun
- Faculté de médecine, Université de Montréal, Montréal, Québec, Canada
| | - Jacques Brodeur
- Faculté des arts et des sciences, Université de Montréal, Montréal, Québec, Canada
| | - Hélène Carabin
- Faculté de médecine vétérinaire, Université de Montréal, Montréal, Québec, Canada
| | - Julie Carrier
- Vice-rectorat aux affaires étudiantes et aux études, Université de Montréal, Montréal, Québec, Canada
| | - Robert Kasisi
- Faculté de l'aménagement, Université de Montréal, Montréal, Québec, Canada
| | - Ekat Kritikou
- Faculté de médecine, Université de Montréal, Montréal, Québec, Canada
| | - Jean-Pierre Lavoie
- Faculté de médecine vétérinaire, Université de Montréal, Montréal, Québec, Canada
| | | | - Lisa Merry
- Faculté des sciences infirmières, Université de Montréal, Montréal, Québec, Canada
| | - Laurence Monnais
- Faculté des arts et des sciences, Université de Montréal, Montréal, Québec, Canada
| | - Sébastien Sauvé
- Faculté des arts et des sciences, Université de Montréal, Montréal, Québec, Canada
| | - Luc Stafford
- Vice-rectorat à la recherche, à la découverte, à la création et à l'innovation, Université de Montréal, Montréal, Québec, Canada
| | | | - Hugo Tremblay
- Faculté de droit, Université de Montréal, Montréal, Québec, Canada
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18
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Daigle L, Delesalle L, Ravel A, Ford B, Aenishaenslin C. Occurrence and Risk Factors of Dog Bites in Northern Indigenous Communities: A Scoping Review. Front Vet Sci 2022; 9:777640. [PMID: 35518635 PMCID: PMC9064469 DOI: 10.3389/fvets.2022.777640] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Accepted: 03/23/2022] [Indexed: 11/13/2022] Open
Abstract
The relationship between northern Indigenous people and dogs has evolved over the past years alongside events such as colonization, settlement, proliferation of snowmobiling and other socio-cultural and environmental changes. These changes have had negative impacts on this relationship, and with the endemic presence of arctic fox rabies, dog bites have become an important public health burden. The objective of this study was to synthesize the state of knowledge regarding the occurrence of dog bites and associated risk factors in the specific context of northern Indigenous communities. A scoping review was conducted in seven bibliographic databases, from June 2018 to May 2020. From this search, 257 original studies were identified and eight papers were included for final analysis. Annual occurrence of dog bites in northern Indigenous communities ranged from 0.61 to 59.6/10,000 inhabitants. Dog bites affected 27–62.9% of the population in those regions during their lifetime. Very few studies compared the occurrence of dog bites between people living in northern communities with other populations or settings, but available evidence suggests that Indigenous people living in northern communities are at higher risk of dog bites than the rest of the population. Several individual and environmental risk factors were identified in the selected studies, although the strength of evidence varied significantly. Age (children) and gender (male) were well documented individual risk factors. Other factors, such as organizational barriers to dog management and lack of access to veterinary services, were identified and discussed by several authors. The results of this study support concerns about the higher risk of bites in northern Indigenous communities, and underscore the urgent need for more research into the contextual and environmental factors that impact the mitigation of these risks.
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Affiliation(s)
- Laurence Daigle
- Département de Pathologie et Microbiologie, Faculté de Médecine Vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada.,Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique (GREZOSP), Faculté de Médecine Vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada.,Centre de Recherche en Santé Publique de l'Université de Montréal et du CIUSSS du Centre-Sud-de-l'île-de-Montréal, Montréal, QC, Canada
| | - Léa Delesalle
- Département de Pathologie et Microbiologie, Faculté de Médecine Vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada.,Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique (GREZOSP), Faculté de Médecine Vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada.,Centre de Recherche en Santé Publique de l'Université de Montréal et du CIUSSS du Centre-Sud-de-l'île-de-Montréal, Montréal, QC, Canada
| | - André Ravel
- Département de Pathologie et Microbiologie, Faculté de Médecine Vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | | | - Cécile Aenishaenslin
- Département de Pathologie et Microbiologie, Faculté de Médecine Vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada.,Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique (GREZOSP), Faculté de Médecine Vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada.,Centre de Recherche en Santé Publique de l'Université de Montréal et du CIUSSS du Centre-Sud-de-l'île-de-Montréal, Montréal, QC, Canada
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19
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Aenishaenslin C, Charland K, Bowser N, Perez-Trejo E, Baron G, Milord F, Bouchard C. Behavioral risk factors associated with reported tick exposure in a Lyme disease high incidence region in Canada. BMC Public Health 2022; 22:807. [PMID: 35459149 PMCID: PMC9027878 DOI: 10.1186/s12889-022-13222-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2021] [Accepted: 04/12/2022] [Indexed: 11/26/2022] Open
Abstract
Background Tick-borne diseases, and especially Lyme Disease (LD), are on the rise in Canada and have been met with increasing public health concern. To face these emerging threats, education on the prevention of tick bites remains the mainstay of public health intervention. The objective of this study was to assess the adoption of preventive behaviors toward tick bites and LD and to investigate the association between behavioral risk factors and reported tick exposure in a Canadian, LD high incidence region (Estrie region, Quebec, Canada). Methods A cross-sectional study was conducted in 2018 which used a telephone questionnaire administered to a random sample of 10,790 adult residents of the study region. Questions investigated tick exposure, LD awareness, attitudes towards LD risk, outdoor and preventive behaviors, as well as antibiotic post-exposure prophylaxis (PEP) treatments in the case of a tick bite. Descriptive and multivariable analyses were carried out, considering the nine administrative subregions and the stratified survey design. Results The sub-regional prevalence of reported tick exposure in the previous year ranged from 3.4 to 21.9%. The proportion of respondents that adopted preventive behaviors varied from 27.0% (tick checks) to 30.1% (tick repellent) and 44.6% (shower after outdoor activities). A minority of respondents (15.9%) that sought healthcare after a tick bite received a PEP treatment. Performing tick checks (Odds ratio = 4.33), time spent outdoors (OR = 3.09) and living in a subregion with a higher public health LD risk level (OR = 2.14) were associated with reported tick exposure in multivariable models. Conclusions This study highlights the low level of adoption of preventive behaviors against tick bites in a region where LD risk is amongst the highest in Canada. This suggests a concerning lack of improvement in LD prevention, as low levels of adoption were already reported in studies conducted in the last decade. Innovative and evidence-based approaches to improve education on ticks and tick-borne diseases and to promote behavior changes are urgently needed in Canada. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-022-13222-9.
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Affiliation(s)
- Cécile Aenishaenslin
- Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique (GREZOSP), Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada. .,Centre de recherche en santé publique de l'Université de Montréal et du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montréal, QC, Canada.
| | - Katia Charland
- Centre de recherche en santé publique de l'Université de Montréal et du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montréal, QC, Canada
| | - Natasha Bowser
- Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique (GREZOSP), Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada.,Centre de recherche en santé publique de l'Université de Montréal et du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montréal, QC, Canada
| | | | - Geneviève Baron
- Direction de la santé publique, CIUSSS de l'Estrie-CHUS, Sherbrooke, Canada.,Département des sciences de la santé communautaire, Faculté de médecine et des sciences de la santé, Université de Sherbrooke, Sherbrooke, Canada
| | - François Milord
- Département des sciences de la santé communautaire, Faculté de médecine et des sciences de la santé, Université de Sherbrooke, Sherbrooke, Canada.,CISSS de la Montérégie-Centre, Longueuil, Canada
| | - Catherine Bouchard
- Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique (GREZOSP), Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada.,Public Health Risk Sciences Division, National Microbiology Laboratory, Public Health Agency of Canada, Saint-Hyacinthe, QC, Canada
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20
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Zhao J, Smith T, Lavigne M, Aenishaenslin C, Cox R, Fazil A, Johnson A, Sanchez J, Hermant B. A Rapid Literature Review of Multi-Criteria Decision Support Methods in the Context of One Health for All-Hazards Threat Prioritization. Front Public Health 2022; 10:861594. [PMID: 35493347 PMCID: PMC9051240 DOI: 10.3389/fpubh.2022.861594] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2022] [Accepted: 03/11/2022] [Indexed: 11/24/2022] Open
Abstract
Background Multi-Criteria Decision Analysis (MCDA) is a decision support tool that can be used in public health emergency management. The use of a One Health lens in MCDA can support the prioritization of threats and interventions which cut across the human, animal, and environmental domains. Previous literature reviews have focused on creating a snapshot of MCDA methodological trends. Our study provides an update to the MCDA methods literature with key considerations from a One Health perspective and addresses the application of MCDA in an all-hazards decision-making context. Methods We conducted a literature search on MEDLINE, EMBASE, SCOPUS, the CAB database, and a limited online gray literature search in partnership with a librarian from Health Canada. Articles were limited to those published in the year 2010 or later in a high-income setting (OECD member countries). Results Sixty-two articles were included for synthesis. Of these articles, most were Canadian studies (20%); and prioritized health risks, threats, and interventions in the human domain (69%). Six commonly used prioritization criteria were identified: threat, health, intervention, strategic, social, and economic impact. Stakeholders were engaged in 85% of studies and commonly consisted of government groups, non-governmental groups, subject matter experts, and the public. While most articles (65%) included elements of One Health based on our definition, only 5 studies (9%) explicitly acknowledged One Health as a guiding principle for the study. Forty seven percentage of studies noted that MCDA was beneficial in supporting the decision-making process. Conclusion Current literature on health prioritization presents some variability in the depth of integration of the One Health framework and on the use of various MCDA methodologies given prioritization objectives. Studies which applied a comprehensive One Health approach, prioritized disparate threats, or conducted cyclical prioritizations for governing bodies were broad in scope, but sparse. The results of our review indicate the need for better guidance on the integration of a One Health approach and the use of various MCDA methods given the main prioritization objectives.
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Affiliation(s)
- Jiawei Zhao
- Risk and Capability Assessment Unit, Public Health Agency of Canada, Ottawa, ON, Canada
- *Correspondence: Jiawei Zhao
| | - Tiffany Smith
- Risk and Capability Assessment Unit, Public Health Agency of Canada, Ottawa, ON, Canada
| | - Melissa Lavigne
- Risk and Capability Assessment Unit, Public Health Agency of Canada, Ottawa, ON, Canada
| | - Cécile Aenishaenslin
- Department of Pathology and Microbiology, University of Montreal, Montreal, QC, Canada
- Centre de recherche en santé publique de L'Université de Montréal et du CIUSSS du Centre-Sud-de-L'Île-de-Montréal, Montréal, QC, Canada
| | - Ruth Cox
- Department of Health Management, Atlantic Veterinary College, University of Prince Edward Island, Charlottetown, PE, Canada
- National Wildlife Management Centre, Animal and Plant Health Agency, Woodchester Park, United Kingdom
| | - Aamir Fazil
- National Microbiology Laboratory, Public Health Agency of Canada, Ottawa, ON, Canada
| | - Ana Johnson
- Department of Public Health Sciences, Queen's University, Kingston, ON, Canada
| | - Javier Sanchez
- Department of Health Management, Atlantic Veterinary College, University of Prince Edward Island, Charlottetown, PE, Canada
| | - Benoit Hermant
- Risk and Capability Assessment Unit, Public Health Agency of Canada, Ottawa, ON, Canada
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21
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Boudreau LeBlanc A, Williams-Jones B, Aenishaenslin C. Bio-Ethics and One Health: A Case Study Approach to Building Reflexive Governance. Front Public Health 2022; 10:648593. [PMID: 35372246 PMCID: PMC8971560 DOI: 10.3389/fpubh.2022.648593] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2020] [Accepted: 01/31/2022] [Indexed: 11/13/2022] Open
Abstract
Surveillance programs supporting the management of One Health issues such as antibiotic resistance are complex systems in themselves. Designing ethical surveillance systems is thus a complex task (retroactive and iterative), yet one that is also complicated to implement and evaluate (e.g., sharing, collaboration, and governance). The governance of health surveillance requires attention to ethical concerns about data and knowledge (e.g., performance, trust, accountability, and transparency) and empowerment ethics, also referred to as a form of responsible self-governance. Ethics in reflexive governance operates as a systematic critical-thinking procedure that aims to define its value: What are the “right” criteria to justify how to govern “good” actions for a “better” future? The objective is to lay the foundations for a methodological framework in empirical bioethics, the rudiments of which have been applied to a case study to building reflexive governance in One Health. This ongoing critical thinking process involves “mapping, framing, and shaping” the dynamics of interests and perspectives that could jeopardize a “better” future. This paper proposes to hybridize methods to combine insights from collective deliberation and expert evaluation through a reflexive governance functioning as a community-based action-ethics methodology. The intention is to empower individuals and associations in a dialogue with society, which operation is carried out using a case study approach on data sharing systems. We based our reasoning on a feasibility study conducted in Québec, Canada (2018–2021), envisioning an antibiotic use surveillance program in animal health for 2023. Using the adaptive cycle and governance techniques and perspectives, we synthesize an alternative governance model rooted in the value of empowerment. The framework, depicted as a new “research and design (R&D)” practice, is linking operation and innovation by bridging the gap between Reflexive, Evaluative, and Deliberative reasonings and by intellectualizing the management of democratizing critical thinking locally (collective ethics) by recognizing its context (social ethics). Drawing on the literature in One Health and sustainable development studies, this article describes how a communitarian and pragmatic approach can broaden the vision of feasibility studies to ease collaboration through public-private-academic partnerships. The result is a process that “reassembles” the One Health paradigm under the perspective of global bioethics to create bridges between the person and the ecosystem through pragmatic ethics.
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Affiliation(s)
- Antoine Boudreau LeBlanc
- Bioethics Programs, Department of Social and Preventive Medicine, Public Health School, Université de Montréal, Montréal, QC, Canada
- *Correspondence: Antoine Boudreau LeBlanc
| | - Bryn Williams-Jones
- Bioethics Programs, Department of Social and Preventive Medicine, Public Health School, Université de Montréal, Montréal, QC, Canada
| | - Cécile Aenishaenslin
- Department of Pathology and Microbiology, Faculty of Veterinary Medicine, Université de Montréal, Montréal, QC, Canada
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22
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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] [What about the content of this article? (0)] [Affiliation(s)] [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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23
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de Lagarde M, Fairbrother JM, Archambault M, Dufour S, Francoz D, Massé J, Lardé H, Aenishaenslin C, Paradis MÈ, Roy JP. Impact of a Regulation Restricting Critical Antimicrobial Usage on Prevalence of Antimicrobial Resistance in Escherichia coli Isolates From Fecal and Manure Pit Samples on Dairy Farms in Québec, Canada. Front Vet Sci 2022; 9:838498. [PMID: 35252426 PMCID: PMC8893019 DOI: 10.3389/fvets.2022.838498] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Accepted: 01/18/2022] [Indexed: 11/13/2022] Open
Abstract
To tackle antimicrobial resistance (AMR), one of the major health threats of this century, the World Health Organization (WHO) endorsed a global action plan in 2015. This plan calls countries to develop national actions to address AMR. The province of Québec, Canada, adopted a new regulation on the 25th of February 2019, to limit the use in food animals of antimicrobials of very high importance in human medicine. We aimed to establish the impact of this regulation by comparing the AMR situation in dairy cattle in Québec ~2 years before and 2 years after its introduction. We sampled calves, cows, and the manure pit in 87 farms. Generic and putative ESBL/AmpC E. coli were tested for susceptibility to 20 antimicrobials. Logistic regression was used to investigate whether the probability of antimicrobial resistance differed between isolates obtained from the pre and post regulation periods by sample type (calves, cows, manure pit) and in general. To identify AMR genes dissemination mechanisms, we sequenced the whole genome of 15 generic isolates. In the generic collection, at the herd level, the proportion of multidrug resistant (MDR) isolates, decreased significantly from 83 to 71% (p = 0.05). Folate inhibitor and aminoglycoside resistances demonstrated a significant decrease. However, when analyzed by sample type (calves, cows, manure pit), we did not observe a significant AMR decrease in any of these categories. In the ESBL/AmpC collection, we did not detect any significant difference between the two periods. Also, the general resistance gene profile was similar pre and post regulation. We identified both clonal and plasmidic dissemination of resistance genes. In conclusion, as early as 2 years post regulation implementation, we observed a significant decrease in MDR in the dairy industry in Quebec in the generic E. coli collection with folate inhibitor and aminoglycoside resistances showing the most significant decrease. No other significant decreases were yet observed.
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Affiliation(s)
- Maud de Lagarde
- Department of Clinical Sciences, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
- Regroupement FRQNT Op+lait, Saint-Hyacinthe, QC, Canada
| | - John M. Fairbrother
- OIE Reference Laboratory for Escherichia coli, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
- Swine and Poultry Infectious Research Center (CRIPA-FQRNT), Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
- Department of Pathology and Microbiology, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - Marie Archambault
- Regroupement FRQNT Op+lait, Saint-Hyacinthe, QC, Canada
- Swine and Poultry Infectious Research Center (CRIPA-FQRNT), Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
- Department of Pathology and Microbiology, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - Simon Dufour
- Regroupement FRQNT Op+lait, Saint-Hyacinthe, QC, Canada
- Department of Pathology and Microbiology, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - David Francoz
- Department of Clinical Sciences, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
- Regroupement FRQNT Op+lait, Saint-Hyacinthe, QC, Canada
| | - Jonathan Massé
- Regroupement FRQNT Op+lait, Saint-Hyacinthe, QC, Canada
- Department of Pathology and Microbiology, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - Hélène Lardé
- Department of Clinical Sciences, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
- Regroupement FRQNT Op+lait, Saint-Hyacinthe, QC, Canada
- Department of Clinical Sciences, Ross University School of Veterinary Medicine, Basseterre, Federation of Saint Christopher and Nevis
| | - Cécile Aenishaenslin
- Department of Pathology and Microbiology, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - Marie-Ève Paradis
- Association des Médecins Vétérinaires Praticiens du Québec, Saint-Hyacinthe, QC, Canada
| | - Jean-Philippe Roy
- Department of Clinical Sciences, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
- Regroupement FRQNT Op+lait, Saint-Hyacinthe, QC, Canada
- *Correspondence: Jean-Philippe Roy
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Denis-Robichaud J, Aenishaenslin C, Richard L, Desmarchelier M, Carabin H. Association between Pet Ownership and Mental Health and Well-Being of Canadians Assessed in a Cross-Sectional Study during the COVID-19 Pandemic. Int J Environ Res Public Health 2022; 19:ijerph19042215. [PMID: 35206405 PMCID: PMC8924879 DOI: 10.3390/ijerph19042215] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/08/2021] [Revised: 01/27/2022] [Accepted: 02/12/2022] [Indexed: 02/01/2023]
Abstract
The objective of this cross-sectional study was to assess the association between pet ownership and quality of life (QoL), loneliness, anxiety, stress, overall health, and mental health of Canadians during the COVID-19 pandemic using a One Health perspective. An online bilingual survey was completed by 1500 Canadians in April-May 2021. Socio-demographics, health, QoL, stress and anxiety, loneliness, social support, pet ownership, and attitude towards pets data were collected. Crude and adjusted associations between pet ownership and mental health and well-being indicators were estimated. The 1500 participants were from all provinces and territories, half were women; half of the participants were pet owners by design. The crude association estimates showed that pet owners had poorer QoL, overall health, and mental health than non-pet owners, and were lonelier, more stressed, and more anxious than non-pet owners. Adjusted estimates showed that these associations disappeared with the inclusion of the confounders (socio-economic, demographic, health, and pet-related variables). Our results suggest that there was no association between pet ownership and the mental health and well-being indicators measured in the present study.
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Affiliation(s)
| | - Cécile Aenishaenslin
- Département de Pathologie et Microbiologie, Faculté de Médecine Vétérinaire, Université de Montréal, Saint-Hyacinthe, QC J2S 2M2, Canada;
- Centre de Recherche en Santé Publique (CReSP), Montreal, QC H3N 1X9, Canada;
- Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique (GREZOSP), Saint-Hyacinthe, QC J2S 2M1, Canada
| | - Lucie Richard
- Centre de Recherche en Santé Publique (CReSP), Montreal, QC H3N 1X9, Canada;
- Faculté des Sciences Infirmières, Université de Montréal, Montreal, QC H3T 1J4, Canada
| | - Marion Desmarchelier
- Département de Sciences Cliniques, Faculté de Médecine Vétérinaire, Université de Montréal, Saint-Hyacinthe, QC J2S 2M2, Canada;
| | - Hélène Carabin
- Département de Pathologie et Microbiologie, Faculté de Médecine Vétérinaire, Université de Montréal, Saint-Hyacinthe, QC J2S 2M2, Canada;
- Centre de Recherche en Santé Publique (CReSP), Montreal, QC H3N 1X9, Canada;
- Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique (GREZOSP), Saint-Hyacinthe, QC J2S 2M1, Canada
- Département de Médecine Sociale et Préventive, École de Santé Publique, Université de Montréal, Montreal, QC H3N 1X9, Canada
- Correspondence:
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Boudreau LeBlanc A, Aenishaenslin C, Williams-Jones B. À la recherche du chaînon manquant entre bio et éthique. Canadian Journal of Bioethics 2022. [DOI: 10.7202/1087208ar] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Sandberg M, Hesp A, Aenishaenslin C, Bordier M, Bennani H, Bergwerff U, Chantziaras I, De Meneghi D, Ellis-Iversen J, Filippizi ME, Mintiens K, Nielsen LR, Norström M, Tomassone L, van Schaik G, Alban L. Assessment of Evaluation Tools for Integrated Surveillance of Antimicrobial Use and Resistance Based on Selected Case Studies. Front Vet Sci 2021; 8:620998. [PMID: 34307513 PMCID: PMC8298032 DOI: 10.3389/fvets.2021.620998] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2020] [Accepted: 05/21/2021] [Indexed: 01/18/2023] Open
Abstract
Regular evaluation of integrated surveillance for antimicrobial use (AMU) and resistance (AMR) in animals, humans, and the environment is needed to ensure system effectiveness, but the question is how. In this study, six different evaluation tools were assessed after being applied to AMU and AMR surveillance in eight countries: (1) ATLASS: the Assessment Tool for Laboratories and AMR Surveillance Systems developed by the Food and Agriculture Organization (FAO) of the United Nations, (2) ECoSur: Evaluation of Collaboration for Surveillance tool, (3) ISSEP: Integrated Surveillance System Evaluation Project, (4) NEOH: developed by the EU COST Action "Network for Evaluation of One Health," (5) PMP-AMR: The Progressive Management Pathway tool on AMR developed by the FAO, and (6) SURVTOOLS: developed in the FP7-EU project "RISKSUR." Each tool was scored using (i) 11 pre-defined functional aspects (e.g., workability concerning the need for data, time, and people); (ii) a strengths, weaknesses, opportunities, and threats (SWOT)-like approach of user experiences (e.g., things that I liked or that the tool covered well); and (iii) eight predefined content themes related to scope (e.g., development purpose and collaboration). PMP-AMR, ATLASS, ECoSur, and NEOH are evaluation tools that provide a scoring system to obtain semi-quantitative results, whereas ISSEP and SURVTOOLS will result in a plan for how to conduct evaluation(s). ISSEP, ECoSur, NEOH, and SURVTOOLS allow for in-depth analyses and therefore require more complex data, information, and specific training of evaluator(s). PMP-AMR, ATLASS, and ISSEP were developed specifically for AMR-related activities-only ISSEP included production of a direct measure for "integration" and "impact on decision making." NEOH and ISSEP were perceived as the best tools for evaluation of One Health (OH) aspects, and ECoSur as best for evaluation of the quality of collaboration. PMP-AMR and ATLASS seemed to be the most user-friendly tools, particularly designed for risk managers. ATLASS was the only tool focusing specifically on laboratory activities. Our experience is that adequate resources are needed to perform evaluation(s). In most cases, evaluation would require involvement of several assessors and/or stakeholders, taking from weeks to months to complete. This study can help direct future evaluators of integrated AMU and AMR surveillance toward the most adequate tool for their specific evaluation purpose.
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Affiliation(s)
- Marianne Sandberg
- Department for Food Safety, Veterinary Issues and Risk Analysis, Danish Agriculture and Food Council, Copenhagen, Denmark
- National Food Institute, Technical University of Denmark, Lyngby, Denmark
| | - Ayla Hesp
- Department of Bacteriology and Epidemiology, Host Pathogen Interaction and Diagnostics Development, Wageningen Bioveterinary Research, Lelystad, Netherlands
- Department of Infectious Diseases and Immunology, Utrecht University, Utrecht, Netherlands
| | - Cécile Aenishaenslin
- Groupe de recherche en épidémiologie des zoonoses et santé publique, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - Marion Bordier
- UMR Astre, Cirad, INRAE, University of Montpellier, Montpellier, France
| | - Houda Bennani
- Veterinary Epidemiology, Economics and Public Health Group, Department of Pathobiology and Population Sciences, Royal Veterinary College, London, United Kingdom
| | - Ursula Bergwerff
- Department of Farm Animal Health, Utrecht University, Utrecht, Netherlands
| | - Ilias Chantziaras
- Unit of Animal Science and Unit of Social Science, Flanders Research Institute for Agriculture, Fisheries and Food (ILVO), Merelbeke, Belgium
- Department of Reproduction, Obstetrics and Herd Health, University of Ghent, Ghent, Belgium
| | | | | | - Maria-Eleni Filippizi
- Veterinary Epidemiology Unit, Department of Epidemiology and Public Health, Sciensano, Brussels, Belgium
| | - Koen Mintiens
- Food and Agriculture Organization of the United Nations, Rome, Italy
| | - Liza R. Nielsen
- Department of Veterinary and Animal Sciences, University of Copenhagen, Frederiksberg, Denmark
| | - Madelaine Norström
- Department of Epidemiology, Norwegian Veterinary Institute, Oslo, Norway
| | - Laura Tomassone
- Department of Veterinary Sciences, University of Turin, Turin, Italy
| | - Gerdien van Schaik
- Department of Farm Animal Health, Utrecht University, Utrecht, Netherlands
- Royal GD Animal Health, Deventer, Netherlands
| | - Lis Alban
- Department for Food Safety, Veterinary Issues and Risk Analysis, Danish Agriculture and Food Council, Copenhagen, Denmark
- Department of Veterinary and Animal Sciences, University of Copenhagen, Frederiksberg, Denmark
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Hillier SA, Taleb A, Chaccour E, Aenishaenslin C. Examining the concept of One Health for indigenous communities: A systematic review. One Health 2021; 12:100248. [PMID: 33912647 PMCID: PMC8066803 DOI: 10.1016/j.onehlt.2021.100248] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2020] [Revised: 04/08/2021] [Accepted: 04/08/2021] [Indexed: 11/25/2022] Open
Abstract
Purpose This paper examines whether the usage of the concept of One Health in Canada-based research aligns with traditional Indigenous notions of health and wellness. Methods A comprehensive search of the literature was conducted using primary databases, including Scholars Portal, ProQuest Social Science, Sociological Abstracts (ProQuest), OVID Healthstar, Embase, Medline, Pubmed and Google Scholar. Papers discussing One Health and Indigenous Health were selected and analyzed through Nvivo12 to generate common themes across the studies. Results The analysis identified three major themes that focused on One Health as it relates to climate change, zoonosis, and social relationships between humans and animals. Climate change was seen to have affected the environmental health of Northern latitude areas where many Indigenous communities reside. Infectious diseases within Indigenous communities were a frequent topic of study and indicated that infections transmitted by dogs are likely to be addressed with One Health interventions. One Health interventions are likely to equally address the health of humans, animals, and the environment. Conclusions No significant connection between One Health and Indigenous knowledges was established in the analyzed articles. Articles discussed One Health as it pertains to epidemiological surveillance and research. The implications of utilizing One Health towards Indigenous Peoples and culture were not explicitly addressed.
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Affiliation(s)
- Sean A Hillier
- School of Health Policy & Management, Faculty of Health, York University, 348A Stong College, 4700 Keele St., Toronto, Ont M3J 1P3, Canada
| | - Abdul Taleb
- Dalla Lana School of Public Health, University of Toronto, Canada
| | - Elias Chaccour
- Health Policy & Equity, School of Health Policy & Management, Faculty of Health, York University, Canada
| | - Cécile Aenishaenslin
- Département de pathologie et microbiologie, Faculté de médecine vétérinaire, Université de Montréal, Canada
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Aenishaenslin C, Häsler B, Ravel A, Parmley EJ, Mediouni S, Bennani H, Stärk KDC, Buckeridge DL. Evaluating the Integration of One Health in Surveillance Systems for Antimicrobial Use and Resistance: A Conceptual Framework. Front Vet Sci 2021; 8:611931. [PMID: 33842569 PMCID: PMC8024545 DOI: 10.3389/fvets.2021.611931] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Accepted: 02/08/2021] [Indexed: 11/26/2022] Open
Abstract
It is now widely acknowledged that surveillance of antimicrobial resistance (AMR) must adopt a "One Health" (OH) approach to successfully address the significant threats this global public health issue poses to humans, animals, and the environment. While many protocols exist for the evaluation of surveillance, the specific aspect of the integration of a OH approach into surveillance systems for AMR and antimicrobial Use (AMU), suffers from a lack of common and accepted guidelines and metrics for its monitoring and evaluation functions. This article presents a conceptual framework to evaluate the integration of OH in surveillance systems for AMR and AMU, named the Integrated Surveillance System Evaluation framework (ISSE framework). The ISSE framework aims to assist stakeholders and researchers who design an overall evaluation plan to select the relevant evaluation questions and tools. The framework was developed in partnership with the Canadian Integrated Program for Antimicrobial Resistance Surveillance (CIPARS). It consists of five evaluation components, which consider the capacity of the system to: [1] integrate a OH approach, [2] produce OH information and expertise, [3] generate actionable knowledge, [4] influence decision-making, and [5] positively impact outcomes. For each component, a set of evaluation questions is defined, and links to other available evaluation tools are shown. The ISSE framework helps evaluators to systematically assess the different OH aspects of a surveillance system, to gain comprehensive information on the performance and value of these integrated efforts, and to use the evaluation results to refine and improve the surveillance of AMR and AMU globally.
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Affiliation(s)
- Cécile Aenishaenslin
- Centre de recherche en santé publique de l'Université de Montréal et du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montreal, QC, Canada
- Research Group on Epidemiology of Zoonoses and Public Health, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - Barbara Häsler
- Veterinary Epidemiology Economics and Public Health Group, Department of Pathobiology and Population Sciences, Royal Veterinary College, Hatfield, United Kingdom
| | - André Ravel
- Centre de recherche en santé publique de l'Université de Montréal et du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montreal, QC, Canada
- Research Group on Epidemiology of Zoonoses and Public Health, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - E. Jane Parmley
- Centre for Foodborne, Environmental and Zoonotic Infectious Diseases, Public Health Agency of Canada, Guelph, ON, Canada
- Department of Population Medicine, University of Guelph, Guelph, ON, Canada
| | - Sarah Mediouni
- Centre de recherche en santé publique de l'Université de Montréal et du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montreal, QC, Canada
- Research Group on Epidemiology of Zoonoses and Public Health, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - Houda Bennani
- Veterinary Epidemiology Economics and Public Health Group, Department of Pathobiology and Population Sciences, Royal Veterinary College, Hatfield, United Kingdom
| | - Katharina D. C. Stärk
- Department of Animal Health, Federal Office for Food Safety and Veterinary Affairs, Bern, Switzerland
| | - David L. Buckeridge
- Department of Epidemiology, Biostatistics and Occupational Health, Faculty of Medicine, McGill University, Montreal, QC, Canada
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Journault AA, Richard L, Aenishaenslin C. In Response to 'Patient Lyme disease websites prioritize science; public health websites prioritize consistent messaging'. Zoonoses Public Health 2021; 68:859-860. [PMID: 33749157 DOI: 10.1111/zph.12795] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2020] [Accepted: 11/19/2020] [Indexed: 12/01/2022]
Affiliation(s)
- Audrey-Ann Journault
- Department of Psychology, University of Montreal, Université de Montréal Faculté des arts et des sciences, Psychology, Montreal, QC, Canada.,IRSPUM, Université de Montréal, IRSPUM, Montreal, QC, Canada
| | - Lucie Richard
- IRSPUM, Université de Montréal, IRSPUM, Montreal, QC, Canada.,Faculty of Nursing, University of Montreal, Universite de Montreal, Montreal, QC, Canada
| | - Cécile Aenishaenslin
- IRSPUM, Université de Montréal, IRSPUM, Montreal, QC, Canada.,Faculty of Veterinary Medicine, University of Montreal, Université de Montréal, Saint-Hyacinthe, QC, Canada
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Domche GN, Valois P, Canuel M, Talbot D, Tessier M, Aenishaenslin C, Bouchard C, Briand S. Telephone versus web panel National Survey for monitoring adoption of preventive behaviors to climate change in populations: a case study of Lyme disease in Québec, Canada. BMC Med Res Methodol 2020; 20:78. [PMID: 32272899 PMCID: PMC7146908 DOI: 10.1186/s12874-020-00958-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2019] [Accepted: 03/24/2020] [Indexed: 12/17/2022] Open
Abstract
BACKGROUND To monitor the adoption of climate change adaptive behaviors in the population, public health authorities have to conduct national surveys, which can help them target vulnerable subpopulations. To ensure reliable estimates of the adoption of these preventive behaviors, many data collection methods are offered by polling firms. The aim of this study was to compare a telephone survey with a web survey on Lyme disease with regard to their representativeness. METHODS The data comes from a cross-sectional study conducted in the Province of Québec (Canada). In total, 1003 people completed the questionnaire by telephone and 956 filled in a web questionnaire. We compared the data obtained from both survey modes with the census data in regard to various demographic characteristics. We then compared the data from both samples in terms of self-reported Lyme disease preventive behaviors and other theoretically associated constructs. We also assessed the measurement invariance (equivalence) of the index of Lyme disease preventive behaviors across the telephone and web samples. RESULTS Findings showed that neither the telephone nor the web panel modes of data collection can be considered more representative of the target population. The results showed that the proportion of item non-responses was significantly higher with the web questionnaire (5.6%) than with the telephone survey (1.3%), and that the magnitude of the differences between the two survey modes was nil for 19 out of the 30 items related to Lyme disease, and small for 11 of them. Results from invariance analyses confirmed the measurement invariance of an index of adaptation to Lyme disease, as well as the mean invariance across both samples. CONCLUSIONS Our results suggested that both samples provided similar estimates of the level of adaptation to Lyme disease preventive behaviors. In sum, the results of our study showed that neither survey mode was superior to the other. Thus, in studies where adaptation to climate change is monitored over time, using a web survey instead of a telephone survey could be more cost-effective, and researchers should consider doing so in future surveys on adaptation to climate. However, we recommend conducting a pretest study before deciding whether to use both survey modes or only one of them.
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Affiliation(s)
- Grâce Ngambo Domche
- Faculty of Education, Université Laval, 2320, rue des Bibliothèques, Quebec City, QC, G1V 0A6, Canada
| | - Pierre Valois
- Faculty of Education, Université Laval, 2320, rue des Bibliothèques, Quebec City, QC, G1V 0A6, Canada.
| | - Magalie Canuel
- National Institute of Public Health of Québec, 945 av Wolfe, Quebec City, QC, G1V 5B3, Canada
| | - Denis Talbot
- Faculty of Medicine, Université Laval, 1050 Avenue de la Médecine, Quebec City, QC, G1V 0A6, Canada.,Populational health and optimal practices axis, CHU de Québec - Université Laval Research center, Quebec City, QC, G1S 4L8, Canada
| | - Maxime Tessier
- Faculty of Education, Université Laval, 2320, rue des Bibliothèques, Quebec City, QC, G1V 0A6, Canada
| | - Cécile Aenishaenslin
- Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Faculté de médecine vétérinaire (FMV), Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - Catherine Bouchard
- Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Faculté de médecine vétérinaire (FMV), Université de Montréal, Saint-Hyacinthe, QC, Canada.,Public Health Risk Sciences Division, National Microbiology Laboratory, Public Health Agency of Canada, Saint-Hyacinthe, QC, Canada
| | - Sandie Briand
- National Institute of Public Health of Québec, Montréal, QC, Canada
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Pelletier J, Rocheleau JP, Aenishaenslin C, Beaudry F, Dimitri Masson G, Lindsay LR, Ogden NH, Bouchard C, Leighton PA. Evaluation of fluralaner as an oral acaricide to reduce tick infestation in a wild rodent reservoir of Lyme disease. Parasit Vectors 2020; 13:73. [PMID: 32054498 PMCID: PMC7020370 DOI: 10.1186/s13071-020-3932-7] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2019] [Accepted: 02/03/2020] [Indexed: 01/19/2023] Open
Abstract
Background Lyme disease (LD) is an increasing public health threat in temperate zones of the northern hemisphere, yet relatively few methods exist for reducing LD risk in endemic areas. Disrupting the LD transmission cycle in nature is a promising avenue for risk reduction. This experimental study evaluated the efficacy of fluralaner, a recent oral acaricide with a long duration of effect in dogs, for killing Ixodes scapularis ticks in Peromyscus maniculatus mice, a known wildlife reservoir for Borrelia burgdorferi in nature. Methods We assigned 87 mice to 3 fluralaner treatment groups (50 mg/kg, 12.5 mg/kg and untreated control) administered as a single oral treatment. Mice were then infested with 20 Ixodes scapularis larvae at 2, 28 and 45 days post-treatment and we measured efficacy as the proportion of infesting larvae that died within 48 h. At each infestation, blood from 3 mice in each treatment group was tested to obtain fluralaner plasma concentrations (Cp). Results Treatment with 50 mg/kg and 12.5 mg/kg fluralaner killed 97% and 94% of infesting larvae 2 days post-treatment, but no significant effect of treatment on feeding larvae was observed 28 and 45 days post-treatment. Mouse Cp did not differ significantly between the two tested doses. Mean Cp decreased from 13,000 ng/ml in the 50 mg/kg group and 4000 ng/ml in the 12.5 mg/kg group at Day 2 to < 100 ng/ml in both groups at Day 45. Conclusions We provide the first evidence that fluralaner is effective for killing immature ticks in Peromyscus mice, a first step in evaluating its potential for treating wild rodents as a public health intervention to reduce LD risk in endemic areas.![]()
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Affiliation(s)
- Jérôme Pelletier
- Département de pathologie et microbiologie, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada. .,Groupe de recherche en épidémiologie des zoonoses et santé publique, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada. .,Centre de recherche en Santé Publique, Université de Montréal, Montréal, QC, Canada.
| | - Jean-Philippe Rocheleau
- Groupe de recherche en épidémiologie des zoonoses et santé publique, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada.,Département de santé animale, CÉGEP de Saint-Hyacinthe, Saint-Hyacinthe, QC, Canada
| | - Cécile Aenishaenslin
- Département de pathologie et microbiologie, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada.,Groupe de recherche en épidémiologie des zoonoses et santé publique, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada.,Centre de recherche en Santé Publique, Université de Montréal, Montréal, QC, Canada
| | - Francis Beaudry
- Groupe de recherche en pharmacologie animale, Département de biomédecine vétérinaire, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - Gabrielle Dimitri Masson
- Département de pathologie et microbiologie, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada.,Groupe de recherche en épidémiologie des zoonoses et santé publique, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - L Robbin Lindsay
- Zoonotic Diseases and Special Pathogens Division, National Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, MB, Canada
| | - Nicholas H Ogden
- Groupe de recherche en épidémiologie des zoonoses et santé publique, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada.,Public Health Risk Sciences Division, National Microbiology Laboratory, Public Health Agency of Canada, Saint-Hyacinthe, QC, Canada
| | - Catherine Bouchard
- Groupe de recherche en épidémiologie des zoonoses et santé publique, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada.,Public Health Risk Sciences Division, National Microbiology Laboratory, Public Health Agency of Canada, Saint-Hyacinthe, QC, Canada
| | - Patrick A Leighton
- Département de pathologie et microbiologie, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada.,Groupe de recherche en épidémiologie des zoonoses et santé publique, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada.,Centre de recherche en Santé Publique, Université de Montréal, Montréal, QC, Canada
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Journault AA, Richard L, Aenishaenslin C. Lyme disease prevention: A content analysis of Canadian patient group and government websites. Zoonoses Public Health 2019; 67:177-185. [PMID: 31808311 DOI: 10.1111/zph.12669] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2019] [Revised: 11/15/2019] [Accepted: 11/17/2019] [Indexed: 11/29/2022]
Abstract
The quality of information presented on health-related websites-in terms of comprehensiveness, accuracy and consistency-is a public health concern. To date, the consistency of information across Canadian websites devoted to Lyme disease (LD) prevention has not been evaluated. The first aim of this study was to describe the contents and recommendations of LD prevention websites provided by two types of Canadian organizations: government (n = 3) and patient groups (n = 3). A second objective was to analyse the level of convergence among these websites in terms of their prevention-related content. Initial coding of the content resulted in information segments grouped into 114 subthemes related to nine overarching themes: tick habitat suitability, risk period, transmission, personal protection, peridomestic environmental management, tick identification and removal, early symptoms, testing and diagnosis and preventive treatment. Comparative content analyses were performed both within and between the content of websites of the two organization types. The themes most frequently addressed by both organization types were personal protection (20% of the prevention-related content in patient group websites and 22% of the prevention-related content in government websites), transmission (12% and 16%, respectively) and tick identification and removal (19% and 15%, respectively). Government websites' information was generally convergent with that of patient group websites (four highly convergent themes, three moderately convergent and two divergent). Nevertheless, of particular concern were divergent messages and inaccurate information found on 11 subthemes out of 103. Examples included other possible modes of transmission and the ineffectiveness of DEET insect repellent. These results suggest the need for public health and health communications research on the issue of the quality of LD prevention information found on the Internet.
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Affiliation(s)
- Audrey-Ann Journault
- Department of Psychology, University of Montreal, Montreal, QC, Canada.,IRSPUM, Montreal, QC, Canada
| | - Lucie Richard
- IRSPUM, Montreal, QC, Canada.,Faculty of Nursing, University of Montreal, Montreal, QC, Canada
| | - Cécile Aenishaenslin
- IRSPUM, Montreal, QC, Canada.,Faculty of Veterinary Medicine, University of Montreal, Montreal, QC, Canada
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Antoine-Moussiaux N, Vandenberg O, Kozlakidis Z, Aenishaenslin C, Peyre M, Roche M, Bonnet P, Ravel A. Valuing Health Surveillance as an Information System: Interdisciplinary Insights. Front Public Health 2019; 7:138. [PMID: 31263687 PMCID: PMC6585471 DOI: 10.3389/fpubh.2019.00138] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2018] [Accepted: 05/15/2019] [Indexed: 12/13/2022] Open
Abstract
The economic evaluation of health surveillance systems and of health information is a methodological challenge, as for information systems in general. Main present threads are considering cost-effectiveness solutions, minimizing costs for a given technically required output, or cost-benefit analysis, balancing costs with economic benefits of duly informed public interventions. The latter option, following a linear command-and-control perspective, implies considering a main causal link between information, decision, action, and health benefits. Yet, valuing information, taking into account its nature and multiple sources, the modalities of its processing cycle, from production to diffusion, decentralized use and gradual building of a shared information capital, constitutes a promising challenge. This work proposes an interdisciplinary insight on the value of health surveillance to get a renewed theoretical framework integrating information and informatics theory and information economics. The reflection is based on a typological approach of value, basically distinguishing between use and non-use values. Through this structured discussion, the main idea is to expand the boundaries of surveillance evaluation, to focus on changes and trends, on the dynamic and networked structure of information systems, on the contribution of diverse data, and on the added value of combining qualitative and quantitative information. Distancing itself from the command-and-control model, this reflection considers the behavioral fundaments of many health risks, as well as the decentralized, progressive and deliberative dimension of decision-making in risk management. The framework also draws on lessons learnt from recent applications within and outside of health sector, as in surveillance of antimicrobial resistance, inter-laboratory networks, the use of big data or web sources, the diffusion of technological products and large-scale financial risks. Finally, the paper poses the bases to think the challenge of a workable approach to economic evaluation of health surveillance through a better understanding of health information value. It aims to avoid over-simplifying the range of health information benefits across society while keeping evaluation within the boundaries of what may be ascribed to the assessed information system.
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Affiliation(s)
- Nicolas Antoine-Moussiaux
- Fundamental and Applied Research for Animals and Health (FARAH), University of Liège, Liege, Belgium
| | - Olivier Vandenberg
- Research Centre on Environmental and Occupational Health, School of Public Health - Université Libre de Bruxelles, Brussels, Belgium
- Division of Infection and Immunity, Faculty of Medical Sciences - University College London, London, United Kingdom
| | - Zisis Kozlakidis
- Division of Infection and Immunity, Faculty of Medical Sciences - University College London, London, United Kingdom
- International Agency for Research on Cancer (IARC/WHO), Lyon, France
| | - Cécile Aenishaenslin
- Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique, Faculté de Médecine Vétérinaire, Université de Montréal, Montreal, QC, Canada
- Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC, Canada
| | - Marisa Peyre
- ASTRE, Univ. Montpellier, CIRAD, Inra, Montpellier, France
| | - Mathieu Roche
- TETIS, Univ. Montpellier, AgroParisTech, CIRAD, CNRS, Irstea, Montpellier, France
- Department Environments and Societies, CIRAD, Montpellier, France
| | - Pascal Bonnet
- Department Environments and Societies, CIRAD, Montpellier, France
| | - André Ravel
- Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique, Faculté de Médecine Vétérinaire, Université de Montréal, Montreal, QC, Canada
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Jacob J, Valois P, Aenishaenslin C, Bouchard C, Briand S, Talbot D, Tessier M. Factors Leading Municipal Authorities to Implement Preventive Interventions for Lyme Disease. Int J Environ Res Public Health 2019; 16:ijerph16091547. [PMID: 31052452 PMCID: PMC6539520 DOI: 10.3390/ijerph16091547] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/12/2019] [Revised: 04/20/2019] [Accepted: 04/26/2019] [Indexed: 11/16/2022]
Abstract
The aim of this study is to document climate change adaptation interventions targeting Lyme disease at the municipal level in the province of Quebec (Canada). This exploratory study relies on the theory of planned behavior and certain constructs from the health belief model to identify the factors leading municipal authorities to implement preventive interventions for Lyme disease (PILD). Data were obtained from an online survey sent, during the summer of 2018, to municipal officers in 820 municipalities in Quebec, in all health regions where the population is at risk of contracting Lyme disease (response rate = 36%). The questionnaire was used to measure the implementation of PILD, the intention to implement these interventions, attitudes, perceived social pressure, perceived control (levers and barriers) over interventions, perceived effectiveness of preventive measures, risk, and perceived vulnerability. Results of structural equation analyses showed that attitudes were significantly associated with municipal authorities' intention to implement PILD, while the intention to implement PILD was a significant predictor of the implementation of PILD. Additional analyses showed that perceived barriers added a moderating effect in the intention-implementation relationship. The prediction of behaviors or practices that municipal authorities could implement to prevent Lyme disease will enable the evaluation over time of the evolution of Quebec municipalities' adaptation to Lyme disease. Moreover, the examination of the associations of specific psychosocial factors revealed important implications for the design of effective behavior-change interventions, which would allow health officials doing awareness work to create personalized interventions better suited to municipal officers and their specific contexts.
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Affiliation(s)
- Johann Jacob
- Observatoire Québécois de L'adaptation aux Changements Climatiques (OQACC), Faculté des Sciences de L'éducation, Université Laval, Québec, QC GIV 0A6, Canada.
| | - Pierre Valois
- Observatoire Québécois de L'adaptation aux Changements Climatiques (OQACC), Faculté des Sciences de L'éducation, Université Laval, Québec, QC GIV 0A6, Canada.
| | - Cécile Aenishaenslin
- Groupe de Recherche en épidémiologie des Zoonoses et Santé Publique (GREZOSP), Faculté de Médecine Vétérinaire (FMV), Université de Montréal, Saint-Hyacinthe, QC J2S 2M1, Canada.
| | - Catherine Bouchard
- Groupe de Recherche en épidémiologie des Zoonoses et Santé Publique (GREZOSP), Faculté de Médecine Vétérinaire (FMV), Université de Montréal, Saint-Hyacinthe, QC J2S 2M1, Canada.
- Public Health Risk Sciences Division, National Microbiology Laboratory, Public Health Agency of Canada, Saint-Hyacinthe, QC J2S 2M1, Canada.
| | - Sandie Briand
- National Public Health Institute of Quebec (INSPQ), Montréal, QC H2P 1E2, Canada.
| | - Denis Talbot
- Département de Médecine Sociale et Préventive, Faculté de Médecine, Université Laval, Québec, QC G1V 0A6, Canada.
- Unité Santé des Populations et Pratiques Optimales en Santé, Centre de Recherche du CHU de Québec ⁻ Université Laval, Québec, QC G1S 4L8, Canada.
| | - Maxime Tessier
- Observatoire Québécois de L'adaptation aux Changements Climatiques (OQACC), Faculté des Sciences de L'éducation, Université Laval, Québec, QC GIV 0A6, Canada.
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Aenishaenslin C, Brunet P, Lévesque F, Gouin GG, Simon A, Saint-Charles J, Leighton P, Bastian S, Ravel A. Understanding the Connections Between Dogs, Health and Inuit Through a Mixed-Methods Study. Ecohealth 2019; 16:151-160. [PMID: 30552532 DOI: 10.1007/s10393-018-1386-6] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/31/2017] [Revised: 10/05/2018] [Accepted: 10/16/2018] [Indexed: 06/09/2023]
Abstract
Dogs have been an integral part of the Inuit social and cultural environment for generations, but their presence also generates public health risks such as bites and exposure to zoonotic diseases such as rabies. In Nunavik, Canada, some prevention and control interventions targeting dogs have been implemented but have not demonstrated their effectiveness in a long-term sustainable perspective. This study was conducted in one Inuit community of Nunavik and used mixed methods to get a better understanding of factors that affect human and dog health, dog-related risks for humans and perceptions of dogs in Inuit communities using an interdisciplinary perspective in line with the Ecohealth approach. Results unveiled different perceptions and practices between Inuit and non-Inuit members of the community with regard to dogs and highlighted the positive role of dogs and their importance for Inuit health and well-being. This study provides new knowledge that is crucial for the development of integrated, sustainable and culturally adapted solutions to both the mitigation of dog-related health risks and the reinforcement of health and wellness benefits of dogs for Inuit.
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Affiliation(s)
- Cécile Aenishaenslin
- Université de Montréal, Montreal, Canada.
- Groupe de recherche en épidémiologie des zoonoses et santé publique, Université de Montréal, 3200 Sicotte, Saint-Hyacinthe, QC, J2S 7C6, Canada.
| | - Patricia Brunet
- École d'études autochtones, Université du Québec en Abitibi Témiscamingue, Rouyn-Noranda, Canada
| | - Francis Lévesque
- École d'études autochtones, Université du Québec en Abitibi Témiscamingue, Rouyn-Noranda, Canada
| | - Géraldine G Gouin
- Groupe de recherche en épidémiologie des zoonoses et santé publique, Université de Montréal, 3200 Sicotte, Saint-Hyacinthe, QC, J2S 7C6, Canada
| | - Audrey Simon
- Groupe de recherche en épidémiologie des zoonoses et santé publique, Université de Montréal, 3200 Sicotte, Saint-Hyacinthe, QC, J2S 7C6, Canada
| | | | - Patrick Leighton
- Groupe de recherche en épidémiologie des zoonoses et santé publique, Université de Montréal, 3200 Sicotte, Saint-Hyacinthe, QC, J2S 7C6, Canada
| | | | - André Ravel
- Groupe de recherche en épidémiologie des zoonoses et santé publique, Université de Montréal, 3200 Sicotte, Saint-Hyacinthe, QC, J2S 7C6, Canada
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Aenishaenslin C, Häsler B, Ravel A, Parmley J, Stärk K, Buckeridge D. Evidence needed for antimicrobial resistance surveillance systems. Bull World Health Organ 2019; 97:283-289. [PMID: 30940985 PMCID: PMC6438253 DOI: 10.2471/blt.18.218917] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2018] [Revised: 01/02/2019] [Accepted: 01/04/2019] [Indexed: 11/27/2022] Open
Abstract
One Health surveillance for antimicrobial resistance has been promoted by the scientific community and by international organizations for more than a decade. In this article, we highlight issues that need to be addressed to improve the understanding of the effectiveness of One Health surveillance for antimicrobial resistance. We also outline the evidence needed to support countries planning to increase the level of integration of their surveillance system. Based on experience in Canada and other countries, we argue that more effort is needed to understand and measure the added value of One Health for antimicrobial resistance surveillance and to identify the most effective integration strategies. To date, guidelines for the development of One Health surveillance have focused mainly on the types of data that should be integrated. However, it may be necessary to apply the concept of One Health to surveillance tasks beyond data integration to realize the full value of the approach. Integration can be enhanced across different surveillance activities (data collection, analysis, interpretation and dissemination), taking account of the different skills and perspectives of experts and stakeholders involved. More research is needed to investigate the mechanisms through which a One Health approach to surveillance can increase the performance of antimicrobial resistance surveillance and, ultimately, improve health outcomes.
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Affiliation(s)
- Cécile Aenishaenslin
- Research Group on Epidemiology of Zoonoses and Public Health, Faculty of Veterinary Medicine, Université de Montréal, 3200 Sicoitte, Saint-Hyacinthe, J2S 2M2, Quebec, Canada
| | - Barbara Häsler
- Department of Pathobiology and Population Sciences, Royal Veterinary College, London, England
| | - André Ravel
- Research Group on Epidemiology of Zoonoses and Public Health, Faculty of Veterinary Medicine, Université de Montréal, 3200 Sicoitte, Saint-Hyacinthe, J2S 2M2, Quebec, Canada
| | | | | | - David Buckeridge
- Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Canada
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Bouchard C, Aenishaenslin C, Rees E, Nantel D, Valois P, Talbot D, Kotchi SO, Pelcat Y, Milord F, Lindsay R, Leighton P, Ogden N. Social-behavioral/ecological risk assessment for Lyme disease in southern Québec, Canada. Front Vet Sci 2019. [DOI: 10.3389/conf.fvets.2019.05.00046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Blangy S, Bernier M, Bhiry N, Jean-Pierre D, Aenishaenslin C, Bastian S, Chanteloup L, Coxam V, Decaulne A, Gérin-Lajoie J, Gibout S, Haillot D, Hébert-Houle E, Herrmann TM, Joliet F, Lamalice A, Lévesque E, Ravel A, Rousse D. OHMi-Nunavik: a multi-thematic and cross-cultural research program studying the cumulative effects of climate and socio-economic changes on Inuit communities. Écoscience 2018. [DOI: 10.1080/11956860.2018.1542783] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Sylvie Blangy
- CNRS, CEFE, Centre d’Ecologie Evolutive et Fonctionnelle, CNRS, UMR 5175, Montpellier, France
- Centre d’études nordiques (CEN), Université Laval, Québec, Canada
| | - Monique Bernier
- Centre d’études nordiques (CEN), Université Laval, Québec, Canada
- INRS, Institut National de la Recherche Scientifique, Québec, Canada
| | - Najat Bhiry
- Centre d’études nordiques (CEN), Université Laval, Québec, Canada
- Département de Géographie, Université Laval, Québec, Canada
| | - Dedieu Jean-Pierre
- Centre d’études nordiques (CEN), Université Laval, Québec, Canada
- INRS, Institut National de la Recherche Scientifique, Québec, Canada
- Institut des Geosciences de l’Environnement (IGE), University of Grenoble-Alpes (UGA), UMR CNRS 5001/UR 252, Grenoble, France
| | | | - Suzanne Bastian
- INRA, Institut National de la Recherche Agronomique, ONIRIS LUNAM Université UMR 1300, Nantes, France
| | | | - Véronique Coxam
- INRA, Institut National de la Recherche Agronomique, Oniris, Université Bretagne Loire, Nantes, France
| | - Armelle Decaulne
- Centre d’études nordiques (CEN), Université Laval, Québec, Canada
- Laboratoire Géolittomer UMR-6554 CNRS –LETG, Nantes, France
| | - José Gérin-Lajoie
- Centre d’études nordiques (CEN), Université Laval, Québec, Canada
- Département des sciences de l’environnement, Université du Québec à Trois-Rivières, Trois-Rivières, Canada
| | - Stéphane Gibout
- Laboratoire de Thermique, Énergétique et Procédés, Université de Pau et des Pays de l’Adour, Pau, France
| | - Didier Haillot
- Laboratoire de Thermique, Énergétique et Procédés, Université de Pau et des Pays de l’Adour, Pau, France
| | - Emilie Hébert-Houle
- Centre d’études nordiques (CEN), Université Laval, Québec, Canada
- Département des sciences de l’environnement, Université du Québec à Trois-Rivières, Trois-Rivières, Canada
| | - Thora Martina Herrmann
- Centre d’études nordiques (CEN), Université Laval, Québec, Canada
- Département de Géographie, Université de Montréal, Montréal, Canada
| | - Fabienne Joliet
- Centre d’études nordiques (CEN), Université Laval, Québec, Canada
- Agrocampus Ouest, Institut National de l’Horticulture et du Paysage, Angers, France
| | - Annie Lamalice
- CNRS, CEFE, Centre d’Ecologie Evolutive et Fonctionnelle, CNRS, UMR 5175, Montpellier, France
- Département de Géographie, Université de Montréal, Montréal, Canada
| | - Esther Lévesque
- Centre d’études nordiques (CEN), Université Laval, Québec, Canada
- Département des sciences de l’environnement, Université du Québec à Trois-Rivières, Trois-Rivières, Canada
| | - André Ravel
- Faculté de Médecine Vétérinaire, Université de Montréal, Montréal, Canada
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Bouchard C, Aenishaenslin C, Rees EE, Koffi JK, Pelcat Y, Ripoche M, Milord F, Lindsay LR, Ogden NH, Leighton PA. Integrated Social-Behavioral and Ecological Risk Maps to Prioritize Local Public Health Responses to Lyme Disease. Environ Health Perspect 2018; 126:047008. [PMID: 29671475 PMCID: PMC6071748 DOI: 10.1289/ehp1943] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/23/2017] [Revised: 03/15/2018] [Accepted: 03/19/2018] [Indexed: 05/31/2023]
Abstract
BACKGROUND The risk of contracting Lyme disease (LD) can vary spatially because of spatial heterogeneity in risk factors such as social-behavior and exposure to ecological risk factors. Integrating these risk factors to inform decision-making should therefore increase the effectiveness of mitigation interventions. OBJECTIVES The objective of this study was to develop an integrated social-behavioral and ecological risk-mapping approach to identify priority areas for LD interventions. METHODS The study was conducted in the Montérégie region of Southern Quebec, Canada, where LD is a newly endemic disease. Spatial variation in LD knowledge, risk perceptions, and behaviors in the population were measured using web survey data collected in 2012. These data were used as a proxy for the social-behavioral component of risk. Tick vector population densities were measured in the environment during field surveillance from 2007 to 2012 to provide an index of the ecological component of risk. Social-behavioral and ecological components of risk were combined with human population density to create integrated risk maps. Map predictions were validated by testing the association between high-risk areas and the current spatial distribution of human LD cases. RESULTS Social-behavioral and ecological components of LD risk had markedly different distributions within the study region, suggesting that both factors should be considered for locally adapted interventions. The occurrence of human LD cases in a municipality was positively associated with tick density (p<0.01) but was not significantly associated with social-behavioral risk. CONCLUSION This study is an applied demonstration of how integrated social-behavioral and ecological risk maps can be created to assist decision-making. Social survey data are a valuable but underutilized source of information for understanding regional variation in LD exposure, and integrating this information into risk maps provides a novel approach for prioritizing and adapting interventions to the local characteristics of target populations. https://doi.org/10.1289/EHP1943.
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Affiliation(s)
- Catherine Bouchard
- Public Health Risk Sciences Division, National Microbiology Laboratory, Public Health Agency of Canada, Saint-Hyacinthe, Québec, Canada
- Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Faculté de médecine vétérinaire (FMV), Université de Montréal, Saint-Hyacinthe, Québec, Canada
| | - Cécile Aenishaenslin
- Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Faculté de médecine vétérinaire (FMV), Université de Montréal, Saint-Hyacinthe, Québec, Canada
- Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Quebec, Canada
| | - Erin E Rees
- Public Health Risk Sciences Division, National Microbiology Laboratory, Public Health Agency of Canada, Saint-Hyacinthe, Québec, Canada
- Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Faculté de médecine vétérinaire (FMV), Université de Montréal, Saint-Hyacinthe, Québec, Canada
| | - Jules K Koffi
- Policy Integration and Zoonoses Division, Centre for Foodborne, Environmental and Zoonotic Infectious Diseases, Public Health Agency of Canada, Saint-Hyacinthe, Québec, Canada
| | - Yann Pelcat
- Public Health Risk Sciences Division, National Microbiology Laboratory, Public Health Agency of Canada, Saint-Hyacinthe, Québec, Canada
- Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Faculté de médecine vétérinaire (FMV), Université de Montréal, Saint-Hyacinthe, Québec, Canada
| | - Marion Ripoche
- Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Faculté de médecine vétérinaire (FMV), Université de Montréal, Saint-Hyacinthe, Québec, Canada
| | - François Milord
- Direction de santé publique de la Montérégie, Centre intégré de santé et de services sociaux Montérégie-Centre, Québec, Canada
| | - L Robbin Lindsay
- Zoonotic Diseases and Special Pathogens, National Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Manitoba, Canada
| | - Nicholas H Ogden
- Public Health Risk Sciences Division, National Microbiology Laboratory, Public Health Agency of Canada, Saint-Hyacinthe, Québec, Canada
- Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Faculté de médecine vétérinaire (FMV), Université de Montréal, Saint-Hyacinthe, Québec, Canada
| | - Patrick A Leighton
- Groupe de recherche en épidémiologie des zoonoses et santé publique (GREZOSP), Faculté de médecine vétérinaire (FMV), Université de Montréal, Saint-Hyacinthe, Québec, Canada
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Aenishaenslin C, Bouchard C, Koffi JK, Ogden NH. Exposure and preventive behaviours toward ticks and Lyme disease in Canada: Results from a first national survey. Ticks Tick Borne Dis 2016; 8:112-118. [PMID: 27771334 DOI: 10.1016/j.ttbdis.2016.10.006] [Citation(s) in RCA: 60] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2016] [Revised: 10/10/2016] [Accepted: 10/12/2016] [Indexed: 10/20/2022]
Abstract
Lyme disease (LD) risk is increasing in Canada. In 2014, the government of Canada launched a national communication campaign to raise awareness and promote the adoption of individual preventive behaviours toward ticks and LD. The objectives of this study were to evaluate and compare the adoption of LD preventive behaviours and the exposure to tick bites of Canadians in the five main targeted regions (British Columbia, Prairie provinces, Ontario, Quebec and the Atlantic provinces). A national survey was conducted in December 2014 (n=2876) to collect data on LD awareness, behaviours and risk factors. Overall, the proportion of respondents reporting tick exposure was high (20%). The results suggest that even though LD awareness was found to be high (with only 12% of the respondents reporting that they never heard about LD), less than half of the Canadians who heard about it have adopted specific preventive behaviours toward tick bites, such as regular tick checks (reported by 52%), protective clothing (50%), using tick repellent (41%) or shower or bath (41%) after visiting a wooded area in a LD risk area. Moreover, significant differences were found between regions, gender, age groups and dog ownership status, regarding preventive behaviours and factors of exposure. A high level of knowledge of Lyme disease, living in the Prairie region, as well as having found a tick on oneself or a relative, were found to be associated with the adoption of preventive behaviours. This study underlines the importance to take into account specific regional characteristics of risk and to maintain public health communication efforts through time in order to increase the adoption of preventive behaviours of Canadians.
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Affiliation(s)
- Cécile Aenishaenslin
- Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique (GREZOSP), Faculté de médecine vétérinaire, Université de Montréal, CP 5000, Saint-Hyacinthe, J2S 7C6, Québec, Canada; Department of Epidemiology, Biostatistics and Occupational Health, McGill University, 1140 Pine Avenue, Montreal H3A 1A3, Québec, Canada.
| | - Catherine Bouchard
- National Microbiology Laboratory, Public Health Agency of Canada, CP 5000, Saint-Hyacinthe H2S 7C6, Québec, Canada
| | - Jules K Koffi
- Centre for Food-borne, Environmental & Zoonotic Infectious Diseases, Public Health Agency of Canada, CP 5000, Saint-Hyacinthe, H2S 7C6, Québec, Canada
| | - Nicholas H Ogden
- National Microbiology Laboratory, Public Health Agency of Canada, CP 5000, Saint-Hyacinthe H2S 7C6, Québec, Canada
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Aenishaenslin C, Bouchard C, Koffi JK, Pelcat Y, Ogden NH. Evidence of rapid changes in Lyme disease awareness in Canada. Ticks Tick Borne Dis 2016; 7:1067-1074. [PMID: 27665265 DOI: 10.1016/j.ttbdis.2016.09.007] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2016] [Revised: 09/16/2016] [Accepted: 09/17/2016] [Indexed: 11/18/2022]
Abstract
Lyme disease (LD) is emerging in Canada. A key preventive strategy is promoting the adoption by the general public of personal preventive behaviors regarding tick bites. The aim of this study was to measure the changes in public awareness toward ticks and LD before and after the launch of a national communication campaign in Canada using data from two surveys conducted in March and December 2014. The results show a significant increase in awareness of LD after compared to before the campaign, but also suggest that the importance of this increase is not equal amongst Canadian regions. Moreover, respondents whose level of awareness increased most significantly were those who lived in regions with low entomologic risk. The findings underline the importance of risk communications for emerging diseases and reinforce the need to understand the specific characteristics of the targeted populations before the implementation of communication campaigns to increase their efficacy.
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Affiliation(s)
- Cécile Aenishaenslin
- Department of Epidemiology, Biostatistics and Occupational Health, McGill University, 1140 Pine Avenue, Montreal H3A 1A3, Québec, Canada; Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique (GREZOSP), Faculté de médecine vétérinaire, Université de Montréal, CP 5000, Saint-Hyacinthe J2S 7C6, Québec, Canada.
| | - Catherine Bouchard
- National Microbiology Laboratory, Public Health Agency of Canada, CP 5000, Saint-Hyacinthe H2S 7C6, Québec, Canada
| | - Jules K Koffi
- Centre for Food-borne, Environmental & Zoonotic Infectious Diseases, Public Health Agency of Canada, CP 5000, Saint-Hyacinthe H2S 7C6, Québec, Canada
| | - Yann Pelcat
- National Microbiology Laboratory, Public Health Agency of Canada, CP 5000, Saint-Hyacinthe H2S 7C6, Québec, Canada
| | - Nicholas H Ogden
- National Microbiology Laboratory, Public Health Agency of Canada, CP 5000, Saint-Hyacinthe H2S 7C6, Québec, Canada
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Aenishaenslin C, Michel P, Ravel A, Gern L, Waaub JP, Milord F, Bélanger D. Acceptability of tick control interventions to prevent Lyme disease in Switzerland and Canada: a mixed-method study. BMC Public Health 2016; 16:12. [PMID: 26733007 PMCID: PMC4700560 DOI: 10.1186/s12889-015-2629-x] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2015] [Accepted: 12/16/2015] [Indexed: 11/10/2022] Open
Abstract
Background Lyme disease control strategies may include tick control interventions in high risk areas. Public authorities may be interested to assess how these types of interventions are perceived by the public which may then impact their acceptability. The aims of this paper are to compare socio-cognitive factors associated with high acceptability of tick control interventions and to describe perceived issues that may explain their low acceptability in populations living in two different regions, one being an endemic region for LD since the last 30 years, the Neuchâtel canton, in Switzerland, and another where the disease is emerging, the Montérégie region, in Canada. Methods A mixed methods’ design was chosen. Quantitative data were collected using web-surveys conducted in both regions (n = 814). Multivariable logistic regressions were used to compare socio-cognitive factors associated with high acceptability of selected interventions. Qualitative data were collected using focus group’s discussions to describe perceived issues relative to these interventions. Results Levels of acceptability in the studied populations were the lowest for the use of acaricides and landscaping and were under 50 % in both regions for six out of eight interventions, but were higher overall in Montérégie. High perceived efficacy of the intervention was strongly associated with high acceptability of tick control interventions. A high perceived risk about LD was also associated with a high acceptability of intervention under some models. High level of knowledge about LD was negatively associated with high acceptability of the use of acaricides in Neuchâtel. Perceived issues explaining low acceptability included environmental impacts, high costs to the public system, danger of individual disempowerment and perceptions that tick control interventions were disproportionate options for the level of LD risk. Conclusion This study suggests that the perceived efficacy and LD risk perception may be key factors to target to increase the acceptability of tick control interventions. Community-level issues seem to be important considerations driving low acceptability of public health interventions. Results of this study highlight the importance for decision-makers to account for socio-cognitive factors and perceived issues that may affect the acceptability of public health interventions in order to maximize the efficacy of actions to prevent and control LD.
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Affiliation(s)
- Cécile Aenishaenslin
- Research Group on Epidemiology of Zoonoses and Public Health, Pavillon de la santé publique, Faculté de médecine vétérinaire, Université de Montréal, CP 5000, Saint-Hyacinthe, J2S 7C6, Québec, Canada. .,Département de pathologie et microbiologie, Faculté de médecine vétérinaire, Université de Montréal, CP 5000, Saint-Hyacinthe, J2S 7C6, Québec, Canada.
| | - Pascal Michel
- Research Group on Epidemiology of Zoonoses and Public Health, Pavillon de la santé publique, Faculté de médecine vétérinaire, Université de Montréal, CP 5000, Saint-Hyacinthe, J2S 7C6, Québec, Canada. .,Laboratory for Foodborne Zoonoses, Public Health Agency of Canada, CP 5000, Saint-Hyacinthe, H2S 7C6, Québec, Canada.
| | - André Ravel
- Département de pathologie et microbiologie, Faculté de médecine vétérinaire, Université de Montréal, CP 5000, Saint-Hyacinthe, J2S 7C6, Québec, Canada.
| | - Lise Gern
- Laboratoire d'Eco-Épidémiologie, Institut de Biologie, Université de Neuchâtel, 11 Émile-Argand, CP 158, 2009, Neuchâtel, Switzerland.
| | - Jean-Philippe Waaub
- Group for Research in Decision Analysis (GERAD), 3000 Côte-Sainte-Catherine, Montréal, H3T 2A7, Québec, Canada.
| | - François Milord
- Institut national de santé publique du Québec, 1255 Beauregard, Longueuil, J4K 2M3, Québec, Canada.
| | - Denise Bélanger
- Research Group on Epidemiology of Zoonoses and Public Health, Pavillon de la santé publique, Faculté de médecine vétérinaire, Université de Montréal, CP 5000, Saint-Hyacinthe, J2S 7C6, Québec, Canada. .,Département de pathologie et microbiologie, Faculté de médecine vétérinaire, Université de Montréal, CP 5000, Saint-Hyacinthe, J2S 7C6, Québec, Canada.
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Aenishaenslin C, Gern L, Michel P, Ravel A, Hongoh V, Waaub JP, Milord F, Bélanger D. Adaptation and Evaluation of a Multi-Criteria Decision Analysis Model for Lyme Disease Prevention. PLoS One 2015; 10:e0135171. [PMID: 26295344 PMCID: PMC4546612 DOI: 10.1371/journal.pone.0135171] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2015] [Accepted: 07/18/2015] [Indexed: 12/03/2022] Open
Abstract
Designing preventive programs relevant to vector-borne diseases such as Lyme disease (LD) can be complex given the need to include multiple issues and perspectives into prioritizing public health actions. A multi-criteria decision aid (MCDA) model was previously used to rank interventions for LD prevention in Quebec, Canada, where the disease is emerging. The aim of the current study was to adapt and evaluate the decision model constructed in Quebec under a different epidemiological context, in Switzerland, where LD has been endemic for the last thirty years. The model adaptation was undertaken with a group of Swiss stakeholders using a participatory approach. The PROMETHEE method was used for multi-criteria analysis. Key elements and results of the MCDA model are described and contrasted with the Quebec model. All criteria and most interventions of the MCDA model developed for LD prevention in Quebec were directly transferable to the Swiss context. Four new decision criteria were added, and the list of proposed interventions was modified. Based on the overall group ranking, interventions targeting human populations were prioritized in the Swiss model, with the top ranked action being the implementation of a large communication campaign. The addition of criteria did not significantly alter the intervention rankings, but increased the capacity of the model to discriminate between highest and lowest ranked interventions. The current study suggests that beyond the specificity of the MCDA models developed for Quebec and Switzerland, their general structure captures the fundamental and common issues that characterize the complexity of vector-borne disease prevention. These results should encourage public health organizations to adapt, use and share MCDA models as an effective and functional approach to enable the integration of multiple perspectives and considerations in the prevention and control of complex public health issues such as Lyme disease or other vector-borne and zoonotic diseases.
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Affiliation(s)
- Cécile Aenishaenslin
- Research Group on Epidemiology of Zoonoses and Public Health, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Quebec, Canada; Département de pathologie et microbiologie, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Quebec, Canada
| | - Lise Gern
- Laboratoire d'Eco-Épidémiologie, Institut de Biologie, Université de Neuchâtel, Neuchâtel, Suisse
| | - Pascal Michel
- Research Group on Epidemiology of Zoonoses and Public Health, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Quebec, Canada; Laboratory for Foodborne Zoonoses, Public Health Agency of Canada, Saint-Hyacinthe, Quebec, Canada
| | - André Ravel
- Département de pathologie et microbiologie, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Quebec, Canada
| | - Valérie Hongoh
- Research Group on Epidemiology of Zoonoses and Public Health, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Quebec, Canada; Département de pathologie et microbiologie, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Quebec, Canada
| | | | - François Milord
- Institut national de santé publique du Québec, Longueuil, Quebec, Canada
| | - Denise Bélanger
- Research Group on Epidemiology of Zoonoses and Public Health, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Quebec, Canada; Département de pathologie et microbiologie, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, Quebec, Canada
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Aenishaenslin C, Michel P, Ravel A, Gern L, Milord F, Waaub JP, Bélanger D. Factors associated with preventive behaviors regarding Lyme disease in Canada and Switzerland: a comparative study. BMC Public Health 2015; 15:185. [PMID: 25884424 PMCID: PMC4349712 DOI: 10.1186/s12889-015-1539-2] [Citation(s) in RCA: 41] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2014] [Accepted: 02/13/2015] [Indexed: 11/23/2022] Open
Abstract
Background Lyme disease (LD) is a vector-borne disease that is endemic in many temperate countries, including Switzerland, and is currently emerging in Canada. This study compares the importance of knowledge, exposure and risk perception for the adoption of individual preventive measures, within and between two different populations, one that has been living in a LD endemic region for several decades, the Neuchâtel canton in Switzerland, and another where the disease is currently emerging, the Montérégie region in the province of Québec, Canada. Methods A web-based survey was carried out in both study regions (814 respondents) in 2012. Comparative analysis of the levels of adoption of individual preventive measures was performed and multivariable logistic regression analyses were used to test and compare how knowledge, exposure and risk perception were associated with the adoption of selected measures in both regions and globally. Results In Montérégie, the proportion of reported adoption of five of the most commonly recommended preventive measures varied from 6% for ‘applying acaricides on one’s property’ to 49% for ‘wearing protective clothing’, and in Neuchâtel, proportions ranged from 6% (acaricides) to 77% for ‘checking for ticks (tick check)’. Differences were found within gender, age groups and exposure status in both regions. The perceived efficacy of a given measure was the strongest factor associated with the adoption of three specific preventive behaviors for both regions: tick check, protective clothing and tick repellent. Risk perception and a high level of knowledge about LD were also significantly associated with some of these specific behaviors, but varied by region. Conclusions These results strongly suggest that social and contextual factors such as the epidemiological status of a region are important considerations to take into account when designing effective prevention campaigns for Lyme disease. It furthermore underlines the importance for public health authorities to better understand and monitor these factors in targeted populations in order to be able to implement preventive programs that are well adapted to a population and the epidemiological contexts therein. Electronic supplementary material The online version of this article (doi:10.1186/s12889-015-1539-2) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Cécile Aenishaenslin
- Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique (GREZOSP), Pavillon de la santé publique, Faculté de médecine vétérinaire, Université de Montréal, CP 5000, Saint-Hyacinthe, Québec, Canada.
| | - Pascal Michel
- Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique (GREZOSP), Pavillon de la santé publique, Faculté de médecine vétérinaire, Université de Montréal, CP 5000, Saint-Hyacinthe, Québec, Canada. .,Laboratory for Foodborne Zoonoses, Public Health Agency of Canada, CP 5000, Saint-Hyacinthe, Québec, Canada.
| | - André Ravel
- Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique (GREZOSP), Pavillon de la santé publique, Faculté de médecine vétérinaire, Université de Montréal, CP 5000, Saint-Hyacinthe, Québec, Canada.
| | - Lise Gern
- Laboratoire d'Eco-Épidémiologie, Institut de Biologie, Université de Neuchâtel, 2000 Neuchâtel, Suisse.
| | - François Milord
- Institut national de santé publique du Québec, Montréal, Québec, Canada.
| | - Jean-Philippe Waaub
- Groupe d'étude et de recherche en analyse de la décision (GERAD), Université du Québec à Montréal, Montréal, Québec, Canada.
| | - Denise Bélanger
- Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique (GREZOSP), Pavillon de la santé publique, Faculté de médecine vétérinaire, Université de Montréal, CP 5000, Saint-Hyacinthe, Québec, Canada.
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Aenishaenslin C, Ravel A, Michel P, Gern L, Milord F, Waaub JP, Bélanger D. From Lyme disease emergence to endemicity: a cross sectional comparative study of risk perceptions in different populations. BMC Public Health 2014; 14:1298. [PMID: 25523355 PMCID: PMC4301662 DOI: 10.1186/1471-2458-14-1298] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2014] [Accepted: 12/11/2014] [Indexed: 11/22/2022] Open
Abstract
Background Lyme disease (LD) is a tick-borne emerging disease in Canada that has been endemic in many temperate countries for decades. Currently, one of the main approaches for LD prevention is the promotion of individual-level preventive behaviors against ticks. Health behaviors are influenced by individual and social factors, one important of which is risk perception. This study aims to describe and compare risk perception of LD, within and between general populations and experts living in two different regions: the Neuchâtel canton in Switzerland, where LD is endemic, and the Montérégie region in Québec (Canada), where LD is emerging. Method A web-based survey was conducted in both study regions (814 respondents) in 2012, and a questionnaire was administered to 16 experts. Comparative analyses of knowledge, risk exposure and different components of LD risk perception were performed. Multivariate analyses were used to calculate a global risk perception score and to identify determinants of risk perception in both regions. Results In Montérégie, only 15% of the survey respondents had a good level of knowledge of LD compared to Neuchâtel where 51% of survey respondents had good levels of knowledge. In Montérégie, 24% of respondents perceived themselves as being at high or very high risk of contracting LD vs 54% in Neuchâtel; however, a higher percentage of respondents from this region believed that personal protection was simple to carry out (73% vs 58% in Montérégie). Based on the population surveys, almost all of the identified determinants of risk perception were different between both populations except for gender. A good level of knowledge, living in the risk zone and knowing someone who has had LD increased risk perception, while a high level of education and being 18–34 years of age decreased this perception. The majority of the studied components of risk perception were different between populations and their regional experts. Conclusion This study suggests that risk perception of LD differs between populations and regional experts living in different epidemiological situations. Monitoring of knowledge and risk perception in local populations may help to better target LD communication efforts in accordance with population specific attributes thereby enhancing prevention efficacy.
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Affiliation(s)
- Cécile Aenishaenslin
- Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique (GREZOSP), Pavillon de la santé publique, Faculté de médecine vétérinaire, Université de Montréal, CP 5000, Saint-Hyacinthe J2S 7C6, Québec, Canada.
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Aenishaenslin C, Simon A, Forde T, Ravel A, Proulx JF, Fehlner-Gardiner C, Picard I, Bélanger D. Characterizing rabies epidemiology in remote Inuit communities in Québec, Canada: a "One Health" approach. Ecohealth 2014; 11:343-355. [PMID: 24643862 DOI: 10.1007/s10393-014-0923-1] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/05/2013] [Revised: 01/31/2014] [Accepted: 02/01/2014] [Indexed: 06/03/2023]
Abstract
Rabies is endemic throughout arctic areas including the region of Nunavik, situated north of the 55th parallel of Québec, Canada, and raises public health concerns. The aim of this paper is to provide a descriptive overview of the temporal and regional distributions of three important components of arctic rabies in Nunavik from 1999 to 2012, following a "One Health" approach: animal rabies tests and confirmed cases, dog vaccination, and human consultations for potential rabies exposures. Forty-four cases of rabies, involving mainly arctic and red foxes, were confirmed in animals during this period. The mean number of dogs vaccinated per 1,000 inhabitants was highly variable and lower in the Hudson region than the Ungava region. 112 consultations for potential rabies exposure were analyzed, of which 24 were exposure to a laboratory confirmed rabid animal. Children less than 10 years of age were the age group most commonly exposed. The median time between potential exposure and administration of the first post-exposure prophylaxis dose was four days. This study confirms that the risk of human exposure to rabid animals in Nunavik is present and underlines the need to follow a "One Health" approach to prevent rabies in humans in similar contexts worldwide.
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Affiliation(s)
- Cécile Aenishaenslin
- Groupe international vétérinaire, Faculté de médecine vétérinaire, Université de Montréal, 3200 Sicotte, C.P. 5000, Saint-Hyacinthe, QC, J2S 7C6, Canada,
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Aenishaenslin C, Hongoh V, Cissé HD, Hoen AG, Samoura K, Michel P, Waaub JP, Bélanger D. Multi-criteria decision analysis as an innovative approach to managing zoonoses: results from a study on Lyme disease in Canada. BMC Public Health 2013; 13:897. [PMID: 24079303 PMCID: PMC3850527 DOI: 10.1186/1471-2458-13-897] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2013] [Accepted: 09/06/2013] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Zoonoses are a growing international threat interacting at the human-animal-environment interface and call for transdisciplinary and multi-sectoral approaches in order to achieve effective disease management. The recent emergence of Lyme disease in Quebec, Canada is a good example of a complex health issue for which the public health sector must find protective interventions. Traditional preventive and control interventions can have important environmental, social and economic impacts and as a result, decision-making requires a systems approach capable of integrating these multiple aspects of interventions. This paper presents the results from a study of a multi-criteria decision analysis (MCDA) approach for the management of Lyme disease in Quebec, Canada. MCDA methods allow a comparison of interventions or alternatives based on multiple criteria. METHODS MCDA models were developed to assess various prevention and control decision criteria pertinent to a comprehensive management of Lyme disease: a first model was developed for surveillance interventions and a second was developed for control interventions. Multi-criteria analyses were conducted under two epidemiological scenarios: a disease emergence scenario and an epidemic scenario. RESULTS In general, we observed a good level of agreement between stakeholders. For the surveillance model, the three preferred interventions were: active surveillance of vectors by flagging or dragging, active surveillance of vectors by trapping of small rodents and passive surveillance of vectors of human origin. For the control interventions model, basic preventive communications, human vaccination and small scale landscaping were the three preferred interventions. Scenarios were found to only have a small effect on the group ranking of interventions in the control model. CONCLUSIONS MCDA was used to structure key decision criteria and capture the complexity of Lyme disease management. This facilitated the identification of gaps in the scientific literature and enabled a clear identification of complementary interventions that could be used to improve the relevance and acceptability of proposed prevention and control strategy. Overall, MCDA presents itself as an interesting systematic approach for public health planning and zoonoses management with a "One Health" perspective.
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Affiliation(s)
- Cécile Aenishaenslin
- Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique (GREZOSP), Pavillon de la santé publique, Faculté de médecine vétérinaire, Université de Montréal, Saint-Hyacinthe, CP 5000, Québec, Canada.
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Shwiff S, Aenishaenslin C, Ludwig A, Berthiaume P, Bigras-Poulin M, Kirkpatrick K, Lambert L, Bélanger D. Bioeconomic modelling of raccoon rabies spread management impacts in Quebec, Canada. Transbound Emerg Dis 2012; 60:330-7. [PMID: 22709550 DOI: 10.1111/j.1865-1682.2012.01351.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Beginning in 2006, point infection control operations and aerial distribution of oral rabies vaccines along the US border were performed in Quebec, Canada, to control the potential spread of raccoon rabies. A benefit-cost analysis assessed the economic efficiency of this rabies control programme into the future. In this study, a mathematical simulation model was used to determine the potential spread of raccoon rabies from the 2006 index case, and incidence rates of human post-exposure prophylaxis (PEP), animal testing and human exposure investigations were calculated. Benefits were calculated as the potential savings from reduced numbers of human PEP, animal testing and human exposure investigations owing to control, which ranged from $47 million to $53 million. Programme cost scenarios were based on projections of total expenditures, which ranged from $33 million to $49 million. Economic efficiency was indicated for approximately half of the modelled scenarios, with the greatest benefit-cost ratios resulting from reduced future programme costs.
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Affiliation(s)
- S Shwiff
- National Wildlife Research Center, 4101 LaPorte Ave., Fort Collins, CO 80521, USA.
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Hongoh V, Hoen AG, Aenishaenslin C, Waaub JP, Bélanger D, Michel P. Spatially explicit multi-criteria decision analysis for managing vector-borne diseases. Int J Health Geogr 2011; 10:70. [PMID: 22206355 PMCID: PMC3315429 DOI: 10.1186/1476-072x-10-70] [Citation(s) in RCA: 53] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2011] [Accepted: 12/29/2011] [Indexed: 12/03/2022] Open
Abstract
The complex epidemiology of vector-borne diseases creates significant challenges in the design and delivery of prevention and control strategies, especially in light of rapid social and environmental changes. Spatial models for predicting disease risk based on environmental factors such as climate and landscape have been developed for a number of important vector-borne diseases. The resulting risk maps have proven value for highlighting areas for targeting public health programs. However, these methods generally only offer technical information on the spatial distribution of disease risk itself, which may be incomplete for making decisions in a complex situation. In prioritizing surveillance and intervention strategies, decision-makers often also need to consider spatially explicit information on other important dimensions, such as the regional specificity of public acceptance, population vulnerability, resource availability, intervention effectiveness, and land use. There is a need for a unified strategy for supporting public health decision making that integrates available data for assessing spatially explicit disease risk, with other criteria, to implement effective prevention and control strategies. Multi-criteria decision analysis (MCDA) is a decision support tool that allows for the consideration of diverse quantitative and qualitative criteria using both data-driven and qualitative indicators for evaluating alternative strategies with transparency and stakeholder participation. Here we propose a MCDA-based approach to the development of geospatial models and spatially explicit decision support tools for the management of vector-borne diseases. We describe the conceptual framework that MCDA offers as well as technical considerations, approaches to implementation and expected outcomes. We conclude that MCDA is a powerful tool that offers tremendous potential for use in public health decision-making in general and vector-borne disease management in particular.
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Affiliation(s)
- Valerie Hongoh
- Groupe de Recherche en Épidémiologie des Zoonoses et Santé Publique (GREZOSP), Pavillon de la santé publique, Université de Montréal, Saint-Hyacinthe, Québec, Canada.
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