1. Implementation of the One Health approach to fight arbovirus infections in the Mediterranean and Black Sea Region: Assessing integrated surveillance in Serbia, Tunisia and Georgia
- Author
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Dente, Maria Grazia, Riccardo, Flavia, Bolici, Francesco, Colella, Nello Augusto, Jovanović, Verica, Drakulović, Mitra, Vasić, Milena, Mamlouk, Habiba, Maazaoui, Latifa, Bejaoui, Mondher, Zakhashvili, Khatuna, Kalandadze, Irine, Imnadze, Paata, Declich, Silvia, Knjeginić, Vesna, Stojković, Borka, Labus, Tatjana, Milicević, Vesna, Veljović, Ljubiša, Maksimović-Zorić, Jelena, Stoiljković, Vera, Filipović-Vignjević, Svetlana, Protić, Jelena, Zgomba, Marija, Petrić, Dusan, Despot, Dragana, Pesić, Branislav, Serović, Katarina, Aleksić, Ivan, Đurić, Ivana, Ilić, Dragan, Vrga, Svetlana, Pavlović, Ljiljana, Plavsa, Dragana, Grego, Edita, Harabech, Kaouther, Ben Alaya, Nissaf, Bougatef, Souha, Triki, Henda, Bouattour, Ali, Rebhi, Mohamed, Daaboub, Jabeur, Somai, Lamia, Zerlli, Malek, Oukaili, Kaouther, Ammar, Heni Haj, Sghaier, Chedia, Fatnassi, Naouel, Kalthoum, Sana, Dhaouadi, Anissa, Ben Youness, Abdelhak, Mahale, Issam, Marzouk, Mongi, Ben Bdira, Sassi, Grira, Samia, Ayadi, Sonia, Mastouri, Maha, Faten, Allad, Abdelkader, Ben, Chakhunashvili, Giorgi, Babuadze, Giorgi, Mamuchishvili, Nana, Chanturia, Gvantsa, Adeishvili, Ekaterine, Avaliani, Lasha, Ninidze, Lena, Kartskhia, Natia, Gulbani, Ana, Kokhreidze, Maka, Donduashvili, Marina, and Kekelidze, Anna
- Subjects
0301 basic medicine ,Tunisia ,Epidemiology ,Arbovirus Infections ,030106 microbiology ,030231 tropical medicine ,Interoperability ,vector-borne infections ,arboviruses ,Crimean Congo Haemorrhagic Fever ,One Health ,surveillance ,West Nile virus ,Animals ,Black Sea ,Communicable Diseases, Emerging ,Georgia (Republic) ,Humans ,Mediterranean Region ,Population Surveillance ,Serbia ,Communicable Diseases ,03 medical and health sciences ,0302 clinical medicine ,Environmental planning ,Emerging ,Data collection ,Operationalization ,General Veterinary ,General Immunology and Microbiology ,Warning system ,Public Health, Environmental and Occupational Health ,Outbreak ,Original Articles ,vector‐borne infections ,Infectious Diseases ,Geography ,Original Article ,Situation analysis - Abstract
Background In the Mediterranean and Black Sea Region, arbovirus infections are emerging infectious diseases. Their surveillance can benefit from one health inter‐sectoral collaboration; however, no standardized methodology exists to study One Health surveillance. Methods We designed a situation analysis study to document how integration of laboratory/clinical human, animal and entomological surveillance of arboviruses was being implemented in the Region. We applied a framework designed to assess three levels of integration: policy/institutional, data collection/data analysis and dissemination. We tested the use of Business Process Modelling Notation (BPMN) to graphically present evidence of inter‐sectoral integration. Results Serbia, Tunisia and Georgia participated in the study. West Nile Virus surveillance was analysed in Serbia and Tunisia, Crimea‐Congo Haemorrhagic Fever surveillance in Georgia. Our framework enabled a standardized analysis of One Health surveillance integration, and BPMN was easily understandable and conducive to detailed discussions among different actors/institutions. In all countries, we observed integration across sectors and levels except in data collection and data analysis. Data collection was interoperable only in Georgia without integrated analysis. In all countries, surveillance was mainly oriented towards outbreak response, triggered by an index human case. Discussion The three surveillance systems we observed prove that integrated surveillance can be operationalized with a diverse spectrum of options. However, in all countries, the integrated use of data for early warning and inter‐sectoral priority setting is pioneeristic. We also noted that early warning before human case occurrence is recurrently not operationally prioritized.
- Published
- 2019