Building Laboratory-Based Arbovirus Sentinel Surveillance Capacity During an Ongoing Dengue Outbreak, Burkina Faso, 2017

Sanou, Adama; Dirlikov, Emilio; Sondo, Kongnimissom Apoline; Kagoné, Thérèse; Yaméogo, Issaka; Sow, Hyacinthe Euvrard; Adjami, Aime; Traore, Siriky Martin; Dicko, Amadou; Tinto, Bachirou; Diendéré, Eric Arnaud; Ouedraogo-Konate, Sonia Marie W K; Kiemtore, Tanga; Kangoye, David Tiga; Sangaré, Lassana; Dama, Emilie; Fuller, James A.; Major, Chelsea G.; Tosado-Acevedo, Rafael; Sharp, Tyler M.; Koné, Rebecca Greco; Bicaba, Brice

doi:10.1089/hs.2018.0048

Cited by 14 publications

(12 citation statements)

References 31 publications

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“…[21] More recently, experiences gained through sentinel laboratory-based arbovirus surveillance of AFI cases in Burkina Faso during a dengue outbreak were reported to be useful for building sustainable routine AFI surveillance. [22]…”

Section: Discussionmentioning

confidence: 99%

Global knowledge gaps in acute febrile illness etiologic investigations: A scoping review

et al. 2019

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BackgroundAcute febrile illness (AFI), a common reason for people seeking medical care globally, represents a spectrum of infectious disease etiologies with important variations geographically and by population. There is no standardized approach to conducting AFI etiologic investigations, limiting interpretation of data in a global context. We conducted a scoping review to characterize current AFI research methodologies, identify global research gaps, and provide methodological research standardization recommendations.Methodology/FindingsUsing pre-defined terms, we searched Medline, Embase, and Global Health, for publications from January 1, 2005–December 31, 2017. Publications cited in previously published systematic reviews and an online study repository of non-malarial febrile illness etiologies were also included. We screened abstracts for publications reporting on human infectious disease, aimed at determining AFI etiology using laboratory diagnostics. One-hundred ninety publications underwent full-text review, using a standardized tool to collect data on study characteristics, methodology, and laboratory diagnostics. AFI case definitions between publications varied: use of self-reported fever as part of case definitions (28%, 53/190), fever cut-off value (38·0°C most commonly used: 45%, 85/190), and fever measurement site (axillary most commonly used: 19%, 36/190). Eighty-nine publications (47%) did not include exclusion criteria, and inclusion criteria in 13% (24/190) of publications did not include age group. No publications included study settings in Southern Africa, Micronesia & Polynesia, or Central Asia. We summarized standardized reporting practices, specific to AFI etiologic investigations that would increase inter-study comparability.ConclusionsWider implementation of standardized AFI reporting methods, with multi-pathogen disease detection, could improve comparability of study findings, knowledge of the range of AFI etiologies, and their contributions to the global AFI burden. These steps can guide resource allocation, strengthen outbreak detection and response, target prevention efforts, and improve clinical care, especially in resource-limited settings where disease control often relies on empiric treatment. PROSPERO: CRD42016035666.

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Section: Discussionmentioning

confidence: 99%

Global knowledge gaps in acute febrile illness etiologic investigations: A scoping review

et al. 2019

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“…In the Democratic Republic of Congo, low-tech improvements in data management and training resulted in more rapid and effective Ebola response [ 47 , 94 ], while in Cyprus, streamlining information sharing and the use of information technologies showed evidence of improved emergency preparedness as well as improved delivery of routine services [ 33 ]. Evidence also supports the health security benefits of building better networks and shared learnings between national and regional laboratory and information systems, in both LMIC [ 91 , 95 – 99 ] and HIC settings [ 100 ].…”

Section: Resultsmentioning

confidence: 95%

The role of health systems for health security: a scoping review revealing the need for improved conceptual and practical linkages

et al. 2022

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Background Practical links between health systems and health security are historically prevalent, but the conceptual links between these fields remain under explored, with little on health system strengthening. The need to address this gap gains relevance in light of the COVID-19 pandemic as it demonstrated a crucial relationship between health system capacities and effective health security response. Acknowledging the importance of developing stronger and more resilient health systems globally for health emergency preparedness, the WHO developed a Health Systems for Health Security framework that aims to promote a common understanding of what health systems for health security entails whilst identifying key capacities required. Methods/ results To further explore and analyse the conceptual and practical links between health systems and health security within the peer reviewed literature, a rapid scoping review was carried out to provide an overview of the type, extent and quantity of research available. Studies were included if they had been peer-reviewed and were published in English (seven databases 2000 to 2020). 343 articles were identified, of those 204 discussed health systems and health security (high and medium relevance), 101 discussed just health systems and 47 discussed only health security (low relevance). Within the high and medium relevance articles, several concepts emerged, including the prioritization of health security over health systems, the tendency to treat health security as exceptionalism focusing on acute health emergencies, and a conceptualisation of security as ‘state security’ not ‘human security’ or population health. Conclusion Examples of literature exploring links between health systems and health security are provided. We also present recommendations for further research, offering several investments and/or programmes that could reliably lead to maximal gains from both a health system and a health security perspective, and why these should be explored further. This paper could help researchers and funders when deciding upon the scope, nature and design of future research in this area. Additionally, the paper legitimises the necessity of the Health Systems for Health Security framework, with the findings of this paper providing useful insights and evidentiary examples for effective implementation of the framework.

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“…Our findings of increased proportion of specimens transported and reduced transportation time using the postal system were similar to previous studies. 15,16 Colleagues in Guinea also worked to establish a specimen referral and transport system following the West Africa Ebola virus disease outbreak, and they have documented the importance of collaborating closely with the ministry of health and conducting a baseline assessment to inform system design. 17 The specimen transport system pilot had some significant limitations.…”

Section: Discussionmentioning

confidence: 99%

Designing and Piloting a Specimen Transport System in Burkina Faso

et al. 2020

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Efficient specimen transport systems are critical for early disease detection and reporting by laboratory networks. In Burkina Faso, centralized reference laboratories receive specimens from multiple surveillance sites for testing, but transport methods vary, resulting in potential delays and risk to specimen quality. The ministry of health and partners, under the Global Health Security Agenda implementation, piloted a specimen transport system for severe acute respiratory illness (SARI) surveillance in 4 Burkina Faso districts. A baseline assessment was conducted of the current specimen transport network structure and key stakeholders. Assessment results and guidelines for processing SARI specimens informed the pilot specimen transport system design and implementation. Monitoring and evaluation performance indicators included: proportion of packages delivered, timeliness, and quality of courier services (missed or damaged packages). Our baseline assessment found that laboratorians routinely carried specimens from the health center to reference laboratories, resulting in time away from laboratory duties and potential specimen delays or loss of quality. The pilot specimen transport system design engaged Sonapost, the national postal service, to transport specimens from SARI sites to the influenza national reference laboratory. From May 2017 to December 2018, the specimen transport system transported 557 packages containing 1,158 SARI specimens; 95% (529/557) were delivered within 24 hours of pickup and 77% (892/1,158) within 48 hours of collection. No packages were lost. This article highlights lessons learned that may be useful for other countries considering establishment of a specimen transport system to strengthen laboratory system infrastructure in global health security implementation.

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Building Laboratory-Based Arbovirus Sentinel Surveillance Capacity During an Ongoing Dengue Outbreak, Burkina Faso, 2017

Cited by 14 publications

References 31 publications

Global knowledge gaps in acute febrile illness etiologic investigations: A scoping review

Global knowledge gaps in acute febrile illness etiologic investigations: A scoping review

The role of health systems for health security: a scoping review revealing the need for improved conceptual and practical linkages

Designing and Piloting a Specimen Transport System in Burkina Faso

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