Use of a modified Delphi panel to identify and weight criteria for prioritization of zoonotic diseases in Switzerland

Stebler, Nadine; Schüpbach‐Regula, Gertraud; Braam, Peter; Falzon, Laura C.

doi:10.1016/j.prevetmed.2015.05.006

Cited by 26 publications

(20 citation statements)

References 12 publications

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“…Considerable resources were also expended to create a committee with the diverse range of expertise required, with experts from microbiology and virology, clinical management of severe infections, epidemiology and outbreak investigation and response, public health policy, animal health, mathematical modeling of disease, environmental and social science, nongovernmental organizations, and the security sector. This diversity is consistent with and exceeds the range of participants found in other studies, allowing for some variation based on their specific purposes (8,9,11,13,26,30). Ensuring that future reviews also have a sufficient range of expertise will be important.…”

Section: Discussionsupporting

confidence: 76%

World Health Organization Methodology to Prioritize Emerging Infectious Diseases in Need of Research and Development

Mehand¹,

Millett²,

Al-Shorbaji³

et al. 2018

Emerg. Infect. Dis.

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The World Health Organization R&D Blueprint aims to accelerate the availability of medical technologies during epidemics by focusing on a list of prioritized emerging diseases for which medical countermeasures are insufficient or nonexistent. The prioritization process has 3 components: a Delphi process to narrow down a list of potential priority diseases, a multicriteria decision analysis to rank the short list of diseases, and a final Delphi round to arrive at a final list of 10 diseases. A group of international experts applied this process in January 2017, resulting in a list of 10 priority diseases. The robustness of the list was tested by performing a sensitivity analysis. The new process corrected major shortcomings in the pre–R&D Blueprint approach to disease prioritization and increased confidence in the results.

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Section: Discussionsupporting

confidence: 76%

World Health Organization Methodology to Prioritize Emerging Infectious Diseases in Need of Research and Development

Mehand¹,

Millett²,

Al-Shorbaji³

et al. 2018

Emerg. Infect. Dis.

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“…Several approaches to prioritization of diseases using either qualitative, semi-quantitative or quantitative techniques have been developed [7]. Quantitative methods are best applied where empirical data such as disease burden and socio-economic impact exist, and where there are effective surveillance systems [8][9][10]. Semi-quantitative and qualitative methods are used where data necessary for prioritization is either insufficient or not available [7,9].…”

Section: Introductionmentioning

confidence: 99%

Prioritization of Zoonotic Diseases in Kenya, 2015

et al. 2016

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IntroductionZoonotic diseases have varying public health burden and socio-economic impact across time and geographical settings making their prioritization for prevention and control important at the national level. We conducted systematic prioritization of zoonotic diseases and developed a ranked list of these diseases that would guide allocation of resources to enhance their surveillance, prevention, and control.MethodsA group of 36 medical, veterinary, and wildlife experts in zoonoses from government, research institutions and universities in Kenya prioritized 36 diseases using a semi-quantitative One Health Zoonotic Disease Prioritization tool developed by Centers for Disease Control and Prevention with slight adaptations. The tool comprises five steps: listing of zoonotic diseases to be prioritized, development of ranking criteria, weighting criteria by pairwise comparison through analytical hierarchical process, scoring each zoonotic disease based on the criteria, and aggregation of scores.ResultsIn order of importance, the participants identified severity of illness in humans, epidemic/pandemic potential in humans, socio-economic burden, prevalence/incidence and availability of interventions (weighted scores assigned to each criteria were 0.23, 0.22, 0.21, 0.17 and 0.17 respectively), as the criteria to define the relative importance of the diseases. The top five priority diseases in descending order of ranking were anthrax, trypanosomiasis, rabies, brucellosis and Rift Valley fever.ConclusionAlthough less prominently mentioned, neglected zoonotic diseases ranked highly compared to those with epidemic potential suggesting these endemic diseases cause substantial public health burden. The list of priority zoonotic disease is crucial for the targeted allocation of resources and informing disease prevention and control programs for zoonoses in Kenya.

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“…This emphasized the need for decision‐makers to carefully balance resources towards diseases that are causing immediate losses but are likely to have less severe consequences, versus diseases that have the potential to have drastic economic and social impact but are not yet a direct threat. While it is a challenging goal, the benefit provided by an overarching system that includes both endemic and non‐endemic risk organisms is evident (DISCONTOOLS Project, ; Gibbens, Frost, Houston, Lester, & Gauntlett, ; van der Giessen et al., ; Havelaar et al., ; Stebler, Schuepbach‐Regula, Braam, & Falzon, ).…”

Section: Discussionmentioning

confidence: 99%

Creating a framework for the prioritization of biosecurity risks to the New Zealand dairy industry

Muellner¹,

Hodges

Ahlstrom³

et al. 2018

Transbound Emerg Dis

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The New Zealand dairy sector relies on robust biosecurity measures to control and mitigate a wide range of threats to the industry. To optimize the prioritization of organisms and manage the risk they pose to the sector in a transparent and credible way, the Dairy Biosecurity Risk Evaluation Framework (D-BRiEF) was developed. This comprehensive framework was specifically designed for decision support, using a standardized approach to address the full spectrum of biosecurity threats to the sector, including exotic and endemic animal disease organisms, pest plants and insects. D-BRiEF is underpinned by three main processes, namely (i) hazard identification; (ii) multicriteria risk assessment; and (iii) communication for risk management. Expert knowledge and empirical data, including associated uncertainty, are harnessed in a standardized format. Results feed into a probability-impact model that was developed in close collaboration with dairy sector economists to provide overall comparative 10-year quantitative economic impact estimates for each assessed risk organism. A description of the overarching framework, which applies to diverse organism groups, is presented with detailed methodology on both endemic and exotic animal disease risk organisms. Examples of visual outputs are included, although actual ranking results are not reported due to industry confidentiality. D-BRiEF can provide a decision advantage to DairyNZ biosecurity risk managers and sector stakeholders by creating a transparent process that can be interrogated and updated at multiple levels to fully understand the layers of risk posed by different organisms.

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Use of a modified Delphi panel to identify and weight criteria for prioritization of zoonotic diseases in Switzerland

Cited by 26 publications

References 12 publications

World Health Organization Methodology to Prioritize Emerging Infectious Diseases in Need of Research and Development

World Health Organization Methodology to Prioritize Emerging Infectious Diseases in Need of Research and Development

Prioritization of Zoonotic Diseases in Kenya, 2015

Creating a framework for the prioritization of biosecurity risks to the New Zealand dairy industry

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