Vector Borne Infections in Italy: Results of the Integrated Surveillance System for West Nile Disease in 2013

Napoli, Christian; Iannetti, Simona; Rizzo, Caterina; Bella, Antonino; Sabatino, Daria Di; Bruno, R.; Sauro, Francesca; Martini, Vanessa; Santucci, Vincenzo Ugo; Declich, Silvia; Calistri, Paolo

doi:10.1155/2015/643439

Cited by 11 publications

(12 citation statements)

References 25 publications

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“…Although ABR has been recognised as a global concern that mandates global coordination [ 17 ], it can be considered as a new topic for both academic and governmental stakeholders. Unlike other health hazards with well-investigated epidemiological links between the human, animal and environmental domains and a clear need for collaborative surveillance, such as the West Nile virus [ 18 , 19 ], appropriate collaboration mechanisms are more difficult to identify in the case of ABR surveillance [ 2 ]. Furthermore, in Vietnam, the key governmental stakeholders are not the same as those involved in the fight against zoonotic diseases who have a long standing experience of collaboration, dating back to the emergence of HPAI and who benefit from a legal framework that precisely defines collaboration modalities 7 .…”

Section: Discussionmentioning

confidence: 99%

Antibiotic resistance in Vietnam: moving towards a One Health surveillance system

et al. 2018

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BackgroundThe international community strongly advocates the implementation of multi-sectoral surveillance policies for an effective approach to antibiotic resistance, in line with the One Health concept. To comply with these international recommendations, the Vietnamese government has issued an inter-ministerial surveillance strategy for antibiotic resistance, including an integrated surveillance system. However, one may question the ability and willingness of surveillance stakeholders to implement the collaborations required. To assess the feasibility of operationalising this strategy within the national context, we explored the role of key stakeholders in the strategy, as well as their abilities to comply with it.MethodsWe conducted a qualitative approach based on an iterative stakeholder mapping and analysis, in three distinct steps: (1) a description of the structure of the national surveillance strategy (literature review, key informant interviews); (2) an analysis of the key stakeholders’ positions regarding the strategy (semi-structured interviews); (3) the identification of factors influencing the operationalisation of the collaborative surveillance strategy (comparison of data collected at the first and second steps).ResultsThe mapping of the surveillance system, as well as the characterisation of key stakeholders according to organisational and functional attributes, underlined that inter-sectoral surveillance initiatives do exist, but that the organisation of the national surveillance system remains highly silo-oriented.Based on stakeholder perspectives, we identified seven factors that may influence the implementation of the One Health strategy at national level: governance and operational frameworks, divergence of institutional cultures, level of knowledge, technical capacities, allocation of resources, conflicting commercial interests and influence of international partners.ConclusionsThe study suggests that the operationalisation of the collaborative surveillance strategy requires the full adhesion of stakeholders and the provision of appropriate resources. Based on these findings, we have proposed a guidance framework together with recommendations to move towards a more suitable governance and operational model for One Health surveillance of antibiotic resistance in Vietnam.To lever and promote successful inter-sectoral collaboration, a participatory “learning by doing” process could be applied to guide, frame and mentor stakeholders through the identification of appropriate levels of collaboration, depending on the expected positive impacts on the value of surveillance.

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Section: Discussionmentioning

confidence: 99%

Antibiotic resistance in Vietnam: moving towards a One Health surveillance system

et al. 2018

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“…The One Health scenario currently implemented in Emilia-Romagna since 2013 as described in the introduction, and a uni-sectoral scenario, corresponding to the national regulation on blood safety. The latter triggers the activation of mandatory WNV testing with the confirmation of a human WNND or West Nile fever (WNF) case in a given province [ 10 ], and systematic testing is carried out in that province until the end of the vector season (30 November) and also between 1 July and 30 November in the following transmission season [ 11 ].…”

Section: Methodsmentioning

confidence: 99%

“…According to the national case definition, every patient presenting fever (≥ 38.5°C) and a neurologic manifestation (i.e. encephalitis, aseptic meningitis or acute polyradiculoneuritis Guillain–Barre syndrome, or acute flaccid paralysis) is considered as a suspect, and is promptly reported to the Public Health Department to be tested for WNV [ 10 ]. b Continuous syndromic surveillance for WNV neurologic disease in the horse population is carried out year-round overall the regional territory.…”

Section: Methodsmentioning

confidence: 99%

“…An intermediate value of 10% was assumed considering that about 20% of infected persons develop fever and other clinical symptoms including headache, tiredness, and body aches [ 19 ]. Finally, in the worst-case scenario, a 100% probability of transfusion transmitted WNND was assumed considering that a high proportion of blood recipients are immunocompromised and many of them are subject to chronic or intensive transfusion treatments [ 10 ]. Therefore, benefits of the One Health scenario were calculated as the avoided short term cost of hospitalization and avoided compensation for transfusion-associated disease (TAD) of 0, 2, and 18 potential WNND cases, according to three effect sizes or scenarios for transfusion-associated disease mentioned above, respectively.…”

Section: Methodsmentioning

confidence: 99%

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Economics of One Health: Costs and benefits of integrated West Nile virus surveillance in Emilia-Romagna

et al. 2017

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Since 2013 in Emilia-Romagna, Italy, surveillance information generated in the public health and in the animal health sectors has been shared and used to guide public health interventions to mitigate the risk of West Nile virus (WNV) transmission via blood transfusion. The objective of the current study was to identify and estimate the costs and benefits associated with this One Health surveillance approach, and to compare it to an approach that does not integrate animal health information in blood donations safety policy (uni-sectoral scenario). Costs of human, animal, and entomological surveillance, sharing of information, and triggered interventions were estimated. Benefits were quantified as the averted costs of potential human cases of WNV neuroinvasive disease associated to infected blood transfusion. In the 2009–2015 period, the One Health approach was estimated to represent a cost saving of €160,921 compared to the uni-sectoral scenario. Blood donation screening was the main cost for both scenarios. The One Health approach further allowed savings of €1.21 million in terms of avoided tests on blood units. Benefits of the One Health approach due to short-term costs of hospitalization and compensation for transfusion-associated disease potentially avoided, were estimated to range from €0 to €2.98 million according to the probability of developing WNV neuroinvasive disease after receiving an infected blood transfusion.

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“…In particular, an active integrated entomologic and veterinary WNV surveillance was implemented on May 15, 2015 in the Piedmont, Lombardy, Friuli Venezia Giulia, Veneto, and Emilia-Romagna regions, which were concerned by WNV circulation in previous years. This surveillance was based on a shared plan aiming to guarantee standardized surveillance of viral circulation [63,64]. The remaining regions adopted the national veterinary surveillance plan enacted by the Ministry of Health with the decree of November 27, 2007.…”

Section: Impact On Blood Safety Of the Preventive Measures Adopted Inmentioning

confidence: 99%

West Nile Virus in Europe and Safety of Blood Transfusion

Pisani

Cristiano

Pupella

et al. 2016

Transfus Med Hemother

100

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West Nile virus (WNV) has become an increasing issue in the transfusion setting since 2002, when it was firstly shown in the USA that it can be transmitted through blood transfusion. Since then, several precautionary measures have been introduced in Europe in order to reduce the possible risk of transmission via transfusion/solid organ transplantation. In addition, the epidemiological surveillance has been tightened and the network for communication of human WNV cases strengthened. This review will focus on WNV circulation and the safety of blood in Europe.

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Vector Borne Infections in Italy: Results of the Integrated Surveillance System for West Nile Disease in 2013

Cited by 11 publications

References 25 publications

Antibiotic resistance in Vietnam: moving towards a One Health surveillance system

Antibiotic resistance in Vietnam: moving towards a One Health surveillance system

Economics of One Health: Costs and benefits of integrated West Nile virus surveillance in Emilia-Romagna

West Nile Virus in Europe and Safety of Blood Transfusion

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