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Article

Integrated Early Warning Surveillance: Achilles′ Heel of One Health?

1
National Centre for Global Health, Istituto Superiore di Sanità, 00161 Rome, Italy
2
Public Health and Infectious Diseases Department, Sapienza University of Rome, 00185 Rome, Italy
3
National Reference Center for Veterinary Epidemiology, Istituto Zooprofilattico Sperimentale dell’Abruzzo e del Molise ′G.Caporale′, 64100 Teramo, Italy
*
Author to whom correspondence should be addressed.
MediLabSecure working group members are in Appendix A.
Microorganisms 2020, 8(1), 84; https://doi.org/10.3390/microorganisms8010084
Received: 12 December 2019 / Revised: 30 December 2019 / Accepted: 2 January 2020 / Published: 8 January 2020
(This article belongs to the Special Issue Epidemiology of Zoonotic Diseases)
Emerging and re-emerging infectious diseases and zoonoses indicate the importance of the One Health (OH) approach for early warning. At present, even when surveillance data are available, they are infrequently timeously shared between the health sectors. In the context of the MediLabSecure (MLS) Project, we investigated the collection of a set of surveillance indicators able to provide data for the implementation of integrated early warning systems in the 22 MLS countries of the Mediterranean, Black Sea and Sahel regions. We used an online questionnaire (covering vector, human, and animal sectors), focusing on seven relevant arboviruses, that was submitted to 110 officially appointed experts. Results showed that West Nile virus was perceived as the most relevant zoonotic pathogen, while Dengue virus was the most relevant non-zoonotic pathogen in the study area. Data collection of early warning indicators is in place at a different level for all the investigated pathogens and in almost all the MLS Countries. Further assessments on the reliability of the collection in place and on the feasibility of piloting an integrated early warning system for arbovirus could verify if integrated early warning really represents the Achilles’ heel of OH. View Full-Text
Keywords: arbovirus; early warning; integrated surveillance; One Health arbovirus; early warning; integrated surveillance; One Health
MDPI and ACS Style

Amato, L.; Dente, M.G.; Calistri, P.; Declich, S.; on behalf of the MediLabSecure Working Group. Integrated Early Warning Surveillance: Achilles′ Heel of One Health? Microorganisms 2020, 8, 84. https://doi.org/10.3390/microorganisms8010084

AMA Style

Amato L, Dente MG, Calistri P, Declich S, on behalf of the MediLabSecure Working Group. Integrated Early Warning Surveillance: Achilles′ Heel of One Health? Microorganisms. 2020; 8(1):84. https://doi.org/10.3390/microorganisms8010084

Chicago/Turabian Style

Amato, Laura, Maria Grazia Dente, Paolo Calistri, Silvia Declich, and on behalf of the MediLabSecure Working Group. 2020. "Integrated Early Warning Surveillance: Achilles′ Heel of One Health?" Microorganisms 8, no. 1: 84. https://doi.org/10.3390/microorganisms8010084

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