McKenzie Joanna, Simpson Helen, Langstaff Ian
EpiCentre, Massey University, Private Bag 11-222, Palmerston North, New Zealand.
Prev Vet Med. 2007 Sep 14;81(1-3):194-210. doi: 10.1016/j.prevetmed.2007.04.003. Epub 2007 May 7.
We developed and evaluated a methodology to prioritise pathogens for a wildlife disease surveillance strategy in New Zealand. The methodology, termed 'rapid risk analysis' was based on the import risk analysis framework recommended by the Office Internationale des Epizooties (OIE), and involved: hazard identification, risk estimation, and ranking of 48 exotic and 34 endemic wildlife pathogens. The risk assessment was more rapid than a full quantitative assessment through the use of a semi-quantitative approach to score pathogens for probability of entry to NZ (release assessment), likelihood of spread (exposure assessment) and consequences in free-living wildlife, captive wildlife, humans, livestock and companion animals. Risk was estimated by multiplying the scores for the probability of entry to New Zealand by the likelihood of spread by the consequences for free-living wildlife, humans and livestock. The rapid risk analysis methodology produced scores that were sufficiently differentiated between pathogens to be useful for ranking them on the basis of risk. Ranking pathogens on the basis of the risk estimate for each population sector provided an opportunity to identify the priorities within each sector alone thus avoiding value-laden comparisons between sectors. Ranking pathogens across all three population sectors by summing the risk estimate for each sector provided a comparison of total risk which may be useful for resource allocation decisions at national level. Ranking pathogens within each wildlife taxonomic group using the total risk estimate was most useful for developing specific surveillance strategies for each group.
我们开发并评估了一种方法,用于确定新西兰野生动物疾病监测策略中的重点病原体。该方法被称为“快速风险分析”,它基于国际兽疫局(OIE)推荐的进口风险分析框架,涉及:危害识别、风险估计,以及对48种外来和34种本地野生动物病原体进行排序。通过使用半定量方法对病原体进入新西兰的可能性(释放评估)、传播可能性(暴露评估)以及对自由生活的野生动物、圈养野生动物、人类、家畜和伴侣动物的影响进行评分,该风险评估比全面的定量评估更为快速。风险通过将进入新西兰的可能性得分乘以传播可能性得分,再乘以对自由生活的野生动物、人类和家畜的影响得分来估算。快速风险分析方法得出的分数在病原体之间有足够的差异,可用于根据风险对它们进行排序。根据每个种群部门的风险估计对病原体进行排序,提供了一个仅在每个部门内确定优先事项的机会,从而避免了不同部门之间充满价值判断的比较。通过对每个部门的风险估计求和,对所有三个种群部门的病原体进行排序,提供了总风险的比较,这可能有助于国家层面的资源分配决策。使用总风险估计对每个野生动物分类组内的病原体进行排序,对于为每个组制定具体的监测策略最为有用。