Monday Busuulwa, Gitta Sheba Nakacubo, Wasswa Peter, Namusisi Olivia, Bingi Aloysius, Musenero Monica, Mukanga David
African Field Epidemiology Network, Kampala, Uganda.
Pan Afr Med J. 2011;10 Supp 1(Suppl 1):13. Epub 2011 Dec 15.
The occurrence of major zoonotic disease outbreaks in Sub-Saharan Africa has had a significant impact on the already constrained public health systems. This has, as a result, justified the need to identify creative strategies to address threats from emerging and re-emerging infectious diseases at the human-animal-environmental interface, and implement robust multi-disease public health surveillance systems that will enhance early detection and response. Additionally, enhanced reporting and timely investigation of all suspected notifiable infectious disease threats within the health system is vital. Field epidemiology and laboratory training programs (FELTPs) have made significant contributions to public health systems for more than 10 years by producing highly skilled field epidemiologists. These epidemiologists have not only improved disease surveillance and response to outbreaks, but also improved management of health systems. Furthermore, the FETPs/FELTPs have laid an excellent foundation that brings clinicians, veterinarians, and environmental health professionals drawn from different governmental sectors, to work with a common purpose of disease control and prevention. The emergence of the One Health approach in the last decade has coincided with the present, paradigm, shift that calls for multi-sectoral and cross-sectoral collaboration towards disease surveillance, detection, reporting and timely response. The positive impact from the integration of FETP/FELTP and the One Health approach by selected programs in Africa has demonstrated the importance of multi-sectoral collaboration in addressing threats from infectious and non- infectious causes to man, animals and the environment.
撒哈拉以南非洲地区重大人畜共患疾病的爆发，对本就捉襟见肘的公共卫生系统产生了重大影响。因此，有必要确定创新战略，以应对人畜共患和环境界面出现的新出现和再次出现的传染病威胁，并建立强有力的多疾病公共卫生监测系统，以加强早期发现和应对。此外，加强卫生系统内所有疑似应报告传染病威胁的报告和及时调查至关重要。现场流行病学和实验室培训项目（FELTPs）在过去10多年里为公共卫生系统做出了重大贡献，培养了高技能的现场流行病学家。这些流行病学家不仅改善了疾病监测和对疫情的应对，还改善了卫生系统的管理。此外，现场流行病学和实验室培训项目（FETPs/FELTPs）奠定了良好基础，促使来自不同政府部门的临床医生、兽医和环境卫生专业人员为疾病控制和预防这一共同目标而努力。过去十年中出现的“同一健康”方法与当前要求在疾病监测、发现、报告和及时应对方面开展多部门和跨部门合作的范式转变相契合。非洲部分项目将现场流行病学和实验室培训项目（FETP/FELTP）与“同一健康”方法相结合所产生的积极影响，证明了多部门合作在应对传染病和非传染病对人类、动物和环境造成的威胁方面的重要性。
