Unité Epidémiologie, Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail (Anses), 31, avenue Tony Garnier, F69364 Lyon Cedex 07, France.
Prev Vet Med. 2013 Sep 1;111(3-4):220-9. doi: 10.1016/j.prevetmed.2013.06.005. Epub 2013 Jul 5.
Within the current context that favours the emergence of new diseases, syndromic surveillance (SyS) appears increasingly more relevant tool for the early detection of unexpected health events. The Triple-S project (Syndromic Surveillance Systems in Europe), co-financed by the European Commission, was launched in September 2010 for a three year period to promote both human and animal health SyS in European countries. Objectives of the project included performing an inventory of current and planned European animal health SyS systems and promoting knowledge transfer between SyS experts. This study presents and discusses the results of the Triple-S inventory of European veterinary SyS initiatives. European SyS systems were identified through an active process based on a questionnaire sent to animal health experts involved in SyS in Europe. Results were analyzed through a descriptive analysis and a multiple factor analysis (MFA) in order to establish a typology of the European SyS initiatives. Twenty seven European SyS systems were identified from twelve countries, at different levels of development, from project phase to active systems. Results of this inventory showed a real interest of European countries for SyS but also highlighted the novelty of this field. This survey highlighted the diversity of SyS systems in Europe in terms of objectives, population targeted, data providers, indicators monitored. For most SyS initiatives, statistical analysis of surveillance results was identified as a limitation in using the data. MFA results distinguished two types of systems. The first one belonged to the private sector, focused on companion animals and had reached a higher degree of achievement. The second one was based on mandatory collected data, targeted livestock species and is still in an early project phase. The exchange of knowledge between human and animal health sectors was considered useful to enhance SyS. In the same way that SyS is complementary to traditional surveillance, synergies between human and animal health SyS could be an added value, most notably to enhance timeliness, sensitivity and help interpreting non-specific signals.
在当前有利于新疾病出现的背景下，症状监测（SyS）作为一种早期发现意外健康事件的工具，显得越来越重要。Triple-S 项目（欧洲症状监测系统）由欧盟委员会共同资助，于 2010 年 9 月启动，为期三年，旨在促进欧洲国家的人类和动物健康的症状监测系统。该项目的目标包括对当前和计划中的欧洲动物健康症状监测系统进行清查，并促进症状监测专家之间的知识转移。本研究介绍并讨论了 Triple-S 对欧洲兽医症状监测系统计划的清查结果。通过向欧洲参与症状监测的动物健康专家发送问卷，积极主动地发现欧洲症状监测系统。结果通过描述性分析和多元因素分析（MFA）进行分析，以便为欧洲症状监测系统计划建立一个分类法。从 12 个国家中确定了 27 个欧洲症状监测系统，这些系统处于不同的发展阶段，从项目阶段到运行中的系统。这项清查的结果表明，欧洲国家对症状监测系统表现出了浓厚的兴趣，但也凸显了该领域的新颖性。该调查强调了欧洲症状监测系统在目标、目标人群、数据提供者、监测指标等方面的多样性。对于大多数症状监测系统计划，监测结果的统计分析被确定为使用数据的一个限制。多元因素分析的结果区分了两种类型的系统。第一种系统属于私营部门，专注于伴侣动物，已经达到了更高的成熟度。第二种系统基于强制性收集的数据，针对牲畜物种，仍处于早期项目阶段。在人类和动物健康部门之间进行知识交流被认为是增强症状监测系统的有用方法。正如症状监测系统是对传统监测的补充一样，人类和动物健康症状监测系统之间的协同作用可能具有附加值，尤其是可以提高及时性、敏感性并有助于解释非特异性信号。
