Stebler N, Schuepbach-Regula G, Braam P, Falzon L C
Veterinary Public Health Institute, University of Bern, Schwarzenburgstrasse 155, CH 3097 Liebefeld, Switzerland.
Federal Food Safety and Veterinary Office, Schwarzenburgstrasse 155, CH 3097 Liebefeld, Switzerland.
Prev Vet Med. 2015 Sep 1;121(1-2):165-9. doi: 10.1016/j.prevetmed.2015.05.006. Epub 2015 May 23.
Zoonotic diseases have a significant impact on public health globally. To prevent or reduce future zoonotic outbreaks, there is a constant need to invest in research and surveillance programs while updating risk management strategies. However, given the limited resources available, disease prioritization based on the need for their control and surveillance is important. This study was performed to identify and weight disease criteria for the prioritization of zoonotic diseases in Switzerland using a semi-quantitative research method based on expert opinion. Twenty-eight criteria relevant for disease control and surveillance, classified under five domains, were selected following a thorough literature review, and these were evaluated and weighted by seven experts from the Swiss Federal Veterinary Office using a modified Delphi panel. The median scores assigned to each criterion were then used to rank 16 notifiable and/or emerging zoonoses in Switzerland. The experts weighted the majority of the criteria similarly, and the top three criteria were Severity of disease in humans, incidence and prevalence of the disease in humans and treatment in humans. Based on these weightings, the three highest ranked diseases were Avian Influenza, Bovine Spongiform Encephalitis, and Bovine Tuberculosis. Overall, this study provided a preliminary list of criteria relevant for disease prioritization in Switzerland. These were further evaluated in a companion study which involved a quantitative prioritization method and multiple stakeholders.
人畜共患病对全球公共卫生有着重大影响。为预防或减少未来的人畜共患病疫情爆发，持续投资于研究和监测项目并更新风险管理策略至关重要。然而，鉴于可用资源有限，根据疾病控制和监测需求进行疾病优先级排序很重要。本研究采用基于专家意见的半定量研究方法，旨在确定瑞士人畜共患病优先级排序的疾病标准并进行权重赋值。在全面的文献综述之后，选取了28条与疾病控制和监测相关的标准，这些标准分为五个领域，并由瑞士联邦兽医办公室的七位专家使用改良的德尔菲法进行评估和权重赋值。然后，将分配给每个标准的中位数分数用于对瑞士16种应报告和/或新出现的人畜共患病进行排名。专家们对大多数标准的权重赋值相似，排名前三的标准是人类疾病的严重程度、人类疾病的发病率和患病率以及人类的治疗情况。基于这些权重，排名前三的疾病是禽流感、牛海绵状脑病和牛结核病。总体而言，本研究提供了一份与瑞士疾病优先级排序相关的初步标准清单。在一项涉及定量优先级排序方法和多个利益相关者的配套研究中，对这些标准进行了进一步评估。
