Babo Martins S, Rushton J, Stärk K D C
Department of Production and Population Health, Royal Veterinary College, Hatfield, UK.
SAFOSO AG, Bern-Liebefeld, Switzerland.
Zoonoses Public Health. 2016 Aug;63(5):386-95. doi: 10.1111/zph.12239. Epub 2015 Nov 26.
Collaboration between animal and public health sectors has been highlighted as a means to improve the management of zoonotic threats. This includes surveillance systems for zoonoses, where enhanced cross-sectoral integration and sharing of information are seen as key to improved public health outcomes. Yet, there is a lack of evidence on the economic returns of such collaboration, particularly in the development and implementation of surveillance programmes. The economic assessment of surveillance in this context needs to be underpinned by the understanding of the links between zoonotic disease surveillance in animal populations and the wider public health disease mitigation process and how these relations impact on the costs and benefits of the surveillance activities. This study presents a conceptual framework of these links as a basis for the economic assessment of cross-sectoral zoonoses surveillance with the aim of supporting the prioritization of resource allocation to surveillance. In the proposed framework, monetary, non-monetary and intermediate or intangible cost components and benefit streams of three conceptually distinct stages of zoonotic disease mitigation are identified. In each stage, as the final disease mitigation objective varies so does the use of surveillance information generated in the animal populations for public health decision-making. Consequently, the associated cost components and benefit streams also change. Building on the proposed framework and taking into account these links, practical steps for its application are presented and future challenges are discussed.
动物卫生部门与公共卫生部门之间的合作已被视为改善人畜共患病威胁管理的一种手段。这包括人畜共患病监测系统，其中加强跨部门整合和信息共享被视为改善公共卫生成果的关键。然而，缺乏关于这种合作经济回报的证据，特别是在监测计划的制定和实施方面。在这种情况下，对监测进行经济评估需要基于对动物群体中的人畜共患病监测与更广泛的公共卫生疾病缓解过程之间联系的理解，以及这些关系如何影响监测活动的成本和效益。本研究提出了这些联系的概念框架，作为跨部门人畜共患病监测经济评估的基础，旨在支持将资源分配优先用于监测。在所提出的框架中，确定了人畜共患病缓解三个概念上不同阶段的货币、非货币以及中间或无形的成本组成部分和效益流。在每个阶段，由于最终的疾病缓解目标不同，动物群体中产生的监测信息用于公共卫生决策的方式也不同。因此，相关的成本组成部分和效益流也会发生变化。在提出的框架基础上并考虑到这些联系，给出了其应用的实际步骤，并讨论了未来的挑战。
