Department of Health, Ethics and Society, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, 6229HA Maastricht, The Netherlands.
Institute for Infectious Disease and Endemic Disease Control, Beijing Centre for Disease Control and Prevention, Beijing 100013, China.
Int J Environ Res Public Health. 2020 Nov 17;17(22):8512. doi: 10.3390/ijerph17228512.
Climate change may contribute to higher incidence and wider geographic spread of vector borne diseases (VBDs). Effective monitoring and surveillance of VBDs is of paramount importance for the prevention of and timely response to outbreaks. Although international regulations exist to support this, barriers and operational challenges within countries hamper efficient monitoring. As a first step to optimise VBD surveillance and monitoring, it is important to gain a deeper understanding of system characteristics and experiences in to date non-endemic regions at risk of becoming endemic in the future. Therefore, this study qualitatively analyses the nature and flexibility of VBD surveillance and response in Beijing.
In this qualitative study, eleven experts working in Beijing's vector-borne diseases surveillance and response system were interviewed about vector-borne disease surveillance, early warning, response, and strengths and weaknesses of the current approach.
Vector-borne disease surveillance occurs using passive syndromic surveillance and separate vector surveillance. Public health authorities use internet reporting networks to determine vector-borne disease risk across Beijing. Response toward a vector-borne disease outbreak is uncommon in this setting due to the currently low occurrence of outbreaks.
A robust network of centralised institutions provides the continuity and flexibility needed to adapt and manage possible vector-borne disease threats. Opportunities exist for population-based health promotion and the integration of environment and climate monitoring in vector-borne disease surveillance.
气候变化可能导致虫媒传染病（VBD）的发病率上升和地理分布范围扩大。有效监测和监测 VBD 对于预防和及时应对疫情至关重要。尽管存在支持这一点的国际法规，但国家内部的障碍和业务挑战阻碍了有效的监测。作为优化 VBD 监测的第一步，重要的是要更深入地了解目前处于非流行地区但未来有流行风险的系统特征和经验。因此，本研究定性分析了北京 VBD 监测和应对的性质和灵活性。
在这项定性研究中，对北京虫媒传染病监测和应对系统中工作的 11 名专家进行了采访，内容涉及虫媒传染病监测、预警、应对以及当前方法的优势和劣势。
使用被动综合征监测和单独的媒介监测进行虫媒传染病监测。公共卫生当局使用互联网报告网络来确定北京各地的虫媒传染病风险。由于目前疫情爆发较少，因此在这种情况下，对虫媒传染病爆发的反应并不常见。
集中化机构的强大网络提供了适应和管理可能的虫媒传染病威胁所需的连续性和灵活性。存在基于人群的健康促进以及将环境和气候监测纳入虫媒传染病监测的机会。
