Innes Gabriel K, Lambrou Anastasia S, Thumrin Pornchai, Thukngamdee Yupawat, Tangwangvivat Ratanaporn, Doungngern Pawinee, Noradechanon Kirana, Netrabukkana Punnaporn, Meidenbauer Karen, Mehoke Thomas, Heaney Christopher D, Hinjoy Soawapak, Elayadi Anissa N
Yuma Center of Excellence for Desert Agriculture, The University of Arizona, Tucson, AZ, USA.
Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
One Health. 2022 May 11;14:100397. doi: 10.1016/j.onehlt.2022.100397. eCollection 2022 Jun.
Infectious disease surveillance systems support early warning, promote preparedness, and inform public health response. Pathogens that have human, animal, and environmental reservoirs should be monitored through systems that incorporate a One Health approach. In 2016, Thailand's federal government piloted an avian influenza (AI) surveillance system that integrates stakeholders from human, animal, and environmental sectors, at the central level and in four provinces to monitor influenza A viruses within human, waterfowl, and poultry populations. This research aims to describe and evaluate Thailand's piloted AI surveillance system to inform strategies for strengthening and building surveillance systems relevant to One Health. We assessed this surveillance system using the United States Centers for Disease Control and Prevention's (U.S. CDC) "Guidelines for Evaluating Public Health Surveillance Systems" and added three novel metrics: transparency, interoperability, and security. In-depth key informant interviews were conducted with representatives among six Thai federal agencies and departments, the One Health coordinating unit, a corporate poultry producer, and the Thai Ministry of Public Health-U.S. CDC Collaborating Unit. Thailand's AI surveillance system demonstrated strengths in acceptability, simplicity, representativeness, and flexibility, and exhibited challenges in data quality, stability, security, interoperability, and transparency. System efforts may be strengthened through increasing laboratory integration, improving pathogen detection capabilities, implementing interoperable systems, and incorporating sustainable capacity building mechanisms. This innovative piloted surveillance system provides a strategic framework that can be used to develop, integrate, and bolster One Health surveillance approaches to combat emerging global pathogen threats and enhance global health security.
传染病监测系统支持早期预警、促进防范并为公共卫生应对提供信息。对于那些在人类、动物和环境宿主中都存在的病原体，应通过采用“同一健康”方法的系统进行监测。2016年，泰国联邦政府在中央层面以及四个省份试点了一个禽流感监测系统，该系统整合了来自人类、动物和环境部门的利益相关者，以监测人类、水禽和家禽群体中的甲型流感病毒。本研究旨在描述和评估泰国试点的禽流感监测系统，为加强和建立与“同一健康”相关的监测系统的策略提供信息。我们使用美国疾病控制与预防中心（美国疾控中心）的《公共卫生监测系统评估指南》对该监测系统进行了评估，并增加了三个新指标：透明度、互操作性和安全性。我们对泰国六个联邦机构和部门、“同一健康”协调单位、一家家禽养殖企业以及泰国公共卫生部-美国疾控中心合作单位的代表进行了深入的关键信息提供者访谈。泰国的禽流感监测系统在可接受性、简单性、代表性和灵活性方面表现出优势，但在数据质量、稳定性、安全性、互操作性和透明度方面存在挑战。可以通过加强实验室整合、提高病原体检测能力、实施可互操作的系统以及纳入可持续能力建设机制来加强系统工作。这个创新的试点监测系统提供了一个战略框架，可用于制定、整合和加强“同一健康”监测方法，以应对新出现的全球病原体威胁并加强全球卫生安全。
