ICAR - National Research Centre on Equines, Hisar, Haryana, India.
State Integrated Disease Surveillance Programme, Panchkula, Haryana, India.
Prev Vet Med. 2023 Mar;212:105835. doi: 10.1016/j.prevetmed.2022.105835. Epub 2023 Jan 3.
Zoonotic diseases have huge livestock and public health burden worldwide, including India. Prioritizing zoonotic diseases is one of the important tasks under 'One Health' as it facilitates effective policy making, proper allocation of resources and promotion of multisectoral collaboration. Although some efforts have been made to prioritizing zoonotic diseases at national level in India, it is important to identify priority diseases in regional settings due to wide variation in climate and demography of different states. Therefore, the present study aims to prioritize zoonotic diseases for the state of Haryana (India). One Health Zoonotic Disease Prioritization (OHZDP) tool was used in this study to prioritize zoonotic diseases. Based on literature review of the past 23 years (2000-2022) on prevalence, morbidity, and mortality of zoonotic diseases, twenty-three high-scoring zoonotic diseases in Haryana and neighboring states of India were initially shortlisted for prioritization. A three-day participatory workshop was conducted involving 17 experts representing the Health, Animal Husbandry and Wildlife departments of Haryana. The Analytical Hierarchy Process (AHP) was used to rank the criteria, which were used to score the selected diseases using the decision tree analysis. The participants selected the following 7 criteria along with their relative weights to score the diseases: (1) Severity of disease in humans, (2) Severity of disease in animals, (3) Presence of disease in the region, (4) Transmission and outbreak potential, (5) Socio-economic impact, (6) Availability of interventions, and (7) Existing inter-sectoral collaboration for surveillance and reporting. The top scoring eight diseases selected as priority zoonotic diseases for Haryana were rabies, Japanese encephalitis, bovine tuberculosis, leptospirosis, avian influenza (H5N1), brucellosis, glanders and Influenza A (H1N1). Sensitivity analysis did not reveal any significant variation in prioritization results by varying criteria weights. This is the first systemic attempt to prioritize zoonotic diseases in the state and this will help in formulating effective monitoring, prevention, and control strategies for zoonotic diseases in the regional settings.
人畜共患病在全球范围内给畜牧业和公共卫生带来了巨大负担，包括印度。在“同一健康”框架下，将人畜共患病作为优先事项之一，有利于制定有效的政策、合理分配资源和促进多部门合作。虽然印度在国家层面上已经对人畜共患病进行了一些优先排序的努力，但由于不同邦的气候和人口统计学差异很大，在区域范围内确定优先疾病非常重要。因此，本研究旨在确定印度哈里亚纳邦（Haryana）的优先人畜共患病。本研究使用了“同一健康人畜共患病优先排序（One Health Zoonotic Disease Prioritization，OHZDP）”工具来对人畜共患病进行优先排序。基于过去 23 年（2000-2022 年）关于人畜共患病的流行率、发病率和死亡率的文献综述，最初有 23 种高得分的人畜共患病在哈里亚纳邦和印度邻国被列为优先排序疾病。举办了为期三天的参与式研讨会，涉及来自哈里亚纳邦卫生、畜牧业和野生动物部门的 17 名专家。使用层次分析法（Analytical Hierarchy Process，AHP）对标准进行排名，然后使用决策树分析对选定的疾病进行评分。参与者选择了以下 7 项标准及其相对权重来对疾病进行评分：（1）人类疾病的严重程度，（2）动物疾病的严重程度，（3）该疾病在本地区的存在情况，（4）传播和暴发的可能性，（5）社会经济影响，（6）干预措施的可用性，以及（7）现有的跨部门合作以进行监测和报告。哈里亚纳邦的 8 种高得分优先人畜共患病是狂犬病、日本脑炎、牛结核病、钩端螺旋体病、禽流感（H5N1）、布鲁氏菌病、鼻疽和甲型流感（H1N1）。通过改变标准权重进行敏感性分析，结果表明在优先排序方面没有发现明显的变化。这是首次在该邦系统地尝试对人畜共患病进行优先排序，这将有助于在区域范围内制定有效的监测、预防和控制人畜共患病的策略。
