Duan Chenlin, Li Chao, Ren Ruiqi, Bai Wenqing, Zhou Lei
Changsha Municipal Center for Disease Control and Prevention, Changsha, China.
Chinese Field Epidemiology Training Program, Chinese Center for Disease Control and Prevention, Beijing, China.
Sci One Health. 2023 Oct 19;2:100043. doi: 10.1016/j.soh.2023.100043. eCollection 2023.
The global epidemic of avian influenza has imposed a substantial disease burden, inciting substantial societal panic and economic losses. The high variability and associated uncertainty of the influenza virus present significant challenges in its prevention and control. As a pivotal strategy for the mitigation of avian influenza, the surveillance network has shown considerable growth at both global and regional levels. This includes the expansion of surveillance coverage, continuous refinement of monitoring content and scope, and rapid enhancement of monitoring quality. Although the ultimate goal of avian influenza surveillance remains uniform, strategies and models vary, reflecting regional or national differences in surveillance system frameworks and their implementation. This review collates and examines the features and experiences of global, regional, and national avian influenza surveillance efforts. Furthermore, it delves into the surveillance system modalities in light of the "One Health" concept, which includes the establishment and enhancement of interdisciplinary and cross-sectoral coordination and cooperation among medical, veterinary, and public health institutions, and the sharing of surveillance information for timely alerts.
全球禽流感疫情造成了巨大的疾病负担，引发了严重的社会恐慌和经济损失。流感病毒的高度变异性及相关不确定性给其预防和控制带来了重大挑战。作为减轻禽流感影响的关键策略，监测网络在全球和区域层面都有了显著发展。这包括监测覆盖范围的扩大、监测内容和范围的不断细化以及监测质量的快速提升。尽管禽流感监测的最终目标保持一致，但策略和模式各不相同，反映出监测系统框架及其实施在区域或国家层面的差异。本综述整理并审视了全球、区域和国家禽流感监测工作的特点与经验。此外，还依据“同一健康”理念深入探讨了监测系统模式，其中包括建立并加强医疗、兽医和公共卫生机构之间的跨学科和跨部门协调与合作，以及共享监测信息以实现及时预警。
