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应用“同一健康监测”(OHS)矩阵评估印度古吉拉特邦的疾病监测系统:政策内容分析

Application of the One Health Surveillance (OHS) Matrix to Evaluate the Disease Surveillance Systems in Gujarat, India: A Policy Content Analysis.

作者信息

Yasobant Sandul, Tadvi Ravina, Bruchhausen Walter, Saxena Deepak B

机构信息

Department of Public Health Science, Indian Institute of Public Health Gandhinagar (IIPHG), Opp. New Air Force Station HQ, Nr Lekawada, Gandhinagar, 382042, India.

Centre for One Health Education, Research and Development (COHERD), Indian Institute of Public Health Gandhinagar (IIPHG), Opp. New Air Force Station HQ, Nr Lekhawada, Gandhinagar, 382042, India.

出版信息

J Epidemiol Glob Health. 2024 Dec;14(4):1633-1641. doi: 10.1007/s44197-024-00317-2. Epub 2024 Oct 25.

DOI:10.1007/s44197-024-00317-2
PMID:39453563
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11652458/
Abstract

An effective disease surveillance system can detect outbreaks of emerging zoonotic diseases early and allow the system to respond immediately and control the epidemic. Gujarat is a western Indian state with a population of more than 65 million humans and 26 million livestock, and it has the respective surveillance systems under the Department of Health & Family Welfare for humans and the Department of Animal Husbandry for animals. A veterinarian is placed on establishing cross-sectoral collaborations between these systems, but the joint collaborative activities and their effect on the early warning response are least understood. This provides an opportunity to conduct a secondary policy content analysis study using the One Health Surveillance Matrix (OHSM). The aim of this study was to evaluate the level of collaboration among human-animal disease surveillance systems for zoonotic disease in Gujarat, India. This study findings highlight a few gaps in the human health surveillance system, such as data sharing, sampling, outreach to decision-makers, and external communication, while the animal health surveillance system exhibits deficiencies in the data dissemination to decision-makers, management and storage of data analysis, interpretation of data, and external communication as per the OHSM evaluation. Despite major differences, there is a possibility of developing the One Health Surveillance system in Gujarat, India which is profoundly documented in this study.

摘要

一个有效的疾病监测系统能够早期发现新出现的人畜共患病疫情,并使系统能够立即做出反应并控制疫情。古吉拉特邦是印度西部的一个邦,有超过6500万人口和2600万头牲畜,该邦分别在卫生与家庭福利部设有针对人类的监测系统以及在畜牧业部设有针对动物的监测系统。一名兽医负责在这些系统之间建立跨部门合作,但对联合协作活动及其对早期预警反应的影响了解甚少。这为使用“同一健康”监测矩阵(OHSM)开展一项二次政策内容分析研究提供了契机。本研究的目的是评估印度古吉拉特邦人畜共患病的人类-动物疾病监测系统之间的协作水平。本研究结果凸显了人类健康监测系统中的一些差距,如数据共享、采样、与决策者的沟通以及对外交流,而动物健康监测系统在根据OHSM评估向决策者传播数据、数据分析的管理与存储、数据解读以及对外交流方面存在不足。尽管存在重大差异,但印度古吉拉特邦仍有可能开发“同一健康”监测系统,本研究对此有详尽记录。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7226/11652458/cd57f7f842f4/44197_2024_317_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7226/11652458/cd57a27bf715/44197_2024_317_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7226/11652458/5a3f4ededc9c/44197_2024_317_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7226/11652458/3d763b91328e/44197_2024_317_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7226/11652458/ce0e9f428e22/44197_2024_317_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7226/11652458/cd57f7f842f4/44197_2024_317_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7226/11652458/cd57a27bf715/44197_2024_317_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7226/11652458/5a3f4ededc9c/44197_2024_317_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7226/11652458/3d763b91328e/44197_2024_317_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7226/11652458/ce0e9f428e22/44197_2024_317_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7226/11652458/cd57f7f842f4/44197_2024_317_Fig5_HTML.jpg

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本文引用的文献

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Trop Med Infect Dis. 2023 Aug 29;8(9):428. doi: 10.3390/tropicalmed8090428.
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One Health activities to reinforce intersectoral coordination at local levels in India.印度的一项强化地方层面跨部门协调的“同一健康”活动。
Front Public Health. 2023 Mar 7;11:1041447. doi: 10.3389/fpubh.2023.1041447. eCollection 2023.
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Research Priorities on One Health: A Bibliometric Analysis.
One Health 研究重点:文献计量分析。
Front Public Health. 2022 May 31;10:889854. doi: 10.3389/fpubh.2022.889854. eCollection 2022.
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Implementation challenges of an integrated One Health surveillance system in humanitarian settings: A qualitative study in Palestine.人道主义环境中一体化“同一个健康”监测系统的实施挑战:巴勒斯坦的一项定性研究
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Health promotion and harm reduction attributes in One Health literature: A scoping review.“同一健康”文献中的健康促进与危害减少属性:一项范围综述
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Engaging Stakeholders in the Design of One Health Surveillance Systems: A Participatory Approach.让利益相关者参与“同一健康”监测系统的设计:一种参与式方法。
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