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Multicenter Study
. 2020 Apr 20:2020:4832360.
doi: 10.1155/2020/4832360. eCollection 2020.

Enhancing Preparedness for Arbovirus Infections with a One Health Approach: The Development and Implementation of Multisectoral Risk Assessment Exercises

Maria Grazia Dente  1 , Flavia Riccardo  1 , Wim Van Bortel  2   3 , Laurence Marrama  2   4 , Thomas Mollet  2 , Tarik Derrough  2 , Bertrand Sudre  2 , Paolo Calistri  5 , Gloria Nacca  1 , Alessia Ranghiasci  1 , Camille Escadafal  6   7 , Lobna Gaayeb  6 , Ariane Guillot  6 , Miguel Angel Jiménez-Clavero  8   9 , Jean-Claude Manuguerra  6 , Guillain Mikaty  6 , Marie Picard  10 , Jovita Fernández-Pinero  8 , Elisa Pérez-Ramírez  8 , Vincent Robert  10 , Kathleen Victoir  6 , Silvia Declich  1
Affiliations
Multicenter Study

Enhancing Preparedness for Arbovirus Infections with a One Health Approach: The Development and Implementation of Multisectoral Risk Assessment Exercises

Maria Grazia Dente et al. Biomed Res Int. .

Abstract

Background: One Health is receiving attention for arbovirus infection prevention and control and for defining national "intersectoral" priorities. Increasing awareness of intersectoral priorities through multisectorial risk assessments (MRA) is promising, where data are not systematically shared between sectors. Towards this aim, the MediLabSecure project organized three MRA exercises (hereby called exercises): one on West Nile virus, one on Crimean-Congo haemorrhagic fever, and one on Rift Valley fever, assessing the added value of this approach.

Methods: The exercises relied on RA methodologies of international organisations. Country representatives of the human and animal virology, medical entomology, and public health sectors (hereby called "sectors") involved in the surveillance of vector-borne diseases participated in the exercises. Background documentation was provided before each exercise, and a guide was developed for the facilitators. All three exercises included technical and methodological presentations and a guided RA directed at bringing into play the different sectors involved. To assess the added value of the approach, each participant was asked to rank the level of perceived benefit of the multisectoral collaboration for each "risk question" included in the exercises.

Results: In total, 195 participants from 19 non-EU countries in the Mediterranean and Black Sea regions took part in the exercises. The participants assessed the multisectoral approach as valuable in analysing comprehensively the situation by having access to information and knowledge provided by each of the sectors involved. Sharing of information and discussion facilitated reaching a consensus on the level of risk in each country.

Conclusions: Increasing awareness of intersectoral priorities, including cross-border ones, through MRA is relevant to reduce gaps due to unavailability of shared data and information. Given that six out of the ten threats to global health listed by WHO are occurring at the human-animal-environmental interfaces, comprehensive regional RA with a One Health approach made by national authorities can be a relevant added value for the global health security.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Figure 1
Figure 1
Seasonal risk levels of WNV transmission to humans with the corresponding risk area and the indicators used to define the level (source ECDC), Source: [28].
Figure 2
Figure 2
Perceived risk of West Nile virus using the ECDC risk assessment tool. Risk areas identified by three countries with consensus between sectors.
Figure 3
Figure 3
Perceived risk of West Nile virus using the ECDC risk assessment tool. Risk areas identified by two countries with less consensus between sectors.
Figure 4
Figure 4
Added value of the multisectoral approach as assessed by participants to the CCHF exercise (11 countries).
Figure 5
Figure 5
Added value of the multisectoral approach as assessed by participants to the RVF exercise (8 countries).
See this image and copyright information in PMC

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