Veterinary and human health surveillance and risk analysis of zoonoses in the UK and Europe

Author(s):  
Dilys Morgan ◽  
Ruth Lysons ◽  
Hilary Kirkbride

Surveillance (derived from the French word surveiller, meaning to watch over) is the ‘ongoing scrutiny, generally using methods distinguished by their practicability, uniformity, and frequently their rapidity, rather than for complete accuracy. Its main purpose is to detect changes in trend or distribution in order to initiate investigative, (preventive) or control or measures’ (Last 1988).Understanding the burden and detecting changes in the incidence of human and animal infections utilises a number of surveillance mechanisms, which rely on voluntary and/or statutory reporting systems. These include international as well as national surveillance schemes for outbreaks of infectious disease and laboratory-confirmed infections, enhanced surveillance schemes for specificzoonoses and notification of specified infectious diseases.

2019 ◽  
Vol 147 ◽  
Author(s):  
N. Adams ◽  
L. Byrne ◽  
J. Edge ◽  
A. Hoban ◽  
C. Jenkins ◽  
...  

Abstract Systematic, national surveillance of outbreaks of intestinal infectious disease has been undertaken by Public Health England (PHE) since 1992. Between 1992 and 2002, there were 19 outbreaks linked to raw drinking milk (RDM) or products made using raw milk, involving 229 people; 36 of these were hospitalised. There followed an eleven-year period (2003–2013) where no outbreaks linked to RDM were reported. However, since 2014 seven outbreaks of Escherichia coli O157:H7 (n = 3) or Campylobacter jejuni (n = 4) caused by contaminated RDM were investigated and reported. Between 2014 and 2017, there were 114 cases, five reported hospitalisations and one death. The data presented within this review indicated that the risk of RDM has increased since 2014. Despite the labelling requirements and recommendations that children should not consume RDM, almost a third of outbreak cases were children. In addition, there has been an increase in consumer popularity and in registered RDM producers in the UK. The Food Standards Agency (FSA) continue to provide advice on RDM to consumers and have recently made additional recommendations to enhance existing controls around registration and hygiene of RDM producers.


2020 ◽  
Author(s):  
Sarah Elizabeth Golding

I think it is fair to say that the broad focus of health psychology in the UK is on non-communicable disease and lifestyle-related health behaviours. I would like to suggest that perhaps the discipline could devote a little more time to infectious diseases, and not just because we find ourselves in the midst of the coronavirus pandemic. In this reflective piece, I outline some of the assumptions that I held, that I sought to challenge in Stage 1 students, and that I suspect are relatively implicit across health psychology as a discipline.


Author(s):  
Nicholas Young

Worldwide, infectious diseases represent a leading cause of death and disability. Exposure to the ocean, whether through recreation or occupation, represents a potentially significant, but poorly understood, source of infectious diseases in man. This review describes the potential mechanisms whereby marine bathing could lead to infectious diseases in man. Sources of pathogens in the marine environment are described, including human sewage, animal sources, fellow bathers and indigenous marine organisms. The epidemiological evidence for the association between marine bathing and infectious disease is presented, including a consideration of the differing relationship between faecal indicator bacteria levels and illness at point source compared with non-point source settings. Estimating the burden of infectious disease is reliant on public health surveillance, both formal and informal, which is described from a UK perspective in this review. Potential emerging threats at the marine–human interface are discussed, including infections caused byShewanellaandVibriobacteria, and the presence of human pathogens in the marine environment that are resistant to antimicrobials.


2020 ◽  
Author(s):  
Sarah Elizabeth Golding

I think it is fair to say that the broad focus of health psychology in the UK is on non-communicable disease and lifestyle-related health behaviours. I would like to suggest that perhaps the discipline could devote a little more time to infectious diseases, and not just because we find ourselves in the midst of the coronavirus pandemic. In this reflective piece, I outline some of the assumptions that I held, that I sought to challenge in Stage 1 students, and that I suspect are relatively implicit across health psychology as a discipline.


2002 ◽  
Vol 6 (28) ◽  
Author(s):  
V R Gundersen

Statistical data for 2001 from the national and regional reporting systems for infectious diseases in the Barents and Baltic Sea regions have been published on the EpiNorth homepage (www.epinorth.org).


Microbiology and virology laboratories provide a diagnostic service that supports the management of patients under the care of front-line clinicians. Despite the significant overlap, laboratory expertise and clinical patient management are traditionally viewed as independent entities. Trainees in the infection disciplines of microbiology, virology, infectious diseases, and tropical medicine have until recently received separate, and as a result, limited training. To address this problem, the UK replaced the FRCPath Part 1 examination for infectious disease trainees with a combined infection training (CIT) curriculum in 2015. Based on the idea of integration and collaboration within the field, CIT links laboratory expertise to clinical patient management. Tutorial Topics in Infection for the Combined Infection Training Programme is the first book covering the complete CIT curriculum. Following the format of the CIT certificate examination, each chapter ends with three single best answer multiple choice questions accompanied by in-depth discussions. This extensive content helps students appreciate the breadth of knowledge required, emphasises how the different aspects of the field are related, and is an essential tool for those preparing for the CIT certificate examination. Written by a multi-disciplinary team of medical microbiologists, virologists, infectious disease physicians, clinical scientists, biomedical scientists, public health specialists, HIV clinicians, and infection control nurses, this well-illustrated and easy to use book offers a unique insight into infectious diseases. It is the perfect primer for further study, a starting point for medical students and professionals wishing to learn more about the different topics within the infection specialty, and ideal for biomedical scientists looking to broaden their clinical understanding of the field beyond the diagnostic test.


2021 ◽  
Vol 9 ◽  
Author(s):  
Francisco J. Pérez-Reche ◽  
Nick Taylor ◽  
Chris McGuigan ◽  
Philip Conaglen ◽  
Ken J. Forbes ◽  
...  

Policymakers require consistent and accessible tools to monitor the progress of an epidemic and the impact of control measures in real time. One such measure is the Estimated Dissemination Ratio (EDR), a straightforward, easily replicable, and robust measure of the trajectory of an outbreak that has been used for many years in the control of infectious disease in livestock. It is simple to calculate and explain. Its calculation and use are discussed below together with examples from the current COVID-19 outbreak in the UK. These applications illustrate that EDR can demonstrate changes in transmission rate before they may be clear from the epidemic curve. Thus, EDR can provide an early warning that an epidemic is resuming growth, allowing earlier intervention. A conceptual comparison between EDR and the commonly used reproduction number is also provided.


Author(s):  
Lord Soulsby

The evolution of resistance to microbes is one of the most significant problems in modern medicine, posing serious threats to human and animal health. The early work on the use of antibiotics to bacterial infections gave much hope that infectious diseases were no longer a problem, especially in the human field. However, as their use, indeed over use, progressed, resistance (both mono-resistance and multi-resistance), which was often transferable between different strains and species of bacteria, emerged. In addition, the situation is increasingly complex, as various mechanisms of resistance, including a wide range of β -lactamases, are now complicating the issue. The use of antibiotics in animals, especially those used for growth promotion, has come in for serious criticism, especially those where their use should be reserved for difficult human infections. To lend control, certain antibiotic growth promoters have been banned from use in the EU and the UK.It is now a decade since the UK House of Lords Science and Technology Committee (1998) highlighted concerns about antimicrobial resistance and the dangers to human health of resistant organisms derived from animals fed antibiotics for growth promotion or the treatment of infectious diseases. The concern expressed in the House of Lords report was similar to that in other major reports on the subject, for example from the World Health Organization, the Wellcome Foundation, the Advisory Committee on the Microbiological Safety of Food and the Swann Report (1969) in which it was recommended that antibiotics used in human medicine should not be used as growth promoters in animals. At the press conference to launch the Lord’s Report it was emphasized that unless serious attention was given to dealing with resistance ‘we may find ourselves returning to a pre-antibiotic era’. The evolution of resistance is one of the significant problems in modern medicine, a much changed situation when the early work on antibiotics gave hope that infectious diseases were no longer a problem, especially in the human field. Optimism was so strong that the Surgeon General of the USA, William H Stewart, in 1969 advised the US Congress that ‘it is time to close the book on infectious diseases and to declare that work against the pestilence is over’. This comment was not only mistaken but it was also damaging to human health undertakings and also reduced funding for research on infectious diseases.Despite the widespread support for and dependence on antibiotics, resistance was increasingly reported worldwide and to recognize the global problem a group of medical workers established in 1981, at Tufts University, the Alliance for the Prudent use of Antibiotics (APUA). This now has affiliated chapters on over 60 countries, many in the developing world. APUA claims to be the ‘world’s leading organization conducting antimicrobial resistance research, education, capacity building and advocacy at the global and grass roots levels’.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Juhyeon Kim ◽  
Insung Ahn

AbstractWhen a newly emerging infectious disease breaks out in a country, it brings critical damage to both human health conditions and the national economy. For this reason, apprehending which disease will newly emerge, and preparing countermeasures for that disease, are required. Many different types of infectious diseases are emerging and threatening global human health conditions. For this reason, the detection of emerging infectious disease pattern is critical. However, as the epidemic spread of infectious disease occurs sporadically and rapidly, it is not easy to predict whether an infectious disease will emerge or not. Furthermore, accumulating data related to a specific infectious disease is not easy. For these reasons, finding useful data and building a prediction model with these data is required. The Internet press releases numerous articles every day that rapidly reflect currently pending issues. Thus, in this research, we accumulated Internet articles from Medisys that were related to infectious disease, to see if news data could be used to predict infectious disease outbreak. Articles related to infectious disease from January to December 2019 were collected. In this study, we evaluated if newly emerging infectious diseases could be detected using the news article data. Support Vector Machine (SVM), Semi-supervised Learning (SSL), and Deep Neural Network (DNN) were used for prediction to examine the use of information embedded in the web articles: and to detect the pattern of emerging infectious disease.


2019 ◽  
Vol 9 (12) ◽  
pp. 2486 ◽  
Author(s):  
Mónica Cartelle Gestal ◽  
Margaret R. Dedloff ◽  
Eva Torres-Sangiao

Infectious diseases are the primary cause of mortality worldwide. The dangers of infectious disease are compounded with antimicrobial resistance, which remains the greatest concern for human health. Although novel approaches are under investigation, the World Health Organization predicts that by 2050, septicaemia caused by antimicrobial resistant bacteria could result in 10 million deaths per year. One of the main challenges in medical microbiology is to develop novel experimental approaches, which enable a better understanding of bacterial infections and antimicrobial resistance. After the introduction of whole genome sequencing, there was a great improvement in bacterial detection and identification, which also enabled the characterization of virulence factors and antimicrobial resistance genes. Today, the use of in silico experiments jointly with computational and machine learning offer an in depth understanding of systems biology, allowing us to use this knowledge for the prevention, prediction, and control of infectious disease. Herein, the aim of this review is to discuss the latest advances in human health engineering and their applicability in the control of infectious diseases. An in-depth knowledge of host–pathogen–protein interactions, combined with a better understanding of a host’s immune response and bacterial fitness, are key determinants for halting infectious diseases and antimicrobial resistance dissemination.


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