scholarly journals Uganda Mountain Community Health System Perspectives and Capacities Towards Emerging Infectious Disease Surveillance

Author(s):  
Aggrey Siya ◽  
Richardson Mafigiri ◽  
Richard Migisha ◽  
Rebekah C. Kading

In mountain communities like Sebei, Uganda, that are highly vulnerable to emerging and reemerging infectious diseases, community-based surveillance plays an important role in the monitoring of public health hazards. In this survey, we explored capacities of Village Health Teams (VHTs) in Sebei communities of Mount Elgon in undertaking surveillance tasks for emerging and reemerging infectious diseases in the context of a changing climate. We used participatory epidemiology techniques to elucidate VHTs’ perceptions on climate change and public health and assess their capacities in conducting surveillance for emerging and reemerging infectious diseases. Overall, VHTs perceived climate change to be occurring with wider impacts on public health. However, they have inadequate capacities in collecting sur-veillance data. The VHTs lack transport to navigate through their communities and have in-sufficient capacities in using mobile phones for sending alerts. They do not engage in reporting other hazards related with the environment, wildlife and domestic livestock that would ac-celerate infectious disease outbreaks. Records are not maintained for disease surveillance ac-tivities and the abilities of VHTs to analyze data are also limited. However, VHTs have access to platforms that can enable them to disseminate public health information. The VHTs thus need to be retooled to conduct their work effectively and efficiently through equipping them with adequate logistics and knowledge on collecting, storing, analyzing, and relaying data, which will improve infectious disease response and mitigation efforts.

Author(s):  
Aggrey Siya ◽  
Richardson Mafigiri ◽  
Richard Migisha ◽  
Rebekah C. Kading

In mountain communities like Sebei, Uganda, which are highly vulnerable to emerging and re-emerging infectious diseases, community-based surveillance plays an important role in the monitoring of public health hazards. In this survey, we explored capacities of village health teams (VHTs) in Sebei communities of Mount Elgon in undertaking surveillance tasks for emerging and re-emerging infectious diseases in the context of a changing climate. We used participatory epidemiology techniques to elucidate VHTs’ perceptions on climate change and public health and assessed their capacities to conduct surveillance for emerging and re-emerging infectious diseases. Overall, VHTs perceived climate change to be occurring with wider impacts on public health. However, they had inadequate capacities in collecting surveillance data. The VHTs lacked transport to navigate through their communities and had insufficient capacities in using mobile phones for sending alerts. They did not engage in reporting other hazards related to the environment, wildlife, and domestic livestock that would accelerate infectious disease outbreaks. Records were not maintained for disease surveillance activities and the abilities of VHTs to analyze data were also limited. However, VHTs had access to platforms that could enable them to disseminate public health information. The VHTs thus need to be retooled to conduct their work effectively and efficiently through equipping them with adequate logistics and knowledge on collecting, storing, analyzing, and relaying data, which will improve infectious disease response and mitigation efforts.


Author(s):  
Devin C. Bowles

One of the least appreciated mechanisms by which climate change will affect infectious diseases is via increased violent conflict. Climate change will diminish agricultural and pastoral resources and increase food scarcity in many areas, including already impoverished equatorial regions. Many in the defence and public health fields anticipate that climate change will increase conflict by fuelling competition over scarce resources. Already, some commentators argue that the conflicts in Darfur and Syria were partially caused or exacerbated by climate change. Conflict facilitates a range of conditions conducive to the spread of many infectious diseases, including malnutrition, forced migration, unhygienic living conditions and widespread sexual assault. Flight or killing of health personnel inhibits vaccination, vector control and disease surveillance programs. Emergence of new diseases may go undetected and discovery of outbreaks could be suppressed for strategic reasons. These conditions combine to increase the risk of pandemics.


2017 ◽  
pp. 1309-1324
Author(s):  
Devin C. Bowles

One of the least appreciated mechanisms by which climate change will affect infectious diseases is via increased violent conflict. Climate change will diminish agricultural and pastoral resources and increase food scarcity in many areas, including already impoverished equatorial regions. Many in the defence and public health fields anticipate that climate change will increase conflict by fuelling competition over scarce resources. Already, some commentators argue that the conflicts in Darfur and Syria were partially caused or exacerbated by climate change. Conflict facilitates a range of conditions conducive to the spread of many infectious diseases, including malnutrition, forced migration, unhygienic living conditions and widespread sexual assault. Flight or killing of health personnel inhibits vaccination, vector control and disease surveillance programs. Emergence of new diseases may go undetected and discovery of outbreaks could be suppressed for strategic reasons. These conditions combine to increase the risk of pandemics.


2020 ◽  
Vol 135 (3) ◽  
pp. 343-353
Author(s):  
Tara Kirk Sell ◽  
Sanjana J. Ravi ◽  
Crystal Watson ◽  
Diane Meyer ◽  
Laura E. Pechta ◽  
...  

Objectives The spread of Zika virus throughout Latin America and parts of the United States in 2016 and 2017 presented a challenge to public health communicators. The objective of our study was to describe emergency risk communication practices during the 2016-2017 Zika outbreak to inform future infectious disease communication efforts. Methods We conducted semi-structured telephone interviews with 13 public health policy makers and practitioners, 10 public information officers, and 5 vector-control officials from May through August 2017. Results Within the public health macro-environment, extended outbreak timeframe, government trust, US residence status, and economic insecurity set the backdrop for Zika communication efforts. Limited resources, staffing, and partnerships negatively affected public health structural capacity for communication efforts. Public health communicators and practitioners used a range of processes and practices to engage in education and outreach, including fieldwork, community meetings, and contact with health care providers. Overall, public health agencies’ primary goals were to prevent Zika infection, reduce transmission, and prevent adverse birth outcomes. Conclusions Lessons learned from this disease response included understanding the macro-environment, developing partnerships across agencies and the community, and valuing diverse message platforms. These lessons can be used to improve communication approaches for health officials at the local, state, and federal levels during future infectious disease outbreaks.


2009 ◽  
Vol 133 (6) ◽  
pp. 916-925 ◽  
Author(s):  
Vitali Sintchenko ◽  
Blanca Gallego

Abstract Context.—Traditional biothreat surveillance systems are vulnerable to incomplete and delayed reporting of public health threats. Objective.—To review current and emerging approaches to detection and monitoring of biothreats enabled by laboratory methods of diagnosis and to identify trends in the biosurveillance research. Data Sources.—PubMed (1995 to December 2007) was searched with the combined search terms “surveillance” and “infectious diseases.” Additional articles were identified by hand searching the bibliographies of selected papers. Additional search terms were “public health,” “disease monitoring,” “cluster,” “outbreak,” “laboratory notification,” “molecular,” “detection,” “evaluation,” “genomics,” “communicable diseases,” “geographic information systems,” “bioterrorism,” “genotyping,” and “informatics.” Publication language was restricted to English. The bibliographies of key references were later hand searched to identify articles missing in the database search. Three approaches to infectious disease surveillance that involve clinical laboratories are contrasted: (1) laboratory-initiated infectious disease notifications, (2) syndromic surveillance based on health indicators, and (3) genotyping based surveillance of biothreats. Advances in molecular diagnostics enable rapid genotyping of biothreats and investigations of genes that were not previously identifiable by traditional methods. There is a need for coordination between syndromic and laboratory-based surveillance. Insufficient and delayed decision support and inadequate integration of surveillance signals into action plans remain the 2 main barriers to efficient public health monitoring and response. Decision support for public health users of biosurveillance alerts is often lacking. Conclusions.—The merger of the 3 scientific fields of surveillance, genomics, and informatics offers an opportunity for the development of effective and rapid biosurveillance methods and tools.


2016 ◽  
Vol 18 (3) ◽  
Author(s):  
Chacha D. Mangu ◽  
Christina K. Manyama ◽  
Henry Msila ◽  
Lwitiho Sudi ◽  
Godlove Chaula ◽  
...  

Emerging diseases are global threat towards human existence. Every country is exposed to potentially emergence of infectious diseases. Several factor such as changes in ecology, climate and human demographics play different roles in a complex mechanism contributing to the occurrence of infectious diseases. Important aspects towards control in case of outbreaks are surveillance, preparedness and early response. Tanzania should therefore take opportunity of the calm situation currently present, to prepare. Except for HIV/AIDS, Tanzania has not experienced a major public health threat. However, the question is, is the country safe from emerging and re-emerging infectious diseases? In this article we try to explore the danger of emerging infectious disease (EID) epidemics in Tanzania and the risks attached if an outbreak is to occur. The aim is to formulate recommendations to the government, responsible authorities and general population of what can be done to improve the level of EID preparedness in the country. In conclusion, it is important to strengthen the capacity of community and healthcare staffs on how to respond to potential infectious disease outbreaks. Community-based surveillance systems should be incorporated into the national systems for early detection of public health events. It is also critical to enhance one health approach to increase cross-sectoral information sharing, surveillance and interventional strategies as regards to preparedness and response to disease outbreaks.


Author(s):  
Maria Ines Zanoli Sato

This chapter provides a review of infectious disease to date and the challenges they may present in the future. The main pandemics that have driven the history of humanity are described, from the first to be recorded in 3180 BC to more recent ones such as AIDIS, SARS and others associated with emerging pathogens. The essential role of emerging scientific specialisms (particularly microbiology, public health and sanitary engineering) to our understanding of the causes of these diseases (and how they may be better monitored, controlled and prevented) is presented. Globalization and climate change, determining factors for the ecology of infectious diseases and their emergence and re-emergence, are discussed and point to the urgent need for research to deal with these threats that continue to have a significant impact on human development and wellbeing.


Author(s):  
Manish Kumar Dwivedi ◽  
Suvashish Kumar Pandey ◽  
Prashant Kumar Singh

To guard people against some grave infectious disease, the surveillance system is a key performance measure of global public health threats and vulnerability. The diseases surveillance system helps in public health monitor, control, and prevent infectious diseases. Infectious diseases remain major causes of death. It's important to monitor and surveillance worldwide for developing a framework for risk assessment and health regulation. Surveillance systems help us in understanding the factors driving infectious disease and developing new technological aptitudes with modeling, pathogen determination, characterization, diagnostics, and communications. This chapter discussed surveillance system working, progress toward global public healthy society considering perspectives for the future and improvement of infectious disease surveillance without limited and fragmented capabilities, and making even global coverage.


Atmosphere ◽  
2020 ◽  
Vol 11 (10) ◽  
pp. 1117
Author(s):  
Carmelo J. León ◽  
Yen E. Lam-González ◽  
Carmen García Galindo ◽  
Matías M. González Hernández

The occurrence of infectious diseases may change tourists’ perceptions of a destination’s image and value. This article proposes and empirically tests a choice model to measure the effect of the risk of infectious disease outbreaks caused by climate change on tourists’ willingness to pay for holidays to island destinations. With this aim, an online survey was administrated to 2538 European frequent travellers at their country of residence. Tourists were presented with a hypothetical situation whereby they had to choose among eleven well-known European island destinations for their next holiday. The choice cards included the probability of the occurrence of infectious disease events in the context of other potential risks caused by climate change (i.e., forest fires, floods, heat waves, etc.). The results show infectious disease is the risk that more negatively affects tourists’ willingness to pay to visit islands, followed by forest fires. The results have implications for tourism policy, highlighting the importance of prevention and response strategies, and the design of climate-oriented services, which may raise opportunities to work towards the enhancement of those health and environmental conditions of tourist destinations that ensure their sustainability in the longer term.


2021 ◽  
Author(s):  
Mercy Y. Akinyi ◽  
Stanislaus Kivai ◽  
Peris Mbuthia ◽  
David Kiragu ◽  
Tim Wango ◽  
...  

Abstract Emerging infectious diseases (EIDs) originating from wildlife present a significant threat to global health, security, and economic growth, thus combatting their emergence is a public health priority. Humans and non-human primates (NHPs) exhibit a high degree of overlap in their genetic and physiological similarities, hence making them susceptible to majority of pathogens that can cross the primate species boundaries. However, efforts to understand the potential infectious disease-causing pathogens harbored by wild primate populations has lagged and is yet to be fully explored. Disease surveillance in wildlife to identify probable infectious disease outbreaks has remained a challenge especially in developing countries due to logistical and financial constrains associated with both periodic and longitudinal sample collection. Such loopholes have hampered the preparedness to handle the emerging infectious diseases whenever they arise. In this review we focus on successes, challenges, and proposed solutions for EID surveillance in non-human primate populations in Kenya. We discuss,1) mechanisms of cross species transmission of EIDs, 2) the role of NHPS in EID transmission, 3) results from past NHP pathogen surveillance projects in Kenya and 4) challenges and proposed solutions for NHP-EID surveillance. Finally, we propose that more studies need to include investigations into understanding how cross species transmission occurs in diverse NHP populations and how this impacts one health.


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