AI Article Synopsis

  • * Thailand's pilot avian influenza surveillance system, initiated in 2016, incorporates multiple stakeholders to monitor influenza A viruses across human, waterfowl, and poultry populations, and has been evaluated for its effectiveness using specific CDC guidelines and additional metrics.
  • * The evaluation revealed strengths in areas like acceptability and flexibility, while highlighting challenges in data quality and interoperability, suggesting improvements through better laboratory integration and sustainable capacity building to enhance global health security.

Article Abstract

Infectious disease surveillance systems support early warning, promote preparedness, and inform public health response. Pathogens that have human, animal, and environmental reservoirs should be monitored through systems that incorporate a One Health approach. In 2016, Thailand's federal government piloted an avian influenza (AI) surveillance system that integrates stakeholders from human, animal, and environmental sectors, at the central level and in four provinces to monitor influenza A viruses within human, waterfowl, and poultry populations. This research aims to describe and evaluate Thailand's piloted AI surveillance system to inform strategies for strengthening and building surveillance systems relevant to One Health. We assessed this surveillance system using the United States Centers for Disease Control and Prevention's (U.S. CDC) "Guidelines for Evaluating Public Health Surveillance Systems" and added three novel metrics: transparency, interoperability, and security. In-depth key informant interviews were conducted with representatives among six Thai federal agencies and departments, the One Health coordinating unit, a corporate poultry producer, and the Thai Ministry of Public Health-U.S. CDC Collaborating Unit. Thailand's AI surveillance system demonstrated strengths in acceptability, simplicity, representativeness, and flexibility, and exhibited challenges in data quality, stability, security, interoperability, and transparency. System efforts may be strengthened through increasing laboratory integration, improving pathogen detection capabilities, implementing interoperable systems, and incorporating sustainable capacity building mechanisms. This innovative piloted surveillance system provides a strategic framework that can be used to develop, integrate, and bolster One Health surveillance approaches to combat emerging global pathogen threats and enhance global health security.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9171517PMC
http://dx.doi.org/10.1016/j.onehlt.2022.100397DOI Listing

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