Focus, vigilance, resilience: towards stronger infectious disease surveillance, threat detection and response in the EU/EEA.

IF 9.9 2区 医学 Q1 INFECTIOUS DISEASES
Phillip Zucs, Julien Beauté, Daniel Palm, Gianfranco Spiteri
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Abstract

This perspective summarises and explains the long-term surveillance framework 2021-2027 for infectious diseases in the European Union/European Economic Area (EU/EEA) published in April 2023. It shows how shortcomings in the areas of public health focus, vigilance and resilience will be addressed through specific strategies in the coming years and how these strategies will lead to stronger surveillance systems for early detection and monitoring of public health threats as well as informing their effective prevention and control. A sharper public health focus is expected from a more targeted list of notifiable diseases, strictly public-health-objective-driven surveillance standards, and consequently, leaner surveillance systems. Vigilance should improve through mandatory event reporting, more automated epidemic intelligence processing and increased use of genomic surveillance. Finally, EU/EEA surveillance systems should become more resilient by modernising the underlying information technology infrastructure, expanding the influenza sentinel surveillance system to other respiratory viruses for better pandemic preparedness, and increasingly exploiting potentially more robust alternative data sources, such as electronic health records and wastewater surveillance. Continued close collaboration across EU/EEA countries will be key to ensuring the full implementation of this surveillance framework and more effective disease prevention and control.

重点、警惕、应变能力:加强欧盟/欧洲经济区的传染病监测、威胁检测和应对。
本视角总结并解释了 2023 年 4 月发布的 2021-2027 年欧盟/欧洲经济区(EU/EEA)传染病长期监测框架。它说明了未来几年将如何通过具体战略来解决公共卫生重点、警惕性和应变能力方面的不足,以及这些战略将如何带来更强大的监测系统,以便及早发现和监测公共卫生威胁,并为其有效预防和控制提供信息。更有针对性的应通报疾病清单、严格的公共卫生目标驱动的监测标准,以及随之而来的更精简的监测系统,有望使公共卫生重点更加突出。应通过强制性事件报告、更自动化的流行病情报处理和更多地使用基因组监测来提高警惕。最后,欧盟/欧洲经济区的监测系统应通过以下方式提高复原力:实现基本信息技术基础设施的现代化;将流感定点监测系统扩大到其他呼吸道病毒,以更好地做好大流行病的准备;以及更多地利用潜在的更强大的替代数据源,如电子健康记录和废水监测。欧盟/欧洲经济区各国继续密切合作将是确保全面实施这一监测框架和更有效地预防和控制疾病的关键。
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来源期刊
Eurosurveillance
Eurosurveillance INFECTIOUS DISEASES-
CiteScore
32.70
自引率
2.10%
发文量
430
审稿时长
3-8 weeks
期刊介绍: Eurosurveillance is a European peer-reviewed journal focusing on the epidemiology, surveillance, prevention, and control of communicable diseases relevant to Europe.It is a weekly online journal, with 50 issues per year published on Thursdays. The journal includes short rapid communications, in-depth research articles, surveillance reports, reviews, and perspective papers. It excels in timely publication of authoritative papers on ongoing outbreaks or other public health events. Under special circumstances when current events need to be urgently communicated to readers for rapid public health action, e-alerts can be released outside of the regular publishing schedule. Additionally, topical compilations and special issues may be provided in PDF format.
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