埃及布鲁氏菌病控制国家战略的范围审查:逻辑框架、挑战和前景。

IF 3.6 Q2 INFECTIOUS DISEASES
Ekram W Abd El-Wahab
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引用次数: 0

摘要

背景:尽管长期努力控制布鲁氏菌病,但在埃及,布鲁氏菌病仍然是一个重大的公共卫生和经济挑战。本文概述了布鲁氏菌病控制的国家战略,详细介绍了其法律框架、诊断方案、监测机制、疫苗接种规划和生物安全措施。主体:埃及采用检测屠宰和选择性疫苗接种的双重方法,并辅以血清学和病理诊断。监测结合了被动报告、基于风险的监测和主动的疫情调查。虽然取得了进展,特别是在建立无布鲁氏菌病的奶牛场方面,但由于不一致的遵守、有限的动物登记、补偿不足和文化障碍,根除仍然难以实现。挑战还包括流行病学数据不足,特别是在小反刍动物方面,以及兽医和公共卫生部门之间协调不力。全球比较突出了基于生态系统和“同一个健康”方法的重要性。结论:本综述确定了监测、控制覆盖面和利益相关者参与方面的关键差距。它呼吁进行综合政策改革,投资于诊断和监测基础设施,提高公众意识,并开展区域合作,以加快埃及消除布鲁氏菌病的道路。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

A scoping review of the national strategy for brucellosis control in Egypt: logic framework, challenges, and prospects.

A scoping review of the national strategy for brucellosis control in Egypt: logic framework, challenges, and prospects.

A scoping review of the national strategy for brucellosis control in Egypt: logic framework, challenges, and prospects.

A scoping review of the national strategy for brucellosis control in Egypt: logic framework, challenges, and prospects.

Background: Brucellosis remains a significant public health and economic challenge in Egypt despite long-standing control efforts. This paper outlines the national strategy for brucellosis control, detailing its legal framework, diagnostic protocols, surveillance mechanisms, vaccination programs, and biosecurity measures.

Main body: Egypt employs a dual approach of test-and-slaughter and selective vaccination, supported by serological and pathological diagnostics. Surveillance combines passive reporting, risk-based monitoring, and active outbreak investigation. While progress has been achieved, particularly in establishing brucellosis-free dairy compartments, eradication remains elusive due to inconsistent compliance, limited animal registration, inadequate compensation, and cultural barriers. Challenges also include insufficient epidemiological data, especially in small ruminants, and weak coordination between veterinary and public health sectors. Global comparisons highlight the importance of ecosystem-based and One Health approaches.

Conclusion: This review identifies critical gaps in surveillance, control coverage, and stakeholder engagement. It calls for integrated policy reforms, investment in diagnostic and monitoring infrastructure, enhanced public awareness, and regional cooperation to accelerate Egypt's path toward brucellosis elimination.

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