Communicable Diseases Prioritized According to Their Public Health Relevance, Sweden, 2013
Identifieur interne : 000E91 ( Pmc/Checkpoint ); précédent : 000E90; suivant : 000E92Communicable Diseases Prioritized According to Their Public Health Relevance, Sweden, 2013
Auteurs : Viktor Dahl [Suède] ; Anders Tegnell [Suède] ; Anders Wallensten [Suède]Source :
- PLoS ONE [ 1932-6203 ] ; 2015.
Abstract
To establish strategic priorities for the Public Health Agency of Sweden we prioritized pathogens according to their public health relevance in Sweden in order to guide resource allocation. We then compared the outcome to ongoing surveillance. We used a modified prioritization method developed at the Robert Koch Institute in Germany. In a Delphi process experts scored pathogens according to ten variables. We ranked the pathogens according to the total score and divided them into four priority groups. We then compared the priority groups to self-reported time spent on surveillance by epidemiologists and ongoing programmes for surveillance through mandatory and/or voluntary notifications and for surveillance of typing results. 106 pathogens were scored. The result of the prioritization process was similar to the outcome of the prioritization in Germany. Common pathogens such as calicivirus and Influenza virus as well as blood-borne pathogens such as human immunodeficiency virus, hepatitis B and C virus, gastro-intestinal infections such as
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DOI: 10.1371/journal.pone.0136353
PubMed: 26397699
PubMed Central: 4580468
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Health Agency of Sweden, Stockholm, Sweden</addr-line></nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>The Public Health Agency of Sweden, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="Wallensten, Anders" sort="Wallensten, Anders" uniqKey="Wallensten A" first="Anders" last="Wallensten">Anders Wallensten</name><affiliation wicri:level="3"><nlm:aff id="aff001"><addr-line>The Public Health Agency of Sweden, Stockholm, Sweden</addr-line></nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>The Public Health Agency of Sweden, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation><affiliation wicri:level="4"><nlm:aff id="aff003"><addr-line>Department of Medical Sciences, Uppsala University, Uppsala, Sweden</addr-line></nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Medical Sciences, Uppsala University, Uppsala</wicri:regionArea><orgName type="university">Université d'Uppsala</orgName><placeName><settlement type="city">Uppsala</settlement><region nuts="1">Svealand</region><region nuts="1">East Middle Sweden</region></placeName></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>To establish strategic priorities for the Public Health Agency of Sweden we prioritized pathogens according to their public health relevance in Sweden in order to guide resource allocation. We then compared the outcome to ongoing surveillance. We used a modified prioritization method developed at the Robert Koch Institute in Germany. In a Delphi process experts scored pathogens according to ten variables. We ranked the pathogens according to the total score and divided them into four priority groups. We then compared the priority groups to self-reported time spent on surveillance by epidemiologists and ongoing programmes for surveillance through mandatory and/or voluntary notifications and for surveillance of typing results. 106 pathogens were scored. The result of the prioritization process was similar to the outcome of the prioritization in Germany. Common pathogens such as calicivirus and Influenza virus as well as blood-borne pathogens such as human immunodeficiency virus, hepatitis B and C virus, gastro-intestinal infections such as <italic>Campylobacter</italic> and <italic>Salmonella</italic> and vector-borne pathogens such as <italic>Borrelia</italic> were all in the highest priority group. 63% of time spent by epidemiologists on surveillance was spent on pathogens in the highest priority group and all pathogens in the highest priority group, except for <italic>Borrelia</italic> and varicella-zoster virus, were under surveillance through notifications. Ten pathogens in the highest priority group (<italic>Borrelia</italic>, calicivirus, <italic>Campylobacter</italic>, <italic>Echinococcus multilocularis</italic>, hepatitis C virus, HIV, respiratory syncytial virus, SARS- and MERS coronavirus, tick-borne encephalitis virus and varicella-zoster virus) did not have any surveillance of typing results. We will evaluate the possibilities of surveillance for the pathogens in the highest priority group where we currently do not have any ongoing surveillance and evaluate the need of surveillance for the pathogens from the low priority group where there is ongoing surveillance in order to focus our work on the pathogens with the highest relevance.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Fleurence, Rl" uniqKey="Fleurence R">RL Fleurence</name></author><author><name sortKey="Torgerson, Dj" uniqKey="Torgerson D">DJ Torgerson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lomas, J" uniqKey="Lomas J">J Lomas</name></author><author><name sortKey="Fulop, N" uniqKey="Fulop N">N Fulop</name></author><author><name sortKey="Gagnon, D" uniqKey="Gagnon D">D Gagnon</name></author><author><name sortKey="Allen, P" uniqKey="Allen P">P Allen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sibbald, Sl" uniqKey="Sibbald S">SL Sibbald</name></author><author><name sortKey="Gibson, Jl" uniqKey="Gibson J">JL Gibson</name></author><author><name sortKey="Singer, Pa" uniqKey="Singer P">PA Singer</name></author><author><name sortKey="Upshur, R" uniqKey="Upshur R">R Upshur</name></author><author><name sortKey="Martin, Dk" uniqKey="Martin D">DK Martin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sibbald, Sl" uniqKey="Sibbald S">SL Sibbald</name></author><author><name sortKey="Singer, Pa" uniqKey="Singer P">PA Singer</name></author><author><name sortKey="Upshur, R" uniqKey="Upshur R">R Upshur</name></author><author><name sortKey="Martin, Dk" uniqKey="Martin D">DK Martin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Viergever, Rf" uniqKey="Viergever R">RF Viergever</name></author><author><name sortKey="Olifson, S" uniqKey="Olifson S">S Olifson</name></author><author><name sortKey="Ghaffar, A" uniqKey="Ghaffar A">A Ghaffar</name></author><author><name sortKey="Terry, Rf" uniqKey="Terry R">RF Terry</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Doherty, Ja" uniqKey="Doherty J">JA Doherty</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Remme, Jh" uniqKey="Remme J">JH Remme</name></author><author><name sortKey="Blas, E" uniqKey="Blas E">E Blas</name></author><author><name sortKey="Chitsulo, L" uniqKey="Chitsulo L">L Chitsulo</name></author><author><name sortKey="Desjeux, Pm" uniqKey="Desjeux P">PM Desjeux</name></author><author><name sortKey="Engers, Hd" uniqKey="Engers H">HD Engers</name></author><author><name sortKey="Kanyok, Tp" uniqKey="Kanyok T">TP Kanyok</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Balabanova, Y" uniqKey="Balabanova Y">Y Balabanova</name></author><author><name sortKey="Gilsdorf, A" uniqKey="Gilsdorf A">A Gilsdorf</name></author><author><name sortKey="Buda, S" uniqKey="Buda S">S Buda</name></author><author><name sortKey="Burger, R" uniqKey="Burger R">R Burger</name></author><author><name sortKey="Eckmanns, T" uniqKey="Eckmanns T">T Eckmanns</name></author><author><name sortKey="Gartner, B" uniqKey="Gartner B">B Gartner</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Krause, G" uniqKey="Krause G">G Krause</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Krause, G" uniqKey="Krause G">G Krause</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="D H" uniqKey="D H">D H</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pavlin, Bi" uniqKey="Pavlin B">BI Pavlin</name></author><author><name sortKey="Kool, Jl" uniqKey="Kool J">JL Kool</name></author><author><name sortKey="Samo, Mh" uniqKey="Samo M">MH Samo</name></author><author><name sortKey="Gerstel, L" uniqKey="Gerstel L">L Gerstel</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">PLoS One</journal-id><journal-id journal-id-type="iso-abbrev">PLoS ONE</journal-id><journal-id journal-id-type="publisher-id">plos</journal-id><journal-id journal-id-type="pmc">plosone</journal-id><journal-title-group><journal-title>PLoS ONE</journal-title></journal-title-group><issn pub-type="epub">1932-6203</issn><publisher><publisher-name>Public Library of Science</publisher-name><publisher-loc>San Francisco, CA USA</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26397699</article-id><article-id pub-id-type="pmc">4580468</article-id><article-id pub-id-type="doi">10.1371/journal.pone.0136353</article-id><article-id pub-id-type="publisher-id">PONE-D-15-18368</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>Communicable Diseases Prioritized According to Their Public Health Relevance, Sweden, 2013</article-title><alt-title alt-title-type="running-head">Communicable Diseases Prioritized, Sweden, 2013</alt-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Dahl</surname><given-names>Viktor</given-names></name><xref ref-type="aff" rid="aff001"><sup>1</sup></xref><xref ref-type="aff" rid="aff002"><sup>2</sup></xref><xref rid="cor001" ref-type="corresp">*</xref></contrib><contrib contrib-type="author"><name><surname>Tegnell</surname><given-names>Anders</given-names></name><xref ref-type="aff" rid="aff001"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Wallensten</surname><given-names>Anders</given-names></name><xref ref-type="aff" rid="aff001"><sup>1</sup></xref><xref ref-type="aff" rid="aff003"><sup>3</sup></xref></contrib></contrib-group><aff id="aff001"><label>1</label><addr-line>The Public Health Agency of Sweden, Stockholm, Sweden</addr-line></aff><aff id="aff002"><label>2</label><addr-line>European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden</addr-line></aff><aff id="aff003"><label>3</label><addr-line>Department of Medical Sciences, Uppsala University, Uppsala, Sweden</addr-line></aff><contrib-group><contrib contrib-type="editor"><name><surname>Kirk</surname><given-names>Martyn</given-names></name><role>Editor</role><xref ref-type="aff" rid="edit1"></xref></contrib></contrib-group><aff id="edit1"><addr-line>The Australian National University, AUSTRALIA</addr-line></aff><author-notes><fn fn-type="COI-statement" id="coi001"><p><bold>Competing Interests: </bold>The authors have declared that no competing interests exist.</p></fn><fn fn-type="con" id="contrib001"><p>Conceived and designed the experiments: VD AT AW. Performed the experiments: VD AT AW. Analyzed the data: VD AW. Wrote the paper: VD AT AW.</p></fn><corresp id="cor001">* E-mail: <email>viktor.dahl@folkhalsomyndigheten.se</email></corresp></author-notes><pub-date pub-type="epub"><day>23</day><month>9</month><year>2015</year></pub-date><pub-date pub-type="collection"><year>2015</year></pub-date><volume>10</volume><issue>9</issue><elocation-id>e0136353</elocation-id><history><date date-type="received"><day>5</day><month>5</month><year>2015</year></date><date date-type="accepted"><day>31</day><month>7</month><year>2015</year></date></history><permissions><copyright-statement>© 2015 Dahl et al</copyright-statement><copyright-year>2015</copyright-year><copyright-holder>Dahl et al</copyright-holder><license xlink:href="http://creativecommons.org/licenses/by/4.0/"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.</license-p></license></permissions><self-uri content-type="pdf" xlink:type="simple" xlink:href="pone.0136353.pdf"></self-uri><abstract><p>To establish strategic priorities for the Public Health Agency of Sweden we prioritized pathogens according to their public health relevance in Sweden in order to guide resource allocation. We then compared the outcome to ongoing surveillance. We used a modified prioritization method developed at the Robert Koch Institute in Germany. In a Delphi process experts scored pathogens according to ten variables. We ranked the pathogens according to the total score and divided them into four priority groups. We then compared the priority groups to self-reported time spent on surveillance by epidemiologists and ongoing programmes for surveillance through mandatory and/or voluntary notifications and for surveillance of typing results. 106 pathogens were scored. The result of the prioritization process was similar to the outcome of the prioritization in Germany. Common pathogens such as calicivirus and Influenza virus as well as blood-borne pathogens such as human immunodeficiency virus, hepatitis B and C virus, gastro-intestinal infections such as <italic>Campylobacter</italic> and <italic>Salmonella</italic> and vector-borne pathogens such as <italic>Borrelia</italic> were all in the highest priority group. 63% of time spent by epidemiologists on surveillance was spent on pathogens in the highest priority group and all pathogens in the highest priority group, except for <italic>Borrelia</italic> and varicella-zoster virus, were under surveillance through notifications. Ten pathogens in the highest priority group (<italic>Borrelia</italic>, calicivirus, <italic>Campylobacter</italic>, <italic>Echinococcus multilocularis</italic>, hepatitis C virus, HIV, respiratory syncytial virus, SARS- and MERS coronavirus, tick-borne encephalitis virus and varicella-zoster virus) did not have any surveillance of typing results. We will evaluate the possibilities of surveillance for the pathogens in the highest priority group where we currently do not have any ongoing surveillance and evaluate the need of surveillance for the pathogens from the low priority group where there is ongoing surveillance in order to focus our work on the pathogens with the highest relevance.</p></abstract><funding-group><funding-statement>The work was funded by The Public Health Agency of Sweden.</funding-statement></funding-group><counts><fig-count count="0"></fig-count><table-count count="2"></table-count><page-count count="11"></page-count></counts><custom-meta-group><custom-meta id="data-availability"><meta-name>Data Availability</meta-name><meta-value>All relevant data are within the paper.</meta-value></custom-meta></custom-meta-group></article-meta><notes><title>Data Availability</title><p>All relevant data are within the paper.</p></notes></front></pmc><affiliations><list><country><li>Suède</li></country><region><li>East Middle Sweden</li><li>Svealand</li></region><settlement><li>Stockholm</li><li>Uppsala</li></settlement><orgName><li>Université d'Uppsala</li></orgName></list><tree><country name="Suède"><region name="Svealand"><name sortKey="Dahl, Viktor" sort="Dahl, Viktor" uniqKey="Dahl V" first="Viktor" last="Dahl">Viktor Dahl</name></region><name sortKey="Dahl, Viktor" sort="Dahl, Viktor" uniqKey="Dahl V" first="Viktor" last="Dahl">Viktor Dahl</name><name sortKey="Tegnell, Anders" sort="Tegnell, Anders" uniqKey="Tegnell A" first="Anders" last="Tegnell">Anders Tegnell</name><name sortKey="Wallensten, Anders" sort="Wallensten, Anders" uniqKey="Wallensten A" first="Anders" last="Wallensten">Anders Wallensten</name><name sortKey="Wallensten, Anders" sort="Wallensten, Anders" uniqKey="Wallensten A" first="Anders" last="Wallensten">Anders Wallensten</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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