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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Ebola, Enterovirus, MERS, Novel Flu, and other Challenges for Public
Health Surveillance Practitioners</title><author><name sortKey="Siniscalchi, Alan" sort="Siniscalchi, Alan" uniqKey="Siniscalchi A" first="Alan" last="Siniscalchi">Alan Siniscalchi</name><affiliation><nlm:aff id="aff1">State of CT Dept of Public Health, Hartford, CT,<country>USA</country></nlm:aff></affiliation></author><author><name sortKey="Evans, Brooke" sort="Evans, Brooke" uniqKey="Evans B" first="Brooke" last="Evans">Brooke Evans</name><affiliation><nlm:aff id="aff2">International Society for Disease Surveillance, Boston, MA,<country>USA</country></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmc">4512435</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4512435</idno><idno type="RBID">PMC:4512435</idno><idno type="doi">10.5210/ojphi.v7i1.5718</idno><idno type="pmid">NONE</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000007</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000007</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Ebola, Enterovirus, MERS, Novel Flu, and other Challenges for Public
Health Surveillance Practitioners</title><author><name sortKey="Siniscalchi, Alan" sort="Siniscalchi, Alan" uniqKey="Siniscalchi A" first="Alan" last="Siniscalchi">Alan Siniscalchi</name><affiliation><nlm:aff id="aff1">State of CT Dept of Public Health, Hartford, CT,<country>USA</country></nlm:aff></affiliation></author><author><name sortKey="Evans, Brooke" sort="Evans, Brooke" uniqKey="Evans B" first="Brooke" last="Evans">Brooke Evans</name><affiliation><nlm:aff id="aff2">International Society for Disease Surveillance, Boston, MA,<country>USA</country></nlm:aff></affiliation></author></analytic><series><title level="j">Online Journal of Public Health Informatics</title><idno type="eISSN">1947-2579</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Siniscalchi, Aj" uniqKey="Siniscalchi A">AJ Siniscalchi</name></author><author><name sortKey="Schulte, A" uniqKey="Schulte A">A Schulte</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Siniscalchi, Aj" uniqKey="Siniscalchi A">AJ Siniscalchi</name></author><author><name sortKey="Ishikawa, C" uniqKey="Ishikawa C">C Ishikawa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mirza, N" uniqKey="Mirza N">N Mirza</name></author><author><name sortKey="Reynolds, T" uniqKey="Reynolds T">T Reynolds</name></author><author><name sortKey="Coletta, M" uniqKey="Coletta M">M Coletta</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="abstract"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Online J Public Health Inform</journal-id><journal-id journal-id-type="iso-abbrev">Online J Public Health Inform</journal-id><journal-id journal-id-type="publisher-id">OJPHI</journal-id><journal-title-group><journal-title>Online Journal of Public Health Informatics</journal-title></journal-title-group><issn pub-type="epub">1947-2579</issn><publisher><publisher-name>University of Illinois at Chicago Library</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmc">4512435</article-id><article-id pub-id-type="publisher-id">ojphi-07-e53</article-id><article-id pub-id-type="doi">10.5210/ojphi.v7i1.5718</article-id><article-categories><subj-group subj-group-type="heading"><subject>ISDS 2014 Conference Abstracts</subject></subj-group></article-categories><title-group><article-title>Ebola, Enterovirus, MERS, Novel Flu, and other Challenges for Public
Health Surveillance Practitioners</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Siniscalchi</surname><given-names>Alan</given-names></name><xref ref-type="corresp" rid="c1-ojphi-07-e53">*</xref><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Evans</surname><given-names>Brooke</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><aff id="aff1"><label>1</label>State of CT Dept of Public Health, Hartford, CT,<country>USA</country></aff><aff id="aff2"><label>2</label>International Society for Disease Surveillance, Boston, MA,<country>USA</country></aff></contrib-group><author-notes><corresp id="c1-ojphi-07-e53"><label>*</label>Alan Siniscalchi, E -mail: <email xlink:href="alan.siniscalchi@ct.gov">alan.siniscalchi@ct.gov</email></corresp></author-notes><pub-date pub-type="epub"><day>26</day><month>2</month><year>2015</year></pub-date><pub-date pub-type="collection"><year>2015</year></pub-date><volume>7</volume><issue>1</issue><elocation-id>e53</elocation-id><permissions><copyright-statement>ISDS Annual Conference Proceedings 2014. This is an Open Access
article distributed under the terms of the Creative Commons
Attribution-Noncommercial 3.0 Unported License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>), permitting all
non-commercial use, distribution, and reproduction in any medium, provided the
original work is properly cited.</copyright-statement><copyright-year>2015</copyright-year><copyright-holder>© 2015 the author(s)</copyright-holder></permissions><kwd-group kwd-group-type="author"><kwd>situational awareness</kwd><kwd>Ebola</kwd><kwd>MERS-CoV</kwd><kwd>novel influenza surveillance</kwd><kwd>resource limitations</kwd></kwd-group></article-meta></front><body><sec><title>Objective</title><p>To identify and characterize challenges experienced by public health practitioners
conducting surveillance for the presence of influenza, novel respiratory diseases,
and globally emerging viruses in an era of limited resources.</p></sec><sec sec-type="intro"><title>Introduction</title><p>Public health practitioners endeavor to expand and refine their syndromic and other
advanced surveillance systems that are designed to supplement their existing
laboratory testing and disease surveillance toolkit. While much of the development
and widespread implementation of these systems had been supported by public health
preparedness funding, the reduction of these monies has greatly constrained the
ability of public health agencies to staff and maintain these systems. The
appearance of H3N2v and other novel influenza A viruses required agencies to
carefully identify which systems provide the most cost-effective data to support
their public health practice. Recent Enterovirus D68 outbreaks, along with the
global emergence of influenza A (H7N9), the global emergence of influenza A (H7N9),
Middle East Respiratory Syndrome Coronavirus (MERS-CoV), Ebola virus strains, and
other viruses associated with high mortality, emphasize the importance of
maintaining vigilance for the presence of emerging disease.</p></sec><sec sec-type="methods"><title>Methods</title><p>This project included a review of data obtained from a survey of public health
practitioners recruited among members of the International Society for Disease
Surveillance (ISDS) Public Health Practice Committee (PHPC) during 2012 and 2013
[<xref rid="r1" ref-type="bibr">1</xref>,<xref rid="r2" ref-type="bibr">2</xref>]. In these surveys, questions were selected for discussion and additional
responses collected from influenza surveillance coordinators using a web-based
survey tool managed by ISDS staff on behalf of the PHPC. During 2014, additional
information was requested to assess approaches to identify novel influenza strains,
MERS-CoV, and other emerging viruses. Special emphasis was made to obtain
information on comparative approaches to cost-effective surveillance in follow-up to
an ISDS policy paper [<xref rid="r3" ref-type="bibr">3</xref>].</p></sec><sec sec-type="results"><title>Results</title><p>Responses from the initial surveys suggest that most jurisdictions are challenged to
continue to utilize a variety of surveillance systems for conducting disease
surveillance in an era of diminishing resources. One major challenge is the
recruitment and retention of well-trained and experienced public health and
informatics staff to maintain these systems. Many public health practitioners have
been asked to establish new surveillance protocols for an increasing number of
diseases associated with novel and emerging viruses including influenza A (H3N2)v
infections associated with agricultural fairs and ruling out influenza A (H7N9),
MERS-CoV, and even Ebola virus infections. Most jurisdictions continue to struggle
to determine which surveillance systems are the most cost-effective for providing
the most valuable data in the face of decreasing funding.</p></sec><sec sec-type="conclusions"><title>Conclusions</title><p>Public health agencies strive to develop and maintain cost-effective disease
surveillance systems to better understand the burden of disease within their
jurisdiction. The emergence of novel influenza and other respiratory viruses and
other emerging diseases offer new challenges to public health practitioners. The
importance of maintaining sufficient infrastructure and the trained personnel needed
to operate these surveillance systems for optimal disease detection and public
health response readiness cannot be understated. Expansion of academic training
programs and promotion of careers in public health surveillance will provide a pool
of competent professionals to staff public health agencies.</p></sec></body><back><ref-list><title>References</title><ref id="r1"><label>1</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Siniscalchi</surname><given-names>AJ</given-names></name><name><surname>Schulte</surname><given-names>A</given-names></name></person-group><year>2013</year><article-title>Can Novel Flu Surveillance Be Conducted
With Limited Resources?</article-title><source>OJPHI</source>. <volume>5</volume>(<issue>1</issue>),
<fpage>169</fpage><pub-id pub-id-type="doi">10.5210/ojphi.v5i1.4566</pub-id></mixed-citation></ref><ref id="r2"><label>2</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Siniscalchi</surname><given-names>AJ</given-names></name><name><surname>Ishikawa</surname><given-names>C</given-names></name></person-group><year>2014</year><article-title>Searching for MERS and Novel Flu with
Limited Resources</article-title>. <source>OJPHI</source>.
<volume>6</volume>(<issue>1</issue>), <fpage>e65</fpage><pub-id pub-id-type="doi">10.5210/ojphi.v6i1.5163</pub-id></mixed-citation></ref><ref id="r3"><label>3</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mirza</surname><given-names>N</given-names></name><name><surname>Reynolds</surname><given-names>T</given-names></name><name><surname>Coletta</surname><given-names>M</given-names></name><etal></etal></person-group><year>2013</year>. <article-title>Steps to a Sustainable Public Health
Enterprise: A Commentary from the International Society for Disease
Surveillance</article-title>. <source>OJPHI</source>.
<volume>5</volume>(<issue>2</issue>), <fpage>1</fpage>-<lpage>12</lpage>.
<pub-id pub-id-type="doi">10.5210/ojphi.v5i2.4703</pub-id><pub-id pub-id-type="pmid">23923095</pub-id></mixed-citation></ref></ref-list></back></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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