Surveillance and response to disease emergence.
New and emerging infectious diseases affect humans, domestic animals, livestock and wildlife and can have a significant impact on health, trade and biodiversity. Of the emerging infectious diseases of humans, 75% are zoonotic, with wildlife being an increasingly important source of inter-species transmission. Recent animal health emergencies have highlighted the vulnerability of the livestock sector to the impact of infectious diseases and the associated risks to human health. Outbreaks resulting from wildlife trade have resulted in enormous economic losses globally. On a global level, the human health sector lags behind the animal health sector in the assessment of potential threats, although substantive differences exist among countries in the state of national preparedness planning for emerging diseases. The lack of surveillance data on emerging zoonoses from many developing countries means that the burden of human, livestock and wildlife disease is underestimated and opportunities for control interventions thereby limited. In the context of emerging zoonoses, comprehensive risk assessments are needed to identify the animal-human and animal-animal interfaces where transmission of infectious agents occurs and the feasibility of risk reduction interventions. The impact of emerging diseases can be minimised through a well-prepared and strong public health system and similar systems developed by the livestock, wildlife and food safety sectors. National animal disease emergencies, especially those that spill over to affect human health, require a whole-of-government approach for effective disease containment. As it is highly likely that zoonoses and animal diseases with the potential to affect human health will continue to emerge, surveillance and response systems for emerging zoonotic diseases will need to be strengthened and maintained at national and international levels. Applied research, linked across the human, livestock and wildlife sectors, is needed to inform preparedness planning and the development of evidence-based approaches to zoonotic disease prevention and control.
Merianos
Angela
A
Alert and Response Operations, Department of Epidemic and Pandemic Alert and Response, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland. merianosa@who.int
D000818:Animals; D000835:Animals, Wild / Q000821:virology; D003140:Communicable Disease Control / Q000379:methods*; D003141:Communicable Diseases / Q000453:epidemiology* / Q000635:transmission* / Q000662:veterinary; D004197:Disease Reservoirs / Q000662:veterinary; D006801:Humans; D018570:Risk Assessment; D018571:Sentinel Surveillance / Q000662:veterinary; D015047:Zoonoses