title: Economic crisis and communicable disease control in Europe: a scoping study among national experts.
abstract: OBJECTIVE
  The effects of the current global economic crisis on the spread and control of communicable diseases remain uncertain. This study aimed to explore experts' views about the impact of the current crisis and measures that have been undertaken by governments to mitigate an alleged adverse effect of the crisis on communicable diseases.
  
  
  METHODS
  An online survey was conducted during November 2009-February 2010 among experts from national agencies for communicable disease control from European Union (EU) and European Free Trade Association (EFTA) countries.
  
  
  RESULTS
  There were few specific national policies and programmes aimed at mitigating the impact of the economic crisis. Prevention services were deemed particularly susceptible to budget cuts (68%) as a result of the economic crisis compared to primary care (28%), according to survey respondents. Services targeted at vulnerable and hard-to-reach population groups were perceived to be at particular risk of deterioration (67%) in contrast to travel medicine (11%), according to respondents.
  
  
  CONCLUSIONS
  There is a need for sustainability of financial resources, public health workforce and infrastructures to ensure that the services and programmes for the surveillance and control of the spread of communicable disease are maintained and developed. There is also a need to explore and foster better linkage in data on socioeconomic circumstances and communicable disease outcomes.
authors.affiliation: Norwich Medical School, University of East Anglia, Norwich, UK.
authors.forename: Boika
authors.initials: B
authors.lastname: Rechel
authors.forename: Marc
authors.initials: M
authors.lastname: Suhrcke
authors.forename: Svetla
authors.initials: S
authors.lastname: Tsolova
authors.forename: Jonathan E
authors.initials: JE
authors.lastname: Suk
authors.forename: Monica
authors.initials: M
authors.lastname: Desai
authors.forename: Martin
authors.initials: M
authors.lastname: McKee
authors.forename: David
authors.initials: D
authors.lastname: Stuckler
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Abubakar
authors.forename: Paul
authors.initials: P
authors.lastname: Hunter
authors.forename: Michaela
authors.initials: M
authors.lastname: Senek
authors.forename: Jan C
authors.initials: JC
authors.lastname: Semenza
mesh_terms: D003140:Communicable Disease Control / Q000191:economics / Q000331:legislation & jurisprudence; D003141:Communicable Diseases / Q000191:economics / Q000453:epidemiology; D003695:Delivery of Health Care / Q000191:economics / Q000331:legislation & jurisprudence; D057172:Economic Recession / Q000706:statistics & numerical data; D005060:Europe / Q000453:epidemiology; D005380:Financing, Government; D006291:Health Policy; D006306:Health Surveys; D006801:Humans; D011159:Population Surveillance; D035862:Vulnerable Populations