Preparedness and response against diseases with epidemic potential in the European Union: A qualitative case study of Middle East Respiratory Syndrome (MERS) and poliomyelitis in five member states

Autor: Paloma Carrillo Santisteve, Maria Furberg, Laura Otero-García, Svetla Tsolova, Paola A. Mosquera, Massimo Ciotti, Tarik Derrough, John Kinsman, Fredrik Elgh, René Snacken, John Angrén
Přispěvatelé: UAM. Departamento de Cirugía
Rok vydání: 2018
Předmět:
medicine.medical_specialty
Economic growth
Infectious Medicine
Medicina
Context (language use)
Infektionsmedicin
01 natural sciences
Health informatics
Disease Outbreaks
Health administration
Risk communication
Interviews as Topic
03 medical and health sciences
0302 clinical medicine
MERS-coronavirus
medicine
Member state
Humans
media_common.cataloged_instance
030212 general & internal medicine
European Union
0101 mathematics
European union
Qualitative Research
Inter-sectoral
media_common
Public health
business.industry
Health Policy
Nursing research
lcsh:Public aspects of medicine
010102 general mathematics
Cross-border
lcsh:RA1-1270
Public Health
Global Health
Social Medicine and Epidemiology
Focus Groups
Interoperability
Preparedness and response
Europe
Health Planning
Folkhälsovetenskap
global hälsa
socialmedicin och epidemiologi
Preparedness
Communicable Disease Control
Coronavirus Infections
business
Research Article
Poliomyelitis
Zdroj: Biblos-e Archivo. Repositorio Institucional de la UAM
instname
BMC Health Services Research, Vol 18, Iss 1, Pp 1-13 (2018)
BMC Health Services Research
Popis: Background: EU Decision 1082/2013/EU on serious cross-border health threats provides a legal basis for collaboration between EU Member States, and between international and European level institutions on preparedness, prevention, and mitigation in the event of a public health emergency. The Decision provides a context for the present study, which aims to identify good practices and lessons learned in preparedness and response to Middle East Respiratory Syndrome (MERS) (in UK, Greece, and Spain) and poliomyelitis (in Poland and Cyprus). Methods: Based on a documentary review, followed by five week-long country visits involving a total of 61 interviews and group discussions with experts from both the health and non-health sectors, this qualitative case study has investigated six issues related to preparedness and response to MERS and poliomyelitis: national plans and overall preparedness capacity; training and exercises; risk communication; linking policy and implementation; interoperability between the health and non-health sectors; and cross-border collaboration. Results: Preparedness and response plans for MERS and poliomyelitis were in place in the participating countries, with a high level of technical expertise available to implement them. Nevertheless, formal evaluation of the responses to previous public health emergencies have sometimes been limited, so lessons learned may not be reflected in updated plans, thereby risking mistakes being repeated in future. The nature and extent of inter-sectoral collaboration varied according to the sectors involved, with those sectors that have traditionally had good collaboration (e.g. animal health and food safety), as well as those that have a financial incentive for controlling infectious diseases (e.g. agriculture, tourism, and air travel) seen as most likely to have integrated public health preparedness and response plans. Although the formal protocols for inter-sectoral collaboration were not always up to date, good personal relations were reported within the relevant professional networks, which could be brought into play in the event of a public health emergency. Cross-border collaboration was greatly facilitated if the neighbouring country was a fellow EU Member State. Conclusions: Infectious disease outbreaks remain as an ongoing threat. Efforts are required to ensure that core public health capacities for the full range of preparedness and response activities are sustained.
This work was funded under the European Centre for Disease Prevention and Control’s Framework Contract Number ECDC/2014/005.
Databáze: OpenAIRE
Externí odkaz: