Institutional frameworks for management of epizoonotic emergencies in six countries in the Eastern Africa region: a situational analysis
| Autor: | Bazeyo W, Rw, Mayega, Nabukenya I, Keyyu J, Mamuya S, Sj, Tabu, Senna L, Mohammad M, Rugigana E, Alingi A, Mala Ali Mapatano, Kiguli J, Cg, Orach, Burnham G, Killewo J |
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| Předmět: |
Emergency Medical Services
Disaster Planning Africa Eastern Communicable Diseases Birds Risk Factors Influenza in Birds Zoonoses Influenza Human Democratic Republic of the Congo Animals Humans Organizational Objectives Public Health Epizoonotic emergencies institutional frameworks capacity Cooperative Behavior Epidemics Sentinel Surveillance |
| Zdroj: | Europe PubMed Central East African Journal of Public Health; Vol 10, No 2 (2013); 387-396 |
| ISSN: | 0856-8960 |
| Popis: | Introduction: The Eastern Africa region is a hot-spot for epidemics of emerging zoonotic diseases (‘epizoonotics’). However, the region’s capacity for response to epidemics of zoonotic origin has not been documented. This paper presents a multi-country situational analysis on the institutional frameworks for management of zoonotic epidemics in the Eastern Africa region. Methods: A multi-country assessment of 6 country teams was conducted (Uganda, Kenya, Tanzania, Ethiopia, DRC and Rwanda). It involved a review of records and interviews with key informants from agencies with a stake in the management of zoonotic and disasters in general in the respective countries. Qualitative data were analyzed for key emerging themes. Findings: There are many socio-cultural risk factors to epidemic prone zoonotic diseases in the region. Countries have varying levels of preparedness for zoonotic emergencies. All 6 countries have a framework for disaster management. However, technical response to epidemics is managed by the line sectors, with limited Inter-sectoral collaboration. Some sectors were disproportionately more prepared than others. Surveillance systems are mostly passive and inadequate for early detection. All 6 countries have built reasonable capacity to respond to avian influenza, but not other zoonotic emergencies. Most countries lack personnel at the operational levels, and veterinary public health services are ill-facilitated. Conclusion: There is need to strengthen veterinary public health services at all levels, but with a ‘one health’ approach. There is also need to establish ‘risk-based surveillance’ hot spots for zoonotic epidemics and to build community resilience ‘epizoonotic’ diseases.Keywords: Epizoonotic emergencies, institutional frameworks, capacity |
| Databáze: | OpenAIRE |
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