A qualitative approach to measure the effectiveness of active avian influenza virus surveillance with respect to its cost: a case study from Switzerland

Policies to prevent zoonotic spillover: a systematic scoping review of evaluative evidence

BACKGROUND

Emerging infectious diseases of zoonotic origin present a critical threat to global population health. As accelerating globalisation makes epidemics and pandemics more difficult to contain, there is a need for effective preventive interventions that reduce the risk of zoonotic spillover events. Public policies can play a key role in preventing spillover events. The aim of this review is to identify and describe evaluations of public policies that target the determinants of zoonotic spillover. Our approach is informed by a One Health perspective, acknowledging the inter-connectedness of human, animal and environmental health.

METHODS

In this systematic scoping review, we searched Medline, SCOPUS, Web of Science and Global Health in May 2021 using search terms combining animal health and the animal-human interface, public policy, prevention and zoonoses. We screened titles and abstracts, extracted data and reported our process in line with PRISMA-ScR guidelines. We also searched relevant organisations' websites for evaluations published in the grey literature. All evaluations of public policies aiming to prevent zoonotic spillover events were eligible for inclusion. We summarised key data from each study, mapping policies along the spillover pathway.

RESULTS

Our review found 95 publications evaluating 111 policies. We identified 27 unique policy options including habitat protection; trade regulations; border control and quarantine procedures; farm and market biosecurity measures; public information campaigns; and vaccination programmes, as well as multi-component programmes. These were implemented by many sectors, highlighting the cross-sectoral nature of zoonotic spillover prevention. Reports emphasised the importance of surveillance data in both guiding prevention efforts and enabling policy evaluation, as well as the importance of industry and private sector actors in implementing many of these policies. Thoughtful engagement with stakeholders ranging from subsistence hunters and farmers to industrial animal agriculture operations is key for policy success in this area.

CONCLUSION

This review outlines the state of the evaluative evidence around policies to prevent zoonotic spillover in order to guide policy decision-making and focus research efforts. Since we found that most of the existing policy evaluations target 'downstream' determinants, additional research could focus on evaluating policies targeting 'upstream' determinants of zoonotic spillover, such as land use change, and policies impacting infection intensity and pathogen shedding in animal populations, such as those targeting animal welfare.

Detection of Influenza A viruses at migratory bird stopover sites in Michigan, USA

Introduction: Influenza A viruses have the potential to cause devastating illness in humans and domestic poultry. Wild birds are the natural reservoirs of Influenza A viruses and migratory birds are implicated in their global dissemination. High concentrations of this virus are excreted in the faeces of infected birds and faecal contamination of shared aquatic habitats can lead to indirect transmission among birds via the faecal-oral route. The role of migratory birds in the spread of avian influenza has led to large-scale surveillance efforts of circulating avian influenza viruses through direct sampling of live and dead wild birds. Environmental monitoring of bird habitats using molecular detection methods may provide additional information on the persistence of influenza virus at migratory stopover sites distributed across large spatial scales.

Materials and methods: In the current study, faecal and water samples were collected at migratory stopover sites and evaluated for Influenza A by real-time quantitative reverse transcriptase PCR.

Results and Discussion: This study found that Influenza A was detected at 53% of the evaluated stopover sites, and 7% and 4.8% of the faecal and water samples, respectively, tested positive for Influenza A virus.

Conclusion: Environmental monitoring detected Influenza A at stopover sites used by migratory birds.

A análise de risco como ferramenta estratégica para o serviço veterinário oficial brasileiro: dificuldades e desafios

O serviço veterinário oficial é responsável por proteger a saúde pública e animal, assegurando a oferta de produtos de origem animal inócuos aos consumidores. Uma ferramenta que auxilia na busca desses objetivos é a análise de risco, que iniciou a ser utilizada na segunda metade da década de 90 pelos serviços veterinários oficiais dos países. Para a realização de uma análise de risco, qualitativa ou quantitativa, inicialmente deve-se identificar o perigo, a qual na área da saúde animal geralmente é o agente patogênico causador de uma doença. A etapa subsequente é a avaliação do risco, na qual devem ser analisados, com suporte de trabalhos científicos ou especialistas na área, as formas possíveis de introdução, exposição e manutenção do agente patogênico na população susceptível, bem como as consequências, biológicas, econômicas, políticas e sociais trazidas pela enfermidade. A terceira etapa da análise de risco refere-se ao manejo dos riscos, que visa propor medidas que mitiguem o risco verificado até o nível desejado, bem como avaliar o custo/benefício de cada medida. A última fase de uma análise de risco é a comunicação dos riscos. Essa etapa é fundamental para o sucesso do estudo e deve ser iniciada juntamente com a análise de risco em si, sempre deixando aberto um canal permanente de comunicação com todos os atores sociais interessados na análise de risco. A análise de risco tornou-se um importante instrumento utilizado pelos gestores dos serviços veterinários oficiais na tomada de decisões, contribuindo para a escolha de alternativas que confiram, cientificamente, o menor risco sanitário. Este trabalho realizou uma revisão da literatura sobre análise de risco objetivando expor sua definição e processo de elaboração, assim como verificar como ela está sendo utilizada, quais limitações e desafios do uso dessa ferramenta pelo serviço veterinário oficial brasileiro.

Towards a new, ecologically targeted approach to monitoring wild bird populations for avian influenza viruses

Prevalence monitoring of avian influenza in wild bird populations is important to estimate risks for the occurrence of potentially zoonotic and economically disastrous outbreaks of highly pathogenic avian influenza virus (AIV) in poultry worldwide. A targeted, cost-effective monitoring method for AIV in wild birds was developed, which is based on monitoring results for AIV in Germany and information on the distribution and abundance of wild bird species in selected habitat types. Spatial data were combined with virological and outbreak data for the period of 1 January 2006 to 31 December 2010. Using Germany as an example, we identified 11 indicator species. By concentrating monitoring efforts on these species in spatially confined locations, we propose a targeted and more cost-effective risk-based AIV monitoring approach that can be adapted universally for the identification of wild bird indicator species worldwide with the perspective of reducing sample sizes (and costs) without impairing the validity of the results.

Economic principles for resource allocation decisions at national level to mitigate the effects of disease in farm animal populations

This paper originated in a project to develop a practical, generic tool for the economic evaluation of surveillance for farm animal diseases at national level by a state veterinary service. Fundamental to that process is integration of epidemiological and economic perspectives. Using a generalized example of epidemic disease, we show that an epidemic curve maps into its economic equivalent, a disease mitigation function, that traces the relationship between value losses avoided and mitigation resources expended. Crucially, elementary economic principles show that mitigation, defined as loss reduction achieved by surveillance and intervention, must be explicitly conceptualized as a three-variable process, and the relative contributions of surveillance and intervention resources investigated with regard to the substitution possibilities between them. Modelling the resultant mitigation surfaces for different diseases should become a standard approach to animal health policy analysis for economic efficiency, a contribution to the evolving agenda for animal health economics research.