20 - One Health Surveillance Flashcards

1
Q

What is a stakeholder?

A

An individual or group that has an interest in any decision, activity, or outcome of a project or an organization

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2
Q

How do we identify stakeholders?

A
  1. To whom does the organization have legal obligations?
  2. Who is positively or negatively affected by orgs activities
  3. Who is likely to express concerns about decisions/activities of org
  4. Who would be disadvantaged if excluded from the engagement?
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3
Q

Examples of organizations/groups that work to protect animals, peoples and the environment

A

Research institutes, post-secondary institutes, government agencies, NGOs, professional bodies

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4
Q

What is surveillance? How is monitoring different?

A

Ongoing, systematic and adaptable collection, analysis, interpretation and dissemination of data about health, diseases, and their determinants in a population with the purpose of responding to changes in the pop health or disease status

Monitoring = no response

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5
Q

What is public health surveillance

A

Systematic, ongoing collection, analysis and interpretation of data and the timely dissemination of information to public health decision makers so that action can be taken to protect public health

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6
Q

Three components of surveillance

A
  1. Detection (observe/collect data, analysis, interpretation)
  2. Information production and communication
  3. Response
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7
Q

Purposes of surveillance (7)

A
  • estimate burden of a health problem
  • determine the distribution of an event
  • portray the natural history of a disease
  • monitor changes in disease occurrence
  • generate hypotheses and stimulate research
  • early detection -> rapid response
  • reportable/notifiable disease
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8
Q

Nine surveillance system attributes

A
  • Usefulness
  • data quality
  • timeliness
  • flexibility
  • simplicity
  • stability
  • sensitivity
  • representativeness
  • acceptability

Slides 23, 24

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9
Q

Types of surveillance data collection

A
  1. Passive vs active surveillance data
  2. type of population under surveillance and subsequent data
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10
Q

What is passive surveillance

A

“Voluntary” reports of cases based on a case definition
May be required by law to report
Simple, cost effective but delay in obtaining info

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11
Q

What is active surveillance

A

Actively search for cases of disease (collecting disease data, sampling strategy)
Less under-reporting
Costly, slow

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12
Q

What is sentinel surveillance? E.g.

A

Identify a population to be a sentinel for disease in a broader or another population

E.g. ticks and lyme disease

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13
Q

What is syndromic surveillance

A

Data collection on disease indicators in [near] real-time, assisted by automated acquisition and statistical alerts, to detect outbreaks

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14
Q

Four D’s of Canada BSE surveillance program? At least three of what symptoms

A

Down, diseased, dying, distressed

Clinical sign:
- lack of coordination
- trembling
- sensitivity to touch, sounds or light
- abnormal head position
- nervous, aggressive
- hesitation at doors, gates, barriers
- loss of BW, condition, reduced milk

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15
Q

Surveillance for veterinary drugs

A
  • CFIA surveils for drug residues in meat
  • veterinary drug withdrawals (drug labels)
  • health canada evaluates + monitors safety/quality/effectiveness of vet drugs
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16
Q

Technical domains of OH surveillance

A
  • lab
  • surveillance
  • joint outbreak response
  • prevention and control
  • communication
17
Q

What is WildHealthNet?

A
  • early warning system to help prevent pandemics
  • supports development of national wildlife health surveillance to enable wildlife, human, livestock, and env health and wellbeing
18
Q

HPAI H5N1 outbreak in dairy cattle in the US

A
  • highly pathogenic avian influenza
  • decreases milk production and appetite
  • found in unpasteurized milk, clinical samples
  • Testing found overall risk to general human population is low
  • direct exposure with cattle
  • eye inflammation
  • diff surveillance systems connecting/communicating
19
Q

What are FoodNet Canada sentinel sites?

A
  • gather in-depth data at an urban-rural interface
  • representative of ag pop in that region
  • water surveillance of that region
  • diff regions in canada
  • ideally represent Canadian pop
20
Q

Challenges of one health surveillance

A

Data access across OH jurisdictions
- confidentiality balance with the need to protect the public
- mandate/trust
- often includes human and animal health but excludes/forgets environmental stakeholders
- failure to see components as co-equals

21
Q

How to make OH surveillance happen

A
  • communication!
  • shared interests and objectives
  • understand stakeholders
  • work on legal and jurisdictional issues
22
Q

One Health surveillance definition

A

The collaborative on-going systematic collection, analysis, interpretation and dissemination of data from multiple domains at local, national and/or global levels to detect health related events and produce information which leads to actions aimed at attaining optimal health for people, animals and environment