The Degree of One Health Implementation in the West Nile Virus Integrated Surveillance in Northern Italy, 2016

West Nile virus (WNV) is endemic in the Po valley area, Northern Italy, and within the legal framework of the national plan for the surveillance of human vector-borne diseases, WNV surveillance has over time been implemented. The surveillance plans are based on the transdisciplinary and trans-sector...

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Main Authors: Giulia Paternoster, Laura Tomassone, Marco Tamba, Mario Chiari, Antonio Lavazza, Mauro Piazzi, Anna R. Favretto, Giacomo Balduzzi, Alessandra Pautasso, Barbara R. Vogler
Format: Article
Language:English
Published: Frontiers Media S.A. 2017-09-01
Series:Frontiers in Public Health
Subjects:
Online Access:http://journal.frontiersin.org/article/10.3389/fpubh.2017.00236/full
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author Giulia Paternoster
Giulia Paternoster
Laura Tomassone
Marco Tamba
Mario Chiari
Antonio Lavazza
Mauro Piazzi
Anna R. Favretto
Giacomo Balduzzi
Alessandra Pautasso
Barbara R. Vogler
author_facet Giulia Paternoster
Giulia Paternoster
Laura Tomassone
Marco Tamba
Mario Chiari
Antonio Lavazza
Mauro Piazzi
Anna R. Favretto
Giacomo Balduzzi
Alessandra Pautasso
Barbara R. Vogler
author_sort Giulia Paternoster
collection DOAJ
description West Nile virus (WNV) is endemic in the Po valley area, Northern Italy, and within the legal framework of the national plan for the surveillance of human vector-borne diseases, WNV surveillance has over time been implemented. The surveillance plans are based on the transdisciplinary and trans-sectorial collaboration between regional institutions involved in public, animal, and environmental health. This integrated surveillance targets mosquitoes, wild birds, humans, and horses and aims at early detecting the viral circulation and reducing the risk of infection in the human populations. The objective of our study was to assess the degree of One Health (OH) implementation (OH-ness) of the WNV surveillance system in three North Italian regions (Emilia-Romagna, Lombardy, Piedmont) in 2016, following the evaluation protocol developed by the Network for Evaluation of One Health (NEOH). In detail, we (i) described the OH initiative (drivers, outcomes) and its system (boundaries, aim, dimensions, actors, stakeholders) and (ii) scored different aspects of this initiative (i.e., OH-thinking, -planning, -sharing, -learning, transdisciplinarity and leadership), with values from 0 (=no OH approach) to 1 (=perfect OH approach). We obtained a mean score for each aspect evaluated. We reached high scores for OH thinking (0.90) and OH planning (0.89). Lower scores were attributed to OH sharing (0.83), transdisciplinarity and leadership (0.77), and OH learning (0.67), highlighting some critical issues related to communication and learning gaps. The strengths and weaknesses detected by the described quantitative evaluation will be investigated in detail by a qualitative evaluation (process evaluation), aiming to provide a basis for the development of shared recommendations to refine the initiative and conduct it in a more OH-oriented perspective.
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spelling doaj.art-7d13f3430a034302baa24a03571e20642022-12-21T21:56:05ZengFrontiers Media S.A.Frontiers in Public Health2296-25652017-09-01510.3389/fpubh.2017.00236287063The Degree of One Health Implementation in the West Nile Virus Integrated Surveillance in Northern Italy, 2016Giulia Paternoster0Giulia Paternoster1Laura Tomassone2Marco Tamba3Mario Chiari4Antonio Lavazza5Mauro Piazzi6Anna R. Favretto7Giacomo Balduzzi8Alessandra Pautasso9Barbara R. Vogler10Istituto Zooprofilattico Sperimentale della Lombardia e dell’Emilia-Romagna (IZSLER), Brescia, ItalyDepartment of Diagnostic Medicine/Pathobiology, College of Veterinary Medicine, Kansas State University, Manhattan, KS, United StatesDipartimento di Scienze Veterinarie, Università degli Studi di Torino, Grugliasco, ItalyIstituto Zooprofilattico Sperimentale della Lombardia e dell’Emilia-Romagna (IZSLER), Brescia, ItalyIstituto Zooprofilattico Sperimentale della Lombardia e dell’Emilia-Romagna (IZSLER), Brescia, ItalyIstituto Zooprofilattico Sperimentale della Lombardia e dell’Emilia-Romagna (IZSLER), Brescia, ItalyServizio di Riferimento Regionale di Epidemiologia per la Sorveglianza la Prevenzione e il Controllo delle Malattie Infettive (SeREMI), Alessandria, ItalyDipartimento di Giurisprudenza e Scienze Politiche, Economiche e Sociali, Università del Piemonte Orientale, Alessandria, ItalyDipartimento di Scienze Politiche e Sociali, Università degli Studi di Pavia, Pavia, ItalyIstituto Zooprofilattico Sperimentale del Piemonte, Liguria e Valle d’Aosta (IZSTO), Turin, ItalyDepartment of Poultry Diseases, Institute of Veterinary Bacteriology, Vetsuisse Faculty, University of Zurich, Zurich, SwitzerlandWest Nile virus (WNV) is endemic in the Po valley area, Northern Italy, and within the legal framework of the national plan for the surveillance of human vector-borne diseases, WNV surveillance has over time been implemented. The surveillance plans are based on the transdisciplinary and trans-sectorial collaboration between regional institutions involved in public, animal, and environmental health. This integrated surveillance targets mosquitoes, wild birds, humans, and horses and aims at early detecting the viral circulation and reducing the risk of infection in the human populations. The objective of our study was to assess the degree of One Health (OH) implementation (OH-ness) of the WNV surveillance system in three North Italian regions (Emilia-Romagna, Lombardy, Piedmont) in 2016, following the evaluation protocol developed by the Network for Evaluation of One Health (NEOH). In detail, we (i) described the OH initiative (drivers, outcomes) and its system (boundaries, aim, dimensions, actors, stakeholders) and (ii) scored different aspects of this initiative (i.e., OH-thinking, -planning, -sharing, -learning, transdisciplinarity and leadership), with values from 0 (=no OH approach) to 1 (=perfect OH approach). We obtained a mean score for each aspect evaluated. We reached high scores for OH thinking (0.90) and OH planning (0.89). Lower scores were attributed to OH sharing (0.83), transdisciplinarity and leadership (0.77), and OH learning (0.67), highlighting some critical issues related to communication and learning gaps. The strengths and weaknesses detected by the described quantitative evaluation will be investigated in detail by a qualitative evaluation (process evaluation), aiming to provide a basis for the development of shared recommendations to refine the initiative and conduct it in a more OH-oriented perspective.http://journal.frontiersin.org/article/10.3389/fpubh.2017.00236/fullOne HealthevaluationWest Nile virusintegrated surveillancezoonosesNorthern Italy
spellingShingle Giulia Paternoster
Giulia Paternoster
Laura Tomassone
Marco Tamba
Mario Chiari
Antonio Lavazza
Mauro Piazzi
Anna R. Favretto
Giacomo Balduzzi
Alessandra Pautasso
Barbara R. Vogler
The Degree of One Health Implementation in the West Nile Virus Integrated Surveillance in Northern Italy, 2016
Frontiers in Public Health
One Health
evaluation
West Nile virus
integrated surveillance
zoonoses
Northern Italy
title The Degree of One Health Implementation in the West Nile Virus Integrated Surveillance in Northern Italy, 2016
title_full The Degree of One Health Implementation in the West Nile Virus Integrated Surveillance in Northern Italy, 2016
title_fullStr The Degree of One Health Implementation in the West Nile Virus Integrated Surveillance in Northern Italy, 2016
title_full_unstemmed The Degree of One Health Implementation in the West Nile Virus Integrated Surveillance in Northern Italy, 2016
title_short The Degree of One Health Implementation in the West Nile Virus Integrated Surveillance in Northern Italy, 2016
title_sort degree of one health implementation in the west nile virus integrated surveillance in northern italy 2016
topic One Health
evaluation
West Nile virus
integrated surveillance
zoonoses
Northern Italy
url http://journal.frontiersin.org/article/10.3389/fpubh.2017.00236/full
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