Sustainable surveillance of neglected tropical diseases for the post-elimination era

The World Health Organization's (WHO's) 2030 road map for neglected tropical diseases (NTDs) emphasizes the importance of strengthened, institutionalized "post-elimination" surveillance. The required shift from disease-siloed, campaign-based programming to routine, integrated sur...

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Main Authors: Hatherell, H-A, Simpson, H, Baggaley, RF, Hollingsworth, TD, Pullan, RL
Format: Journal article
Language:English
Published: Oxford University Press 2021
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author Hatherell, H-A
Simpson, H
Baggaley, RF
Hollingsworth, TD
Pullan, RL
author_facet Hatherell, H-A
Simpson, H
Baggaley, RF
Hollingsworth, TD
Pullan, RL
author_sort Hatherell, H-A
collection OXFORD
description The World Health Organization's (WHO's) 2030 road map for neglected tropical diseases (NTDs) emphasizes the importance of strengthened, institutionalized "post-elimination" surveillance. The required shift from disease-siloed, campaign-based programming to routine, integrated surveillance and response activities presents epidemiological, logistical, and financial challenges, yet practical guidance on implementation is lacking. Nationally representative survey programs, such as demographic and health surveys (DHS), may offer a platform for the integration of NTD surveillance within national health systems and health information systems. Here, we describe characteristics of DHS and other surveys conducted within the WHO Africa region in terms of frequency, target populations, and sample types and discuss applicability for post-validation and post-elimination surveillance. Maximizing utility depends not only on the availability of improved diagnostics but also on better understanding of the spatial and temporal dynamics of transmission at low prevalence. To this end, we outline priorities for obtaining additional data to better characterize optimal post-elimination surveillance platforms.
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spelling oxford-uuid:7065f9a0-679e-4950-947a-aee6625617342022-03-26T19:36:56ZSustainable surveillance of neglected tropical diseases for the post-elimination eraJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:7065f9a0-679e-4950-947a-aee662561734EnglishSymplectic ElementsOxford University Press2021Hatherell, H-ASimpson, HBaggaley, RFHollingsworth, TDPullan, RLThe World Health Organization's (WHO's) 2030 road map for neglected tropical diseases (NTDs) emphasizes the importance of strengthened, institutionalized "post-elimination" surveillance. The required shift from disease-siloed, campaign-based programming to routine, integrated surveillance and response activities presents epidemiological, logistical, and financial challenges, yet practical guidance on implementation is lacking. Nationally representative survey programs, such as demographic and health surveys (DHS), may offer a platform for the integration of NTD surveillance within national health systems and health information systems. Here, we describe characteristics of DHS and other surveys conducted within the WHO Africa region in terms of frequency, target populations, and sample types and discuss applicability for post-validation and post-elimination surveillance. Maximizing utility depends not only on the availability of improved diagnostics but also on better understanding of the spatial and temporal dynamics of transmission at low prevalence. To this end, we outline priorities for obtaining additional data to better characterize optimal post-elimination surveillance platforms.
spellingShingle Hatherell, H-A
Simpson, H
Baggaley, RF
Hollingsworth, TD
Pullan, RL
Sustainable surveillance of neglected tropical diseases for the post-elimination era
title Sustainable surveillance of neglected tropical diseases for the post-elimination era
title_full Sustainable surveillance of neglected tropical diseases for the post-elimination era
title_fullStr Sustainable surveillance of neglected tropical diseases for the post-elimination era
title_full_unstemmed Sustainable surveillance of neglected tropical diseases for the post-elimination era
title_short Sustainable surveillance of neglected tropical diseases for the post-elimination era
title_sort sustainable surveillance of neglected tropical diseases for the post elimination era
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AT hollingsworthtd sustainablesurveillanceofneglectedtropicaldiseasesfortheposteliminationera
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