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Review
. 2021 Sep;6(9):e006623.
doi: 10.1136/bmjgh-2021-006623.

Scoping future outbreaks: a scoping review on the outbreak prediction of the WHO Blueprint list of priority diseases

Affiliations
Review

Scoping future outbreaks: a scoping review on the outbreak prediction of the WHO Blueprint list of priority diseases

Nils Jonkmans et al. BMJ Glob Health. 2021 Sep.

Abstract

Background: The WHO's Research and Development Blueprint priority list designates emerging diseases with the potential to generate public health emergencies for which insufficient preventive solutions exist. The list aims to reduce the time to the availability of resources that can avert public health crises. The current SARS-CoV-2 pandemic illustrates that an effective method of mitigating such crises is the pre-emptive prediction of outbreaks. This scoping review thus aimed to map and identify the evidence available to predict future outbreaks of the Blueprint diseases.

Methods: We conducted a scoping review of PubMed, Embase and Web of Science related to the evidence predicting future outbreaks of Ebola and Marburg virus, Zika virus, Lassa fever, Nipah and Henipaviral disease, Rift Valley fever, Crimean-Congo haemorrhagic fever, Severe acute respiratory syndrome, Middle East respiratory syndrome and Disease X. Prediction methods, outbreak features predicted and implementation of predictions were evaluated. We conducted a narrative and quantitative evidence synthesis to highlight prediction methods that could be further investigated for the prevention of Blueprint diseases and COVID-19 outbreaks.

Results: Out of 3959 articles identified, we included 58 articles based on inclusion criteria. 5 major prediction methods emerged; the most frequent being spatio-temporal risk maps predicting outbreak risk periods and locations through vector and climate data. Stochastic models were predominant. Rift Valley fever was the most predicted disease. Diseases with complex sociocultural factors such as Ebola were often predicted through multifactorial risk-based estimations. 10% of models were implemented by health authorities. No article predicted Disease X outbreaks.

Conclusions: Spatiotemporal models for diseases with strong climatic and vectorial components, as in River Valley fever prediction, may currently best reduce the time to the availability of resources. A wide literature gap exists in the prediction of zoonoses with complex sociocultural and ecological dynamics such as Ebola, COVID-19 and especially Disease X.

Keywords: SARS; geographic information systems; mathematical modelling; systematic review; viral haemorrhagic fevers.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
PRISMA flow diagram of search strategy. PRISMA, Preferred Reporting Items for Systematic Reviews and Meta-Analyses.
Figure 2
Figure 2
Example case study of Rift Valley fever (RVF) outbreak prediction. Illustration adapted from prediction strategies devised by Anyamba et al : (1) advanced very high resolution radiometers (AVHRR) on satellites measure observations of various global to subregional variables; (2) outgoing longwave radiation (OLR), sea surface temperature (SST), normalised difference vegetation index (NDVI) and rainfall together with coordinates of previous outbreaks are integrated into outbreak risk maps; (3) risk map predictions are associated to persistent anomalies in NDVI over specific locations, for example, predicting RVF outbreaks during future time periods and enabling warnings with time lags weeks to months ahead. Warnings are transmitted as part of an early warning system to different agencies (4), which lead pre-emptive measures: information to private citizens and health personnel, vaccination drives, awareness campaigns and vector control through pesticides.

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