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. 2023 Mar 3;21(3):e07853.
doi: 10.2903/j.efsa.2023.7853. eCollection 2023 Mar.

Prioritisation of zoonotic diseases for coordinated surveillance systems under the One Health approach for cross-border pathogens that threaten the Union

European Food Safety Authority (EFSA); John Berezowski, Katinka de Balogh, Fernanda C Dórea, Simon Rüegg, Alessandro Broglia, Andrea Gervelmeyer, Lisa Kohnle

Prioritisation of zoonotic diseases for coordinated surveillance systems under the One Health approach for cross-border pathogens that threaten the Union

European Food Safety Authority (EFSA) et al. EFSA J. .

Abstract

In the context of the initiative 'CP-g-22-04.01 Direct grants to Member States' authorities', EFSA was requested to develop and conduct a prioritisation of zoonotic diseases, in collaboration with Member States, to identify priorities for the establishment of a coordinated surveillance system under the One Health approach. The methodology developed by EFSA's Working Group on One Health surveillance was based on a combination of multi-criteria decision analysis and the Delphi method. It comprised the establishment of a list of zoonotic diseases, definition of pathogen- and surveillance-related criteria, weighing of those criteria, scoring of zoonotic diseases by Member States, calculation of summary scores, and ranking of the list of zoonotic diseases according to those scores. Results were presented at EU and country level. A prioritisation workshop was organised with the One Health subgroup of EFSA's Scientific Network for Risk Assessment in Animal Health and Welfare in November 2022 to discuss and agree on a final list of priorities for which specific surveillance strategies would be developed. Those 10 priorities were Crimean-Congo haemorrhagic fever, echinococcosis (both E. granulosus and E. multilocularis), hepatitis E, influenza (avian), influenza (swine), Lyme borreliosis, Q-fever, Rift Valley fever, tick-borne encephalitis and West Nile fever. 'Disease X' was not assessed in the same way as other zoonotic diseases on the list, but it was added to the final list of priorities due to its relevance and importance in the One Health context.

Keywords: decision‐making; emerging; prioritisation; ranking; scoring; transboundary; zoonoses.

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Figures

Figure 1
Figure 1
Flow chart of activities conducted before, during and after the prioritisation workshop
Figure 2
Figure 2
Traffic light system in Miro used for the assessment according to surveillance‐related criteria
Figure 3
Figure 3
Individual criterion weights (standardised) provided by participating countries. All weights sum to four for each country

  1. C: criterion; dw: default weight.

Figure 4
Figure 4
Overall EU ranking of the 45 zoonotic diseases after the questionnaire survey. Black dots represent the mean values
Figure 5
Figure 5
Assessment of diseases against the four surveillance‐related criteria
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Figure A.1. Individual disease ranking for Austria

  1. C: criterion.

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Figure A.2. Criteria dashboard for Austria

  1. C: criterion.

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Figure A.3. Individual disease ranking for Belgium

  1. C: criterion.

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Figure A.4. Criteria dashboard for Belgium

  1. C: criterion.

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Figure A.5. Individual country ranking for Bulgaria

  1. C: criterion; dw: default weights.

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Figure A.6. Criteria dashboard for Bulgaria

  1. C: criterion.

None
Figure A.7. Individual disease ranking for Croatia

  1. C: criterion; na: not available.

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Figure A.8. Criteria dashboard for Croatia

  1. C: criterion; na: not available.

None
Figure A.9. Individual disease ranking for Denmark

  1. C: criterion; dw: default weights.

None
Figure A.10. Criteria dashboard for Denmark

  1. C: criterion.

None
Figure A.11. Individual disease ranking for Estonia

  1. C: criterion; dw: default weights.

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Figure A.12. Criteria dashboard for Estonia

  1. C: criterion.

None
Figure A.13. Individual disease ranking for Finland

  1. C: criterion.

None
Figure A.14. Criteria dashboard ranking for Finland

  1. C: criterion.

None
Figure A.15. Individual disease ranking for France

  1. C: criterion.

None
Figure A.16. Criteria dashboard for France

  1. C: criterion.

None
Figure A.17. Individual disease ranking for Germany

  1. C: criterion.

None
Figure A.18. Criteria dashboard for Germany

  1. C: criterion.

None
Figure A.19. Individual disease ranking for Ireland

  1. C: criterion.

None
Figure A.20. Criteria dashboard for Ireland

  1. C: criterion.

None
Figure A.21. Individual disease ranking for Italy

  1. C: criterion.

None
Figure A.22. Criteria dashboard for Italy

  1. C: criterion.

None
Figure A.23. Individual disease ranking for Latvia

  1. C: criterion.

None
Figure A.24. Criteria dashboard for Latvia

  1. C: criterion.

None
Figure A.25. Individual disease ranking for the Netherlands

  1. C: criterion.

None
Figure A.26. Criteria dashboard for the Netherlands

  1. C: criterion.

None
Figure A.27. Individual disease ranking for Norway

  1. C: criterion.

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Figure A.28. Criteria dashboard for Norway

  1. C: criterion.

None
Figure A.29. Individual disease ranking for Portugal

  1. C: criterion; dw: default weights.

None
Figure A.30. Criteria dashboard for Portugal

  1. C: criterion

None
Figure A.31. Individual disease ranking for Romania

  1. C: criterion

None
Figure A.32. Criteria dashboard for Romania

  1. C: criterion

None
Figure A.33. Individual disease ranking for Slovak Republic

  1. C: criterion; dw: default weights.

None
Figure A.34. Criteria dashboard for Slovak Republic

  1. C: criterion.

None
Figure A.35. Individual disease ranking for Slovenia

  1. C: criterion.

None
Figure A.36. Criteria dashboard for Slovenia

  1. C: criterion.

None
Figure A.37. Individual disease ranking for Spain

  1. C: criterion; na: not available.

None
Figure A.38. Criteria dashboard for Spain

  1. C: criterion; na: not available.

None
Figure A.39. Individual disease ranking for Sweden

  1. C: criterion.

None
Figure A.40. Criteria dashboard for Sweden

  1. C: criterion.

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Figure B.1. Disease‐specific ranking for Crimean‐Congo haemorrhagic fever

  1. C: criterion.

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Figure B.2. Disease‐specific ranking for echinococcosis

  1. C: criterion.

None
Figure B.3. Disease‐specific ranking for hepatitis E

  1. C: criterion.

None
Figure B.4. Disease‐specific ranking for influenza (avian)

  1. C: criterion.

None
Figure B.5. Disease‐specific ranking for influenza (swine)

  1. C: criterion.

None
Figure B.6. Disease‐specific ranking for Lyme borreliosis

  1. C: criterion.

None
Figure B.7. Disease‐specific ranking for Q‐fever

  1. C: criterion.

None
Figure B.8. Disease‐specific ranking for Rift Valley fever

  1. C: criterion.

None
Figure B.9. Disease‐specific ranking for tick‐borne encephalitis

  1. C: criterion.

None
Figure B.10. Disease‐specific ranking for West Nile fever

  1. C: criterion.

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