1. Prioritization of zoonotic diseases in Kenya, 2015
- Author
-
Samuel M. Thumbi, Josephat Muema, Austine Bitek, Mark Nanyingi, Kariuki Njenga, Athman Mwatondo, Emily G. Pieracci, Mathew Kungu, Peninah Munyua, Eric Osoro, and Radhika Gharpure
- Subjects
Bacterial Diseases ,Veterinary medicine ,Viral Diseases ,Geographical Locations ,0302 clinical medicine ,Public health surveillance ,Zoonoses ,Prevalence ,Medicine and Health Sciences ,Research article ,Public Health Surveillance ,Public and Occupational Health ,030212 general & internal medicine ,Multidisciplinary ,Incidence ,3. Good health ,Infectious Diseases ,Veterinary Diseases ,Medicine ,Research Article ,Neglected Tropical Diseases ,Prioritization ,medicine.medical_specialty ,Infectious Disease Control ,Science ,030231 tropical medicine ,Body weight ,Ebola Hemorrhagic Fever ,Brucellosis ,Anthrax ,03 medical and health sciences ,Environmental health ,medicine ,Animals ,Humans ,National level ,Viral Hemorrhagic Fevers ,business.industry ,Health Priorities ,Public health ,Biology and Life Sciences ,Tropical Diseases ,Kenya ,Socioeconomic Factors ,People and Places ,Africa ,Veterinary Science ,business - Abstract
IntroductionZoonotic diseases have varying public health burden and socio-economic impact across time and geographical settings making their prioritization for prevention and control important at the national level. We conducted systematic prioritization of zoonotic diseases and developed a ranked list of these diseases that would guide allocation of resources to enhance their surveillance, prevention, and control.MethodsA group of 36 medical, veterinary, and wildlife experts in zoonoses from government, research institutions and universities in Kenya prioritized 36 diseases using a semi-quantitative One Health Zoonotic Disease Prioritization tool developed by Centers for Disease Control and Prevention with slight adaptations. The tool comprises five steps: listing of zoonotic diseases to be prioritized, development of ranking criteria, weighting criteria by pairwise comparison through analytical hierarchical process, scoring each zoonotic disease based on the criteria, and aggregation of scores.ResultsIn order of importance, the participants identified severity of illness in humans, epidemic/pandemic potential in humans, socio-economic burden, prevalence/incidence and availability of interventions (weighted scores assigned to each criteria were 0.23, 0.22, 0.21, 0.17 and 0.17 respectively), as the criteria to define the relative importance of the diseases. The top five priority diseases in descending order of ranking were anthrax, trypanosomiasis, rabies, brucellosis and Rift Valley fever.ConclusionAlthough less prominently mentioned, neglected zoonotic diseases ranked highly compared to those with epidemic potential suggesting these endemic diseases cause substantial public health burden. The list of priority zoonotic disease is crucial for the targeted allocation of resources and informing disease prevention and control programs for zoonoses in Kenya.
- Published
- 2016