1. Prioritizing emerging zoonoses in the Netherlands.
- Author
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Havelaar AH, van Rosse F, Bucura C, Toetenel MA, Haagsma JA, Kurowicka D, Heesterbeek JH, Speybroeck N, Langelaar MF, van der Giessen JW, Cooke RM, and Braks MA
- Subjects
- Algorithms, Animals, Communicable Diseases, Emerging epidemiology, Disease Reservoirs microbiology, Disease Reservoirs parasitology, Disease Reservoirs virology, Humans, Netherlands epidemiology, Zoonoses epidemiology, Communicable Diseases, Emerging transmission, Models, Biological, Zoonoses transmission
- Abstract
Background: To support the development of early warning and surveillance systems of emerging zoonoses, we present a general method to prioritize pathogens using a quantitative, stochastic multi-criteria model, parameterized for the Netherlands., Methodology/principal Findings: A risk score was based on seven criteria, reflecting assessments of the epidemiology and impact of these pathogens on society. Criteria were weighed, based on the preferences of a panel of judges with a background in infectious disease control., Conclusions/significance: Pathogens with the highest risk for the Netherlands included pathogens in the livestock reservoir with a high actual human disease burden (e.g. Campylobacter spp., Toxoplasma gondii, Coxiella burnetii) or a low current but higher historic burden (e.g. Mycobacterium bovis), rare zoonotic pathogens in domestic animals with severe disease manifestations in humans (e.g. BSE prion, Capnocytophaga canimorsus) as well as arthropod-borne and wildlife associated pathogens which may pose a severe risk in future (e.g. Japanese encephalitis virus and West-Nile virus). These agents are key targets for development of early warning and surveillance.
- Published
- 2010
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