Prioritizing emerging zoonoses in the Netherlands
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.
|Persistent URL||dx.doi.org/10.1371/journal.pone.0013965, hdl.handle.net/1765/21875|
Havelaar, A.H, van Rosse, F, Bucura, C, Toetenel, M.A, Haagsma, J.A, Kurowicka, D, … Braks, M.A.H. (2010). Prioritizing emerging zoonoses in the Netherlands. PLoS ONE, 5(11), 1–9. doi:10.1371/journal.pone.0013965