从公共卫生的角度来看,优先考虑传染病:一个多标准决策分析研究,法国,2024年
Dominique Ploin1,2,3, Mathilde Alexandre3,4, Bruno Ventelou3,5
1Hospices Civils de Lyon, Hôpital Femme Mère Enfant, Service de Réanimation Pédiatrique et d'Accueil des Urgences, Bron, France.
概括
法国卫生当局确定了15种优先传染病,包括X型疾病,用于公共卫生监测和研究. 这份清单与全球卫生重点保持一致,并增强了法国的优势.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 风险评估 风险评估
背景情况:
- 法国公共卫生高级委员会根据国际卫生条例授权在2022年创建优先传染病名单.
- 列表旨在指导法国大陆和海外的公共卫生,监测和研究工作.
- 解决了对感染性疾病优先级的结构化方法的需求.
研究的目的:
- 为法国建立一个科学支持的优先传染病清单.
- 为公共卫生战略,监测系统和研究议程提供信息.
- 将国家优先事项与国际卫生安全框架保持一致.
主要方法:
- 采用了欧洲疾病预防和控制中心推的多标准决策分析 (MCDA).
- 一个由17名传染病专家组成的小组最初确定了95种疾病实体,包括疾病X.
- 十个标准 (发病率,死亡率,传播潜力,影响,需要工具/监测) 被77名多学科专家加权,并由98名医生得分.
主要成果:
- 15个传染病实体被列为高优先级.
- 这些包括疾病X和14种已知的病原体,如出血性发烧,呼吸道病毒感染,树冠病毒,多药耐药细菌,脑膜炎球菌/肺炎球菌疾病,子病,狂犬病和结核病.
- 确定的优先事项在很大程度上与世界卫生组织2023年清单一致.
结论:
- 建立了15种优先传染病的清单,为法国的公共卫生提供了明确的重点.
- 这些发现与世卫组织设定的全球卫生安全优先事项一致.
- 建议定期重新评估此列表,以保持相关性并适应不断变化的威胁.
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