دورية أكاديمية
Spatial and temporal distribution of infectious disease epidemics, disasters and other potential public health emergencies in the World Health Organisation Africa region, 2016-2018.
| العنوان: | Spatial and temporal distribution of infectious disease epidemics, disasters and other potential public health emergencies in the World Health Organisation Africa region, 2016-2018. |
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| المؤلفون: | Talisuna AO; World Health Organization, Regional Office for Africa, Health Emergencies programme, Brazzaville, Congo. talisunaa@who.int., Okiro EA; Population Health Unit, Kenya Medical Research Institute - Wellcome Trust Research Programme, P.O. Box 43640-00100, Nairobi, Kenya., Yahaya AA; World Health Organization, Regional Office for Africa, Health Emergencies programme, Brazzaville, Congo., Stephen M; World Health Organization, Regional Office for Africa, Health Emergencies programme, Brazzaville, Congo., Bonkoungou B; World Health Organization, Regional Office for Africa, Health Emergencies programme, Brazzaville, Congo., Musa EO; World Health Organization, Regional Office for Africa, Health Emergencies programme, Brazzaville, Congo., Minkoulou EM; World Health Organization, Regional Office for Africa, Health Emergencies programme, Brazzaville, Congo., Okeibunor J; World Health Organization, Regional Office for Africa, Health Emergencies programme, Brazzaville, Congo., Impouma B; World Health Organization, Regional Office for Africa, Health Emergencies programme, Brazzaville, Congo., Djingarey HM; World Health Organization, Regional Office for Africa, Health Emergencies programme, Brazzaville, Congo., Yao NKM; World Health Organization, Regional Office for Africa, Health Emergencies programme, Brazzaville, Congo., Oka S; World Health Organization, Regional Office for Africa, Health Emergencies programme, Brazzaville, Congo., Yoti Z; World Health Organization, Regional Office for Africa, Health Emergencies programme, Brazzaville, Congo., Fall IS; World Health Organization, Emergency Response Department, Health Emergencies programme, Geneva, Switzerland. |
| المصدر: | Globalization and health [Global Health] 2020 Jan 15; Vol. 16 (1), pp. 9. Date of Electronic Publication: 2020 Jan 15. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 101245734 Publication Model: Electronic Cited Medium: Internet ISSN: 1744-8603 (Electronic) Linking ISSN: 17448603 NLM ISO Abbreviation: Global Health Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [London] : BioMed Central, 2005- |
| مواضيع طبية MeSH: | Communicable Diseases/*epidemiology , Disasters/*statistics & numerical data , Epidemics/*statistics & numerical data , Public Health/*statistics & numerical data, Africa/epidemiology ; Emergencies ; Humans ; Spatio-Temporal Analysis ; World Health Organization |
| مستخلص: | Background: Emerging and re-emerging diseases with pandemic potential continue to challenge fragile health systems in Africa, creating enormous human and economic toll. To provide evidence for the investment case for public health emergency preparedness, we analysed the spatial and temporal distribution of epidemics, disasters and other potential public health emergencies in the WHO African region between 2016 and 2018. Methods: We abstracted data from several sources, including: the WHO African Region's weekly bulletins on epidemics and emergencies, the WHO-Disease Outbreak News (DON) and the Emergency Events Database (EM-DAT) of the Centre for Research on the Epidemiology of Disasters (CRED). Other sources were: the Program for Monitoring Emerging Diseases (ProMED) and the Global Infectious Disease and Epidemiology Network (GIDEON). We included information on the time and location of the event, the number of cases and deaths and counter-checked the different data sources. Data Analysis: We used bubble plots for temporal analysis and generated graphs and maps showing the frequency and distribution of each event. Based on the frequency of events, we categorised countries into three: Tier 1, 10 or more events, Tier 2, 5-9 events, and Tier 3, less than 5 or no event. Finally, we compared the event frequencies to a summary International Health Regulations (IHR) index generated from the IHR technical area scores of the 2018 annual reports. Results: Over 260 events were identified between 2016 and 2018. Forty-one countries (87%) had at least one epidemic between 2016 and 2018, and 21 of them (45%) had at least one epidemic annually. Twenty-two countries (47%) had disasters/humanitarian crises. Seven countries (the epicentres) experienced over 10 events and all of them had limited or developing IHR capacities. The top five causes of epidemics were: Cholera, Measles, Viral Haemorrhagic Diseases, Malaria and Meningitis. Conclusions: The frequent and widespread occurrence of epidemics and disasters in Africa is a clarion call for investing in preparedness. While strengthening preparedness should be guided by global frameworks, it is the responsibility of each government to finance country specific needs. We call upon all African countries to establish governance and predictable financing mechanisms for IHR implementation and to build resilient health systems everywhere. |
| التعليقات: | Comment in: Int J Infect Dis. 2020 Apr;93:233-236. (PMID: 32119980) |
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| معلومات مُعتمدة: | 203077 United Kingdom WT_ Wellcome Trust; 203071 United Kingdom WT_ Wellcome Trust; United Kingdom WT_ Wellcome Trust; 001 International WHO_ World Health Organization; 201866/Z/16/Z United Kingdom WT_ Wellcome Trust; 201866 United Kingdom WT_ Wellcome Trust |
| فهرسة مساهمة: | Keywords: African region; Disaster; Epidemic; Event; International health regulations; Public health emergency; Public health emergency of international concern; World Health Organisation |
| تواريخ الأحداث: | Date Created: 20200117 Date Completed: 20200311 Latest Revision: 20220319 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC6964091 |
| DOI: | 10.1186/s12992-019-0540-4 |
| PMID: | 31941554 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1744-8603 |
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| DOI: | 10.1186/s12992-019-0540-4 |