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Abstract

This perspective summarises and explains the long-term surveillance framework 2021–2027 for infectious diseases in the European Union/European Economic Area (EU/EEA) published in April 2023. It shows how shortcomings in the areas of public health focus, vigilance and resilience will be addressed through specific strategies in the coming years and how these strategies will lead to stronger surveillance systems for early detection and monitoring of public health threats as well as informing their effective prevention and control. A sharper public health focus is expected from a more targeted list of notifiable diseases, strictly public-health-objective-driven surveillance standards, and consequently, leaner surveillance systems. Vigilance should improve through mandatory event reporting, more automated epidemic intelligence processing and increased use of genomic surveillance. Finally, EU/EEA surveillance systems should become more resilient by modernising the underlying information technology infrastructure, expanding the influenza sentinel surveillance system to other respiratory viruses for better pandemic preparedness, and increasingly exploiting potentially more robust alternative data sources, such as electronic health records and wastewater surveillance. Continued close collaboration across EU/EEA countries will be key to ensuring the full implementation of this surveillance framework and more effective disease prevention and control.

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/content/10.2807/1560-7917.ES.2024.29.34.2400066
2024-08-22
2024-08-23
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2024.29.34.2400066
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References

  1. European Centre for Disease Prevention and Control (ECDC). Long-term surveillance framework 2021-2027. Stockholm: ECDC; 2023. Available from: https://www.ecdc.europa.eu/sites/default/files/documents/long-term-surveillance-framework-2021-2027.pdf
  2. European Centre for Disease Prevention and Control (ECDC). Monkeypox multi-country outbreak – 23 May 2022. Stockholm: ECDC; 2022. Available from: https://www.ecdc.europa.eu/en/publications-data/risk-assessment-monkeypox-multi-country-outbreak
  3. Beauté J, Sandin S, de Jong B, Hallström LP, Robesyn E, Giesecke J, et al. , European Legionnaires’ Disease Surveillance Network. Factors associated with Legionnaires’ disease recurrence in hotel and holiday rental accommodation sites. Euro Surveill. 2019;24(20):1800295. PMID: 31115313 
  4. Young JJ, Haussig JM, Aberle SW, Pervanidou D, Riccardo F, Sekulić N, et al. Epidemiology of human West Nile virus infections in the European Union and European Union enlargement countries, 2010 to 2018. Euro Surveill. 2021;26(19):2001095. PMID: 33988124 
  5. Pijnacker R, Dallman TJ, Tijsma ASL, Hawkins G, Larkin L, Kotila SM, et al. , International Outbreak Investigation Team. An international outbreak of Salmonella enterica serotype Enteritidis linked to eggs from Poland: a microbiological and epidemiological study. Lancet Infect Dis. 2019;19(7):778-86. PMID: 31133519 
  6. Funk T, Pharris A, Spiteri G, Bundle N, Melidou A, Carr M, et al. Characteristics of SARS-CoV-2 variants of concern B.1.1.7, B.1.351 or P.1: data from seven EU/EEA countries, weeks 38/2020 to  https://doi.org/10/2021.  Euro Surveill. 2021;26(16):2100348.  PMID: 33890566 
  7. Suetens C, Latour K, Kärki T, Ricchizzi E, Kinross P, Moro ML, et al. , Healthcare-Associated Infections Prevalence Study Group. Prevalence of healthcare-associated infections, estimated incidence and composite antimicrobial resistance index in acute care hospitals and long-term care facilities: results from two European point prevalence surveys, 2016 to 2017. Euro Surveill. 2018;23(46):1800516. PMID: 30458912 
  8. EUR-Lex. Commission Implementing Decision (EU) 2018/945 of 22 June 2018 on the communicable diseases and related special health issues to be covered by epidemiological surveillance as well as relevant case definitions. Official Journal of the European Union. 2018;L 170. Available from: https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX%3A32018D0945&qid=1692881602578
  9. EUR-Lex. Regulation (EU) 2022/2370 of the European Parliament and of the Council of 23 November 2022 amending Regulation (EC) No 851/2004 establishing a European centre for disease prevention and control. Official Journal of the European Union. 2022;L314. Available from: https://eur-lex.europa.eu/eli/reg/2022/2370/oj/eng
  10. EUR-Lex. Regulation (EU) 2022/2371 of the European Parliament and of the Council of 23 November 2022 on serious cross-border threats to health and repealing Decision No 1082/2013/EU. Official Journal of the European Union. 2022;L314. Available from: https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX%3A32022R2371&qid=1692887181189
  11. European Centre for Disease Prevention and Control (ECDC). ECDC strategic framework for the integration of molecular and genomic typing into European surveillance and multi-country outbreak investigations –2019-2021. Stockholm: ECDC; 2019. Available from: https://www.ecdc.europa.eu/sites/default/files/documents/framework-for-genomic-surveillance.pdf
  12. European Centre for Disease Prevention and Control (ECDC) and European Food Safety Authority. (EFSA). Van Walle I, Guerra B, Borges V, Carriço JA, Cochrane G, Dallman T et al. EFSA and ECDC technical report on the collection and analysis of whole genome sequencing data from food-borne pathogens and other relevant microorganisms isolated from human, animal, food, feed and food/feed environmental samples in the joint ECDC–EFSA molecular typing database. EFSA Supporting Publications. 2019;6(5). Available from: https://efsa.onlinelibrary.wiley.com/doi/10.2903/sp.efsa.2019.EN-1337
  13. European Centre for Disease Prevention and Control (ECDC). COVID-19 surveillance guidance. October 2021. Stockholm: ECDC; 2021. Available from: https://www.ecdc.europa.eu/sites/default/files/documents/COVID-19-surveillance-guidance.pdf
  14. Kilaru P, Hill D, Anderson K, Collins MB, Green H, Kmush BL, et al. Wastewater Surveillance for Infectious Disease: A Systematic Review. Am J Epidemiol. 2023;192(2):305-22. PMID: 36227259 
  15. McClary-Gutierrez JS, Mattioli MC, Marcenac P, Silverman AI, Boehm AB, Bibby K, et al. SARS-CoV-2 Wastewater Surveillance for Public Health Action. Emerg Infect Dis. 2021;27(9):1-8. PMID: 34424162 
  16. Hahné S, Hammer C, Tostmann A, Whelan J, Williams C. Field Epidemiology: Fit for the future. Euro Surveill. 2023;28(36):2300347. PMID: 37676144 
  17. Beauté J, Ciancio BC, Panagiotopoulos T. Infectious disease surveillance system descriptors: proposal for a comprehensive set. Euro Surveill. 2020;25(27):1900708. PMID: 32672148 
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