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Prioritization of vector-borne diseases in Canada under current climate and projected climate change
Microbial Risk Analysis ( IF 2.8 ) Pub Date : 2019-10-31 , DOI: 10.1016/j.mran.2019.100089
Ainsley Otten , Aamir Fazil , Anna Chemeris , Patrick Breadner , Victoria Ng

Vector-borne diseases are expected to be introduced, establish or expand geographically in Canada under climate change. The ability to prioritize diseases is critical because there are limited resources to address all risks and the decision to focus on one or a group of infectious diseases can come at the expense of not addressing others. As a result, the ability to conduct the prioritization in a transparent, auditable and in as objective a manner as possible is critical to ensure that the choices made are defendable. The objectives of this work were to develop a multicriteria decision analysis (MCDA) tool to prioritize vector-borne diseases of public health importance in Canada under current and projected climate. MCDA, an approach drawn from the decision sciences, is a valuable tool for decision-making when multiple criteria need to be considered. When considering all the criteria equally, Eastern equine encephalitis ranks as the highest priority non-endemic disease followed by Powassan virus disease, La Crosse encephalitis, Rocky Mountain Spotted Fever, Plague, Chikungunya virus infection and St. Louis encephalitis disease. In the case of endemic diseases: Cache Valley virus disease ranks highest, followed by Lyme disease, West Nile virus, Babesiosis and Human granulocytic anaplasmosis. The tool has the ability to also generate rankings for different stakeholders with different priorities thereby contributing significantly to the decision making process.



中文翻译:

当前气候和预计气候变化下加拿大媒介传播疾病的优先次序

在气候变化下,媒介传播疾病预计将在加拿大引入,建立或扩大。确定疾病优先次序的能力至关重要,因为解决所有风险的资源有限,而专注于一种或一组传染病的决定可能以不解决其他疾病为代价。因此,以透明,可审核且尽可能客观的方式进行优先级排序的能力对于确保所做的选择是可辩护的至关重要。这项工作的目的是开发一种多标准决策分析(MCDA)工具,以在当前和预计的气候下对在加拿大具有重要公共卫生意义的媒介传播疾病进行优先排序。MCDA是一种从决策科学中汲取的方法,当需要考虑多个标准时,它是决策的宝贵工具。平等地考虑所有标准时,东部马脑炎被列为最重要的非地方病,其次是Powassan病毒病,La Crosse脑炎,落基山斑热,瘟疫,基孔肯雅病毒感染和圣路易斯脑炎。就地方性疾病而言:Cache Valley病毒病排名最高,其次是莱姆病,西尼罗河病毒,巴贝西虫病和人类粒细胞无性病。该工具还能够为具有不同优先级的不同利益相关者生成排名,从而对决策过程做出重大贡献。东部马脑炎是最重要的非地方性疾病,其次是Powassan病毒病,La Crosse脑炎,落基山斑热,瘟疫,基孔肯雅病毒感染和圣路易斯脑炎。就地方性疾病而言:Cache Valley病毒病排名最高,其次是莱姆病,西尼罗河病毒,巴贝西虫病和人类粒细胞无性病。该工具还能够为具有不同优先级的不同利益相关者生成排名,从而对决策过程做出重大贡献。东部马脑炎被列为最优先的非地方性疾病,其次是Powassan病毒病,La Crosse脑炎,落基山斑热,瘟疫,基孔肯雅病毒感染和圣路易斯脑炎。就地方性疾病而言:Cache Valley病毒病排名最高,其次是莱姆病,西尼罗河病毒,巴贝西虫病和人类粒细胞无性病。该工具还能够为具有不同优先级的不同利益相关者生成排名,从而对决策过程做出重大贡献。巴贝西虫病和人类粒细胞无性。该工具还能够为具有不同优先级的不同利益相关者生成排名,从而对决策过程做出重大贡献。巴贝西虫病和人类粒细胞无性。该工具还能够为具有不同优先级的不同利益相关者生成排名,从而对决策过程做出重大贡献。

更新日期:2019-10-31
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