{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T10:46:14Z","timestamp":1774435574017,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,2,5]],"date-time":"2019-02-05T00:00:00Z","timestamp":1549324800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"European Union DEVCO","award":["IFS\/21010\/23\/-194."],"award-info":[{"award-number":["IFS\/21010\/23\/-194."]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Zoonoses and Public Health"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In the Mediterranean and Black Sea Region, arbovirus infections are emerging infectious diseases. Their surveillance can benefit from one health inter\u2010sectoral collaboration; however, no standardized methodology exists to study One Health surveillance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We designed a situation analysis study to document how integration of laboratory\/clinical human, animal and entomological surveillance of arboviruses was being implemented in the Region. We applied a framework designed to assess three levels of integration: policy\/institutional, data collection\/data analysis and dissemination. We tested the use of Business Process Modelling Notation (BPMN) to graphically present evidence of inter\u2010sectoral integration.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Serbia, Tunisia and Georgia participated in the study. West Nile Virus surveillance was analysed in Serbia and Tunisia, Crimea\u2010Congo Haemorrhagic Fever surveillance in Georgia. Our framework enabled a standardized analysis of One Health surveillance integration, and BPMN was easily understandable and conducive to detailed discussions among different actors\/institutions. In all countries, we observed integration across sectors and levels except in data collection and data analysis. Data collection was interoperable only in Georgia without integrated analysis. In all countries, surveillance was mainly oriented towards outbreak response, triggered by an index human case.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The three surveillance systems we observed prove that integrated surveillance can be operationalized with a diverse spectrum of options. However, in all countries, the integrated use of data for early warning and inter\u2010sectoral priority setting is pioneeristic. We also noted that early warning before human case occurrence is recurrently not operationally prioritized.<\/jats:p><\/jats:sec>","DOI":"10.1111\/zph.12562","type":"journal-article","created":{"date-parts":[[2019,2,6]],"date-time":"2019-02-06T01:49:44Z","timestamp":1549417784000},"page":"276-287","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["Implementation of the One Health approach to fight arbovirus infections in the Mediterranean and Black Sea Region: Assessing integrated surveillance in Serbia, Tunisia and Georgia"],"prefix":"10.1111","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0782-6564","authenticated-orcid":false,"given":"Maria Grazia","family":"Dente","sequence":"first","affiliation":[{"name":"Istituto Superiore di Sanit\u00e0 Roma Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1582-6329","authenticated-orcid":false,"given":"Flavia","family":"Riccardo","sequence":"additional","affiliation":[{"name":"Istituto Superiore di Sanit\u00e0 Roma Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Bolici","sequence":"additional","affiliation":[{"name":"University of Cassino Cassino Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nello Augusto","family":"Colella","sequence":"additional","affiliation":[{"name":"University of Cassino Cassino Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Verica","family":"Jovanovic","sequence":"additional","affiliation":[{"name":"Institute of Public Health \"Dr Milan Jovanovi\u0107 Batut\" Belgrade Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitra","family":"Drakulovic","sequence":"additional","affiliation":[{"name":"Institute of Public Health \"Dr Milan Jovanovi\u0107 Batut\" Belgrade Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milena","family":"Vasic","sequence":"additional","affiliation":[{"name":"Institute of Public Health \"Dr Milan Jovanovi\u0107 Batut\" Belgrade Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Habiba","family":"Mamlouk","sequence":"additional","affiliation":[{"name":"Minist\u00e8re de la Sant\u00e9 Publique\/Direction des soins de sant\u00e9 de base Tunis Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Latifa","family":"Maazaoui","sequence":"additional","affiliation":[{"name":"Minist\u00e8re de la Sant\u00e9 Publique\/Direction des soins de sant\u00e9 de base Tunis Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mondher","family":"Bejaoui","sequence":"additional","affiliation":[{"name":"Minist\u00e8re de la Sant\u00e9 Publique\/Direction des soins de sant\u00e9 de base Tunis Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khatuna","family":"Zakhashvili","sequence":"additional","affiliation":[{"name":"National Center for Disease Control and Public Health Tbilisi Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irine","family":"Kalandadze","sequence":"additional","affiliation":[{"name":"National Center for Disease Control and Public Health Tbilisi Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paata","family":"Imnadze","sequence":"additional","affiliation":[{"name":"National Center for Disease Control and Public Health Tbilisi Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia","family":"Declich","sequence":"additional","affiliation":[{"name":"Istituto Superiore di Sanit\u00e0 Roma Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"the MeSA Working Group","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,2,5]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.onehlt.2016.10.004"},{"key":"e_1_2_9_3_1","first-page":"157","article-title":"Editorial: Emerging zoonoses: Eco\u2010epidemiology, involved mechanisms, and public health implications","volume":"3","author":"Bueno\u2010Mar\u00ed R.","year":"2015","journal-title":"Front Public Health"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.csi.2011.06.002"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cimid.2013.03.006"},{"key":"e_1_2_9_6_1","unstructured":"Dente M. G. Riccardo F. Nacca G. Ranghiasci A. Manuguerra J.\u2010C. Escadafal C. Declich S.(2016).Strengthening integrated surveillance for arboviruses in the Mediterranean and Black Sea regions in the framework of the One Health approach. Quaderni Della Societ\u00e0 Italiana Di Medicina 19tropicale E Salute Globale N. 1 498. Retrieved fromhttp:\/\/www.simetweb.eu\/document\/3847."},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph15030489"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-016-3831-1"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.3402\/iee.v5.28132"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40475-017-0101-y"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0001836"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.4102\/ojvr.v81i2.725"},{"key":"e_1_2_9_13_1","doi-asserted-by":"crossref","unstructured":"Gualdi S. Somot S. Li L. Artale V. Adani M. Bellucci A. Braun A. \u2026Navarra A.(2013).The CIRCE simulations: regional climate change projections with realistic representation of the Mediterranean Sea.American Meteorological Society http:\/\/journals.ametsoc.org\/doi\/abs\/10.1175\/BAMS-D-11-00136.1.","DOI":"10.1175\/BAMS-D-11-00136.1"},{"key":"e_1_2_9_14_1","first-page":"127","article-title":"The economic value of one health in relation to the mitigation of zoonotic disease risks","volume":"365","author":"H\u00e4sler B.","year":"2012","journal-title":"Current Topics in Microbiology and Immunology"},{"key":"e_1_2_9_15_1","first-page":"36","article-title":"Using BPMN to model a patient safety promulgation service based on a clinical process","volume":"1","author":"Huang W. R.","year":"2015","journal-title":"Proceedings of Engineering and Technology Innovation"},{"key":"e_1_2_9_16_1","volume-title":"Concepts and methods in infectious disease surveillance","author":"M\u2019ikanatha","year":"2015"},{"issue":"2013","key":"e_1_2_9_17_1","first-page":"233","article-title":"Intersectoral collaboration between the medical and veterinary professions in low\u2010resource societies: The role of research and training institutions Comparative Immunology","volume":"36","author":"Marcotty T.","year":"2013","journal-title":"Microbiology and Infectious Diseases"},{"key":"e_1_2_9_18_1","unstructured":"Network for Evaluation of One Health (NEOH)(2018). Retrieved fromhttp:\/\/neoh.onehealthglobal.net\/"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-017-06948-9"},{"key":"e_1_2_9_20_1","unstructured":"MeSA(2018).MeSA Study Reports. Retrieved fromhttp:\/\/www.medilabsecure.com\/events_mesa.html."},{"key":"e_1_2_9_21_1","unstructured":"Observatoire National des Maladies Nouvelles et Emergentes(2012). Bulletin n.2 2012. Retrieved fromhttp:\/\/www.onmne.tn\/fr\/images\/Bulletin2WN.pdf."},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph120606745"},{"key":"e_1_2_9_23_1","unstructured":"One Health Commission(2015). Retrieved fromhttps:\/\/www.onehealthcommission.org\/"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph10083543"},{"issue":"2","key":"e_1_2_9_25_1","first-page":"462","article-title":"West Nile virus surveillance in humans and mosquitoes and detection of cell fusing agent virus in Vojvodina province (Serbia)","volume":"6","author":"Petric D.","year":"2012","journal-title":"Healthmed"},{"issue":"2","key":"e_1_2_9_26_1","first-page":"29","article-title":"West Nile virus Surveillance Programme in Serbia Arhiv veterinarske","volume":"7","author":"Petrovi\u0107 T.","year":"2014","journal-title":"Medicine"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prevetmed.2015.01.019"},{"key":"e_1_2_9_28_1","volume-title":"One health multisectoral self\u2010assessment tool","author":"United States Agency\u2013International Development (UNAIDS)","year":"2018"},{"key":"e_1_2_9_29_1","unstructured":"World Health Organization(2016).Zika Strategic Response Plan.WHO\/ZIKV\/SRF\/16.3 \u00a9 World Health Organization. Retrieved fromhttp:\/\/apps.who.int\/iris\/bitstream\/10665\/246091\/1\/WHO-ZIKV-SRF-16.3-eng.pdf."},{"key":"e_1_2_9_30_1","unstructured":"World Health Organization(2005).Mediterranean Zoonoses Control Programme (MZCP) of the World Health Organization. Presented at the 16th JCC-MZCP in Athens 20-22 December 2005. Retrieved fromhttp:\/\/www.who.int\/zoonoses\/institutions\/MZCP_workplan.pdf?ua=1."}],"container-title":["Zoonoses and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fzph.12562","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/zph.12562","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/zph.12562","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/zph.12562","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T12:42:09Z","timestamp":1694349729000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/zph.12562"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2,5]]},"references-count":29,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019,5]]}},"alternative-id":["10.1111\/zph.12562"],"URL":"https:\/\/doi.org\/10.1111\/zph.12562","archive":["Portico"],"relation":{},"ISSN":["1863-1959","1863-2378"],"issn-type":[{"value":"1863-1959","type":"print"},{"value":"1863-2378","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,2,5]]},"assertion":[{"value":"2018-06-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-12-06","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-02-05","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}