贝宁国家兽医实验室系统检测全球卫生安全传染性威胁的能力评估

Vincent Dossou Sodjinou
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摘要

导言:《2005年国际卫生条例》要求各国建立实验室系统,以便快速和安全地确认包括人畜共患病在内的突发公共卫生事件。目的:本研究评估了贝宁国家兽医实验室系统确认对全球卫生安全的传染性威胁的能力。方法:采用描述性、横断面、评价性研究方法。采用非概率抽样方法,选择现有的两家兽医实验室。使用了两份调查问卷、一个观察网格和粮农组织实验室制图工具-core。如果每个实验室满足至少80%的评估标准,则系统容量被评为良好。否则,认为容量不足。结果:贝宁国家兽医实验室系统能力不足。Bohicon实验室满足27.2%的评价标准;使用实验室作图工具核心,帕拉库实验室的平均指标为50.7%。实验室协作和网络是表现最好的领域,占66.7%。只有基本用品类达到80%。实验室预算、样品加入量和可用技术得分最低。兽医实验室系统面临人员短缺的问题。禽流感病毒得到两个实验室的确认;炭疽芽孢杆菌和裂谷热病毒仅由Parakou实验室确认。埃博拉和拉沙热尚未得到证实。这个国家的实验室之间没有合作。结论:兽医实验室不能保证及时发现人畜共患病并通知卫生系统做好准备。兽医实验室系统改进计划的制定和实施对贝宁的全球卫生安全至关重要。
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Assessment of the National Veterinary Laboratory System Capacity for the Detection of Infectious Threats to Global Health Security in Benin
Introduction: The International Health Regulations 2005 require countries to establish laboratory systems for rapid and safe confirmation of public health emergencies including zoonoses. Objectives: This study assessed the national veterinary laboratory system capacity for the confirmation of infectious threats to global health security in Benin. Method: The study was descriptive, cross-sectional and evaluative. The non-probability sampling method with selection of the two existing veterinary laboratories were used. Two questionnaires, one observation grid and the Food and Agriculture Organization laboratory mapping tool-core were used. The system capacity was rated good if each laboratory met at least 80% of the assessed criteria. Otherwise, the capacity was rated insufficient. Results: The national veterinary laboratory system capacity in Benin was insufficient. Bohicon laboratory satisfied 27.2% of assessed criteria; With the laboratory mapping tool-core, Parakou laboratory had an average indicator of 50.7%. Laboratory collaboration and networking was the best performing domain with 66.7%. Only basic supplies category reached 80%. Laboratory budget, sample accession and availaible technology had the lowest scores. The veterinary laboratory system is facing shortage of staffs. Avian influenza virus is confirmed by the two laboratories; Bacillus anthracis and rift valley fever virus are only confirmed by Parakou laboratory. Ebola and Lassa fever are not confirmed. There is no collaboration between the laboratories in the country. Conclusion: The veterinary laboratories are not able to ensure timely detection of zoonoses and inform health system for preparedness. The development and implementation of the veterinary laboratory system improvement plan is essential for the global health security in Benin.
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