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Report of working group 1: Public health challenges
There is a need to improve surveillance systems in order to recognise emerging threats, both in the community and in hospitals, in a timely manner. The laboratory arm of surveillance must be complemented by hospital and primary care components. We also need more training at all levels: undergraduate...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
European Society of Clinical Infectious Diseases. Published by Elsevier Ltd.
2005
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7129828/ https://www.ncbi.nlm.nih.gov/pubmed/15760442 http://dx.doi.org/10.1111/j.1469-0691.2005.01089.x |
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author | Grundmann, H. Goossens, H. |
author_facet | Grundmann, H. Goossens, H. |
author_sort | Grundmann, H. |
collection | PubMed |
description | There is a need to improve surveillance systems in order to recognise emerging threats, both in the community and in hospitals, in a timely manner. The laboratory arm of surveillance must be complemented by hospital and primary care components. We also need more training at all levels: undergraduate and postgraduate medical training, specialist training, as well as continuing professional development schemes. Core training programmes for infectious disease specialists and medical microbiologists must be established. The contribution of general practitioners, infection specialists, microbiology laboratories, and public health specialists/agencies to response systems should be defined as clearly as possible and should be either empirically based or derived from scenario-guided calamity models. The success of surveillance hinges on sufficient long-term resources and dedicated coordination. The European Centre for Disease Prevention and Control (ECDC) may assume this role. However, structural and administrative constraints of the diverse healthcare systems throughout Europe may represent an impediment to a harmonised response. Also, the funding of the ECDC cannot cover the operational demands. The ECDC may well work as a small coordinating unit; however, without a laboratory-based scientific status, it remains doubtful whether the ECDC will achieve the competence and authority needed for effective leadership in healthcare. The ESCMID, together with other national and international scientific societies, should put emphasis on the fact that infectious diseases have not received the necessary degree of attention from governments in the European region. The ESCMID should strengthen its role in harmonising and supporting the highest standards of training in the infection disciplines. |
format | Online Article Text |
id | pubmed-7129828 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2005 |
publisher | European Society of Clinical Infectious Diseases. Published by Elsevier Ltd. |
record_format | MEDLINE/PubMed |
spelling | pubmed-71298282020-04-08 Report of working group 1: Public health challenges Grundmann, H. Goossens, H. Clin Microbiol Infect Article There is a need to improve surveillance systems in order to recognise emerging threats, both in the community and in hospitals, in a timely manner. The laboratory arm of surveillance must be complemented by hospital and primary care components. We also need more training at all levels: undergraduate and postgraduate medical training, specialist training, as well as continuing professional development schemes. Core training programmes for infectious disease specialists and medical microbiologists must be established. The contribution of general practitioners, infection specialists, microbiology laboratories, and public health specialists/agencies to response systems should be defined as clearly as possible and should be either empirically based or derived from scenario-guided calamity models. The success of surveillance hinges on sufficient long-term resources and dedicated coordination. The European Centre for Disease Prevention and Control (ECDC) may assume this role. However, structural and administrative constraints of the diverse healthcare systems throughout Europe may represent an impediment to a harmonised response. Also, the funding of the ECDC cannot cover the operational demands. The ECDC may well work as a small coordinating unit; however, without a laboratory-based scientific status, it remains doubtful whether the ECDC will achieve the competence and authority needed for effective leadership in healthcare. The ESCMID, together with other national and international scientific societies, should put emphasis on the fact that infectious diseases have not received the necessary degree of attention from governments in the European region. The ESCMID should strengthen its role in harmonising and supporting the highest standards of training in the infection disciplines. European Society of Clinical Infectious Diseases. Published by Elsevier Ltd. 2005 2015-12-28 /pmc/articles/PMC7129828/ /pubmed/15760442 http://dx.doi.org/10.1111/j.1469-0691.2005.01089.x Text en Copyright © 2005 European Society of Clinical Infectious Diseases. Published by Elsevier Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Article Grundmann, H. Goossens, H. Report of working group 1: Public health challenges |
title | Report of working group 1: Public health challenges |
title_full | Report of working group 1: Public health challenges |
title_fullStr | Report of working group 1: Public health challenges |
title_full_unstemmed | Report of working group 1: Public health challenges |
title_short | Report of working group 1: Public health challenges |
title_sort | report of working group 1: public health challenges |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7129828/ https://www.ncbi.nlm.nih.gov/pubmed/15760442 http://dx.doi.org/10.1111/j.1469-0691.2005.01089.x |
work_keys_str_mv | AT grundmannh reportofworkinggroup1publichealthchallenges AT goossensh reportofworkinggroup1publichealthchallenges |