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Table 3 Mechanisms identified within a case study of influenza surveillance systems and of a zoonotic outbreak

From: One Health communication channels: a qualitative case study of swine influenza in Canada in 2020

 

Stakeholders mentioned information was shared

Stakeholders mentioned information was not shared

Elements

In a situation where the element was present

In a situation where the element was absent

In a situation where the element was present

In a situation where the element was absent

Identifying information to share

Understanding of other sectors’ needs

Surveillance:

- Actions are taken to increase human and ecosystem health stakeholders in CEZD membership.

Outbreak:

- Animal health stakeholders shared surveillance information and supported field investigation.

Surveillance:

- Reports from animal health (CWSHIN, CSHIN, CAHSS, CEZD) and human health (FluWatch, GPHIN) is available online.

 

Surveillance:

- Information is not systematically shared between sectors.

Type: information (vs data)

Surveillance:

- Analyzed data (information) is shared or available in reports.

  

Surveillance and outbreak:

- Privacy and ethical barriers to share data within (e.g., provincial to federal) and between sectors.

Sharing information

Presence of communication channels

Outbreak:

- The shared position between the Alberta Ministries of Agriculture and Health was a facilitator for coordinating.

  

Surveillance:

- Complicated information sharing systems is a barrier to communication between sectors.

Type: formal channel (vs informal)

 

Outbreak (unclear):

- Guidelines for an internationally reportable human disease needed the involvement of PHAC, but it is uncertain if the participation of animal health stakeholders was prescribed too.

Surveillance and outbreak:

- Direct communication channels (phone call) were faster than formal channels.

Surveillance:

- Lack of formal interaction within and between some human and animal health systems can result in missed information transfer.

Trust

Surveillance:

- Information sharing within and between human, animal, and ecosystem health stakeholders requires trust.

   

Identifying information to share and sharing information

Resources

   

Surveillance:

- Restricted budgets for some programs, impeding ability to connect with other organizations/programs, and impacting resilience of infrastructure and health systems.

- There is a need for additional medical expertise resource and policy to be able to integrate One Health to policies.

  1. CEZD Community for Emerging and Zoonotic Diseases, CWSHIN Canada West Swine Health Intelligence Network, CSHIN Canadian Swine Health Intelligence Network, CAHSS Canadian Animal Health Surveillance System, GPHIN Global Public Health Intelligence Network, PHAC Public Health Agency of Canada