Prioritisation of infectious diseases from a public health perspective: a multi-criteria decision analysis study, France, 2024

BackgroundWithin the International Health Regulations framework, the French High Council for Public Health was mandated in 2022 by health authorities to establish a list of priority infectious diseases for public health, surveillance and research in mainland and overseas France.AimOur objective was to establish this list.MethodsA multi-criteria decision analysis was used, as recommended by the European Centre for Disease Prevention and Control. A list of 95 entities (infectious diseases or groups of these, including the World Health Organization (WHO)-labelled 'Disease X') was established by 17 infectious disease experts. Ten criteria were defined to score entities: incidence rate, case fatality rate, potential for emergence and spread, impact on the individual, on society, on socially vulnerable groups, on the healthcare system, and need for new preventive tools, new curative therapies, and surveillance. Each criterion was assigned a relative weight by 77 multidisciplinary experts. For each entity, 98 physicians from various specialties rated each criterion against the entity, using a four-class Likert-type scale; the ratings were converted into numeric values with a nonlinear scale and respectively weighted to calculate the entity score.ResultsFifteen entities were ranked as high-priorities, including Disease X and 14 known pathologies (e.g. haemorrhagic fevers, various respiratory viral infections, arboviral infections, multidrug-resistant bacterial infections, invasive meningococcal and pneumococcal diseases, prion diseases, rabies, and tuberculosis).ConclusionThe priority entities agreed with those of the WHO in 2023; almost all were currently covered by the French surveillance and alert system. Repeating this analysis periodically would keep the list updated.

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Publication Details

Journal
Eurosurveillance
Published
2024-12-12
DOI
https://doi.org/10.2807/1560-7917.es.2024.29.50.2400074
Citations
3
Primary Topic
Zoonotic diseases and public health
Type
article
Field-Weighted Citation Impact
1.63

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article

Prioritisation of infectious diseases from a public health perspective: a multi-criteria decision analysis study, France, 2024

Bruno Hoen, Christophe Burucoa, Pierre Gallian, Nicolas Vignier et al.
3 citations
Eurosurveillance
Zoonotic diseases and public health
1.63
article

Prioritisation of infectious diseases from a public health perspective: a multi-criteria decision analysis study, France, 2024

Bruno Hoen, Christophe Burucoa, Pierre Gallian, Nicolas Vignier, Nathalie Boulanger, Matthieu Revest, Bruno Ventelou, Bruno Pozzetto, François Caron, Christian Lienhardt, B. Coignard, Yves Hansmann, Marcela Alexandre, Sabine Henry, Henri Partouche, Nadia Saidani, Dominique Ploin, Gilles Salvat, Philippe Minodier, D Che, Sylvie Floreani
article en
3 citations

Abstract

BackgroundWithin the International Health Regulations framework, the French High Council for Public Health was mandated in 2022 by health authorities to establish a list of priority infectious diseases for public health, surveillance and research in mainland and overseas France.AimOur objective was to establish this list.MethodsA multi-criteria decision analysis was used, as recommended by the European Centre for Disease Prevention and Control. A list of 95 entities (infectious diseases or groups of these, including the World Health Organization (WHO)-labelled 'Disease X') was established by 17 infectious disease experts. Ten criteria were defined to score entities: incidence rate, case fatality rate, potential for emergence and spread, impact on the individual, on society, on socially vulnerable groups, on the healthcare system, and need for new preventive tools, new curative therapies, and surveillance. Each criterion was assigned a relative weight by 77 multidisciplinary experts. For each entity, 98 physicians from various specialties rated each criterion against the entity, using a four-class Likert-type scale; the ratings were converted into numeric values with a nonlinear scale and respectively weighted to calculate the entity score.ResultsFifteen entities were ranked as high-priorities, including Disease X and 14 known pathologies (e.g. haemorrhagic fevers, various respiratory viral infections, arboviral infections, multidrug-resistant bacterial infections, invasive meningococcal and pneumococcal diseases, prion diseases, rabies, and tuberculosis).ConclusionThe priority entities agreed with those of the WHO in 2023; almost all were currently covered by the French surveillance and alert system. Repeating this analysis periodically would keep the list updated.

EurosurveillanceVol. 29(50)
Université Claude Bernard Lyon 1 (FR), École Normale Supérieure de Lyon (FR), Centre National de la Recherche Scientifique (FR), Inserm (FR), Université de Montpellier (FR), Université Paris Cité (FR), Aix-Marseille Université (FR), Université de Poitiers (FR), Sorbonne Université (FR), Hôpital Femme Mère Enfant (FR), Assistance Publique Hôpitaux de Marseille (FR), Université Sorbonne Paris Nord (FR), Sorbonne Paris Cité (FR), Santé Publique France (FR), Assistance Publique – Hôpitaux de Paris (FR), Hospices Civils de Lyon (FR), Normandie Université (FR), Centre Hospitalier Universitaire de Poitiers (FR), Hôpital Nord (FR), Collaborative Group (United States) (US), Centre Hospitalier de Cornouaille (FR), Centre d'Immunologie et des Maladies Infectieuses (FR), Établissement Français du Sang (FR), Hôpital Avicenne (FR), Agence Nationale de Sécurité Sanitaire de l’Alimentation, de l’Environnement et du Travail (FR), Virologie et Pathologies Humaines (FR), Institut thématique Santé Publique (FR), Hôpitaux Universitaires de Strasbourg (FR), Centre Hospitalier Universitaire de Rouen (FR), Centre Hospitalier Universitaire de Rennes (FR), Centre Hospitalier Universitaire de Saint-Étienne (FR), Centre International de Recherche en Infectiologie (FR), Institut de Recherche pour le Développement (FR), Bacterial RNAs & Medicine (FR), Interdisciplinarité en Santé Publique Interventions et Instruments de mesure complexes – Région Est (FR), Dynamique Microbienne associée aux Infections Urinaires et Respiratoires, Université de Rennes (FR), Université de Rouen Normandie (FR), Université de Strasbourg (FR), Université Jean Monnet (FR), Université de Lorraine (FR), Université de Caen Normandie (FR)
Aix-Marseille Université, European Centre for Disease Prevention and Control, Agence Nationale de la Recherche, Société de Réanimation de Langue Française, Société Française de Médecine d'Urgence, Shandong First Medical University
Openalex Percentile: Top 14%
Zoonotic diseases and public health
1.63
DOIOpen Access PDFOpenAlex
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