Prioritisation of infectious diseases from a public health perspective: a multi-criteria decision analysis study, France, 2024 - Centre International de Recherche en Infectiologie
Article Dans Une Revue Eurosurveillance Année : 2024

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

1 HFME - Hôpital Femme Mère Enfant [CHU - HCL]
2 CIRI - Center for Interdisciplinary Research and Innovation
3 CSMime - Commission Spécialisée Maladies infectieuses et maladies émergentes
4 CNRS - Centre National de la Recherche Scientifique
5 AMU - Aix Marseille Université
6 AMSE - Aix-Marseille Sciences Economiques
7 Santé publique France - French National Public Health Agency [Saint-Maurice, France]
8 SpF-Occitanie - Santé Publique France, Occitanie [Toulouse, France]
9 CNR - Centre National de référence des Borrelia
10 PHAVI - Pathogens Host Arthropod Vectors Interfaces
11 PHAR2 [Poitiers] - Pharmacologie des anti-infectieux et antibiorésistance [U 1070]
12 UFR Santé [Poitiers] - Université de Poitiers – UFR Santé [Faculté de Médecine et de Pharmacie]
13 CHU de Poitiers [La Milétrie] - Centre hospitalier universitaire de Poitiers = Poitiers University Hospital
14 Service des maladies infectieuses et tropicales [Rouen]
15 DYNAMICURE - Dynamique Microbienne associée aux Infections Urinaires et Respiratoires
16 UVE - Unité des Virus Emergents
17 EFS - Etablissement Français du Sang [La Plaine Saint-Denis]
18 CHU Strasbourg - Centre Hospitalier Universitaire [Strasbourg]
19 APHM - Assistance Publique - Hôpitaux de Marseille
20 Département de Médecine Générale
21 BRM - ARN régulateurs bactériens et médecine
22 Service des maladies infectieuses et réanimation médicale [Rennes] = Infectious Disease and Intensive Care [Rennes]
23 CHIC - Centre Hospitalier Intercommunal de Cornouaille
24 DSP - Direction de la Stratégie et des Programmes
25 Hôpital Avicenne [AP-HP]
26 Université Paris Cité and Université Sorbonne Paris Nord, Inserm, IAME, F-75018 Paris, France
27 HCSP - Haut Conseil de la Santé Publique
28 CIRI - Centre International de Recherche en Infectiologie
29 Service des Agents Infectieux et Hygiène [CHU Saint-Etienne]
30 INSPIIRE - INterdisciplinarité en Santé Publique Interventions et Instruments de mesure complexes

Résumé

Within 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. Aim Our objective was to establish this list. Methods A 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. Results Fifteen 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). Conclusion The 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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hal-04842113 , version 1 (17-12-2024)

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Dominique Ploin, Mathilde Alexandre, Bruno Ventelou, Didier Che, Bruno Coignard, et al.. Prioritisation of infectious diseases from a public health perspective: a multi-criteria decision analysis study, France, 2024. Eurosurveillance, 2024, 29 (50), pp.2400074. ⟨10.2807/1560-7917.ES.2024.29.50.2400074⟩. ⟨hal-04842113⟩
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