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• W2063201721 abstract "Since the war in Kosovo there has been an increase in communicable disease throughout the Balkan countries. And so a preparatory meeting for the establishment of the Balkan Network for Surveillance of Communicable Diseases took place in Thessaloniki, Greece, 24–25 Sept, 1999. Three conclusions were reached: the establishment of a Balkan network for surveillance of communicable diseases, in accordance with the European Union (EU) Network for surveillance of communicable diseases, is top priority; short-term and long-term objectives of the network should be harmonisation of the existing communicable diseases surveillance systems of the Balkan countries and the establishment of an early warning system for early detection of new emerging or re-emerging diseases; and that EU disease case definitions will be used (WHO case definitions will be used when no EU definition exists). A prioritisation exercise was done among the participants to define the priorities for the surveillance of communicable diseases within the Balkan Network. In a first round the participants were asked to assess the ten most important groups of communicable diseases against the five criteria used to set priorities by the EU network committee for the Communicable Diseases Surveillance.1Decision E. (1999) No 4015/22–12–1999 of the European Commission for the communicable diseases which will be covered gradually by the Community network for the epidemiological surveillance and control of communicable diseases according to the decision 2119/98/EC of the European parliament and the council.Google Scholar Each group of diseases was scored in a scale from 0 to 2 for each criterion, a total score from 0 to 10 was calculated. The groups of diseases were ranked as public-health priorities for surveillance purposes according to the total score they had got. Subsequently, in a second round, each specific disease within each group was scored and ranked in the same way. During the exercise the groups of vaccine preventable diseases, serious imported diseases, and airborne diseases ranked in the first three positions (table).TableBalkan prioritisation exercise resultsGroups of diseases (priority ranking)Group score mean/varianceFirst ranked disease mean/varianceDiseases with the smallest mean/variance1 Vaccine preventable diseases9·6/0·4Poliomyelitis 9·7/0·3Poliomyelitis 9·7/0·32 Serious imported diseases9·3/0·7Cholera 8·8/2·8Malaria 8·6/1·23 Airborne diseases9·0/0·5Tuberculosis 9·7/0·1Tuberculosis 9·7/0·14 Zoonoses8·7/1·2Brucellosis 8·8/2·1Echinococcosis 7·8/1·85 Food and waterborne diseases8·3/1·4Salmonellosis 9·3/1·4Cryptosporidiosis 6·3/0·56 Viral hepatitis8·1/0·6Hepatitis B 9·1/0·9Hepatitis B 9·1/0·97 Antimicrobial resistance8·1/5·38 Sexually transmitted diseases8·07/1·5HIV-infection 9·9/0·07HIV-infection 9·9/0·079 Nosocomial infections7·4/3·810 Other diseases (CJD)4·6/11·8 Open table in a new tab These results were compared with the results of an EU communicable diseases prioritisation exercise.2Weinberg J Grimaud O Newton L on behalf of the Charter GroupEstablishing priorities for European collaboration in communicable disease surveillance.E J Public Health. 1999; 9: 236-240Crossref Scopus (14) Google Scholar Disease by disease comparison cannot be made, but major differences are obvious. The Balkan network ranked first the group of vaccine preventable diseases, which was ranked ninth, as an isolated disease category, in the EU exercise. Besides poliomyelitis, which ranked first among the group of vaccine preventable diseases in the Balkan exercise, ranked only 21st as a separate disease category in the EU exercise. Outbreaks of gastroenteritis and food poisoning ranked first in the EU exercise ranked fifth in the Balkan exercise. The group of other diseases like CJD ranked last in the Balkan exercise, whilst it had ranked second in the EU exercise. Zoonoses, such as brucellosis and echinococcosis ranked fourth as a group category in the Balkan exercise while they were bottom of the list in the EU exercise. Similarities were also observed for serious imported diseases and airborne diseases (eg, tuberculosis), which ranked close to the top in both exercises and for hepatitis and sexually transmitted diseases, which ranked close to the middle in both lists. The differences in the two exercises indicate ongoing difficulties in the Balkans with surveillance and control of diseases, such as the vaccine preventable diseases and endemic diseases (eg, brucellosis), which are no longer a challenge for other European countries.3Fiore L Genovese D Diamanti E et al.Antigenic and molecular characterization of wild type 1 poliovirus causing outbreaks of poliomyelitis in Albania and neighboring countries in 1996.J Clin Microbiol. 1998; 36: 1912-1918PubMed Google Scholar, 4Hadjichristodoulou C Outbreak of rubella in Greece: 1999.Eurosurveillance Weekly. 1999; 15: 2-3Google Scholar, 5Roure C Oblapenko G Communicable diseases in the CCEE/NIS.World Health Stat Q. 1993; 46: 177-187PubMed Google Scholar Besides differences in health status, attitudes explain the different perception of food-borne outbreaks. Variant CJD among human beings is not a major concern in the Balkans because variant CJD and bovine spongiform encephalopathy have not been found in this region. Committee of the Balkan Network for Surveillance of Communicable Diseases—Yiannis Tselentis (chairman); George Papaevangelou (vice chairman); Eduard Hashorva and Gjeorgina Kuli (Republic of Albania); Tanya Hristova Bahtchevanova and Nina Lubenova Gatcheva (Bulgaria); Papoutsakis George and Hadjichristodoulou Christos (Greece); Salvina Kiro and Isjanovska Rozalinda (FYROM); Mircea Ioan Popa and Daniela Pitigoi (Romania); Unal Ertugrul and Aysegul Gozalan (Turkey); Radoljub Milocevic and Mitra Drakulovic (Federal Republic of Yugoslavia)." @default.
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• W2063201721 title "Surveillance of communicable diseases in the Balkans" @default.
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• W2063201721 doi "https://doi.org/10.1016/s0140-6736(05)74664-x" @default.
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