Readiness Assessment for Integrating Laboratory Information Management Systems with Public Health Surveillance Systems for Effective Detection of Priority Zoonoses Outbreaks in Cameroon

Download Article

DOI: 10.21522/TIJPH.2013.12.02.Art029

Authors : Hanesh F. Chi, Christophe B. Kengne

Abstract:

Integrating Laboratory Information Management Systems (LIMS) with Public Health Surveillance Systems (PHSS) holds immense promise for bolstering the prompt detection and response to outbreaks of priority zoonoses. This study assesses the readiness for such integration in Cameroon, focusing on the detection of priority zoonoses. We employed a mixed-methods approach that combines quantitative data analysis and qualitative surveys with key stakeholders, which was conducted to assess the current state of LIMS, the existing PHSS, and the infrastructural and human resource capabilities. Our findings reveal significant gaps in infrastructure, technical expertise, and the existing policy framework. However, there are promising aspects, such as the existence of robust laboratory networks and a strong commitment from public health authorities to enhance disease surveillance. This readiness assessment is a critical first step toward strengthening Cameroon’s public health infrastructure to manage zoonotic threats effectively. We propose actionable recommendations, such as targeted investments in infrastructure, capacity building, and policy reforms, that can pave the way for a more robust and effective public health surveillance system in Cameroon.

References:

[1] World Health Organization. (2024). Zoonoses. Retrieved from: https://www.who.int/news-room/fact-sheets/detail/zoonoses.

[2] One Health Cameroon. (2024). Zoonotic diseases in Cameroon. Retrieved from: https://www.onehealth.cm/web/index.php/fr/about/zoonotic-diseases.

[3] Centers for Disease Control and Prevention. (2023). One Health Zoonotic Disease Prioritization Process. Retrieved from: https://www.cdc.gov/onehealth/pdfs/prioritization-fact-sheet-H.pdf.

[4] The World Fact Book. (2016). Central Intelligence Agency. Cameroon. Retrieved from: https://www.cia.gov/the-world-factbook/countries/cameroon/.

[5] Saylors, K.E., Mouiche, M.M., Lucas, A., McIver, D.J. et al. (2021). Market characteristics and zoonotic disease risk perception in Cameroon bushmeat markets. Social Science & Medicine 268:113358. Doi: https://doi.org/10.1016/j.socscimed.2020.113358.

[6] Ministry of Public Health: National Public Health Observatory (NPHO). (2023). Health Watch, Year 2023. Retrieved from: http://onsp.minsante.cm/sites/default/files/publications/330/Alerts%20ONSP%20EW%2011.pdf.

[7] Sofeu, C.L., Broban, A., Njifou Njimah, A., Blaise, M.J., Sadeuh-Mba, S.A., Druelles, S., L’Azou, M., Tejiokem, M.C., (2018). Improving systematic rabies surveillance in Cameroon: a pilot initiative and results for 2014- 2016. PLoS neglected tropical diseases, 6;12(9):e0006597.Doi: https://doi.org/10.1371/journal.pntd.0006597.

[8] Djuikoue, C.I., Toutcho, C.N., Savadogo, M., et al. (2023). Awareness of rabies control and challenges to the intersectoral management of dog bites in Western Cameroon, Research Square. Doi: https://doi.org/10.21203/rs.3.rs-2820317/v1.

[9] Eko, S.M., Esemu, S.N., Njouendou, A.J., Kfusi, A.J., Anong, N.D., Ndip, L.M. (2023). Identification and Prevalence of Brucella Species Circulating among Cattle Slaughtered in the Douala and Buea Municipalities of Cameroon", Veterinary Medicine International, 2068948. Doi: https://doi.org/10.1155/2023/2068948

[10] Ministry of Public Health (2022). Cameroon National Laboratory Policy. Retrieved from: https://files.aho.afro.who.int/afahobckpcontainer/production/files/CAMEROON-NATIONAL-LABORATORY-POLICY_compressed_1.pdf.

[11] Ngapagna, A.N., et al. (2023). Analysis of Cameroonian Veterinary Health Legislation for the Control of Priority Zoonoses in Relation to the OIE/WOAH Guidelines with Regard to the One Health Approach. J Vet Sci Res 2023, 8(1): 000234.

[12] Aborode, A.T., Hasan, M.M., Jain, S., Okereke, M., Adedeji, O.J., Karra-Aly, A., Fasawe, A.S. (2021). Impact of poor disease surveillance system on COVID-19 response in africa: Time to rethink and rebuilt. Clin Epidemiol Glob Health. 12, 100841. Doi: 10.1016/j.cegh.2021.100841.

[13] Centers for Disease Control and Prevention. (2023l). National Notifiable Diseases Surveillance System (NNDSS). Retrieved from: https://health.gov/healthypeople/objectives-and-data/data-sources-and-methods/data-sources/national-notifiable-diseases-surveillance-system-nndss#:~:text=The%20National%20Notifiable%20Disease%20Surveillance,state%2Dreportable%20and%20nationally%20notifiable.

[14] World Health Organization Regional Office for Africa and Centers for Disease Control and Prevention. (2001a). Technical guidelines for integrated disease surveillance and response in the African region. Harare, Zimbabwe and Atlanta, Georgia, USA. World Health Organization, Regional Office for Africa, Division of Communicable Disease Prevention and Control. Retrieved from: https://www.afro.who.int/publications/technical-guidelines-integrated-disease-surveillance-and-response-african-region-third.

[15] World Health Organization and Centers for Disease Control and Prevention. (2010). Technical Guidelines for Integrated Disease Surveillance and Response in the African Region - 2nd edition. Brazzaville, Republic of Congo and Atlanta, USA. World Health Organization and Centers for Disease Control and Prevention. Retrieved from: https://www.afro.who.int/sites/default/files/2017-06/IDSR-Technical-Guidelines_Final_2010_0.pdf.

[16] World Health Organization Regional Office for Africa. (2001b). Integrated disease surveillance in the African region: a regional strategy for communicable diseases 1999-2003- AFR/RC/48.8 edition. Retrieved from: https://www.afro.who.int/sites/default/files/2017-06/ids-strat-99-03.pdf.

[17] Perry H.N., McDonnell S.M., Alemu W., Nsubuga P., Chungong S., Otten M.W., Lusamba-Dikassa P.S., Thacker S.B. (2007). Planning an integrated disease surveillance and response system: a matrix of skills and activities. BMC Med. 5:24. Doi: 10.1186/1741-7015-5-24.

[18] World Health Organization. (2004). Overview of the WHO framework for monitoring and evaluating surveillance and response systems for communicable diseases. Retrieved from: https://www.who.int/publications/i/item/who-wer7936.

[19] Kadia R.S.M., Kadia B.M., Dimala C.A. et al. (2023). Usefulness of disease surveillance data in early warning of the cholera outbreak in Southwest Cameroon, 2018. Confl Health 17,6. Doi: https://doi.org/10.1186/s13031-023-00504-1.

[20] World Health Organisation (2018). Primary health care and health emergencies. Retrieved from: https://iris.who.int/bitstream/handle/10665/326451/WHO-HIS-SDS-2018.52-eng.pdf?sequence=1.

[21] Kamga R.M.N. Assongo B.S., Magang E.M.K., Fouapon A.A., Salihou M.M., Kuiate J.R. and Simo G. (2021) Seroprevalence of Brucella Antibodies and Risk Factors Associated with Human Brucellosis in High-Risk Occupational Groups of the Noun Division in the West Region of Cameroon. Journal of Biosciences and Medicines, 9, 105-123. Doi: https://doi.org/10.4236/jbm.2021.93011.

[22] Food and Agricultural Organisation of the United Nations (2018). Zoonotic Diseases Spotlight: The Case for an Expert Elicitation Protocol on Zoonoses in Egypt. Retrieved from: https://www.fao.org/3/i8476en/I8476EN.pdf.

[23] Djuikoue C.I., Nana C.D.S., Nzenya J., Tomi C., Chounna N., Pomte O., Pokam B.D.T., Apalata, T. (2023). Intestinal Carriage of Extended Spectrum Beta-Lactamase-Producing Salmonella enterica from Chickens and Poultry Farmers in Dschang, in the Western Region of Cameroon. Bacteria, 2, 37-47. Doi: https://doi.org/10.3390/bacteria2010003.

[24] van Roode, M.Y., dos S. Ribeiro, C., Farag, E. et al. Six dilemmas for stakeholders inherently affecting data sharing during a zoonotic (re-)emerging infectious disease outbreak response. BMC Infect Dis 24, 185 (2024). https://doi.org/10.1186/s12879-024-09054-0.

[25] U.S. Agency for International Development (2023). Assessing human resource capacity for ownership and management of Ghana’s disease surveillance and response system. Retrieved from: https://chisuprogram.org/news/blog/assessing-human-resource-capacity-ownership-and-management-ghanas-disease-surveillance.

[26]  World Health Organisation (2017). WHO guidelines on ethical issues in public health surveillance. Retrieved from: https://iris.who.int/bitstream/handle/10665/255721/9789241512657-eng.pdf?sequence=1