Strengthening global health security by improving disease surveillance in remote rural areas of low-income and middle-income countries



Worsley-Tonks, Katherine EL, Bender, Jeff B, Deem, Sharon L, Ferguson, Adam W, Fevre, Eric M ORCID: 0000-0001-8931-4986, Martins, Dino J, Muloi, Dishon M, Murray, Suzan, Mutinda, Mathew, Ogada, Darcy
et al (show 5 more authors) (2022) Strengthening global health security by improving disease surveillance in remote rural areas of low-income and middle-income countries. LANCET GLOBAL HEALTH, 10 (4). E579-E584.

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Abstract

The COVID-19 pandemic has underscored the need to strengthen national surveillance systems to protect a globally connected world. In low-income and middle-income countries, zoonotic disease surveillance has advanced considerably in the past two decades. However, surveillance efforts often prioritise urban and adjacent rural communities. Communities in remote rural areas have had far less support despite having routine exposure to zoonotic diseases due to frequent contact with domestic and wild animals, and restricted access to health care. Limited disease surveillance in remote rural areas is a crucial gap in global health security. Although this point has been made in the past, practical solutions on how to implement surveillance efficiently in these resource-limited and logistically challenging settings have yet to be discussed. We highlight why investing in disease surveillance in remote rural areas of low-income and middle-income countries will benefit the global community and review current approaches. Using semi-arid regions in Kenya as a case study, we provide a practical approach by which surveillance in remote rural areas can be strengthened and integrated into existing systems. This Viewpoint represents a transition from simply highlighting the need for a more holistic approach to disease surveillance to a solid plan for how this outcome might be achieved.

Item Type: Article
Uncontrolled Keywords: Humans, Developing Countries, Poverty, Pandemics, Global Health, COVID-19
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Infection, Veterinary and Ecological Sciences
Depositing User: Symplectic Admin
Date Deposited: 18 Mar 2022 16:45
Last Modified: 18 Jan 2023 21:10
DOI: 10.1016/s2214-109x(22)00031-6
Open Access URL: https://doi.org/10.1016/S2214-109X(22)00031-6
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3150899