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Review Articles

The interconnected and cross-border nature of risks posed by infectious diseases

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Article: 25287 | Received 25 Jun 2014, Accepted 16 Sep 2014, Published online: 10 Oct 2014
 

Abstract

Infectious diseases can constitute public health emergencies of international concern when a pathogen arises, acquires new characteristics, or is deliberately released, leading to the potential for loss of human lives as well as societal disruption. A wide range of risk drivers are now known to lead to and/or exacerbate the emergence and spread of infectious disease, including global trade and travel, the overuse of antibiotics, intensive agriculture, climate change, high population densities, and inadequate infrastructures, such as water treatment facilities. Where multiple risk drivers interact, the potential impact of a disease outbreak is amplified. The varying temporal and geographic frequency with which infectious disease events occur adds yet another layer of complexity to the issue. Mitigating the emergence and spread of infectious disease necessitates mapping and prioritising the interdependencies between public health and other sectors. Conversely, during an international public health emergency, significant disruption occurs not only to healthcare systems but also to a potentially wide range of sectors, including trade, tourism, energy, civil protection, transport, agriculture, and so on. At the same time, dealing with a disease outbreak may require a range of critical sectors for support. There is a need to move beyond narrow models of risk to better account for the interdependencies between health and other sectors so as to be able to better mitigate and respond to the risks posed by emerging infectious disease.

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Corrigendum

A Corrigendum has been published for this paper. Please see http://www.globalhealthaction.net/index.php/gha/article/view/27635

A Corrigendum has been published for this paper. Please see http://www.globalhealthaction.net/index.php/gha/article/view/27635

Conflict of interest and funding

The authors are employed by ECDC. The opinions expressed in this article do not necessarily correspond to the position of ECDC but rather of the authors.

Notes

A Corrigendum has been published for this paper. Please see http://www.globalhealthaction.net/index.php/gha/article/view/27635

4 http://www.ecdc.europa.eu/en/healthtopics/vectors/vector-maps/Pages/VBORNET_maps.aspx, data as of October, 2013. Accessed January 12, 2014.

16 http://www.eden-fp6project.net/, accessed January 14, 2014.