Favretto, Ar.

Tomassone, L

English

Institutional Research Information System University of Turin

16 October 2023AperTO - Archivio Istituzionale Open Access dell'Università di TorinoOriginal Citation:Knowledge integration to evaluate One Health: process evaluation of West Nile Virus integratedsurveillance in Northern ItalyTerms of use:Open Access(Article begins on next page)Anyone can freely access the full text of works made available as "Open Access". Works made availableunder a Creative Commons license can be used according to the terms and conditions of said license. Useof all other works requires consent of the right holder (author or publisher) if not exempted from copyrightprotection by the applicable law.Availability:This is the author's manuscriptThis version is available http://hdl.handle.net/2318/1679803 since 2018-10-31T11:28:16ZKNOWLEDGE INTEGRATION TO EVALUATE ONE HEALTHPROCESS EVALUATION OF WEST NILE VIRUS INTEGRATED SURVEILLANCE IN NORTHERN ITALYGiulia Paternoster*1 Laura Tomassone*2 Monica Marchino2 WNV surveillance working groups of Emilia-Romagna, Lombardy and Piedmont regions3Barbara Vogler4 Giacomo Balduzzi5 Anna Rosa Favretto5CREATING IMPACT FOR ONE HEALTH AND ECOHEALTH: ADVANCEMENTS IN IMPLEMENTATION, EVALUATION AND GOVERNANCENEOH final conference 10-12 September 2018 Bologna, Italy2. Method & results3. ConclusionThe integration of knowledge, rules, and policy objectives within the WG was identified as a key factor influencing the implementation, effectiveness, social recognition, and results of the surveillance. Formal and informal communication among the actors —constituting so called “communities of practice” [2]— is an indicator of such integration, resulting in the generation of shared rules and procedures that may become legally established. The nature and dynamics of knowledge integration processes must be considered to build more powerful policies for public health protection.The integration of expertise from social and life sciences helped us to perform a detailed analysis of the surveillance planning and implementation and to describe the entire “elephant”, i.e. the surveillance, combining various perspectives.The future step of our work will be to confront this process evaluation with the assessment of the degree of OH implementation of the WNV surveillance, performed according to the evaluation protocol developed by the Network for Evaluation of OH (NEOH) [3].. This may result in the validation of the NEOH evaluation protocol.We performed a process evaluation of West Nile virus (WNV) surveillance in three regions of Northern Italy by integrating the expertise of social and life sciences. The evaluation was performed in 2017 and 2018 using focus groups where surveillance “actors”—members of transdisciplinary and trans-institutional working groups (WG)— were interviewed as privileged observers. Our evaluation combined the analysis of the surveillance legal framework and organizational processes aiming to investigate the relationship between scientific evidence and the production and implementation of the legislation aimed at protecting the population from WNV disease.giulia.paternoster@uzh.ch — laura.tomassone.unito.it1. Section of Epidemiology, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland2. Department of Veterinary Sciences, University of Turin, Grugliasco, Italy3. Istituto Zooprofilattico Sperimentale della Lombardia e dell’Emilia-Romagna (IZSLER), Brescia, Italy — Istituto Zooprofilattico Sperimentale del Piemonte, Liguria e Valle d'Aosta (IZSTO), Turin, Italy — Regional Health Authority of Emilia-Romagna, Bologna, Italy — Unità Organizzativa Prevenzione, Direzione Generale Welfare, Lombardy Region, Milan, Italy — Azienda Regionale Emergenza Urgenza(AREU), Milan, Italy — Servizio di RiferimentoRegionale di Epidemiologia per la Sorveglianza la Prevenzione e il Controllo delle Malattie Infettive(SeREMI), Alessandria, Italy — Centro AgricolturaAmbiente “G. Nicoli” (CAA), Crevalcore, Italy —Istituto per le Piante da Legno e l'Ambiente (I.P.L.A. S.p.a.), Turin, Italy — Regional Blood Center, AziendaUnità Sanitaria Locale (AUSL) Bologna, Bologna, Italy —Agenzia di Tutela della Salute (ATS), Milan, Italy — Amedeo di Savoia Hospital ASL TO2, Turin, Italy — Azienda Sanitaria Locale AL (ASL AL), Alessandria, Italy — Struttura regionale di coordinamento per le attività trasfusionali ASL TO4 Ivrea, Turin, Italy - Struttura Complessa Igiene e Sanità Pubblica ASL TO1, Torino, Italy4. Department of Poultry Diseases, Instutite of Veterinary Bacteriology, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland5. Department of Political and Social Sciences, University of Pavia, Pavia, Italy6. Department of Jurisprudence and Political, Economic and Social Sciences, University of Eastern Piedmont, Alessandria, Italy* These authors contributed equally to this workThis is a wallThis is a spearThis is a snakeThis is a treeThis is a fanThis is a ropeThe parable of the "Blind men and an elephant”. Illustrated by Robert W. Williams, 2017, modifiedThe core of One Health (OH) is the integration of knowledge and perspectives at the science-policy interface. Its key mechanism is transdisciplinarity, which integrates society and science by including relevant stakeholders to effectively tackle complex health problems [1]. Accordingly, the evaluation of OH initiatives requires a transdisciplinary approach, integrating multiple sciences and perspectives.1. IntroductionRüegg SR, McMahon BJ, Häsler B, et al. A Blueprint to Evaluate One Health. Frontiers in Public Health. 2017;5:20. doi:10.3389/fpubh.2017.00020.Wenger E, McDermott RA, Snyder W. Cultivating Communities of Practice: A Guide to Managing Knowledge. 2002. Harvard Business School Press: Boston, Mass.[1][2]The authors would like to thank all focus groups participants and NEOH4. ReferencesPaternoster G, Tomassone L, Tamba M, et al. The Degree of One Health Implementation in the West Nile Virus Integrated Surveillance in Northern Italy, 2016. Frontiers in Public Health. 2017;5:236. doi:10.3389/fpubh.2017.00236.[3]The first version of the story is traceable to the Buddhist text Udana (mid 1st millennium BCE). A group of blind men, who have never come across an elephant before, learn and conceptualize what the elephant is like by touching it. Each blind man feels a different part of the elephant body, they then describe the elephant based on their partial experience. The moral of the parable is that humans have a tendency to project their partial experiences as the whole truth, ignore other people's partial experiences, and one should consider that one may be partially right and may have partial information (Wikipedia).

Knowledge integration to evaluate One Health: process evaluation of West Nile Virus integrated surveillance in Northern Italy

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Knowledge integration to evaluate One Health: process evaluation of West Nile Virus integrated surveillance in Northern Italy

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