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The threat of zoonotic diseases and Ebola Virus Disease specifically
Joint Event on 3rd International Conference on Infection, Disease Control and Prevention & 2nd International Conference on Microbial Pathogenesis & Infectious Diseases
Stef Stienstra
Civil-Military-Interaction-Command Royal Dutch Armed Forces, The Netherlands
Public health systems are not always prepared for outbreaks of infectious diseases. Although in the past several public health
institutes, like the French �Institut Pasteur� and the Dutch �Tropeninstituut�, were prominent surveyors of infectious diseases, the
investments in worldwide public health have decreased. Now more attention is given to curative healthcare compared to preventive
healthcare. The recent Ebola Virus Disease outbreak in West Africa initiated a new wave of interest to invest in Worldwide Public
Health to prevent outbreaks of highly contagious diseases. Zoonotic diseases are threatening as the population does not have natural
nor artificial (from vaccination) immune response to new diseases like in the Ebola Virus Disease outbreak in 2014. The new strain
of the Ebola Virus in West Africa was slightly less lethal, compared to other Ebola Virus strains, but the threat of spreading was far
bigger as it had a longer incubation time. Most public health systems are not trained well enough to mitigate highly infectious and
deadly disease outbreaks. NGO�s helping to fight the outbreak are often better trained in curative treatments and have less experience
with biological (bioweapon) threats for which the military are trained for. The UNMEER mission was unique in this. It was a setting
in which military and civilian actors cooperate in fighting a biological threat. Protection is essential for health workers. Smart systems
have to be developed to prevent further spreading of the disease, but it is not only the biosafety, which has to be considered, but also
the biosecurity, as misuse of extremely dangerous strains of microorganisms cannot be excluded. Several zoonotic infectious diseases,
like anthrax, smallpox and haemorrhagic fevers are listed as potential bioweapons. Therefor both biosafety and biosecurity have to be
implemented in all measures to fight outbreaks of highly infectious diseases.
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