Outbreak declaration and emergency response measures

Criteria for declaring an outbreak and vector control measures that are deployed in emergencies (ref Q49, 51)

Country	Criteria for outbreak declaration	Emergency vector control measures
Albania
Armenia	No	Indoor resitual spraying and larviciding was conducted in the malaria outbreak period (1994-2005)
Bosnia and Herzegovina	Yes
Bulgaria	I don't know
Croatia	Yes Act on communicable diseases protection	Adulticidal and larvicidal treatment
France	No Tous les cas sont signalés au niveau local. Les situations inhabituelles sont communiquées rapidement au niveau national. Tous les partenaires de la sécurité sanitaire se réunissent chaque semaine et évaluent les situations.	- Enquête entomologique - Traitement péri-domiciliaires - Traitements adulticides ULV dans un rayon de 150m autour des cas isolés ou dans le quartier si plusieurs cas regroupés
Georgia	Yes Most of arboviral diseases are considered especially dangerous. Registration of each case is considered an outbreak.	IRS in 400 meter radius from each case, and door-to-door monitoring of the population in the affected area.
Germany	No Likely even single transmissions of Aedes-transmitted arboviruses would be treated as outbreaks. For WNV, where autochthonous human cases are identified, a seasonal wave is constituted.	states decide, but mainly no regulations; also, no national regulations
Greece	Yes Even one locally acquired case of Arboviral disease is considered as an outbreak alert. - Local Aedes-borne transmission of Dengue, Zika, and Chikungunya viruses has not been recorded in Greece; thus, the recording of even one locally acquired case will trigger urgent response measures. - West Nile virus seasonal outbreaks are expected during the transmission seasons; the recording of even one WNV human case defines the Municipality of exposure as affected, and triggers response measures (e.g., intensified vector control, communication, blood safety measures).	Breeding sites management, intensified larviciding, adulticiding (spraying).
Hungary	No	adulticiding, larviciding
Italy	Yes The national strategy for arbovirus includes definition of outbreak	Interventions depend on the arbovirus involved. measures are described in detail in the national strategy for arbovirus.
Malta	Yes more than two cases confirmed to be autochthonous cases	door to door surveillance in area where autochthonous case confirmed to actively pick up suspected cases and undergo vector control in the area and provide preventive measures to the inhabitants in that area
Monaco	Yes fièvre aigue sans présentation clinique spécifique contexte de retour pays endémique	contrat avec une entité spécialisée
Portugal	No
Romania	No	Use of adulticides and larvicides
San Marino
Slovenia	No	Vector control has never been used for in Slovenia in case of an emergy. The adequate vector control will be done by National institute of health, environment and food.
Spain	Yes Existen protocol específicos donde se indica Y un sistema de alertas de salud pública
Switzerland	Yes See attached documents (48b)
Turkey	No	Only WNV local cases are reported in Turkey. In case of local WNV transmission vector control intervensions are deployed. Public education are conducted for personel protection and deployment of vector breeding places. Adulticiding and larviciding methods are deployed in the area.