Arboviral disease surveillance staff perception of factors contributing to the a) success and b) barriers/challenges with respect to preparedness of arboviral diseases epidemics (ref Q54)

Country	Successes	Barriers
Albania
Armenia	Arboviral diseases are not considered an emerging public health threat in Armenia.
Bosnia and Herzegovina
Bulgaria
Croatia	Interdisciplinary and multisectoral "One Health" approach
France	Social mobilization and involvement of local communities (both a success and a challenge)	Social mobilization and involvement of local communities Resistance to insecticides, lack of new molecules and alternative control methods operational or authorized under EU directives.
Georgia	Arboviral disease surveillance staff perceives adequate laboratory, entomologic and epidemiologic capacity, as a success.	Arboviral disease surveillance staff perceives lack of clinical suspicion among healthcare workers as a barrier/challenge.
Germany
Greece	Multi-sectoral collaboration (national, regional and local level): - intersectoral National Committee/ Working Groups - networks at national and local level (information flow) - good interpersonal communication Action plans, established procedures, experience Strong commitment of involved stakeholders and staff Timeliness of communication, real-time information sharing	Human resources/ public health workforce at national and local level (high workload), Advocacy Coordination of One Health strategy for preparedness and response, integrated plan and coordination among sectors Development of criteria for declaring an emergency at regional and national level Regular training on preparedness for arboviral outbreaks
Hungary
Italy
Malta	Committed staff	Lack of finances available for surveillance. Lack of staff working on surveillance Lack of entomologists in the Country
Monaco
Portugal
Romania		Lack a specific plan for surveillance and control arboviral disease. Lack a collaboration with other ministries and agencies.
San Marino
Slovenia	The success relies on good connectivity among partners. Lack of focus on potential threats posed by arboviral diseases is a potential barrier to provide a satisfactory number of experts and financial resources.
Spain
Switzerland	One health concept	Multidisciplinary / multilevel working
Turkey	Risk Assessment Meetings are organized within MoH in case of any arboviral disease epidemics in the world and also in case of local transmission of WNV. The situation is assessed, control methods are discussed and experts from MoH visit the province and support the local authorities in controlling the situation and perform field study.