Arbovirus surveillance staff at the national level prior to COVID-19 outbreak (Q58)

Country	Clinicians	Epidemiologists	Laboratorians	Entomologists/ vector control specialists	Support staff
Albania				4.0
Armenia
Bosnia and Herzegovina	1	1	4	5.0	1
Bulgaria		1	2	2.0
Croatia	5	10	10
France
Georgia	4	3	4	2.0	3
Germany	0	2	4	2.0	10
Greece	0	2	9	4.5	5
Hungary	1	2	3	2.0	1
Italy
Malta	3	2	1	0.0	10
Monaco
Portugal
Romania	0	6	4	2.0	6
San Marino
Slovenia		1	3	1.0	1
Spain		4	5
Switzerland
Turkey

Number of arbovirus surveillance staff needed to ensure adequate capacity (Q59)

Country	Clinicians	Epidemiologists	Laboratorians	Entomologists/vector control specialists	Support staff
Albania				6
Armenia
Bosnia and Herzegovina	4	4	8	4	4.0
Bulgaria		2	3	4
Croatia
France
Georgia	10	5	4	5	6.0
Germany
Greece	0	3	4	12	5.5
Hungary	2	4	6	20	20.0
Italy
Malta	4	4	2	4	40.0
Monaco	1	1	0	0	10.0
Portugal
Romania	0	6	4	2	6.0
San Marino
Slovenia		4	5	2	4.0
Spain
Switzerland
Turkey

Additional details regarding current and required staffing numbers (Q60)

Country	Response
Albania
Armenia	We do not have special "arbovirus surveillance staff" at the national level. In Armenia, there is a sufficient number of clinicians, epidemiologists, laboratorians, entomologists, and other support staff, to implement infectious diseases surveillance activities, including arboviral diseases.
Bosnia and Herzegovina
Bulgaria	Comments for epidemiological staff: Q 58- There is no specially defined staff for arboviral disease surveillance.Latest years the number of epidemiologists at national and regional levels is decreasing and only one epidemiologist ( per region) or at national level is responsible for surveillance of all infectious diseases under surveillance in the country. Q 59 - To the moment the number of West Nile fever cases is small and do not put serious surveillance and control management problems so one more epidemiologist as alternate of the one at national level mentioned in the response of Q 58 would be reasonable.
Croatia
France	L’agence nationale de santé publique a du personnel dédié au niveau national et du temps agent dans chaque région (épidémiologistes polyvalents) Le CNR arbovirose est dédié à cette mission au niveau national (ministère) participation des agents de la veille sanitaire. En région il y a également des agents de l'état et des opérateurs de lutte antivectorielle qui interviennent dans le cadre de marchés public Les moyens publics et privés sont suffisants pour la surveillance et le diagnostic.
Georgia
Germany	More staff on local and regional levels, but numbers unknown. Understaffing not really a problem.
Greece	Only surveillance staff working at national authorities/ institutes (Ministries, National Public Health Organization, Benaki Phytopathological Institute), at the National Reference Laboratory and specialised laboratories funded by the NPHO to perform Arboviruses testing (i.e., Pasteur Institute), and University laboratories funded by the NPHO for Arboviruses vector surveillance (i.e., the Medical Entomology Unit of the School of Public Health - University of West Attica) is included (and not staff from the regional/ local state authorities).  The national public health authorities (NPHO/MoH) reimburse the testing for Arboviruses (in humans or mosquitoes, nationwide) in the National Reference Laboratory (for humans), in the Pasteur Institute (for humans), and in the Medical Entomology Unit of the School of Public Health - University of West Attica (for mosquitoes), and not the salary of the staff working in these laboratories for Arbovirus surveillance. Veterinarians working at the national animal health authorities (Ministry of Rural Development and Food) are included in the “Epidemiologists” category, and laboratorians working at the national animal health authorities (for WNV testing of animals) are included in the "Laboratorians" category. "Laboratorians" include staff working/needed for either human (n=6.5/2), or animal (n=1.5/1) or mosquito (n=1/1) surveillance for pathogen (Arboviruses) detection in humans, animals or mosquitoes. "Entomologists" (4,5 full time persons working in national authorities, and 12 more persons needed at national level, in total) include: i) medical entomologists (1,5 full time persons working in national authorities, and 6 more persons needed) and ii) laboratorians working for mosquito species identification (3 full time persons working in national authorities for mosquito identification, and 6 more persons needed). Regarding Question 59: - In Greece there is full epidemiology and laboratory capacity for the Arboviruses surveillance in humans; however, this is achieved with a high workload of the available staff. So, in the question 59, the ideal number of staff persons needed is included (to maintain the full capacity with an adequate workload). - Mosquito surveillance and control programmes are under the responsibility of regional and municipal authorities. NPHO/MoH and Benaki Phytopathological Institute (BPI)/Ministry of Rural Development and Food, in collaboration with other stakeholders (laboratory, regional authorities), also conduct active mosquito surveillance programmes in a limited scale. - As in Greece no Aedes-borne transmission has been recorded, Aedes circulation is routinely monitored in several areas in the context of the abovementioned mosquito surveillance programmes (and urgently around the recorded imported human cases of Aedes-borne diseases, if needed). The capacity on epidemiologists (for human and animal health sectors), entomologists/ vector control specialists and support staff only at the national level (in Ministries, NPHO, BPI) is included in this answer, and not at regional/local level, as the staff needed for capacity building at the regional/local level cannot be easily assessed at the national level. However, the capacity of the regional authorities regarding the human resources (on human, animal and vector arboviral surveillance staff) is limited and needs enhancement in every sector (human and animal and vector surveillance).
Hungary	-
Italy	I am sorry but these data are not available.
Malta	lack staff to undertake arbovirus surveillance and response
Monaco
Portugal
Romania	The national staff is enough at the moment, when only West Nile fever is a public health problem in our country. The other diseases caused by arboviruses are cases of import and are in small numbers.
San Marino
Slovenia	The proposed number is a very rough estimate, as human resource needs are highly dependent on the incidence and prevalence of emerging infectious diseases.
Spain
Switzerland	Not ascertainable within the short time
Turkey	There is no specific staff for arboviral diseases surveillance or treatment, infact there is no need. Surveillance, diagnosis and treating services of these diseases are part of general health services.