欧洲疾控中心-经合组织对摩尔多瓦进行国家访问，讨论传染病监测问题

ECDC country visit to Moldova to discusssurveillance of communicable diseases ECDC Accession Support Introduction and background ECDC cooperates with countries under the EU enlargement policy to improve their infectious disease preventionand control systems and public health workforce to prepare them for their future participation in ECDC’s work. Under this policy,ECDC has been implementing technical cooperation activities with EU candidate countries andpotential candidates, i.e. the Western Balkans and Türkiye[1]aiming,inter alia, to support capacities to Upon request from the national public health authorities of Moldova, as a new EU candidate country, ECDCconducted a technical visit to the country in April 2025 with similar scope, objectives, and methodology as forvisits to the Western Balkans and Türkiye.Theagenda for the visit was developed jointly with the National Public The ECDC country visit to Moldova is part oftheEU Initiative on Health Securitywork package on progressiveintegration of the partner countries in the work of ECDC. Specificobjectives ThespecificobjectivesofcountryvisitstotheEU candidate and potential candidate countriesare: •to better understand the existing structures, systems, tools and processes involved in the national surveillanceof communicable diseases, as well as any planned changes;•to identify needs, vulnerabilities, strengths and areas for improvement related to the surveillance ofcommunicable diseases, including aspects that might benefit from ECDC’s technical support; To help ECDC ensure consistency across country visits and support the follow-up of progress, the sameassessment tool for national communicable disease surveillance systems is used throughout[4]. The toolincludes eight topics regarded as core areas for successful communicable disease surveillance and control andwas used to guide discussions. The insights gained during the assessment mission are used to identify areas Suggested citation: European Centre for Disease Prevention and Control.ECDC country visit to Moldova to discuss surveillanceof communicable diseases.2025Stockholm: ECDC; 2025. 1. Surveillance system description Communicabledisease surveillance in the Republic of Moldova is part of the 2030 National Health Strategy[5],which sets the overarching objective of‘reducing the burden of communicable and non-communicable diseases •Law No. 10/2009[6]on Public Health, which defines the responsibilities for disease detection, notification andresponse.•Government Decision No. 885/2022[7], which establishes the Information System for Surveillance ofCommunicable Diseases and Public Health Events (SI SBTESP) as the national platform for electronicnotification.•Order No. 533/2023[8], which provides the list of notifiable communicable diseases (currently 72 diseases and The National Public Health Agency (ANSP), under the Ministry of Health, is the central authority responsible forcommunicable disease surveillance in Moldova.National legislationmandates the notification of communicable Since 2023, electronic surveillance has been implemented through the national platform‘Sistemul Informaționalde Supraveghere a Bolilor Transmisibile și Evenimentelor de Sănătate Publică’(SI SBTESP)[7]. This system is As of December 2024, Moldova has made progress in strengthening event-based surveillance (EBS) through theimplementation of the WHO Epidemic Intelligence from Open Sources (EIOS) platform. Key milestones includeappointinga national coordinatorfor the platform,developingstandard operating procedures,establishinga dailyscanning routine. While the platform is not yet fully integrated into national surveillance and response workflows, Sentinel surveillance systemshave beenin place for influenza-like illness (ILI), acute respiratory infections (ARI)and severe acute respiratory infections (SARI)since 2009. These systems include nine sentinel sites that coverapproximately 40% of the population. Surveillance is conducted year-round, with samples and data collectedweekly and analysed both nationally and at four regional laboratories. The data fromthe sentinelsites are Two sentinel systems are implemented for acute diarrhoeal disease in Moldova. One isto monitor outbreakdynamics and early identification of infectivity indicators of cholera and other acute diarrhoeal diseases, both inhuman populations and in environmental reservoirs such as rivers, lakes, and other water source. Thisis carriedout annually between May and September. The other sentinel system isto study the aetiology of diarrhoea A team of specialist biologists conduct field missions across designated administrative territories, where sentinelpoints are established to study and monitor the epizootiology situation. Their activities includeassessingexistingnatural foci,identifyingnew natural foci,and analysing theperiodicity of epizootic processes. The team also Surveillance objectives are further defined within national public health programmes,