Abstract

Change in environmental and socio-economic, emerging zoonotic diseases will be an increasing challenge for public health in Europe and in Macedonia also. The risks and consequences triggered by vector-borne diseases (VBD) for public health in Macedonia are just starting to emerge in public awareness. This is clearly shown by recent events such as spread of hemorrhagic fevers in Europe. The term “public health” in the scope of this chapter suggests re-conceptualization of public health by adapting the risk governance framework developed by the International Risk Governance Council (IRGC) for this purpose. The IRGC approach is distinguished from more classical risk governance approaches, inter alia, by an explicit inclusion of a systematic concern assessment. However, unfortunately, not all countries are adapted on this innovative public health model. This chapter shows results of a risk management study based on interview in depth with the officials regard public health risk, in frame of one health concept in the Republic of Macedonia.

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