Implementation of One Health approach in Jordan: Review and mapping of ministerial mechanisms of zoonotic disease reporting and control, and inter-sectoral collaboration

Mapping of population growth influence on land use transformation from 1994 to 2015 in Madaba Governorate, Jordan

The Madaba Governorate, as the second-largest wheat producer in Jordan, holds a crucial position in safeguarding regional food security. Its evolving landscape, marked by changes in land use, presents environmental and socio-economic challenges that necessitate sustainable urban planning and land management practices. This study delves into the intricate relationship between the conversion of agricultural lands into urban areas and the concurrent rise in population within the Madaba Governorate. Utilizing a Markov model, this research employs land use and land cover (LULC) data from 1994, 2004, and 2015 to project future changes in 2025 and 2035 with an impressive 80% accuracy (kappa coefficient). The findings reveal a projected 6% increase in urban areas over the next decade and a notable 11.81% decline in rural lands, signifying a substantial urbanization trend. In response to these population-driven LULC dynamics, there is an urgent need for the implementation of sustainable land use planning and management solutions. Given the constraints of limited water resources in the region, this study also places emphasis on water resource management. Recommendations include measures such as restricting urban sprawl, preserving agricultural lands, managing population growth, and implementing water conservation strategies. These insights provide invaluable information for stakeholders in the Madaba Governorate, including policymakers and land use planners, fostering a comprehensive understanding of the complex interplay between regional water resources, population expansion, and land use changes.

Risk as catalyst for positive change: lessons learnt from public health readiness for cholera in Jordan

This case study highlights how a looming health crisis was leveraged as drivers for positive change for the health sector, in line with the health security agenda. In Jordan, several authorities are mandated by law to manage health emergencies. Following the declaration of outbreaks of cholera in Iraq, Lebanon and Syria, health authorities in Jordan called for a series of emergency meetings during September 2022 to discuss implications around travel and trade as well as shared waters. WHO was part of the consultations and provided guidance on the application of the International Health Regulations 2005. As the risk for cholera importation persisted, the Ministry of Health assumed its leadership role for the overall health sector response while the Jordanian Center for Disease Control assumed a coordinating function. Roles and responsibilities were enshrined in the National Cholera Preparedness and Response Plan. In consideration of the vulnerability of refugee camps and settlements towards Cholera, the existing Jordan humanitarian coordination platforms such as the Health Sector Working Group were used to share information and to coordinate activities. A whole-of-government risk assessment during December 2022 was complemented by a field visit at Zaatari refugee camp. This helped assess the risk and readiness for a cholera outbreak in Jordan and informed priority activities, such as the establishment of a national risk communication and community engagement working group as well as training on case management.

Brucellosis and One Health: Inherited and Future Challenges

One Health is the collaborative efforts of multiple disciplines to attain optimal health for people, animals and the environment, a concept that historically owes much to the study of brucellosis, including recent political and ethical considerations. Brucellosis One Health actors include Public Health and Veterinary Services, microbiologists, medical and veterinary practitioners and breeders. Brucellosis awareness, and the correct use of diagnostic, epidemiological and prophylactic tools is essential. In brucellosis, One Health implementation faces inherited and new challenges, some aggravated by global warming and the intensification of breeding to meet growing food demands. In endemic scenarios, disease awareness, stakeholder sensitization/engagement and the need to build breeder trust are unresolved issues, all made difficult by the protean characteristics of this zoonosis. Extended infrastructural weaknesses, often accentuated by geography and climate, are critically important. Capacity-building faces misconceptions derived from an uncritical adoption of control/eradication strategies applied in countries with suitable means, and requires additional reference laboratories in endemic areas. Challenges for One Health implementation include the lack of research in species other than cattle and small ruminants, the need for a safer small ruminant vaccine, the need to fill in the infrastructure gap, the need for realistic capacity-building, the creation of reference laboratories in critical areas, and the stepwise implementation of measures not directly transposed from the so-called developed countries.