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Dayapera LZA, Sy JCY, Valenzuela S, Eala SJL, Del Rosario CMIP, Buensuceso KNC, Dy AS, Morales DA, Gibson AG, Apostol GLC. One health in the Philippines: A review and situational analysis. One Health 2024; 18:100758. [PMID: 38846705 PMCID: PMC11153869 DOI: 10.1016/j.onehlt.2024.100758] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2024] [Accepted: 05/14/2024] [Indexed: 06/09/2024] Open
Abstract
The Philippines faces a complex and interconnected web of human, animal, and environmental health issues, including zoonotic and reverse zoonotic diseases, antimicrobial resistance, food insecurity and contamination, and threats from environmental degradation. This paper examines these issues, existing interventions, and their implementation challenges. The overall framework used to analyze the level of operationalization of the One Health approach is the Multi-sectoral One Health Coordination Framework developed by the World Health Organization, Food and Agriculture Organization, and the World Organization for Animal Health. A two-step process was conducted: literature review, followed by consultations with government and non-government stakeholders across national, subnational, and local levels. There has been significant progress in laying the foundation for collaboration between the human, animal, and environmental sectors. These are demonstrated by the presence of structures and systems, including inter-agency task forces, emergency response plans and mechanisms, and a network for health human resources. However, these are eclipsed by challenges, including the limited governance mechanisms within inter-agency committees, fragmented risk assessment and surveillance, untapped opportunities for joint investigation and response, insufficient resources for capacity-building, and absence of comprehensive risk communication and community engagement initiatives. These challenges highlight the importance of promoting multi-sectoral governance and ensuring resource allocation and sharing. Joint activities across risk assessment, surveillance, investigation, and response are critical in ensuring a proactive and holistic approach to addressing threats. A well-capacitated interdisciplinary workforce, not only capable of managing these hazards but also empowering communities to protect themselves, is necessary in ensuring innovation and collaboration on health risks at the human-animal-environment interface. In light of the multifaceted challenges faced by the Philippines, the One Health approach emerges as a vital strategy. By addressing governance issues, enhancing coordination, and bolstering resource allocation, the country can better protect the health and well-being of its people, animals, and ecosystems.
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Affiliation(s)
- Lystra Zyrill A. Dayapera
- SciLore LLC, Unit 10 Paz Madrigal Plaza, Madrigal Business Park, Ayala Alabang, Muntinlupa 1781, Metro Manila, Philippines
| | - Jenica Clarisse Y. Sy
- Ateneo de Manila University School of Medicine and Public Health, Don Eugenio Lopez Sr. Medical Complex, Ortigas Ave, Pasig, Metro Manila 1604, Indonesia
- Department of Biology, School of Science and Engineering, Ateneo de Manila University, Katipunan Avenue, Loyola Heights, Metro Manila, Philippines
| | - Sary Valenzuela
- Ateneo de Manila University School of Medicine and Public Health, Don Eugenio Lopez Sr. Medical Complex, Ortigas Ave, Pasig, Metro Manila 1604, Indonesia
| | - Samantha Julia L. Eala
- Ateneo de Manila University School of Medicine and Public Health, Don Eugenio Lopez Sr. Medical Complex, Ortigas Ave, Pasig, Metro Manila 1604, Indonesia
| | - Ciara Maria Ines P. Del Rosario
- Department of Biology, School of Science and Engineering, Ateneo de Manila University, Katipunan Avenue, Loyola Heights, Metro Manila, Philippines
| | - Karen Nicole C. Buensuceso
- Department of Biology, School of Science and Engineering, Ateneo de Manila University, Katipunan Avenue, Loyola Heights, Metro Manila, Philippines
| | - Adrian S. Dy
- Department of Biology, School of Science and Engineering, Ateneo de Manila University, Katipunan Avenue, Loyola Heights, Metro Manila, Philippines
| | - Danielle A. Morales
- Ateneo de Manila University School of Medicine and Public Health, Don Eugenio Lopez Sr. Medical Complex, Ortigas Ave, Pasig, Metro Manila 1604, Indonesia
| | - Anna Giselle Gibson
- SciLore LLC, Unit 10 Paz Madrigal Plaza, Madrigal Business Park, Ayala Alabang, Muntinlupa 1781, Metro Manila, Philippines
- Ateneo de Manila University School of Medicine and Public Health, Don Eugenio Lopez Sr. Medical Complex, Ortigas Ave, Pasig, Metro Manila 1604, Indonesia
| | - Geminn Louis C. Apostol
- Ateneo de Manila University School of Medicine and Public Health, Don Eugenio Lopez Sr. Medical Complex, Ortigas Ave, Pasig, Metro Manila 1604, Indonesia
- Murdoch University, 90 South St, Murdoch, WA 6150, Australia
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Hawes SM, Rhodes T, Hupe TM, Dazzio R, Flynn E, O'Reilly KM, Morris KN. The development and validation of the One Health Community Assessment. One Health 2024; 18:100722. [PMID: 38623499 PMCID: PMC11017337 DOI: 10.1016/j.onehlt.2024.100722] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Accepted: 04/02/2024] [Indexed: 04/17/2024] Open
Abstract
Interdisciplinary collaborations to address human, animal, and environmental health have been emphasized since the inception of the One Health framework. A quantitative survey instrument was developed to measure perceptions of the impacts of pets on One Health. Using the exploratory sequential mixed methods approach, 20 interviews were conducted with individuals from a racially diverse and low-socioeconomic status community in the U.S. to understand their perceptions of One Health. Data from those interviews informed the development of a Likert scale survey measuring individual perceptions of community, human, pet, and environmental health and welfare, as well as the connections between the domains of the One Health triad (human, animal, and environment). The resulting One Health Community Assessment (OHCA) was administered in two urban and two rural underserved U.S. communities longitudinally (2018-2021) through door-to-door data collection as well as phone, email, and text surveys. Validation of the instrument was completed using data collected in the third and fourth years of the study (n = 654). Factor analysis with orthogonal varimax rotation was used to assess the structure and internal consistency of the OHCA. Five subscales explained 42.4% of the variance in our 92-item instrument: community health (Cronbach's α = 0.897), human health (α = 0.842), pet health (α = 0.899), environmental health (α = 0.789), and connections between domains of One Health (α = 0.762). The OHCA represents the first reliable and validated instrument to measure the impacts of pets on One Health.
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Affiliation(s)
- Sloane M. Hawes
- Institute for Human-Animal Connection, Graduate School of Social Work, University of Denver, 2148 S High St., Denver, CO 80210, USA
- Companions and Animals for Reform and Equity, 420 Dunkirk Rd., Baltimore, MD 21212, USA
| | - Tara Rhodes
- Colorado Department of Education, 201 E. Colfax, Denver, CO 80203, USA
| | - Tess M. Hupe
- Institute for Human-Animal Connection, Graduate School of Social Work, University of Denver, 2148 S High St., Denver, CO 80210, USA
| | - Romi Dazzio
- Institute for Human-Animal Connection, Graduate School of Social Work, University of Denver, 2148 S High St., Denver, CO 80210, USA
| | - Erin Flynn
- Institute for Human-Animal Connection, Graduate School of Social Work, University of Denver, 2148 S High St., Denver, CO 80210, USA
- Graduate School of Social Work, University of Denver, 2158 S High St., Denver, CO 80210, USA
| | - Kaleigh M. O'Reilly
- Institute for Human-Animal Connection, Graduate School of Social Work, University of Denver, 2148 S High St., Denver, CO 80210, USA
| | - Kevin N. Morris
- Institute for Human-Animal Connection, Graduate School of Social Work, University of Denver, 2148 S High St., Denver, CO 80210, USA
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Fossouo VN, Mouliom MMM. From theory to practice: Analyzing factors that foster the successful implementation of the one health approach for enhancing health security in Cameroon. One Health 2024; 18:100738. [PMID: 38725961 PMCID: PMC11079392 DOI: 10.1016/j.onehlt.2024.100738] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2023] [Accepted: 04/21/2024] [Indexed: 05/12/2024] Open
Abstract
Background Multisectoral collaboration is crucial in effectively managing public health emergencies. The One Health approach, which emphasizes the interconnectedness of human, animal, and environmental health, has gained recognition as an effective strategy. This study analysis the factors influencing the implementation of the One Health approach in Cameroon and examines its effects on public health emergency management. Method A survey was conducted among 44 stakeholders from key sectors involved in implementing the "One Health approach" in Cameroon. Data were collected with a structured questionnaire using a self-administered approach. Statistical analysis using the Ki Square test was conducted to identify associations between variables. Results The findings revealed that stakeholders in Cameroon lacked prior training on the One Health approach, primarily due to its absence in their academic programs. However, ad hoc trainings during public health emergencies were effective in involving various sectors. Limited communication and collaboration between different sectors, often operating in silos, posed significant challenges. Stakeholders with previous collaborative experiences and existing relationships demonstrated a greater propensity for multisectoral collaboration. The involvement of environmental health professionals in collaboration activities was limited, highlighting the need for improved engagement. Strong leadership, supported by coordination structures and platforms, played a critical role in facilitating collaboration during public health emergencies. Communication channels, such as regular multisectoral meetings, were essential in fostering relationships and trust among stakeholders. However, financial constraints hindered cross-sector cooperation. Conclusion To enhance multisectoral collaboration in public health emergency management, there is a need to prioritize training on the One Health approach and promote cross-sector communication and collaboration. Strengthening coordination structures and platforms, improving resource allocation, and fostering a culture of accountability and trust are crucial for effective implementation. This study provides insights into the challenges and opportunities in implementing the One Health approach in Cameroon and offers valuable lessons for other countries seeking to enhance their multisectoral response to public health emergencies.
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Lam S, Hoffmann V, Bett B, Fèvre EM, Moodley A, Mohan CV, Meteo-Sagasta J, Nguyen-Viet H. Navigating One Health in research-for-development: Reflections on the design and implementation of the CGIAR Initiative on One Health. One Health 2024; 18:100710. [PMID: 38533195 PMCID: PMC10963858 DOI: 10.1016/j.onehlt.2024.100710] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2023] [Accepted: 03/11/2024] [Indexed: 03/28/2024] Open
Abstract
Adopting One Health approaches is key for addressing interconnected health challenges. Yet, how to best put One Health into practice in research-for-development initiatives aiming to 'deliver impacts' remains unclear. Drawing on the CGIAR Initiative on One Health - a global initiative to address zoonotic diseases, antimicrobial resistance, and food and water safety - we reflect on challenges during program conception and implementation, prompting us to suggest improvements in multisectoral collaboration, coordination, and communication. Our approach involves conducting a researcher-centered process evaluation, comprising individual interviews that are subsequently thematically analyzed and synthesized. The key takeaway is that limited time for planning processes and short program timelines compared to envisioned development impacts may impede research-for-development efforts. Yet, collaborative work can be successful when adequate time and resources are allocated for planning with minimal disruption throughout implementation. Additionally, due to the multifaceted nature of One Health initiatives, it is important to pay attention to co-benefits and trade-offs, where taking action in one aspect may yield advantages and disadvantages in another, aiding to identify sustainable One Health development pathways. Forming close partnerships with national governments and local stakeholders is essential not only to promote sustainability but also to ensure local relevance, enhancing the potential for meaningful impact. Finally, regularly assessing progress toward development goals is critical as development stands as an overarching objective.
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Affiliation(s)
- Steven Lam
- International Livestock Research Institute, Nairobi, Kenya
| | - Vivian Hoffmann
- International Food and Policy Research Institute, Washington, United States
- Department of Economics and School of Public Policy and Administration, Carleton University, Ottawa, Canada
| | - Bernard Bett
- International Livestock Research Institute, Nairobi, Kenya
| | - Eric M. Fèvre
- International Livestock Research Institute, Nairobi, Kenya
- Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Neston, United Kingdom
| | - Arshnee Moodley
- International Livestock Research Institute, Nairobi, Kenya
- Department of Veterinary and Animal Sciences, University of Copenhagen, Frederiksberg, Denmark
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Ramanujam H, Palaniyandi K. Tuberculosis in wild animals in India. Vet Res Commun 2024:10.1007/s11259-024-10401-4. [PMID: 38771446 DOI: 10.1007/s11259-024-10401-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2024] [Accepted: 04/29/2024] [Indexed: 05/22/2024]
Abstract
India is renowned for its complex megadiverse ecosystems and abundant biodiversity. Bovine tuberculosis (bTB) often remains synonymous with Mycobacterium bovis infection in cattle. The domain of tuberculosis (TB) among wild animals, induced by members of the Mycobacterium tuberculosis complex organisms (MTBC), is often underexplored and underreported in India. Within this context, instances of wild animal tuberculosis (wTB) have manifested across both captive and free-roaming animals. The sources contributing to wTB in animals can be human, animal, or environmental factors, thus illuminating the complex transmission pathways. The diagnosis of wTB continues to pose a formidable challenge, a consequence of the expansive taxonomic diversity in both the host and the pathogen. Complications inherent in acquiring samples from wildlife, the absence of standardized diagnostic protocols, limited insights into infection prevalence, and resource constraints compound diagnosis. Amidst these, adopting the comprehensive One Health paradigm surfaces as an imperative, accentuating the interconnectedness bridging human, animal, and environmental health. Recognizing key stakeholders and fostering intersectoral collaboration to provide enhanced diagnostic techniques driven by skilled personnel and advanced infrastructure play pivotal roles in a comprehensive strategy. Additionally, leveraging vaccination efforts contributes to effective control. A national wTB surveillance program is a cornerstone, ensuring an integrated and holistic approach to disease management. Through this review, we delve into the current landscape of wTB in India, unveiling its multifaceted challenges, and further explore the multifarious strategies that the One Health approach proffers in this dynamic endeavor.
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Affiliation(s)
- Harini Ramanujam
- Department of Immunology, ICMR-National Institute for Research in Tuberculosis, #1, Mayor Sathiyamoorthy Road, Chennai, 600031, India
| | - Kannan Palaniyandi
- Department of Immunology, ICMR-National Institute for Research in Tuberculosis, #1, Mayor Sathiyamoorthy Road, Chennai, 600031, India.
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Yasobant S, Saxena D, Bhardwaj P, Quazi ZS. One Health System Strengthening in India: Co-creating One Health Workforce to Combat Future Pandemics. Indian J Community Med 2023; 48:814-816. [PMID: 38249704 PMCID: PMC10795864 DOI: 10.4103/ijcm.ijcm_100_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2023] [Accepted: 09/01/2023] [Indexed: 01/23/2024] Open
Abstract
One Health has been coming of age through the G7 and G20 leadership and explicitly referred to in increasing ministerial declarations. Those leaderships, however, have been slow in knitting the One Health approach into the larger systems approach. by understanding the complexity of resilience and health system resilience is one of the key features of pandemic preparedness. Among others, health system strengthening is another key factor that urgently requires much attention in the theme of pandemic preparedness. Here, how the health system strengthening requires more imperative attention in the One Health gambit is discussed in the Indian context.
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Affiliation(s)
- Sandul Yasobant
- Center for One Health Education, Research, and Development (COHERD), Indian Institute of Public Health Gandhinagar (IIPHG), Gandhinagar, India
- School of Epidemiology and Public Health, Datta Meghe Institute of Medical Sciences (DMIMS), Maharashtra, Gujarat, India
- Global Health, Institute for Hygiene and Public Health (IHPH), University Hospital Bonn, Bonn, Germany
| | - Deepak Saxena
- Center for One Health Education, Research, and Development (COHERD), Indian Institute of Public Health Gandhinagar (IIPHG), Gandhinagar, India
- School of Epidemiology and Public Health, Datta Meghe Institute of Medical Sciences (DMIMS), Maharashtra, Gujarat, India
| | - Pankaj Bhardwaj
- School of Public Health, All India Institute of Medical Sciences Jodhpur, Jodhpur, Rajasthan, India
| | - Zahiruddin Syed Quazi
- Global Consortium for Public Health Research, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research (DU), Wardha, India
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Jato-Espino D, Mayor-Vitoria F, Moscardó V, Capra-Ribeiro F, Bartolomé del Pino LE. Toward One Health: a spatial indicator system to model the facilitation of the spread of zoonotic diseases. Front Public Health 2023; 11:1215574. [PMID: 37457260 PMCID: PMC10340543 DOI: 10.3389/fpubh.2023.1215574] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2023] [Accepted: 06/14/2023] [Indexed: 07/18/2023] Open
Abstract
Recurrent outbreaks of zoonotic infectious diseases highlight the importance of considering the interconnections between human, animal, and environmental health in disease prevention and control. This has given rise to the concept of One Health, which recognizes the interconnectedness of between human and animal health within their ecosystems. As a contribution to the One Health approach, this study aims to develop an indicator system to model the facilitation of the spread of zoonotic diseases. Initially, a literature review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement to identify relevant indicators related to One Health. The selected indicators focused on demographics, socioeconomic aspects, interactions between animal and human populations and water bodies, as well as environmental conditions related to air quality and climate. These indicators were characterized using values obtained from the literature or calculated through distance analysis, geoprocessing tasks, and other methods. Subsequently, Multi-Criteria Decision-Making (MCDM) techniques, specifically the Entropy and Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS) methods, were utilized to combine the indicators and create a composite metric for assessing the spread of zoonotic diseases. The final indicators selected were then tested against recorded zoonoses in the Valencian Community (Spain) for 2021, and a strong positive correlation was identified. Therefore, the proposed indicator system can be valuable in guiding the development of planning strategies that align with the One Health principles. Based on the results achieved, such strategies may prioritize the preservation of natural landscape features to mitigate habitat encroachment, protect land and water resources, and attenuate extreme atmospheric conditions.
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Affiliation(s)
- Daniel Jato-Espino
- GREENIUS Research Group, Universidad Internacional de Valencia—VIU, Calle Pintor Sorolla, Valencia, Spain
| | - Fernando Mayor-Vitoria
- GREENIUS Research Group, Universidad Internacional de Valencia—VIU, Calle Pintor Sorolla, Valencia, Spain
| | - Vanessa Moscardó
- GREENIUS Research Group, Universidad Internacional de Valencia—VIU, Calle Pintor Sorolla, Valencia, Spain
| | - Fabio Capra-Ribeiro
- GREENIUS Research Group, Universidad Internacional de Valencia—VIU, Calle Pintor Sorolla, Valencia, Spain
- School of Architecture, College of Art and Design, Louisiana State University, Baton Rouge, LA, United States
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Ndoungué VF, Bello D, Kameni JMF, Lamtoing AD, Epee CED, Abdou S, Mouliom MMM, Njajou OT, Tieblé T, Wango RK, Belot G, Kouadio SA, de La Rocque S. IHR-PVS National Bridging Workshop in Cameroon: An interactive and participatory approach to engage stakeholders in the development of a One Health road map. One Health 2023; 16:100552. [PMID: 37363237 PMCID: PMC10288074 DOI: 10.1016/j.onehlt.2023.100552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2022] [Revised: 04/23/2023] [Accepted: 04/24/2023] [Indexed: 06/28/2023] Open
Abstract
Introduction Stakeholders involved in the implementation of the One Health (OH) welcome support for the operationalization of the approach and advice on how to address OH collaboration challenges. The IHR/PVS National Bridging Workshop (NBW) is an operational and outcome-oriented tool approach that allows animal health, human health and other relevant sectors to focus on their coordination. This paper describes how Cameroon leveraged on the NBW success factors to engage stakeholders in strengthening multisectoral collaboration. Methods Stakeholder's engagement was implemented in two phases. Phase one consisted of engaging the multisectoral national task team for the preparation of the workshop. Phase two consisted of the bridging exercise itself during a three day workshop. The WOAH-WHO standardized IHR/PVS NBW toolkit was used throughout the workshop. Results A total of 66 participants took part in the exercise. In total, 36% each came from human and animal health sectors with 23% and 5% from the environmental health and other sectors respectively. A total of 55% participants came from the national level and 39% from the regional level. The joint roadmap contained 55 activities and 13 objectives. Priority objectives were the establishment of a OH platform at all levels (62% of the vote) and building stakeholder's capacity on the OH approach (56% of the vote). A total of 67% of the activities required low or moderate cost and 87% would have a high impact on multisectoral collaboration. Conclusion The NBW allowed consensus on operational activities to fill the gaps in coordination to build health security capacities. It enabled Cameroon to create a joint road map for enhanced multisectoral collaboration for health security. The output will be integrated in the National Action Plan for Health Security operational plan and support operational One Health activities. It would be crucial to develop global capacity assessment frameworks for environmental health, which could be included in the NBW, to incorporate interconnections with environmental sector. This should allow for a stronger multisectoral linkage of sectors all together for a more the robust OH approach in responding to emerging public health threats.
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Affiliation(s)
| | - Djamilla Bello
- National Public Health Observatory, Ministry of Health, Yaounde, Cameroon
| | - Jean Marc Feussom Kameni
- Animal Disease Epidemiology Surveillance Network (RESCAM), Ministry of Livestock, Fisheries, and Animal Industries, Yaounde, Cameroon
| | - Antoine Damou Lamtoing
- Ministry of the Environment, Nature Protection and Sustainable Development, Yaounde, Cameroon
| | | | - Salla Abdou
- Food and Agriculture Organization of the United Nations, Yaounde, Cameroon
| | | | - Omer T. Njajou
- Tackling Deadly Diseases in Africa Program, DAI Global Health, London, UK
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Conlin M, Leroy AG, Asquier-Khati A, Boutoille D, Birgand G. Qualitative assessment of the national initiative to implement antimicrobial stewardship centres in French administrative regions. Antimicrob Resist Infect Control 2023; 12:41. [PMID: 37098636 PMCID: PMC10127160 DOI: 10.1186/s13756-023-01245-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Accepted: 04/17/2023] [Indexed: 04/27/2023] Open
Abstract
BACKGROUND In May 2020, the French Ministry of Health funded the creation of regional antimicrobial stewardship (AMS) coordination centres (CRAtb) in preparation for the new national framework for the prevention of antimicrobial resistance. This study aimed to assess through qualitative methods the implementation process, the activities carried out, and the interactions with other regional stakeholders of the newly created CRAtb. METHODS We conducted a mixed-method study based on a cross-sectional survey and semi-structured interviews by French regions among implemented CRAtb. Of the eight eligible French regions with an existing CRAtb, seven participated to the online survey. Regional partners involved in AMS from the eight regions were interviewed between September 2021 and April 2022. The survey questionnaire addressed, through closed questions, the organization of the CRAtb, articulation with other regional actors involved in AMS and infection prevention and control (IPC), and AMS activities. The semi-structured interviews approached the implementation and the role of CRAtb, and the collaboration of other AMS and IPC stakeholders. Interview transcripts were analysed using thematic content analysis methodology. RESULTS AMS activities carried out by CRAtb were mainly focusing on hospitals (n = 3), primary care (n = 2) and nursing homes (n = 1). Education mostly relied on training days and AMS help lines, communication on websites and newsletters. CRAtb members reported still being more engaged in providing advice to professionals for individual antibiotic treatments rather than collective-level AMS activities. Interactions were frequent between CRAtb, IPC regional centres and health authorities, but rarely involved other stakeholders. Interviews were performed with 28 professionals involved in AMS from eight regions. Pre-existing networks and working relationships in AMS and more broadly facilitated the implementation of CRAtb. Streamlining and decompartmentalizing IPC and AMS regional activities were considered a way to optimise the prevention of antimicrobial resistance across sectors. The engagement with liberal health professionals was identified as a significant obstacle for CRAtb. CONCLUSIONS Two years after the launch of a new national framework, the implementation of CRAtb appeared complex in most regions. An integrative model joining IPC and AMS efforts, relying on existing networks, with engagement from liberal health profession organisations may be the next pivotal step.
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Affiliation(s)
- Michèle Conlin
- National center for the surveillance and prevention of the antimicrobial resistance and healthcare associated infections in primary cares and nursing homes, PRIMO, France
| | - Anne-Gaëlle Leroy
- National center for the surveillance and prevention of the antimicrobial resistance and healthcare associated infections in primary cares and nursing homes, PRIMO, France
| | - Antoine Asquier-Khati
- Service des Maladies Infectieuses et Tropicales, CIC-UIC 1413 INSERM, Centre Hospitalier Universitaire, Nantes, France
| | - David Boutoille
- Service des Maladies Infectieuses et Tropicales, CIC-UIC 1413 INSERM, Centre Hospitalier Universitaire, Nantes, France
| | - Gabriel Birgand
- National center for the surveillance and prevention of the antimicrobial resistance and healthcare associated infections in primary cares and nursing homes, PRIMO, France.
- Centre d'appui à la prévention des infections associées aux soins des Pays de la Loire, 5 rue Pr Yves Boquien, Nantes, 44093, France.
- NIHR Health Protection Research Unit, Antimicrobial Resistance and Healthcare Associated Infection at Imperial College London, Hammersmith Campus, London, W12 0NN, UK.
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Roberts JD. Participating in eradication: how Guinea worm redefined eradication, and eradication redefined Guinea worm, 1985-2022. MEDICAL HISTORY 2023; 67:148-171. [PMID: 37525460 PMCID: PMC10404518 DOI: 10.1017/mdh.2023.18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/02/2023]
Abstract
Guinea worm disease (dracunculiasis) is a debilitating waterborne disease. Once widespread, it is now on the brink of eradication. However, the Guinea Worm Eradication Programme (GWEP), like guinea worm itself, has been under-studied by historians. The GWEP demonstrates an unusual model of eradication, one focused on primary healthcare (PHC), community participation, health education and behavioural change (safe drinking). The PHC movement collided with a waterborne disease, which required rapid but straightforward treatment to prevent transmission, creating a historical space for the emergence of village-based volunteer health workers, as local actors realigned global health policy on a local level. These Village Volunteers placed eradication in the hands of residents of endemic areas, epitomising the participation-focused nature of the GWEP. This participatory mode of eradication highlights the agency of those in endemic areas, who, through volunteering, safe drinking and community self-help, have been the driving force behind dracunculiasis eradication. In the twenty-first century, guinea worm has become firstly a problem of human mobility, as global health has struggled to contain cases in refugees and nomads, and latterly a zoonotic disease, as guinea worm has shifted hosts to become primarily a parasite of dogs. This demonstrates both the potential of One Health approaches and the need for One Health to adopt from PHC and the GWEP a focus on the health of humans and animals in isolated and impoverished areas. Guinea worm demonstrates how the biological and the historical interact, with the GWEP and guinea worm shaping each other over the course of the eradication programme.
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Guo ZY, Feng JX, Ai L, Xue JB, Liu JS, Zhang XX, Cao CL, Xu J, Xia S, Zhou XN, Chen J, Li SZ. Assessment of integrated patterns of human-animal-environment health: a holistic and stratified analysis. Infect Dis Poverty 2023; 12:17. [PMID: 36915152 PMCID: PMC10010965 DOI: 10.1186/s40249-023-01069-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Accepted: 02/15/2023] [Indexed: 03/16/2023] Open
Abstract
BACKGROUND Data-driven research is a very important component of One Health. As the core part of the global One Health index (GOHI), the global One Health Intrinsic Drivers index (IDI) is a framework for evaluating the baseline conditions of human-animal-environment health. This study aims to assess the global performance in terms of GOH-IDI, compare it across different World Bank regions, and analyze the relationships between GOH-IDI and national economic levels. METHODS The raw data among 146 countries were collected from authoritative databases and official reports in November 2021. Descriptive statistical analysis, data visualization and manipulation, Shapiro normality test and ridge maps were used to evaluate and identify the spatial and classificatory distribution of GOH-IDI. This paper uses the World Bank regional classification and the World Bank income groups to analyse the relationship between GOH-IDI and regional economic levels, and completes the case studies of representative countries. RESULTS The performance of One Health Intrinsic Driver in 146 countries was evaluated. The mean (standard deviation, SD) score of GOH-IDI is 54.05 (4.95). The values (mean SD) of different regions are North America (60.44, 2.36), Europe and Central Asia (57.73, 3.29), Middle East and North Africa (57.02, 2.56), East Asia and Pacific (53.87, 5.22), Latin America and the Caribbean (53.75, 2.20), South Asia (52.45, 2.61) and sub-Saharan Africa (48.27, 2.48). Gross national income per capita was moderately correlated with GOH-IDI (R2 = 0.651, Deviance explained = 66.6%, P < 0.005). Low income countries have the best performance in some secondary indicators, including Non-communicable Diseases and Mental Health and Health risks. Five indicators are not statistically different at each economic level, including Animal Epidemic Disease, Animal Biodiversity, Air Quality and Climate Change, Land Resources and Environmental Biodiversity. CONCLUSIONS The GOH-IDI is a crucial tool to evaluate the situation of One Health. There are inter-regional differences in GOH-IDI significantly at the worldwide level. The best performing region for GOH-IDI was North America and the worst was sub-Saharan Africa. There is a positive correlation between the GOH-IDI and country economic status, with high-income countries performing well in most indicators. GOH-IDI facilitates researchers' understanding of the multidimensional situation in each country and invests more attention in scientific questions that need to be addressed urgently.
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Affiliation(s)
- Zhao-Yu Guo
- National Institute of Parasitic Diseases, Chinese Centre for Disease Control and Prevention (Chinese Centre for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases, National Centre for International Research On Tropical Diseases, Shanghai, 200025, China
| | - Jia-Xin Feng
- National Institute of Parasitic Diseases, Chinese Centre for Disease Control and Prevention (Chinese Centre for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases, National Centre for International Research On Tropical Diseases, Shanghai, 200025, China
| | - Lin Ai
- National Institute of Parasitic Diseases, Chinese Centre for Disease Control and Prevention (Chinese Centre for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases, National Centre for International Research On Tropical Diseases, Shanghai, 200025, China.,School of Global Health, Chinese Centre for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China
| | - Jing-Bo Xue
- National Institute of Parasitic Diseases, Chinese Centre for Disease Control and Prevention (Chinese Centre for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases, National Centre for International Research On Tropical Diseases, Shanghai, 200025, China
| | - Jing-Shu Liu
- School of Global Health, Chinese Centre for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China
| | - Xiao-Xi Zhang
- School of Global Health, Chinese Centre for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China
| | - Chun-Li Cao
- National Institute of Parasitic Diseases, Chinese Centre for Disease Control and Prevention (Chinese Centre for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases, National Centre for International Research On Tropical Diseases, Shanghai, 200025, China
| | - Jing Xu
- National Institute of Parasitic Diseases, Chinese Centre for Disease Control and Prevention (Chinese Centre for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases, National Centre for International Research On Tropical Diseases, Shanghai, 200025, China
| | - Shang Xia
- National Institute of Parasitic Diseases, Chinese Centre for Disease Control and Prevention (Chinese Centre for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases, National Centre for International Research On Tropical Diseases, Shanghai, 200025, China
| | - Xiao-Nong Zhou
- National Institute of Parasitic Diseases, Chinese Centre for Disease Control and Prevention (Chinese Centre for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases, National Centre for International Research On Tropical Diseases, Shanghai, 200025, China.,School of Global Health, Chinese Centre for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China
| | - Jin Chen
- National Institute of Parasitic Diseases, Chinese Centre for Disease Control and Prevention (Chinese Centre for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases, National Centre for International Research On Tropical Diseases, Shanghai, 200025, China.
| | - Shi-Zhu Li
- National Institute of Parasitic Diseases, Chinese Centre for Disease Control and Prevention (Chinese Centre for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases, National Centre for International Research On Tropical Diseases, Shanghai, 200025, China. .,School of Global Health, Chinese Centre for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
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12
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Mwatondo A, Rahman-Shepherd A, Hollmann L, Chiossi S, Maina J, Kurup KK, Hassan OA, Coates B, Khan M, Spencer J, Mutono N, Thumbi SM, Muturi M, Mutunga M, Arruda LB, Akhbari M, Ettehad D, Ntoumi F, Scott TP, Nel LH, Ellis-Iversen J, Sönksen UW, Onyango D, Ismail Z, Simachew K, Wolking D, Kazwala R, Sijali Z, Bett B, Heymann D, Kock R, Zumla A, Dar O. A global analysis of One Health Networks and the proliferation of One Health collaborations. Lancet 2023; 401:605-616. [PMID: 36682370 DOI: 10.1016/s0140-6736(22)01596-3] [Citation(s) in RCA: 19] [Impact Index Per Article: 19.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Revised: 07/14/2022] [Accepted: 08/11/2022] [Indexed: 01/21/2023]
Abstract
There has been a renewed focus on threats to the human-animal-environment interface as a result of the COVID-19 pandemic, and investments in One Health collaborations are expected to increase. Efforts to monitor the development of One Health Networks (OHNs) are essential to avoid duplication or misalignment of investments. This Series paper shows the global distribution of existing OHNs and assesses their collective characteristics to identify potential deficits in the ways OHNs have formed and to help increase the effectiveness of investments. We searched PubMed, Google, Google Scholar, and relevant conference websites for potential OHNs and identified 184 worldwide for further analysis. We developed four case studies to show important findings from our research and exemplify best practices in One Health operationalisation. Our findings show that, although more OHNs were formed in the past 10 years than in the preceding decade, investment in OHNs has not been equitably distributed; more OHNs are formed and headquartered in Europe than in any other region, and emerging infections and novel pathogens were the priority focus area for most OHNs, with fewer OHNs focusing on other important hazards and pressing threats to health security. We found substantial deficits in the OHNs collaboration model regarding the diversity of stakeholder and sector representation, which we argue impedes effective and equitable OHN formation and contributes to other imbalances in OHN distribution and priorities. These findings are supported by previous evidence that shows the skewed investment in One Health thus far. The increased attention to One Health after the COVID-19 pandemic is an opportunity to focus efforts and resources to areas that need them most. Analyses, such as this Series paper, should be used to establish databases and repositories of OHNs worldwide. Increased attention should then be given to understanding existing resource allocation and distribution patterns, establish more egalitarian networks that encompass the breadth of One Health issues, and serve communities most affected by emerging, re-emerging, or endemic threats at the human-animal-environment interface.
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Affiliation(s)
- Athman Mwatondo
- Zoonotic Disease Unit, Ministry of Health, Nairobi, Kenya; International Livestock Research Institute, Nairobi, Kenya; Royal Institute of International Affairs, London, UK.
| | - Afifah Rahman-Shepherd
- London School of Hygiene & Tropical Medicine, London, UK; Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore; Royal Institute of International Affairs, London, UK
| | - Lara Hollmann
- Royal Institute of International Affairs, London, UK
| | - Scott Chiossi
- Royal Institute of International Affairs, London, UK
| | - Josphat Maina
- Zoonotic Disease Unit, Ministry of Health, Nairobi, Kenya; International Livestock Research Institute, Nairobi, Kenya
| | | | | | | | - Mishal Khan
- London School of Hygiene & Tropical Medicine, London, UK; Department of Community Health Sciences and Department of Pathology, Aga Khan University, Karachi, Pakistan; Royal Institute of International Affairs, London, UK
| | - Julia Spencer
- London School of Hygiene & Tropical Medicine, London, UK
| | - Nyamai Mutono
- Paul G Allen School for Global Animal Health, Washington State University, Pullman, WA, USA; Center for Epidemiological Modelling and Analysis, University of Nairobi, Nairobi, Kenya
| | - Samuel M Thumbi
- Paul G Allen School for Global Animal Health, Washington State University, Pullman, WA, USA; Center for Epidemiological Modelling and Analysis, University of Nairobi, Nairobi, Kenya; Institute of Immunology and Infection Research, University of Edinburgh, Edinburgh, UK
| | - Mathew Muturi
- Zoonotic Disease Unit, Ministry of Agriculture, Livestock, and Fisheries, Nairobi, Kenya; International Livestock Research Institute, Nairobi, Kenya
| | - Mumbua Mutunga
- Institute of Tropical and Infectious Diseases, University of Nairobi, Nairobi, Kenya
| | - Liã Bárbara Arruda
- Centre for Clinical Microbiology, Division of Infection and Immunity, University College London, London, UK
| | - Melika Akhbari
- Clinical Academic Training Office, University of Cambridge, Cambridge, UK
| | - Dena Ettehad
- Academic Foundation Programme, Faculty of Medicine, Imperial College London, Imperial College Healthcare NHS Trust, London, UK
| | - Francine Ntoumi
- Fondation Congolaise pour la Recherche Médicale, Brazzaville, Democratic Republic of the Congo; Institute for Tropical Medicine, University of Tübingen, Tübingen, Germany
| | | | - Louis H Nel
- Department of Biochemistry, Genetics, and Microbiology, University of Pretoria, Pretoria, South Africa
| | | | - Ute Wolff Sönksen
- National Centre for Antimicrobials and Infection Control, Statens Serum Institut, Copenhagen, Denmark
| | - Diana Onyango
- The One Health for Humans, Environment, Animals and Livelihoods Project, Addis Ababa, Ethiopia
| | - Zuleka Ismail
- The One Health for Humans, Environment, Animals and Livelihoods Project, Addis Ababa, Ethiopia
| | - Kebadu Simachew
- The One Health for Humans, Environment, Animals and Livelihoods Project, Addis Ababa, Ethiopia
| | - David Wolking
- One Health Institute, University of California, Davis, CA, USA
| | - Rudovick Kazwala
- Department of Veterinary Medicine and Public Health, Sokoine University of Agriculture, Morogoro, Tanzania
| | - Zikankuba Sijali
- Department of Veterinary Medicine and Public Health, Sokoine University of Agriculture, Morogoro, Tanzania
| | - Bernard Bett
- International Livestock Research Institute, Nairobi, Kenya
| | - David Heymann
- Department of Infectious Disease Epidemiology, London, UK
| | - Richard Kock
- Royal Veterinary College, University of London, London, UK
| | - Alimuddin Zumla
- Department of Infection, Division of Infection and Immunity, University College London, London, UK; National Institute for Health and Care Research Biomedical Research Centre, University College London Hospitals NHS Foundation Trust, London, UK
| | - Osman Dar
- Global Health Programme, Royal Institute of International Affairs, London, UK; Global Operations, UK Health Security Agency, London, UK
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The reemergence of the human monkeypox: strengthening Africa's epidemic preparedness and response system. Ann Med Surg (Lond) 2023; 85:24-27. [PMID: 36742119 PMCID: PMC9893425 DOI: 10.1097/ms9.0000000000000039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Accepted: 11/12/2022] [Indexed: 02/07/2023] Open
Abstract
The reemergence of the monkeypox (MPX) virus poses a serious threat to global health security. While the first human case was reported in Democratic Republic of Congo in 1970, a recent outbreak of this disease in May 2022 has gone 'viral,' spreading to most continents and occurring in nonendemic countries. Outside Africa, there have been reports of cases of MPX in countries such as Singapore in May 2019, Israel in September 2018, UK in September 2018, among others which have been traced back to importation of infected wild rodents from Africa. The Centers for Disease Control and Prevention (CDC) recommends that the standard laboratory facility to carry out MPX tests is Biosafety Containment Level (BSL)-2 working standards if the laboratory staff has taken smallpox vaccine within the last 3 years and BSL-3 working standards if the laboratory staff has not taken the smallpox vaccine. However, African countries have a shortage of BSL laboratories. Hence, there is a need to improve the integrated surveillance of the MPX virus, strengthen diagnostic capacity, capacity building of health workforce, public education programs, fund research, and development, among others. Leveraging a 'One Health' approach will offer fresh insight into the human-animal-environment interface and boost the understanding on the possibility and mechanisms of spillback and reverse zoonosis as well as disease severity and risk factors for severe disease as well as its epidemiology in various subpopulations. Not leaving Africa behind in the prevention, diagnosis, and management of MPX is important to stopping the spread and reemergence of this virus.
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14
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Tast Lahti E, Karamehmedovic N, Riedel H, Blom L, Boel J, Delibato E, Denis M, van Essen-Zandbergen A, Garcia-Fernandez A, Hendriksen R, Heydecke A, van Hoek AHAM, Huby T, Kwit R, Lucarelli C, Lundin K, Michelacci V, Owczarek S, Ring I, Sejer Kjeldgaard J, Sjögren I, Skóra M, Torpdahl M, Ugarte-Ruiz M, Veldman K, Ventola E, Zajac M, Jernberg C. One Health surveillance-A cross-sectoral detection, characterization, and notification of foodborne pathogens. Front Public Health 2023; 11:1129083. [PMID: 36969662 PMCID: PMC10034719 DOI: 10.3389/fpubh.2023.1129083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Accepted: 02/16/2023] [Indexed: 03/29/2023] Open
Abstract
Introduction Several Proficiency Test (PT) or External Quality Assessment (EQA) schemes are currently available for assessing the ability of laboratories to detect and characterize enteropathogenic bacteria, but they are usually targeting one sector, covering either public health, food safety or animal health. In addition to sector-specific PTs/EQAs for detection, cross-sectoral panels would be useful for assessment of the capacity to detect and characterize foodborne pathogens in a One Health (OH) perspective and further improving food safety and interpretation of cross-sectoral surveillance data. The aims of the study were to assess the cross-sectoral capability of European public health, animal health and food safety laboratories to detect, characterize and notify findings of the foodborne pathogens Campylobacter spp., Salmonella spp. and Yersinia enterocolitica, and to develop recommendations for future cross-sectoral PTs and EQAs within OH. The PT/EQA scheme developed within this study consisted of a test panel of five samples, designed to represent a theoretical outbreak scenario. Methods A total of 15 laboratories from animal health, public health and food safety sectors were enrolled in eight countries: Denmark, France, Italy, the Netherlands, Poland, Spain, Sweden, and the United Kingdom. The laboratories analyzed the samples according to the methods used in the laboratory and reported the target organisms at species level, and if applicable, serovar for Salmonella and bioserotype for Yersinia. Results All 15 laboratories analyzed the samples for Salmonella, 13 for Campylobacter and 11 for Yersinia. Analytical errors were predominately false negative results. One sample (S. Stockholm and Y. enterocolitica O:3/BT4) with lower concentrations of target organisms was especially challenging, resulting in six out of seven false negative results. These findings were associated with laboratories using smaller sample sizes and not using enrichment methods. Detection of Salmonella was most commonly mandatory to notify within the three sectors in the eight countries participating in the pilot whereas findings of Campylobacter and Y. enterocolitica were notifiable from human samples, but less commonly from animal and food samples. Discussion The results of the pilot PT/EQA conducted in this study confirmed the possibility to apply a cross-sectoral approach for assessment of the joint OH capacity to detect and characterize foodborne pathogens.
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Affiliation(s)
- Elina Tast Lahti
- Department of Epidemiology and Disease Control, National Veterinary Institute (SVA), Uppsala, Sweden
- *Correspondence: Elina Tast Lahti
| | | | - Hilde Riedel
- Department of Biology, Swedish Food Agency, Uppsala, Sweden
| | - Linnea Blom
- Department of Biology, Swedish Food Agency, Uppsala, Sweden
| | - Jeppe Boel
- Department of Bacteria, Parasites and Fungi, Statens Serum Institut (SSI), Copenhagen, Denmark
| | - Elisabetta Delibato
- Department of Food Safety, Nutrition and Veterinary Public Health, Istituto Superiore di Sanità (ISS), Rome, Italy
| | - Martine Denis
- Research Unit of Hygiene and Quality of Poultry and Pork Products, French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Ploufragan, France
| | - Alieda van Essen-Zandbergen
- Department of Bacteriology, Host-Pathogen Interaction, and Diagnostics Development, Wageningen Bioveterinary Research (WBVR) Part of Wageningen University and Research (WUR), Lelystad, Netherlands
| | | | - Rene Hendriksen
- Technical University of Denmark, The National Food Institute (DTU Food), Copenhagen, Denmark
| | - Anna Heydecke
- Center for Research and Development, Uppsala University/Region Gävleborg, Gävle, Sweden
| | - Angela H. A. M. van Hoek
- Centre for Infectious Disease Control (Department Zoonoses and Environmental Microbiology), Dutch National Institute for Public Health and the Environment (RIVM), Bilthoven, Netherlands
| | - Tom Huby
- Animal and Plant Health Agency (APHA), Weybridge, United Kingdom
| | - Renata Kwit
- Department of Microbiology, National Veterinary Research Institute (PIWet), Pulawy, Poland
| | - Claudia Lucarelli
- Department of Infectious Diseases, Istituto Superiore di Sanità (ISS), Rome, Italy
| | - Karl Lundin
- Clinical Microbiology, Uppsala University Hospital, Uppsala, Sweden
| | - Valeria Michelacci
- Department of Food Safety, Nutrition and Veterinary Public Health, Istituto Superiore di Sanità (ISS), Rome, Italy
| | - Slawomir Owczarek
- Department of Infectious Diseases, Istituto Superiore di Sanità (ISS), Rome, Italy
| | - Isaac Ring
- Animal and Plant Health Agency (APHA), Weybridge, United Kingdom
| | - Jette Sejer Kjeldgaard
- Technical University of Denmark, The National Food Institute (DTU Food), Copenhagen, Denmark
| | | | - Milena Skóra
- Department of Microbiology, National Veterinary Research Institute (PIWet), Pulawy, Poland
| | - Mia Torpdahl
- Department of Bacteria, Parasites and Fungi, Statens Serum Institut (SSI), Copenhagen, Denmark
| | - María Ugarte-Ruiz
- VISAVET Health Surveillance Centre, Universidad Complutense Madrid, Madrid, Spain
| | - Kees Veldman
- Department of Bacteriology, Host-Pathogen Interaction, and Diagnostics Development, Wageningen Bioveterinary Research (WBVR) Part of Wageningen University and Research (WUR), Lelystad, Netherlands
| | - Eleonora Ventola
- Department of Food Safety, Nutrition and Veterinary Public Health, Istituto Superiore di Sanità (ISS), Rome, Italy
| | - Magdalena Zajac
- Department of Microbiology, National Veterinary Research Institute (PIWet), Pulawy, Poland
| | - Cecilia Jernberg
- Department of Microbiology, Public Health Agency of Sweden, Solna, Sweden
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15
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Mubareka S, Amuasi J, Banerjee A, Carabin H, Copper Jack J, Jardine C, Jaroszewicz B, Keefe G, Kotwa J, Kutz S, McGregor D, Mease A, Nicholson L, Nowak K, Pickering B, Reed MG, Saint-Charles J, Simonienko K, Smith T, Scott Weese J, Jane Parmley E. Strengthening a One Health approach to emerging zoonoses. Facets (Ott) 2023. [DOI: 10.1139/facets-2021-0190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023] Open
Abstract
Given the enormous global impact of the COVID-19 pandemic, outbreaks of highly pathogenic avian influenza in Canada, and manifold other zoonotic pathogen activity, there is a pressing need for a deeper understanding of the human-animal-environment interface and the intersecting biological, ecological, and societal factors contributing to the emergence, spread, and impact of zoonotic diseases. We aim to apply a One Health approach to pressing issues related to emerging zoonoses, and propose a functional framework of interconnected but distinct groups of recommendations around strategy and governance, technical leadership (operations), equity, education and research for a One Health approach and Action Plan for Canada. Change is desperately needed, beginning by reorienting our approach to health and recalibrating our perspectives to restore balance with the natural world in a rapid and sustainable fashion. In Canada, a major paradigm shift in how we think about health is required. All of society must recognize the intrinsic value of all living species and the importance of the health of humans, other animals, and ecosystems to health for all.
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Affiliation(s)
| | - John Amuasi
- Kwame Nkrumah University of Science and Technology, Kumasi, Ashanti Region, Ghana
| | | | | | - Joe Copper Jack
- Indigenous Knowledge Holder, Whitehorse, Yukon Territory, Canada
| | | | | | - Greg Keefe
- University of Prince Edward Island, Charlottetown, Prince Edward Island, Canada
| | | | - Susan Kutz
- University of Calgary, Calgary, Alberta, Canada
| | | | - Anne Mease
- Selkirk First Nation Citizen, Selkirk First Nation, Yukon Territory, Canada
| | | | | | - Brad Pickering
- Canadian Food Inspection Agency, Winnipeg, Manitoba, Canada
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16
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Togami E, Behravesh CB, Dutcher TV, Hansen GR, King LJ, Pelican KM, Mazet JAK. Characterizing the One Health workforce to promote interdisciplinary, multisectoral approaches in global health problem-solving. PLoS One 2023; 18:e0285705. [PMID: 37192188 DOI: 10.1371/journal.pone.0285705] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Accepted: 04/30/2023] [Indexed: 05/18/2023] Open
Abstract
BACKGROUND In recognition of the interconnected nature of complex challenges such as COVID-19, a collaborative, multisectoral, and transdisciplinary approach, referred to as One Health, has been employed to address sustainable development and strengthen global health security. Although significant investments have been made to build global health capacity, characterization of the One Health is absent from the literature. METHODS AND FINDINGS We collected and analyzed perspectives from students, graduates, workers, and employers in One Health through a multinational online survey across health disciplines and sectors. Respondents were recruited through professional networks. A total of 828 respondents from 66 countries participated, representing governmental and academic institutions and students, among others; 57% were female, and 56% had completed professional health degrees. Interpersonal communication, communication with non-scientific audiences, and the ability to work in transdisciplinary teams were valued in the workplace and were considered essential competencies to build an interdisciplinary health workforce. Employers indicated difficulty recruiting workers, while workers indicated limited availability of positions. Employers identified limited funding and ill-defined career pathways as prominent challenges for retaining One Health workers. CONCLUSIONS Successful One Health workers use interpersonal skills and scientific knowledge to address complex health challenges. Aligning the definition of One Health will likely improve the matching of job seekers and employers. Encouraging the employment of the One Health approach for a diverse range of positions, even if they do not explicitly include "One Health" in the job title, and clarifying the expectations, roles and responsibilities within a transdisciplinary team will lead to building a stronger workforce. As One Health has evolved to address food insecurity, emerging diseases, and antimicrobial resistance, it holds promise for supporting an interdisciplinary global health workforce that can make substantial progress on Sustainable Development Goals and improve global health security for all.
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Affiliation(s)
- Eri Togami
- One Health Institute, University of California, Davis, Davis, CA, United States of America
| | - Casey Barton Behravesh
- National Center for Emerging and Zoonotic Infectious Diseases, U.S. Centers for Disease Control and Prevention, Atlanta, GA, United States of America
| | - Tracey V Dutcher
- Animal and Plant Health Inspection Service, U.S. Department of Agriculture, Riverdale, MD, United States of America
| | - Gail R Hansen
- Hansen Consulting LLC, Washington, DC, United States of America
| | - Lonnie J King
- College of Veterinary Medicine, Ohio State University, Columbus, OH, United States of America
| | - Katharine M Pelican
- Department of Veterinary Population Medicine, University of Minnesota, St Paul, MN, United States of America
| | - Jonna A K Mazet
- One Health Institute, University of California, Davis, Davis, CA, United States of America
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17
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Gachohi J, Bett B, Otieno F, Mogoa E, Njoki P, Muturi M, Mwatondo A, Osoro E, Ngere I, Dawa J, Nasimiyu C, Oyas H, Njagi O, Canfield S, Blackburn J, Njenga K. Anthrax hotspot mapping in Kenya support establishing a sustainable two-phase elimination program targeting less than 6% of the country landmass. Sci Rep 2022; 12:21670. [PMID: 36522381 PMCID: PMC9755300 DOI: 10.1038/s41598-022-24000-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2022] [Accepted: 11/08/2022] [Indexed: 12/23/2022] Open
Abstract
Using data collected from previous (n = 86) and prospective (n = 132) anthrax outbreaks, we enhanced prior ecological niche models (ENM) and added kernel density estimation (KDE) approaches to identify anthrax hotspots in Kenya. Local indicators of spatial autocorrelation (LISA) identified clusters of administrative wards with a relatively high or low anthrax reporting rate to determine areas of greatest outbreak intensity. Subsequently, we modeled the impact of vaccinating livestock in the identified hotspots as a national control measure. Anthrax suitable areas included high agriculture zones concentrated in the western, southwestern and central highland regions, consisting of 1043 of 1450 administrative wards, covering 18.5% country landmass, and hosting 30% of the approximately 13 million cattle population in the country. Of these, 79 wards covering 5.5% landmass and hosting 9% of the cattle population fell in identified anthrax hotspots. The rest of the 407 administrative wards covering 81.5% of the country landmass, were classified as low anthrax risk areas and consisted of the expansive low agricultural arid and semi-arid regions of the country that hosted 70% of the cattle population, reared under the nomadic pastoralism. Modelling targeted annual vaccination of 90% cattle population in hotspot administrative wards reduced > 23,000 human exposures. These findings support an economically viable first phase of anthrax control program in low-income countries where the disease is endemic, that is focused on enhanced animal and human surveillance in burden hotspots, followed by rapid response to outbreaks anchored on public education, detection and treatment of infected humans, and ring vaccination of livestock. Subsequently, the global anthrax elimination program focused on sustained vaccination and surveillance in livestock in the remaining few hotspots for a prolonged period (> 10 years) may be implemented.
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Affiliation(s)
- John Gachohi
- grid.411943.a0000 0000 9146 7108School of Public Health, Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya ,Washington State University Global Health Program, Washington State University, P. O. Box 72938, Nairobi, 00200 Kenya ,grid.30064.310000 0001 2157 6568Paul G, Allen School of Global Health, Washington State University, Pullman, WA99164 USA
| | - Bernard Bett
- grid.419369.00000 0000 9378 4481International Livestock Research Institute, Nairobi, Kenya
| | - Fredrick Otieno
- grid.419369.00000 0000 9378 4481International Livestock Research Institute, Nairobi, Kenya
| | - Eddy Mogoa
- grid.10604.330000 0001 2019 0495Faculty of Veterinary Medicine, University of Nairobi, Nairobi, Kenya
| | - Peris Njoki
- Washington State University Global Health Program, Washington State University, P. O. Box 72938, Nairobi, 00200 Kenya
| | - Mathew Muturi
- grid.419369.00000 0000 9378 4481International Livestock Research Institute, Nairobi, Kenya ,Kenya Zoonotic Disease Unit, Nairobi, Kenya ,grid.463427.0Kenya Ministry of Agriculture, Livestock and Fisheries, Nairobi, Kenya
| | - Athman Mwatondo
- grid.419369.00000 0000 9378 4481International Livestock Research Institute, Nairobi, Kenya ,Kenya Zoonotic Disease Unit, Nairobi, Kenya ,grid.415727.2Ministry of Health, Nairobi, Kenya
| | - Eric Osoro
- Washington State University Global Health Program, Washington State University, P. O. Box 72938, Nairobi, 00200 Kenya ,grid.30064.310000 0001 2157 6568Paul G, Allen School of Global Health, Washington State University, Pullman, WA99164 USA
| | - Isaac Ngere
- Washington State University Global Health Program, Washington State University, P. O. Box 72938, Nairobi, 00200 Kenya ,grid.30064.310000 0001 2157 6568Paul G, Allen School of Global Health, Washington State University, Pullman, WA99164 USA
| | - Jeanette Dawa
- Washington State University Global Health Program, Washington State University, P. O. Box 72938, Nairobi, 00200 Kenya ,grid.30064.310000 0001 2157 6568Paul G, Allen School of Global Health, Washington State University, Pullman, WA99164 USA
| | - Carolyne Nasimiyu
- Washington State University Global Health Program, Washington State University, P. O. Box 72938, Nairobi, 00200 Kenya ,grid.30064.310000 0001 2157 6568Paul G, Allen School of Global Health, Washington State University, Pullman, WA99164 USA
| | - Harry Oyas
- grid.463427.0Kenya Ministry of Agriculture, Livestock and Fisheries, Nairobi, Kenya
| | - Obadiah Njagi
- grid.463427.0Kenya Ministry of Agriculture, Livestock and Fisheries, Nairobi, Kenya
| | - Samuel Canfield
- grid.15276.370000 0004 1936 8091Spatial Epidemiology and Ecology Research Laboratory, Department of Geography, University of Florida, Gainesville, FL 32611 USA
| | - Jason Blackburn
- grid.15276.370000 0004 1936 8091Spatial Epidemiology and Ecology Research Laboratory, Department of Geography, University of Florida, Gainesville, FL 32611 USA ,grid.15276.370000 0004 1936 8091Emerging Pathogens Institute, University of Florida, 2055 Mowry Road, Gainesville, FL 32611 USA
| | - Kariuki Njenga
- Washington State University Global Health Program, Washington State University, P. O. Box 72938, Nairobi, 00200 Kenya ,grid.30064.310000 0001 2157 6568Paul G, Allen School of Global Health, Washington State University, Pullman, WA99164 USA
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An umbrella review of intersectoral and multisectoral approaches to health policy. Soc Sci Med 2022; 315:115469. [PMID: 36403353 DOI: 10.1016/j.socscimed.2022.115469] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2022] [Revised: 09/06/2022] [Accepted: 10/18/2022] [Indexed: 11/18/2022]
Abstract
Despite the widespread acceptance of the need for intersectoral and multisectoral approaches, knowledge around how to support, achieve, and sustain multisectoral action is limited. While there have been studies that seek to collate evidence on multisectoral action with a specific focus (e.g., Health in All Policies [HiAP]), we postulated that successes of working cross-sectorally to achieve health goals with one approach can glean insights and perhaps translate to other approaches which work across sectors (i.e., shared insights across HiAP, Healthy Cities, One Health, and other approaches). Thus, the goal of this study is to assemble evidence from systematic approaches to reviewing the literature (e.g., scoping review, systematic review) that collate findings on facilitators/enablers of and barriers to implementing various intersectoral and multisectoral approaches to health, to strengthen understanding of how to best implement health policies that work across sectors, whichever they may be. This umbrella review (i.e., review of reviews) was informed by the PRISMA guidelines for scoping reviews, yielding 10 studies included in this review. Enablers detailed are: (1) systems for liaising and engaged communication; (2) political leadership; (3) shared vision or common goals (win-win strategies); (4) education and access to information; and (5) funding. Barriers detailed were: (1) lack of shared vision across sectors; (2) lack of funding; (3) lack of political leadership; (4) lack of ownership and accountability; and (5) insufficient and unavailable indicators and data. These findings provide a rigorous evidence base for policymakers to inform intersectoral and multisectoral approaches to not only aid in the achievement of goals, such as the Sustainable Development Goals, but to work towards health equity.
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Laidlow TA, Stafford R, Jennison AV, Bell R, Graham R, Graham T, Musgrave N, Myerson M, Kung N, Crook A, Wang Q, Richards A, Lambert SB. A multi-jurisdictional outbreak of Salmonella Typhimurium infections linked to backyard poultry-Australia, 2020. Zoonoses Public Health 2022; 69:835-842. [PMID: 35785471 PMCID: PMC9795994 DOI: 10.1111/zph.12973] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2021] [Revised: 02/15/2022] [Accepted: 04/13/2022] [Indexed: 12/30/2022]
Abstract
Zoonotic salmonellosis can occur either through direct contact with an infected animal or through indirect contact, such as exposure to an infected animal's contaminated environment. Between May and August 2020, a multi-jurisdictional outbreak of Salmonella Typhimurium (STm) infection due to zoonotic transmission was investigated in Australia. In total, 38 outbreak cases of STm with a median age of 5 years were reported. Epidemiological investigation showed contact with live poultry to be a common risk factor with most cases recently purchasing one-week old chicks from produce/pet stores. Traceback investigation of cases identified 25 product/pet stores of which 18 were linked to a single poultry breeder farm. On farm environmental sampling identified the same STm genotype as identified in cases. Whole genome sequencing of both environmental and human outbreak isolates found them to be highly related by phylogenetic analysis. This investigation describes the first documented widespread zoonotic salmonellosis outbreak in Australia attributed to backyard poultry exposure and identified potential risk factors and prevention and control measures for future outbreaks. Prevention of future outbreaks will require an integrated One Health approach involving the poultry industry, produce/pet store owners, animal healthcare providers, public health and veterinary health agencies and the public.
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Affiliation(s)
- Troy A. Laidlow
- Communicable Diseases BranchQueensland HealthBrisbaneQueenslandAustralia,National Centre for Epidemiology and Population Health, Research School of Population HealthAustralian National UniversityCanberraAustralian Capital TerritoryAustralia
| | - Russell Stafford
- OzFoodNet, Communicable Diseases BranchQueensland HealthBrisbaneQueenslandAustralia
| | - Amy V. Jennison
- Public Health Microbiology, Forensic and Scientific ServicesQueensland HealthBrisbaneQueenslandAustralia
| | - Robert Bell
- OzFoodNet, Communicable Diseases BranchQueensland HealthBrisbaneQueenslandAustralia
| | - Rikki Graham
- Public Health Microbiology, Forensic and Scientific ServicesQueensland HealthBrisbaneQueenslandAustralia
| | - Trudy Graham
- Public Health Microbiology, Forensic and Scientific ServicesQueensland HealthBrisbaneQueenslandAustralia
| | - Natasha Musgrave
- West Moreton Public Health UnitQueensland HealthIpswichQueenslandAustralia
| | - Mark Myerson
- West Moreton Public Health UnitQueensland HealthIpswichQueenslandAustralia
| | - Nina Kung
- Biosecurity Queensland, Department of Agriculture and FisheriesBrisbaneQueenslandAustralia
| | - Allison Crook
- Biosecurity Queensland, Department of Agriculture and FisheriesBrisbaneQueenslandAustralia
| | - Qinning Wang
- Institute of Clinical Pathology and Medical Research, NSW Health PathologyWestmeadNew South WalesAustralia
| | - Alun Richards
- Communicable Diseases BranchQueensland HealthBrisbaneQueenslandAustralia
| | - Stephen B. Lambert
- Communicable Diseases BranchQueensland HealthBrisbaneQueenslandAustralia,National Centre for Epidemiology and Population Health, Research School of Population HealthAustralian National UniversityCanberraAustralian Capital TerritoryAustralia,National Centre for Immunisation Research and SurveillanceWestmeadNew South WalesAustralia
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20
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Cameron A, Esiovwa R, Connolly J, Hursthouse A, Henriquez F. Antimicrobial Resistance as a Global Health Threat: The Need to Learn Lessons from the COVID-19 Pandemic. GLOBAL POLICY 2022; 13:179-192. [PMID: 35601654 PMCID: PMC9111155 DOI: 10.1111/1758-5899.13049] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/27/2021] [Revised: 12/10/2021] [Accepted: 12/13/2021] [Indexed: 06/10/2023]
Abstract
The global COVID-19 pandemic has exacerbated existing health, social, and economic challenges and threatened progress towards achieving the UN sustainable development goals. We discuss lessons learned from the COVID-19 pandemic for global policymaking for health security governance, with a particular focus on antimicrobial resistance. We identify One Health as the primary foundation of public health risk management owing to the collaborative, multidisciplinary, and multisectoral efforts that underpin the One Health approach and that enhance understanding of the complex interactions at the human-animal-environment interface. We discuss the narrow human-centric focus of the One Health approach, highlight the underrepresentation of the environmental sector in One Health networks, and encourage greater representation from the environmental sector. Furthermore, we highlight the importance of the social sciences for health security research and the need for effective communication and trust. Finally, we underscore the importance of strengthened and collaborative health, social care, and disaster management systems. The application of these lessons will facilitate holistic, multisectoral, collaborative, and ethical actions on antimicrobial resistance.
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Masterson-Algar P, Jenkins SR, Windle G, Morris-Webb E, Takahashi CK, Burke T, Rosa I, Martinez AS, Torres-Mattos EB, Taddei R, Morrison V, Kasten P, Bryning L, Cruz de Oliveira NR, Gonçalves LR, Skov MW, Beynon-Davies C, Bumbeer J, Saldiva PHN, Leão E, Christofoletti RA. When One Health Meets the United Nations Ocean Decade: Global Agendas as a Pathway to Promote Collaborative Interdisciplinary Research on Human-Nature Relationships. Front Psychol 2022; 13:809009. [PMID: 35465503 PMCID: PMC9019153 DOI: 10.3389/fpsyg.2022.809009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2021] [Accepted: 03/18/2022] [Indexed: 11/19/2022] Open
Abstract
Strong evidence shows that exposure and engagement with the natural world not only improve human wellbeing but can also help promote environmentally friendly behaviors. Human-nature relationships are at the heart of global agendas promoted by international organizations including the World Health Organization’s (WHO) “One Health” and the United Nations (UN) “Ocean Decade.” These agendas demand collaborative multisector interdisciplinary efforts at local, national, and global levels. However, while global agendas highlight global goals for a sustainable world, developing science that directly addresses these agendas from design through to delivery and outputs does not come without its challenges. In this article, we present the outcomes of international meetings between researchers, stakeholders, and policymakers from the United Kingdom and Brazil. We propose a model for interdisciplinary work under such global agendas, particularly the interface between One Health and the UN Ocean Decade and identify three priority research areas closely linked to each other: human-nature connection, conservation-human behavior, and implementation strategies (bringing stakeholders together). We also discuss a number of recommendations for moving forward.
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Affiliation(s)
| | - Stuart R Jenkins
- School of Ocean Sciences, Bangor University, Bangor, United Kingdom
| | - Gill Windle
- School of Medical and Health Sciences, Bangor University, Bangor, United Kingdom
| | | | | | - Trys Burke
- School of Medical and Health Sciences, Bangor University, Bangor, United Kingdom
| | - Isabel Rosa
- School of Natural Sciences, Bangor University, Bangor, United Kingdom
| | - Aline S Martinez
- Institute of Marine Sciences, Federal University of São Paulo, Santos, Brazil
| | | | - Renzo Taddei
- Institute of Marine Sciences, Federal University of São Paulo, Santos, Brazil
| | - Val Morrison
- School of Human and Behavioural Sciences, Bangor University, Bangor, United Kingdom
| | - Paula Kasten
- Institute of Marine Sciences, Federal University of São Paulo, Santos, Brazil
| | - Lucy Bryning
- College of Human Sciences, Bangor University, Bangor, United Kingdom
| | | | - Leandra R Gonçalves
- Institute of Marine Sciences, Federal University of São Paulo, Santos, Brazil
| | - Martin W Skov
- School of Ocean Sciences, Bangor University, Bangor, United Kingdom
| | | | | | | | - Eliseth Leão
- Albert Einstein Israelite Hospital, São Paulo, Brazil
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22
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Streichert LC, Sepe LP, Jokelainen P, Stroud CM, Berezowski J, Del Rio Vilas VJ. Participation in One Health Networks and Involvement in the COVID-19 Pandemic Response: A Global Study. Front Public Health 2022; 10:830893. [PMID: 35284359 PMCID: PMC8907588 DOI: 10.3389/fpubh.2022.830893] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2021] [Accepted: 01/14/2022] [Indexed: 12/05/2022] Open
Abstract
The COVID-19 pandemic exemplifies a One Health issue at the intersection of human, animal, and environmental health that requires collaboration across sectors to manage it successfully. The global One Health community includes professionals working in many different fields including human medicine, veterinary medicine, public health, ecosystem health, and, increasingly, social sciences. The aims of this cross-sectional study were to describe the involvement of the global One Health community in COVID-19 pandemic response activities. One Health networks (OHNs) have formed globally to serve professionals with common interests in collaborative approaches. We assessed the potential association between being part of an OHN and involvement in COVID-19 response activities. Data were collected in July-August 2020 using an online questionnaire that addressed work characteristics, perceived connection to OHNs, involvement in COVID-19 pandemic response activities, and barriers and facilitators to the involvement. The sample included 1,050 respondents from 94 countries across a range of organizations and work sectors including, but not restricted to, those typically associated with a One Health approach. Sixty-four percent of survey respondents indicated involvement in pandemic response activities. Being part of an OHN was positively associated with being involved in the COVID-19 response (odds ratio: 1.8, 95% confidence interval: 1.3–2.4). Lack of opportunities was a commonly reported barrier to involvement globally, with lack of funding the largest barrier in the WHO African region. This insight into diverse workforce involvement in the pandemic helps fill a gap in the global health workforce and public health education literature. An expanded understanding of the perceived roles and value of OHNs can inform targeted interventions to improve public health education and workforce capacity to prepare for and respond to public health emergencies.
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Affiliation(s)
- Laura C. Streichert
- One Health Commission, Apex, NC, United States
- *Correspondence: Laura C. Streichert
| | - Ludovico P. Sepe
- Department Biological Safety, German Federal Institute for Risk Assessment (BfR), Berlin, Germany
| | - Pikka Jokelainen
- Infectious Disease Preparedness, Statens Serum Institut, Copenhagen, Denmark
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23
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Hoque MN, Faisal GM, Chowdhury FR, Haque A, Islam T. The urgency of wider adoption of one health approach for the prevention of a future pandemic. INTERNATIONAL JOURNAL OF ONE HEALTH 2022. [DOI: 10.14202/ijoh.2022.20-33] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
Recurring outbreaks of emerging and re-emerging zoonoses serve as a reminder that the health of humans, animals, and the environment are interconnected. Therefore, multisectoral, transdisciplinary, and collaborative approaches are required at local, regional, and global levels to tackle the ever-increasing zoonotic threat. The ongoing pandemic of COVID-19 zoonosis has been posing tremendous threats to global human health and economies. The devastation caused by the COVID-19 pandemic teaches us to adopt a "One Health Approach (OHA)" to tackle a possible future pandemic through a concerted effort of the global scientific community, human health professionals, public health experts, veterinarians and policymakers through open science and open data sharing practices. The OHA is an integrated, holistic, collaborative, multisectoral, and transdisciplinary approach to tackle potential pandemic zoonotic diseases. It includes expanding scientific inquiry into zoonotic infections; monitoring, and regulating traditional food markets, transforming existing food systems, and incentivizing animal husbandry and legal wildlife trade to adopt effective zoonotic control measures. To adopt an OHA globally, research and academic institutions, governments and non-government sectors at the local, regional, and international levels must work together. This review aimed to provide an overview of the major pandemics in human history including the COVID-19, anthropogenic drivers of zoonoses, Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) reverse zoonoses, the concept of OHA and how an OHA could be utilized to prevent future pandemic threats to the human-animal-ecosystem interfaces. In addition, this review article discusses the strategic framework of OHA and possible challenges to implement OHA in practice to prevent any future pandemics. The practices of open data sharing, open science, and international collaboration should be included in the OHA to prevent and/or rapidly tackle any health emergencies in the future.
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Affiliation(s)
- M. Nazmul Hoque
- Department of Gynecology, Obstetrics and Reproductive Health, Faculty of Veterinary Medicine and Animal Science, Bangabandhu Sheikh Mujibur Rahman Agricultural University, Gazipur, Bangladesh; Faculty of Veterinary Medicine and Animal Science, Bangabandhu Sheikh Mujibur Rahman Agricultural University, Gazipur, Bangladesh
| | - Golam Mahbub Faisal
- Faculty of Veterinary Medicine and Animal Science, Bangabandhu Sheikh Mujibur Rahman Agricultural University, Gazipur, Bangladesh
| | - Farhan Rahman Chowdhury
- Institute of Biotechnology and Genetic Engineering, Bangabandhu Sheikh Mujibur Rahman Agricultural University, Gazipur, Bangladesh
| | - Amlan Haque
- School of Business and Law, CQUniversity, Sydney Campus, Australia
| | - Tofazzal Islam
- Institute of Biotechnology and Genetic Engineering, Bangabandhu Sheikh Mujibur Rahman Agricultural University, Gazipur, Bangladesh
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El Idrissi Saik I, Benlabsir C, Fellah H, Lemrani M, Riyad M. Transmission patterns of Leishmania tropica around the Mediterranean basin: Could Morocco be impacted by a zoonotic spillover? PLoS Negl Trop Dis 2022; 16:e0010009. [PMID: 35025884 PMCID: PMC8757988 DOI: 10.1371/journal.pntd.0010009] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Cutaneous leishmaniasis (CL) due to Leishmania tropica is a neglected tropical disease characterized by a wide geographical distribution in the Mediterranean basin and is endemic in several of its countries. In addition, the vector Phlebotomus sergenti is abundantly present all around the basin. Its transmission cycle is still subject to debate. In some countries, the presence of an animal reservoir has been confirmed. In Morocco, CL due to L. tropica has risen since the 1980s and has spread widely to become the most abundant form of leishmaniasis in the territory. However, the anthroponotic transmission is so far the only recognized mode, despite recordings of L. tropica infection in animal hosts. In this review article, we assess the situation of CL due to L. tropica in the Mediterranean basin with a focus on Morocco and gather knowledge about any potential zoonotic transmission in the country. A concomitant zoonotic transmission could explain the persistence of the disease in areas where human protective measures combined with vector management did not help reduce the disease burden. Cutaneous leishmaniasis (CL) due to Leishmania tropica is a neglected tropical disease still considered to be anthroponotic in Morocco despite evidence of zoonotic transmission in other endemic countries of the Mediterranean basin. Its high incidence in the country makes it necessary to investigate whether or not a potential concomitant zoonotic transmission exists alongside the anthroponotic one. Moreover, several reports of natural animal infection have been noted in the country. In this paper, we review how CL due to L. tropica is present around the Mediterranean basin, with a particular focus on the Moroccan foci, and try to unveil the existence of a zoonotic transmission in the area. A deep understanding of the transmission patterns of L. tropica in the region is necessary for the implementation of effective control measures and a better assessment of the disease burden. In addition, the complexity of this neglected disease requires more fundamental and applied research to unveil potential factors involved in its spread.
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Affiliation(s)
- Imane El Idrissi Saik
- Laboratory of Cellular and Molecular Pathology, Research Team on Immunopathology of Infectious and Systemic Diseases, Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Casablanca, Morocco
- Laboratory of Parasitology and Vector-Borne-Diseases, Institut Pasteur du Maroc, Casablanca, Morocco
| | - Chaimaa Benlabsir
- Laboratory of Cellular and Molecular Pathology, Research Team on Immunopathology of Infectious and Systemic Diseases, Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Casablanca, Morocco
| | - Hassan Fellah
- Laboratory of Cellular and Molecular Pathology, Research Team on Immunopathology of Infectious and Systemic Diseases, Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Casablanca, Morocco
| | - Meryem Lemrani
- Laboratory of Parasitology and Vector-Borne-Diseases, Institut Pasteur du Maroc, Casablanca, Morocco
| | - Myriam Riyad
- Laboratory of Cellular and Molecular Pathology, Research Team on Immunopathology of Infectious and Systemic Diseases, Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Casablanca, Morocco
- * E-mail:
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25
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Nguyen-Viet H, Lam S, Nguyen-Mai H, Trang DT, Phuong VT, Tuan NDA, Tan DQ, Thuy NT, Thuy Linh D, Pham-Duc P. Decades of emerging infectious disease, food safety, and antimicrobial resistance response in Vietnam: The role of One Health. One Health 2021; 14:100361. [PMID: 34926782 PMCID: PMC8668232 DOI: 10.1016/j.onehlt.2021.100361] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2021] [Revised: 12/01/2021] [Accepted: 12/12/2021] [Indexed: 11/25/2022] Open
Abstract
Since facing outbreaks of severe acute respiratory syndrome and avian influenza A in 2003, Vietnam has increasingly applied a One Health approach to address emerging infectious diseases of animal origin. Here, we reflect on the challenges and opportunities of One Health in the context of zoonoses, food safety, and antimicrobial resistance, drawing on a stocktake of One Health training, policy, and research in Vietnam. We also report on the results of a virtual consultation workshop held on July 2021 with representatives from 32 institutions in Vietnam to explore future One Health directions. As Vietnam approaches nearly two decades of disease preparedness and response, we hope our experiences can provide practical insights to support countries in developing coordination mechanisms and moving the One Health agenda forward toward better public health outcomes.
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Affiliation(s)
- Hung Nguyen-Viet
- International Livestock Research Institute, Hanoi, Vietnam and Nairobi, Kenya
- Center of Public Health and Ecosystem Research, Hanoi University of Public Health, Hanoi, Viet Nam
- Corresponding author at: International Livestock Research Institute, Hanoi, Vietnam and Nairobi, Kenya.
| | | | - Huong Nguyen-Mai
- Center of Public Health and Ecosystem Research, Hanoi University of Public Health, Hanoi, Viet Nam
| | | | - Vu Thi Phuong
- Vietnam One Health Partnership Secretariat, Hanoi, Viet Nam
| | - Nguyen Do Anh Tuan
- International Cooperation Department, Ministry of Agriculture and Rural Development, Hanoi, Viet Nam
| | - Dang Quang Tan
- General Department of Preventive Medicine, Ministry of Health, Hanoi, Viet Nam
| | - Nguyen Thu Thuy
- Department of Animal Health, Ministry of Agriculture and Rural Development, Hanoi, Viet Nam
| | - Dang Thuy Linh
- Department of Environmental Quality Management, Vietnam Environment Administration, Ministry of Natural Resources and Environment, Hanoi, Viet Nam
| | - Phuc Pham-Duc
- Center of Public Health and Ecosystem Research, Hanoi University of Public Health, Hanoi, Viet Nam
- Vietnam One Health University Network, Hanoi, Viet Nam
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Hofstraat K, Spaan VF, de Vries DH. The limited state of training on the social dimensions of antimicrobial resistance. JAC Antimicrob Resist 2021; 3:dlab155. [PMID: 34729483 PMCID: PMC8557762 DOI: 10.1093/jacamr/dlab155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Background Training is needed to increase awareness and understanding of the complex problem of antimicrobial resistance (AMR) among professionals. However, AMR capacity building often does not stretch beyond the biomedical sciences, limiting interdisciplinary collaboration. Objectives Considering the relevance of including the social sciences, this scoping review assesses the state of training on the social dimensions of AMR. Methods Twenty-eight training courses covering social dimensions of AMR were identified via a survey (n = 133), interviews (n = 6) and an additional internet search. General characteristics, quality and social science relevance indicators were extracted and analysed for each of these training courses. Results Because only 57% of the analysed training courses were fully focused on AMR, AMR was usually superficially covered, focusing on the biomedical basics and just mentioning some social aspects without using social science theories or experts. Only 3 of the 28 training courses covered AMR primarily from a social science perspective, while only 14% of the educators involved had social science expertise. Biomedical dimensions of AMR were covered twice as much as the social science dimensions. In the social science domain, institution and policy elements are most frequently covered, while transformations are the least covered. Conclusions There is a clear gap in educational resources on AMR, but moreover for social scientists wanting to engage in AMR, or for non-social scientists wanting to learn about the social dimensions of AMR from an interdisciplinary perspective. This gap needs to be bridged if we want social sciences to become a relevant partner in the struggle against AMR.
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Affiliation(s)
- Karlijn Hofstraat
- Amsterdam Institute for Global Health and Development, Paasheuvelweg 25, 1105 BP, Amsterdam, The Netherlands
| | - Vera F Spaan
- Amsterdam Institute for Global Health and Development, Paasheuvelweg 25, 1105 BP, Amsterdam, The Netherlands.,Vrije Universiteit Amsterdam, De Boelelaan 1105, 1081 HV, Amsterdam, The Netherlands
| | - Daniel H de Vries
- Amsterdam Institute for Global Health and Development, Paasheuvelweg 25, 1105 BP, Amsterdam, The Netherlands.,Universiteit van Amsterdam, Roetersstraat 11, 1018 WB, Amsterdam, The Netherlands
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27
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Gruel G, Diouf MB, Abadie C, Chilin-Charles Y, Etter EMC, Geffroy M, Herrmann Storck C, Meyer DF, Pagès N, Pressat G, Teycheney PY, Umber M, Vega-Rúa A, Pradel J. Critical Evaluation of Cross-Sectoral Collaborations to Inform the Implementation of the "One Health" Approach in Guadeloupe. Front Public Health 2021; 9:652079. [PMID: 34409004 PMCID: PMC8366749 DOI: 10.3389/fpubh.2021.652079] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2021] [Accepted: 07/02/2021] [Indexed: 11/17/2022] Open
Abstract
In Guadeloupe, a French overseas territory located in the Eastern Caribbean, infectious and non-infectious diseases, loss of biodiversity, natural disasters and global change threaten the health and well-being of animals, plants, and people. Implementing the “One Health” (OH) approach is crucial to reduce the archipelago's vulnerability to these health threats. However, OH remains underdeveloped in Guadeloupe, hampering efficient and effective intersectoral and transdisciplinary collaborations for disease surveillance and control. A multidisciplinary research group of volunteer researchers working in Guadeloupe, with collective expertise in infectious diseases, undertook a study to identify key attributes for OH operationalization by reviewing past and current local collaborative health initiatives and analyzing how much they mobilized the OH framework. The research group developed and applied an operational OH framework to assess critically collaborative initiatives addressing local health issues. Based on a literature review, a set of 13 opinion-based key criteria was defined. The criteria and associated scoring were measured through semi-directed interviews guided by a questionnaire to critically evaluate four initiatives in animal, human, plant, and environmental health research and epidemiological surveillance. Gaps, levers, and prospects were identified that will help health communities in Guadeloupe envision how to implement the OH approach to better address local health challenges. The methodology is simple, generic, and pragmatic and relies on existing resources. It can be transposed and adapted to other contexts to improve effectiveness and efficiency of OH initiatives, based on lessons-learned of local past or current multi-interdisciplinary and intersectoral initiatives.
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Affiliation(s)
- Gaëlle Gruel
- Laboratory for the Study of Microbial Ecosystem Interactions, Institut Pasteur of Guadeloupe, Unit Transmission Reservoir and Pathogens Diversity, Les Abymes, France
| | - Mame Boucar Diouf
- INRAE, UR ASTRO, F-97170, Petit-Bourg, France.,CIRAD, UMR AGAP Institut, F-97130, Capesterre Belle-Eau, France.,AGAP Institut, Univ Montpellier, CIRAD, INRAE, Institut Agro, Montpellier, France
| | - Catherine Abadie
- BGPI, Univ Montpellier, CIRAD, INRAE, Institut Agro, Montpellier, France
| | - Yolande Chilin-Charles
- BGPI, Univ Montpellier, CIRAD, INRAE, Institut Agro, Montpellier, France.,CIRAD, UMR BGPI, F-97130, Capesterre Belle-Eau, France
| | - Eric Marcel Charles Etter
- CIRAD, UMR ASTRE, F-97170, Petit-Bourg, France.,ASTRE, Univ Montpellier, CIRAD INRAE, Montpellier, France
| | - Mariana Geffroy
- CIRAD, UMR ASTRE, F-97170, Petit-Bourg, France.,ASTRE, Univ Montpellier, CIRAD INRAE, Montpellier, France
| | - Cécile Herrmann Storck
- Centre Hospitalier Universitaire CHU de Guadeloupe, Laboratoire de Microbiologie Humaine et Environnementale, Les Abymes, France
| | - Damien F Meyer
- CIRAD, UMR ASTRE, F-97170, Petit-Bourg, France.,ASTRE, Univ Montpellier, CIRAD INRAE, Montpellier, France
| | - Nonito Pagès
- CIRAD, UMR ASTRE, F-97170, Petit-Bourg, France.,ASTRE, Univ Montpellier, CIRAD INRAE, Montpellier, France
| | - Gersende Pressat
- CIRAD, UMR AGAP Institut, F-97130, Capesterre Belle-Eau, France.,AGAP Institut, Univ Montpellier, CIRAD, INRAE, Institut Agro, Montpellier, France
| | - Pierre-Yves Teycheney
- CIRAD, UMR AGAP Institut, F-97130, Capesterre Belle-Eau, France.,AGAP Institut, Univ Montpellier, CIRAD, INRAE, Institut Agro, Montpellier, France
| | - Marie Umber
- INRAE, UR ASTRO, F-97170, Petit-Bourg, France
| | - Anubis Vega-Rúa
- Laboratory of Vector Control Research, Institut Pasteur of Guadeloupe, Unit Transmission Reservoir and Pathogens Diversity, Les Abymes, France
| | - Jennifer Pradel
- CIRAD, UMR ASTRE, F-97170, Petit-Bourg, France.,ASTRE, Univ Montpellier, CIRAD INRAE, Montpellier, France
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Aragrande M, Canali M, Roccaro M, Ferraro E, Bonoli A, Savini F, Piva S, Gallina L, Peli A, Sambri V, Scagliarini A. One Health Evaluation: A Case Study at the University of Bologna. Front Public Health 2021; 9:661490. [PMID: 34395358 PMCID: PMC8355810 DOI: 10.3389/fpubh.2021.661490] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2021] [Accepted: 06/21/2021] [Indexed: 11/13/2022] Open
Abstract
The level of One Health (OH), or “One Health-ness,” of health interventions has been defined as the capacity to operate according to six dimensions concerning OH operations and OH infrastructures, respectively (thinking, planning, and working; and information sharing, reciprocal learning, and systemic organization). Although health initiatives and research increasingly claim their orientation toward OH, such a capacity is rarely assessed. The objective of this study is to evaluate the One Health-ness of the academic team of the University of Bologna (UNIBO Team) working in the “ELEPHANT” project (Empowering universities' Learning and rEsearch caPacities in the one Health Approach for the maNagement of animals at the wildlife, livestock and human interface in SouTh Africa). This project involves universities, six from South Africa and two from Europe, and aims at embedding OH in research and learning to enable the control of diseases at the human, animal, and environmental interface, and to emphasize the interests of local African communities with wildlife conservation. The methodology adopts the NEOH method, developed in 2018 by the EU-COST Action, “Network for the Evaluation of One Health.” The approach is based on questionnaires delivered to participants, which focus on the six OH dimensions, and then translate answers into quantitative metrics through the OH Index (OHI) and the OH Ratio (OHR). The following two evaluation levels are foreseen: the whole project and the single partner institutions. The evaluations are carried on in parallel, with preliminary, mid-term, and final assessments, to monitor the efficacy of the project actions. The preliminary evaluation of the UNIBO Team resulted in the OHI of 0.23 and the OHR of 1.69 which indicate a low degree of OH-ness and an imbalance between OH operation and OH infrastructure. The UNIBO case study will be the baseline for the evaluation of the other partner institutions involved in the ELEPHANT project. This type of evaluation can support the implementation of OH practices inside a project and underpin the strategies that allow to achieving more effective results. Any improvement in the OH-ness of each single academic team can be also considered as a result of the ELEPHANT project, thus showing its multiplier effect in the context.
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Affiliation(s)
- Maurizio Aragrande
- Department of Agricultural and Food Sciences, University of Bologna, Bologna, Italy
| | - Massimo Canali
- Department of Agricultural and Food Sciences, University of Bologna, Bologna, Italy
| | - Mariana Roccaro
- Department of Veterinary Medical Sciences, University of Bologna, Bologna, Italy
| | - Elisabetta Ferraro
- Department of Veterinary Medical Sciences, University of Bologna, Bologna, Italy
| | - Alessandra Bonoli
- Department of Civil, Chemical, Environmental and Materials Engineering, University of Bologna, Bologna, Italy
| | - Federica Savini
- Department of Veterinary Medical Sciences, University of Bologna, Bologna, Italy
| | - Silvia Piva
- Department of Veterinary Medical Sciences, University of Bologna, Bologna, Italy
| | - Laura Gallina
- Department of Veterinary Medical Sciences, University of Bologna, Bologna, Italy
| | - Angelo Peli
- Department of Veterinary Medical Sciences, University of Bologna, Bologna, Italy
| | - Vittorio Sambri
- Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
| | - Alessandra Scagliarini
- Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy
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de la Rocque S, Belot G, Errecaborde KMM, Sreedharan R, Skrypnyk A, Schmidt T, Isla N, Traore T, Talisuna A, Gongal G, Samhouri D, Caya F, Carron M, Kandel N, Xing J, Chungong S. Operationalisation of consensual One Health roadmaps in countries for improved IHR capacities and health security. BMJ Glob Health 2021; 6:bmjgh-2021-005275. [PMID: 34210688 PMCID: PMC8252684 DOI: 10.1136/bmjgh-2021-005275] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2021] [Revised: 04/22/2021] [Accepted: 04/24/2021] [Indexed: 11/24/2022] Open
Abstract
The COVID-19 pandemic is a devastating reminder that mitigating the threat of emerging zoonotic outbreaks relies on our collective capacity to work across human health, animal health and environment sectors. Despite the critical need for shared approaches, collaborative benchmarks in the International Health Regulations (IHR) Monitoring and Evaluation Framework and more specifically the Joint External Evaluation (JEE) often reveal low levels of performance in collaborative technical areas (TAs), thus identifying a real need to work on the human-animal-environment interface to improve health security. The National Bridging Workshops (NBWs) proposed jointly by the World Organisation of Animal Health and World Health Organization (WHO) provide opportunity for national human health, animal health, environment and other relevant sectors in countries to explore the efficiency and gaps in their coordination for the management of zoonotic diseases. The results, gathered in a prioritised roadmap, support the operationalisation of the recommendations made during JEE for TAs where a multisectoral One Health approach is beneficial. For those collaborative TAs (12 out of 19 in the JEE), more than two-thirds of the recommendations can be implemented through one or multiple activities jointly agreed during NBW. Interestingly, when associated with the WHO Benchmark Tool for IHR, it appears that NBW activities are often associated with lower level of performance than anticipated during the JEE missions, revealing that countries often overestimate their capacities at the human-animal-environment interface. Deeper, more focused and more widely shared discussions between professionals highlight the need for concrete foundations of multisectoral coordination to meet goals for One Health and improved global health security through IHR.
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Affiliation(s)
| | | | - Kaylee Marie Myhre Errecaborde
- Health Emergencies Programme, WHO, Geneva, Switzerland,Veterinary Population Medicine, University of Minnesota, St. Paul, Minnesota, USA
| | | | - Artem Skrypnyk
- Country Health Emergency Preparedness & IHR, WHO Regional Office for Europe, Copenhagen, Denmark
| | - Tanja Schmidt
- Country Health Emergency Preparedness & IHR, WHO Regional Office for Europe, Copenhagen, Denmark
| | - Nicolas Isla
- Country Health Emergency Preparedness & IHR, WHO Regional Office for Europe, Copenhagen, Denmark
| | - Tieble Traore
- Emergency Preparedness, WHO Regional Office for Africa, Brazzaville, Congo
| | - Ambrose Talisuna
- Emergency Preparedness, WHO Regional Office for Africa, Brazzaville, Congo
| | - Gyanendra Gongal
- Healthier Populations & Noncommunicable Diseases, WHO Regional Office for South-East Asia, New Delhi, India
| | - Dalia Samhouri
- Country Health Emergency Preparedness & IHR, WHO Regional Office for the Eastern Mediterranean, Cairo, Egypt
| | - François Caya
- Capacity Building Department, World Organisation for Animal Health, Paris, France
| | - Maud Carron
- Capacity Building Department, World Organisation for Animal Health, Paris, France
| | - Nirmal Kandel
- Health Emergencies Programme, WHO, Geneva, Switzerland
| | - Jun Xing
- Health Emergencies Programme, WHO, Geneva, Switzerland
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Savelli CJ, Garcia Acevedo RF, Simpson J, Mateus C. The utilisation of tools to facilitate cross-border communication during international food safety events, 1995-2020: a realist synthesis. Global Health 2021; 17:65. [PMID: 34167571 PMCID: PMC8222958 DOI: 10.1186/s12992-021-00715-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2020] [Accepted: 06/08/2021] [Indexed: 01/18/2023] Open
Abstract
Efficient communication and coordination are needed between countries to prevent, detect and respond to international food safety events. While communication tools, networks and systems exist, current evidence suggests that they are only useful within particular contexts and several only target specific geographic areas. There is a need to unpack and explore the mechanisms of how and in what context such communication tools and their components are effective at facilitating international communication and coordination to keep food safe and mitigate the burden of foodborne disease around the world. A realist synthesis was undertaken to understand how and why certain processes and structures of communication tools, used during international food safety events, influence their utility and effectiveness according to different contextual factors. The focus of this review was explanatory and aimed to develop and refine theory regarding how contextual factors trigger specific processes and mechanisms to produce outcomes. Using the realist context–mechanism–outcome configuration of theory development, a range of sources was used to develop an initial programme theory, including the authors’ experience, a scoping review of published papers and grey literature and input from an expert reference committee. Literature was then systematically located and synthesised from several databases with input from the expert reference committee to refine the programme theory. The programme theory developed indicates that when a country has interests in food import or export, has the technical infrastructure to detect and respond to food safety events, and is governed in accordance with regional and/or global laws and regulations relating to food control and global health security, then specific mechanisms will facilitate various outcomes. Mechanisms include trust, experience, support, awareness, understanding, a sense of community, standardisation and intersectoral collaboration. The outcomes include using communication tools to relay information abroad and the prevention of foodborne diseases, among others. Components of such communication tools may be adapted according to different contextual factors to promote, support and improve their use. Improving international coordination and communication during international food safety events is in the interest of global health security and can mitigate the global burden of foodborne disease.
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Affiliation(s)
- Carmen Joseph Savelli
- World Health Organization, Nutrition and Food Safety, Avenue Appia 20, 1211, Geneva, Switzerland. .,Lancaster University, Faculty of Health and Medicine, Division of Health Research, Bailrigg, Lancaster, LA1 4YW, UK.
| | | | - Jane Simpson
- Lancaster University, Faculty of Health and Medicine, Division of Health Research, Bailrigg, Lancaster, LA1 4YW, UK
| | - Céu Mateus
- Lancaster University, Faculty of Health and Medicine, Division of Health Research, Bailrigg, Lancaster, LA1 4YW, UK
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Belot G, Caya F, Errecaborde KM, Traore T, Lafia B, Skrypnyk A, Montabord D, Carron M, Corning S, Sreedharan R, Isla N, Schmidt T, Gongal G, Samhouri D, Perez-Gutierrez E, Riviere-Cinnamond A, Xing J, Chungong S, de la Rocque S. IHR-PVS National Bridging Workshops, a tool to operationalize the collaboration between human and animal health while advancing sector-specific goals in countries. PLoS One 2021; 16:e0245312. [PMID: 34061856 PMCID: PMC8168895 DOI: 10.1371/journal.pone.0245312] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Accepted: 04/23/2021] [Indexed: 01/01/2023] Open
Abstract
Collaborative, One Health approaches support governments to effectively prevent, detect and respond to emerging health challenges, such as zoonotic diseases, that arise at the human-animal-environmental interfaces. To overcome these challenges, operational and outcome-oriented tools that enable animal health and human health services to work specifically on their collaboration are required. While international capacity and assessment frameworks such as the IHR-MEF (International Health Regulations-Monitoring and Evaluation Framework) and the OIE PVS (Performance of Veterinary Services) Pathway exist, a tool and process that could assess and strengthen the interactions between human and animal health sectors was needed. Through a series of six phased pilots, the IHR-PVS National Bridging Workshop (NBW) method was developed and refined. The NBW process gathers human and animal health stakeholders and follows seven sessions, scheduled across three days. The outputs from each session build towards the next one, following a structured process that goes from gap identification to joint planning of corrective measures. The NBW process allows human and animal health sector representatives to jointly identify actions that support collaboration while advancing evaluation goals identified through the IHR-MEF and the OIE PVS Pathway. By integrating sector-specific and collaborative goals, the NBWs help countries in creating a realistic, concrete and practical joint road map for enhanced compliance to international standards as well as strengthened preparedness and response for health security at the human-animal interface.
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Affiliation(s)
| | - François Caya
- World Organisation for Animal Health (OIE), Paris, France
| | | | - Tieble Traore
- World Health Organization Regional Office for Africa, Brazzaville, Congo
| | - Brice Lafia
- World Organisation for Animal Health (OIE) Regional Representation for Africa, Bamako, Mali
| | - Artem Skrypnyk
- World Health Organization Regional Office for Europe, Copenhagen, Denmark
| | - Djhane Montabord
- World Organisation for Animal Health (OIE) Sub-Regional Representation for Central Asia, Nur-Sultan, Kazakhstan
| | - Maud Carron
- World Organisation for Animal Health (OIE), Paris, France
| | - Susan Corning
- World Organisation for Animal Health (OIE), Paris, France
| | | | - Nicolas Isla
- World Health Organization Regional Office for Europe, Copenhagen, Denmark
| | - Tanja Schmidt
- World Health Organization Regional Office for Europe, Copenhagen, Denmark
| | - Gyanendra Gongal
- World Health Organization Regional Office for South-East Asia, New Delhi, India
| | - Dalia Samhouri
- World Health Organization Regional Office for the Eastern Mediterranean, Cairo, Egypt
| | - Enrique Perez-Gutierrez
- Pan American Health Organization / World Health Organization Regional Office for the Americas, Washington, United States of America
| | - Ana Riviere-Cinnamond
- Pan American Health Organization / World Health Organization Regional Office for the Americas, Washington, United States of America
| | - Jun Xing
- World Health Organization, Geneva, Switzerland
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Yasobant S, Bruchhausen W, Saxena D, Falkenberg T. Systemic factors for enhancing intersectoral collaboration for the operationalization of One Health: a case study in India. Health Res Policy Syst 2021; 19:75. [PMID: 33947418 PMCID: PMC8097865 DOI: 10.1186/s12961-021-00727-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2020] [Accepted: 04/13/2021] [Indexed: 01/13/2023] Open
Abstract
Background One Health is a collaborative, multisectoral, and transdisciplinary approach—working at the local, regional, national, and global levels—with the goal of achieving optimal health outcomes recognizing the interconnection between people, animals, plants, and their shared environment. Operationalization of the One Health approach is still unclear for various local health systems with their respective targets. In this scenario, the empirical study of intersectoral collaboration between the human and animal health systems provides an opportunity to investigate the appropriate strategies and their enabling factors at the local health system level. Thus, this study documented and validated the innovative strategy for intersectoral collaboration, focusing on effectual prevention and control of zoonotic diseases with its enabling factors for a city in western India, Ahmedabad. Methods This case study was conducted in three phases: phase I (qualitative data collection, i.e., vignette interview), phase II (quantitative data collection through modified policy Delphi), and phase III (participatory workshop). The vignette data were handled for content analysis, and the Delphi data, like other quantitative data, for descriptive statistics. The participatory workshop adapts the computerized Sensitivity Model® developed by Vester to analyse the health system dynamics. Result Out of the possible 36 strategies, this study validated the top 15 essential (must-have) and five preferred (should-have) strategies for the study area. For operationalization of the One Health approach, the enabling factors that were identified through the systems approach are micro-level factors at the individual level (trust, leadership, motivation, knowledge), meso-level factors at the organizational level (human resource, capacity-building, shared vision, decision-making capacity, laboratory capacity, surveillance), macro-level factors at the system level (coordinated roles, relationships, common platform), and external factors outside of the system (guidelines/policies, community participation, a specific budget, political will, smart technology). Discussion This study reveals that the micro-level factors at the individual level are potential levers of the health system. More attention to these factors could be beneficial for the operationalization of the One Health approach. This study recommends a systems approach through a bottom-up exploration to understand the local health system and its enabling factors, which should be accounted for in formulating future One Health policies. Supplementary Information The online version contains supplementary material available at 10.1186/s12961-021-00727-9.
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Affiliation(s)
- Sandul Yasobant
- Center for Development Research (ZEF), University of Bonn, Genscherallee 3, 53113, Bonn, Germany. .,Global Health, Institute for Hygiene and Public Health (IHPH), University Hospital Bonn, 53127, Bonn, Germany.
| | - Walter Bruchhausen
- Center for Development Research (ZEF), University of Bonn, Genscherallee 3, 53113, Bonn, Germany.,Global Health, Institute for Hygiene and Public Health (IHPH), University Hospital Bonn, 53127, Bonn, Germany
| | - Deepak Saxena
- Indian Institute of Public Health Gandhinagar (IIPHG), 382042, Gandhinagar, India.,Datta Meghe Institute of Medical Sciences, Jawaharlal Nehru Medical College, 442004, Wardha, India
| | - Timo Falkenberg
- Center for Development Research (ZEF), University of Bonn, Genscherallee 3, 53113, Bonn, Germany.,GeoHealth Centre, Institute for Hygiene and Public Health (IHPH), University Hospital Bonn, 53127, Bonn, Germany
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33
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Alderwick H, Hutchings A, Briggs A, Mays N. The impacts of collaboration between local health care and non-health care organizations and factors shaping how they work: a systematic review of reviews. BMC Public Health 2021; 21:753. [PMID: 33874927 PMCID: PMC8054696 DOI: 10.1186/s12889-021-10630-1] [Citation(s) in RCA: 48] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2020] [Accepted: 03/11/2021] [Indexed: 12/17/2022] Open
Abstract
BACKGROUND Policymakers in many countries promote collaboration between health care organizations and other sectors as a route to improving population health. Local collaborations have been developed for decades. Yet little is known about the impact of cross-sector collaboration on health and health equity. METHODS We carried out a systematic review of reviews to synthesize evidence on the health impacts of collaboration between local health care and non-health care organizations, and to understand the factors affecting how these partnerships functioned. We searched four databases and included 36 studies (reviews) in our review. We extracted data from these studies and used Nvivo 12 to help categorize the data. We assessed risk of bias in the studies using standardized tools. We used a narrative approach to synthesizing and reporting the data. RESULTS The 36 studies we reviewed included evidence on varying forms of collaboration in diverse contexts. Some studies included data on collaborations with broad population health goals, such as preventing disease and reducing health inequalities. Others focused on collaborations with a narrower focus, such as better integration between health care and social services. Overall, there is little convincing evidence to suggest that collaboration between local health care and non-health care organizations improves health outcomes. Evidence of impact on health services is mixed. And evidence of impact on resource use and spending are limited and mixed. Despite this, many studies report on factors associated with better or worse collaboration. We grouped these into five domains: motivation and purpose, relationships and cultures, resources and capabilities, governance and leadership, and external factors. But data linking factors in these domains to collaboration outcomes is sparse. CONCLUSIONS In theory, collaboration between local health care and non-health care organizations might contribute to better population health. But we know little about which kinds of collaborations work, for whom, and in what contexts. The benefits of collaboration may be hard to deliver, hard to measure, and overestimated by policymakers. Ultimately, local collaborations should be understood within their macro-level political and economic context, and as one component within a wider system of factors and interventions interacting to shape population health.
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Affiliation(s)
- Hugh Alderwick
- Health Foundation, 8 Salisbury Square, London, EC4Y 8AP UK
- London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH UK
| | - Andrew Hutchings
- London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH UK
| | - Adam Briggs
- Health Foundation, 8 Salisbury Square, London, EC4Y 8AP UK
- University of Warwick, Coventry, CV4 7AL UK
| | - Nicholas Mays
- London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH UK
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Aenishaenslin C, Häsler B, Ravel A, Parmley EJ, Mediouni S, Bennani H, Stärk KDC, Buckeridge DL. Evaluating the Integration of One Health in Surveillance Systems for Antimicrobial Use and Resistance: A Conceptual Framework. Front Vet Sci 2021; 8:611931. [PMID: 33842569 PMCID: PMC8024545 DOI: 10.3389/fvets.2021.611931] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Accepted: 02/08/2021] [Indexed: 11/26/2022] Open
Abstract
It is now widely acknowledged that surveillance of antimicrobial resistance (AMR) must adopt a "One Health" (OH) approach to successfully address the significant threats this global public health issue poses to humans, animals, and the environment. While many protocols exist for the evaluation of surveillance, the specific aspect of the integration of a OH approach into surveillance systems for AMR and antimicrobial Use (AMU), suffers from a lack of common and accepted guidelines and metrics for its monitoring and evaluation functions. This article presents a conceptual framework to evaluate the integration of OH in surveillance systems for AMR and AMU, named the Integrated Surveillance System Evaluation framework (ISSE framework). The ISSE framework aims to assist stakeholders and researchers who design an overall evaluation plan to select the relevant evaluation questions and tools. The framework was developed in partnership with the Canadian Integrated Program for Antimicrobial Resistance Surveillance (CIPARS). It consists of five evaluation components, which consider the capacity of the system to: [1] integrate a OH approach, [2] produce OH information and expertise, [3] generate actionable knowledge, [4] influence decision-making, and [5] positively impact outcomes. For each component, a set of evaluation questions is defined, and links to other available evaluation tools are shown. The ISSE framework helps evaluators to systematically assess the different OH aspects of a surveillance system, to gain comprehensive information on the performance and value of these integrated efforts, and to use the evaluation results to refine and improve the surveillance of AMR and AMU globally.
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Affiliation(s)
- Cécile Aenishaenslin
- Centre de recherche en santé publique de l'Université de Montréal et du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montreal, QC, Canada
- Research Group on Epidemiology of Zoonoses and Public Health, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - Barbara Häsler
- Veterinary Epidemiology Economics and Public Health Group, Department of Pathobiology and Population Sciences, Royal Veterinary College, Hatfield, United Kingdom
| | - André Ravel
- Centre de recherche en santé publique de l'Université de Montréal et du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montreal, QC, Canada
- Research Group on Epidemiology of Zoonoses and Public Health, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - E. Jane Parmley
- Centre for Foodborne, Environmental and Zoonotic Infectious Diseases, Public Health Agency of Canada, Guelph, ON, Canada
- Department of Population Medicine, University of Guelph, Guelph, ON, Canada
| | - Sarah Mediouni
- Centre de recherche en santé publique de l'Université de Montréal et du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montreal, QC, Canada
- Research Group on Epidemiology of Zoonoses and Public Health, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - Houda Bennani
- Veterinary Epidemiology Economics and Public Health Group, Department of Pathobiology and Population Sciences, Royal Veterinary College, Hatfield, United Kingdom
| | - Katharina D. C. Stärk
- Department of Animal Health, Federal Office for Food Safety and Veterinary Affairs, Bern, Switzerland
| | - David L. Buckeridge
- Department of Epidemiology, Biostatistics and Occupational Health, Faculty of Medicine, McGill University, Montreal, QC, Canada
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