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Sullivan A, Ogunseitan O, Epstein J, Kuruchittham V, Nangami M, Kabasa D, Bazeyo W, Naigaga I, Kochkina O, Bikaako W, Ahmad N, Yawe A, Muhumuza C, Nuraini R, Wahyuni I, Adli R, Moonsom S, Huong L, Pham P, Kelly T, Wolking D, Smith W. International stakeholder perspectives on One Health training and empowerment: a needs assessment for a One Health Workforce Academy. ONE HEALTH OUTLOOK 2023; 5:8. [PMID: 37280666 DOI: 10.1186/s42522-023-00083-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/08/2022] [Accepted: 05/08/2023] [Indexed: 06/08/2023]
Abstract
BACKGROUND One Health is defined as an integrated, unifying approach that aims to sustainably balance and optimize the health of people, animals and ecosystems; this approach attracts stakeholders from multiple sectors, academic disciplines, and professional practices. The diversity of expertise and interest groups is frequently and simultaneously framed as (1) a strength of the One Health approach in the process of understanding and solving complex problems associated with health challenges such as pathogen spillovers and pandemics and (2) a challenge regarding consensus on essential functions of One Health and the sets of knowledge, skills, and perspectives unique to a workforce adopting this approach. Progress in developing competency-based training in One Health has revealed coverage of various topics across fundamental, technical, functional, and integrative domains. Ensuring that employers value the unique characteristics of personnel trained in One Health will likely require demonstration of its usefulness, accreditation, and continuing professional development. These needs led to the conceptual framework of a One Health Workforce Academy (OHWA) for use as a platform to deliver competency-based training and assessment for an accreditable credential in One Health and opportunities for continuing professional development. METHODS To gather information about the desirability of an OHWA, we conducted a survey of One Health stakeholders. The IRB-approved research protocol used an online tool to collect individual responses to the survey questions. Potential respondents were recruited from partners of One Health University Networks in Africa and Southeast Asia and international respondents outside of these networks. Survey questions collected demographic information, measured existing or projected demand and the relative importance of One Health competencies, and determined the potential benefits and barriers of earning a credential. Respondents were not compensated for participation. RESULTS Respondents (N = 231) from 24 countries reported differences in their perspectives on the relative importance of competency domains of the One Health approach. More than 90% of the respondents would seek to acquire a competency-based certificate in One Health, and 60% of respondents expected that earning such a credential would be rewarded by employers. Among potential barriers, time and funding were the most cited. CONCLUSION This study showed strong support from potential stakeholders for a OHWA that hosts competency-based training with opportunities for certification and continuing professional development.
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Affiliation(s)
| | - Oladele Ogunseitan
- Department of Population Health and Disease Prevention, University of California Irvine, Irvine, USA.
- Center for Innovation in Global Health, Stanford University, Stanford, USA.
| | | | - Vipat Kuruchittham
- Southeast Asia One Health University Network (SEAOHUN), Chiang Mai, Thailand
| | - Mabel Nangami
- Africa One Health University Network (AFROHUN), Kampala, Uganda
| | - David Kabasa
- Africa One Health University Network (AFROHUN), Kampala, Uganda
| | - William Bazeyo
- Africa One Health University Network (AFROHUN), Kampala, Uganda
| | - Irene Naigaga
- Africa One Health University Network (AFROHUN), Kampala, Uganda
| | - Olesya Kochkina
- Southeast Asia One Health University Network (SEAOHUN), Chiang Mai, Thailand
| | - Winnie Bikaako
- Africa One Health University Network (AFROHUN), Kampala, Uganda
| | - Nur Ahmad
- Universiti Putra Malaysia, Serdang, Malaysia
| | - Agnes Yawe
- Africa One Health University Network (AFROHUN), Kampala, Uganda
| | | | - Rahmi Nuraini
- Indonesia One Health University Network (INDOHUN), Depok, West Java, Indonesia
| | - Indira Wahyuni
- Indonesia One Health University Network (INDOHUN), Depok, West Java, Indonesia
| | - Raja Adli
- Malaysia One Health University Network (MyOHUN), Serdang, Malaysia
| | - Saengduen Moonsom
- THOHUN-National Coordinating Office, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
| | - Lai Huong
- Vietnam One Health University Network (VOHUN); and Hanoi University of Public Health, Hanoi, Vietnam
| | - Phuc Pham
- Vietnam One Health University Network (VOHUN), Hanoi, Vietnam
| | - Terra Kelly
- One Health Institute, School of Veterinary Medicine, University of California, Davis, USA
| | - David Wolking
- One Health Institute, School of Veterinary Medicine, University of California, Davis, USA
| | - Woutrina Smith
- One Health Institute, School of Veterinary Medicine, University of California, Davis, USA
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Diptyanusa A, Herini ES, Indarjulianto S, Satoto TBT. Estimation of Japanese encephalitis virus infection prevalence in mosquitoes and bats through nationwide sentinel surveillance in Indonesia. PLoS One 2022; 17:e0275647. [PMID: 36223381 PMCID: PMC9555671 DOI: 10.1371/journal.pone.0275647] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2021] [Accepted: 09/11/2022] [Indexed: 11/26/2022] Open
Abstract
Indonesia belongs to endemic areas of Japanese encephalitis (JE), yet data regarding the true risk of disease transmission are lacking. While many seroprevalence studies reported its classic enzootic transmission, data related to the role of bats in the transmission of JE virus are limited. This current study aimed to identify the potential role of bats in the local transmission of the JE virus to aid the ongoing active case surveillance in Indonesia, in order to estimate the transmission risk. Mosquitoes and bats were collected from 11 provinces in Indonesia. The detection of the JE virus used polymerase chain reaction (PCR). Maps were generated to analyze the JE virus distribution pattern. Logistic regression analysis was done to identify risk factors of JE virus transmission. JE virus was detected in 1.4% (7/483) of mosquito pools and in 2.0% (68/3,322) of bat samples. Mosquito species positive for JE virus were Culex tritaeniorhynchus and Cx. vishnui, whereas JE-positive bats belonged to the genera Cynopterus, Eonycteris, Hipposideros, Kerivoula, Macroglossus, Pipistrellus, Rousettus, Scotophilus and Thoopterus. JE-positive mosquitoes were collected at the same sites as the JE-positive bats. Collection site nearby human dwellings (AOR: 2.02; P = 0.009) and relative humidity of >80% (AOR: 2.40; P = 0.001) were identified as independent risk factors for JE virus transmission. The findings of the current study highlighted the likely ongoing risk of JE virus transmission in many provinces in Indonesia, and its potential implications on human health.
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Affiliation(s)
- Ajib Diptyanusa
- Doctoral Study Program of Health and Medical Sciences, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
- World Health Organization Indonesia Country Office, Jakarta, Indonesia
| | - Elisabeth Siti Herini
- Department of Child Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Soedarmanto Indarjulianto
- Department of Internal Medicine, Faculty of Veterinary Medicine, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Tri Baskoro Tunggul Satoto
- Department of Parasitology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
- * E-mail:
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Sell K, Hommes F, Fischer F, Arnold L. Multi-, Inter-, and Transdisciplinarity within the Public Health Workforce: A Scoping Review to Assess Definitions and Applications of Concepts. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:10902. [PMID: 36078616 PMCID: PMC9517885 DOI: 10.3390/ijerph191710902] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/31/2022] [Revised: 08/19/2022] [Accepted: 08/20/2022] [Indexed: 05/05/2023]
Abstract
In light of the current public health challenges, calls for more inter- and transdisciplinarity in the public health workforce are increasing, particularly to respond to complex and intersecting health challenges, such as those presented by the climate crisis, emerging infectious diseases, or military conflict. Although widely used, it is unclear how the concepts of multi-, inter-, and transdisciplinarity are applied with respect to the public health workforce. We conducted a scoping review and qualitative content analysis to provide an overview of how the concepts of multi-, inter-, and transdisciplinarity are defined and applied in the academic literature about the public health workforce. Of the 1957 records identified, 324 articles were included in the review. Of those, 193, 176, and 53 mentioned the concepts of multi-, inter-, and transdisciplinarity, respectively. Overall, 44 articles provided a definition. Whilst definitions of multidisciplinarity were scarce, definitions of inter- and transdisciplinarity were more common and richer, highlighting the aim of the collaboration and the blurring and dissolution of disciplinary boundaries. A better understanding of the application of multi-, inter-, and transdisciplinarity is an important step to implementing these concepts in practice, including in institutional structures, academic curricula, and approaches in tackling public health challenges.
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Affiliation(s)
- Kerstin Sell
- Institute of Medical Information Processing, Biometry, and Epidemiology, LMU Munich, Elisabeth-Winterhalter-Weg 6, 81377 Munich, Germany
- Pettenkofer School of Public Health, 81377 Munich, Germany
- German Network of Young Professionals in Public Health (NÖG), 80539 Munich, Germany
| | - Franziska Hommes
- German Network of Young Professionals in Public Health (NÖG), 80539 Munich, Germany
| | - Florian Fischer
- German Network of Young Professionals in Public Health (NÖG), 80539 Munich, Germany
- Institute of Public Health, Charité—Universitätsmedizin Berlin, Charitéplatz 1, 10117 Berlin, Germany
- Bavarian Research Center of Digital Health and Social Care, Kempten University of Applied Sciences, Albert-Einstein-Straße 6, 87437 Kempten, Germany
| | - Laura Arnold
- German Network of Young Professionals in Public Health (NÖG), 80539 Munich, Germany
- Academy of Public Health Services, Kanzlerstraße 4, 40472 Duesseldorf, Germany
- Department of International Health, Care and Public Health Research Institute—CAPHRI, Faculty of Health, Medicine and Life Sciences, Maastricht University, 6211 Maastricht, The Netherlands
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SAVADOGO M, RENMANS D, ALAMBEDJI RBADA, TARNAGDA Z, ANTOINE-MOUSSIAUX N. Using causal loop analysis to explore pathways for zoonosis control in low-income setting: the case of dog rabies vaccination in Burkina Faso. Prev Vet Med 2022; 203:105623. [DOI: 10.1016/j.prevetmed.2022.105623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2021] [Revised: 03/15/2022] [Accepted: 03/20/2022] [Indexed: 11/30/2022]
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Roopnarine RR, Boeren E. A Focus on Methodology: A Mixed-Methods Approach to Conduct a Comprehensive Evaluation of the Need for One Health Education for Medical and Veterinary Students in the Context of COVID-19. ENVIRONMENTAL HEALTH INSIGHTS 2022; 16:11786302221080826. [PMID: 35237047 PMCID: PMC8883371 DOI: 10.1177/11786302221080826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/12/2021] [Accepted: 01/24/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND The collaboration of health professionals across the interface of human, animal and environmental health, as embodied by the One Health concept (OH), is increasingly recognised as crucial for tackling diseases such as Ebola and COVID-19. This study was conducted prior to the COVID-19 pandemic, but in light of the current pandemic, the outcomes of this study highlight the need for educating Medical (MD) and Veterinary (DVM) students on the principles of OH. The purpose of this study was to determine the need for Interprofessional Education (IPE) initiatives that would familiarise MD and DVM students with the principles of OH, crucial to dissolving the siloes that have historically deterred collaboration. METHOD We used a sequential explanatory Methods Research (MMR) approach design to evaluate the readiness of 428 students consisting of MD, DVM and dual degree Master of Public Health (MPH) students (MD/MPH, DVM/MPH) for IPE, as well as to obtain faculty perspectives across these disciplines, on the need for curricula inclusion of IPE and OH. Two methods of data collection were employed: A survey and 2 focus groups interviews. RESULTS The use of an MMR approach allowed us to comprehensively evaluate the need for OH education through the lenses of the students and faculty using a joint display that facilitated data integration and evaluation. Overall, the dual degree students had the greatest readiness for IPE, and MD students the lowest level of readiness for shared learning. The dual degree students had the most accurate understanding of OH competencies that consider the impacts of climate change, food security, antimicrobial resistance, health policy formation and zoonoses occurrence on human health. Themes derived from the focus group interviews revealed that faculty perceived OH education as crucial for preparing MD and DVM students for practice. CONCLUSION The comprehensive assessment of the student and faculty perspectives, obtained using an MMR approach, illustrated that the incorporation of OH competencies within the MD and DVM curricula are crucial for preparing students for practice in the global environment. The dual degree pathway provides insight into how OH can be successfully incorporated within the curricula of these programmes.
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Affiliation(s)
- Rohini R Roopnarine
- Veterinary Public Health & Epidemiology, School of Veterinary Medicine, St. George’s University; Department of Public Health and Preventive Medicine, School of Medicine, St. George’s, Grenada, West Indies
| | - Ellen Boeren
- School of Education, University of Glasgow, Glasgow, UK
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Gomes BM, Rebelo CB, Alves de Sousa L. Public health, surveillance systems and preventive medicine in an interconnected world. One Health 2022. [DOI: 10.1016/b978-0-12-822794-7.00006-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Savadogo M, Zangré H, Nana SD, Ilboudo AK, Dahourou LD, Ilboudo SG, Simonis V, Sondo KA, Akakpo AJ, Tarnagda Z, Alambedji RB. Adoption of the One Health approach to improve zoonosis control in low-income countries: Insights from the case of rabies management in Burkina Faso. INTERNATIONAL JOURNAL OF ONE HEALTH 2021. [DOI: 10.14202/ijoh.2021.182-189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Background and Aim: Rabies is a neglected zoonotic disease transmissible to humans and domestic and wild animals through biting, scratching, or licking. This study aimed to analyze the adoption of the One Health approach by the stakeholders involved in rabies control in Burkina Faso.
Materials and Methods: The stakeholders involved in rabies control were from the Ministry of Livestock, Ministry of Health, Ministry of the Territory Administration, Ministry of Environment and Wildlife, and Ministry of Higher Education and Research. A structured questionnaire was used in face-to-face interviews to collect data from the stakeholders. The collected data included stakeholders' knowledge of rabies and the One Health approach and their levels of involvement in the multisectoral collaboration.
Results: Most participants could not describe rabies correctly (80%), and only 52.9% had heard of the One Health approach. In addition, there was no significant association between knowledge of rabies and participants' characteristics, and the knowledge of the One Health approach was significantly influenced by a participant's affiliation (place of work).
Conclusion: The results call for an increase in One Health education for its effective adoption by all the rabies control stakeholders. Additional efforts should focus on continual training of the One Health workforce, from policy-makers to frontline personnel.
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Affiliation(s)
- Madi Savadogo
- Laboratoire National de Référence-Grippes (LNR-G), Unité des Maladies à potentiel Epidémique-Maladies Emergentes et Zoonoses, Département de Biologie Médicale et Santé Publique, Institut de Recherche en Sciences de la Santé (IRSS/CNRST), P.O. Box 7047, Ouagadougou, Burkina Faso; Service de Microbiologie-Immunologie et Pathologies Infectieuses, Département de Santé Publique et Environnement, Ecole Inter-Etats des Sciences et Médecine Vétérinaires (EISMV), P.O. Box 5077, Dakar, Senegal
| | - Hamidou Zangré
- Service de Microbiologie-Immunologie et Pathologies Infectieuses, Département de Santé Publique et Environnement, Ecole Inter-Etats des Sciences et Médecine Vétérinaires (EISMV), P.O. Box 5077, Dakar, Senegal; Direction de la Santé Animale, Direction Générale des Services Vétérinaires, Ministère des Ressources Animales et Halieutiques, P.O. Box 7026, Ouagadougou, Burkina Faso
| | - Sougrenoma Désiré Nana
- Service de Microbiologie-Immunologie et Pathologies Infectieuses, Département de Santé Publique et Environnement, Ecole Inter-Etats des Sciences et Médecine Vétérinaires (EISMV), P.O. Box 5077, Dakar, Senegal; Université de Montpelier, Route de Mende, 34199 Montpelier, France
| | - Abdoul Kader Ilboudo
- Laboratoire National de Référence-Grippes (LNR-G), Unité des Maladies à potentiel Epidémique-Maladies Emergentes et Zoonoses, Département de Biologie Médicale et Santé Publique, Institut de Recherche en Sciences de la Santé (IRSS/CNRST), P.O. Box 7047, Ouagadougou, Burkina Faso
| | - Laibané Dieudonné Dahourou
- Institut des Sciences de l'Environnement et du Développement Rural (ISEDR), Université de Dédougou, P.O. Box 176, Dédougou, Burkina Faso
| | - Sidwatta Guy Ilboudo
- International Livestock Research Institute, P.O. Box 1496, Ouagadougou, Burkina Faso
| | - Virginie Simonis
- Unité de Recherche Soins primaires et Santé, Département de Médecine Générale, Université de Liège, Quartier Hôpital avenue Hippocrate 13, 4000 Liège 1, Belgique
| | - Kongnimissom Apoline Sondo
- Unité de Formation et de Recherche en Sciences de la Santé (UFR/SDS), Université Joseph Ki-Zerbo, P.O Box 7021, Ouagadougou, Burkina Faso; Service des Maladies Infectieuses, Centre Hospitalier Universitaire Yalgado Ouedraogo, P.O Box 5234, Ouagadougou, Burkina Faso
| | - Ayayi Justin Akakpo
- Service de Microbiologie-Immunologie et Pathologies Infectieuses, Département de Santé Publique et Environnement, Ecole Inter-Etats des Sciences et Médecine Vétérinaires (EISMV), P.O. Box 5077, Dakar, Senegal
| | - Zékiba Tarnagda
- Laboratoire National de Référence-Grippes (LNR-G), Unité des Maladies à potentiel Epidémique-Maladies Emergentes et Zoonoses, Département de Biologie Médicale et Santé Publique, Institut de Recherche en Sciences de la Santé (IRSS/CNRST), P.O. Box 7047, Ouagadougou, Burkina Faso
| | - Rianatou Bada Alambedji
- Service de Microbiologie-Immunologie et Pathologies Infectieuses, Département de Santé Publique et Environnement, Ecole Inter-Etats des Sciences et Médecine Vétérinaires (EISMV), P.O. Box 5077, Dakar, Senegal
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Saadi A, Antoine-Moussiaux N, Marcotty T, Thys S, Sahibi H. Using qualitative approaches to explore the challenges of integrated programmes for zoonosis control in developing countries: Example of hydatidosis control in Morocco. Zoonoses Public Health 2021; 68:393-401. [PMID: 33554481 DOI: 10.1111/zph.12814] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2020] [Revised: 01/11/2021] [Accepted: 01/25/2021] [Indexed: 11/30/2022]
Abstract
Cystic echinococcosis, rabies and bovine tuberculosis are major neglected zoonoses in many developing countries, including Morocco. A common step in their control strategies is the management of slaughterhouses and/or the control of dog populations. This study used a qualitative approach to identify the barriers to the implementation of the cystic echinococcosis control programme in Morocco that focused on slaughterhouses and dog control. This approach could be used to understand the causes leading to the defective management of other zoonoses, and to go beyond the often-invoked 'lack of means' reason to explain failure in disease control in the Global South. Specifically, slaughterhouse observation and in-depth individual interviews with stakeholders involved in the cystic echinococcosis control programme were carried out in five Moroccan regions (Rabat-Sale-Kenitra, Mellal-Khenifra, Sous-Masaa, Laayoune-Sakia El Hamra and Guelmim-Oued Noun) for 3 years (from 2014 to 2016). Interviews (n = 81) were with agents responsible of the services managing slaughterhouses and dog population control, and also with slaughterers. Recordings were fully transcribed and narratives were analysed with the RQDA package and the R software. Triangulations and the criteria proposed by Guba and Lincon were used to assess the approach validity. This analysis revealed that in addition to 'lack of means', zoonosis control programmes can be hindered by overlapping authority/functions among the involved authorities, conflicts of interest, lack of proper training and professional practices. Zoonosis control requires the commitment of all structures, the establishment of a national and inter-regional strategy, and the updating of the legislative arsenal.
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Affiliation(s)
- Aouatif Saadi
- Fundamental and Applied Research for Animals and Health (FARAH), University of Liege, Liege, Belgium.,Department of Pathology and Veterinary Public Health, Parasitological Unit, Agronomic and Veterinary Institute Hassan II, Rabat, Morocco
| | - Nicolas Antoine-Moussiaux
- Fundamental and Applied Research for Animals and Health (FARAH), University of Liege, Liege, Belgium
| | - Tanguy Marcotty
- Integrated Veterinary Research Unit, Department of Veterinary Medicine, University of Namur, Namur, Belgium
| | - Séverine Thys
- Faculty of Medicine and Health Sciences, Department of Vaccinology, University of Antwerp, Antwerp, Belgium
| | - Hamid Sahibi
- Department of Pathology and Veterinary Public Health, Parasitological Unit, Agronomic and Veterinary Institute Hassan II, Rabat, Morocco
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De Garine-Wichatitsky M, Binot A, Ward J, Caron A, Perrotton A, Ross H, Tran Quoc H, Valls-Fox H, Gordon IJ, Promburom P, Ancog R, Anthony Kock R, Morand S, Chevalier V, Allen W, Phimpraphai W, Duboz R, Echaubard P. "Health in" and "Health of" Social-Ecological Systems: A Practical Framework for the Management of Healthy and Resilient Agricultural and Natural Ecosystems. Front Public Health 2021; 8:616328. [PMID: 33585387 PMCID: PMC7876377 DOI: 10.3389/fpubh.2020.616328] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2020] [Accepted: 12/02/2020] [Indexed: 01/07/2023] Open
Abstract
The past two decades have seen an accumulation of theoretical and empirical evidence for the interlinkages between human health and well-being, biodiversity and ecosystem services, and agriculture. The COVID-19 pandemic has highlighted the devastating impacts that an emerging pathogen, of animal origin, can have on human societies and economies. A number of scholars have called for the wider adoption of “One Health integrated approaches” to better prevent, and respond to, the threats of emerging zoonotic diseases. However, there are theoretical and practical challenges that have precluded the full development and practical implementation of this approach. Whilst integrated approaches to health are increasingly adopting a social-ecological system framework (SES), the lack of clarity in framing the key concept of resilience in health contexts remains a major barrier to its implementation by scientists and practitioners. We propose an operational framework, based on a transdisciplinary definition of Socio-Ecological System Health (SESH) that explicitly links health and ecosystem management with the resilience of SES, and the adaptive capacity of the actors and agents within SES, to prevent and cope with emerging health and environmental risks. We focus on agricultural transitions that play a critical role in disease emergence and biodiversity conservation, to illustrate the proposed participatory framework to frame and co-design SESH interventions. Finally, we highlight critical changes that are needed from researchers, policy makers and donors, in order to engage communities and other stakeholders involved in the management of their own health and that of the underpinning ecosystems.
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Affiliation(s)
- Michel De Garine-Wichatitsky
- Animals, health, Territories, Risks and Ecosystem (ASTRE), University of Montpellier, Agricultural research for Development (CIRAD), National Research Institute for Agriculture, Food and the Environment (INRAE), Montpellier, France.,Agricultural research for Development (CIRAD), UMR ASTRE, Bangkok, Thailand.,Faculty of Veterinary Medicine, Kasetsart University, Bangkok, Thailand
| | - Aurélie Binot
- Animals, health, Territories, Risks and Ecosystem (ASTRE), University of Montpellier, Agricultural research for Development (CIRAD), National Research Institute for Agriculture, Food and the Environment (INRAE), Montpellier, France
| | - John Ward
- Mekong Region Futures Institute, Bangkok, Thailand
| | - Alexandre Caron
- Animals, health, Territories, Risks and Ecosystem (ASTRE), University of Montpellier, Agricultural research for Development (CIRAD), National Research Institute for Agriculture, Food and the Environment (INRAE), Montpellier, France.,Universidad E. Mondlane, Maputo, Mozambique
| | - Arthur Perrotton
- Stockholm Resilience Center, Stockholm University, Stockholm, Sweden.,UMR Eco&Sols, IRD, Agricultural Research for Development (CIRAD), Montpellier, France
| | - Helen Ross
- School of Agriculture and Food Sciences, The University of Queensland, Brisbane, QLD, Australia
| | - Hoa Tran Quoc
- Agricultural Research for Development (CIRAD), Research unit Fonctionnement écologique et gestion durable des agrosystèmes bananiers et ananas (GECO), Vientiane, Laos
| | - Hugo Valls-Fox
- Agricultural Research for Development (CIRAD), Research Unit Systèmes d'élevage méditerranéens et tropicaux (SELMET), PPZS, Dakar, Sénégal.,Research Unit Systèmes d'élevage méditerranéens et tropicaux (SELMET), Univ Montpellier, Agricultural Research for Development (CIRAD), National Research Institute for Agriculture, Food and the Environment (INRAE), Institut Agro, Montpellier, France
| | - Iain J Gordon
- Fenner School of Environment and Society, The Australian National University, Canberra, ACT, Australia.,James Hutton Institute, Aberdeen, United Kingdom.,Central Queensland University, Townsville, QLD, Australia.,Land and Water, Commonwealth Scientific and Industrial Research Organisation (CSIRO), Townsville, QLD, Australia
| | - Panomsak Promburom
- Center for Agricultural Resource System Research Chiang Mai University, Chiang Mai, Thailand
| | - Rico Ancog
- School of Environmental Science and Management, University of the Philippines Los Baños, Philippines
| | - Richard Anthony Kock
- Department of Pathobiology and Population Sciences, Royal Veterinary College, London, United Kingdom
| | - Serge Morand
- Animals, health, Territories, Risks and Ecosystem (ASTRE), University of Montpellier, Agricultural research for Development (CIRAD), National Research Institute for Agriculture, Food and the Environment (INRAE), Montpellier, France.,Centre national de la recherche scientifique (CNRS), Institut des Sciences de l'Evolution de Montpellier (ISEM), Faculty of Veterinary Technology, Kasetsart University, Bangkok, Thailand
| | - Véronique Chevalier
- Animals, health, Territories, Risks and Ecosystem (ASTRE), University of Montpellier, Agricultural research for Development (CIRAD), National Research Institute for Agriculture, Food and the Environment (INRAE), Montpellier, France.,Epidemiology Unit, Institut Pasteur du Cambodge, Phnom Penh, Cambodia
| | - Will Allen
- Learning for Sustainability, Christchurch, New Zealand
| | | | - Raphaël Duboz
- Animals, health, Territories, Risks and Ecosystem (ASTRE), University of Montpellier, Agricultural research for Development (CIRAD), National Research Institute for Agriculture, Food and the Environment (INRAE), Montpellier, France.,Sorbonne Université, IRD, UMMISCO, Bondy, France
| | - Pierre Echaubard
- School of Oriental and African Studies (SOAS), University of London, London, United Kingdom
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Saadi A, Sahibi H, Thys S, Marcotty T, Filali H, Amarir F, Rhalem A, Kirschvink N, Antoine-Moussiaux N. Stakeholder analysis to improve the national control program of cystic echinococcosis in Morocco. Prev Vet Med 2021; 186:105227. [DOI: 10.1016/j.prevetmed.2020.105227] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2020] [Revised: 11/25/2020] [Accepted: 11/27/2020] [Indexed: 11/25/2022]
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Steele SG, Booy R, Manocha R, Mor SM, Toribio JALML. Towards One Health clinical management of zoonoses: A parallel survey of Australian general medical practitioners and veterinarians. Zoonoses Public Health 2020; 68:88-102. [PMID: 33382160 PMCID: PMC7986233 DOI: 10.1111/zph.12799] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2020] [Revised: 10/18/2020] [Accepted: 11/28/2020] [Indexed: 12/11/2022]
Abstract
General medical practitioners (GPs) and veterinarians have different but complementary knowledge and skills, with potential to enhance clinical management of zoonoses in human and animal patients through taking a One Health approach that promotes cross‐professional collaboration. Ability and willingness to engage within this framework is contingent on knowledge of endemic zoonoses and an understanding of the diversity of professional roles; however, previous research suggests that this is lacking. A unique parallel survey of Australian GPs and veterinarians was implemented to ascertain clinician experience, concern, confidence and current practices regarding zoonoses management as well as willingness to engage in cross‐professional collaboration where it is beneficial to overall health outcomes. Responses from 528 GPs and 605 veterinarians were analysed. Veterinarians in clinical practice were found to more frequently diagnose zoonoses; have greater concern about zoonoses; be more confident in diagnosing, managing and giving advice about the prevention of zoonoses; more likely to give advice about managing the risk of zoonoses; and more likely to initiate cross‐professional referral compared to GPs (p < .001 in all areas, adjusted for other factors). The findings of this study indicate a need for change in both clinical and continuing professional education, especially for GPs, in order to better equip them in the area of zoonoses management. Exploration of pathways to encourage and facilitate cross‐professional referral and collaboration will further improve clinical outcomes for both human and animal patients.
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Affiliation(s)
- Sandra G Steele
- Faculty of Science, Sydney School of Veterinary Science, The University of Sydney, Sydney, NSW, Australia
| | - Robert Booy
- National Centre for Immunisation Research and Surveillance, Children's Hospital at Westmead, Sydney, NSW, Australia.,Faculty of Medicine and Health, School of Medicine, The University of Sydney, Sydney, NSW, Australia
| | | | - Siobhan M Mor
- Faculty of Science, Sydney School of Veterinary Science, The University of Sydney, Sydney, NSW, Australia.,Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Merseyside, UK
| | - Jenny-Ann L M L Toribio
- Faculty of Science, Sydney School of Veterinary Science, The University of Sydney, Sydney, NSW, Australia
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12
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Franco-Martínez L, Martínez-Subiela S, Cerón JJ, Bernal LJ, Tecles F, Tvarijonaviciute A. Teaching the basics of the One Health concept to undergraduate veterinary students. Res Vet Sci 2020; 133:219-225. [PMID: 33022585 DOI: 10.1016/j.rvsc.2020.09.022] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2020] [Revised: 09/21/2020] [Accepted: 09/22/2020] [Indexed: 11/25/2022]
Abstract
The increasingly acknowledged "One Word, One Health" (OH) concept studies the collaborative multi-disciplinary approaches for the assessment of human and animal health and the environment. This study provides information about a module of activities created to teach the OH concept to undergraduate veterinary students. The module consisted of three different activities: theoretical classes, teamwork for the preparation of different concepts and practical examples related to OH, and public presentations of the students of these practical cases. This module was evaluated by two questionnaires' consisting of online surveys, which were filled in before (questionnaire 1, Q1) and after (questionnaire 2, Q2) the module about OH. Before the course, 80% of students recognized to have a poor or very poor knowledge about OH, and a 71% failed to include the three main items of the OH concept (humans, animals and environment) in their answers. After the course, the general knowledge about OH was improved and most students evaluated the course positively, although the lack of time and the high number of students per group were pointed out as the main drawbacks. In conclusion, the module of activities described in this report contributed to the increase of OH knowledge by veterinary students and could be a resource for future advances to improve the teaching of the OH concept in the curricula at University level in Veterinary and other Degrees related with OH.
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Affiliation(s)
- Lorena Franco-Martínez
- Interdisciplinary Laboratory of Clinical Pathology, Interlab-UMU, University of Murcia, 30100 Murcia, Spain
| | - Silvia Martínez-Subiela
- Interdisciplinary Laboratory of Clinical Pathology, Interlab-UMU, University of Murcia, 30100 Murcia, Spain.
| | - José J Cerón
- Interdisciplinary Laboratory of Clinical Pathology, Interlab-UMU, University of Murcia, 30100 Murcia, Spain
| | - Luis J Bernal
- Interdisciplinary Laboratory of Clinical Pathology, Interlab-UMU, University of Murcia, 30100 Murcia, Spain
| | - Fernando Tecles
- Interdisciplinary Laboratory of Clinical Pathology, Interlab-UMU, University of Murcia, 30100 Murcia, Spain
| | - Asta Tvarijonaviciute
- Interdisciplinary Laboratory of Clinical Pathology, Interlab-UMU, University of Murcia, 30100 Murcia, Spain
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13
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Buregyeya E, Atusingwize E, Nsamba P, Musoke D, Naigaga I, Kabasa JD, Amuguni H, Bazeyo W. Operationalizing the One Health Approach in Uganda: Challenges and Opportunities. J Epidemiol Glob Health 2020; 10:250-257. [PMID: 33009732 PMCID: PMC7758849 DOI: 10.2991/jegh.k.200825.001] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2020] [Accepted: 07/14/2020] [Indexed: 02/01/2023] Open
Abstract
Uganda is considered as a ‘hot spot’ for emerging and re-emerging infectious disease epidemics. The country has experienced several epidemics including; Ebola, Marburg, plague, Rift Valley fever, yellow fever and Crimean Congo haemorrhagic fever. Epidemics overwhelm health systems, devastate economies and cause global health insecurity. These public health challenges arising from the interaction of humans-animals-environment link require a holistic approach referred to as One Health (OH). OH is the collaborative effort of multiple disciplines working locally, nationally, and globally, to attain optimal health for people, animals, and the environment. Given its situation, Uganda has embraced the OH approach in order to be able to predict, prepare and respond to these public health challenges effectively, though still in infancy stages. In this paper, we present major achievements and challenges of OH implementation, and make recommendations for systematic and sustainable OH implementation. Achievements include: formation of the National One Health (NOH) platform with a Memorandum of Understanding between sectors; a national priority list of zoonotic diseases, the NOH Strategic Plan and a One Health communication strategy to strengthen engagement across sectors and stakeholders. There have also been efforts to integrate OH in academia. The challenges are related to inadequate; coordination across sectors, government commitment, advocacy and awareness creation and research. For systematic and sustainable OH engagements, urgent efforts should be made through government support to address current and related future challenges.
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Affiliation(s)
- Esther Buregyeya
- Disease Control and Environmental Health, Makerere University School of Public Health, Uganda
| | - Edwinah Atusingwize
- Disease Control and Environmental Health, Makerere University School of Public Health, Uganda
| | - Peninah Nsamba
- Department of Biotechnology and Diagnostic Sciences, Makerere University College of Veterinary Medicine, Animal Resources and Biosecurity, Kampala, Uganda
| | - David Musoke
- Disease Control and Environmental Health, Makerere University School of Public Health, Uganda
| | - Irene Naigaga
- Department of Biotechnology and Diagnostic Sciences, Makerere University College of Veterinary Medicine, Animal Resources and Biosecurity, Kampala, Uganda.,One Health Central and Eastern Africa (OHCEA), Kampala, Uganda
| | - John David Kabasa
- Department of Biotechnology and Diagnostic Sciences, Makerere University College of Veterinary Medicine, Animal Resources and Biosecurity, Kampala, Uganda.,One Health Central and Eastern Africa (OHCEA), Kampala, Uganda
| | - Hellen Amuguni
- Department of Infectious Disease and Global Health, Tufts University, Cummings School of Veterinary Medicine, 200 Westboro Road, North Grafton, USA
| | - William Bazeyo
- Disease Control and Environmental Health, Makerere University School of Public Health, Uganda.,One Health Central and Eastern Africa (OHCEA), Kampala, Uganda
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14
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Enhancing Preparedness for Arbovirus Infections with a One Health Approach: The Development and Implementation of Multisectoral Risk Assessment Exercises. BIOMED RESEARCH INTERNATIONAL 2020; 2020:4832360. [PMID: 32382554 PMCID: PMC7191441 DOI: 10.1155/2020/4832360] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/24/2019] [Accepted: 01/10/2020] [Indexed: 01/25/2023]
Abstract
Background One Health is receiving attention for arbovirus infection prevention and control and for defining national “intersectoral” priorities. Increasing awareness of intersectoral priorities through multisectorial risk assessments (MRA) is promising, where data are not systematically shared between sectors. Towards this aim, the MediLabSecure project organized three MRA exercises (hereby called exercises): one on West Nile virus, one on Crimean–Congo haemorrhagic fever, and one on Rift Valley fever, assessing the added value of this approach. Methods The exercises relied on RA methodologies of international organisations. Country representatives of the human and animal virology, medical entomology, and public health sectors (hereby called “sectors”) involved in the surveillance of vector-borne diseases participated in the exercises. Background documentation was provided before each exercise, and a guide was developed for the facilitators. All three exercises included technical and methodological presentations and a guided RA directed at bringing into play the different sectors involved. To assess the added value of the approach, each participant was asked to rank the level of perceived benefit of the multisectoral collaboration for each “risk question” included in the exercises. Results In total, 195 participants from 19 non-EU countries in the Mediterranean and Black Sea regions took part in the exercises. The participants assessed the multisectoral approach as valuable in analysing comprehensively the situation by having access to information and knowledge provided by each of the sectors involved. Sharing of information and discussion facilitated reaching a consensus on the level of risk in each country. Conclusions Increasing awareness of intersectoral priorities, including cross-border ones, through MRA is relevant to reduce gaps due to unavailability of shared data and information. Given that six out of the ten threats to global health listed by WHO are occurring at the human-animal-environmental interfaces, comprehensive regional RA with a One Health approach made by national authorities can be a relevant added value for the global health security.
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15
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Fischer K, Schulz K, Chenais E. "Can we agree on that"? Plurality, power and language in participatory research. Prev Vet Med 2020; 180:104991. [PMID: 32422475 DOI: 10.1016/j.prevetmed.2020.104991] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2019] [Revised: 03/03/2020] [Accepted: 04/03/2020] [Indexed: 10/24/2022]
Abstract
Participatory epidemiology (PE) is a method that gathers data from groups through focus group interviews and participatory visual and scoring exercises. The method is often used in poor communities in low-income countries where it is hard to obtain conventional epidemiological data. This paper draws on research on the public sphere and democratic deliberation, along with research on language and interpretation, to suggest how PE research could be better equipped to account for diversity in local knowledge, include minority views and acknowledge power dynamics. These aspects are discussed under the three themes of 'plurality', 'power' and 'language'. A review of highly-cited PE literature suggests that PE research engages with plurality and power to a very limited extent, and only marginally more so with language and translation. Examples are taken from the authors' own PE research on African swine fever in -Uganda, classical swine fever in Germany, peste des petits ruminants (PPR) in Eastern Europe, and Ugandan pastoralists' understanding of cattle disease to provide more detail as to why conventional PE studies might fail to record issues of plurality, power and language, and also to suggest how this can be addressed. With reference to the literature on the public sphere and democratic deliberation, and on language and interpretation, this paper concludes with some suggestions as to how to take plurality, power and language into greater consideration in PE studies in future, thus improving the validity and reliability of PE data.
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Affiliation(s)
- Klara Fischer
- Department of Urban and Rural Development, Swedish University of Agricultural Sciences, Box 7012, 75007 Uppsala, Sweden.
| | - Katja Schulz
- Institute for Epidemiology, Friedrich-Loeffler-Insitut, Südufer 10, 17493 Greifswald - Insel Riems, Germany.
| | - Erika Chenais
- Department of Disease Control and Epidemiology, National Veterinary Institute, SVA, 751 89, Uppsala, Sweden.
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16
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Amarir FE, Saadi A, Marcotty T, Rhalem A, Oukessou M, Sahibi H, Obtel M, Bouslikhane M, Sadak A, Kirschvink N. Cystic Echinococcosis in Three Locations in the Middle Atlas, Morocco: Estimation of the Infection Rate in the Dog Reservoir. Vector Borne Zoonotic Dis 2020; 20:436-443. [PMID: 32077790 DOI: 10.1089/vbz.2019.2538] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
A longitudinal study was carried out in Middle atlas, Morocco (locality of Had Oued Ifrane) in a population of 255 dogs from three localities, including two categories of dogs (owned and stray dogs). The dogs were investigated three times over a period ranging from 4 to 8 months between December and August. At each investigation, dogs were treated with arecoline, inducing defecation and allowing feces collection. Dogs were further treated with praziquantel to clear them from Echinococcus granulosus. Microscopic examination of feces was performed to assess the infection status of dogs at each investigation, and positive samples underwent copro-PCR to determine the circulating strain of E. granulosus. A high prevalence of infestation ranging from 23.5% to 38.8% and from 51.3% to 68.5% was, respectively, found in owned and in stray dogs. The PCR results revealed the presence of G1 strain in all positive samples. A logistic regression model was used to determine the incidence of infestation and showed that stray dogs underwent a significantly higher risk of infection (odds ratio = 14; 95% confidence interval: 6-30; p < 0.001) compared with owned dogs. Only anthelmintic treatment intervals of 2 months efficiently prevented egg shedding in owned and stray dogs. The seasonal effect was also significant, with the highest risk of reinfestation in winter and the lowest risk in summer. This study confirms that stray dogs undergo an increased risk of infestation by E. granulosus and indicate that infective pressure is influenced by season.
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Affiliation(s)
- Fatima Ezzahra Amarir
- Laboratory of Parasitology, Department of Pathology and Veterinary Public Health, Hassan II Agronomy and Veterinary Institute (IAV), Rabat, Morocco.,Integrated Veterinary Research Unit, Department of Veterinary Medicine, Namur Research Institute for Life Sciences (NARILIS), University of Namur, Belgium
| | - Aouatif Saadi
- Laboratory of Parasitology, Department of Pathology and Veterinary Public Health, Hassan II Agronomy and Veterinary Institute (IAV), Rabat, Morocco.,Fundamental and Applied Research for Animals and Health (FARAH), University of Liège, Liège, Belgium
| | - Tanguy Marcotty
- Integrated Veterinary Research Unit, Department of Veterinary Medicine, Namur Research Institute for Life Sciences (NARILIS), University of Namur, Belgium
| | - Abdelkbir Rhalem
- Laboratory of Parasitology, Department of Pathology and Veterinary Public Health, Hassan II Agronomy and Veterinary Institute (IAV), Rabat, Morocco
| | - Mohamed Oukessou
- Unit of Physiology and Therapeutics, Department of Veterinary Biological and Pharmaceutical Sciences, Hassan II Agronomic and Veterinary Institute, Rabat, Morocco
| | - Hamid Sahibi
- Laboratory of Parasitology, Department of Pathology and Veterinary Public Health, Hassan II Agronomy and Veterinary Institute (IAV), Rabat, Morocco
| | - Majdouline Obtel
- Laboratory of Community Health, Preventive Medicine and Hygiene; Laboratory of Epidemiology and Clinical Research, Department of Public Health, Faculty of Medicine and Pharmacy, University Mohammed V, Rabat, Morocco
| | - Mohammed Bouslikhane
- Laboratory of Parasitology, Department of Pathology and Veterinary Public Health, Hassan II Agronomy and Veterinary Institute (IAV), Rabat, Morocco
| | - Abderrahim Sadak
- Laboratory of Zoology and General Biology, Parasitological and Ecological Unit, Faculty of Sciences, Mohammed V University, Rabat, Morocco
| | - Nathalie Kirschvink
- Integrated Veterinary Research Unit, Department of Veterinary Medicine, Namur Research Institute for Life Sciences (NARILIS), University of Namur, Belgium
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17
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Steele SG, Toribio JA, Booy R, Mor SM. What makes an effective One Health clinical practitioner? Opinions of Australian One Health experts. One Health 2019; 8:100108. [PMID: 31720358 PMCID: PMC6838466 DOI: 10.1016/j.onehlt.2019.100108] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2019] [Revised: 09/24/2019] [Accepted: 09/30/2019] [Indexed: 12/22/2022] Open
Abstract
Despite agreement that One Health practices facilitate effective management of zoonoses, the pathways to a coordinated and collaborative approach by general medical practitioners (GPs) and veterinarians are hampered by limited understanding of how this can be practically incorporated in routine clinical settings. Data collected during a Delphi survey of Australian One Health ‘experts’ was used to explore opinions and insights into desired knowledge, attitudes and practices of effective One Health clinical practitioners. Five categories were identified as essential for GPs and veterinarians, namely: accurate baseline knowledge of specific zoonoses; a ‘big picture’ understanding of zoonoses; understanding of professional roles within the One Health paradigm; understanding one's own professional limitations; and collaboration and referral improve outcomes. An outline of the roles and responsibilities of GPs and veterinarians as effective One Health clinicians was determined based on the opinions of the expert panel. Educational interventions that foster interprofessional communication and collaboration will be necessary to successfully bring about the cultural change required to achieve effective One Health practice in Australia, and thus expedite improved human, animal and environmental health outcomes. Experts identified five essential categories required by general medical practitioners and veterinarians. Cross professional collaboration was seen as a hallmark of effective One Health practice. Specific roles were identified for GPs and veterinarians with regard to zoonoses management Significant cultural change is required to successfully facilitate effective One Health practice at a clinical level
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Affiliation(s)
- Sandra G Steele
- The University of Sydney, Faculty of Science, School of Veterinary Science, NSW 2006, Australia
| | - Jenny-Ann Toribio
- The University of Sydney, Faculty of Science, School of Veterinary Science, NSW 2006, Australia
| | - Robert Booy
- The University of Sydney, Faculty of Medicine and Health, School of Medicine, NSW 2006, Australia.,National Centre for Immunisation Research and Surveillance, Children's Hospital at Westmead, Sydney, Australia
| | - Siobhan M Mor
- The University of Sydney, Faculty of Science, School of Veterinary Science, NSW 2006, Australia.,University of Liverpool, Institute of Infection and Global Health, Merseyside L3 5RF, United Kingdom
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18
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Beliefs, Attitudes and Self-Efficacy of Australian Veterinary Students Regarding One Health and Zoonosis Management. Animals (Basel) 2019; 9:ani9080544. [PMID: 31405166 PMCID: PMC6719076 DOI: 10.3390/ani9080544] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2019] [Revised: 08/06/2019] [Accepted: 08/07/2019] [Indexed: 12/31/2022] Open
Abstract
Simple Summary The One Health approach provides a model for educating students, trainees and professionals in a systems approach to providing improved patient care and promoting healthy environments that benefit all species. In the present study, we designed an online survey that was communicated to senior veterinary students in a number of Australian veterinary schools. The survey evaluated the willingness of future veterinary graduates to participate positively in zoonoses (diseases transmitted between animals and humans) management through the adoption of the One Health approach in their future career. All respondents were willing to assist physicians in the management of zoonotic cases involving both patients and clients. The veterinary students were equally concerned about ensuring the best care for both animals (patients) and humans (clients). Our results demonstrate that there is strong support for future Australian veterinarians in the field of One Health. Abstract This study aimed to explore the beliefs and attitudes of a group of senior veterinary students regarding One Health and to evaluate their levels of confidence in advising the general public on preventative health issues at the human–animal interface. An online survey was communicated to senior veterinary students who were in their last two years of study. The questionnaire covered beliefs and attitudes, issues concerning the animal–human interface and participants’ confidence in diagnosing zoonoses. In total, 175 students from five Australian veterinary schools/colleges completed the online survey. The majority (96%) of students considered it their duty to promote the One Health approach, but only 36% believed there were sufficient practical frameworks for Australian veterinarian graduates to promote One Health. Interestingly, 81% (142/175) of respondents believed that veterinarians were more knowledgeable than physicians in managing zoonotic cases. Of the final-year students (n = 77), only 39% and 36% were confident in their ability to diagnose zoonoses in common companion animals and production animals, respectively. However, the number of those confident to diagnose zoonoses transmitted from wildlife was notably lower (22% (17/77)). Next-generation Australian veterinarians are keen to embrace their role in interprofessional collaboration; however, training efforts are required to reassure future veterinarians on aspects of zoonoses and One Health.
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19
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Yasobant S, Bruchhausen W, Saxena D, Falkenberg T. One health collaboration for a resilient health system in India: Learnings from global initiatives. One Health 2019; 8:100096. [PMID: 31304229 PMCID: PMC6606562 DOI: 10.1016/j.onehlt.2019.100096] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2019] [Revised: 06/07/2019] [Accepted: 06/08/2019] [Indexed: 01/24/2023] Open
Abstract
Inter-sectoral collaborations are now recognized as key importance for health system strengthening and health system integration, globally; however, its application in the domain of One Health remains unclear. Over time, as the complexity of the health system has increased within the domain of One Health approach, there is an urgent need for developing collaboration for successful implementation of the One Health. This review focuses on the global One Health collaboration strategies and discusses which type of collaboration might work for the health system of India. We conducted a review in the following three steps: identification of key One Health Collaboration strategies, documentation of the global initiatives and scoping into the initiatives of India in the domain of One Health. We found three major types of collaborations discussed in the One Health literature: level-based collaboration (individual, population or research), solution-based collaboration, and third-party-based collaboration. Twenty-five key global and six Indian One Health initiatives or collaboration strategies are documented in the present review. Although, many initiatives are being undertaken globally for disease prevention and control from the viewpoint of One Health; however, in India, solution-based approaches during emergencies and outbreaks and some sort of level-based collaborations are in place. It is high time to develop a sustainable level-based collaboration integrated with third-party based collaboration within the larger domain of One Health for a resilient health system.
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Affiliation(s)
- Sandul Yasobant
- Center for Development Research (ZEF), University of Bonn, Germany.,Faculty of Medicine, University of Bonn, Germany
| | - Walter Bruchhausen
- Center for Development Research (ZEF), University of Bonn, Germany.,Institute of History and Ethics of Medicine, University of Cologne, Germany
| | - Deepak Saxena
- Indian Institute of Public Health Gandhinagar, Gujarat, India
| | - Timo Falkenberg
- Center for Development Research (ZEF), University of Bonn, Germany.,GeoHealth Centre, Institute for Hygiene and Public Health, University of Bonn, Germany
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20
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Dente MG, Riccardo F, Bolici F, Colella NA, Jovanovic V, Drakulovic M, Vasic M, Mamlouk H, Maazaoui L, Bejaoui M, Zakhashvili K, Kalandadze I, Imnadze P, Declich S. Implementation of the One Health approach to fight arbovirus infections in the Mediterranean and Black Sea Region: Assessing integrated surveillance in Serbia, Tunisia and Georgia. Zoonoses Public Health 2019; 66:276-287. [PMID: 30724030 PMCID: PMC6850493 DOI: 10.1111/zph.12562] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2018] [Revised: 09/21/2018] [Accepted: 12/06/2018] [Indexed: 12/17/2022]
Abstract
Background In the Mediterranean and Black Sea Region, arbovirus infections are emerging infectious diseases. Their surveillance can benefit from one health inter‐sectoral collaboration; however, no standardized methodology exists to study One Health surveillance. Methods We designed a situation analysis study to document how integration of laboratory/clinical human, animal and entomological surveillance of arboviruses was being implemented in the Region. We applied a framework designed to assess three levels of integration: policy/institutional, data collection/data analysis and dissemination. We tested the use of Business Process Modelling Notation (BPMN) to graphically present evidence of inter‐sectoral integration. Results Serbia, Tunisia and Georgia participated in the study. West Nile Virus surveillance was analysed in Serbia and Tunisia, Crimea‐Congo Haemorrhagic Fever surveillance in Georgia. Our framework enabled a standardized analysis of One Health surveillance integration, and BPMN was easily understandable and conducive to detailed discussions among different actors/institutions. In all countries, we observed integration across sectors and levels except in data collection and data analysis. Data collection was interoperable only in Georgia without integrated analysis. In all countries, surveillance was mainly oriented towards outbreak response, triggered by an index human case. Discussion The three surveillance systems we observed prove that integrated surveillance can be operationalized with a diverse spectrum of options. However, in all countries, the integrated use of data for early warning and inter‐sectoral priority setting is pioneeristic. We also noted that early warning before human case occurrence is recurrently not operationally prioritized.
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Affiliation(s)
| | | | | | | | - Verica Jovanovic
- Institute of Public Health "Dr Milan Jovanović Batut", Belgrade, Serbia
| | - Mitra Drakulovic
- Institute of Public Health "Dr Milan Jovanović Batut", Belgrade, Serbia
| | - Milena Vasic
- Institute of Public Health "Dr Milan Jovanović Batut", Belgrade, Serbia
| | - Habiba Mamlouk
- Ministère de la Santé Publique/Direction des soins de santé de base, Tunis, Tunisia
| | - Latifa Maazaoui
- Ministère de la Santé Publique/Direction des soins de santé de base, Tunis, Tunisia
| | - Mondher Bejaoui
- Ministère de la Santé Publique/Direction des soins de santé de base, Tunis, Tunisia
| | | | - Irine Kalandadze
- National Center for Disease Control and Public Health, Tbilisi, Georgia
| | - Paata Imnadze
- National Center for Disease Control and Public Health, Tbilisi, Georgia
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21
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Thys S, Sahibi H, Gabriël S, Rahali T, Lefèvre P, Rhalem A, Marcotty T, Boelaert M, Dorny P. Community perception and knowledge of cystic echinococcosis in the High Atlas Mountains, Morocco. BMC Public Health 2019; 19:118. [PMID: 30691432 PMCID: PMC6350308 DOI: 10.1186/s12889-018-6372-y] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2018] [Accepted: 12/27/2018] [Indexed: 11/13/2022] Open
Abstract
Background Cystic echinococcosis (CE), a neglected zoonosis caused by the larval stage of the tapeworm Echinococcus granulosus, remains a public health issue in many developing countries that practice extensive sheep breeding. Control of CE is difficult and requires a community-based integrated approach. We assessed the communities’ knowledge and perception of CE, its animal hosts, and its control in a CE endemic area of the High Atlas Mountains, Morocco. Methods We conducted twenty focus group discussions (FGDs) stratified by gender with villagers, butchers and students in ten Berber villages that were purposefully selected for their CE prevalence. Results This community considers CE to be a severe and relatively common disease in humans and animals but has a poor understanding of the parasite’s life cycle. Risk behaviour and disabling factors for disease control are mainly related to cultural practices in sheep breeding and home slaughtering, dog keeping, and offal disposal at home, as well as in slaughterhouses. Participants in our focus group discussions were supportive of control measures as management of canine populations, waste disposal, and monitoring of slaughterhouses. Conclusions The uncontrolled stray dog population and dogs having access to offal (both at village dumps and slaughterhouses) suggest that authorities should be more closely involved in CE control. This study also highlights the need for improved knowledge about the transmission cycle of the parasite among communities and health professionals. Inter-sectoral collaboration between health staff, veterinarians, and social scientists appears to be crucial for sustainable control of this parasitic zoonosis. Electronic supplementary material The online version of this article (10.1186/s12889-018-6372-y) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Séverine Thys
- Department of Public Health, Institute of Tropical Medicine, Nationalestraat 155, 2000, Antwerp, Belgium. .,Department of Virology, Parasitology, and Immunology, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, 9820, Merelbeke, Belgium.
| | - Hamid Sahibi
- Department of Pathology and Veterinary Public Health, Agro-Veterinary Institute Hassan II (IAV), Madinat Al Irfane. BP 6202-Instituts, 10101, Rabat, Morocco
| | - Sarah Gabriël
- Department of Veterinary Public Health and Food Safety, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, 9820, Merelbeke, Belgium
| | - Tarik Rahali
- Department of Biology, Faculty of Sciences of Rabat, University Mohamed V, 4 Avenue Ibn Battouta, B.P. 1014, Rabat, RP, Morocco
| | | | - Abdelkbir Rhalem
- Department of Pathology and Veterinary Public Health, Agro-Veterinary Institute Hassan II (IAV), Madinat Al Irfane. BP 6202-Instituts, 10101, Rabat, Morocco
| | - Tanguy Marcotty
- Faculty of Science, University of Namur, Rue de Bruxelles 61, 5000, Namur, Belgium
| | - Marleen Boelaert
- Department of Public Health, Institute of Tropical Medicine, Nationalestraat 155, 2000, Antwerp, Belgium
| | - Pierre Dorny
- Department of Virology, Parasitology, and Immunology, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, 9820, Merelbeke, Belgium.,Department of Biomedical Sciences, Institute of Tropical Medicine, Nationalestraat 155, 2000, Antwerp, Belgium
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Steele SG, Booy R, Mor SM. Establishing research priorities to improve the One Health efficacy of Australian general practitioners and veterinarians with regard to zoonoses: A modified Delphi survey. One Health 2018; 6:7-15. [PMID: 30197925 PMCID: PMC6127845 DOI: 10.1016/j.onehlt.2018.08.001] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2018] [Revised: 08/27/2018] [Accepted: 08/29/2018] [Indexed: 02/02/2023] Open
Abstract
While general medical practitioners (GPs) and veterinarians are often the first line responders in the face of a disease outbreak, pathways to improving the One Health efficacy of these clinicians remain unclear. A two-phase modified Delphi survey of professionals with known expertise in One Health (‘expert panel’) was used to 1) identify key knowledge, attitudes and practices (KAPs) of GPs and veterinarians that would be consistent with a One Health approach to zoonoses; and 2) determine priorities for future surveys with Australian GPs and veterinarians to identify important gaps that impede effective diagnosis and management of zoonoses. A list of 13 topics/sub-topics, as well as a list of 25 specific zoonotic diseases/agents emerged from the first phase of the survey. In the second phase the expert panel identified general knowledge of the clinical aspects and epidemiological aspects of zoonoses, as well as risk management practices, as the most important KAPs and research priorities for both GPs and veterinarians. In terms of diseases, the expert panel regarded knowledge of Hendra virus, Q fever, Australian bat lyssavirus (ABLV), anthrax and Brucella suis most important for veterinarians, whilst for GPs, Q fever, gastrointestinal/foodborne diseases, influenza, ABLV and local vector-borne diseases were found to be most important by the expert panel. Some differences were noted in terms of prioritization of topics/sub-topics and diseases/agents according to expert background (veterinary and non-veterinary). The Delphi survey technique enabled efficient collection of data from a diverse range of One Health ‘experts’/specialists and provided clear priorities for proposed future research, and potentially for educational interventions to improve One Health efficacy of clinicians. Delphi survey identified research priorities to improve One Health efficacy of clinicians. Top priority: GP and veterinarian knowledge of clinical aspects, epidemiology and risk management of zoonoses. Top 5 diseases for veterinarians: Hendra, ABLV, Q fever, anthrax and B. suis. Top 5 diseases for GPs: Q fever, GI/foodborne diseases, influenza, and local vectorborne diseases. Participants with veterinary background prioritised collaboration and referral.
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Key Words
- ABLV, Australian bat lyssavirus
- Delphi survey
- EID, Emerging infectious diseases
- Emerging infectious diseases
- GP, General medical practitioner
- General practitioners
- KAP, Knowledge, attitudes and practices
- Knowledge, attitudes and practices
- MERS, Middle East respiratory syndrome
- One Health
- PPE, Personal protective equipment
- SARS, Severe acute respiratory disease
- SIG, Special interest group
- Veterinarians
- Zoonoses
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Affiliation(s)
- Sandra G Steele
- Faculty of Science, School of Veterinary Science, The University of Sydney, NSW 2006, Australia
| | - Robert Booy
- Faculty of Science, School of Medicine, The University of Sydney, NSW 2006, Australia.,National Centre for Immunisation Research and Surveillance, Children's Hospital at Westmead, Sydney, Australia
| | - Siobhan M Mor
- Faculty of Science, School of Veterinary Science, The University of Sydney, NSW 2006, Australia.,University of Liverpool, Institute of Infection and Global Health, L3 5RF, Merseyside, United Kingdom
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Dente MG, Riccardo F, Nacca G, Ranghiasci A, Escadafal C, Gaayeb L, Jiménez-Clavero MA, Manuguerra JC, Picard M, Fernández-Pinero J, Pérez-Ramírez E, Robert V, Victoir K, Declich S. Strengthening Preparedness for Arbovirus Infections in Mediterranean and Black Sea Countries: A Conceptual Framework to Assess Integrated Surveillance in the Context of the One Health Strategy. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018. [PMID: 29534445 PMCID: PMC5877034 DOI: 10.3390/ijerph15030489] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
In the context of One Health, there is presently an effort to integrate surveillance of human, animal, entomological, and environmental sectors. This aims to strengthen the prevention of, and preparedness against, arbovirus infections, also in the light of environmental and climate changes that could increase the risk of transmission. However, criteria to define integrated surveillance, and to compare different systems, still need to be identified and tested. We conducted a scoping review to identify and examine surveillance systems for West Nile virus (WNV), chikungunya virus (CHKV), dengue virus (DENV), and Rift Valley fever virus (RVFV), which involve human, animal, entomological, and environmental sectors. We analyzed findings using a conceptual framework we developed for this purpose. The review highlights that the criteria proposed in the conceptual framework to describe integrated surveillance are consistently reported in the context of studies and programs related to integrated surveillance of the selected arboviral diseases. These criteria can facilitate the identification and description of operationalized One Health surveillance.
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Affiliation(s)
- Maria Grazia Dente
- Istituto Superiore di Sanità, 00161 Rome, Italy; (F.R.); (G.N.); (A.R.); (S.D.)
- Correspondence: ; Tel.: +39-064-990-4265
| | - Flavia Riccardo
- Istituto Superiore di Sanità, 00161 Rome, Italy; (F.R.); (G.N.); (A.R.); (S.D.)
| | - Gloria Nacca
- Istituto Superiore di Sanità, 00161 Rome, Italy; (F.R.); (G.N.); (A.R.); (S.D.)
| | - Alessia Ranghiasci
- Istituto Superiore di Sanità, 00161 Rome, Italy; (F.R.); (G.N.); (A.R.); (S.D.)
| | - Camille Escadafal
- Institut Pasteur, 75015 Paris, France; (C.E.); (L.G.); (J.-C.M.); (K.V.)
- FIND (Foundation for Innovative New Diagnostics), 1202 Geneva, Switzerland
| | - Lobna Gaayeb
- Institut Pasteur, 75015 Paris, France; (C.E.); (L.G.); (J.-C.M.); (K.V.)
| | - Miguel Angel Jiménez-Clavero
- Centro de Investigación en Sanidad Animal-Instituto Nacional de Investigación y Tecnología Agraria y Alimentaria (INIA-CISA), 28040 Madrid, Spain; (M.A.J.-C.); (J.F.-P.); (E.P.-R.)
- CIBER Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain
| | | | - Marie Picard
- Institut de Recherche pour le Développement (IRD), UMR Mivegec IRD-CNRS-Univ. Montpellier, 34394 Montpellier CEDEX 5, France; (M.P.); (V.R.)
| | - Jovita Fernández-Pinero
- Centro de Investigación en Sanidad Animal-Instituto Nacional de Investigación y Tecnología Agraria y Alimentaria (INIA-CISA), 28040 Madrid, Spain; (M.A.J.-C.); (J.F.-P.); (E.P.-R.)
| | - Elisa Pérez-Ramírez
- Centro de Investigación en Sanidad Animal-Instituto Nacional de Investigación y Tecnología Agraria y Alimentaria (INIA-CISA), 28040 Madrid, Spain; (M.A.J.-C.); (J.F.-P.); (E.P.-R.)
| | - Vincent Robert
- Institut de Recherche pour le Développement (IRD), UMR Mivegec IRD-CNRS-Univ. Montpellier, 34394 Montpellier CEDEX 5, France; (M.P.); (V.R.)
| | - Kathleen Victoir
- Institut Pasteur, 75015 Paris, France; (C.E.); (L.G.); (J.-C.M.); (K.V.)
| | - Silvia Declich
- Istituto Superiore di Sanità, 00161 Rome, Italy; (F.R.); (G.N.); (A.R.); (S.D.)
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Englar RE, Show-Ridgway A, Noah DL, Appelt E, Kosinski R. Perceptions of the Veterinary Profession among Human Health Care Students before an Inter-Professional Education Course at Midwestern University. JOURNAL OF VETERINARY MEDICAL EDUCATION 2017; 45:423-436. [PMID: 29099320 DOI: 10.3138/jvme.1016-161r1] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Conflicts among health care professionals often stem from misperceptions about each profession's role in the health care industry. These divisive tendencies impede progress in multidisciplinary collaborations to improve human, animal, and environmental health. Inter-professional education (IPE) may repair rifts between health care professions by encouraging students to share their professional identities with colleagues in unrelated health care disciplines. An online survey was conducted at Midwestern University (MWU) to identify baseline perceptions about veterinary medicine among entry-level human health care students before their enrollment in an inter-professional course. Participation was anonymous and voluntary. The survey included Likert-type scales and free-text questions. Survey participants expressed their interest in and respect for the discipline of veterinary medicine, but indicated that their unfamiliarity with the profession hindered their ability to collaborate. Twenty percent of human health care students did not know the length of a Doctor of Veterinary Medicine (DVM) program and 27.6% were unaware that veterinarians could specialize. Although 83.2% of participants agreed that maintaining the human-animal bond is a central role of the veterinary profession, veterinary contributions to stem cell research, food and water safety, public health, environmental conservation, and the military were infrequently recognized. If IPE is to successfully pave the way for multidisciplinary collaboration, it needs to address these gaps in knowledge and broaden the definition of veterinary practice for future human health care providers.
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Affiliation(s)
- Ryane E Englar
- Assistant Professor and Clinical Education Coordinator, Kansas State University College of Veterinary Medicine, 1710 Denison Ave., Manhattan, KS 66506 USA.
| | - Alyssa Show-Ridgway
- Midwestern University College of Veterinary Medicine, 19555 N. 59th Ave., Glendale, AZ 85308 USA
| | - Donald L Noah
- Director, One Health Center, and Associate Professor, Public Health, Midwestern University College of Veterinary Medicine, 19555 N. 59th Ave., Glendale, AZ 85308 USA
| | - Erin Appelt
- Student Academic Counselor, Midwestern University Student Services, 19555 N. 59th Ave., Glendale, AZ 85308 USA
| | - Ross Kosinski
- Dean of Students, Midwestern University Student Services, 19555 N. 59th Ave., Glendale, AZ 85308 USA
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Godfroid J. Brucellosis in livestock and wildlife: zoonotic diseases without pandemic potential in need of innovative one health approaches. ACTA ACUST UNITED AC 2017; 75:34. [PMID: 28904791 PMCID: PMC5592711 DOI: 10.1186/s13690-017-0207-7] [Citation(s) in RCA: 58] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2017] [Accepted: 06/12/2017] [Indexed: 12/21/2022]
Abstract
Human brucellosis remains the commonest zoonotic disease worldwide with more than 500 000 new cases annually. Understanding the biology of Brucella infections and the transmission patterns at the wildlife/livestock/human interface is of paramount importance before implementing any brucellosis control or eradication program in animals, even more so should interventions be justified within One Health. In addition to calling for transdisciplinary collaboration, One Health formally aims to conserve the environment and to promote the well-being of animals. In this opinion paper, the One Health approach of brucellosis is reviewed in the industrialized and the low and middle income countries, highlighting pitfalls and shortcomings of serological studies and discussing the role of urban and peri-urban farming for the re-emergence of brucellosis in the developing world. The role of wildlife as a potential reservoir is highlighted and different management strategies are discussed. Lastly, beyond its role in the control of brucellosis, the ethical dimension of culling wildlife to control disease emergence or spill-back of infections in livestock is discussed. Core transdisciplinary competencies such as values and ethics are critically important in guiding the development of One Health curricula and in continuing professional education, as they describe the knowledge, skills, and attitudes required to be effective. A conceptual framework needs to be developed from inception to knowledge translation. Importantly, transdisciplinary competencies should be developed as an adjunct to discipline-specific areas of expertise, not as a replacement. A profound understanding of the biology of infectious agents is and will always remain a pre-requisite for any sound One Health approach.
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Affiliation(s)
- Jacques Godfroid
- Department of Arctic and Marine Biology, Research Group of Arctic Infection Biology, University of Tromsø - the Arctic University of Norway, Faculty of Biosciences, Fisheries and Economics, Langnes, Postbox 6050, 9037 Tromsø, Norway
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26
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Gafirita J, Kiiza G, Murekatete A, Ndahayo LL, Tuyisenge J, Mashengesho V, Ruhirwa R, Nyandwi T, Asiimwe-Kateera B, Ndahindwa V, Njunwa KJ. Seroprevalence of Brucellosis among Patients Attending a District Hospital in Rwanda. Am J Trop Med Hyg 2017; 97:831-835. [PMID: 28749771 DOI: 10.4269/ajtmh.16-0632] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
Studies on human brucellosis in Rwanda are scarce, and the incidence is likely to be higher than official estimates. In a recent study using Rose Bengal Test (RBT) on women who had aborted or had still births in Huye district, 25% were Brucella seroprevalent. Thus, purpose of the present study was to investigate the Brucella seroprevalence in patients presenting with the key signs and symptoms of brucellosis. Cross-sectional study was done in Nyagatare District in the Eastern Province of Rwanda. A total of 198 patients were recruited from Nyagatare District Hospital, blood samples were collected, and sera analyzed with RBT. A questionnaire was used to explore the risk factors. A total of 12 patients (6.1%; 95% confidence interval [CI] = 0.662-7.820) were Brucella seropositive. Infection was significantly associated with drinking unboiled milk (odds ratio [OR] = 8.3; 95% CI = 2.4-29.2) and having had recurrent fever (OR = 5.6; 95% CI = 1.5-21.3). Drinking unboiled milk is a risk factor for Brucella infection. Provision of adequate resources and trainings to staff in brucellosis diagnosis is needed to reduce recurrence of fevers probably because of misdiagnosis. Public awareness creation on transmission routes of brucellosis is to be intensified.
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Affiliation(s)
- James Gafirita
- College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
| | - George Kiiza
- College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
| | | | - Leonard L Ndahayo
- College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
| | - John Tuyisenge
- College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
| | | | | | - Theogene Nyandwi
- College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
| | | | - Vedaste Ndahindwa
- College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
| | - Kato J Njunwa
- College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
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Sanogo M, Fretin D, Thys E, Saegerman C. Exploring the Diversity of Field Strains of Brucella abortus Biovar 3 Isolated in West Africa. Front Microbiol 2017; 8:1232. [PMID: 28713359 PMCID: PMC5491933 DOI: 10.3389/fmicb.2017.01232] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2016] [Accepted: 06/19/2017] [Indexed: 12/22/2022] Open
Abstract
Brucellosis is one of the most widespread bacterial zoonotic diseases in the world, affecting both humans and domestic and wild animals. Identification and biotyping of field strains of Brucella are of key importance for a better knowledge of the epidemiology of brucellosis, for identifying appropriate antigens, for managing disease outbreaks and for setting up efficient preventive and control programmes. Such data are required both at national and regional level to assess potential threats for public health. Highly discriminative genotyping methods such as the multiple locus variable number of tandem repeats analysis (MLVA) allow the comparison and assessment of genetic relatedness between field strains of Brucella within the same geographical area. In this study, MLVA biotyping data retrieved from the literature using a systematic review were compared using a clustering analysis and the Hunter-Gaston diversity index (HGDI). Thus, the analysis of the 42 MLVA genotyping results found in the literature on West Africa [i.e., from Ivory Coast (1), Niger (1), Nigeria (34), The Gambia (3), and Togo (3)] did not allow a complete assessment of the actual diversity among field strains of Brucella. However, it provided some preliminary indications on the co-existence of 25 distinct genotypes of Brucella abortus biovar 3 in this region with 19 genotypes from Nigeria, three from Togo and one from Ivory Coast, The Gambia, and Niger. The strong and urgent need for more sustainable molecular data on prevailing strains of Brucella in this sub-region of Africa and also on all susceptible species including humans is therefore highlighted. This remains a necessary stage to allow a comprehensive understanding of the relatedness between field strains of Brucella and the epidemiology of brucellosis within West Africa countries.
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Affiliation(s)
- Moussa Sanogo
- Central Veterinary Laboratory of Bingerville, LANADABingerville, Ivory Coast
| | - David Fretin
- Department of Bacteriology and Immunology, Veterinary and Agro-chemical Research CentreBrussels, Belgium
| | - Eric Thys
- Department of Biomedical Sciences, Institute of Tropical MedicineAntwerp, Belgium
| | - Claude Saegerman
- Research Unit of Epidemiology and Risk Analysis Applied to Veterinary Sciences (UREAR-ULg), Faculty of Veterinary Medicine, Fundamental and Applied Research for Animal and Health Center, University of LiègeLiège, Belgium
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Abstract
Human cystic echinococcosis (CE) has been eliminated or significantly reduced as a public health problem in several previously highly endemic regions. This has been achieved by the long-term application of prevention and control measures primarily targeted to deworming dogs, health education, meat inspection, and effective surveillance in livestock and human populations. Human CE, however, remains a serious neglected zoonotic disease in many resource-poor pastoral regions. The incidence of human alveolar echinococcosis (AE) has increased in continental Europe and is a major public health problem in parts of Eurasia. Better understanding of wildlife ecology for fox and small mammal hosts has enabled targeted anthelmintic baiting of fox populations and development of spatially explicit models to predict population dynamics for key intermediate host species and human AE risk in endemic landscapes. Challenges that remain for echinococcosis control include effective intervention in resource-poor communities, better availability of surveillance tools, optimal application of livestock vaccination, and management and ecology of dog and wildlife host populations.
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Abstract
Diagnosis and detection of Echinococcus granulosus (sensu lato) infection in animals is a prerequisite for epidemiological studies and surveillance of echinococcosis in endemic, re-emergent or emergent transmission zones. Advances in diagnostic approaches for definitive hosts and livestock, however, have not progressed equally over the last 20 years. Development of laboratory based diagnostics for canids using coproantigen ELISA and also coproPCR, have had a huge impact on epidemiological studies and more recently on surveillance during hydatid control programmes. In contrast, diagnosis of cystic echinococcosis (CE) in livestock still relies largely on conventional post-mortem inspection, despite a relatively low diagnostic sensitivity especially in early infections, as current serodiagnostics do not provide a sufficiently specific and sensitive practical pre-mortem alternative. As a result, testing of dog faecal samples by coproantigen ELISA, often combined with mass ultrasound screening programmes for human CE, has been the preferred approach for monitoring and surveillance in resource-poor endemic areas and during control schemes. In this article we review the current options and approaches for diagnosis of E. granulosus infection in definitive and animal intermediate hosts (including applications in non-domesticated species) and make conclusions and recommendations for further improvements in diagnosis for use in epidemiological studies and surveillance schemes.
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Mbabu M, Njeru I, File S, Osoro E, Kiambi S, Bitek A, Ithondeka P, Kairu-Wanyoike S, Sharif S, Gogstad E, Gakuya F, Sandhaus K, Munyua P, Montgomery J, Breiman R, Rubin C, Njenga K. Establishing a One Health office in Kenya. Pan Afr Med J 2014; 19:106. [PMID: 25722779 PMCID: PMC4337352 DOI: 10.11604/pamj.2014.19.106.4588] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2014] [Accepted: 08/08/2014] [Indexed: 11/16/2022] Open
Abstract
A One Health (OH) approach that integrates human,animal and environmental approaches to management of zoonotic diseases has gained momentum in the last decadeas part of a strategy to prevent and control emerging infectious diseases. However, there are few examples of howan OH approach can be established in a country. Kenya establishment of an OH office, referred to asthe Zoonotic Disease Unit (ZDU) in 2011. The ZDU bridges theanimal and human health sectors with a senior epidemiologist deployed from each ministry; and agoal of maintaining collaboration at the animal and human health interface towards better prevention and control of zoonoses. The country is adding an ecologist to the ZDU to ensure that environmental risks are adequately addressed in emerging disease control.
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Affiliation(s)
- Murithi Mbabu
- Ministry of Agriculture, Livestock and Fisheries Nairobi, Kenya
| | | | - Sarah File
- One Health Office, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
| | - Eric Osoro
- Zoonotic Disease Unit, Government of Kenya, Nairobi, Kenya
| | - Stella Kiambi
- Zoonotic Disease Unit, Government of Kenya, Nairobi, Kenya
| | - Austine Bitek
- Zoonotic Disease Unit, Government of Kenya, Nairobi, Kenya
| | - Peter Ithondeka
- Ministry of Agriculture, Livestock and Fisheries Nairobi, Kenya
| | | | | | - Eric Gogstad
- Global Disease Detection Division, Centers for Disease Control and Prevention-Kenya, Nairobi, Kenya ; Division of Global Health Protection, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
| | | | | | - Peninah Munyua
- Global Disease Detection Division, Centers for Disease Control and Prevention-Kenya, Nairobi, Kenya
| | - Joel Montgomery
- Global Disease Detection Division, Centers for Disease Control and Prevention-Kenya, Nairobi, Kenya ; Global Implementation Solutions, Chicago, Illinois, USA
| | - Robert Breiman
- Global Disease Detection Division, Centers for Disease Control and Prevention-Kenya, Nairobi, Kenya ; Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
| | - Carol Rubin
- One Health Office, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
| | - Kariuki Njenga
- Global Disease Detection Division, Centers for Disease Control and Prevention-Kenya, Nairobi, Kenya
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Yoon H, Moon OK, Lee SH, Lee WC, Her M, Jeong W, Jung SC, Kim DS. Epidemiology of brucellosis among cattle in Korea from 2001 to 2011. J Vet Sci 2014; 15:537-43. [PMID: 25234321 PMCID: PMC4269596 DOI: 10.4142/jvs.2014.15.4.537] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2013] [Accepted: 07/18/2014] [Indexed: 11/20/2022] Open
Abstract
In the present study, the outbreak patterns of bovine brucellosis in Korea from 2000 to 2011 were analyzed to understand the epidemiological evolution of this disease in the country. A total of 85,521 brucella reactor animals were identified during 14,215 outbreaks over the 12-year study period. The number of bovine brucellosis cases increased after 2003 and peaked in 2006 before decreasing thereafter. The majority of the bovine brucellosis cases were Korean native cattle, Han Woo. The numbers of human brucellosis cases and cattle outbreaks increased and decreased in the same pattern. The correlation coefficient for human and bovine cases per year was 0.96 (95% confidence interval = 0.86~0.99; p < 10-3). The epidemiological characteristics of bovine brucellosis appeared to be affected by the intensity of eradication programs that mainly involved a test-and-slaughter policy. Findings from the present study were based on freely available statistics from web pages maintained by government agencies. This unlimited access to information demonstrates the usefulness of government statistics for continually monitoring the health of animal populations.
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Affiliation(s)
- Hachung Yoon
- Division of Veterinary Epidemiology, Animal and Plant Quarantine Agency, Anyang 430-757,
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Conrad PA, Meek LA, Dumit J. Operationalizing a One Health approach to global health challenges. Comp Immunol Microbiol Infect Dis 2013; 36:211-6. [PMID: 23711930 DOI: 10.1016/j.cimid.2013.03.006] [Citation(s) in RCA: 51] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2013] [Accepted: 03/27/2013] [Indexed: 11/30/2022]
Abstract
The One Health approach, which recognizes the interconnectedness of human, animal and ecosystem health, encourages collaboration between diverse disciplines to address complex health problems. The advantages and challenges posed by these interdisciplinary collaborations are described in this review. Learning networks where diverse participants can openly share processes, best practices, and case studies are discussed as a strategy for conducting transdisciplinary One Health research and tackling complex global health problems. The 11 papers in this special issue are also introduced as they illustrate how a One Health approach can be applied to better understand and control zoonotic pathogens, engage community stakeholders in One Health research and utilize wildlife species, most notably sea otters and birds, as sentinels of ecosystem health. Collaboration is rarely without complications; however, drawing on these insights may benefit the process of operationalizing the One Health approach to address today's global health challenges.
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Affiliation(s)
- Patricia A Conrad
- One Health Institute and Department of Pathology, Microbiology and Immunology, School of Veterinary Medicine, University of California-Davis, 1 Shields Avenue, Davis, CA 95616, USA.
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