Assessing One Health capacities for transboundary zoonotic diseases at the Libya-Tunisia border.
Cross-border collaboration
Disease prioritization tools
Emerging infectious diseases
Ground crossing
Multisectoral engagement
One health
Points of entry
Transboundary zoonotic diseases
Journal
One health outlook
ISSN: 2524-4655
Titre abrégé: One Health Outlook
Pays: England
ID NLM: 101769253
Informations de publication
Date de publication:
19 Mar 2024
19 Mar 2024
Historique:
received:
18
12
2023
accepted:
09
03
2024
medline:
20
3
2024
pubmed:
20
3
2024
entrez:
20
3
2024
Statut:
epublish
Résumé
The dynamic nature of zoonotic emergence, spillover and spread necessitates multisectoral coordination beyond national borders to encompass cross-boundary and regional cooperation. Designated points of entry (POEs), specifically ground crossings, serve as critical locales for establishing and maintaining robust prevention, detection, notification, coordination, and response mechanisms to transboundary emerging and re-emerging disease threats. In order to better assess One Health capacities for transboundary zoonotic diseases (TZD) prevention, detection and response we adapted an existing tool, One Health Systems Assessment for Priority Zoonoses (OHSAPZ), for a cross-border, POE setting in North Africa. The One Health Transboundary Assessment for Priority Zoonoses (OHTAPZ) tool was used to support prioritization of transboundary zoonoses and analyze operational capacities between national and subnational-level human and animal health stakeholders from Libya and Tunisia. Country partners jointly identified and prioritized five TZDs of concern. Case study scenarios for each priority pathogen were used to elicit current disease operations, as well as multisectoral and bilateral engagement networks. Finally, a gap analysis was performed to determine bilateral strengths and weaknesses to TZDs. The five priority TZDs jointly confirmed to undergo One Health assessment were avian influenza (low and high pathogenic strains); brucellosis; Rift Valley fever; Crimean-Congo hemorrhagic fever; and rabies. Using the qualitative information collected, a transboundary systems map schematic was developed outlining the movement of human patients, animals, diagnostic samples, and routes of communication and coordination both within and between countries for zoonotic diseases. Analysis of current operations (prevention, detection, surveillance, laboratory capacity, quarantine/isolation, and response) and the resulting transboundary systems map schematic helped identify existing capacity strengths for certain priority pathogens, as well as challenges to timely information-sharing and coordination. We developed targeted recommendations to address these limitations for joint action planning between Libya and Tunisia.
Sections du résumé
BACKGROUND
BACKGROUND
The dynamic nature of zoonotic emergence, spillover and spread necessitates multisectoral coordination beyond national borders to encompass cross-boundary and regional cooperation. Designated points of entry (POEs), specifically ground crossings, serve as critical locales for establishing and maintaining robust prevention, detection, notification, coordination, and response mechanisms to transboundary emerging and re-emerging disease threats. In order to better assess One Health capacities for transboundary zoonotic diseases (TZD) prevention, detection and response we adapted an existing tool, One Health Systems Assessment for Priority Zoonoses (OHSAPZ), for a cross-border, POE setting in North Africa.
METHODS
METHODS
The One Health Transboundary Assessment for Priority Zoonoses (OHTAPZ) tool was used to support prioritization of transboundary zoonoses and analyze operational capacities between national and subnational-level human and animal health stakeholders from Libya and Tunisia. Country partners jointly identified and prioritized five TZDs of concern. Case study scenarios for each priority pathogen were used to elicit current disease operations, as well as multisectoral and bilateral engagement networks. Finally, a gap analysis was performed to determine bilateral strengths and weaknesses to TZDs.
RESULTS
RESULTS
The five priority TZDs jointly confirmed to undergo One Health assessment were avian influenza (low and high pathogenic strains); brucellosis; Rift Valley fever; Crimean-Congo hemorrhagic fever; and rabies. Using the qualitative information collected, a transboundary systems map schematic was developed outlining the movement of human patients, animals, diagnostic samples, and routes of communication and coordination both within and between countries for zoonotic diseases.
CONCLUSIONS
CONCLUSIONS
Analysis of current operations (prevention, detection, surveillance, laboratory capacity, quarantine/isolation, and response) and the resulting transboundary systems map schematic helped identify existing capacity strengths for certain priority pathogens, as well as challenges to timely information-sharing and coordination. We developed targeted recommendations to address these limitations for joint action planning between Libya and Tunisia.
Identifiants
pubmed: 38504381
doi: 10.1186/s42522-024-00101-z
pii: 10.1186/s42522-024-00101-z
doi:
Types de publication
Journal Article
Langues
eng
Pagination
3Subventions
Organisme : U.S. Department of State
ID : S-ISNCT-20-CA-0035
Informations de copyright
© 2024. The Author(s).
Références
FAO, UNEP, WHO, WOAH. One Health Joint Plan of Action, 2022–2026: Working together for the health of humans, animals, plants and the environment [Internet]. Rome, Italy: FAO, UNEP, WHO, World Organisation for Animal Health (WOAH) (founded as OIE); 2022 [cited 2022 Nov 7]. 86 p. Available from: https://www.fao.org/documents/card/en/c/cc2289en
Belay ED, Kile JC, Hall AJ, Barton-Behravesh C, Parsons MB, Salyer S, et al. Zoonotic Disease Programs for Enhancing Global Health Security. Emerg Infect Dis. 2017;23(Suppl 1):S65–70.
pubmed: 29155661
pmcid: 5711319
Rist CL, Arriola CS, Rubin C. Prioritizing Zoonoses: A Proposed One Health Tool for Collaborative Decision-Making. PLoS ONE. 2014;9(10): e109986.
doi: 10.1371/journal.pone.0109986
pubmed: 25302612
pmcid: 4193859
University of Minnesota. The OH-SMART Framework | OH-SMART (One Health Systems Mapping and Analysis Resource Toolkit) [Internet]. [cited 2023 Jun 23]. Available from: https://oh-smart.umn.edu/oh-smart-framework
Belot G, Caya F, Errecaborde KM, Traore T, Lafia B, Skrypnyk A, et al. IHR-PVS National Bridging Workshops, a tool to operationalize the collaboration between human and animal health while advancing sector-specific goals in countries. PLoS ONE. 2021;16(6): e0245312.
doi: 10.1371/journal.pone.0245312
pubmed: 34061856
pmcid: 8168895
Berthe FCJ, Bouley T, Karesh WB, Legall IC, Machalaba CC, Plante CA, et al. One health : operational framework for strengthening human, animal, and environmental public health systems at their interface [Internet]. Washington D.C.: World Bank Group; 2018 [cited 2023 Jun 26]. Available from: https://documents.worldbank.org/en/publication/documents-reports/documentdetail/961101524657708673/One-health-operational-framework-for-strengthening-human-animal-and-environmental-public-health-systems-at-their-interface
Fogarty AS, Miller LN, Standley CJ, Sorrell EM. One Health Systems Assessment for Priority Zoonoses [Internet]. 2023 [cited 2023 Dec 12]. Available from: https://repository.library.georgetown.edu/handle/10822/1086707
Standley CJ, Carlin EP, Sorrell EM, Barry AM, Bile E, Diakite AS, et al. Assessing health systems in Guinea for prevention and control of priority zoonotic diseases: A One Health approach. One Health. 2019;7: 100093.
doi: 10.1016/j.onehlt.2019.100093
pubmed: 31049389
pmcid: 6479159
Sorrell EM, El Azhari M, Maswdeh N, Kornblet S, Standley CJ, Katz RL, et al. Mapping of Networks to Detect Priority Zoonoses in Jordan. Front Public Health. 2015;12(3):219.
Miller LN, Elmselati H, Fogarty AS, Farhat ME, Standley CJ, Abuabaid HM, et al. Using One Health assessments to leverage endemic disease frameworks for emerging zoonotic disease threats in Libya. PLOS Global Public Health. 2023;3(7): e0002005.
doi: 10.1371/journal.pgph.0002005
pubmed: 37494334
pmcid: 10370693
Clemmons EA, Alfson KJ, Dutton JW. Transboundary animal diseases, an overview of 17 diseases with potential for global spread and serious consequences. Animals (Basel). 2021;11(7):2039.
doi: 10.3390/ani11072039
pubmed: 34359167
WOAH - World Organisation for Animal Health [Internet]. [cited 2023 Jun 16]. Animal Diseases. Available from: https://www.woah.org/en/what-we-do/animal-health-and-welfare/animal-diseases/
The Global Framework for the Progressive Control of Transboundary Animal Diseases (GF-TADs) [Internet]. [cited 2023 Jun 19]. Available from: https://www.gf-tads.org/about/en/
GF-TADs Strategy for 2021–2025. Enhancing control of transboundary animal diseases for global health [Internet]. OIE (World Organisation for Animal Health); 2021 [cited 2023 Jun 19]. Available from: https://www.oie.int/en/document/gf-tads-strategy-for-2021-2025/
Standley CJ, Fogarty AS, Miller LN, Sorrell EM. One Health Systems Assessments for Sustainable Capacity Strengthening to Control Priority Zoonotic Diseases Within and Between Countries. RMHP. 2023;21(16):2497–504.
doi: 10.2147/RMHP.S428398
de Rooij D, Belfroid E, Hadjichristodoulou C, Mouchtouri VA, Raab J, Timen A, et al. Assessing training needs in infectious disease management at major ports, airports and ground-crossings in Europe. BMC Public Health. 2021;21(1):1013.
doi: 10.1186/s12889-021-11008-z
pubmed: 34051768
pmcid: 8164056
Suk JE, Van Cangh T, Beauté J, Bartels C, Tsolova S, Pharris A, et al. The interconnected and cross-border nature of risks posed by infectious diseases. Glob Health Action. 2014; https://doi.org/10.3402/gha.v7.25287 .
Yadav MP, Singh RK, Malik YS. Emerging and Transboundary Animal Viral Diseases: Perspectives and Preparedness. Emerging and Transboundary Animal Viruses. 2020;23:1–25.
Search ProMED Posts [Internet]. ProMED-mail. [cited 2023 Jul 13]. Available from: https://promedmail.org/promed-posts/
WAHIS [Internet]. [cited 2023 Jul 13]. Available from: https://wahis.woah.org/#/home
Joint external evaluation of IHR core capacities of Libya [Internet]. Geneva: World Health Organization; [cited 2023 Mar 8]. Available from: https://www.who.int/publications-detail-redirect/WHO-WHE-CPI-2019.37
Libya | Strategic Partnership for Health Security and Emergency Preparedness (SPH) Portal [Internet]. [cited 2023 Nov 25]. Available from: https://extranet.who.int/sph/country/libya
Joint External Evaluation of IHR Core Capacities of the Republic of Tunisia [Internet]. [cited 2023 Apr 7]. Available from: https://www.who.int/publications-detail-redirect/WHO-WHE-CPI-REP-2017.45
Tunisia | Strategic Partnership for Health Security and Emergency Preparedness (SPH) Portal [Internet]. [cited 2023 Nov 25]. Available from: https://extranet.who.int/sph/country/tunisia
World Health Organization. International health regulations (2005). 3rd ed. Geneva, Switzerland: World Health Organization; 2016.
International health regulations (2005): assessment tool for core capacity requirements at designated airports, ports and ground crossings [Internet]. [cited 2022 Nov 29]. Available from: https://www.who.int/publications-detail-redirect/WHO-HSE-IHR-LYO-2009-9
Authority (EFSA) EFS, Berezowski J, de Balogh K, Dórea FC, Rüegg S, Broglia A, et al. Prioritisation of zoonotic diseases for coordinated surveillance systems under the One Health approach for cross-border pathogens that threaten the Union. EFSA J. 2023;21(3):e07853.
Mpouam SE, Mingoas JPK, Mouiche MMM, Kameni Feussom JM, Saegerman C. Critical Systematic Review of Zoonoses and Transboundary Animal Diseases’ Prioritization in Africa. Pathogens. 2021;10(8):976.
doi: 10.3390/pathogens10080976
pubmed: 34451440
pmcid: 8401284
Medley AM, Gasanani J, Nyolimati CA, McIntyre E, Ward S, Okuyo B, et al. Preventing the cross-border spread of zoonotic diseases: Multisectoral community engagement to characterize animal mobility—Uganda, 2020. Zoonoses Public Health. 2021;68(7):747–59.
doi: 10.1111/zph.12823
pubmed: 33749158
pmcid: 8518851
Handbook for public health capacity-building at ground crossings and cross-border collaboration [Internet]. [cited 2022 Nov 29]. Available from: https://www.who.int/publications-detail-redirect/handbook-for-public-health-capacity-building-at-ground-crossings-and-cross-border-collaboration