Abstract

Public health institutions with sectorized structure and low integration among field teams, old-fashioned practices such as paper-based storage system, and poorly qualified health agents have limited ability to conduct accurate surveillance and design effective timely interventions. Herein, we describe the steps taken by the Zoonosis Control Center of Foz do Iguaçu (CCZ-Foz) in the last 23 years to move from an archaic and sectorized structure to a modern and timely surveillance program embracing zoonotic diseases, venomous animal injuries, and vector-borne diseases epidemiology under the One Health approach. The full implementation of the One Health approach was based on 5 axes: (1) merging sectorized field teams; (2) adoption of digital solutions; (3) health agents empowerment and permanent capacitation; (4) social mobilization; and (5) active surveys. By doing so, notifications related to zoonotic diseases and venomous animals increased 10 and 21 times, respectively, with no impairment on arbovirus surveillance (major concern in the city). Open sources database (PostgreSQL) and software (QGis) are daily updated and create real-time maps to support timely decisions. The adoption of One Health approach increased preparedness for endemic diseases and reemerging and emerging threats such as Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2).

Highlights

  • Brazil is recognized as hosting great taxonomic biodiversity within its biomes, which include forests, savannah, steppe, mangrove, and wetlands

  • Routine surveillance still relies on old-fashioned ineffective practices that jeopardize the adoption of timely decisions such as using paper-based notification systems to store fieldgathered information and absence of continuous capacity-building of health agents [6]

  • We describe the steps taken by the Zoonosis Control Center of Foz do Iguacu (CCZ-Foz) in the last 23 years to move from an archaic and sectorized structure to a modern and timely surveillance program embracing zoonotic diseases, venomous animal injuries, and vector-borne diseases epidemiology under the One Health approach [7]

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Summary

POLICY PLATFORM

The adoption of the One Health approach to improve surveillance of venomous animal injury, vector-borne and zoonotic diseases in Foz do Iguacu, Brazil a1111111111 a1111111111 a1111111111 a1111111111 a1111111111. Andrede Souza LeandroID1,2, Renata Defante LopesID1, Caroline Amaral MartinsID1, Acucena Veleh RivasID3, Isaac da SilvaID1, Sandro Roberto Galvão, Rafael Maciel-deFreitas ID2,4*

OPEN ACCESS
Introduction
Zoonotic diseases
Injuries with venomous animals
Merging sectorized field teams
Adoption of digital surveillance approaches
Health agent empowerment and continuous training
Social mobilization
Active surveillance
Results and challenges of One Health approach
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