Human Health Sectors Research Articles

SARS-CoV-2 in pets of infected family groups in a severely affected region in Spain

PurposeThe COVID-19 pandemic has caused an unprecedented health crisis with devastating effects. Current evidence suggests that SARS-CoV-2 could have an animal origin. Many uncertainties about the behaviour of the virus still persist, and understanding all the keys of this epidemic requires an interdisciplinary One Health approach spanning the human and animal health sectors. The closest coexistence between people and animals occurs in large cities. This study aims to identify the epidemiology (infection rate, risk habits, etc...) and evolution of the disease in pets that have coexisted during the confinement with family groups affected by the disease in areas of high population density and high disease incidence, i.e. Madrid.Methods & MaterialsA network of veterinary clinics was created to provide sampling points for the pets. The family groups included both health workers from the collaborating hospitals and affected pet owners informed through the network of clinics.ResultsEpidemiological and clinical data were collected from 60 family groups and their pets. An epidemiological questionnaire and sample collection (oral and nasal swabs, faeces and blood) were carried out on each pet. The samples were analyzed by RRT-PCR and ELISA. Of the 55 pets analysed (17 cats and 38 dogs), 5 cats presented antibodies. This seroprevalence is in agreement with that shown by Patterson et al, 2020 in cats in Italy in highly affected areas.ConclusionThis study intends to extend the knowledge of the epidemiology and evolution of the disease in pets.This work was funded by a national project SANICOVID and international project JIP06-COVID19-COVRIN H2020.

Assessment of medical waste generation, associated environmental impact, and management issues after the outbreak of COVID-19: A case study of the Hubei Province in China.

COVID-19 greatly challenges the human health sector, and has resulted in a large amount of medical waste that poses various potential threats to the environment. In this study, we compiled relevant data released by official agencies and the media, and conducted data supplementation based on earlier studies to calculate the net value of medical waste produced in the Hubei Province due to COVID-19 with the help of a neural network model. Next, we reviewed the data related to the environmental impact of medical waste per unit and designed four scenarios to estimate the environmental impact of new medical waste generated during the pandemic. The results showed that a medical waste generation rate of 0.5 kg/bed/day due to COVID-19 resulted in a net increase of medical waste volume by about 3366.99 tons in the Hubei Province. In the four scenario assumptions, i.e., if the medical waste resulting from COVID-19 is completely incinerated, it will have a large impact on the air quality. If it is disposed by distillation sterilization, it will produce a large amount of wastewater and waste residue. Based on the results of the study, we propose three policy recommendations: strict control of medical wastewater discharge, reduction and transformation of the emitted acidic gases, and attention to the emission of metallic nickel in exhaust gas and chloride in soil. These policy recommendations provide a scientific basis for controlling medical waste pollution.

An environmental scan of one health preparedness and response: the case of the Covid-19 pandemic in Rwanda

BackgroundOver the past decade, 70% of new and re-emerging infectious disease outbreaks in East Africa have originated from the Congo Basin where Rwanda is located. To respond to these increasing risks of disastrous outbreaks, the government began integrating One Health (OH) into its infectious disease response systems in 2011 to strengthen its preparedness and contain outbreaks. The strong performance of Rwanda in responding to the on-going COVID-19 pandemic makes it an excellent example to understand how the structure and principles of OH were applied during this unprecedented situation.MethodsA rapid environmental scan of published and grey literature was conducted between August and December 2020, to assess Rwanda’s OH structure and its response to the COVID-19 pandemic. In total, 132 documents including official government documents, published research, newspaper articles, and policies were analysed using thematic analysis.ResultsRwanda’s OH structure consists of multidisciplinary teams from sectors responsible for human, animal, and environmental health. The country has developed OH strategic plans and policies outlining its response to zoonotic infections, integrated OH into university curricula to develop a OH workforce, developed multidisciplinary rapid response teams, and created decentralized laboratories in the animal and human health sectors to strengthen surveillance. To address COVID-19, the country created a preparedness and response plan before its onset, and a multisectoral joint task force was set up to coordinate the response to the pandemic. By leveraging its OH structure, Rwanda was able to rapidly implement a OH-informed response to COVID-19.ConclusionRwanda’s integration of OH into its response systems to infectious diseases and to COVID-19 demonstrates the importance of applying OH principles into the governance of infectious diseases at all levels. Rwanda exemplifies how preparedness and response to outbreaks and pandemics can be strengthened through multisectoral collaboration mechanisms. We do expect limitations in our findings due to the rapid nature of our environmental scan meant to inform the COVID-19 policy response and would encourage a full situational analysis of OH in Rwanda’s Coronavirus response.

Clonal relationship between multidrug-resistant Escherichia coli ST69 from poultry and humans in Lusaka, Zambia.

Multidrug-resistant (MDR) Escherichia coli in food animals such as chickens is an emerging public health concern in Zambia. Additionally, the country's high demand for poultry products necessitates further investigation into the link between poultry and human MDR E. coli. Twenty cefotaxime-resistant E. coli isolates collected from poultry in Lusaka, Zambia, were screened for multidrug resistance and sequenced on MiSeq and MinION platforms. Genomes were assembled de novo and compared with 36 previously reported cefotaxime-resistant E. coli isolates from inpatients at the University Teaching Hospital, Lusaka. All (20/20, 100%) poultry isolates exhibited resistance to ampicillin, chloramphenicol and doxycycline. Phylogenetic analysis and hierarchical clustering showed a high degree of genetic relatedness between E. coli O17:H18-ST69 from poultry and humans. The E. coli O17:H18-ST69 clone accounted for 4/20 (20%) poultry- and 9/36 (25%) human-associated isolates that shared two plasmids harboring 14 antimicrobial resistance (AMR) genes. However, comparison analysis showed that the isolates also had other AMR plasmids distinct for each niche. Our results suggested clonal transmission of MDR E. coli between poultry and humans, with the potential acquisition of niche-specific AMR plasmids. Thus, the control of MDR E. coli requires a One Health approach involving both human and animal health sectors.

Role of regulatory capacity in the animal and human health systems in driving response to zoonotic disease outbreaks in the Mekong region

We conducted a policy situation analysis in three Mekong region countries, focused on how the animal and human health systems interact to control avian influenza (AI). The study used scoping literature reviews aimed at establishing existing knowledge concerning the regulatory context. We then conducted a series of key informant interviews with national and sub-national government officials and representatives of producers and poultry farmers to understand their realities in managing the complex interface of the two sectors to control AI.We found signs of formal progress in establishing the policy and legislative frameworks needed to enable cooperation of the two sectors but a series of constraints that impede their effective operation. These included the competitive relationships involved, especially with budgetary allocations and mandates that can conflict with each other. Many local actors also view development partners (e.g., bilateral and multilateral donors) as having a dominant role in establishing these collaborations, limiting the extent to which there is local ownership of the agenda.The animal and human health sectors are not equally resourced, with the animal health sector disadvantaged in terms of surveillance and laboratory systems, human resources and financial allocations. Contrasting strategies for achieving objectives have also characterised the two sectors in recent decades, seeing a major shift towards the use of incentive-based approaches in the human health sector but very little parallel development in the animal health sector, largely dependent on command and control approaches.Successful future collaborations between the two sectors are likely to depend on better resourcing in the animal health sector, increasing local ownership of the agenda, and ensuring that both sectors can use the full range of regulatory strategies available to achieve objectives.

Electronic information systems for One Health surveillance of antimicrobial resistance: a systematic scoping review

IntroductionElectronic information systems (EIS) that implement a ‘One Health’ approach by integrating antimicrobial resistance (AMR) data across the human, animal and environmental health sectors, have been identified as a global...

Complexo teníase-cisticercose em assentamentos da reforma agrária, Brasil

ABSTRACT: Thousands of families live in agrarian reform rural settlements, these existing in Brazil since the 1980s. Factors such as agglomerations of families living in the same environment and the production of domestic animals can promote the transmission and maintenance of zoonosis in these areas. The epidemiology and geographic distribution of zoonotic diseases in settlement communities need to be highlighted. The present study aimed to investigate the prevalence, risk factors and spatial distribution of the teniasis-cysticercosis complex in the agrarian reform rural settlements in the state of Minas Gerais. A total of 497 family farming properties, distributed in 52 settlements, were randomly selected and sampled. Biological samples of humans, cattle and pigs were collected and processed. Survey questionnaires were applied in each family farming property to collect data on animal production as well as sanitary, hygienic and social conditions of each family. Human fecal samples were analyzed for detection of teniasis infection, while animal blood samples were collected and subjected to serological testing to detect the cysticercosis infection. A total of three (0.35%) positive cases of human teniasis were identified, 64 (4.2%) of bovine cysticercosis and 17 (3.3%) of swine cysticercosis. Prevalence per family farming unit was 0.6% (3/497) of taeniasis through fecal test, 5.8% (17/294) for swine cysticercosis and 11.1% (52/469) for bovine cysticercosis. The spatial profile for human teniasis and swine cysticercosis were clustered in two different regions, while bovine cysticercosis showed a dispersed geographical distribution. Two risk factors were associated with the occurrence of bovine cysticercosis: stream as source of water (p=0.009) and the environment as destination of sewage (p=0.031), while burning of garbage was shown to be a significant protective factor (p<0.001). Risk factor for swine cysticercosis was associated with the presence of free range pigs (p=0.008) and the environment as the destination of sewage (p≤0.024). The low number of positive human taeniasis did not allow statistical analysis. These zoonotic diseases represent a significant risk to public health because of their occurrence in livestock which are produced for both beef consumption and for commercialization. Significant endemic areas in the state of Minas Gerais have been determined in this study, and these discoverments suggest the importance of further investment in public health education about teniasis-cysticercosis transmission, the improvement of sanitary facilities for the settlements such as source and treatment of water and adequate destination of sewage. Integrated actions between the human, animal and environmental health sectors, at local and regional levels are needed, aiming at the adoption of effective public policies for the control and eradication of the teniasis-cysticercosis complex where the disease occurs.

Integration of surveillance of priority zoonotic diseases into the existing polio eradication program in Ethiopia: processes, opportunities, successes, and challenges

Zoonoses are a major public health concern. The Ethiopia CORE Group Polio Project (CGPP) integrated active surveillance of the Priority Zoonotic Diseases (PZDs) using the existing polio infrastructure. The purpose of this review was to explore the processes, opportunities, successes and challenges of the integration of PZDs surveillance and response into the polio program. It is document reviews of reports, minutes, desk review of CGPP secretariat staff and interview of field-level coordinators. The project started with development of integrated plan of Polio and Global Health Security (GHS) project. The project team assembled technical experts from the CGPP Secretariat and partner to develop a revised and harmonized training guide and manual for the frontline community volunteers. The project trained 168 government surveillance staff from both human and livestock health sectors using a one health approach training of trainers. In 2020, the trained professionals further trained 5,481 community members, 2,808 frontline human health workers, and 1,589 animal health assistants (AHAs). Following the training, the project launched field activities and monitoring. In 2021, the project volunteers reported 263 PZDs alerts through the Open Data Kit system. In addition, 70 one health task force teams were established at Woreda, zonal and regional levels. The project community volunteers visited 683,479 households and reaching 1,765,584 people in financial year (FY) 2021 alone. Major opportunities for integration included budget integration, the existence of trained community surveillance volunteers, established linkages between frontline workers and community volunteers, and the existence of mapped cross-border activities. On the other hand, problem of delayed in an integrated monitoring mechanism was the challenge for the implementation of one health approach.

"If It Works in People, Why Not Animals?": A Qualitative Investigation of Antibiotic Use in Smallholder Livestock Settings in Rural West Bengal, India.

Smallholder farms are the predominant livestock system in India. Animals are often kept in close contact with household members, and access to veterinary services is limited. However, limited research exists on how antibiotics are used in smallholder livestock in India. We investigated antibiotic supply, usage, and their drivers in smallholder livestock production systems, including crossover-use of human and veterinary antibiotics in two rural sites in West Bengal. Qualitative interviews were conducted with key informants (n = 9), livestock keepers (n = 37), and formal and informal antibiotic providers from veterinary and human health sectors (n = 26). Data were analysed thematically and interpreted following a One Health approach. Livestock keepers and providers used antibiotics predominantly for treating individual animals, and for disease prevention in poultry but not for growth promotion. All providers used (highest priority) critically important antimicrobials for human health and engaged in crossover-use of human antibiotic formulations in livestock. Inadequate access to veterinary drugs and services, and a perceived efficacy and ease of dosing of human antibiotics in animals drove crossover-use. Veterinary antibiotics were not used for human health due to their perceived adverse effects. Given the extent of usage of protected antibiotics and crossover-use, interventions at the community level should adopt a One Health approach that considers all antibiotic providers and livestock keepers and prioritizes the development of evidence-based guidelines to promote responsible use of antibiotics in animals.

Using a One Health approach to prioritize zoonotic diseases in China, 2019.

China is vulnerable to zoonotic disease transmission due to a large agricultural work force, sizable domestic livestock population, and a highly biodiverse ecology. To better address this threat, representatives from the human, animal, and environmental health sectors in China held a One Health Zoonotic Disease Prioritization (OHZDP) workshop in May 2019 to develop a list of priority zoonotic diseases for multisectoral, One Health collaboration. Representatives used the OHZDP Process, developed by the US Centers for Disease Control and Prevention (US CDC), to prioritize zoonotic diseases for China. Representatives defined the criteria used for prioritization and determined questions and weights for each individual criterion. A review of English and Chinese literature was conducted prior to the workshop to collect disease specific information on prevalence, morbidity, mortality, and Disability-Adjusted Life Years (DALYs) from China and the Western Pacific Region for zoonotic diseases considered for prioritization. Thirty zoonotic diseases were evaluated for prioritization. Criteria selected included: 1) disease hazard/severity (case fatality rate) in humans, 2) epidemic scale and intensity (in humans and animals) in China, 3) economic impact, 4) prevention and control, and 5) social impact. Disease specific information was obtained from 792 articles (637 in English and 155 in Chinese) and subject matter experts for the prioritization process. Following discussion of the OHZDP Tool output among disease experts, five priority zoonotic diseases were identified for China: avian influenza, echinococcosis, rabies, plague, and brucellosis. Representatives agreed on a list of five priority zoonotic diseases that can serve as a foundation to strengthen One Health collaboration for disease prevention and control in China; this list was developed prior to the emergence of SARS-CoV-2 and the COVID-19 pandemic. Next steps focused on establishing a multisectoral, One Health coordination mechanism, improving multisectoral linkages in laboratory testing and surveillance platforms, creating multisectoral preparedness and response plans, and increasing workforce capacity.

Multifractal based image processing for estimating the complexity of COVID-19 dynamics

The COVID-19 pandemic creates a worldwide threat to human health, medical practitioners, social structures, and finance sectors. The coronavirus epidemic has a significant impact on people’s health, survival, employment, and financial crises; while also having noticeable harmful effects on our environment in a short span of time. In this context, the complexity of the Corona Virus transmission is estimated and analyzed by the measure of non-linearity called the Generalized Fractal Dimensions (GFD) on the chest X-Ray images. Grayscale image is considered as the most important suitable tool in the medical image processing. Particularly, COVID-19 affects the human lungs vigorously within a few days. It is a very challenging task to differentiate the COVID-19 infections from the various respiratory diseases represented in this study. The multifractal dimension measure is calculated for the original, noisy and denoised images to estimate the robustness of COVID-19 and other noticeable diseases. Also the comparison of COVID-19 X-Ray images is performed graphically with the images of healthy and other diseases to state the level of complexity of diseases in terms of GFD curves. In addition, the Mean Absolute Error (MAE) and the Peak Signal-to-Noise Ratio (PSNR) are used to evaluate the performance of the denoising process involved in the proposed comparative analysis of the representative grayscale images.

The burden of zoonoses in Paraguay: A systematic review.

Underestimation of zoonoses is exacerbated in low and middle-income countries due mainly to inequalities with serious consequences in healthcare. This is difficult to gauge and reduce the impact of those diseases. Our study focuses on Paraguay, where the livestock industry is one of the major components of the country's economy. Therefore, the rationale of this study was to develop a case study in Paraguay to estimate the dual impact of zoonotic diseases on both the human health and animal health sector and thus determine the societal burden of such diseases. We conducted a systemic review (including a meta-analysis) to assess the burden of zoonoses in Paraguay, including official reports and grey literature of disease incidence and prevalence. We estimated the Disability Adjusted Life Years (DALYs) and Zoonosis Disability Adjusted Life Years (zDALYs) to measure the difference between the current health status and the desired health situation of animals and the Paraguayan population based on 50 zoonotic diseases suggested by the WHO (World Health Organization), OIE (World Organization for Animal Health) and the National Health in Paraguay. The total DALYs represent 19,384 (95% CI: from 15,805 to 29,733), and zDALYs, 62,178 (95% CI: from 48,696 to 77,188). According to the results, the priority pathogens for DALYs are E. coli, Trypanosoma cruzi, Leishmania spp, and Toxoplasma gondii. When we include the additional animal health burden, the most important pathogens are Brucella spp, E. coli, Trypanosoma cruzi, and Fasciola hepatica for zDALYs. This is the first study to integrate DALYs and zDALYs with important clues related to the health status of Paraguay. Through DALYs and zDALYs, our perspective becomes more complete because we consider not only human health but also animal health. This is important for setting priorities in disease control, especially in a society where livestock contribute significantly to the economy and to human well-being.

Thraustochytrids of Mangrove Habitats from Andaman Islands: Species Diversity, PUFA Profiles and Biotechnological Potential.

Thraustochytrids are the most promising microbial source for the commercial production of docosahexaenoic acid (DHA) for its application in the human health, aquaculture, and nutraceutical sectors. The present study isolated 127 thraustochytrid strains from mangrove habitats of the south Andaman Islands, India to study their diversity, polyunsaturated fatty acids (PUFAs), and biotechnological potential. The predominant strains were identified as belonging to two major genera (Thraustochytrium, Aurantiochytrium) based on morphological and molecular characteristics. The strain ANVKK-06 produced the maximum biomass of 5.42 g·L−1, while ANVKK-03 exhibited the maximum total lipid (71.03%). Omega-3 PUFAs such as eicosapentaenoic acid (EPA) accumulated up to 11.03% in ANVKK-04, docosapentaenoic acid (DPA) up to 8.65% in ANVKK-07, and DHA up to 47.19% in ANVKK-06. ANVKK-06 showed the maximum scavenging activity (84.79 ± 2.30%) while ANVKK-03 and ANVKK-10 displayed the highest antibacterial activity against human and fish pathogens, S. aureus (18.69 ± 1.2 mm) and V. parahaemolyticus (18.31 ± 1.0 mm), respectively. All strains were non-toxic as evident by negative blood agar hemolysis, thus, the thraustochytrids are suggested to be a potential source of DHA for application in the health care of human and fish.

South-to-south mentoring as a vehicle for implementing sustainable health security in Africa

BackgroundWhile sustainability has become a universal precept in the development of global health security systems, supporting policies often lack mechanisms to drive policies into regular practice. ‘On-paper’ norms and regulations are to a great extent upheld by frontline workers who often lack the opportunity to communicate their first-hand experiences to decisionmakers; their role is an often overlooked, yet crucial, aspect of a sustainable global health security landscape. Initiatives and programs developing transdisciplinary professional skills support the increased bidirectional dialogue between these frontline workers and key policy- and decisionmakers which may sustainably narrow the gap between global health security policy design and implementation.MethodsThe International Federation of Biosafety Associations’ (IFBA) Global Mentorship Program recruits biosafety and biosecurity champions across Africa to provide local peer mentorship to developing professionals in their geographic region. Mentors and mentees complete structured one year program cycles, where they are provided with written overviews of monthly discussion topics, and attend optional virtual interactive activities. Feedback from African participants of the 2019–2020 program cycle was collected using a virtual Exit Survey, where aspects of program impact and structure were assessed.ResultsFollowing its initial call for applications, the IFBA Global Mentorship Program received considerable interest from professionals across the African continent, particularly in East and North Africa. The pilot program cycle matched a total of 62 individuals from an array of professional disciplines across several regions, 40 of which were located on the African continent. The resulting mentorship pairs shared knowledge, skills, and experiences towards translating policy objectives to action on the front lines. Mentorship pairs embraced multidisciplinary approaches to harmonize health security strategies across the human and animal health sectors. South-to-South mentorship therefore provided mentees with locally relevant support critical to translation of best technical practices to local capacity and work.ConclusionThe IFBA’s South-to-South Global Mentorship Program has demonstrated its ability to form crucial links between frontline biosafety professionals, laboratory workers, and policy- and decision-makers across several implicated sectors. By supporting regionally relevant peer mentorship programs, the gap between health security policy development and implementation may be narrowed.

Rabies in Animal Bite Victims: How to Handle in North Kolaka Regency

Rabies is one of the most important zoonoses in the world with a high impact on public health. Rabies disease in Indonesia is one of the public health problems with a high level of endemicity that has spread in 24 out of 34 provinces in Indonesia. In Indonesia, there are an average of 80,861 cases and 103 deaths per year from rabies transmitting animal bites (GHPR). From January to May 2019, there were 41 GHPR cases and 1 death case or 2.4% CFR in North Kolaka Regency. This research is descriptive with a qualitative approach. The population in this study is 42 cases of GHPR, all of which act as samples. The results showed that most cases of rabies were experienced by women (52.4%), the age of most people with rabies was the occupations of most of the sufferers (23.8%) were students and housewives, the ownership status of the animals was mostly wild animals (66.67%), and the bite history was mostly unprovoked (92.8%). This study recommends that joint efforts are needed to control rabies from the animal and human health sectors with a synergistic approach.

COVID-19 and Islamic Stock Index: Evidence of Market Behavior and Volatility Persistence

The aftermath of the COVID-19 pandemic is not limited to human lives and health sectors. It has also changed social and economic aspects of the world. This study investigated the Islamic stock market’s reaction and changes in volatility before and during this pandemic. The market model of event study methodology was employed to analyze Islamic stock market reactions in nine different markets around the globe. To examine changes in volatility and persistence of risk, the generalized autoregressive conditional heteroscedasticity (GARCH) method was used. Nine Islamic stock indices were selected for this study from the Thomson Reuters data stream. The results suggest that, in the short run, the Islamic Australian stock index and Islamic GCC stock index remained stable for the first 15 days following news of the pandemic. The Islamic stock indexes of Qatar, UAE, ASEAN, MENA, MENASA, and Bahrain were significantly affected by the outbreak in the short-term. On the other hand, the volatility of Islamic stock indices was substantially amplified after the global health crisis was declared by the WHO. Moreover, volatility shocks tended to persist for a longer period after COVID-19.

Rabies and the pandemic: lessons for One Health.

This article examines the impact of coronavirus disease 2019 (COVID-19) on dog-mediated rabies, a neglected tropical disease that remains endemic in >65 countries. A globally agreed strategy for rabies elimination is underpinned by a One Health approach, coordinating human and animal health sectors and engaging communities. We present data on the scale and nature of COVID-19 disruption to rabies control programmes and the wider learning for One Health implementation. We argue that the global shift in health priorities caused by the pandemic, and consequent side-lining of animal health, will have broader ramifications for One Health implementation and preparedness for future emergent zoonoses.

Operationalising the \u201cOne Health\u201d approach in India: facilitators of and barriers to effective cross-sector convergence for zoonoses prevention and control

BackgroundThere is a strong policy impetus for the One Health cross-sectoral approach to address the complex challenge of zoonotic diseases, particularly in low/lower middle income countries (LMICs). Yet the implementation of this approach in LMIC contexts such as India has proven challenging, due partly to the relatively limited practical guidance and understanding on how to foster and sustain cross-sector collaborations. This study addresses this gap by exploring the facilitators of and barriers to successful convergence between the human, animal and environmental health sectors in India.MethodsA mixed methods study was conducted using a detailed content review of national policy documents and in-depth semi-structured interview data on zoonotic disease management in India. In total, 29 policy documents were reviewed and 15 key informant interviews were undertaken with national and state level policymakers, disease managers and experts operating within the human-animal-environment interface of zoonotic disease control.ResultsOur findings suggest that there is limited policy visibility of zoonotic diseases, although global zoonoses, especially those identified to be of pandemic potential by international organisations (e.g. CDC, WHO and OIE) rather than local, high burden endemic diseases, have high recognition in the existing policy agenda setting. Despite the widespread acknowledgement of the importance of cross-sectoral collaboration, a myriad of factors operated to either constrain or facilitate the success of cross-sectoral convergence at different stages (i.e. information-sharing, undertaking common activities and merging resources and infrastructure) of cross-sectoral action. Importantly, participants identified the lack of supportive policies, conflicting departmental priorities and limited institutional capacities as major barriers that hamper effective cross-sectoral collaboration on zoonotic disease control. Building on existing informal inter-personal relationships and collaboration platforms were suggested by participants as the way forward.ConclusionOur findings point to the importance of strengthening existing national policy frameworks as a first step for leveraging cross-sectoral capacity for improved disease surveillance and interventions. This requires the contextual adaptation of the One Health approach in a manner that is sensitive to the underlying socio-political, institutional and cultural context that determines and shapes outcomes of cross-sector collaborative arrangements.

Exploring potential of glass surface immobilized short antimicrobial peptide (AMP) as antibacterial coatings

Bacterial infections associated with biomedical devices and implants pose serious clinical threat to human health and medical sector. Antimicrobial peptides (AMPs) based coatings are promising candidate to prevent these infections due to broad spectrum antimicrobial activity, reduced bacterial resistance propensity, and low cytotoxicity. In this study, an in-house designed peptide, KLR (KLLLRLRKLLRR), is immobilized onto glass substrates and its antibacterial activity against E. coli and S. aureus is studied. The effect of orientation of the peptide on the antibacterial activity is also tested by tethering the peptide through its C-terminus, using EDC/NHS coupling, and N-terminus, using maleimide-thiol chemical coupling. To confirm successful modification in all the sequential steps, X-ray photoelectron spectroscopy (XPS), water contact angle (WCA) measurements, and atomic force microscopy (AFM) is used. Antibacterial assays reveal that peptide-modified surfaces exhibit excellent antibacterial activity against E. coli (Gram-negative bacteria) but were ineffective in inhibiting S. aureus (Gram-positive bacteria). Furthermore, confocal studies with dye encapsulated giant unilamellar vesicles (GUVs) show that immobilized KLR induces dye leakage from the vesicles indicating pore-forming action mechanism of immobilized peptide. These peptide coated surfaces exhibit no cytotoxicity towards mammalian cells. Thus, these short peptides can be synthesized easily and cost effectively, opening an opportunity to be new antibacterial surface coating agents.

Zoonotic enteric parasites in Mongolian people, animals, and the environment: Using One Health to address shared pathogens.

BackgroundCryptosporidium spp. and Giardia duodenalis are important zoonotic enteric pathogens of One Health concern for humans, animals, and the environment. For this study, we investigated parasite prevalence and risk factors among rural, peri-urban, and urban households and environments of Mongolia.MethodsThis cross-sectional study implemented a household risk factor survey at 250 home sites along with sample collection from humans, animals, flies, and drinking water. Multiplex real-time PCR analysis was conducted to look for Cryptosporidium spp. and/or Giardia duodenalis within household samples.ResultsLab analysis found one or both zoonotic parasites at 20% of the participating households (51/250). Human samples had a parasite prevalence of 6.4% (27/419), domestic animals at 3.3% (19/570), pooled filth flies at 14.8% (17/115), and drinking water samples at 2% (5/250). Parasite presence at the household was significantly associated with a household’s use of an improved drinking water source (OR 0.27; CI 0.12–0.61; p = < 0.01), having an indoor handwashing site (OR 0.41; CI 0.19–0.92; p = 0.03), domestic animal ownership (OR 2.40; CI 1.02–5.65; p = 0.05), and rural location (OR 0.50; CI 0.25–0.98; p = 0.04). Household use of an improved drinking water source remained significant in the multivariate model (OR 0.16; CI 0.04–0.68; p = 0.01).ConclusionIn Mongolia, public and veterinary health are intertwined, particularly for rural herding households. Increased access to safe water, sanitation and hygiene infrastructure could help prevent further transmission of zoonotic enteric parasites. Public health interventions, policy and messaging should utilize a One Health framework employing joint leadership from local human and animal health sectors.