Human Health Sectors Research Articles

One Health communication channels: a qualitative case study of swine influenza in Canada in 2020

BackgroundWith increased attention to the importance of integrating the One Health approach into zoonotic disease surveillance and response, a greater understanding of the mechanisms to support effective communication and information sharing across animal and human health sectors is needed. The objectives of this qualitative case study were to describe the communication channels used between human and animal health stakeholders and to identify the elements that have enabled the integration of the One Health approach.MethodsWe combined documentary research with interviews with fifteen stakeholders to map the communication channels used in human and swine influenza surveillance in Alberta, Canada, as well as in the response to a human case of H1N2v in 2020. A thematic analysis of the interviews was also used to identify the barriers and facilitators to communication among stakeholders from the animal and human health sectors.ResultsWhen a human case of swine influenza emerged, the response led by the provincial Chief Medical Officer of Health involved players at various levels of government and in the human and animal health sectors. The collaboration of public and animal health laboratories and of the swine sector, in addition to the information available through the surveillance systems in place, was swift and effective. Elements identified as enabling smooth communication between the human and animal health systems included preexisting relationships between the various stakeholders, a relationship of trust between them (e.g., the swine sector and their perception of government structures), the presence of stakeholders acting as permanent liaisons between the ministries of health and agriculture, and stakeholders' understanding of the importance of the One Health approach.ConclusionsInformation flows through formal and informal channels and both structural and relational features that can support rapid and effective communication in infectious disease surveillance and outbreak response.

Integrative strategies for zoonotic disease surveillance: A review of one health implementation in the United States

Zoonotic diseases pose significant public health threats worldwide, highlighting the need for effective surveillance strategies. The One Health approach, which recognizes the interconnection between human, animal, and environmental health, has gained traction as a comprehensive framework for addressing zoonotic disease surveillance. This review explores integrative strategies for zoonotic disease surveillance in the United States, focusing on the implementation of One Health principles. The review examines the collaborative efforts between human and animal health sectors, environmental agencies, and other relevant stakeholders in implementing One Health surveillance strategies. It highlights the importance of data sharing, communication, and coordination among these sectors to enhance early detection, rapid response, and effective control of zoonotic diseases. Key findings include the establishment of cross-sectoral surveillance systems, such as the National Notifiable Diseases Surveillance System (NNDSS) and the National Animal Health Monitoring System (NAHMS), which facilitate the collection and analysis of zoonotic disease data. These systems enable the identification of emerging zoonotic threats and the implementation of targeted interventions to mitigate risks. The review also discusses the role of technology, such as geographic information systems (GIS) and molecular epidemiology, in enhancing zoonotic disease surveillance. These tools enable the visualization of disease patterns and the tracking of disease transmission pathways, aiding in the development of effective control strategies. Challenges in implementing One Health surveillance strategies include limited resources, fragmented data systems, and regulatory barriers. Addressing these challenges requires increased investment in infrastructure, capacity building, and policy development to support integrated surveillance approaches. Overall, this review highlights the importance of One Health implementation in zoonotic disease surveillance and underscores the need for continued collaboration and innovation to enhance the effectiveness of surveillance efforts in the United States.

Looking at human healthcare to improve agricultural service delivery: The case of online chatgroups

Abstract This study analyses the opportunities and pitfalls of using chatgroups for plant health systems. It also examines the conditions for strengthening chatroom functions and considers the possibility of replicating reported successes in healthcare settings to plant health systems. We use mixed qualitative methods, which include stakeholder surveys and observation of chatgroup activity interactions in Ghana, Kenya, Uganda and Sri Lanka. Our findings show that there is evidence of the benefits of chatgroups to human health which can be replicated in plant health. Replication should, however, not be a ‘copy and paste’ approach. This is due to the general lack of evidence-based guidelines and lessons learned to move beyond the initial adoption success of communication applications. Also, in practice, plant doctor chatgroups are generally much larger than groups in healthcare settings and it remains to be seen whether increasing chatroom activity could benefit specific plant health objectives; or whether it would lead to increased labour costs, and/or diminish the participation of plant doctors. One Health impact statement The article is relevant in a One Health context as it demonstrates that there is a lot to learn between sectors about interventions and approaches. The work used literature from human health interventions to shed light on how a similar intervention in plant health functioned and could be improved. It shows that if actors in the plant health sector had engaged early on with actors in the human health sector, they may have avoided pitfalls in the ways that chatgroups can be used to support plant health management. It is expected that human, animal and plant health sectors would benefit from the knowledge and recommendations in this article to establish new online chatgroups that can support transformative change.

Knowledge and risky behaviors of Kabul city butchers regarding Crimean-Congo hemorrhagic fever

Abstract Crimean-Congo hemorrhagic fever (CCHF) is a tick-borne zoonotic disease with high morbidity and case fatality rates (CFR) in humans, especially among the high-risk groups, including butchers. Therefore, a cross-sectional study was conducted in Kabul City to determine the knowledge gaps and risky behaviors of Kabul City’s butchers about CCHF. Data were collected from 123 butchers by structured interview using a pre-designed questionnaire. The finding of the present study revealed that of the total CCHF cases in the butchers, their family members, and co-workers, 37.9% died. Nearly half of the butchers (45.0%) experienced splashing of animal blood on their faces, while 70.1% of them had cut their hands with a knife during their occupation life. In addition, 27.0% of the respondents held the knife in their mouth while dressing the animal carcasses, and 27.3% of the butchers consumed raw liver. Hand washing and PPE application were practiced by 94.3% and 22.8% of the respondents, respectively. About 92% of the respondents had heard about CCHF, and 67.4% of the participants had good knowledge about CCHF. The knowledge level of the respondents (poor or good) was statistically related to their age, history of blood splash in the face and eyes of the butchers, holding work knives in the mouth, blowing the skin of animals, hand washing with soap and water, and slaughter places ( p < 0.05). A medium correlation between education and total knowledge of the butchers was observed (r = 0.3; p < 0.05). It is necessary to change such high-risk behaviors by continually coordinating awareness campaigns through mass media, workshops, and informative leaflet distribution to improve knowledge. One Health impact statement CCHF is a multifaceted zoonotic disease where tick bites, direct contact with the tissue, secretions, and body fluids of the infected animals and humans, and consumption of raw milk, meat, and liver of infected animals are the main transmission methods of the disease to humans. Although livestock including cattle, sheep, goats, camels, and ostrich are the main reservoirs of the virus, they are infected in subclinical form, and humans are the only hosts where fatal clinical disease develops. Since the CCHF virus circulates in nature between tick-vertebrates-ticks, the only method that can effectively control and prevent the disease in humans is by using a targeted One Health approach between the human, veterinary, and environmental health sectors. Meanwhile, it has been proven that public awareness campaigns through the use of mass media, community leaders, and integrated workshops are the most effective tools to prevent the transmission of the CCHF virus from infected animals and ticks to humans.

Zoonotic hookworms and roundworms affecting dogs and cats in Europe

Ascarids and ancylostomatids are parasitic nematodes that are significant to animal and human health. Widespread misconceptions have often contributed to a tendency among the general public and pet owners to underestimate the importance of these intestinal worms. Similarly, there is a low level of concern even within the veterinary community, despite the need to remain vigilant. Understanding the epidemiology, transmission pathways and clinical implications of these infections is crucial in mitigating their impact on public health and animal wellbeing. This article provides a brief overview of zoonotic hookworms and roundworms affecting dogs and cats in Europe, with a focus on their biology, patterns of transmission, associated diseases and strategies for prevention and control. The article emphasises the need for interdisciplinary collaboration between veterinary and human health sectors and the importance of awareness, early detection and effective management of these zoonotic parasites to safeguard both animal and human health.

A Brief Review on Foodborne Zoonosis in Pakistan with the Perspective of One Health

Background: Zoonotic diseases pose a significant public health challenge globally, with developing countries like Pakistan facing heightened risks due to various factors such as climate change, environmental degradation, and socio-economic disparities. These diseases, transmitted between animals and humans, have profound implications for healthcare systems, food safety, and public health policies. Objective: This study aims to identify the key risk factors associated with the prevalence of zoonotic diseases in Pakistan and evaluate the effectiveness of the 'One Health' approach in addressing these multifaceted challenges. Methods: A comprehensive review of existing literature was conducted, focusing on zoonotic disease outbreaks in Pakistan, their associated risk factors, and the impact of integrated health strategies. Data from government reports, peer-reviewed articles, and international health organization databases were analyzed to assess the current state of zoonotic diseases in Pakistan. Results: The findings indicate that climate change, environmental issues, lack of public awareness, and socio-economic inequities are the primary drivers of zoonotic disease transmission in Pakistan. Despite some progress in disease surveillance and public health education, gaps in food and water safety practices, vector control, and environmental management persist. The 'One Health' approach has shown potential in improving cross-sectoral collaboration and enhancing disease prevention measures, yet its implementation remains inconsistent. Conclusion: Effective management of zoonotic diseases in Pakistan requires a concerted effort that encompasses improved surveillance, enhanced public awareness, and robust environmental and food safety policies. The 'One Health' approach emerges as a critical framework for fostering collaboration across human, animal, and environmental health sectors to mitigate the risks and impacts of zoonotic diseases. Keywords: Zoonotic Diseases, One Health Approach, Public Health, Pakistan, Climate Change, Environmental Health, Disease Surveillance, Food Safety, Vector Control, Socio-economic Factors.

Challenges of rabies surveillance in Madagascar based on a mixed method survey amongst veterinary health officers.

IntroductionIn Madagascar, rabies is endemic and a notifiable disease. The objective of this mixed study was to understand the challenges faced by the Veterinary Health Officers (VHOs) in the current rabies surveillance system in Madagascar.MethodsA survey was conducted from mid-April to the end of July 2021 during which all officially-listed VHOs (N = 150) were contacted by phone at least twice. Participants, representative of the 22 regions of Madagascar, were interviewed by phone based on a semi-structured questionnaire on (1) their knowledge of rabies epidemiology in their area of activities, (2) the occurrence of human and animal rabies and the species affected in the region where they work, (3) the factors that might influence rabies surveillance depending on (a) their activities and area of operation, (b) the socio-cultural aspects of local communities, and (c) the general organization of animal rabies surveillance.ResultsThe majority (80/90) of VHOs declared having been informed of at least one suspected or confirmed case of human and/or animal rabies in their area of activity during their work as VHOs: at least once a month for 11 of them, at least once a year for 40 and with undetermined frequency for 29. Several obstacles hinder the surveillance of rabies resulting in under-reporting. The lack of funds to access suspect animals, collect, pack and ship samples in compliance with biosecurity measures and the cold chain, was mentioned as a major obstacle to surveillance. The second barrier is socio-cultural: in many large coastal regions, dogs are taboo and VHOs fear rejection by the community if they treat dogs.Discussion and conclusionWhile the general population requires information on the rabies situation in Madagascar and on how to proceed in the event of a bite, veterinarians and decision-makers need to be fully aware of an evidence-based approach to rabies surveillance, prevention and control. Communication between the human and animal health sectors should be improved. Politicians need to be persuaded of the importance of funding to eliminate rabies in Madagascar. The adoption, in early 2023, of a national strategic plan for rabies control is a first step in this direction.

Risk Prioritization tools for emerging and epidemic-prone diseases: A One Health scoping review

Background and Aim: The threat of emerging and epidemic-prone diseases is a significant public health concern and there is an urgent need to work on the prevention and control of these diseases. In view of the limited time and other resources available to the animal and human health sector, it is crucial to prioritize the most essential and critical risk factors and diseases. This scoping review aims to document the available disease and risk prioritization tools by evaluating their characteristics and suitability from the One Health perspective. Materials and Methods: Databases such as PubMed, Scopus, and Google Scholar were used to extract available tools for prioritization. We compared and synthesized the objective of the tool, methodology and prioritization process of the available tools. Results: A total of six tools, including One Health Zoonotic Disease Prioritization, European Centre for Disease Prevention and Control, Strategic Toolkit for Assessing Risks, One Health Systems Mapping and Analysis Resource Toolkit, Health Hazard Assessment and Prioritization tool, Risk Ranger, are included in this scoping review. Various prioritization methods are available; however, multi-criteria decision analysis is the most commonly used. Conclusion: A thorough analysis showed that different tools employ different prioritizing approaches, including mixed-method, quantitative, and qualitative approaches. The summary of the findings suggests the development of a new robust tool with a One Health approach, which will focus on risk prioritization and disease prioritization. Keywords: disease prioritization, prioritization in public health, prioritization tool, risk prioritization.

Molecular detection and characterization of the Mycobacterium tuberculosis complex subspecies responsible for bovine tuberculosis in Punjab, Pakistan.

Bovine tuberculosis (bTB), traditionally associated with Mycobacterium bovis, presents significant public health and economic challenges worldwide. This study investigated the causative agents of bTB in slaughtered cattle and buffalo in Lahore, Pakistan. Of the 3,581 animals screened, 34 were identified with gross TB-like lesions. The lesions were processed for culture, PCR, and Sanger sequencing to identify the causative agents of the disease. The results identified 10 Mycobacterium orygis and 8 Mycobacterium tuberculosis sensu stricto isolates. Whole-genome sequencing was performed on two M. orygis isolates, and the sequences were phylogenetically compared to 93 publicly available M. orygis sequences. The results also demonstrated that the JB21 and JB22 primers, which have been previously commonly applied to detect M. bovis in Pakistan, are unable to distinguish between M. tuberculosis complex subspecies. The identification of M. orygis and M. tuberculosis as causative agents of bTB in this slaughterhouse in Punjab may have important implications in identifying cases of zoonotic TB in humans and applying appropriate molecular tools to identify the prevalence of the disease. The data from this study align with recent findings suggesting M. orygis is the predominant cause of bTB in South Asia.IMPORTANCEThe study findings hold significant relevance to the Journal of Clinical Microbiology, as they directly impact the field. The first-time identification of Mycobacterium orygis and Mycobacterium tuberculosis as the predominant causative agents of bovine tuberculosis in Lahore, Pakistan underscores the urgent need for enhanced diagnostic methods. The study emphasizes the importance of improved assays for the accurate detection and differentiation of Mycobacterium subspecies. Additionally, the research addresses zoonotic risk assessment and public health implications, advocating for a multidisciplinary approach that integrates clinical microbiology with veterinary and human health sectors. These insights contribute to clinical microbiology knowledge, shaping effective strategies for disease prevention, surveillance, and control. The study's potential to advance the field makes it well suited for publication in the Microbiology Spectrum journal.

Intensity duration and frequency of Heat wave in different phases of MJO over India

The Madden-Julian Oscillation (MJO) is an important tropical atmospheric phenomenon that plays a significant role in modulating weather patterns across India. Heat Waves (HW) are extreme weather events that have severe impacts on human health, agriculture, and various socio-economic sectors. This research paper aims to investigate the dynamical relationship between MJO phases, as measured by the Real-time Multivariate MJO (RMM) index, and the occurrence of HW in India, as defined by the Indian Meteorological Department. This paper demonstrated the relationship among three aspects, i.e., intensity, duration, frequency of HW during the different MJO phases. The differential dynamics associated for about two-fold rise in the HW occurrence in the South East, Eastern and North West India in the MJO active phase. Inactive phase witnessed enhancement (suppression) of HW during wet (dry) over the regions. The novel finding of this paper is that, the weaker the MJO, the higher probability of HW occurrence in respective regions depending on the position of the MJO convection center. The maximum duration is observed to be significantly decreased by about 2 days in the active MJO phase over NW and north central parts of the country. It is also inferred from this study that there is a significantly decrease of 0.5 °C in HW intensity during the active wet phase of MJO over the NW India. To explain the linkage of HW with MJO, geopotential height (GPH), wind circulation, velocity potential (VP), sea surface temperature (SST) and outgoing longwave radiation (OLR) composite anomalies have been computed and used in the analysis. It is observed that all these parameters have a direct impact on the evolution, strength and spread of the HW in India. This dynamical study mechanism can be prescribed in the numerical weather prediction models for the improved prediction of such extreme weather events during summer for proactive disaster management.

Knowledge, perceptions, and practices around zoonotic diseases among actors in the livestock trade in the Lake Victoria crescent ecosystem in East Africa.

Zoonotic diseases such as anthrax, rabies, brucellosis, and Rift Valley fever pose a direct threat to health and undercut livelihoods in the communities in which they occur. A combination of anthropogenic and animal activities like migration and interaction with wildlife and their respective parasites and vectors drives the emergence and re-emergence of zoonotic diseases. Consequently, One Health interdisciplinary approaches that incorporate social scientists can provide key insights into complex local perceptions. The approach calls for collaboration between the human and animal health sectors, including the sharing of disease surveillance data necessary to alleviate disease impacts. Livestock traders interact closely with livestock, which puts them at elevated risk of infection and creates conditions by which they may spread zoonotic disease. It is thus essential to examine practices among actors involved in the livestock trade to understand the most appropriate ways to mitigate these risks. A qualitative study was conducted among the actors in the livestock trade in Busia County on their knowledge and perceptions of zoonotic diseases and practices that may contribute to the spread, control, and prevention of zoonotic disease transmission. A thematic analysis framework was used to categorize and synthesize data from in-depth interviews (IDIs), key informant interviews (KIIs), and structured observations. Whereas participants could list livestock diseases, they could not identify which ones were zoonoses, demonstrating insufficient knowledge of zoonosis. They identify sick animals by checking for dropped ears, excess mucus production, diarrhea, bloody urinal discharge, and general animal activity levels. To prevent the spread of these diseases, they wash their animals, isolate sick animals from the rest of the stock, and vaccinate their animals. They seek help from animal health professionals for sick animals as part of curative practices. This shows that they perceive the diseases as serious and that they need to be attended to by professionals. The results also show that they perceive animals from outside the region to be more vulnerable to diseases compared to those from within. The actors in the livestock trade engage in practices like skinning dead animals before burying them; to them, this is a normal practice. Some also consume dead carcasses. These increase the risk of zoonotic disease transmission. The actors involved in the livestock trade are critical in the prevention and elimination of zoonotic diseases; hence, they need to be involved when developing intervention programs and policies for animal health extension services. Training them as a continuum of animal health workers blends lay and professional knowledge, which, alongside their intense contact with large numbers of animals, becomes a critical disease surveillance tool. Increasing awareness of zoonoses by using multi-disciplinary teams with social scientists is urgently needed so that practices like skinning dead animals before disposing of them and consumption of dead carcasses can be minimized.

Monitoring progress on Antimicrobial Resistance (AMR) response in the World Health Organization African region: Insights from the Tracking AMR Country Self-Assessment Survey (TrACSS) 2021 results for the human health sector.

Antimicrobial resistance (AMR) is a major 21st century global health challenge. The WHO African Region Member States committed to develop and implement multisectoral national action plans (NAPs) that address AMR, in line with the Global Action Plan on AMR (GAP). The aim of this paper is to present the progress of AMR response in the WHO African Region based on the annual Tracking AMR Country Self-Assessment Survey (TrACSS), with a focus on human health indicators. This was a secondary data analysis of responses from forty-one countries that participated in the 2021 TrACSS. Of the 41 countries that responded to the 2021 TrACSS, 35(85%) have developed NAPs. Fifteen 15(37%) of countries have functional AMR multisector working groups. 55% (21/41) of countries are collating data nationally on AMR surveillance. Forty nine percent of countries conducted small-scale AMR awareness campaigns and 53% (21/41) covered AMR in some pre- and in-service training for human health workers. While 83% of countries reported having laws and regulations on the prescription and sale of antimicrobials, only 32% (13/41) have national systems for monitoring antimicrobial use. Twenty-three (58%, 23/41) reported having Infection Prevention and Control (IPC) programs at select health facilities. Countries have developed and are implementing AMR NAPs. Gaps still exist across key indicators monitored through TrACSS. Effective AMR response requires established functional multisectoral governance mechanisms in the One Health approach; political commitment, sustainable funding, and clear monitoring and reporting is critical.

Informing climate-health adaptation options through mapping the needs and potential for integrated climate-driven early warning forecasting systems in South Asia-A scoping review.

Climate change is widely recognised to threaten human health, wellbeing and livelihoods, including through its effects on the emergence, spread and burdens of climate-and water-sensitive infectious diseases. However, the scale and mechanisms of the impacts are uncertain and it is unclear whether existing forecasting capacities will foster successful local-level adaptation planning, particularly in climate vulnerable regions in developing countries. The purpose of this scoping review was to characterise and map priority climate- and water-sensitive diseases, map existing forecasting and surveillance systems in climate and health sectors and scope out the needs and potential to develop integrated climate-driven early warning forecasting systems for long-term adaptation planning and interventions in the south Asia region. We searched Web of Science Core Collection, Scopus and PubMed using title, abstract and keywords only for papers focussing on climate-and water-sensitive diseases and explicit mention of either forecasting or surveillance systems in south Asia. We conducted further internet search of relevant national climate adaptation plans and health policies affecting disease management. We identified 187 studies reporting on climate-sensitive diseases and information systems in the south Asia context published between 1992 and 2024. We found very few robust, evidenced-based forecasting systems for climate- and water- sensitive infectious diseases, which suggests limited operationalisation of decision-support tools that could inform actions to reduce disease burdens in the region. Many of the information systems platforms identified focussed on climate-sensitive vector-borne disease systems, with limited tools for water-sensitive diseases. This reveals an opportunity to develop tools for these neglected disease groups. Of the 34 operational platforms identified across the focal countries, only 13 (representing 38.2%) are freely available online and all were developed and implemented by the human health sector. Tools are needed for other south Asian countries (Afghanistan, Sri Lanka, Bhutan) where the risks of infectious diseases are predicted to increase substantially due to climate change, drought and shifts in human demography and use of ecosystems. Altogether, the findings highlight clear opportunities to invest in the co-development and implementation of contextually relevant climate-driven early warning tools and research priorities for disease control and adaptation planning.

Evaluation of the Awareness of Bovine Tuberculosis, Brucellosis and its Associated Factors in Lay Gayint District, Ethiopia

Background and Aim: Zoonosis are the current global public health challenges. Animal-origin food-borne zoonosis are transmitted from animals to humans and vice versa. It accounts for 75% of all emerging and 60% of all infectious diseases. It is highly associated with the consumption of raw milk and meat and direct or indirect contact with animals. Materials and Methods: A community-based cross-sectional study was conducted to assess awareness of Bovine tuberculosis, brucellosis, and its associated factors in Lay Gayint District, South Gondar Zone, Ethiopia. Among 628 proportionally allocated and randomly selected households, one family member greater than 18 years old was randomly included in the data collection. Data was entered by using Epi info Version 7 and analysis was made by using SPSS version 20 software. Bivariable and multivariable logistic regression analysis was used to see the influence of the different factors on the level of knowledge of the outcome variable and a p-value <0.05 was taken as statistically significant. Results: A total of 579 respondents participated in the study with a response rate of 92.2% of which the majority 503(86.9%) were rural residents and 355(57.9%) males. The overall knowledge of the respondents on Bovine tuberculosis (BTB) and brucellosis was 191(33%), and knowledge on zoonoticity of BTB and brucellosis was 199(34.4%), and 273(47.2%) respectively. Factors like sex, residence, practice, and means of information source of the respondents were significantly associated with knowledge p-value < 0.05 at 95% confidence interval. Means of disease transmission (AOR=2.848, 95% CI; 1.919-4.227), female sex (AOR=0.580, 95% CI; 0.394-0.853), good practice (AOR= 2.42, 95% CI; 1.46-3.99), gain information source (AOR=1.69, 95% CI; 1.156-2.484) and rural residence (AOR=1.853, 95% CI; 1.092-3.143) were significantly associated with the knowledge of the participants. Conclusion: The overall knowledge of respondents on bovine tuberculosis, brucellosis, and their information source on the disease transmission was poor. Therefore, Awareness of the community regarding BTB and brucellosis should be raised through collaborative works in one health philosophy from the community to high levels in both human and animal health sectors.

Methodological Approach to Identify and Expand the Volume of Antimicrobial Resistance (AMR) Data in the Human Health Sector in Low- and Middle-Income Countries in Asia: Implications for Local and Regional AMR Surveillance Systems Strengthening.

Antimicrobial resistance (AMR) is a multifaceted global health problem disproportionately affecting low- and middle-income countries (LMICs). The Capturing data on Antimicrobial resistance Patterns and Trends in Use in Regions of Asia (CAPTURA) project was tasked to expand the volume of AMR and antimicrobial use data in Asia. The CAPTURA project used 2 data-collection streams: facility data and project metadata. Project metadata constituted information collected to map out data sources and assess data quality, while facility data referred to the retrospective data collected from healthcare facilities. A down-selection process, labelled "the funnel approach" by the project, was adopted to use the project metadata in prioritizing and selecting laboratories for retrospective AMR data collection. Moreover, the metadata served as a guide for understanding the AMR data once they were collected. The findings from CAPTURA's metadata add to the current discourse on the limitation of AMR data in LMICs. There is generally a low volume of AMR data generated as there is a lack of microbiology laboratories with sufficient antimicrobial susceptibility testing capacity. Many laboratories in Asia are still capturing data on paper, resulting in scattered or unused data not readily accessible or shareable for analyses. There is also a lack of clinical and epidemiological data captured, impeding interpretation and in-depth understanding of the AMR data. CAPTURA's experience in Asia suggests that there is a wide spectrum of capacity and capability of microbiology laboratories within a country and region. As local AMR surveillance is a crucial instrument to inform context-specific measures to combat AMR, it is important to understand and assess current capacity-building needs while implementing activities to enhance surveillance systems.

Building bridges to protect health

​This paper describes work under a Fellowship in Public Policy centred on enhanced partnerships among human, animal, and ecosystem health sectors in New Zealand. The outcome of the project is a guide to help protect the health of New Zealand’s people, production animals, wildlife, and environment by urging and guiding transdisciplinary interactions (Harvey 2010a).

Establishing a One Health AMR Community of Practice in Nigeria

Abstract To support the objectives set out in Nigeria’s national action plan for Antimicrobial Resistance (AMR), we established a One Health AMR Community of Practice comprised of Fleming Fund Fellows and their mentors. This community is a multi-disciplinary team dedicated to addressing AMR in human and animal health sectors, with members from Nigeria, Denmark, and the United Kingdom. We undertook gap analyses of the systems in Fleming Fellows’ laboratories and institutions to identify areas for support. Tailor-made capacity support programmes were developed for each Fellow. Fellows visited their mentors’ institutes for in-person coaching, and subsequently implemented strengthened processes at their home institutes. The community has trained 178 Nigerian scientists from Government, academic, and private laboratories, by delivering courses comprising classroom teaching and hands-on laboratory sessions. This up-skilling of Nigerian laboratory staff, through the ‘train-the-trainer’ approach, has enhanced capacity to produce high-quality microbiological data. The community has completed One Health collaborative projects investigating AMR in livestock, in-contact humans, the farm environment, and hospital submissions. We have held feedback sessions with stakeholders to raise awareness of AMR and provided advice on measures such as biosecurity, which can help to prevent disease and therefore reduce the need for antimicrobial use. The establishment of this community has helped to strengthen personal and institutional capacities in Nigeria, Denmark, and the United Kingdom and created a network of scientists working together to tackle AMR. This community has contributed to One Health AMR surveillance systems and supported the implementation of Nigeria’s national action plan for AMR. Information © The Authors 2023

Interaction mechanism of a pesticide, Azoxystrobin with bovine serum albumin: Assessments through fluorescence, UV–Vis absorption, electrochemical and molecular docking simulation techniques

The current study's objective was to investigate how an antifungal pesticide Azoxystrobin (AZO) interacts with bovine serum albumin (BSA) under conditions that simulate a physiological medium (pH 7.4). This investigation was carried out using various experimental (UV–Vis absorption, steady-state fluorescence and 3-D fluorescence spectroscopies, and electrochemical) and theoretical (molecular docking and molecular dynamics simulations) methods. The fluorescence quenching data demonstrated that AZO caused fluorescence quenching in BSA, and this quenching process was attributed to the static quenching mechanism. By examining the fluorescence quenching of BSA at three different temperatures, it was determined that the binding constants for the AZO-BSA complexes were approximately 104 M−1 in magnitude, while the same magnitude of the binding constant was found by the electrochemical method. This indicates that the interaction between AZO and BSA was of moderate strength. This was further validated by the changes observed in the UV–Vis spectrum of BSA following the addition of AZO. The thermodynamic information, including ΔH and ΔS, revealed that the interaction forces primarily involved van der Waals forces as well as hydrogen bonds. The negative Gibbs free energy indicated that the reaction is spontaneous. In the theoretical investigation, the comparison highlights a remarkable consistency in how AZO interacts with the BSA active site over various time points. Hydrogen bonding and hydrophobic interactions consistently play a role in ensuring the stable and specific binding of the ligand. Moreover, the 3-D fluorescence spectral findings revealed alterations in the surrounding microenvironment of protein fluorophores when AZO binds. Upon analyzing the electrochemical data, it was observed that there was a consistent decrease in the peak currents of AZO when BSA was added to solutions containing AZO. The primary cause of this decrease in the peak currents was the reduction in the equilibrium concentration of AZO due to the addition of BSA. Furthermore, the formation of a non-electroactive complex between BSA and AZO, which impedes electron transport between AZO and the working electrode, accounts for these decreases. As a result, it can be said that the understanding of how AZO binds to BSA offers valuable insights that can be applied in the food, human health, and environment sectors.

Generating evidence on antibiotic use across human and animal health sectors using the World Health Organization’s Access, Watch, Reserve (AWaRe) classification: Exploratory pilot study in rural Pune, India

Background and Aim: Human antibiotic formulations in animal feed for therapeutic and non-therapeutic purposes have contributed to antimicrobial resistance worldwide; however, little evidence is available in low- and middle-income countries. We aimed to generate evidence of antibiotic use across the human and animal health sectors by investigating the overlap in antibiotic use in community settings in rural blocks of Pune District, India, following the World Health Organization’s (WHO) Access, Watch, Reserve (AWaRe) classification. Materials and Methods: An exploratory pilot study using a cross-sectional design in two randomly selected rural blocks of the Pune district included 138 interviews with general physicians (GPs, n = 62), pharmacists (n = 60), and veterinary practitioners (n = 16) using semi-structured interview schedules and the WHO AWaRe classification. IBM-Statistical Package for the Social Sciences, Version 21.0 software was used for descriptive statistics and to calculate the proportions of the different antibiotic groups. The WHO AWaRe classification was used to describe antibiotic use by the study participants and to assess the overlap in antibiotic use. Results: Our study provides evidence of an overlap in human and animal antibiotic use in rural community settings across the human and animal health sectors. Amoxicillin (access group), penicillin (access group), and ofloxacin (watch group) were used in both human and animal health. Amoxicillin and penicillin were used to treat common bacterial infections, ofloxacin was used to treat skin infections in humans and animals, and ofloxacin was used to treat pneumonia in animals and urinary bladder infections in humans. In contrast, azithromycin (watch group), cefixime (watch group), and amoxicillin (Access Group), with or without other antibiotics, were the most commonly used antibiotics by GPs in humans. Conclusion: We confirmed the overlap in antibiotic use across the human and animal health sectors in rural community settings, suggesting the need for interventions following the One Health approach. Further, research is required to assess the patterns of this overlap, as well as behavior, knowledge, and potential solutions to help avoid this overlap and prevent the rampant use of antibiotics in the animal and human health sectors in rural community settings. Keywords: antimicrobial resistance, antibiotics use, overlap, rural India, WHO AWaRe.

Prospects for dog rabies elimination in Nigeria by 2030.

The attainment of the global target of zero dog-mediated human rabies by 2030 depends on functional rabies programmes. Nigeria, a rabies-endemic country, and the most populous country in Africa has a very poor rabies control strategy with a score of 1.5 out of 5 based on the Stepwise Approach towards Rabies Elimination (SARE). In this article, we report a scoping review that we conducted to highlight the strengths, weaknesses, opportunities and threats as well as situational analysis of rabies control in Nigeria and suggest a timeline for key activities that are needed to ensure zero by 30. Our findings reveal that rabies is grossly under-reported as only 998 human and 273 dog-suspected rabies cases were reported across Nigeria between 2017 and 2022. Our literature review also demonstrates a paucity of information on rabies in both human and animal health sectors. A total of 49 studies on dog rabies in Nigeria, with a predominance of reports from the North Central geopolitical region (48%, n = 23) were therefore included in this study. Currently, only 16.2% (n = 6/37) of Nigerian states have available data related to the estimated dog populations, the dog ownership rates, the vaccination status of dogs or the incidence of dog bites. Based on a dog-to-human ratio of 1:16.3, we estimated that the dog population in Nigeria was 12,969,368 (95% CI: 12,320,900-13,617,836). Thus, to attain herd immunity and dog rabies control in Nigeria, at least 9.1 million dogs must be vaccinated annually. Our review reveals that, despite the strengths and available opportunities to achieve rabies control in Nigeria by 2030, the weaknesses and challenges will make the attainment of zero by 30 very difficult or impossible. Nigeria's best-case scenario by the year 2030 is SARE stage 3-4 (control-elimination) out of 5. Otherwise, the rabies control programme might not surpass SARE stages 2-3. To attain zero by 30, Nigeria must re-strategize its current rabies control programme by funding and implementing the national strategic plan for rabies control, creating a rabies desk office in the 37 states (FCT inclusive), rigorously conducting mass vaccination campaigns, providing post-exposure prophylaxis, prioritizing mass enlightenment with a focus on responsible pet ownership and conduct baseline national rabies surveillance in the animal and human health sectors.