Management Of Zoonoses Research Articles

Unveiling the Gut Microbiome of Malaysia's Colobine Monkeys : Insights into Health and Evolution.

Colobines are primarily leaf-eating primates, depend on microbiota of gastrointestinal tracts for food digestion. However, the gut microbiota of Malaysia's colobines specifically langurs remains unstudied. Hence, we aim to analyze the fecal microbiomes of Malaysia's langurs using Presbytis femoralis, Presbytis robinsoni, Trachypithecus obscurus, and Trachypithecus cristatus from various landscapes as models. We collected samples from all four species across several areas in Peninsular Malaysia and performed 16S ribosomal RNA gene amplicon sequencing using the Illumina sequencing platform. Presbytis femoralis exhibited the highest bacterial diversity, followed by T. obscurus, T. cristatus, P. robinsoni and the lowest, P. siamensis. Over 11 million operational taxonomic units (OTUs) were identified across Malaysia's langurs spanning 26 phyla, 180 families, and 329 genera of microbes. The OTUs were dominated by Firmicutes, Proteobacteria, and Bacteroidetes. There are 11 genera of pathogenic bacteria were identified across all host species. Nine pathogenic bacterial genera inhabit both T. obscurus, indicating poor health due to low bacterial diversity and heightened pathogenicity. In contrast, P. robinsoni with the fewest pathogenic species is deemed the healthiest among Malaysia's langurs. This study demonstrates that alterations in diet, behavior, and habitat affect bacterial diversity in Malaysia's langurs' gut microbiota. Even though this is the first comprehensive analysis of langur microbiomes in Malaysia, it is important to note the limitations regarding the number of samples, populations sampled, and the geographical origins and landscapes of these populations. Our results suggest that Malaysia's langurs may harbor pathogenic bacteria, potentially posing a risk of transmission to humans. This highlights the critical need for the conservation and management of Malaysia's langurs, particularly considering their interactions with humans. This data can serve as a foundation for authorities to inform the public about the origins and significance of animal health and the management of zoonotic diseases.

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.

Data analysis of zoonoses notifications in Aboriginal and Torres Strait Islander populations in Australia 1996-2021: implications for One Health.

Zoonoses are a health concern for Aboriginal and Torres Strait Islander peoples in Australia that face elevated risk of disease related to the environment and animals. Internationally, One Health is encouraged to effectively manage zoonoses by taking integrated approaches involving animal, human, and environmental health sectors to improve health outcomes. However, Australia's health systems manage zoonotic diseases in animals and people separately which does not support a One Health approach. For the effective management of zoonoses, a strong evidence base and database regarding the epidemiology of zoonotic pathogens is needed. However, we currently lack this evidence limiting our understanding of the impact of zoonoses on Aboriginal and Torres Strait Islander populations. As a first step towards building the evidence base, we undertook a descriptive analysis of Aboriginal and Torres Strait Islander zoonotic notifications in Australia from 1996 to 2021. We presented notifications as annual notification rates per 100,000 population, and percentages of notifications by state, remoteness, sex, and age group. Salmonellosis and campylobacteriosis were the most notified zoonoses with the highest annual notification rates of 99.75 and 87.46 per 100,000 population, respectively. The north of Australia (Queensland, Northern Territory and Western Australia), remote and outer regional areas, and young children (0-4 years of age) had the highest percentages of notifications. To our knowledge, these findings are the first national presentation of the epidemiology of zoonoses within Aboriginal and Torres Strait Islander populations. A greater understanding of transmission, prevalence and impact of zoonoses on Aboriginal and Torres Strait Islander peoples (including animal and environmental health factors) is required to inform their effective management through a One Health approach.

Zoonotic implications of white-footed mice habitat selection and territoriality in fragmented landscapes.

White-footed mouse (Peromyscus leucopus) populations can thrive in fragmented suburban and urban parks and residential spaces and play a pivotal role in the spread and prevalence of tick-borne diseases. We collected spatial data on 58 individual mice living at the intersection of county park land and residential land in suburban Howard County, MD, U.S.A. We analyzed mouse density, home-range size and overlap, and a Bayesian mixed-effects model to identify the habitats where they were found relative to where they were caught, as well as a resource selection function for general habitat use. We found that as mouse density increased, home-range size decreased. The overlap indices and the resource selection function supported territoriality coupled with site-specific space use in these suburban mouse populations. While mice occurred in open areas, forest edge, and forest, they showed a strong preference for forested areas. Interestingly, mice captured only 30 to 40 m into the forest rarely used the nearby private yards or human structures and this has direct implications for the placement of rodent-targeted tick control treatments. Our study supports the need for zoonotic disease management frameworks that are based on site-specific land cover characteristics as well as specific management objectives.

Implementing a one health approach to strengthen the management of zoonoses in Ethiopia

In East Africa, a region with many endemic and emerging zoonoses, and in countries such as Ethiopia in particular, One Health (OH) approaches are increasingly seen as effective ways, to mitigate the risk of zoonoses at the interface between human, animal and the environment. The OH approach promotes interdisciplinary cooperation and collaboration between researchers and practitioners from the disciplines of human, animal and environmental health. Moreover, it advocates for the establishment of a public health sector model which recognises the imperative to holistically address diseases that occur in the human, animal and environmental health arena.Key informant interviews were conducted with human and animal health practitioners and academic researchers in Ethiopia to collect data on the implementation of the OH approach to manage zoonotic diseases at the human and animal health interface. Participants' observations were undertaken within animal and human health clinics and government laboratories to gather additional data. Environmental health was not considered in this study as it is not yet fully integrated into the OH approach in Ethiopia.The results reveal a lack of interdisciplinary cooperation, collaboration, and coordination between animal and human health practitioners in operationalising the OH framework in Ethiopia. Professionals in academic and non-academic institutions and organisations are interested in implementing the OH approach, however, an organisational “silo” culture constrains collaboration between institutions dealing with animal and human health. Understaffing and underfunding of institutions were also cited as major challenges to the implementation of a OH approach. Lack of interdisciplinary training for animal and human health practitioners hinders collaboration in the management of zoonoses.Policymakers need to go beyond the rhetoric to a genuine focus on reform of health management and implement policies that bridge human, animal and environmental health. There is a need for multidisciplinary and transdisciplinary training in human, animal and environmental health and collaborative research for the management of zoonoses.

Awareness and Community Engagement in Zoonotic Disease Management

Awareness and Community Engagement in Zoonotic Disease Management

Managing zoonotic diseases in the international wildlife trade through the One Health approach: a future role for CITES?*

The wildlife trade regime is largely governed by the framework established by the 1973 Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES). The emergence of COVID-19 in late 2019 as a zoonotic disease, attributed to either bats or pangolins, might imply that the subsequent pandemic could have been prevented if wildlife trading under CITES was better regulated through provisions related to public health. Many species of bats and pangolins are indeed listed as endangered under Appendix I of CITES. But is CITES well equipped to deal with public health in the context of the wildlife trade? Given that the text of CITES does not primarily deal with health-related aspects of the wildlife trade, the treaty text may need to be amended. Even without significant amendments, however, the existing framework of CITES could conform to the One Health approach – integrating animal, human and environmental health – depending upon the willingness of States Parties to adopt national legislation that advances several health-related resolutions made under CITES and other relevant instruments that regulate human–wildlife interactions. As 60 per cent of the diseases in the world are zoonotic, and 13 zoonoses are responsible for close to 2.4 billion cases of sickness per year, the management of zoonotic diseases within the CITES framework could have important implications for the wildlife trade, international environmental law, and the future of global health.

A vision of a One Health system for Australia: on the need to rethink our health system.

A vision of a One Health system for Australia: on the need to rethink our health system.

One Health – A holistic solution for sustainable management of globalization-driven public health challenges

Globalization is an inevitable and extremely complex phenomenon that involves transnational integration of culture, economy, environment, politics, and other social interest. Globally, we are witnessing multitude changes such as a rapid population growth, urbanization, international trade and commerce, agricultural intensification, and encroachment into the natural ecosystem. Further mismatching of food demand and supply, growth disparities, increasing food prices, and over utilization of natural resources are among the challenges to the economic status of a nation and its health sector. The health impacts of globalization can be both positive and negative; of course, its impacts vary based on factors such as geographical location, gender, age, literacy, and socioeconomic status. Globalization has played pivotal role in health improvements via dissemination of new medical knowledge, low-cost health technologies, fast transactions of medical supply and improvement of human rights. Thus it has shown potential positive impacts by minimizing the gaps in health inequalities between rich and poor people in the global South and North and improved the idea of healthcare for all. On the other hand, there are also shortcomings of globalization to global health, such as the spread of infectious diseases due to rapid mobility, which is emerging as the greatest threat to all. The interconnectedness of globalization and One Health is complex. Whereas, globalization is one of the main challenges to ensure global health security. One Health is a remedy to manage the negative health consequences of globalization, especially in least developed world. It is undeniable that the connection between humans, animals, and the environment calls for the attention of multi-sectorial institutes to collaborate to closely monitor and reduce the risks and consequences on health and wellbeing. One Health approach is increasingly recognized and streamlined into national and international plans and strategies for effective management of zoonotic diseases, food safety, antimicrobial resistance, and climate change. Human practices such as, changes in land use and how food is produced are driving ecological and evolutionary conditions that facilitate disease spillover events and contribute to antimicrobial resistance. These changes are occurring rapidly on a large scale, both locally and globally. The pursuit of understanding human, veterinary and environmental health issues separately leads to an incomplete understanding of disease dynamics and, therefore, missed synergy for a joint mitigation of the problems. One Health actions support the primary prevention of such problems, enabling more timely and effective containment and response to public health threats at the human-animal-environment interface. In short, systematic and sustained One Health approach becomes more important than ever in order to promote and ensure health security and avert the negative impacts of globalization. Therefore, there is a need to focus on the creation of socially and environmentally sustainable forms of globalization that provide the greatest benefits and least costs, shared more equitably than the status queue.

Towards an integrated surveillance of zoonotic diseases in Burkina Faso: the case of anthrax

BackgroundAnthrax is a zoonotic disease that causes frequent outbreaks in livestock and fatal human cases in Burkina Faso. Effective surveillance of this disease calls for the establishment of an integrated surveillance system, in line with the One Health concept. However, despite a strong technical and financial support from international partners, surveillance is still poorly conducted within an integrated approach. Based on stakeholder perspectives, the study has for objective to deepen our understanding of the anthrax surveillance system and to identify the obstacles and levers towards a more integrated approach to anthrax surveillance in Burkina Faso.MethodsThe data was collected from a literature review and interviews with surveillance stakeholders. We first conducted a qualitative descriptive analysis of the data to characterize the surveillance system (programmes, actors, collaboration). In a second step, we conducted a thematic analysis of the informants' discourse in order to identify what represents an obstacle or, conversely, a lever for a more integrated approach to anthrax surveillance.ResultsThe surveillance system of anthrax in Burkina Faso includes three programmes (in the livestock, wildlife and human sectors), which involves 30 actors. These sectoral programmes operate almost independently from one another, although some collaborations are existing for the governance and implementation of surveillance activities. Analysis of the discourse of key stakeholders led to the identification of four categories of factors that may influence the implementation of an integrated surveillance system in the country: knowledge; technical, organizational and social capacities; motivation; intersectoral governance.ConclusionsThis study highlights the difficulty of translating One Health governance to the national level and the need to better articulate the visions of all categories of stakeholders. This study also reveals the need to develop specific evaluation systems for integrated policies in order to provide credible evidence of their added value for a better management of zoonotic diseases. Finally, our study underlines the need to act upstream the emergence of zoonoses and allocate more resources to the prevention of zoonoses than to their control.

Animal care professionals’ practice towards zoonotic disease management and infection control practice in selected districts of Wolaita zone, Southern Ethiopia

Veterinary practices or activities expose professionals to occupational hazards, including infection with zoonotic diseases, during contact with animals. To assess animal care professionals' practice towards zoonotic disease management and infection control practices (ICPs) in selected areas of the Wolaita zone, a cross-sectional survey was conducted using a structured questionnaire survey. A total of 287 animal care professionals were registered by the Wolaita zone livestock and fishery office and working in nine different districts of the Wolaita zone. Of these, 135 animal care professionals working across nine different districts of the Wolaita zone were interviewed in the current study. The survey showed that about 55% (74/135) of respondents were animal health assistants, and about 84% (114/135) of the professionals were males. In terms of utilization of ICP, about 72% of professionals routinely wash their hands before eating and drinking in their workplace. However, approximately 7% of professionals sometimes eat or drink at the workplace. Additionally, almost 32% of the professionals always wash their hands between patient contacts. In the survey, approximately 49% of veterinarians said they sterilized and reused disposable needles. When dealing with an animal suspected of carrying a zoonotic infection, nearly 25% of experts isolate or quarantine diseased animals, and only about 25% of the experts remove their personal protective equipment (PPE) before interacting with other animals. Approximately 62% of responders said they used outwear (PPE) when carrying out surgery and 28% when performing a necropsy. Nearly 39% of veterinarians reported using gloves and gowns when assisting with parturition or handling conception products, and around 36% of practitioners utilized proper PPE when handling blood samples. Our findings show that the veterinary community in the Wolaita Zone's selected sites needs to be educated about ICPs regularly. A better understanding of the risk of zoonotic disease exposure, as well as alternatives for reducing this risk and liability problems, may encourage the use of infection control measures. Successful partnerships across multiple professional sectors should use a One Health approach that includes stakeholders from the human, animal, and environmental categories.

Common palm civets Paradoxurus hermaphroditus are positively associated with humans and forest degradation with implications for seed dispersal and zoonotic diseases.

Habitat loss and degradation can undermine wildlife communities and ecosystem functioning. However, certain generalist wildlife species like mesopredators and omnivores can exploit these disturbed habitats, sometimes leading to population increases (e.g. 'mesopredator release' in degraded areas). Although mesopredator release may cause negative effects on food webs and zoonotic disease management, some disturbance-tolerant species may help perpetuate important ecological interactions, such as seed dispersal. We evaluated the habitat associations of common palm civets Paradoxurus hermaphroditus, which are widespread generalist mesopredators in Southeast Asia. Common palm civets are also high-quality seed dispersers, and potential zoonotic disease hosts. We used published and new camera trapping data to map their probability of presence across Southeast Asia and evaluate regional-scale associations between capture rates and habitat variables such as elevation, ecoregion intactness and Human Footprint Index, among others. We also assessed the influence of habitat variables on their relative abundance at the local scale. At the regional scale, we found that common palm civets showed significant positive associations with landscapes characterized by lower ecoregion intactness, higher Human Footprint Index and lower elevations. At the local scale, their relative abundance showed a significant positive association with higher Human Footprint Index, but only to a certain point, after which it started decreasing. They also favoured lower elevations at the local scale. These multi-scale results indicate that common palm civets' abundance can increase under certain levels of human disturbances, consistent with the 'mesopredator release' hypothesis. This suggests they may be crucial seed dispersers in degraded forest landscapes, especially where more sensitive seed dispersers have disappeared. Our results are also consistent with previous studies reporting that habitat degradation increases populations of potential zoonotic disease hosts, and thus risks of transmission to humans.

Virtual Training for Managing Emerging Zoonotic Diseases including COVID-19

The burden of zoonotic diseases is an important global issue affecting human and animal health, food value chains, international trade, and the environment. Two-thirds of the infectious diseases affecting human health are of animal origin. Information and knowledge of zoonotic diseases and associated effects is critical for managing these diseases. The World TAP at Michigan State University offered an online course in zoonotic diseases in March 2021, which a diverse group of 42 participants from 15 countries in Africa, Asia, Middle East, and Americas attended. Grounded on Experiential Leaning Theory this paper discusses the conceptualization, design, implementation, outcomes of, and lessons-learned from this course. Key contents of this comprehensive course included epidemiology of zoonotic diseases, zoonoses of wildlife origin, utilizing a One Health approach to managing zoonoses, and roles of regional/international organizations in strengthening zoonotic disease management capacities, and the lessons-learned from the pandemic on diagnosis, prevention, and prediction of zoonotic diseases. The paired t-test results using pre- and post-course survey data showed significant increases in the participants’ level of knowledge on zoonoses post-course. in comparison to their pre-course knowledge. During the interactive discussion, participants stressed the need for continuing information sharing, and networking. For future offerings, the participants suggested adding impacts of zoonoses on international trade, and effect of climate change on zoonoses., and increasing collaborations between national, regional, and international organizations working on zoonoses. With the success of the first offering, MSU will continue to offer this course in the future, may be in a hybrid mode.

Knowledge Sharing Among Public Health Professionals on Management of Zoonoses in Nigeria

Zoonotic diseases are characterized by significant morbidity and mortality in humans. In Nigeria, tragic effects of zoonotic diseases have been reported. This calls for a sustained collaboration among public health professionals to confront the ever-increasing challenges of managing zoonotic diseases. This study explores the perception of public health professionals about knowledge sharing and the absorptive capacity of health professionals in managing zoonotic diseases. Data were collected through a semi- structured interview. The analysis was done using qualitative content analysis. Findings revealed positive perception of public health professionals about knowledge sharing in managing zoonotic. Also, the study found that Public Health professionals acquire external knowledge for managing zoonotic disease through multidisciplinary networks and professional associations. The One Health initiative is one avenue where public health professionals can leverage on the strength and capacities of each other to respond competently to emerging health threats of zoonotic diseases.

A widespread survey of avian haemosporidia in deceased wild birds of Japan: the hidden value of personally collected samples.

Widespread surveys of avian haemosporidia (Plasmodium, Haemoproteus, and Leucocytozoon) in wild birds have substantially advanced information on the haemosporidian fauna of Japan. However, many areas and bird species remain insufficiently investigated. Bird carcasses collected for personal specimen collection seldom reach academic audience particularly in the veterinary field. The presence of avian haemosporidia was investigated in these personally collected bird carcasses, in order to better understand the avian haemosporidian fauna in Japan. Bird carcasses were donated through personal contact upon approval of the study. Tissue samples were collected from the birds and examined for haemosporidian parasites using nested-PCR targeting the cytochrome b gene. One hundred and forty-three birds of 85 species were donated, including 34 species and two subspecies that were molecularly or collectively investigated for the first time in Japan. Avian haemosporidian DNA was detected from 37 of the 134 tested birds (27.61%). In 8 bird species, avian haemosporidia was detected for the first time. Twenty-nine lineages were detected, including 8 novel and 9 known lineages detected in Japan for the first time. Furthermore, 16 lineages were detected from novel host species. While information that could be drawn was limited and risk management of zoonotic diseases needs re-consideration, these findings expanded information on the host range and distribution of several lineages. Collectively, this method of investigation using personally collected bird samples can provide important additions to more fully understand the avian haemosporidian fauna of Japan, as well as other areas with limited investigations.

Breaking barriers: The landscape of human and veterinary medical anatomy education and the potential for collaboration.

Despite human (HUM) and veterinary (VET) medical institutions sharing the goal of educating future clinicians, there is little collaboration between them regarding curricular and pedagogical practices during the preclinical/basic science training years. This may be, at least in part, due to a lack of understanding of each type of curriculum. This study presents data about curricula, student populations, pedagogical methodologies applied, and anatomy educators' training at both HUM and VET institutions. Preclinical curricula, admissions criteria, and student demographics were analyzed for 21 institutions in the United States having both HUM and VET schools. This dataset was augmented by a questionnaire sent to anatomists internationally, detailing anatomy curricula, pedagogies applied, and anatomy educators' training. Many curricular similarities between both training programs were identified, including anatomy education experiences. However, VET programs were found to include more preclinical coursework than HUM programs. Students who matriculate to VET or HUM schools have similar academic records, including prerequisite coursework and grade point average. Median HUM class size was significantly larger, and the percentage of women enrolled in VET institutions was significantly higher. Training of anatomy educators was identical with one exception: VET educators are far more likely to hold a clinical degree. This study elucidates the substantial similarities between VET and HUM programs, particularly in anatomy education, underscoring the potential for collaboration between both types of programs in areas such as interprofessional education, bioethics, zoonotic disease management, and postgraduate training.

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.

One Health Approach of Melioidosis and Gastrointestinal Parasitic Infections from Macaca fascicularis to Human at Kosumpee Forest Park, Maha Sarakham, Thailand.

Background and ObjectivesGastrointestinal parasitic and melioidosis infections are major causes of morbidity and mortality from infectious disease in rural areas, especially in northeastern Thailand. Both diseases are zoonotic giving rise to health problems in both long-tailed macaques and in humans. In Thailand, macaques have adapted to live and share space with humans and can spread some zoonoses to humans. Therefore, this research aimed to measure the prevalence of gastrointestinal parasitic infections and melioidosis in long-tailed macaques at Kosumpee Forest Park and measure associated risk factors of their diseases among people in this area.MethodsThis study was conducted at Kosumpee Forest Park, Maha Sarakham, Thailand. Twenty-eight blood samples and 135 fecal samples were collected from free-ranging long-tailed macaques. Blood samples were tested by indirect hemagglutination test and fecal samples were analyzed by formalin–ethyl acetate concentration technique. A cross-sectional study was conducted among 350 respondents who were involved with the Forest Park using a multi-stage stratified random sampling method and performed to measure knowledge, attitude, and practice toward the zoonoses among the respondents.ResultsIt was found that seroprevalence of melioidosis was 57.1% from macaque samples. The prevalence of gastrointestinal parasites infection was 35.11% from fecces samples, including Strongyloides spp. (15.27%), Trichuris spp. (22.9%), hookworm (4.58%) and Ascarid spp. (1.53%). KAP study indicated that the level of knowledge related to melioidosis and gastrointestinal parasites of people in the area was very low and moderate, respectively. The attitude of respondents who were aware of the diseases was at a moderate level for melioidosis and a high level for parasitic infection.ConclusionThe study therefore emphasizes the importance of one health approach for diagnosis, surveillance and management of zoonotic diseases to promote the development of hygiene measures and to educate people in the community around Kosumpee Forest Park.

Zoonotic Disease Management and Infection Control Practices Among Veterinarians in the United Arab Emirates.

This study was conducted to assess zoonotic disease management and infection control practices (ICPs) among veterinarians in the United Arab Emirates (UAE). A questionnaire was developed in SurveyMonkey, an online tool, and was distributed by email during February–May 2020 to 470 veterinarians practicing across the UAE. A total of 110 individuals completed the survey, giving a response rate of 23.4% (110/470). Results indicate that reported hand hygiene, sharps management, barrier or isolation practices, and personal choices for personal protective equipment (PPE) in common practice scenarios varied among practitioners. The majority (>75%) of veterinarians in all practice types reported always washing their hands before eating, drinking, or smoking at work. The survey revealed that 19% and 10% of large and small animal veterinarians indicated they sterilized and reused disposable needles. Veterinarians among all practices indicated high rates (75% to 80%) of recapping needles before disposal. When handling an animal suspected of having a zoonotic disease, most (90%) of small animal veterinarians reported always using practices such as isolating the animal and removing outwear before contact with other animals. However, only half (55%) of the large animal respondents reported always isolating the animal or sterilizing all equipment used on the animal of concern. Fewer than half of the large animal (35%) and mixed practice (44%) veterinarians indicated they would always be limiting human contact with the animal of concern. All of the small animal respondents reported full compliance with PPE while performing surgery and necropsy. Among large animal veterinarians, 44% reported not using respiratory or eye protection when aiding with parturition or handling conception products. Failure to use appropriate PPE when handling blood samples was the second most common noncompliant practice among large animal (39%) veterinarians and mixed practice (41%) respondents. Our study indicates a need for continuous education regarding ICPs in the veterinary community in the UAE. Better awareness of the risk of zoonotic disease exposure and options for managing this risk and liability issues could drive the adoption of infection control practices.

Towards One Health clinical management of zoonoses: A parallel survey of Australian general medical practitioners and veterinarians.

General medical practitioners (GPs) and veterinarians have different but complementary knowledge and skills, with potential to enhance clinical management of zoonoses in human and animal patients through taking a One Health approach that promotes cross‐professional collaboration. Ability and willingness to engage within this framework is contingent on knowledge of endemic zoonoses and an understanding of the diversity of professional roles; however, previous research suggests that this is lacking. A unique parallel survey of Australian GPs and veterinarians was implemented to ascertain clinician experience, concern, confidence and current practices regarding zoonoses management as well as willingness to engage in cross‐professional collaboration where it is beneficial to overall health outcomes. Responses from 528 GPs and 605 veterinarians were analysed. Veterinarians in clinical practice were found to more frequently diagnose zoonoses; have greater concern about zoonoses; be more confident in diagnosing, managing and giving advice about the prevention of zoonoses; more likely to give advice about managing the risk of zoonoses; and more likely to initiate cross‐professional referral compared to GPs (p < .001 in all areas, adjusted for other factors). The findings of this study indicate a need for change in both clinical and continuing professional education, especially for GPs, in order to better equip them in the area of zoonoses management. Exploration of pathways to encourage and facilitate cross‐professional referral and collaboration will further improve clinical outcomes for both human and animal patients.