Outcomes from a Zoonotic Disease Prioritization workshop using One Health approach in Mozambique, 2018 to 2023.

IF 3.8 Q2 INFECTIOUS DISEASES One health outlook Pub Date : 2024-10-01 DOI:10.1186/s42522-024-00113-9
Inocêncio Chongo, Almiro Tivane, Vanessa Monteiro, Osvaldo Inlamea, Plácida Maholela, Ilda Nhanombe, Saquibibi Ibraimo, John Oludele, Argentina Muianga, Virgílio António, Sádia Ali, Aline Gatambire, Grace Goryoka, Nadia Oussayef, Nick Schaad, Kate Varela, Fernando Rodrigues, Lourenço Mapaco, Sara Achá, Américo Conceição, Eduardo Samo Gudo
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Abstract

Introduction: Around 75% of (re)emerging infections are of zoonotic origins. The risk of zoonotic transmission in Mozambique is high because approximately 81% of the country's labor force is involved with agriculture, which represents a vulnerability for more frequent human-animal interaction and risk of spillover events. A One Health Zoonotic Disease Prioritization (OHZDP) workshop was conducted in Mozambique to facilitate coordination and collaboration within and across sectors to prevent, detect, and respond to zoonotic disease threats. Based on the success of this integrated workshop, the stakeholders developed actions whose results have a great impact on animal welfare, environment and improving public health.

Methods: In 2018, representatives from Mozambique's human, animal, and environmental sectors from government, universities, research institutions and partners used US CDC's OHZDP Process to prioritize endemic and emerging zoonotic diseases of greatest national concern and develop recommendations and key interventions needed to advance One Health in Mozambique. After the OHZDP workshop, the Mozambique One Health Secretariat used a theory of change methodology to identify activities for implementation from the recommendations of the OHZDP workshop. Since the OHZDP workshop, the Secretariat has monitored progress of activities annually.

Results: Mozambique's priority zoonotic diseases are rabies, zoonotic tuberculosis, salmonellosis, zoonotic avian influenza, trypanosomiasis, brucellosis, and Crimean-Congo hemorrhagic fever. One Health recommendations and interventions to address the priority zoonotic diseases focused on One Health collaboration, communication, and coordination; laboratory; surveillance; preparedness and response; prevention; workforce development; and research. After the OHZDP workshop, Mozambique established One Health coordination mechanisms, developed training courses for surveillance, laboratory diagnosis, outbreak investigation, and preparedness and response for the priority zoonotic diseases, conducted joint research, and developed plans.

Conclusion: Prioritization of zoonotic diseases is critical as it facilitated the key One Health players in Mozambique to optimize resources, gain a greater understanding of zoonotic diseases, and implement policies and activities that promote multisectoral, interdisciplinary, and transdisciplinary collaboration across human, animal, and environmental sectors to prevent, detect, and respond to public health threats. The success of these activities implemented by the local Government and One Health partners were built from the implementation and momentum from the Mozambique's OHZDP workshop.

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2018 年至 2023 年莫桑比克采用 "一个健康 "方法确定人畜共患病优先次序研讨会的成果。
导言:约 75% 的(新)感染源于人畜共患病。在莫桑比克,人畜共患病传播的风险很高,因为该国约 81% 的劳动力从事农业生产,这意味着人与动物之间的互动更加频繁,也更容易发生外溢事件。在莫桑比克举办了 "同一健康 "人畜共患病优先排序(OHZDP)研讨会,以促进部门内部和部门之间的协调与合作,预防、检测和应对人畜共患病的威胁。在此次综合研讨会取得成功的基础上,利益相关方制定了行动,其结果对动物福利、环境和改善公共卫生产生了重大影响:2018 年,来自莫桑比克政府、大学、研究机构和合作伙伴的人类、动物和环境部门的代表利用美国疾病预防控制中心的 OHZDP 流程,确定了国家最关注的地方病和新出现的人畜共患病的优先次序,并制定了在莫桑比克推进 "一个健康 "所需的建议和关键干预措施。在 OHZDP 研讨会之后,莫桑比克 "一个健康 "秘书处采用变革理论方法,根据 OHZDP 研讨会的建议确定了实施活动。自 OHZDP 研讨会以来,秘书处每年都对活动的进展情况进行监测:莫桑比克的重点人畜共患病是狂犬病、人畜共患结核病、沙门氏菌病、人畜共患禽流感、锥虫病、布鲁氏菌病和克里米亚-刚果出血热。应对重点人畜共患病的 "一个健康 "建议和干预措施侧重于 "一个健康 "合作、沟通和协调;实验室;监测;准备和响应;预防;劳动力发展和研究。在 OHZDP 研讨会之后,莫桑比克建立了 "一个卫生 "协调机制,针对重点人畜共患病开发了监测、实验室诊断、疫情调查、准备和应对培训课程,开展了联合研究,并制定了计划:确定人畜共患病的优先次序至关重要,因为这有助于莫桑比克的主要 "一体健康 "参与者优化资源,加深对人畜共患病的了解,并实施促进跨部门、跨学科和跨人类、动物和环境部门合作的政策和活动,以预防、检测和应对公共卫生威胁。当地政府和 "一个健康 "合作伙伴所实施的这些活动的成功是建立在莫桑比克 OHZDP 研讨会的实施和势头之上的。
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