Prioritizing zoonotic diseases in Ethiopia using a one health approach

Background: Ethiopia has the second largest human population in Africa and the largest livestock population on the continent. About 80% of Ethiopians are dependent on agriculture and have direct contact with livestock or other domestic animals. As a result, the country is vulnerable to the spread of...

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Asıl Yazarlar: Emily G. Pieracci, Aron J. Hall, Radhika Gharpure, Abraham Haile, Elias Walelign, Asefa Deressa, Getahun Bahiru, Meron Kibebe, Henry Walke, Ermias Belay
Materyal Türü: Makale
Dil:English
Baskı/Yayın Bilgisi: Elsevier 2016-12-01
Seri Bilgileri:One Health
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Online Erişim:http://www.sciencedirect.com/science/article/pii/S2352771416300155
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author Emily G. Pieracci
Aron J. Hall
Radhika Gharpure
Abraham Haile
Elias Walelign
Asefa Deressa
Getahun Bahiru
Meron Kibebe
Henry Walke
Ermias Belay
author_facet Emily G. Pieracci
Aron J. Hall
Radhika Gharpure
Abraham Haile
Elias Walelign
Asefa Deressa
Getahun Bahiru
Meron Kibebe
Henry Walke
Ermias Belay
author_sort Emily G. Pieracci
collection DOAJ
description Background: Ethiopia has the second largest human population in Africa and the largest livestock population on the continent. About 80% of Ethiopians are dependent on agriculture and have direct contact with livestock or other domestic animals. As a result, the country is vulnerable to the spread of zoonotic diseases. As the first step of the country's engagement in the Global Health Security Agenda, a zoonotic disease prioritization workshop was held to identify significant zoonotic diseases of mutual concern for animal and human health agencies. Methods: A semi-quantitative tool developed by the US CDC was used for prioritization of zoonotic diseases. Workshop participants representing human, animal, and environmental health ministries were selected as core decision-making participants. Over 300 articles describing the zoonotic diseases considered at the workshop were reviewed for disease specific information on prevalence, morbidity, mortality, and DALYs for Ethiopia or the East Africa region. Committee members individually ranked the importance of each criterion to generate a final group weight for each criterion. Results: Forty-three zoonotic diseases were evaluated. Criteria selected in order of importance were: 1)severity of disease in humans, 2)proportion of human disease attributed to animal exposure, 3)burden of animal disease, 4)availability of interventions, and 5)existing inter-sectoral collaboration. Based on the results from the decision tree analysis and subsequent discussion, participants identified the following five priority zoonotic diseases: rabies, anthrax, brucellosis, leptospirosis, and echinococcosis. Discussion: Multi-sectoral collaborations strengthen disease surveillance system development in humans and animals, enhance laboratory capacity, and support implementation of prevention and control strategies. To facilitate this, the creation of a One Health-focused Zoonotic Disease Unit is recommended. Enhancement of public health and veterinary laboratories, joint outbreak and surveillance activities, and intersectoral linkages created to tackle the prioritized zoonotic diseases will undoubtedly prepare the country to effectively address newly emerging zoonotic diseases.
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spelling doaj.art-510e64275bcb4773b8dbb51a0320c5842022-12-21T17:58:27ZengElsevierOne Health2352-77142016-12-012C13113510.1016/j.onehlt.2016.09.001Prioritizing zoonotic diseases in Ethiopia using a one health approachEmily G. Pieracci0Aron J. Hall1Radhika Gharpure2Abraham Haile3Elias Walelign4Asefa Deressa5Getahun Bahiru6Meron Kibebe7Henry Walke8Ermias Belay9National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USANational Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USANational Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USAEthiopian Public Health Institute, Addis Ababa, EthiopiaEthiopian Ministry of Livestock and Fishery Resources, Addis Ababa, EthiopiaEthiopian Public Health Institute, Addis Ababa, EthiopiaEthiopian Ministry of Livestock and Fishery Resources, Addis Ababa, EthiopiaEthiopian Ministry of Environment and Forestry, Addis Ababa, EthiopiaNational Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USANational Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USABackground: Ethiopia has the second largest human population in Africa and the largest livestock population on the continent. About 80% of Ethiopians are dependent on agriculture and have direct contact with livestock or other domestic animals. As a result, the country is vulnerable to the spread of zoonotic diseases. As the first step of the country's engagement in the Global Health Security Agenda, a zoonotic disease prioritization workshop was held to identify significant zoonotic diseases of mutual concern for animal and human health agencies. Methods: A semi-quantitative tool developed by the US CDC was used for prioritization of zoonotic diseases. Workshop participants representing human, animal, and environmental health ministries were selected as core decision-making participants. Over 300 articles describing the zoonotic diseases considered at the workshop were reviewed for disease specific information on prevalence, morbidity, mortality, and DALYs for Ethiopia or the East Africa region. Committee members individually ranked the importance of each criterion to generate a final group weight for each criterion. Results: Forty-three zoonotic diseases were evaluated. Criteria selected in order of importance were: 1)severity of disease in humans, 2)proportion of human disease attributed to animal exposure, 3)burden of animal disease, 4)availability of interventions, and 5)existing inter-sectoral collaboration. Based on the results from the decision tree analysis and subsequent discussion, participants identified the following five priority zoonotic diseases: rabies, anthrax, brucellosis, leptospirosis, and echinococcosis. Discussion: Multi-sectoral collaborations strengthen disease surveillance system development in humans and animals, enhance laboratory capacity, and support implementation of prevention and control strategies. To facilitate this, the creation of a One Health-focused Zoonotic Disease Unit is recommended. Enhancement of public health and veterinary laboratories, joint outbreak and surveillance activities, and intersectoral linkages created to tackle the prioritized zoonotic diseases will undoubtedly prepare the country to effectively address newly emerging zoonotic diseases.http://www.sciencedirect.com/science/article/pii/S2352771416300155One healthZoonotic diseaseDisease prioritizationEthiopia
spellingShingle Emily G. Pieracci
Aron J. Hall
Radhika Gharpure
Abraham Haile
Elias Walelign
Asefa Deressa
Getahun Bahiru
Meron Kibebe
Henry Walke
Ermias Belay
Prioritizing zoonotic diseases in Ethiopia using a one health approach
One Health
One health
Zoonotic disease
Disease prioritization
Ethiopia
title Prioritizing zoonotic diseases in Ethiopia using a one health approach
title_full Prioritizing zoonotic diseases in Ethiopia using a one health approach
title_fullStr Prioritizing zoonotic diseases in Ethiopia using a one health approach
title_full_unstemmed Prioritizing zoonotic diseases in Ethiopia using a one health approach
title_short Prioritizing zoonotic diseases in Ethiopia using a one health approach
title_sort prioritizing zoonotic diseases in ethiopia using a one health approach
topic One health
Zoonotic disease
Disease prioritization
Ethiopia
url http://www.sciencedirect.com/science/article/pii/S2352771416300155
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