Workshop summary : One health zoonotic disease prioritization & one health systems mapping and analysis resource toolkitTM for multisectorial engagement in Pakistan, Maputo, Islamabad, Pakistan, August 22\u201325, 2017

Zoonotic diseases are diseases capable of spreading between animals and humans. Most known human infectious diseases and about three-quarters of newly emerging infections originate from animals. Some zoonoses pose a significant threat to human public health, while others may have tremendous agricultural and social or economic impacts. The cross-sector nature of zoonotic diseases has historically been a challenge in preparing for and responding to zoonotic disease threats at the animal-human- environment interface, highlighting the critical need for a multisectoral, One Health approach to address these emerging health threats.To address zoonotic disease challenges inPakistan, a joint One Health Zoonotic Disease Prioritization (OHZDP) and One Health Systems Mapping and Analysis Resource Toolkit (OH- SMARTTM) workshop was organized by the United States Centers for Disease Control and Prevention (CDC), United States Department of Agriculture (USDA), University of Minnesota, and the National Institute of Health in Pakistan during August 19\u201325, 2017, at the Marriot Hotel in Islamabad. This report summarizes the One Health processes used to prioritize the top zoonotic diseases for Pakistan that should be jointly addressed using a multisectoral, One Health approach including human, animal, and environmental health ministries and other sectors relevant to the prioritized zoonotic disease.The purpose of first two days of the workshopwas to use the OHZDP tool to identify zoonotic diseases of greatest national concern for Pakistan using equal input from representatives of human health, livestock, environment, wildlife, research, and higher education sectors. During the workshop, representatives identified a list of zoonotic diseases relevant for Pakistan, defined the criteria for prioritization, and determined questions and weights relevant to each criterion. Six zoonotic diseases were identified as a priority by participants using a semi-quantitative tool, the One Health Zoonotic Disease Prioritization tool, developed and coordinated by CDC (Appendix A).1, 2The prioritized zoonotic diseases for Pakistan were zoonotic influenza, brucellosis, Salmonella, rabies, Crimean-Congo hemorrhagic fever, and anthrax (Table 1). The final results of the One Health prioritization process and normalized weights for all zoonotic diseases discussed in Pakistan are shown in Appendix C.After the disease list was determined, the following two days were spent applying the six OH-SMARTTM steps to an outbreak scenario for each newly prioritized disease. The six steps include: stakeholder identification and mapping; focus group interviews; mapping of an outbreak scenario for each prioritized zoonotic disease selected by each group; identification of gaps and best practices; and identification of action steps to address the gaps. These steps helped each group think through existing areas of collaboration, and gaps in multisectoral coordination in terms of zoonotic disease surveillance, laboratory capacity, outbreak response, and workforce development.CS 293126-APublication date from document properties.Pakistan-508.pdf2020714