Abstract
Uganda is considered as a ‘hot spot’ for emerging and re-emerging infectious disease epidemics. The country has experienced several epidemics including; Ebola, Marburg, plague, Rift Valley fever, yellow fever and Crimean Congo haemorrhagic fever. Epidemics overwhelm health systems, devastate economies and cause global health insecurity. These public health challenges arising from the interaction of humans-animals-environment link require a holistic approach referred to as One Health (OH). OH is the collaborative effort of multiple disciplines working locally, nationally, and globally, to attain optimal health for people, animals, and the environment. Given its situation, Uganda has embraced the OH approach in order to be able to predict, prepare and respond to these public health challenges effectively, though still in infancy stages. In this paper, we present major achievements and challenges of OH implementation, and make recommendations for systematic and sustainable OH implementation. Achievements include: formation of the National One Health (NOH) platform with a Memorandum of Understanding between sectors; a national priority list of zoonotic diseases, the NOH Strategic Plan and a One Health communication strategy to strengthen engagement across sectors and stakeholders. There have also been efforts to integrate OH in academia. The challenges are related to inadequate; coordination across sectors, government commitment, advocacy and awareness creation and research. For systematic and sustainable OH engagements, urgent efforts should be made through government support to address current and related future challenges.
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References
Jones KE, Patel NG, Levy MA, Storeygard A, Balk D, Gittleman JL, et al. Global trends in emerging infectious diseases. Nature 2008;451;990–3.
World Health Organization. A safer future, global public health security in the 21st century. Geneva, Switzerland: World Health Organization; 2007.
PREDICT Consortium. One health in action. Davis: EcoHealth Alliance, One Health Institute, School of Veterinary Medicine, University of California; 2016.
Karesh WB, Dobson A, Lloyd-Smith JO, Lubroth J, Dixon MA, Bennett M, et al. Ecology of zoonoses: natural and unnatural histories. Lancet 2012;380;1936–45.
Loh EH, Zambrana-Torrelio C, Olival KJ, Bogich TL, Johnson CK, Mazet JA, et al. Targeting transmission pathways for emerging zoonotic disease surveillance and control. Vector Borne Zoonotic Dis 2015;15;432–7.
Food and Agriculture Organization. Protecting people and animals from disease. Rome: Food and Agriculture Organization of the United Nations; 2018.
Phillips W, Rathert C. Health ethics in a global context. In: Malleck S, Wankel C, editors. Ethical models and applications of globalization: cultural, socio-political and economic perspectives: cultural, socio-political and economic perspectives. Hershey, PA: IGI Global; 2012, p. 100.
Pike J, Bogich T, Elwood S, Finnoff DC, Daszak P. Economic optimization of a global strategy to address the pandemic threat. Proc Natl Acad Sci USA 2014;111;18519–23.
World Health Organization. Joint external evaluation of IHR core capacities of the Republic of Uganda. Geneva, Switzerland: World Health Organization; 2017.
Oldstone MBA, Oldstone MR. Ebola’s Curse: 2013–2016 Outbreak in West Africa. Academic Press; 2017.
Arctic Council. Operationalizing One Health in the Arctic. Arctic Council; 2017.
Heymann DL, Chen L, Takemi K, Fidler DP, Tappero JW, Thomas MJ, et al. Global health security: the wider lessons from the west African Ebola virus disease epidemic. Lancet 2015;385;1884–901.
Zinsstag J, Schelling E, Waltner-Toews D, Tanner M. From “one medicine” to “one health” and systemic approaches to health and well-being. Prev Vet Med 2011;101;148–56.
Gibbs EPJ. The evolution of One Health: a decade of progress and challenges for the future. Vet Rec 2014;174;85–91.
One Health Central and Eastern Africa. Website Kampala. 2018. Available from: http://ohcea.org/.
Mbonye AK, Sekamatte M. Disease outbreaks and reporting in Uganda. Lancet 2018;392;2347–8.
Ministry of Health, Ministry of Agriculture, Animal Industry and Fisheries, Uganda World Authority, Ministry of Land, Water and Environment. Uganda One Health Strategic Plan 2018–2022. Kampala; 2018.
UN. Uganda population. 2019.
Ministry of Water and Environment. Water and Environment Sector Performance Report 2018. Kampala, Uganda: Ministry of Water and Environment; 2018.
Allen T, Murray KA, Zambrana-Torrelio C, Morse SS, Rondinini C, Di Marco M, et al. Global hotspots and correlates of emerging zoonotic diseases. Nat Commun 2017;8;1124.
Mills JN, Volet S, Fozdar F. Cultural awareness in veterinary practice: student perceptions. J Vet Med Educ 2011;38;288–97.
Ostfeld RS. Biodiversity loss and the rise of zoonotic pathogens. Clin Microbiol Infect 2009;15;40–3.
Kajumbula H, Fujita AW, Mbabazi O, Najjuka C, Izale C, Akampurira A, et al. Antimicrobial drug resistance in blood culture isolates at a Tertiary Hospital, Uganda. Emerg Infect Dis 2018;24;174–5.
World Bank. Operational framework for strengthening human, animal, and environmental public health systems at their interface. Washington, DC: World Bank; 2018.
Government of Uganda. Highly pathogenic avian influenza H5N8 in Uganda: a case report on the 2017 outbreak in poultry and wild birds. Kampala, Uganda: Government of Uganda; 2017.
Government of Uganda. After action review for marburg virus disease outbreak. Kampala, Uganda: Government of Uganda; 2018.
UN. Global health security agenda. New York; 2019.
Ministry of Health, Ministry of Agriculture, Animals Industry and Fisheries, Uganda World Authority, Ministry of Water and Environment. Framework to strengthen One Health approach to prevent and control diseases in Uganda. Kampala; 2016.
Government of Uganda. Antimicrobial Resistance National Action Plan. Kampala: Government of Uganda; 2018.
Sekamatte M, Krishnasamy V, Bulage L, Kihembo C, Nantima N, Monje F, et al. Multisectoral prioritization of zoonotic diseases in Uganda, 2017: a One Health perspective. PLoS One 2018;13;e0196799.
Rwego IB, Babalobi OO, Musotsi P, Nzietchueng S, Tiambo CK, Kabasa JD, et al. One Health capacity building in sub-Saharan Africa. Infect Ecol Epidemiol 2016;6;34032.
World Health Organization. The control of neglected zoonotic diseases: a route to poverty alleviation. Geneva, Switzerland: World Health Organization; 2005.
Machalaba C, Karesh WB. Envisioning a world without emerging disease outbreaks. Solutions J 2015;6;63–71.
Lee K, Brumme ZL. Operationalizing the One Health approach: the global governance challenges. Health Policy Plan 2013; 28;778–85.
Kayunze KA, Kiwara A, Lyamuya E, Kambarage DM, Rushton J, Coker R, et al. Practice of One Health approaches: bridges and barriers in Tanzania. Onderstepoort J Vet Res 2014;81;E1–E8.
United States Agency for International Development. A culture of collaboration, learning, and adaptability: examples from Lebanon. Washington, DC: United States Agency for International Development; 2015.
Green EC, Halperin DT, Nantulya V, Hogle JA. Uganda’s HIV prevention success: the role of sexual behavior change and the national response. AIDS Behav 2006;10;335–46; discussion 347–50.
Government of Uganda. The national policy for disaster preparedness and management. Kampala, Uganda: Directorate of Relief, Disaster Preparedness and Refugees, Office of the Prime Minister; 2010.
Gable S, Lofgren H, Osorio-Rodarte I. The post-2015 global agenda: a framework for country diagnostics. Washington, DC: World Bank; 2015.
Conrad PA, Meek LA, Dumit J. Operationalizing a One Health approach to global health challenges. Comp Immunol Microbiol Infect Dis 2013;36;211–16.
Marcotty T, Thys E, Conrad P, Godfroid J, Craig P, Zinsstag J, et al. Intersectoral collaboration between the medical and veterinary professions in low-resource societies: the role of research and training institutions. Comp Immunol Microbiol Infect Dis 2013;36;233–9.
Musoke D, Ndejjo R, Atusingwize E, Halage AA. The role of environmental health in One Health: a Uganda perspective. One Health 2016;2;157–60.
Sherman DM. A global veterinary medical perspective on the concept of one health: focus on livestock. ILAR J 2010;51; 281–7.
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Buregyeya, E., Atusingwize, E., Nsamba, P. et al. Operationalizing the One Health Approach in Uganda: Challenges and Opportunities. J Epidemiol Glob Health 10, 250–257 (2020). https://doi.org/10.2991/jegh.k.200825.001
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DOI: https://doi.org/10.2991/jegh.k.200825.001