Goryoka Grace W, Lokossou Virgil Kuassi, Varela Kate, Oussayef Nadia, Kofi Bernard, Iwar Vivian, Behravesh Casey Barton
Centers for Disease Control and Prevention (CDC) , Atlanta, USA.
ECOWAS Regional Center for Surveillance and Disease Control, Abuja, Nigeria.
One Health Outlook. 2021 Nov 23;3(1):24. doi: 10.1186/s42522-021-00055-6.
Zoonotic diseases pose a significant threat to human, animal, and environmental health. The Economic Community of West African States (ECOWAS) has endured a significant burden of zoonotic disease impacts. To address zoonotic disease threats in ECOWAS, a One Health Zoonotic Disease Prioritization (OHZDP) was conducted over five days in December 2018 to prioritize zoonotic diseases of greatest regional concern and develop next steps for addressing these priority zoonoses through a regional, multisectoral, One Health approach.
The OHZDP Process uses a mixed methods prioritization process developed by the United States Centers for Disease Control and Prevention. During the OHZDP workshop, representatives from human, animal, and environmental health ministries from all 15 ECOWAS Member States used a transparent and equal process to prioritize endemic and emerging zoonotic diseases of greatest regional concern that should be jointly addressed by One Health ministries and other partners. After the priority zoonotic diseases were identified, participants discussed recommendations and further regional actions to address the priority zoonoses and advance One Health in the region.
ECOWAS Member States agreed upon a list of seven priority zoonotic diseases for the region - Anthrax, Rabies, Ebola and other viral hemorrhagic fevers (for example, Marburg fever, Lassa fever, Rift Valley fever, Crimean-Congo Hemorrhagic fever), zoonotic influenzas, zoonotic tuberculosis, Trypanosomiasis, and Yellow fever. Participants developed recommendations and further regional actions that could be taken, using a One Health approach to address the priority zoonotic diseases in thematic areas including One Health collaboration and coordination, surveillance and laboratory, response and preparedness, prevention and control, workforce development, and research.
ECOWAS was the first region to use the OHZDP Process to prioritize zoonotic disease of greatest concern. With identified priority zoonotic diseases for the region, ECOWAS Member States can collaborate more effectively to address zoonotic diseases threats across the region using a One Health approach. Strengthening national and regional level multisectoral, One Health Coordination Mechanisms will allow ECOWAS Member States to advance One Health and have the biggest impact on improving health outcomes for both people and animals living in a shared environment.
人畜共患病对人类、动物和环境健康构成重大威胁。西非国家经济共同体（ECOWAS）承受着人畜共患病影响带来的巨大负担。为应对ECOWAS地区的人畜共患病威胁，2018年12月开展了为期五天的人畜共患病优先排序（OHZDP）活动，以确定该地区最受关注的人畜共患病，并制定通过区域多部门“同一健康”方法应对这些优先人畜共患病的后续步骤。
OHZDP流程采用了美国疾病控制与预防中心开发的混合方法优先排序流程。在OHZDP研讨会上，ECOWAS所有15个成员国的人类、动物和环境卫生部门代表采用透明且平等的流程，对该地区最受关注的地方性和新发人畜共患病进行优先排序，这些疾病应由“同一健康”各部门及其他合作伙伴共同应对。确定优先人畜共患病后，与会者讨论了应对这些优先人畜共患病及推动该地区“同一健康”发展的建议和进一步的区域行动。
ECOWAS成员国就该地区七种优先人畜共患病达成一致，分别是炭疽、狂犬病、埃博拉及其他病毒性出血热（如马尔堡热、拉沙热、裂谷热、克里米亚-刚果出血热）、人畜共患流感、人畜共患结核病、锥虫病和黄热病。与会者制定了可采取的建议和进一步的区域行动，采用“同一健康”方法在包括“同一健康”合作与协调、监测与实验室、应对与准备、预防与控制、劳动力发展及研究等主题领域应对优先人畜共患病。
ECOWAS是首个使用OHZDP流程对最受关注的人畜共患病进行优先排序的地区。确定该地区的优先人畜共患病后，ECOWAS成员国能够更有效地合作，采用“同一健康”方法应对整个地区的人畜共患病威胁。加强国家和地区层面的多部门“同一健康”协调机制将使ECOWAS成员国推动“同一健康”发展，并对改善共同生活环境中人和动物的健康状况产生最大影响。
