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本文引用的文献

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Institutional one health and animal-human health connections in Nthongoni, Eastern Kenya.肯尼亚东北部恩通戈尼的机构性一体健康和动物-人类健康联系。
Health Place. 2022 Sep;77:102818. doi: 10.1016/j.healthplace.2022.102818. Epub 2022 May 10.
2
Decades of emerging infectious disease, food safety, and antimicrobial resistance response in Vietnam: The role of One Health.越南数十年来对新发传染病、食品安全及抗菌药物耐药性的应对:“同一健康”的作用
One Health. 2022 Jun;14:100361. doi: 10.1016/j.onehlt.2021.100361. Epub 2021 Dec 14.
3
Operationalising the "One Health" approach in India: facilitators of and barriers to effective cross-sector convergence for zoonoses prevention and control.在印度实施“同一健康”方法:促进和阻碍人畜共患病预防和控制的跨部门有效融合的因素。
BMC Public Health. 2021 Aug 6;21(1):1517. doi: 10.1186/s12889-021-11545-7.
4
Impacts of biodiversity and biodiversity loss on zoonotic diseases.生物多样性和生物多样性丧失对人畜共患病的影响。
Proc Natl Acad Sci U S A. 2021 Apr 27;118(17). doi: 10.1073/pnas.2023540118.
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Zoonotic disease preparedness in sub-Saharan African countries.撒哈拉以南非洲国家的人畜共患病防范
One Health Outlook. 2021;3(1):5. doi: 10.1186/s42522-021-00037-8. Epub 2021 Mar 22.
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Zoonotic Diseases: Etiology, Impact, and Control.人畜共患病:病因、影响与防控
Microorganisms. 2020 Sep 12;8(9):1405. doi: 10.3390/microorganisms8091405.
7
Improving Detection and Response to Respiratory Events - Kenya, April 2016-April 2020.提高呼吸事件的检测和应对能力-肯尼亚,2016 年 4 月至 2020 年 4 月。
MMWR Morb Mortal Wkly Rep. 2020 May 8;69(18):540-544. doi: 10.15585/mmwr.mm6918a2.
8
Successes and challenges of the One Health approach in Kenya over the last decade.过去十年中,肯尼亚“同一健康”方法的成功与挑战。
BMC Public Health. 2019 May 10;19(Suppl 3):465. doi: 10.1186/s12889-019-6772-7.
9
The One Health Approach-Why Is It So Important?一体化健康方法——为何如此重要?
Trop Med Infect Dis. 2019 May 31;4(2):88. doi: 10.3390/tropicalmed4020088.
10
Systematic Review of Important Bacterial Zoonoses in Africa in the Last Decade in Light of the 'One Health' Concept.基于“同一健康”概念对过去十年非洲重要细菌性人畜共患病的系统评价
Pathogens. 2019 Apr 16;8(2):50. doi: 10.3390/pathogens8020050.

肯尼亚纳库鲁县动物和人类医护人员人畜共患病监测中多部门方法的应用及相关决定因素

Utilization and associated determinants of multi-sectoral approach in zoonotic disease surveillance among animal and human healthcare workers in Nakuru County, Kenya.

作者信息

Cheptoyek Levi, Kikuvi Gideon, Gachohi John

机构信息

P.O. Box 62000-00200, Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya.

出版信息

Open Res Eur. 2024 Sep 2;4:103. doi: 10.12688/openreseurope.17583.2. eCollection 2024.

DOI:10.12688/openreseurope.17583.2
PMID:39618810
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11607475/
Abstract

BACKGROUND

Zoonoses are naturally transmissible between humans and animals. Globally, they account for more than 60% of human infections, 75% of emerging infections, 2.7 million human deaths, and 10% of the total DALYs lost yearly in Africa. In the last three decades, Kenya has had sporadic outbreaks of zoonoses. To increase the speed of reporting and efficiencies in detection and control, a multi-sectoral collaboration in zoonotic disease surveillance (MZDS) between human and animal health workers is essential. In an effort, Zoonotic disease unit (ZDU) in Kenya has been established at national and county levels.

METHODS

A cross sectional study was carried out to determine the level of utilization of multisectoral collaboration and its associated determinants in zoonotic disease surveillance among animal and human healthcare workers in Nakuru County. Quantitative data was gathered from 102 participants and qualitative data from 5 key informants. To test for significant differences, Chi-square and independent t-test were used.

RESULTS

MZDS utilization level was 16% and the factors associated with MZDS utilization include; knowing what MZDS entails, education level, sector affiliation, trainings, supportive infrastructure, budget allocation and data storage. Lack of financing and poor coordination are hindrances to MZDS.

CONCLUSION

There is need to finance MZDS activities, strengthen coordination mechanisms, carry out more sensitization and trainings among animal and human healthcare workers.

摘要

背景

人畜共患病可在人类和动物之间自然传播。在全球范围内,它们占人类感染病例的60%以上、新发感染病例的75%、导致270万人死亡,以及非洲每年损失的伤残调整生命年总数的10%。在过去三十年中,肯尼亚曾零星爆发过人畜共患病。为了提高报告速度以及检测和控制效率,人类和动物卫生工作者之间开展人畜共患病监测多部门协作(MZDS)至关重要。为此,肯尼亚已在国家和县级设立了人畜共患病防治单位(ZDU)。

方法

开展了一项横断面研究,以确定纳库鲁县动物和人类医护人员在人畜共患病监测中多部门协作的利用水平及其相关决定因素。从102名参与者收集了定量数据,从5名关键信息提供者收集了定性数据。使用卡方检验和独立t检验来检验显著差异。

结果

MZDS的利用水平为16%,与MZDS利用相关的因素包括;了解MZDS的内容、教育水平部门隶属关系、培训、支持性基础设施、预算分配和数据存储。资金不足和协调不力是MZDS的障碍。

结论

需要为MZDS活动提供资金,加强协调机制,在动物和人类医护人员中开展更多宣传和培训。