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A proposed One Health approach to control yellow fever outbreaks in Uganda.
Mensah, Emmanuel Angmorteh; Gyasi, Samuel Ofori; Nsubuga, Fred; Alali, Walid Q.
Afiliación
  • Mensah EA; Department of Biostatistics & Epidemiology, College of Public Health, East Tennessee State University, Johnson City, TN, USA.
  • Gyasi SO; Department of Immunization, Vaccines and Biologicals, World Health Organization Country Office, Kampala, Uganda.
  • Nsubuga F; Division of Immunization and Vaccines, Ministry of Health, Kampala, Uganda.
  • Alali WQ; Department of Biostatistics & Epidemiology, College of Public Health, East Tennessee State University, Johnson City, TN, USA. alaliw@etsu.edu.
One Health Outlook ; 6(1): 9, 2024 May 23.
Article en En | MEDLINE | ID: mdl-38783349
ABSTRACT
Yellow Fever (YF) is an acute viral hemorrhagic disease. Uganda is located within the Africa YF belt. Between 2019 and 2022, the Ugandan Health Authorities reported at least one outbreak of YF annually with an estimated 892 suspected cases, on average per year. The persistent recurrence of this disease raises significant concerns about the efficacy of current response strategies and prevention approaches. YF has been recognized as a One Health issue due to its interrelatedness with the animal and environmental domains. Monkeys have been recognized as the virus primary reservoir. The YF virus is transmitted through bites of infected Aedes or Haemagogus species mosquitoes between monkeys and humans. Human activities, monkey health, and environmental health issues (e.g., climate change and land use) impact YF incidence in Uganda. Additionally, disease control programs for other tropical diseases, such as mosquitoes control programs for malaria, impact YF incidence.This review adopts the One Health approach to highlight the limitations in the existing segmented YF control and prevention strategies in Uganda, including the limited health sector surveillance, the geographically localized outbreak response efforts, the lack of a comprehensive vaccination program, the limited collaboration and communication among relevant national and international agencies, and the inadequate vector control practices. Through a One Health approach, we propose establishing a YF elimination taskforce. This taskforce would oversee coordination of YF elimination initiatives, including implementing a comprehensive surveillance system, conducting mass YF vaccination campaigns, integrating mosquito management strategies, and enhancing risk communication. It is anticipated that adopting the One Health approach will reduce the risk of YF incidence and outbreaks.
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Idioma: En Revista: One Health Outlook Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Idioma: En Revista: One Health Outlook Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos