Role of multisector partnerships in controlling emerging zoonotic diseases.
In their book Beasts of the Earth: Animals, Humans, and Disease, Torrey and Yolken point out that domestic and international public health and animal health agencies have a long history of poor coordination and little effort to bridge the gulf between these 2 professional worlds (2). The authors suggest that we must learn to cooperate if we are to effectively combat emerging microbial threats. In the past year, improved cooperation has been evident. We have observed early detection and response to several important zoonotic diseases threatening the public's health. These responses were made possible by several strategic partnerships across human and animal health sectors--partnerships that have been long in the making.
As this issue goes to press, the year has been bracketed by several major natural disasters in 2 hemispheres--the tsunami in Southeast Asia, hurricanes in North America, and the earthquake in Pakistan and India. These events underscore the fragility of our society and the importance of working in partnerships to effectively protect and promote the health of all persons in challenging times. In the United States, understanding the potential threat for zoonotic disease outbreaks in natural disaster settings, local and state agencies and the Centers for Disease Control and Prevention (CDC) have worked in partnership with nongovernmental and other federal agencies to augment surveillance systems to allow for early detection and response to potential rodent- and insect-borne infectious disease threats (3).
In between these events, the world detected and responded to a range of emerging microbial threats from all corners of the animal kingdom, including wildlife, captive wildlife in zoos, domestic poultry and livestock, and pet animals (4). Recurring reports have shown that H5N1 avian influenza in Southeast Asia is moving into eastern Europe, and scientists are concerned that this virus could rapidly move across geographic regions through poultry, animal husbandry, and wild bird migration (5,6). Outbreaks of Escherichia coli have been detected in petting zoos (7). Lymphocytic choriomeningitis and West Nile virus have been transmitted through organ transplantation, and outbreaks of Salmonella spp. have been traced back to pet rodents (8-10). The world also witnessed the remarkable survival of a young woman with rabies in Wisconsin (11).
The articles in this special themed issue reflect emergence and reemergence of a wide array of known zoonotic pathogens, including lyssavirus, hantavirus, Rift Valley fever, methicillin-resistant Staphylococcus aureus, Echinococcus spp., norovirus, Nipah virus, and Bartonella spp., as well as pathogens for which the potential for spread to humans is yet unknown, such as canine influenza virus and phocine distemper virus (12-14).
How should we respond to these emerging disease challenges? This year has brought about renewed, and at times unprecedented, collaborations and partnerships to confront these health challenges. Wildlife, animal agriculture, and public health agencies worked together, often for the first time. They developed surveillance plans for monitoring wild birds for highly pathogenic avian influenza (HPAI), provided guidance for safely handling wild birds during these monitoring efforts, and created a comprehensive plan to combat avian flu in Southeast Asia. Such partnerships also facilitated collection of human and wild bird specimens for HPAI H5N1 surveillance in Southeast Asia, use of a survey instrument to evaluate state animal health-human health communication and coordination, and collaborations with industry for recommendations for safely handling pet rodents (15, N. Marano, unpub. data).
However, we need to respond further by calling for more multidisciplinary, integrated research that identifies the causes and factors leading to the emergence of zoonotic diseases and explores how to effectively prevent and control them (16). Avian influenza, in particular, has shown the importance of this research, as the results are vital to the health of both human and animal populations.
In 2006 we look forward to strengthening and nurturing essential collaborations between organization to improve human and animal health. One step will be the International Symposium on Emerging Zoonoses, organized by the World Animal Health Organization and CDC, to be held in Atlanta in March 2006.
This past year we have begun to come together. Let us do everything we can to continue in this direction, and the reward will be success in protecting and promoting human and animal health through effectively confronting zoonotic infectious diseases. This theme issue is an important component in this process.
(1.) Marano N, Pappiaoanou M. Historical, new, and reemerging links between human and animal health. Emerg Infect Dis. 2004;10:2065-6.
(2.) Torrey EF, Yolken RH. Beasts of the earth: animals, humans, and disease. Piscataway (NJ): Rutgers University Press; 2005.
(3.) Centers for Disease Control and Prevention. Rapid health response, assessment, and surveillance after a tsunami--Thailand, 2004-2005. MMWR Morb Mortal Wkly Rep. 2005;54:61-4.
(4.) Lau SK, Woo PC, Li KS, Huang Y, Tsoi HW, Wong BH, et al. Severe acute respiratory syndrome coronavirus-like virus in Chinese horseshoe bats. Proc Natl Acad Sci U S A. 2005;102:14040-5.
(5.) The World Health Organization Global Influenza Program Surveillance Network. Evolution of H5N1 avian influenza viruses in Asia. Emerg Infect Dis. 2005; 11:1515-21.
(6.) World Animal Health Organization. Highly pathogenic avian influenza in Mongolia in migratory birds. 2005 Aug 12 [cited 2005 Oct 11]. Available from http://www.oie.int/eng/info/hebdo/AIS_58.HTM #Sec4
(7.) Goode B, O'Reilly C. Final report. Outbreak of Shiga toxin producing E. coli (STEC) infections associated with a petting zoo at the. North Carolina State Fair--Raleigh, North Carolina, November 2004. North Carolina Department of Health. [cited 2005 Oct 11]. Available from www.epi.state.nc.us/epi/gcdc/ecoli/EColiReportFinal 062905.pdf
(8.) Centers for Disease Control and Prevention. Lymphocytic choriomeningitis virus infection in organ transplant recipients--Massachusetts, Rhode Island, 2005. MMWR Morb Mortal Wkly Rep. 2005;54:537-9.
(9.) Centers for Disease Control and Prevention. West Nile virus infections in organ transplant recipients--New York and Pennsylvania, August-September, 2005. MMWR Morb Mortal Wkly Rep. 2005;54:1-3.
(10.) Centers for Disease Control and Prevention. Outbreak of multidrug-resistant Salmonella Typhimurium associated with rodents purchased at retail pet stores--United States, December 2003-October 2004. MMWR Morb Mortal Wkly Rep. 2005;54:429-33.
(11.) Willoughby RE Jr, Tieves KS, Hoffman GM, Ghanayem NS, Amlie-Lefond CM, Schwabe MJ, et al. Survival after treatment of rabies with induction of coma [see comment]. N Engl J Med. 2005;352:2508-14.
(12.) Baptiste KE, Williams K, Willams NJ, Wattret A, Clegg PD, Dawson S, et al. Methicillin-resistant staphylococci in companion animals. Emerg Infect Dis. 2005;11:1942-4.
(13.) O'Rourke LG, Pitulle C, Hegarty BC, Kraycirik S, Killary KA, Grosenstein P, et al. Bartonella quintana in Cynomolgus monkey (Macaca fascicularis). Emerg Infect Dis. 2005;11:1931-4
(14.) Yoon K-J, Cooper VL, Schwartz KJ, Harmon KM, Kim W-I, Janke BH, et al. Influenza virus infection in racing greyhounds [letter]. Emerg Infect Dis. 2005;11:1974-6.
(15.) Centers for Disease Control and Prevention. Interim guidance for protection of persons involved in U.S. avian influenza outbreak disease control and eradication activities. [cited 2005 Oct 11]. http://www.cdc.gov/flu/avian/professional/protect-guid.htm
(16.) Kuiken T, Leighton FA, Fouchier RA, LeDuc JW, Peiris JS, Schudel A, et al. Public health: pathogen surveillance in animals. Science. 2005;309:1680-1.
Nina Marano, * Paul Arguin, * Marguerite Pappaioanou, ([dagger]) and Lonnie King * ([double dagger])
* Centers for Disease Control and Prevention, Atlanta, Georgia, USA; ([dagger]) University of Minnesota, Minneapolis, Minnesota, USA; and ([double dagger]) Michigan State University, East Lansing, Michigan, USA
Address for correspondence: Nina Marano, Centers for Disease Control and Prevention, 1600 Clifton Rd, Mailstop C12, Atlanta GA, 30333, USA; fax: 404-639-3039; email: email@example.com
Dr Marano is the associate director of veterinary public health in the Division of Bacterial and Mycotic Diseases CDC, She is responsible for promoting multisector partnerships to enhance detection, prevention, management, and control of emerging zoonotic diseases.
Dr Arguin is the acting chief of the Geographic Medicine and Health Promotion Branch and the zoonoses team leader in the Division of Global Migration and Quarantine, CDC. The team's mission is to prevent the introduction of zoonotic diseases into the country through imported animals and animal products.
Dr Pappaioanou is professor of infectious disease epidemiology in the School of Public Health with a joint appointment in the College of Veterinary Medicine at the University of Minnesota. Her areas of interest are in emerging zoonotic infectious diseases, with a special interest in influenza viruses and in collaborative efforts that bridge public health and domestic animal and wildlife health sectors that address emerging zoonotic infectious diseases.
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|Publication:||Emerging Infectious Diseases|
|Date:||Dec 1, 2005|
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