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      Living Safely With Bats: Lessons in Developing and Sharing a Global One Health Educational Resource

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          Abstract

          The Living Safely With Bats picture book development process provides a model for collaboratively creating educational resources to combat zoonotic disease spillover risk. We discuss lessons learned from the process and future considerations for tool development and evaluation.

          Abstract

          Key Findings

          • From the Living Safely With Bats book’s inception to distribution, the content development team engaged and collaborated with multilevel stakeholders from multiple countries on the diverse cultural contexts and local knowledge, attitudes, and behaviors regarding zoonotic diseases.

          • The book development process provided insights on how to strategically adapt text and artwork targeted at community-level implementation to reinforce public health and wildlife conservation messages that could be tailored to audiences according to their risk compositions and local contexts.

          • Integrating multisectoral feedback from experts in animal health, human health, and conservation at every facet of the project ensured that a One Health lens was applied throughout the development process.

          Key Implication

          • Global research efforts should budget for both planned and potential projects that can translate findings into community-oriented, evidence-based risk communication materials. This includes providing support for evaluation activities.

          ABSTRACT

          As part of a public health behavior change and communication strategy related to the identification of a novel ebolavirus in bats in Sierra Leone in 2016, a consortium of experts launched an effort to create a widely accessible resource for community awareness and education on reducing disease risk. The resulting picture book, Living Safely With Bats, includes technical content developed by a consortium of experts in public health, animal health, conservation, bats, and disease ecology from 30 countries. The book has now been adapted, translated, and used in more than 20 countries in Africa and Asia. We review the processes used to integrate feedback from local stakeholders and multidisciplinary experts. We also provide recommendations for One Health and other practitioners who choose to pursue the development and evaluation of this or similar zoonotic disease risk mitigation tools.

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          Most cited references23

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          Global trends in emerging infectious diseases

          The next new disease Emerging infectious diseases are a major threat to health: AIDS, SARS, drug-resistant bacteria and Ebola virus are among the more recent examples. By identifying emerging disease 'hotspots', the thinking goes, it should be possible to spot health risks at an early stage and prepare containment strategies. An analysis of over 300 examples of disease emerging between 1940 and 2004 suggests that these hotspots can be accurately mapped based on socio-economic, environmental and ecological factors. The data show that the surveillance effort, and much current research spending, is concentrated in developed economies, yet the risk maps point to developing countries as the more likely source of new diseases. Supplementary information The online version of this article (doi:10.1038/nature06536) contains supplementary material, which is available to authorized users.
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            Risk factors for human disease emergence.

            A comprehensive literature review identifies 1415 species of infectious organism known to be pathogenic to humans, including 217 viruses and prions, 538 bacteria and rickettsia, 307 fungi, 66 protozoa and 287 helminths. Out of these, 868 (61%) are zoonotic, that is, they can be transmitted between humans and animals, and 175 pathogenic species are associated with diseases considered to be 'emerging'. We test the hypothesis that zoonotic pathogens are more likely to be associated with emerging diseases than non-emerging ones. Out of the emerging pathogens, 132 (75%) are zoonotic, and overall, zoonotic pathogens are twice as likely to be associated with emerging diseases than non-zoonotic pathogens. However, the result varies among taxa, with protozoa and viruses particularly likely to emerge, and helminths particularly unlikely to do so, irrespective of their zoonotic status. No association between transmission route and emergence was found. This study represents the first quantitative analysis identifying risk factors for human disease emergence.
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              Pathways to zoonotic spillover

              Zoonotic diseases present a substantial global health burden. In this Opinion article, Plowrightet al. present an integrative conceptual and quantitative model that reveals that all zoonotic pathogens must overcome a hierarchical series of barriers to cause spillover infections in humans. Supplementary information The online version of this article (doi:10.1038/nrmicro.2017.45) contains supplementary material, which is available to authorized users.
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                Author and article information

                Journal
                Glob Health Sci Pract
                Glob Health Sci Pract
                ghsp
                ghsp
                Global Health: Science and Practice
                Global Health: Science and Practice
                2169-575X
                21 December 2022
                21 December 2022
                : 10
                : 6
                : e2200106
                Affiliations
                [a ]EcoHealth Alliance , New York, NY, USA.
                [b ]Labyrinth Global Health , St. Petersburg, FL, USA.
                [c ]Metabiota, Inc. , San Francisco, CA, USA.
                [d ]One Health Institute, University of California, Davis , Davis, CA, USA.
                [e ]Sokoine University of Agriculture , Morogoro, Tanzania.
                [f ]School of Veterinary Medicine and Sciences, University of Ngaoundéré , Ngaoundéré, Cameroon.
                [g ]Expert Surveillance Interface H/A/E FAO-ECTAD , Conakry, Guinea.
                [h ]Liberia Chimpanzee Rescue and Protection, Monrovia, Liberia.
                [i ]Conservation Medicine , Selangor, Malaysia.
                [j ]Thai Red Cross Emerging Infectious Diseases Clinical Center , King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
                [k ]School of Global Health, Chulalongkorn University , Bangkok, Thailand.
                [l ]Virology Unit, Institut Pasteur du Cambodge, Pasteur Network , Phnom Penh, Cambodia.
                [m ]Wildlife Conservation Society , Viet Nam Country Program, Hanoi, Vietnam.
                [n ]Wildlife Conservation Society , Health Program, Bronx, NY, USA.
                [o ]Smithsonian Institution , Washington, DC, USA.
                [p ]Henry Jackson Foundation , Bethesda, MD, USA.
                Author notes
                [*]

                Co-first authors.

                Correspondence to Stephanie Martinez ( martinez@ 123456ecohealthalliance.org ).
                Article
                GHSP-D-22-00106
                10.9745/GHSP-D-22-00106
                9771458
                36951282
                060ea03f-bff4-440d-bc3b-effd66e8b55f
                © Martinez et al.

                This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly cited. To view a copy of the license, visit https://creativecommons.org/licenses/by/4.0/. When linking to this article, please use the following permanent link: https://doi.org/10.9745/GHSP-D-22-00106

                History
                : 12 March 2022
                : 18 October 2022
                Categories
                Short Report

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