Table 4 OHTAPZ joint capacity findings and recommendations
From: Assessing One Health capacities for transboundary zoonotic diseases at the Libya-Tunisia border
Capacity | Joint Findings | Recommendations |
|---|---|---|
Prevention | Lack of training on TZD disease detection for POE officials/border health officers | Incorporate existing TZD awareness raising and educational trainings provided by MoPH/MoA-VS and NCDC/NCAH to border health officials. Once in place, establish regular/routine joint training opportunities. These trainings can be evaluated through tabletop and other simulated transboundary outbreak drills |
Prevention, Surveillance & Response | Lack of coordination on vector surveillance, response, and control at border crossings | Implement integrated vector management measures at POEs from prevention to surveillance and response which can be piloted at one border crossing first before expanding to other POE settings. Incorporate national-level sectors that oversee or are developing vector control programs |
Response | No protocol for joint outbreak (animal or human) investigation between POE officials in Libya and Tunisia | Apply OHTAPZ methodology and cross-border network to complete a mapping of critical One Health stakeholders at POEs to develop of standard operating procedures (SOPs) for joint investigation, chain of custody, and response |
Communication & Coordination | Lack of formalized One Health structures to support ministerial- and bilateral level communication and coordination for priority TZDs | Define, formalize and test MoPH-NCDC, MoA/VS-NCAH, POE-POE, and bilateral communication channels for surveillance of and detection and response to priority TZDs. National multisectoral One Health Committees (OHCs) should be established to support routine communication, coordination within countries In addition, a One Health Cross-Border committee consisting of key focal points from national OHCs and POE operations should be established. The Cross-Border committee should have formalized terms of reference and regular meetings to share information, surveillance reports and ensure seamless application of joint SOPs |
Other | No jointly designated ground crossing POE | Designate one land border crossing, preferably Ras Ajdir, for joint implementation of IHRÂ and expand current assessment of existing capacities using IHR POE assessment tool |