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MAP is globally impacting animal health and imparting significant economic burden to animal agriculture. Confounding the management of Johne\u2019s disease is that animals are typically infected as calves and while commonly not manifesting clinical disease for years, they shed MAP in their milk and feces in the interval. This has resulted in a \u201cdon\u2019t test, don\u2019t tell\u201d scenario for the industry resulting in greater prevalence of Johne\u2019s disease; furthermore, because MAP survives pasteurization, the contaminated food supply provides a source of exposure to humans. Indeed, greater than 90% of dairy herds in the US have MAP-infected animals within the herd. The same bacterium, MAP, is the putative cause of Crohn\u2019s disease in humans. Countries historically isolated from importing\/exporting ruminant animals and free of Johne\u2019s disease subsequently acquired the disease as a consequence of opening trade with what proved to be infected animals. Crohn\u2019s disease in those populations became a lagging indicator of MAP infection. Moreover, MAP is associated with an increasingly long list of human diseases. Despite MAP scientists entreating regulatory agencies to designate MAP a \u201czoonotic agent,\u201d it has not been forthcoming. One Health is a global endeavor applying an integrative health initiative that includes the environment, animals and humans; One Health asserts that stressors affecting one affects all three. Recognizing the impact MAP has on animal and human health as well as on the environment, it is time for One Health, as well as other global regulatory agencies, to recognize that MAP is causing an insidious slow-motion tsunami of zoonosis and implement public health mitigation.\n                  <\/jats:p>","DOI":"10.1007\/s10393-022-01602-x","type":"journal-article","created":{"date-parts":[[2022,6,2]],"date-time":"2022-06-02T14:03:01Z","timestamp":1654178581000},"page":"164-174","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":43,"title":["Mycobacterium paratuberculosis zoonosis is a One Health emergency"],"prefix":"10.1007","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4301-6101","authenticated-orcid":false,"given":"Coad Thomas","family":"Dow","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Briana Lizet","family":"Alvarez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,6,2]]},"reference":[{"issue":"1","key":"1602_CR1","doi-asserted-by":"publisher","first-page":"33","DOI":"10.3390\/vetsci7010033","volume":"7","author":"KR Acharya","year":"2020","unstructured":"Acharya KR, Plain KM, Whittington RJ, Dhand NK (2020) Australian Veterinarians\u2019 Perceptions Regarding the Zoonotic Potential of Mycobacterium avium Subspecies Paratuberculosis. 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