{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T16:38:42Z","timestamp":1787243922594,"version":"build-2736575974"},"reference-count":48,"publisher":"Public Library of Science (PLoS)","issue":"7","license":[{"start":{"date-parts":[[2023,7,26]],"date-time":"2023-07-26T00:00:00Z","timestamp":1690329600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000194","name":"U.S. Department of State","doi-asserted-by":"publisher","award":["S-ISNCT-19-CA-0008"],"award-info":[{"award-number":["S-ISNCT-19-CA-0008"]}],"id":[{"id":"10.13039\/100000194","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosglobalpublichealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Glob Public Health"],"abstract":"<jats:p>Continued emergence, re-emergence and spread of zoonotic diseases demonstrates the imperative need for multisectoral communication and joint coordination of disease detection and response. While there are existing international frameworks underpinning One Health capacity building for pandemic prevention and response, often guidance does not account for challenges faced by countries undergoing long-term conflict and sociopolitical instability. The purpose of this research was to identify Libya\u2019s laboratory and surveillance networks and routes of inter- and multisectoral communication and coordination for priority zoonotic diseases. The One Health Systems Assessment for Priority Zoonoses (OH-SAPZ) tool is an established methodology that was adapted and applied to the Libyan context to support prioritization of zoonotic diseases, development of systems map schematics outlining networks of communication and coordination, and analysis of operations for targeted capacity building efforts. Five zoonotic diseases were selected to undergo assessment: highly pathogenic avian influenza, brucellosis, Rift Valley fever, leishmaniasis and rabies. Through decisive acknowledgement of Libya\u2019s unique health setting, we mapped how patient and sample information is both communicated within and between the human, animal and environmental health sectors, spanning from local index case identification to international notification. Through our assessment we found strong communication within the public and animal health sectors, as well as existing multisectoral coordination on zoonotic disease response. However, local-level communication between the sectors is currently lacking. Due to the ongoing conflict, resources (financial and human) and access have been severely impacted, resulting in limited laboratory diagnostic capacity and discontinued disease prevention and control measures. We sought to identify opportunities to leverage existing operations for endemic diseases like brucellosis for emerging zoonotic threats, such as Rift Valley fever. Analysis of these operations and capabilities supports the development of targeted recommendations that address gaps and may be used as an implementation guide for future One Health capacity building efforts.<\/jats:p>","DOI":"10.1371\/journal.pgph.0002005","type":"journal-article","created":{"date-parts":[[2023,7,26]],"date-time":"2023-07-26T14:30:06Z","timestamp":1690381806000},"page":"e0002005","update-policy":"https:\/\/doi.org\/10.1371\/journal.pgph.corrections_policy","source":"Crossref","is-referenced-by-count":6,"title":["Using One Health assessments to leverage endemic disease frameworks for emerging zoonotic disease threats in Libya"],"prefix":"10.1371","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-2307-5183","authenticated-orcid":true,"given":"Lauren N.","family":"Miller","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hatem","family":"Elmselati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alanna S.","family":"Fogarty","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milad E.","family":"Farhat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4291-9723","authenticated-orcid":true,"given":"Claire J.","family":"Standley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanan M.","family":"Abuabaid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulaziz","family":"Zorgani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar","family":"Elahmer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2456-4540","authenticated-orcid":true,"given":"Erin M.","family":"Sorrell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2023,7,26]]},"reference":[{"issue":"7181","key":"pgph.0002005.ref001","doi-asserted-by":"crossref","first-page":"990","DOI":"10.1038\/nature06536","article-title":"Global trends in emerging infectious diseases","volume":"451","author":"KE Jones","year":"2008","journal-title":"Nature"},{"issue":"1411","key":"pgph.0002005.ref002","doi-asserted-by":"crossref","first-page":"983","DOI":"10.1098\/rstb.2001.0888","article-title":"Risk factors for human disease emergence.","volume":"356","author":"LH Taylor","year":"2001","journal-title":"Philos Trans Biol Sci"},{"key":"pgph.0002005.ref003","article-title":"The interconnected and cross-border nature of risks posed by infectious diseases","volume":"7","author":"JE Suk","year":"2014","journal-title":"Glob Health Action"},{"key":"pgph.0002005.ref004","unstructured":"World Health Organization [Internet]. c2020 [cited 2023 Jan 6]. Zoonoses. Available from: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/zoonoses"},{"key":"pgph.0002005.ref005","doi-asserted-by":"crossref","DOI":"10.62454\/KA112E","volume-title":"International Health Regulations (2005)-","author":"World Health Organization","year":"2016","edition":"3"},{"key":"pgph.0002005.ref006","unstructured":"World Organisation for Animal Health [Internet]. c2022 [cited 2022 Nov 30]. Terrestrial Code Online Access. Available from: https:\/\/www.woah.org\/en\/what-we-do\/standards\/codes-and-manuals\/terrestrial-code-online-access\/"},{"key":"pgph.0002005.ref007","volume-title":"One health joint plan of action, 2022\u20132026: Working together for the health of humans, animals, plants and the environment","author":"UNEP FAO","year":"2022"},{"issue":"6","key":"pgph.0002005.ref008","doi-asserted-by":"crossref","first-page":"e1010537","DOI":"10.1371\/journal.ppat.1010537","article-title":"One Health: A new definition for a sustainable and healthy future","volume":"18","author":"One Health High-Level Expert Panel (OHHLEP)","year":"2022","journal-title":"PLOS Pathog"},{"issue":"2","key":"pgph.0002005.ref009","doi-asserted-by":"crossref","first-page":"88","DOI":"10.3390\/tropicalmed4020088","article-title":"The one health approach\u2014why is it so important?","volume":"4","author":"JS Mackenzie","year":"2019","journal-title":"Trop Med Infect Dis"},{"key":"pgph.0002005.ref010","doi-asserted-by":"crossref","first-page":"219","DOI":"10.3389\/fpubh.2015.00219","article-title":"Mapping of Networks to Detect Priority Zoonoses in Jordan.","volume":"3","author":"EM Sorrell","year":"2015","journal-title":"Front Public Health."},{"key":"pgph.0002005.ref011","doi-asserted-by":"crossref","first-page":"100093","DOI":"10.1016\/j.onehlt.2019.100093","article-title":"Assessing health systems in Guinea for prevention and control of priority zoonotic diseases: A one health approach.","author":"CJ Standley","year":"2019","journal-title":"One Health Amst Neth."},{"key":"pgph.0002005.ref012","article-title":"Griffin Program","author":"R. 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Available from: https:\/\/news.un.org\/en\/story\/2022\/08\/1125812"},{"key":"pgph.0002005.ref015","article-title":"The impact of armed conflict on the epidemiological situation of COVID-19 in Libya, Syria and Yemen.","author":"MA Daw","year":"2021","journal-title":"Front Public Health"},{"key":"pgph.0002005.ref016","volume-title":"Joint external evaluation of IHR core capacities of Libya","year":"2019"},{"issue":"3","key":"pgph.0002005.ref017","doi-asserted-by":"crossref","first-page":"75","DOI":"10.31559\/VMPH2020.1.3.1","article-title":"Intervention measures applied to control brucellosis in Libya: The needs for effective control programs","volume":"1","author":"HH Al-Griw","year":"2020","journal-title":"Vet Med Public Health J"},{"issue":"1","key":"pgph.0002005.ref018","doi-asserted-by":"crossref","first-page":"72","DOI":"10.2174\/1874318801004010072","article-title":"Brucellosis\u2014risk factors and prevalence: A review.","volume":"4","author":"LB Lopes","year":"2010","journal-title":"Open Vet Sci J."},{"key":"pgph.0002005.ref019","doi-asserted-by":"crossref","first-page":"e02851","DOI":"10.7554\/eLife.02851","article-title":"Global distribution maps of the leishmaniases.","volume":"3","author":"DM Pigott","year":"2014","journal-title":"eLife"},{"key":"pgph.0002005.ref020","unstructured":"World Health Organization [Internet]. c2023 [cited 2023 May 3]. 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pandemic","volume":"5","author":"K Blanchet","year":"2020","journal-title":"BMJ Glob Health"},{"issue":"12","key":"pgph.0002005.ref033","doi-asserted-by":"crossref","first-page":"1303","DOI":"10.1038\/s41562-020-01009-0","article-title":"Ranking the effectiveness of worldwide COVID-19 government interventions.","volume":"4","author":"N Haug","year":"2020","journal-title":"Nat Hum Behav."},{"issue":"1","key":"pgph.0002005.ref034","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1186\/s12889-015-1791-5","article-title":"Surveillance systems evaluation: a systematic review of the existing approaches.","volume":"15","author":"C Calba","year":"2015","journal-title":"BMC Public Health."},{"issue":"4","key":"pgph.0002005.ref035","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1017\/S0950268811002160","article-title":"Evaluation of animal and public health surveillance systems: a systematic review","volume":"140","author":"JA Drewe","year":"2012","journal-title":"Epidemiol 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