Multicriteria Risk Ranking of Zoonotic Diseases in a Developing Country: A Case Study of Zambia

The integration of a multicriteria decision analysis approach, including techniques such as the Analytic Hierarchy Process (AHP) and the Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS), has yielded valuable insights in the realm of zoonotic disease risk assessment. This analytical framework draws from the OIE-supported manual, utilizing impact assessments, transmission pathways, and categorizations as provided by the OIE itself. Moreover, the consideration of specific zoonotic disease scenarios tailored to individual countries enhances the contextual relevance of the analysis. Through this approach, the ranking of zoonotic diseases is systematically established, offering a comprehensive evaluation of their potential impacts and risks. This methodology encompasses pivotal criteria, including prevalence, economic impact, health impact, transmission pathways, and healthcare capacity, collectively offering a holistic perspective that mirrors the intricate nature of zoonotic diseases. The resultant rankings, derived from both ECDC and OIE data, illuminate diseases that harbor significant threats to both human and animal populations. This ranking fosters the identification of diseases with potential for rapid spread and substantial impact, guiding resource allocation towards prevention, control, and mitigation strategies. The alignment between ECDC and OIE rankings underscores the robustness of the applied methodology, with Plague and Zoonotic TB consistently emerging as high-ranking diseases, reinforcing their acknowledged significance. A consolidated ranking, amalgamating data from both sources, provides an insightful overview of potential risks linked to various zoonotic diseases. Plague, Zoonotic TB, Brucellosis, Trypanosomiasis, and Rabies consistently occupy top positions, presenting a valuable instrument for policymakers, public health officials, and stakeholders in prioritizing resource allocation and intervention strategies. The implementation of a multicriteria decision analysis approach, integrating AHP and TOPSIS methodologies, underpins the generation of informed rankings for Zambian zoonotic diseases. The intricate interplay of criteria like prevalence, economic impact, health impact, transmission pathways, and healthcare capacity forms a comprehensive framework for evaluating the potential risks of diverse diseases. The ensuing ranking, led by Plague and succeeded by Anthrax, Rabies, and others, mirrors their collective risk scores calculated via the adopted methodology. This approach empowers strategic decision-making by pinpointing diseases with heightened potential for adverse impacts on both human and animal populations. The rankings serve as invaluable aids in directing resources, devising strategic interventions, and formulating targeted measures for prevention and control. However, acknowledgment of the dynamic disease landscape and the imperative of adaptive strategies underscores the ongoing importance of monitoring and managing zoonotic diseases effectively in Zambia. By amalgamating data from authoritative sources and embracing a systematic, evidence-based approach, this study accentuates the necessity of addressing zoonotic diseases with a holistic lens, fostering proactive perspectives that augment public health and avert future outbreaks

Epidemiological Tools in Focus: A Comprehensive Assessment of Their Role in Addressing Infectious Disease Challenges in Zambia

In the relentless pursuit of mitigating infectious diseases, this investigative study critically examines the nuanced application and effectiveness of epidemiological tools within the context of Zambia. The study meticulously navigates the landscape of infectious diseases in Zambia, considering its unique ecological and socio-economic features. Employing a rigorous methodology that integrates primary data from epidemiological reports, field observations, and laboratory analyses with insights from diverse scientific literature, the study investigates the types and applications of epidemiological tools such as spatial analysis, case-control studies, molecular epidemiology, and serological assays. Unfolding the challenges posed by resource constraints, data reliability issues, and the dynamic nature of infectious diseases in Zambia, the study offers a comprehensive assessment that extends to the implications of these tools for informed public health decision-making. This scholarly inquiry concludes by affirming the significance of ongoing refinement and adaptation of epidemiological tools, emphasizing their pivotal role in addressing infectious disease challenges within Zambia and advocating for their continued enhancement on the global public health stage

The immunogenicity of a foot-and-mouth disease virus serotype O vaccine in commercial and subsistence cattle herds in Zambia

DATA AVAILABILITY STATEMENT : All datasets produced and analysed for this study are available from the corresponding author upon reasonable request.SUPPLEMENTARY MATERIALS : TABLE S1: The solid-phase competitive ELISA (SPCE) % inhibition results at 1:10 dilution (results for 1:30 dilution not shown) and the log reciprocal of virus neutralisation test (VNT) titres in subsistence (Rufunsa) and commercial (Chisamba) cattle herds vaccinated with either one (day 0) or two doses (day 0 and 28) of an FMDV serotype O vaccine.The recent introduction of foot-and-mouth disease (FMD) virus serotype O (O/EA-2 topotype) in Southern Africa has changed the epidemiology of the disease and vaccine requirements of the region. Commercial and subsistence cattle herds in Zambia were vaccinated with an FMD virus serotype O Manisa vaccine according to a double- or single-dose vaccination schedule. Heterologous antibody responses induced by this vaccine against a representative O/EA-2 virus from Zambia were determined. Virus neutralisation tests (VNTs) showed double-dosed cattle had a mean reciprocal log virus neutralisation titre of 2.02 (standard error [SE] = 0.16, n = 9) for commercial herds and 1.65 (SE = 0.17, n = 5) for subsistence herds 56 days after the first vaccination (dpv). Significantly lower mean titres were observed for single-dosed commercial herds (0.90, SE = 0.08, n = 9) and subsistence herds (1.15, SE = 0.18, n = 3) 56 dpv. A comparison of these results and those generated by solid-phase competitive ELISA (SPCE) tests showed a statistically significant positive correlation by Cohen’s kappa coefficient. Therefore, SPCE might be used in assessing the immunogenicity of vaccines in place of VNT. Furthermore, for this vaccine and field strain, a vaccination regime employing a two-dose primary course and revaccination after 4–6 months is likely to be appropriate.The Government of Zambia through the Ministry of Fisheries and Livestock, Department of Veterinary; the Department for Environment, Food, and Rural Affairs (Defra; UK), funded by the European Union; and The Pirbright Institute receives grant-aided support from the Biotechnology and Biological Sciences Research Council of the United Kingdom.https://www.mdpi.com/journal/vaccinesam2024Veterinary Tropical DiseasesSDG-02:Zero HungerSDG-03:Good heatlh and well-bein