02600nas a2200325   4500000000100000008004100001260001600042653001500058653002600073653002200099653002400121653003300145653001400178100001200192700001200204700001200216700001500228700001500243700001300258700001500271700001500286700001200301700001500313700001700328245015900345856007200504490000700576520167700583022001402260       2025                            d  bElsevier BV10aOne Health10apandemic preparedness10aZoonotic diseases10aSurveillance system10ainter-sectoral collaboration10aPalestine1 aHumos L1 aBasha H1 aSaleh W1 aAwashreh F1 aBaradiea A1 aSalhab E1 aSalaymeh M1 aZinsstag J1 aNemer M1 aRmeileh NA1 aAbukhattab S00aImplementing one health in Palestine: Mapping ministerial mechanisms for pandemic preparedness, zoonotic disease control, and inter-sectoral collaboration  uhttps://www.sciencedirect.com/science/article/pii/S23527714250013630 v203 a<p>Each year, zoonotic infections result in millions of deaths globally. In Palestine, economic constraints and political instability are challenges that obstruct the management of zoonotic diseases. The main goal of the article is to enhance the preparedness and response capabilities for future health emergencies and pandemics, with zoonotic diseases as a prime example, in Palestine, by adopting the One Health approach. A mixed-method study design was used to meet the study objectives. The quantitative aspect, included two phases: first, an expert survey was conducted to prioritize a list of the most important zoonotic pathogens of national importance in Palestine, followed by a multi-stakeholders group discussion that determined the highest priority zoonotic diseases using a 5-criteria quantitative tool. For the qualitative aspect, we conducted a transdisciplinary, multi-stakeholder group discussion to map the ministerial mechanisms for managing zoonotic diseases. As main findings we identified 43 reported zoonotic diseases, 23 of which were high priority. In addition, this research highlighted key gaps in the existing infrastructure, which are lack of regular screening, weak passive surveillance, irregular health education, weaknesses in communication and follow-up, and limited preparedness for epidemics and pandemics. The One Health approach offers a potential incremental benefit in terms of reducing time to detection, reduction of exposure and cumulative societal cost of outbreaks. It is a promising strategy to bridge the gap between various sectors and lay the groundwork for sustainable and effective management of zoonotic diseases.</p>
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