02739nas a2200433   4500000000100000008004100001260001600042653002200058653001500080653002900095653003600124653002500160653003100185653001900216100002200235700001400257700001600271700001700287700001100304700002200315700001200337700001200349700001600361700002100377700001700398700001300415700001200428700002000440700002100460700001300481700001600494700001400510700001400524700001500538700001300553245024100566520148400807022001402291       2025                            d  bElsevier BV10aZoonotic diseases10aOne Health10aCommunity health workers10aCommunity animal health workers10aDisease surveillance10aHealth systems integration10aPublic health 1 aWorsley-Tonks KEL1 aAbakar MF1 aCoulibaly Z1 aDeya-Yang MP1 aEsso L1 aKameni Feussom JM1 aKallo V1 aKeita Z1 aLéchenne M1 aTchamba Kombou M1 aEmah Manda I1 aMangou C1 aMauti S1 aMbonda Noula AG1 aPoueme Namegni R1 aParize P1 aTejiokem MC1 aTiembre I1 aTraoré A1 aZinsstag J1 aBourhy H00aBreaking the under-reporting cycle for zoonotic diseases in low-income and middle-income countries through national-level integration of community-based surveillance and response: insights from Cameroon, Chad, Côte d’Ivoire, and Mali3 a<p>Zoonotic diseases remain a major threat to both human and animal populations, especially in low-income and middle-income countries. A key challenge in managing these diseases is insufficient coordination between human and animal health sectors and the communities they serve, which often results in delayed outbreak detection and minimal disease control. Community health workers and community animal health workers can help fill this gap by identifying suspected cases early and facilitating communication between communities and health services. However, challenges, such as a scarcity of resources, political and social barriers, and quantitative evaluation of performance and impact, have hindered the broader deployment of community health workers and community animal health workers. In this Personal View, we highlight the need to better integrate community health workers and community animal health workers into health systems for zoonotic disease surveillance and response and illustrate how this can be achieved with examples from Cameroon, Chad, Côte d’Ivoire, and Mali. The framework we put forward provides a step-by-step approach on how to effectively integrate community-based zoonotic disease surveillance, response, and awareness, both at scale and in a sustainable manner. Ultimately, this practical framework offers a path to more resilient and responsive public and animal health infrastructures in the regions most affected by zoonotic diseases.</p>
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