Research conducted in a timely manner

Before the COVID-19 pandemic, students from the University of Kent and Ohio University conducted research with CTPH on the impacts of mitigation measures to avoid disease transmission to great apes and on the willingness of the National Park’s visitors to comply with these measures. Their findings were published in 2018 and 2020 and have been instrumental in convincing the Ugandan government to adopt sanitary measures in the Parks for tourists and management staff, while reassuring the Uganda Wildlife Authority that this decision wouldn’t impact the number of visitors coming to the park.

CTPH also conducts routine research to monitor the health of the mountain gorilla population, focusing on those which stray out of the forest into communal land most often or those that have been habituated for gorilla tourism and, as such, are more likely to come into contact with human infections. This routine health monitoring and research is conducted by observing for clinical signs and collecting gorilla faecal samples (non-invasively, from gorilla night nests) each day and analysing the samples for pathogens, particularly those of zoonotic significance. By doing so, CTPH has developed an early warning system for any concerning infections and can address these as needed in a timely manner.

  • Willingness of the health monitoring team and researchers to conduct the studies
  • Mutual interest in the outcome of the research study
  • Government and Uganda Wildlife Authority’s (UWA) support of the research, aided by good working relationships between CTPH, UWA and other government departments
  • Current context of the COVID-19 pandemic leant relevance and urgency to the findings and encouraged rapid adoption of safer Great Ape viewing guidelines, in line with the findings
  • Working closely with relevant government institutions enables more effective conservation efforts
  • Involving academia in conservation projects through long-term partnerships allows for obtaining timely results on key issues for decision-making
  • Evidence based research lends legitimacy to advocacy actions
Effective One Health Response and Interventions to Wildlife Events

WildHealthResponse: Translating relevant health data into actionable real-time information supports stakeholders and decision-makers to structure and implement an effective multi-sectoral response—which in turn will optimize the health of wildlife, people, and livestock, and help prevent pandemics. Harnessing local knowledge informs decision-making and translates a global One Health vision into locally relevant solutions to halt species extinctions and threats to human and animal health and well-being.

- Effective networks in place through building blocks 1-3 for communication of results and coordination of effective response

- National strategies in place that ensure relevant personnel know their role and the processes for responding to different scenarios

- Good communication and collaboration between multi-sectoral response teams

- External financial support for LMICs and MICs until national budgets can support effective surveillance and response

Taking the time to put in place the initial three building blocks and national strategies enables the translation of relevant health data into actionable real-time information to support multi-sectoral stakeholders and decision-makers to implement an effective multi-sectoral response. This in turn will optimize the health of wildlife, people, and livestock, help prevent pandemics and demonstrate the benefits of wildlife surveillance networks, increasing local government buy-in for future self-investment.

Technology for Wildlife Surveillance Data Collection, Sharing and Management

WildHealthTech: WildHealthNet develops and employs innovative, appropriate, and user-friendly technologies for surveillance. With proven, globally distributed, open-source software (e.g., SMART for Health) and hardware like handheld cell phone devices for data collection and diagnostics, WildHealthNet supports effective and timely communication of data for improved reporting of wildlife health and rapid response.

- Cell-phone network accessibility and cell phone provision

- Human personnel to monitor network and data at the central level

- Access to a server

- Diagnostic capacity for safely testing wildlife samples for pathogens of concern (Point-of-care for some pathogens; in-country laboratories; regional laboratory networks, and agreements to support rapid and biosecure export, testing, and data sharing)

- Technical and analytical support

- Financing to enable technical support and capacity development for data platforms and data analysis

- Early detection of wildlife morbidity and mortality events facilitates a timely and appropriate response to disease threats; the inability to detect and identify the causes of mortality events is a major limitation in the protection of wildlife, livestock, and public health.

- Employing an already proven open-source and cell-phone-based technology through the Spatial Monitoring and Reporting Tool (SMART) platform used by rangers in close to 1,000 biodiverse sites across the world,  leverages an unprecedented network of globally distributed boots-on-the-ground and eyes-in-the-field that can act as sentinels for unusual events in remote areas. 

Supporting Skills Development for Surveillance and Monitoring of Wildlife Disease

WildHealthSkills: WildHealthNet conducts capacity bridging and building with in-person and virtual trainings for all actors in the network, from field-based rangers to laboratory techs to national coordinators. The goal is to develop and share science-based protocols and best practices, and implement strong curricula so that each actor is empowered to fully participate.

- Long term financial support for technical expertise and input

- Government and local stakeholder awareness of the links between wildlife health and human health and well-being

- Government and local stakeholder interest and engagement in capacity development for wildlife surveillance and wildlife health monitoring

- Adequate human personnel without too much turnover, in order to maintain network

A foundational understanding of the links between wildlife/ environmental health and human and domestic animal health and well-being ensures better interest and buy-in for One Health competency training such as wildlife surveillance. Stakeholder-specific trainings (e.g. Event detection and reporting for forest rangers; Necropsy and pathology for laboratory staff/ veterinarians; Sample collection and handling for rangers & confiscation teams; Technology for network coordinator and rangers), multi-lingual training packages, with core competencies and evaluation tools enable broader reach and buy-in for capacity building and maintenance and continued expansion of the surveillance network national, regionally and globally.

 

 

 

Multi-sectoral network building for monitoring wildlife diseases for One Health

- WildHealthBuild: Building partnerships and breaking down silos across the human health, animal health, and environment/ wildlife sectors is an essential first step in planning and implementing wildlife surveillance for One Health intelligence, improving coordinated result sharing and response and the likelihood that networks and sustainable and used to guide science-based policy and disease control mechanisms going forward.

- Long-term funding from international donors

- Support and buy-in from national government actors at local, provincial, and national levels

- Support and buy-in from central government across human health, animal health, and wildlife/ environmental sectors

Convening regular multi-sectoral meetings for open discourse on the challenges and opportunities to monitoring and management of disease at the wildlife-human-livestock interface, and improving communications and trust between and across sectors, is critical in the joint development of functional, long-term wildlife surveillance networks for One Health intelligence, and adoption of associated policies. This takes considerable time and a sustained effort, often, unfortunately, outside of the normal funding cycles of donor agencies.

Local Capacity Building for Safe Sampling and Testing of Wildlife Carcasses

With limited funding for wildlife surveillance and veterinary medicine in the country, and limited access for subsistence communities to adequate health care, increasing awareness of the importance of wildlife health as it pertains to human and livestock health at local, provincial, and central levels is essential. Introducing preventative approaches and building local capacity for wildlife surveillance is key to reducing human health risks from contact with wildlife. Bringing diagnostic capacity from other nations into the country itself and ultimately to the carcass side enables better local engagement and rapid response and mitigation efforts in the case of detection of a pathogen of concern 

- Long-term external financial support for the development of the wildlife health sector including surveillance and diagnostics

- Long-term funding to develop the capacity of communities to engage in preventative approaches, participatory surveillance and wildlife sampling

- The interest of the host government to develop wildlife health capacity and designation of time and personnel availability to be trained

Enhancing local understanding of the importance of wildlife health for human and livestock health and developing local capacity to conduct effective wildlife surveillance is critical to achieving sustained One Health benefits

Creating sustainable networks for reporting and response to wildlife mortality

Taking the time to develop effective systems for reporting from remote areas (e.g. local human networks or cell-phone based if available) and ensuring a centralized team that responds to reports and communicates findings to communities is vital for the long-term success of such wildlife mortality monitoring networks

- Good relationships and networks from local to district to the provincial and central levels

- Good coordination across multiple sectors from local to national levels

- Financial and human capacity to respond effectively and in a timely manner to mortality reports 

- Access to communication tools e.g. cell phones

If communities don't see effective response or communication with them on findings, they are unlikely to continue to participate in surveillance efforts. Taking the time to build efficient, sustainable multi-sectoral networks with key stakeholders is essential

Implementation of Effective Control Strategies for Disease Spillover From Livestock to Wildlife

Multi-sectoral coordination, and communication and coordination with local communities, are essential to clearly and simply share findings of surveillance and why specific management strategies have been developed and are recommended for implementation. This would include, for example, vaccination of domestic livestock for PPR in areas where their range overlaps with that of significant wildlife populations, protecting livestock health, and reducing the risk of spillover to wild ungulates.

Financial support for vaccination or other management strategies; good coordination and communication between sectors; good communication and relationships with local communities of herders; access to vaccines and appropriate storage capability; human capacity to implement effective vaccination campaign.

Open lines of communication between relevant government sectors and between government and communities as well as and their understanding of the disease epidemiology is essential to implement effective disease control strategies that address the concerns of all stakeholders involved.

Local Capacity Building for Management of Disease at the Wildlife-Livestock Interface

Many nations have limited funding for wildlife health surveillance so developing this capacity and the knowledge of wildlife health and disease epidemiology as it pertains to the wildlife-livestock interface at the local, provincial and central levels is vital for sustained surveillance and for the true value of this surveillance to be realized including its use to implement wildlife-friendly interventions that also support improved livestock health.

External and governmental financial support for development of wildlife health sector including surveillance and diagnostics; interest of host government to develop wildlife health capacity; time and personnel availability to be trained

Developing local capacity for wildlife health surveillance is critical for sustainability of such efforts and sustained One Health benefits

Collection of baseline wildlife health data

Conducting monitoring and surveillance in wildlife (both healthy populations and those showing signs of disease) and routine serological testing for exposure to pathogens frequently shared with livestock as well as more in depth diagnostics e.g. PCR/ NGS on sick/ dead animals support comprehensive understanding of the circulation of pathogens in these populations, geographic and temporal distributions and time-lines of exposure and non-exposure of different populations. Integration of this data with livestock surveillance data contributes to understanding of the epidemiology of diseases and the dynamics of disease outbreaks, including the potential source, to implement effective science-based control strategies.

Financial support for surveillance; human capacity for surveillance, and data management and analysis; access to sites to conduct surveillance; cold chain/ sample storage capacity; capacity for accurate field and/ or laboratory based diagnostics; good coordination between environment/ wildlife and livestock health sectors; openness for result sharing by host government

Coordination and support from the government is essential from the beginning to ensure support for surveillance, understanding of what is being implemented and the goals/ outcomes, good coordination between sectors, engagement to build local capacity and export samples for testing where necessary, host government willingness to be open about diagnostic findings and motivation to amend disease control strategies based on findings.  Wildlife health is under-funded in all countries compared with livestock and human health sectors and external donor support is almost certainly required for success of such programs in LMICs and MICs. It takes considerable time and patience to develop truly functional, localized wildlife health surveillance networks, integrated with other national surveillance networks