Zoonoses are infectious diseases that can be transmitted from animals (both wild and domestic) to humans. A significant number of emerging and re-emerging waterborne zoonotic pathogens have been recognised over recent decades, such as SARS, E. coli, campylobacter and cryptosporidium. This publication assesses current knowledge about waterborne zoonoses and identifies strategies and research needs for anticipating and controlling future emerging water-related diseases, in order to better protect the health of both humans and animals. It is based on the discussions of a workshop held in the United States in September 2003, which included 29 experts from 14 countries and diverse disciplines including microbiology, water epidemiology, medicine, sanitary engineering, food safety and regulatory policy.

Recent and forecasted advances in microbiology, molecular biology, and analytical chemistry have made it timely to reassess the current paradigm of relying predominantly or exclusively on traditional bacterial indicators for all types of waterborne pathogens. Nonetheless, indicator approaches will still be required for the foreseeable future because it is not practical or feasible to monitor for the complete spectrum of microorganisms that may occur in water, and many known pathogens are difficult to detect directly and reliably in water samples. This comprehensive report recommends the development and use of a "tool box" approach by the U.S Environmental Protection Agency and others for assessing microbial water quality in which available indicator organisms (and/or pathogens in some cases) and detection method(s) are matched to the requirements of a particular application. The report further recommends the use of a phased, three-level monitoring framework to support the selection of indicators and indicator approaches.Â

This report provides a review and analysis of the research landscape for zoonoses and marginalized infections which affect poor populations, and a list of research priorities to support disease control. The work is the output of the disease reference group on zoonoses and marginalized infectious diseases (DRG6), which is part of an independent think tank of international experts, established and funded by the Special Programme for Research and Training in Tropical Diseases (TDR), to identify key research priorities through the review of research evidence and input from stakeholder consultations. The report covers a diverse range of diseases including zoonotic helminth protozoa, viral and bacterial infections considered to be neglected and associated with poverty. Disease-specific research issues were elaborated under individual disease sections and many common priorities were readily identified among the disease such as need for new and/or improved drugs and regimens, diagnostics and, where appropriate, vaccines. The disease specific priorities are described as micro priorities compared with the macro level priorities which will drive such policies as the need for improved surveillance; the need for inter-sectoral interaction between health, livestock, agriculture, natural resources and wildlife in tackling the zoonotic diseases; and the need for a true assessment of the burden of the zoonoses. This is one of ten disease and thematic reference group reports that have come out of the TDR Think Tank, all of which have contributed to the development of the Global Report for Research on Infectious Diseases of Poverty.

This book provides readers with information on the factors underlying the emergence of infectious diseases originating in animals and spreading to people. The One Health concept recognizes the important links between human, animal, and environmental health and provides an important strategy in epidemic mitigation and prevention. The essential premise of the One Health concept is to break down the silos among the different health professions and promote transdisciplinary collaborations. These concepts are illustrated with in-depth analyses of specific zoonotic agents and with examples of the successes and challenges associated with implementing One Health. The book also highlights some of the challenges societies face in confronting several specific zoonotic diseases. A chapter is included on comparative medicine to demonstrate the broad scope of the One Health concept. Edited by a team including the One Health Initiative pro bono members, the book is dedicated to those studying zoonotic diseases and comparative medicine in both human and veterinary medicine, to those involved in the prevention and control of zoonotic infections and to those in the general public interested in the visionary field of One Health.

Domestic animals contaminate recreational waters and drinking-water sources with excreta and pathogens; but this threat to public health is inadequately understood and is insufficiently addressed in regulations. More than 85% of the world’s faecal wastes is from domestic animals such as poultry, cattle, sheep and pigs. These animals harbor zoonotic pathogens that are transported in the environment by water, especially runoff. However little information exists on health effects associated with exposure to this potential hazard to human health; and water standards focused on control of human fecal contamination do reflect the contribution of non-human fecal contamination to risk. Does compliance with current monitoring practices using microbial indicators provide protection against animal and bird sources of fecal contamination? Prepared with contributions from a group of international experts, Animal Waste, Water Quality and Human Health considers microbial contamination from domestic animal and bird sources and explores the health hazards associated with this microbial contamination and approaches to protecting public health. Animal Waste, Water Quality and Human Health will be of interest to regulators with responsibility for recreational waters, drinking water quality and water reuse; policymakers working in water quality, public health and agriculture; decision makers responsible for livestock management; and scientists and practitioners concerned with many affected subjects. Topics covered include: Credible waterborne zoonotic pathogens are discussed and ranked according to their potential hazard level. Each pathogen is described with regard to their sources, reservoirs, and infectivity. Faecal production rates of various domestic animals are discussed, alongside pathogen transmission in animal populations, pathogen prevalence in animals and “supershedders”. Transport of fecal indicator organisms and their episodic occurrence in catchments. Interventions for improving food safety and reducing production losses. The impact of interventions, e.g. enhanced attenuation and storage to prevent spills; benchmarking against best management practices to reduce diffuse source contamination. Models to inform design of farm-scale best management practices and the effectiveness of best management practices for attenuating pathogen transport within catchments. The complex nature of human exposure to zoonotic waterborne pathogens; including the relationships among livestock waste contamination, water impairment, zoonotic pathogens, and human infection and illness. Human exposure interventions include case studies that discuss eradicating disease in discharging populations, adding filtration to minimal treated water to reduce Cryptosporidium occurrence and UV disinfection of beach waters to reduce beach postings. Indicators, sanitary surveys and source attribution techniques; risk assessment of exposure to zoonotic pathogens, including an interactive risk comparison approach. A review of epidemiological studies that address the relationship between swimmer illness and exposure to waters contaminated by nonhuman fecal wastes. Economic evaluation of the costs and benefits associated with animal waste management and human health.

H1N1 ("swine flu"), SARS, mad cow disease, and HIV/AIDS are a few examples of zoonotic diseases-diseases transmitted between humans and animals. Zoonotic diseases are a growing concern given multiple factors: their often novel and unpredictable nature, their ability to emerge anywhere and spread rapidly around the globe, and their major economic toll on several disparate industries. Infectious disease surveillance systems are used to detect this threat to human and animal health. By systematically collecting data on the occurrence of infectious diseases in humans and animals, investigators can track the spread of disease and provide an early warning to human and animal health officials, nationally and internationally, for follow-up and response. Unfortunately, and for many reasons, current disease surveillance has been ineffective or untimely in alerting officials to emerging zoonotic diseases. Sustaining Global Surveillance and Response to Emerging Zoonotic Diseases assesses some of the disease surveillance systems around the world, and recommends ways to improve early detection and response. The book presents solutions for improved coordination between human and animal health sectors, and among governments and international organizations. Parties seeking to improve the detection and response to zoonotic diseases-including U.S. government and international health policy makers, researchers, epidemiologists, human health clinicians, and veterinarians-can use this book to help curtail the threat zoonotic diseases pose to economies, societies, and health.