Preventive Veterinary Medicine

Rabies remains a major zoonotic public health threat, associated with approximately 59,000 annual deaths globally, with Africa bearing 36% of this burden. In Uganda, an estimated 36 human deaths and 1.8 million dog bite exposures occur annually, yet national dog vaccination coverage remains critically low at approximately 10%. This study investigated factors associated with rabies vaccination uptake among dog owners in Butaleja Town Council, Eastern Uganda, a high-risk setting. A cross-sectional survey was conducted among 173 dog owners between May 18 and June 28, 2024, using semi-structured questionnaires. The primary outcome was vaccination uptake ([≥]1 dose in the past year). Modified Poisson regression with robust variance estimated adjusted prevalence ratios for all socio-demographic, veterinary system, health system, dog-related, and knowledge factors. Among 173 dog owners, 57.2% vaccinated at least one dog, corresponding to 54.6% (166/304) of all dogs vaccinated. Factors associated with vaccination uptake included older age (21-40 years: aPR 1.43, 95% CI: 1.15-1.71; 41-60 years: aPR 1.53, 95% CI: 1.22-1.82; [≥]61 years: aPR 1.56, 95% CI: 1.33-2.23), higher education (primary: aPR 1.20, 95% CI: 1.00-1.45; secondary: aPR 1.55, 95% CI: 1.20-2.00), higher income, access to veterinary clinics (aPR 2.50, 95% CI: 1.52-3.75), and participation in community education sessions (aPR 1.71, 95% CI: 1.34-2.15). While household-level uptake showed moderate engagement, the resulting dog population vaccination coverage of 48.4% remained substantially below the 70% World Health Organization threshold required for herd immunity. Achieving the "Zero by 30" elimination dog-bite mediated Rabies target in this setting requires targeted interventions addressing the identified associated factors including; enhanced community education, improved veterinary service accessibility, reminder systems, and strategies to convert partial household vaccination into complete coverage particularly among younger, less educated, and lower-income dog owners.

Occupational ocular injuries are a preventable yet neglected public health problem, particularly in low- and middle-income countries. Maintenance workers are exposed to diverse ocular hazards daily, yet compliance with protective measures is consistently poor. A descriptive cross-sectional study was conducted among 85 maintenance workers at the Maintenance and Essential Services Organization (MESO) of Kwame Nkrumah University of Science and Technology (KNUST), Ghana, recruited through stratified convenience sampling across seven occupational sections. A structured questionnaire assessed knowledge of ocular hazards and protective equipment, attitudes toward ocular safety, and safety practices. Data were analyzed using IBM SPSS version 26 (IBM Corp., Armonk, NY, USA); chi-square and Fishers exact tests assessed associations (p < 0.05). Participants were predominantly male (84/85, 98.8%), with a mean age of 44.5 {+/-} 10.4 years. Overall knowledge was good (mean 9.40 {+/-} 1.59 out of 11), but attitude and practice scores were average (2.78 {+/-} 0.92 and 3.27 {+/-} 0.93, respectively). Most workers correctly identified goggles and face shields as protective, but only about half recognized that ordinary sunglasses and spectacles offer inadequate protection. Although 97.6% (83/85) recognized the need for ocular protection, only 7.1% (6/85) reported consistent protective eyewear use, and fewer than half (45.9%, 39/85) had received formal ocular safety training. Routine general protective equipment use was significantly associated with ocular protection use (Fishers exact test, p = 0.011). Sand and dust particles were the leading causes of injury and only 25% (5/20) of injured workers sought formal care. Workers demonstrated good knowledge but poor attitudes and practices toward ocular safety, suggesting that knowledge alone does not translate into protective behaviour even within a relatively well-resourced institutional setting. Findings suggest that limited access to task-appropriate protective eyewear may represent an important institutional barrier. Institutional PPE supply and section-specific safety training are essential to bridge this knowledge-practice gap.

Introduction: Veterinary Professionals are at risk of contracting zoonoses, including potential emerging infections. Personal Protective Equipment (PPE) could reduce infection transmission risk, but use of it in the profession is low. Understanding Veterinary Professionals experiences with PPE could help identify facilitators and barriers, therefore informing a future strategy to improve usage. Methods: Two focus group discussion with veterinary nurses and two with veterinarians took place at a tertiary small animal teaching hospital. With an interpretivist epistemology, transcriptions were inductively coded and analysed using thematic analysis. Results: Veterinary Professionals frequently reported underusing PPE, despite significant zoonotic risk. Friction in interdisciplinary relationships negatively impacted veterinary professionals experiences with PPE: differing views on risk, policy and PPE, contrasting perceptions of each other, and challenges with communication impacted PPE decision-making. Barriers included an absence of initial recognition of risk, a staff culture of prioritising patient health over risk to self, friction in response to others PPE use or lack thereof, an overly complex policy, and a lack of cultural and institutional reaction to occupationally contracted zoonoses. Facilitators included effective inter and intradisciplinary communication and previous personal experience with serious zoonoses. Conclusion: Veterinary Professionals experiences with PPE, are shaped by social and professional factors, such as interdisciplinary friction, perceptions of self and others, of risk and policy. Recommendations are for the findings to be used locally to embed PPE use into everyday practice. At a national level, the United Kingdom Health Security Agency (UKHSA) should use the findings to evaluate current policies regarding PPE and zoonoses in veterinary practice and produce a simplified national guidance, in collaboration with veterinary professionals with lived experience. Further research into General Practice Veterinary Professionals experiences and the interdisciplinary social dynamics is recommended.

Spatial overlap of domestic animals and wildlife can have positive effects such as increased biodiversity in some areas and reduction in forest fires but it can also have negative consequences such as pathogen spillover, vector and pathogen propagation into new areas among others. Thus, understanding the interactions between wildlife and domestic animals on shared landscapes is critical for conservation and management purposes. To investigate these cattle-wildlife interactions, we chose Buck Island Ranch (BIR) in southcentral Florida. We studied spatial overlap between Domestic Cattle (Bos Taurus) and multiple wildlife species such as Wild Boar (Sus scrofa), White-tailed Deer (Odocoileus virginianus), Rabbits (Sylvilagus spp) and others in pasture, semi-pasture, and hammock habitats/vegetation types at BIR. Five management blocks were selected that had pasture and hammock habitats and within each block we established matched pairs of 100m transects. Animal dung samples were surveyed and identified in 13 pairs of transects. We used Wilcoxon signed rank test to determine differences in dung counts between the habitats and calculated Simpson diversity index to analyze the differences in diversity between the habitat types. We found that there was greater dung count of white-tailed deer in hammock habitats compared to pastures (p=0.048) and greater diversity of wildlife in hammocks than pastures (p=0.028). Cattle dung was found in high density in both hammocks and pastures. These results indicate that hammocks are areas shared between cattle and wildlife at BIR and depending on the extent of direct and indirect contacts between these animals there can be a risk for pathogen spillover. We recommend further research on local land and cattle management practices that can facilitate the co-existence of livestock and wildlife.

Background Tsetse are vectors of trypanosomes responsible for African animal trypanosomosis (AAT) and human African trypanosomiasis (HAT). While Cote dIvoire has successfully eliminated HAT as a public health problem and approaches elimination of transmission, AAT remains a major obstacle to agriculture and livestock production. Understanding the spatial distribution of tsetse is essential for prioritizing and sustaining disease control and elimination efforts. Methodology/Principal Findings Using 1,702 occurrence records from the national tsetse atlas we modeled the habitat suitability of the nine tsetse species present in Cote dIvoire. We identified suitable habitats in unsampled areas and quantified environmental constraints on tsetse distribution. Resampling the data to a 1km x 1km grid produced spatially explicit outputs at a resolution more relevant for operational planning. An ensemble modeling approach was employed integrating four algorithms--Random Forest, XGBoost, Maximum Entropy (MaxEnt), and Generalized Additive Models (GAM)-- with satellite-derived environmental and anthropogenic predictors--which achieved high predictive accuracy, area under the curve and True Skill Statistics 0.80 and 0.83, respectively. Distance to waterbodies, soil moisture, distance to protected areas, maximum land surface temperature, and sheep density were key drivers of habitat suitability. Importantly, the models identified suitable habitats in 11 administrative regions not covered by the atlas, providing an improved national tsetse risk profile. Conclusions/Significance These results provide a detailed assessment of the ecological suitability of tsetse across Cote dIvoire and their persistence in agroecological mosaics with high human and livestock densities. We offer a high-resolution blueprint for vector and disease control, particularly in areas where field data are currently lacking. We provide a robust framework for evidence-based decision-making within the Progressive Control Pathway (PCP) for AAT by enabling the identification of priority areas and resource allocation optimization to improve livestock productivity through more effective AAT control and reduce the risk of resurgence of HAT.

BackgroundEscherichia coli contamination of chicken eggs is an important food-safety concern, while antimicrobial-resistant E. coli may contribute to the dissemination of antimicrobial resistance through the food chain. However, information on egg-associated E. coli and its antimicrobial susceptibility in Natore District, Bangladesh, is limited. ObjectivesThis study aimed to determine the prevalence of E. coli in chicken eggs collected from commercial farms, markets and indigenous/backyard flocks in Natore District, identify the isolates based on cultural, morphological and biochemical characteristics, and assess their antimicrobial susceptibility. Materials and MethodsA total of 84 egg-shell swab samples, comprising 28 samples each from commercial farms, markets and indigenous chicken flocks, were collected from seven upazillas of Natore District between January and June 2023. Samples were cultured on selective and differential media, and presumptive isolates were confirmed by Gram staining, motility and biochemical tests. Antimicrobial susceptibility was determined using the Kirby-Bauer disc-diffusion method against seven antimicrobial agents. ResultsE. coli was detected in 56/84 (66.67%) egg samples. Prevalence was highest in indigenous eggs (22/28, 78.57%), followed by farm eggs (18/28, 64.28%) and market eggs (16/28, 57.14%). Among 22 confirmed isolates tested for antimicrobial susceptibility, resistance was highest to neomycin (90.91%) and erythromycin (86.36%), followed by oxytetracycline (77.27%), amoxicillin (68.18%), ciprofloxacin (63.63%), levofloxacin (59.09%) and doxycycline (36.36%). No isolate was sensitive to neomycin or erythromycin. ConclusionThe high prevalence of E. coli and substantial antimicrobial resistance among egg-associated isolates indicate an important food-safety and public-health concern. Improved hygienic egg handling, prudent antimicrobial use and continued antimicrobial-resistance surveillance are warranted throughout the poultry production and marketing chain.

Background: General illness-related sick leave among teachers represents a relevant public health and workforce management issue. However, long-term population-based evidence describing its distribution and associated factors in Latin American urban educational systems remains limited. This study aimed to characterize the occurrence, distribution, duration, and sociodemographic, occupational, temporal, and territorial factors associated with general illness-related sick leave among public school teachers in Bogota between 2010 and 2025. Methods: A retrospective cohort study was conducted using integrated administrative databases from the Bogota District Department of Education. The primary outcome was the occurrence of at least one general illness-related sick leave episode in a teacher-month observation. Descriptive analyses were performed to characterize sociodemographic and occupational patterns. A multivariable logistic regression model was used to estimate associations. Month and year were included as temporal fixed effects to account for seasonal patterns, academic-calendar effects, pandemic-related disruption, and secular changes. Results: The cohort included 59,697 unique teachers, contributing 537,025 teacher-year observations from teachers with an active employment record between January 1, 2010, and July 31, 2025. Overall, 41.59% of teacher-year observations included at least one general illness-related sick leave episode, and 83.26% of teachers had at least one episode at any time during follow-up. Respiratory diseases accounted for the largest share of episodes, followed by musculoskeletal and infectious diseases. Mean duration varied substantially by diagnostic category, ranging from short respiratory and infectious episodes to longer absences related to neoplasms, circulatory diseases, injuries, and mental health conditions. In the multivariable teacher-month model, sick leave occurrence was associated with age, sex, occupational role, teaching area, contract type, locality, calendar month, and calendar year. Lower odds were observed among male teachers, principals, and teachers with provisional contracts, while temporal and territorial variation was observed across months, years, and localities. Conclusions: General illness-related sick leave among public school teachers in Bogota showed consistent sociodemographic, occupational, temporal, and territorial patterns. Respiratory and musculoskeletal conditions accounted for the largest share of episodes, while chronic, neoplastic, injury-related, circulatory, and mental health conditions were associated with longer durations. These findings provide population-level evidence to inform occupational health surveillance, seasonal preparedness, and workforce planning strategies within urban educational systems.

Gray fox (Urocyon cinereoargenteus) populations in the Midwestern USA have suffered precipitous declines in recent decades, yet they are relatively understudied. However, understanding survival and cause-specific mortality is vital for declining populations and the limited existing survival studies have been performed outside of the Midwest. We equipped 13 gray foxes in southern Illinois with GPS radio collars to investigate their survival and cause-specific mortality. We calculated the Kaplan-Meier 6- and 12-month survival rates to be 0.79 (95% CI: 0.57-1.0) and 0.53 (95% CI: 0.27-1.0), respectively. We recorded 4 mortalities: 1 disease, 1 gunshot, and 2 unknown causes. While our study has a small sample size, it contributes key information on a data-deficient mesocarnivore suffering from a population decline driven by undefined causes. We recommend further research into the survival and mortality of this elusive mesocarnivore.

Background: Alpha-gal syndrome (AGS) is an emerging disease, increasingly recognized as a public health concern in the United States. The primary cause of AGS in the United States is the bite of Amblyomma americanum ticks. White-tailed deer serve both as a preferred food source and as transport for A. americanum. In this work, we aim to quantify the effect of white-tailed deer abundance on number of AGS cases in United States counties. Methods: To mitigate concerns about confounding, we used the front-door formula, leveraging biological knowledge about the causal process. Due to lack of official data, our analysis relied on data made available by citizen science efforts. Results: We found that a higher number of reported white-tailed deer sightings in 2020 was associated with the county-level presence of A. americanum in 2024. In turn, county-level presence of A. americanum was associated with a higher number of self-reported AGS cases. We estimated that if white-tailed deer abundance had increased by 50%, 75%, or 100% in 2020, there would have been 89 (95%CI: 12, 252), 126 (12, 354) or 159 (6, 448) additional AGS self-reported cases in the US in 2025. Conclusions: The estimated associations are compatible with an effect of white-tailed deer abundance on AGS in the country. Due to measurement error, the low granularity of the available data, the ecological nature of the design, and the modelling choices, our effect estimates should be interpreted cautiously. Further studies are needed to quantify the population-level effect of white-tailed deer on AGS.

Antimicrobial resistance (AMR) is one of the greatest challenges within the One Health continuum. Exploring transmission routes between health domains and determining their driving forces are key priorities for future research. This effort can be effectively supported by landscape epidemiology, a field of science that integrates methods from landscape ecology and epidemiology to unravel the complex interdependencies behind disease transmission. This exploratory study aimed to demonstrate that landscape diversity and the degree of hemeroby (anthropogenic impact) correlate with the composition of bacterial communities and their AMR profiles. To test this hypothesis, submandibular lymph nodes from Cervidae and Suidae were collected to detect Staphylococcus and Mammaliicoccus bacteria and characterise their AMR features using selective culture and the VITEK 2 Compact automated system. As a result, the bacterial community in the more natural landscape was more diverse, characterised by the dominance of Mammaliicoccus sciuri and pan-susceptible isolates of Staphylococcus hyicus, and it displayed a low-level, heterogeneous AMR profile. Within the more hemerobic landscape, the bacterial community was characterised by the dominance of Staphylococcus epidermidis, a human-adapted species, and the AMR profile showed signs of higher antimicrobial pressure from both public health and veterinary origins. Although this study was based on only two study sites and was therefore not suitable for drawing definite conclusions, the findings suggest that human impact manifests itself in both bacterial and AMR profiles. A high prevalence of mammaliicocci and a heterogeneous AMR profile appeared to be indicators of naturalness. Conversely, the dominance of a human-adapted bacterial species and the accumulation of AMR features characteristic of medical environments likely indicate higher degrees of hemeroby.

Reliable population estimates are essential for wildlife management, yet monitoring schemes often do not match the administrative scale at which decisions are made. We illustrate this challenge using the Eurasian lynx in the canton of Valais, Switzerland, where official state monitoring is fragmented across three reference areas surveyed in different years. We analyzed three winters (2023-2026) of independent, canton-wide camera trap data, recording 899 independent lynx captures (27, 31 and 34 adults per winter). Lynx distribution and reproduction concentrated in the Northwest and connected to the thriving Pre-alpine populations. Density modelling for 2025/2026 estimated 37 independent lynx (95% CI: 26-52) on the whole cantonal territory, corresponding to a density of 1.09 (0.77-1.56) individuals per 100 km2. These estimates are substantially below the figures improperly extrapolated from a cross-cantonal reference area and conveyed by political authorities. Future lynx management decisions should be rooted in scientifically sound, scale-relevant information.

BackgroundLive bird markets (LBMs) may facilitate the persistence and dissemination of Escherichia coli and antimicrobial-resistant bacteria because of intensive bird handling, environmental contamination and inadequate sanitation. However, information on E. coli contamination and antimicrobial susceptibility in LBM environments in Rajshahi District, Bangladesh, remains limited. ObjectiveThis study aimed to determine the prevalence, identify the cultural and biochemical characteristics, and assess the antimicrobial susceptibility pattern of E. coli isolated from water, soil and bird-dropping samples collected from LBMs in Rajshahi District. MethodsA total of 60 environmental samples, comprising 20 water, 20 soil and 20 bird-dropping samples, were collected from LBMs across all ten upazillas of Rajshahi District between January and June 2023. E. coli was isolated and identified using cultural characteristics, Gram staining and biochemical tests. Antimicrobial susceptibility was determined by the Kirby- Bauer disc diffusion method against seven antimicrobial agents using CLSI interpretive criteria. ResultsE. coli was detected in 33 of 60 samples, giving an overall prevalence of 55.00%. Prevalence was highest in bird-dropping samples (75.00%), followed by water (55.00%) and soil (35.00%). Among the 33 isolates, resistance was highest to oxytetracycline (78.79%) and amoxicillin (63.64%), followed by ciprofloxacin (48.48%), doxycycline (33.33%), levofloxacin (9.09%), erythromycin (9.09%) and neomycin (6.06%). Sensitivity was highest to neomycin (60.61%), followed by levofloxacin and erythromycin (51.51% each). ConclusionThe high prevalence of E. coli and substantial resistance to several commonly used antimicrobials indicate considerable microbiological and antimicrobial-resistance concerns in LBM environments. Improved sanitation, biosecurity, hygienic poultry handling and prudent antimicrobial use are warranted to reduce environmental contamination and potential transmission of resistant bacteria.

The red fox, Vulpes vulpes, is abundant in England and can exert limiting effects on their avian and mammalian prey. Large-scale gamebird releases in the UK may be sustaining high predator numbers, leading to greater predation on other prey species, especially once gamebird stocks are depleted. However, little is known how gamebird release affects the broader diet of the red fox. Here we used DNA metabarcoding to assess the diet of foxes from 18 agricultural estates in Southern England, 10 of which released large numbers of gamebirds (red-legged partridges - Alectoris rufus, and common pheasants - Phasianus colchicus) and 8 which did not. Scats were collected over one year, allowing for seasonal investigation of the foxes' diet. We investigated the vertebrate species consumed and compared the non-gamebird dietary diversity and composition between release and non-release estates and across seasons. The field vole (Microtus agrestis) was found to be the most frequently predated species overall. Brown hares and field voles were detected more on release sites, while bank voles and dog faeces were detected more on non-release sites. We found little evidence that foxes predate ground nesting birds or other species of concern. The dietary diversity was significantly lower on estates that released gamebirds, and this difference was most notable during the post-shoot, spring months (February to April). On both estate types, diversity was highest in the summer months. The altered predatory behaviour due to gamebird release is likely to affect the populations of the non-game prey of the red fox and this should be considered when designing policies regarding gamebird management and biodiversity conservation. Alternative predation combined with predator control may be reducing predation pressure on non-game prey where gamebirds are released, but high fox density elsewhere likely results in higher predation pressure on a wide range of species.

Smallholder farming systems in sub-Saharan Africa are constrained by declining soil fertility, erosion, and rising fertilizer costs, creating an urgent need for scalable inputs that sustain yields while maintaining soil health. While there is some evidence that microbial inoculants may offer a promising complement to conventional fertility management, field-scale evidence in tropical cereal and tuber systems remains limited. Here, we evaluated a multi-species inoculant composed of 20-22 Bacillus and Streptomyces species on potato and maize across four sites in Rwanda over two growing seasons (2025A and 2025B). Treatments included the inoculant applied at two rates (150 and 250 g ha-1), both alone and in combination with standard fertilization (inorganic fertilizer plus manure), alongside untreated and fertilized controls. Co-application of the inoculant with standard fertilization increased yield and plant biomass beyond fertilization alone, with gains of 6-51% for maize and 3-58% for potato. However, while the inoculant applied alone outperformed untreated controls, it generally did not match standard fertilization. Responses were strongest and most consistent for large-grade potato tubers, and application rate interacted with crop type, whereby the lower dose maximized marketable tuber yield, while maize showed a positive dose-response for grain and biomass. Yield increases were not accompanied by reductions in crop nutrient density, which was instead governed by site-level differences. Altogether, these results indicate that multi-species microbial inoculants are an effective complement to existing fertility practices that may offer, pending further research, a potential pathway to partial fertilizer replacement while sustaining productivity and nutritional quality in smallholder tropical agriculture.

Wildlife diseases cause well-documented and often dramatic reductions in host survival. However, the impact of infectious diseases on host reproduction remains understudied, especially with respect to effects of prior and/or current pathogen exposure on reproductive development. Here we experimentally tested how prior and/or current infection with a common bacterial pathogen, Mycoplasma gallisepticum ( MG), alters reproductive development for female versus male house finches (Haemorhous mexicanus). Finches were inoculated with either MG or sterile media while in wintering condition and subsequently received one of these treatments while in breeding condition. In females, MG exposure had both immediate and carry-over effects on reproduction: controls had higher odds of laying eggs compared to females inoculated with MG in spring only, higher odds than females inoculated in both winter and spring, and higher odds than females given MG in the winter only. Conversely, breeding-condition males inoculated with MG in spring had higher testosterone levels than males receiving only control inoculations, and there were no carryover effects of winter MG inoculation or inoculations during both seasons on testosterone. Sex bias in the reproductive impacts of infectious diseases may have important knock-on effects on the epidemiology and population-regulating effects of pathogens, thereby warranting further study.

Background: Work-related musculoskeletal pain (MSP) is a prevalent concern among factory workers, impacting productivity, absenteeism, and overall quality of life. Factory workers, who perform repetitive tasks and engage in physically demanding work, are particularly susceptible to work-related MSP. Methods: This descriptive cross-sectional quantitative study included 148 factory workers (29 females and 119 males) from two factories in Kigali, surveyed between November 2023 and January 2024. Data were collected using a structured questionnaire that included demographic items, the Modified Nordic Musculoskeletal Questionnaire (M-NMQ) to assess work-related musculoskeletal pain (MSP) symptoms in nine body regions over the previous 12 months and seven days, and questions regarding interference of symptoms with normal work activities. The Coping Strategies Questionnaire (CSQ) was administered to identify coping practices among factory workers. Data analysis comprised descriptive statistics, including mean, frequency, Wilson 95% confidence intervals, and percentage values, calculated using SPSS version 25.0. Results: Participants were predominantly male (119/148, 80.4%), and 98/148 (66.2%) had worked at the factory for more than five years. Overall, 113/148 reported symptoms in at least one body region during the previous 12 months (76.4%, 95% CI 68.9-82.5). The lower back (90/148, 60.8%), shoulders (71/148, 48.0%), neck (61/148, 41.2%), and knees (58/148, 39.2%) were most frequently affected. Symptoms prevented normal work for 41/148 (27.7%, 95% CI 21.1-35.4), and 57/148 reported symptoms during the previous seven days (38.5%, 95% CI 31.1-46.5). Among 113 participants with 12-month symptoms, the most frequent Always responses were seeking medical help (78/113, 69.0%), rest and recovery (75/113, 66.4%), and medication use (59/113, 52.2%); ergonomic adjustment was least frequent (10/113, 8.8%). Conclusion: Self-reported work-related MSP symptoms were common, particularly in the lower back and shoulder, while ergonomic adjustments were uncommon. Frequent medication use highlights the need for comprehensive interventions combining ergonomic training, physiotherapy, and adequate recovery; however, these findings do not establish causation or intervention effectiveness.

Background: Timely detection and response to public health threats are essential to mitigating outbreaks. Kenya adopted a phased rollout of Event-Based Surveillance (EBS) in May 2021 to complement Indicator-Based Surveillance (IBS). We evaluated the sensitivity of EBS and the timeliness of both EBS and IBS systems for confirmed outbreaks across four Kenyan counties. Methods: We conducted a retrospective analysis of outbreak data from May 2021 to May 2025 in four counties in Kenya. We administered a structured questionnaire with the following variables: confirmed disease outbreak, dates of emergence, detection, notification, and initiation of each early response action, and the surveillance system that detected it. We also included bottlenecks and enablers for timely detection, notification, and response. The EBS sensitivity was summarized as a proportion, with the numerator being the outbreaks detected through EBS and total outbreaks as the denominator. Timeliness was measured using the 7-1-7 target, a global benchmark for measuring the timeliness of outbreak detection and response, where outbreaks should be detected within 7 days of disease emergence, notified within 1 day of detection, and initial response actions completed within 7 days of notification. The bottlenecks and enablers were summarized in a table. Results: We recorded a total of 28 confirmed outbreaks across the four years, of which 16 (57.1%, 95% C.I.: 34-72%) were detected through EBS. A total of 15 (53.6%) met the full 7-1-7 metrics. Among EBS-detected outbreaks: 100.0% were detected within 7 days of emergence, 81.3% were notified within 1 day after detection, and 68.8% had initial response activities completed within 7 days after notification. For IBS, 83.3% were detected within 7 days, 75.0% notified within 1 day, and 75.0% had initial response activities completed within 7 days. Five of the seven (71.4%) Anthrax outbreaks met all the metric targets. Detection and notification were enabled by community systems (trained health promoters, linkages, and awareness), information systems (hotlines, dashboards, and digital reporting), and response systems (sample referral and rapid response teams). Bottlenecks included limited reach, low suspicion, stigma, reporting downtimes, delayed escalation, and constrained response capacity due to funding, transport, personnel, and laboratory delays. Conclusion: The results demonstrate that EBS contributes significantly to outbreak detection and notification, while IBS contributes more to response. Therefore, there is a need to leverage EBS's strength in early detection and notification and IBS's better timeliness in response for a more timely system.

Feline calicivirus (FCV) is among the most common viruses to infect cats worldwide, with prevalence estimated to range from 10-90% depending on the population sampled. Typical FCV infection presents with oral ulcerations, fever and in some cases can also lead to clinical signs such as pneumonia or "limping syndrome". However, some FCV strains have been isolated from cats exhibiting virulent systemic (VS) disease, which is associated with high morbidity and mortality. Breakthrough VS-FCV infections have been recorded in vaccinated cats and, therefore, there is considerable interest in developing novel therapeutics for use in the face of VS-FCV outbreaks. However, to design effective therapeutics, a tractable system to systematically assess the efficacy of novel vaccine candidates or antivirals is required. Here, we used reverse genetics to develop an FCV reporter virus, inserting NanoLuc luciferase into the LC protein of FCV-Urbana (FCV-UrbanaNL). We characterised the replication kinetics of FCV-UrbanaNL in comparison to its parent virus and assessed the stability of the reporter over multiple passages. Subsequently, we developed virus neutralisation assays to assess a range of monoclonal antibodies that recognise FCV Urbana. We then assessed the breadth of neutralisation by exchanging the major capsid protein, VP1, of FCV Urbana with VP1 from the vaccine strain F9 and the VS-FCV strain NSW-E1. Finally, we evaluated the utility of the FCVNL reporter system to screen candidate antiviral compounds, identifying GS-441524 (the active metabolite of the parent nucleoside remdesivir) as having therapeutic potential against FCV. These findings highlight the potential of this reporter virus as a powerful molecular tool to accelerate the discovery and development of novel therapeutics.

School reopening during an Ebola outbreak is often framed as a binary question of whether schools are safe. For Ebola, however, the immediate operational question is where an infected school-age child may reach the school system before recognition and isolation, and whether local systems can detect and respond rapidly. We developed an exploratory, scenario-based health-zone framework for the September 2026 rentree during the ongoing Bundibugyo virus disease outbreak in eastern Democratic Republic of the Congo. The primary estimand was scenario-based expected introduction pressure, expressed on an expected-count scale, for infected school-age children reaching school in each health zone during a one-week window. The framework combined recent reported transmission, estimated school-age exposure and attendance, a surveillance/interception probability, and directed mobility-based importation. Case-fatality patterns were analysed separately and did not determine introduction pressure. A 10,000-draw probabilistic sensitivity analysis examined uncertainty in the school-age case share, attendance, pre-isolation school-entry probability and mobility scaling. Geographic components were retrospectively evaluated at eight non-overlapping weekly origins from 1 June to 20 July 2026, using subsequent reported seven-day health-zone activity and first reported cases in previously unaffected zones as outcomes. Seven-day local epidemic pressure discriminated health zones with subsequent reported activity with pooled ROC-AUC 0.848; the 14-day local measure increased this to 0.885. Adding directed mobility increased ROC-AUC to 0.952. In the base scenario, the six-province combined scenario-based expected introduction pressure was 10.97; the probabilistic sensitivity median was 11.17, with a 2.5-97.5% sensitivity range of 5.56-20.97. Bunia, Rwampara and Nizi had the highest base introduction pressures, followed by Katwa and Nia Nia. Among 24 previously unaffected health zones that subsequently reported a first confirmed case, 13 (54.2%) were in the top 10 and 18 (75.0%) in the top 20 mobility-ranked zones; random selection would have been expected to capture approximately 2.05 and 4.10 events, respectively. In a separate six-origin exploratory nested-specification sensitivity, surveillance/access modifiers did not improve geographic discrimination over local epidemic pressure alone, whereas mobility did. The dominant structural uncertainty remained the probability that an infected child reaches school before being identified. The framework supports targeted geographic prioritisation and minimum school-health readiness, but its probabilities are model-implied scenario probabilities rather than calibrated forecasts or evidence for a single national open/close decision.

The black-legged tick (Ixodes scapularis), a key vector of Lyme disease, anaplasmosis, and babesiosis, exhibits regionally distinct patterns of seasonal activity driven by climate. Consequently, the relative timing of larval and nymphal activity varies across geographic locations, influencing pathogen transmission dynamics. Early-emerging nymphs may increase pathogen transmission, whereas early-emerging larvae may reduce transmission. In addition, synchrony between the two life-stages facilitates co-feeding transmission, which contributes to pathogen maintenance and coinfection risk. Temperature is thought to be an important driver of tick phenology, but existing mechanistic models that incorporate temperature fail to accurately capture the timing of larval and nymphal tick activity. To address this limitation, we developed a mechanistic model that includes two additional factors: humidity-dependent questing and low rates of overwinter development. To assess the value of these factors for explaining real-world patterns, we fitted alternative models to tick collection data from the National Ecological Observatory Network. In doing so, we found that explicitly incorporating humidity is necessary to reproduce observed tick phenology, with larval ticks being especially sensitive to relative humidity compared to other life stages. In addition, we found that accounting for humidity had a larger effect at Mid-Atlantic sites than at Northeastern sites, underscoring the importance of region-specific interactions between temperature and humidity in shaping I. scapularis phenology. By more accurately capturing tick seasonality compared to existing mechanistic models, our model illustrates the importance of accounting for factors beyond temperature for investigating how climate variability influences seasonal tick activity and pathogen transmission.