Findings from a disease prioritization and tabletop exercise to evaluate transboundary One Health capacities between Jordan and Iraq

Abstract Background The One Health Systems Transboundary Assessment for Priority Zoonoses (OHTAPZ) tool was developed to address the need for a multisectoral approach in assessing transboundary zoonotic disease threats within and across shared land borders. This study sought to implement recommendat...

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Main Authors: Aishwarya Nagar, Alexander G. Linder, Alanna S. Fogarty, Rachel A. Vahey, Benjamin Wakefield, Kathryn M. Hogan, Rachel Dodeen, Majed Hawaosha, Fatinah Amireh, Saeda Salah, Alaa Hamdallah, Motasem Hsainat, Ahmad Obaidat, Nedal Muhaibesh, Ayman Bani Mousa, Mohammad Alhawarat, Noura Alshraa, Lama Saleh, Mohammad Alraggad, Mohammed J. Ahmed, Aso H. Zangana, Sinan G. Mahdi, Hanan Abdulghafoor Khaleel, Ihab R. Aakef, Hudhaifa A. H. A. Jumiei, Thaer S. Hussein, Ekhlas Hailat, Karim M. A. Zadawi, Claire J. Standley, Erin M. Sorrell
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Global and Public Health
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Online Access:https://doi.org/10.1186/s44263-025-00183-5
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author Aishwarya Nagar
Alexander G. Linder
Alanna S. Fogarty
Rachel A. Vahey
Benjamin Wakefield
Kathryn M. Hogan
Rachel Dodeen
Majed Hawaosha
Fatinah Amireh
Saeda Salah
Alaa Hamdallah
Motasem Hsainat
Ahmad Obaidat
Nedal Muhaibesh
Ayman Bani Mousa
Mohammad Alhawarat
Noura Alshraa
Lama Saleh
Mohammad Alraggad
Mohammed J. Ahmed
Aso H. Zangana
Sinan G. Mahdi
Hanan Abdulghafoor Khaleel
Ihab R. Aakef
Hudhaifa A. H. A. Jumiei
Thaer S. Hussein
Ekhlas Hailat
Karim M. A. Zadawi
Claire J. Standley
Erin M. Sorrell
author_facet Aishwarya Nagar
Alexander G. Linder
Alanna S. Fogarty
Rachel A. Vahey
Benjamin Wakefield
Kathryn M. Hogan
Rachel Dodeen
Majed Hawaosha
Fatinah Amireh
Saeda Salah
Alaa Hamdallah
Motasem Hsainat
Ahmad Obaidat
Nedal Muhaibesh
Ayman Bani Mousa
Mohammad Alhawarat
Noura Alshraa
Lama Saleh
Mohammad Alraggad
Mohammed J. Ahmed
Aso H. Zangana
Sinan G. Mahdi
Hanan Abdulghafoor Khaleel
Ihab R. Aakef
Hudhaifa A. H. A. Jumiei
Thaer S. Hussein
Ekhlas Hailat
Karim M. A. Zadawi
Claire J. Standley
Erin M. Sorrell
author_sort Aishwarya Nagar
collection DOAJ
description Abstract Background The One Health Systems Transboundary Assessment for Priority Zoonoses (OHTAPZ) tool was developed to address the need for a multisectoral approach in assessing transboundary zoonotic disease threats within and across shared land borders. This study sought to implement recommendations from the tool’s initial pilot and revise it for further application. Methods This revised methodology included an expanded stakeholder identification process in Phase 1, an interactive tabletop exercise for assessment in Phase 2, and a partner-led strengths, weaknesses, opportunities, and threats analysis in Phase 3. We implemented the revised tool in Jordan and Iraq, focusing our assessment and analysis at the Karameh-Turaibil formal land border crossing. Results Implementation of the revised methodology resulted in expanded identification and engagement of nontraditional One Health partners and highlighted mechanisms by which partners communicate and coordinate across levels, sectors at the national level, within and between points of entry (POEs), and bilaterally when preventing, detecting, and responding to priority transboundary zoonotic diseases. Both countries have core One Health capacities available at Karameh and Turaibil POEs and can leverage existing, effective mechanisms for communication and coordination when facing transboundary threats. However, reporting systems, budget and workforce constraints, and geographical/ conflict-related limitations are challenges. Conclusions The OHTAPZ tool provides a methodology for countries to conduct national and bilateral assessments to understand, integrate, and improve One Health systems and to reassess and refine strategies for the prevention, detection, and response to emerging and evolving transboundary threats. These findings can help countries understand and improve their One Health capacities, especially at POEs.
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spelling doaj-art-7c970bd8c8734a5ea97f892f49c396d22025-08-20T03:42:04ZengBMCBMC Global and Public Health2731-913X2025-07-013111210.1186/s44263-025-00183-5Findings from a disease prioritization and tabletop exercise to evaluate transboundary One Health capacities between Jordan and IraqAishwarya Nagar0Alexander G. Linder1Alanna S. Fogarty2Rachel A. Vahey3Benjamin Wakefield4Kathryn M. Hogan5Rachel Dodeen6Majed Hawaosha7Fatinah Amireh8Saeda Salah9Alaa Hamdallah10Motasem Hsainat11Ahmad Obaidat12Nedal Muhaibesh13Ayman Bani Mousa14Mohammad Alhawarat15Noura Alshraa16Lama Saleh17Mohammad Alraggad18Mohammed J. Ahmed19Aso H. Zangana20Sinan G. Mahdi21Hanan Abdulghafoor Khaleel22Ihab R. Aakef23Hudhaifa A. H. A. Jumiei24Thaer S. Hussein25Ekhlas Hailat26Karim M. A. Zadawi27Claire J. Standley28Erin M. Sorrell29Department of Environmental Health and Engineering, Johns Hopkins Center for Health Security, Bloomberg School of Public Health, Johns Hopkins UniversityDepartment of Environmental Health and Engineering, Johns Hopkins Center for Health Security, Bloomberg School of Public Health, Johns Hopkins UniversityDepartment of Environmental Health and Engineering, Johns Hopkins Center for Health Security, Bloomberg School of Public Health, Johns Hopkins UniversityDepartment of Environmental Health and Engineering, Johns Hopkins Center for Health Security, Bloomberg School of Public Health, Johns Hopkins UniversityDepartment of Environmental Health and Engineering, Johns Hopkins Center for Health Security, Bloomberg School of Public Health, Johns Hopkins UniversityDepartment of International Health, Bloomberg School of Public Health, Johns Hopkins UniversityMinistry of AgricultureMinistry of AgricultureMinistry of AgricultureMinistry of AgricultureMinistry of HealthMinistry of HealthMinistry of HealthMinistry of HealthMinistry of HealthMinistry of HealthMinistry of EnvironmentMinistry of Water and IrrigationDirectorate of Planning and Organization, Jordan Armed ForcesMinistry of HealthMinistry of Health, Kurdistan Regional GovernmentMinistry of HealthMinistry of HealthMinistry of HealthMinistry of AgricultureMinistry of AgricultureDepartment of Environmental Health and Engineering, Johns Hopkins Center for Health Security, Bloomberg School of Public Health, Johns Hopkins UniversityAI-Manara College of Medical SciencesGeorgetown University Center for Global Health Science and Security, Georgetown University Medical CenterDepartment of Environmental Health and Engineering, Johns Hopkins Center for Health Security, Bloomberg School of Public Health, Johns Hopkins UniversityAbstract Background The One Health Systems Transboundary Assessment for Priority Zoonoses (OHTAPZ) tool was developed to address the need for a multisectoral approach in assessing transboundary zoonotic disease threats within and across shared land borders. This study sought to implement recommendations from the tool’s initial pilot and revise it for further application. Methods This revised methodology included an expanded stakeholder identification process in Phase 1, an interactive tabletop exercise for assessment in Phase 2, and a partner-led strengths, weaknesses, opportunities, and threats analysis in Phase 3. We implemented the revised tool in Jordan and Iraq, focusing our assessment and analysis at the Karameh-Turaibil formal land border crossing. Results Implementation of the revised methodology resulted in expanded identification and engagement of nontraditional One Health partners and highlighted mechanisms by which partners communicate and coordinate across levels, sectors at the national level, within and between points of entry (POEs), and bilaterally when preventing, detecting, and responding to priority transboundary zoonotic diseases. Both countries have core One Health capacities available at Karameh and Turaibil POEs and can leverage existing, effective mechanisms for communication and coordination when facing transboundary threats. However, reporting systems, budget and workforce constraints, and geographical/ conflict-related limitations are challenges. Conclusions The OHTAPZ tool provides a methodology for countries to conduct national and bilateral assessments to understand, integrate, and improve One Health systems and to reassess and refine strategies for the prevention, detection, and response to emerging and evolving transboundary threats. These findings can help countries understand and improve their One Health capacities, especially at POEs.https://doi.org/10.1186/s44263-025-00183-5One HealthTransboundary zoonotic diseasesTabletop exercisePoints of entryJordanIraq
spellingShingle Aishwarya Nagar
Alexander G. Linder
Alanna S. Fogarty
Rachel A. Vahey
Benjamin Wakefield
Kathryn M. Hogan
Rachel Dodeen
Majed Hawaosha
Fatinah Amireh
Saeda Salah
Alaa Hamdallah
Motasem Hsainat
Ahmad Obaidat
Nedal Muhaibesh
Ayman Bani Mousa
Mohammad Alhawarat
Noura Alshraa
Lama Saleh
Mohammad Alraggad
Mohammed J. Ahmed
Aso H. Zangana
Sinan G. Mahdi
Hanan Abdulghafoor Khaleel
Ihab R. Aakef
Hudhaifa A. H. A. Jumiei
Thaer S. Hussein
Ekhlas Hailat
Karim M. A. Zadawi
Claire J. Standley
Erin M. Sorrell
Findings from a disease prioritization and tabletop exercise to evaluate transboundary One Health capacities between Jordan and Iraq
BMC Global and Public Health
One Health
Transboundary zoonotic diseases
Tabletop exercise
Points of entry
Jordan
Iraq
title Findings from a disease prioritization and tabletop exercise to evaluate transboundary One Health capacities between Jordan and Iraq
title_full Findings from a disease prioritization and tabletop exercise to evaluate transboundary One Health capacities between Jordan and Iraq
title_fullStr Findings from a disease prioritization and tabletop exercise to evaluate transboundary One Health capacities between Jordan and Iraq
title_full_unstemmed Findings from a disease prioritization and tabletop exercise to evaluate transboundary One Health capacities between Jordan and Iraq
title_short Findings from a disease prioritization and tabletop exercise to evaluate transboundary One Health capacities between Jordan and Iraq
title_sort findings from a disease prioritization and tabletop exercise to evaluate transboundary one health capacities between jordan and iraq
topic One Health
Transboundary zoonotic diseases
Tabletop exercise
Points of entry
Jordan
Iraq
url https://doi.org/10.1186/s44263-025-00183-5
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