Better Insights into the Epidemiology of Crimean–Congo Hemorrhagic Fever Virus in Corsica, France: A One Health Approach

## **Feasibility Study for the Implementation of the One Health Concept in Togo (2023–2024)**

#### **Nyazoudema Serge Michel Kodom**

Aimes-Afrique (International Association of Physicians for the Promotion of Education and Health in Africa), Lome, Togo

The COVID-19 pandemic human public health crisis caused by a virus with potential animal origin has underscored the relevance of the "One Health" concept in understanding and addressing global health risks. In Togo, the lack of sanitation causes the death of approximately 20,000 children under the age of 5 each year. This study aims to assess the motives of the low level of understanding of the concept by the actors and propose concrete solutions to remedy it. The methodology used in the context of our feasibility study is based on documentary research, interviews with experts and communities, and elements of surveys. In view of our feasibility study, the following results emerge: more than 30% of health personnel and 40% of health authorities questioned have no notion of the "One Health" concept; health workers recognize that the deterioration of the state of health of populations with the emergence and increase of pathologies has a close link with environmental health; lack of health professionals capable of ensuring effective and efficient implementation of the concept; populations ignore the "One Health" concept and ignore the environmental effects on human and animal health. The particularity of this study lies in the fact that it took into account the grassroots populations because, without their involvement, "One Health" would only be a pipe dream. As advocated by "One Health," any profound change requiring a paradigm shift requires the great involvement of communities who must prepare for a change in behavior beyond the efforts of health actors and administrative and political authorities. Together with partners, from this study, two main conclusions emerged:

• Implementation of "One Health" is not effective in Togo despite the commitments made by the authorities;

There is a need to set up a training center or an environmental health research institute to effectively and efficiently implement the "One Health" concept.

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#### Authors

Nyazoudema Serge Michel Kodom

Aimes-Afrique (International Association of Physicians for the Promotion of Education and Health in Africa), Lome, Togo

One Health Au Togo Avec le soutien de Aimes • Afrique Suisse
