ONE HEALTH

 

The One Health module was launched in 2018 and is a WHO integrated multi-sectoral surveillance based on the extended-spectrum beta-lactamase (ESBL)-Escherichia coli (Tricycle) project. The Tricycle project has identified ESBL-E. coli as a common indicator to be detected across human samples, poultry and water bodies – specifically sewage, market runoff and river sites in urban areas.

The protocol has been piloted in nine WHO Member States (Ghana, Indonesia, Madagascar, Malaysia, Pakistan and Senegal, India, Jordan and Nepal) since then and is being implemented in five others (Zimbabwe, Zambia, Nigeria, Iran and Morocco). WHO continues to support countries in the implementation of surveillance and has developed a GLASS module to allow countries to share data of ESBL-producing E. coli from the three main sectors.