Schools are ideal settings for interventions against diseases to develop sustainable and healthy behaviors that improve long-term health outcomes. The water, sanitation, and hygiene (WASH) in Schools (WinS) program provides school-based interventions to address health concerns. The integration and practice of the One Health approach in schools may provide useful synergies for improved WinS program efficiency by harmonizing the multisectoral efforts of various stakeholders involved; therefore, this study aimed to revisit the WinS program using the One Health Lens. Qualitative methods employed included key informant interviews and focus groups to describe the status of WinS implementation in relation to community WASH and other health programs in the selected study sites using the One Health lens. Good practices in WinS implementation, including public-private sector partnerships to finance construction of WinS facilities, recognition of outstanding schools and innovations to improve program measures, and intensified health education through multimedia channels, were identified. Challenges include deworming hesitancy, disruption of services due to pandemics and disasters, difficulties in sustainable financing of facilities and supplies, inclusive infrastructure, reaching Last Mile schools in Geographically Isolated, Disadvantaged, and Conflict Areas, and the need to connect WinS, community WASH, and other health programs. WASH has proven to be a viable vehicle for improving the health of people in schools and community settings. The study showed that health concerns require a concerted effort of public and private authorities. This study elicited the need to bridge the WASH program implemented in schools with community-based programs to ensure that policies are responsive and that logistic support is provided sustainably. Implementing the Universal Health Care Act and developing and using existing mechanisms for coordination between sectors, such as Healthy Learning Institutions, provide opportunities for aligning programs with the government health agenda. Keywords: one health approach, Philippines, WASH in communities, WASH in schools.

Houseflies (Musca domestica) are synanthropic insects that are vectors of a wide range of multidrug-resistant pathogens responsible for infectious diseases. The aim of this study was to detect and characterize multidrug-resistant Enterobacteriaceae carried by houseflies in Bobo-Dioulasso. A total of 500 houseflies were captured in hospital and non-hospital environments in the city of Bobo-Dioulasso. For bacteriological analysis, they were divided into 125 batches of five flies each. Multidrug-resistant bacteria isolated on MacConkey agar supplemented with 4 μg/mL cefotaxime were identified on the basis of biochemical characteristics. Antibiotic susceptibility profiles were determined using the agar diffusion method. blaCTX-M resistance genes and quinolone resistance genes (plasmid-mediated quinolone resistance) were detected by conventional polymerase chain reaction. Among 115 bacterial strains obtained, 26 were extended-spectrum beta-lactamase (ESBL)-producing enterobacteria: Escherichia coli (15), Klebsiella pneumoniae (6), Enterobacter cloacae (4), and Morganella morganii (1). Carriers were statistically more important in hospitals (12/26, p = 0.03). No carbapenem-resistance strains were observed. We identified ESBL resistance genes (Cefotaximase Munich; CTX-M group 1) (25/26) and quinolone resistance genes (QnrS) (6/26). Houseflies in the city of Bobo-Dioulasso are vectors for the transmission of multidrug-resistant enterobacteria. There is a need to monitor the associated risks for public health. Keywords: Bobo-Dioulasso, extended-spectrum beta-lactamase, Gram-negative bacilli, housefly, multiresistant Enterobacteriaceae.

Farm animals, including cattle, have been implicated as antimicrobial-resistant bacterial pathogen reservoirs. This study aimed to determine the antimicrobial resistance profiles and genetic characteristics of cattle colonized by fluoroquinolone-resistant and extended-spectrum beta-lactamase (ESBL)-producing Escherichia coli in Ebonyi state, Nigeria. We randomly collected 100 fresh fecal samples from 100 cattle in major abattoirs and analyzed the samples using standard microbiological methods. Isolates were further characterized by polymerase chain reaction (PCR) using 16S rRNA sequence primers. Phenotypic detection of ESBL production was performed using the double disk synergy test. Antimicrobial susceptibility profiles of ESBL-producing Escherichia coli were determined using the disk diffusion method, whereas molecular characterization of ESBL- and fluoroquinolone-resistant genes was performed by PCR using specific primers. A total of 20 (20%) ESBL-producing E. coli were isolated from 100 animal fecal samples. Isolates were generally multidrug-resistant (MDR) with a resistance rate of 100% to 45% to trimethoprim-sulfamethoxazole, tetracycline, amoxicillin, cephalosporins, and ciprofloxacin. The average multiple antibiotic resistance index values of the isolates ranged from 0.5 to 0.8. BlaTEM (75%), followed by blaCTX-M (20%) and blaSHV (5.0%) was the most predominant ESBL gene among the isolates. The Aac-lb-6-cr fluoroquinolone-resistant gene was harbored by 90% of the isolates, whereas Qnr was absent. This study showed a high frequency of MDR ESBL-producing E. coli harboring ESBL and fluoroquinolone-resistant genes in fecal samples of cattle with serious public health consequences if not adequately addressed. Keywords: Escherichia coli, extended-spectrum beta-lactamase genes, fluoroquinolone resistance genes, cattle, multidrug-resistance.

One Health (OH) approach is crucial for the effective management of emerging and re-emerging infectious diseases and other public health threats. A meta-analysis was conducted to explore the benefits and challenges encountered in the practical implementation of multisectoral coordination in the fight against public health threats and to identify similarities between countries in the practical implementation of multisectoral coordination and cooperation across sectors in OH. To identify relevant studies published globally between 2010 and 2023, a literature search was conducted online using Google Scholar and PubMed search engines. Inclusion criteria were adopted based on key search terms “One Health,” “multisectoral coordination,” “One Health framework,” and related terms “multisectoral collaboration” and “multidisciplinary.” Unpublished manuscripts, dissertations, and conference reports were excluded from the review. A total of 307 articles were retrieved. Titles, abstracts, and keywords were screened for inclusion criteria. We extracted and analyzed 46 full-text articles published in English. Unpublished manuscripts, dissertations, and conference reports were excluded from the study. This study found that most countries have similar challenges that hamper the coordination of OH activities implementation. Of the 46 articles reviewed, 69.6% (n = 32) focused on the benefits of adopting the OH approach and 73.9% (n = 34) focused on multisectoral coordination and collaboration among sectors. In addition, 58.7% (n = 27) of the articles indicated that governments need to invest more resources in OH implementation, and 50% (n = 23) proposed that policies, guidelines, and plans should be integrated to facilitate multisectoral coordination and collaboration. In addition to inadequate coordination and funding, other reported challenges were limited knowledge (34.8%) (n = 16) and inadequate resources (32.6%) (n = 15). In addition, 21.7% (n = 10) highlighted different sectoral priorities and interests as obstacles to effective coordination in the implementation of OH activities. Multisectoral coordination plays a key role in the effective management of public health threats through OH. The creation of mechanisms for regular communication, the promotion of mutual trust, and the strengthening of relations between sectors will enhance cooperation. The similarity in challenges across regions observed in this study calls for countries across regions to prioritize OH operationalization and collaboration among sectors, strengthen collaboration, and synergize activities to enhance future changes in the mitigation of public health threats. Keywords: multisectoral collaboration and multidisciplinary, multisectoral coordination, One Health, One Health framework.

International Journal of One Health editorial team would sincerely like to thank all of our reviewers who contributed to peer review for the journal in 2023.

Methicillin-resistant Staphylococcus aureus (MRSA) has been known as a highly pathogenic bacteria in animals and humans, which is still becoming a global health issue. The prevalence of MRSA infection continues to increase worldwide and has become a global concern as a dangerous zoonotic disease. The World Health Organization estimates that by 2050 MRSA will be the leading cause of death. This study aimed to estimate the prevalence of MRSA in S. aureus isolates of veterinary and human origin in Yogyakarta, Indonesia. A total of 42 cases of S. aureus infection were examined in this study, consisting of nine isolates from cattle, five from goat, and 28 from human. All isolates were confirmed as S. aureus based on bacterial culture and detection of 23S rRNA and thermonuclease nuc gene by polymerase chain reaction (PCR). Among 42 isolates, 35 isolates (83.3%) were identified as MRSA by PCR positive of mecA gene encoding methicillin resistance. Most MRSA strains were found in human isolates (100%), followed by cattle isolates (55.5%) and goats (40%). All MRSA strains were also multi-resistant to penicillin (blaZ gene) and tetracycline (tetK, and tetM genes) with a prevalence of about 98%. MRSA prevalence in humans and animals has increased significantly in Yogyakarta, Indonesia, compared to the previous study. The antimicrobial resistance pattern of MRSA animal isolates tends to be similar to humans and, thus, raises public health concerns about MRSA zoonotic spread. Keywords: animal, antimicrobial resistance, human, methicillin-resistant Staphylococcus aureus, Staphylococcus aureus.

Anthrax is a zoonotic infectious disease caused by Bacillus anthracis. According to current knowledge, the disease originates in sub-Saharan Africa, especially Egypt and Mesopotamia. Laboratory tests involving direct staining or culture of samples taken from malignant pustules, sputum, blood, or patient discharge must be performed to establish a diagnosis. B. anthracis infection can enter the body through the skin, mouth, or nose. Human infection is usually caused by contact with infected animals or animal products. Anthrax causes a reduction in resource efficiency and decreases livestock productivity. B. anthracis spores are resistant to extreme temperatures, pressure, pH, drying, solvents, and ultraviolet light. The biological weapon of this disease may be fatal if it is designed to spread B. anthracis spores by aerosols. In the past, the treatment of human anthrax with penicillin at a high dose was the preferred method. The public can take several measures to prevent anthrax infection, such as purchasing and consuming meat that has been legally certified to have been slaughtered in a slaughterhouse, consuming healthy and properly cooked animal meat, and washing hands with antiseptic soap after handling, processing, and cooking animal products. This review aimed to describe the etiology, pathogenesis, mechanism of infection, epidemiology, diagnosis, clinical symptoms, transmission, risk factors, public health importance, economic impact, potential as a bio-warfare agent, treatment, and control of anthrax.

Human dog-transmitted rabies remains a serious public health issue in Mali despite efforts to mitigate it. Indeed, several stakeholders have implemented multiple initiatives for years. However, there is still a lack of cooperation among stakeholders. This study was conducted to capture situational data on rabies and One Health practices among key actors involved in the fight against rabies in Mali. Data from veterinary and medical services were collected for analysis. Data collection was based on a review of technical documents (epidemiology of rabies in animals and humans and activities conducted to tackle the disease) and stakeholder interviews (awareness of rabies and the One Health approach). With regard to the epidemiological situation, the findings revealed unsatisfactory vaccination coverage in dogs and low suspected sample collection for laboratory diagnosis. In addition, only half of the exposed individuals received complete post-exposure prophylaxis. A survey carried out by experts in the fields of animal health, human health, and the environment indicated that only 22.47% were well aware of rabies and had never heard of the One Health approach. Overall, there was no significant association between knowledge and participant sector of origin (p > 0.05), highlighting the need for operationalization of the One Health approach in Mali. Therefore, an integrated national action plan for rabies control should be developed with a particular focus on capacity building, particularly in the area of the One Health core competencies. Keywords: epidemiology, multisectoral engagement, One Health, Public Health priority zoonoses, Stakeholders.

Dogs are long-lasting companion animals, and ticks are the most common external parasites in dogs. An increase in the population of neglected domestic dogs has increased the risk of contact with ticks, especially in places where tick-borne diseases (TBDs) are endemic. We aimed to characterize the bacterial blood profiles of people who were either exposed (HE) or not exposed (HC) to tick bites using next-generation sequencing (NGS). In the present study, the bacteria observed in the blood of people exposed to tick bites were compared with those in the blood of people not exposed to tick bites in Northern Mexico. Human blood samples (n = 12) were analyzed, DNA was extracted, and the V3–V4 region of the 16S ribosomal RNA gene was amplified. In addition, NGS was performed on a MiSeq platform (Illumina), and the data were analyzed through Quantitative Insights into Microbial Ecology. Differences in beta diversity were significant. In HEs, several potentially pathogenic bacterial taxa were found to be the most abundant: Kocuria ( x = 14.59%), Staphylococcus ( x = 3.05%), and Treponema ( x = 2.93%), in addition to Chlamydia, Clostridium, and Ehrlichia, which are considered TBDs. This study identified important differences in the bacterial composition of the HE and HC groups. In addition to Ehrlichia (a TBD considered a taxon), other bacterial pathogenic taxa, such as Chlamydia, Clostridium, Kocuria, Staphylococcus, and Treponema, were also observed in the tick bite-exposed group. Future studies with larger sample sizes should provide an improved understanding of the human blood microbiome profile by providing additional evidence of tick exposure, associated TBDs, and other pathogenic bacterial taxa. Keywords: Blood, Ehrlichia, microbiome, tick bites, tick-borne diseases, ticks.

The threat of emerging and epidemic-prone diseases is a significant public health concern and there is an urgent need to work on the prevention and control of these diseases. In view of the limited time and other resources available to the animal and human health sector, it is crucial to prioritize the most essential and critical risk factors and diseases. This scoping review aims to document the available disease and risk prioritization tools by evaluating their characteristics and suitability from the One Health perspective. Databases such as PubMed, Scopus, and Google Scholar were used to extract available tools for prioritization. We compared and synthesized the objective of the tool, methodology and prioritization process of the available tools. A total of six tools, including One Health Zoonotic Disease Prioritization, European Centre for Disease Prevention and Control, Strategic Toolkit for Assessing Risks, One Health Systems Mapping and Analysis Resource Toolkit, Health Hazard Assessment and Prioritization tool, Risk Ranger, are included in this scoping review. Various prioritization methods are available; however, multi-criteria decision analysis is the most commonly used. A thorough analysis showed that different tools employ different prioritizing approaches, including mixed-method, quantitative, and qualitative approaches. The summary of the findings suggests the development of a new robust tool with a One Health approach, which will focus on risk prioritization and disease prioritization. Keywords: disease prioritization, prioritization in public health, prioritization tool, risk prioritization.

Tuberculosis (TB) is a major zoonosis in Senegal, accounting for 33% of all zoonotic disease reports in 2019. The aim of this study was to assess bovine TB knowledge and practices of abattoir workers in Dakar and livestock farmers in Pout. We conducted a cross-sectional study on knowledge and practices of Dakar abattoir workers (butchers, transporters, sellers, and animal health workers) and Pout livestock farmers regarding bovine tuberculosis. R 3.2.6 was used for descriptive statistics, Chi-square, and Fischer’s exact tests, and STATA 13 was used for univariate and multivariate logistic regressions. A total of 274 abattoir workers and livestock farmers were interviewed: 103 (37.6%) from Dakar abattoir and 171 (62.4%) from Pout farms. Respondents were predominantly male (75.2%), aged 30–59 years (67.5%), and had at least 10 years of experience (51.8%). The majority (98.2%) were aware of TB, but only 31.4% knew that it was zoonotic. Only 2.5% (7/274) of participants had satisfactory TB knowledge, which differed according to study area, experience, profession, and good practice (p = 0.05). Abattoir workers were 11 times more likely than farmers to have good TB knowledge (odds ratio [OR] = 11.2; 95% confidence interval [CI] = 1.1–114.3). Respondents with 5–10 years of experience were 16.9 times more likely to have good knowledge of TB (OR = 16.9; 95% CI = 1.7–163.4). The majority of participants preferred raw milk (83.6%) and undercooked meat (83.6%). Only 29.6% of participants had good practices, which differed with respect to study area, gender, marital status, age, occupation, and knowledge of TB (p = 0.05). Age (OR = 3.3; 95% CI, 1.3–8.3) was identified as a good practice adoption predictor. Globally, there was a low level of good knowledge and practices regarding TB among respondents. There is a need for mass education through multi-sectoral collaboration between health professionals (humans and animals) using a One Health approach. Keywords: animal, human, public health, tuberculosis, zoonosis.

Zoonotic diseases are naturally transmissible infections between animals and humans. To address these cross-sectoral health issues holistic, transdisciplinary health approaches are required. The legalization of the game meat trade in Tanzania in 2020 has created a new value chain from wild habitats to registered game meat selling facilities in human settlements, thus creating new human–animal interfaces associated with potential risks of zoonotic disease transmission among wildlife, livestock, and human populations. This study aimed to apply a simple, collaborative prioritization process to identify important zoonotic pathogens associated with wild animal taxa harvested and traded for game meat consumption in northern Tanzania. A prioritization process was conducted to identify and rank zoonotic diseases associated with wildlife in the Arusha, Kilimanjaro, and Manyara regions of northern Tanzania to help determine the zoonotic disease risks associated with the game meat value chain. Two districts from each region were selected for this study. The prioritization process was conducted through an expert workshop that involved 41 participants, including a District Veterinary Officer, Public Health Officer, and District Game Officer from each district, as well as national One Health focal persons, zonal Veterinary and Laboratory Officers, scientific researchers, and a representative from the national Game Meat Selling Advisory Committee. Experts identified 11 common zoonotic diseases reported in these regions, of which anthrax, rabies, brucellosis, Rift Valley fever, and bovine tuberculosis were considered the most important. This finding is broadly consistent with the national priority list for zoonotic diseases. This approach was time-efficient and cost-effective. In Tanzania, multi-sectoral planning, communication, and cooperation among human health, domestic animal health, wildlife health, and environmental protection have been strengthened. In the future, we recommend regular exercises using such an approach to update the information on important diseases and promote information sharing for epidemic and pandemic preparedness associated with the wild animal trade. Keywords: epidemic and pandemic, expert opinion, game meat, one health, wildlife, zoonoses.

The use of bioengineered nanocomposites as antimicrobials has increased in recent years, but very few investigations have been conducted to test their effectiveness against Pseudomonas aeruginosa, a pathogen presenting public health risks that can impact both humans and animals. The aim of this study was to assess the antimicrobial potential of phytofabricated silver nanoparticles synthesized using lemongrass extract against clinical isolates of P. aeruginosa. The extraction of active compounds from the leaves of Cymbopogon citratus was performed using ethanol (80%) as a solvent, high-performance liquid chromatography-mass spectrometry was used to analyze the chemical composition of the extract, the synthesis of silver nanoparticles (AgNPs) was done using silver nitrate (AgNO3) as a precursor, and the antimicrobial and antibiofilm activity of the extract and the AgNPs phytofabricated was assessed against 10 clinical strains of P. aeruginosa. Lemongrass extract was found to consist of the following main compounds: Caffeic acid (445.21 ± 32.77 μg/g), p-coumaric acid (393.32 ± 39.56 μg/g), chlorogenic acid (377.65 ± 4.26 μg/g), quinic acid (161.52 ± 17.62 μg/g), and quercetin-3-glucoside (151.35 ± 11.34 μg/g). AgNPs were successfully phytofabricated using 2.5 mM AgNO3. The ultraviolet (UV)-visible absorption spectra of the AgNPs showed a localized surface plasmon resonance at 464 nm with an absorbance of 0.32 A. The 50x hydrodynamic diameter was 50.29 nm with a surface area value of 120.10 m2/ cm3, and the volume mean diameter and Sauter mean diameter were 50.63 nm and 49.96 nm, respectively. Despite the compound found in lemongrass extract, no antimicrobial activity was observed with the extract, while AgNPs exhibited noteworthy dose-dependent antimicrobial activity with inhibition diameters up to 24 mm and minimum inhibitory concentration (MIC) and minimum bactericidal concentration ranging from 2 to 16 and 4–64 µg/mL, respectively. AgNPs also demonstrated significant antibiofilm activity by inhibiting biofilms up to 99% between MIC/2 and 2MIC. The present study suggests that lemongrass is a good candidate for the synthesis of AgNPs with good physicochemical characteristics and having a strong anti-pseudomonas activity. Further research is needed to assess the stability and safety of these AgNPs. Keywords: antibiofilm capacity, antimicrobial activity, green synthesis, lemongrass, Pseudomonas aeruginosa, silver nanoparticles.

Foodborne illnesses have shaken mothers' defense worldwide because poor knowledge and unsafe food handling practices can jeopardize their children. In Jordan, there are no reliable data on the knowledge, attitudes, and practices (KAPs) of mothers regarding food safety when the COVID-19 pandemic occurs. Therefore, this study evaluated Jordanian mothers' understanding, beliefs, and behaviors by examining their KAPs during the COVID-19 pandemic crisis. We conducted a cross-sectional study on food safety KAPs of mothers living in Jordan following the COVID-19 pandemic. A reliable and accurate survey with 55 questions was distributed among mothers through social media. A total of 376 mothers completed the questionnaire. The results showed a remarkable awareness among the participants of how to keep food safe. However, there is still a significant gap in the implementation of this information in everyday life. This research emphasizes the need for focused interventions in the context of COVID-19 to bridge the gap between Jordanian mothers' KAPs on food safety and personal cleanliness. Efforts should be made, such as public health campaigns and educational programs, to empower mothers, guaranteeing a consistent and comprehensive approach to food safety and personal hygiene in families. These results provide important insights for policymakers and health professionals who want to improve public health initiatives and community resilience during public health crises. Keywords: food safety, foodborne illness, Jordan, knowledge, attitudes and practices, personal hygiene.

Brucellosis is a harmful disease that affects a wide range of animals and adversely affects both animal and human health. Brucella melitensis is a zoonotic disease that causes brucellosis in sheep and goats. This study aimed to identify human index cases, identify risk factors for brucellosis in goat and sheep farms, and establish recommendations for farmers. An unmatched case-control study was conducted on goat or sheep farms in central Thailand. We utilized animal disease reports and outbreak investigation data extracted from the Department of Livestock Development, Thailand, and assessed these secondary data. A questionnaire was used to collect data. Serum samples were parallel tested for brucellosis using the modified Rose Bengal test and indirect enzyme-linked immunosorbent assay. Univariate and multivariate logistic regression analyses were performed. An index case of human brucellosis was reported in the province of Chai Nat. Patients who were goat farmers or had previous experience of goat farming were included. Bacteria were introduced into the patient's farms by purchasing goats, grazing in public grassland, and insufficient biosecurity. Multivariable logistic regression analysis identified a higher risk of brucellosis positivity in the large herd than in the small herd (adjusted odds ratio = 8.61; 95% confidence interval = 1.62-45.71). These results suggest that goat or sheep farms over 50 heads should take further measures to prevent disease transmission, such as increasing the frequency of disease testing within the herd and strengthening the biosecurity system. Keywords: brucellosis, goat farms, outbreak investigation, risk factor, sheep farms.

Bats are a reservoir for the pathogenic bacteria Klebsiella pneumoniae and can spread it through feces that fall in nests/caves, carried, and dropped while they fly near human settlements, and from their saliva. The emergence and spread of multidrug resistance (MDR) strains of K. pneumoniae indicate that resistant to antibiotics, especially extended-spectrum beta-lactamase (ESBL), is considered an important global health threat. The aim of this study was to determine the presence of the gene encoding extended beta-lactamase in K. pneumoniae isolated from fresh bat feces collected from the Tanjung Ringgit bat cave, East Lombok. In this study, 150 fresh fecal samples were analyzed using standard microbiological techniques for the presence of K. pneumoniae. K. pneumoniae-positive isolates were subjected to antibiotic sensitivity testing, followed by molecular detection using polymerase chain reaction. This study showed that 14 (9.3%) of 150 samples were positive for K. pneumoniae. Ten of the 14 samples (71.4%) were MDR isolates and 6 (42.9%) had the blaSHV gene identified. The presence of K. pneumoniae isolated from fresh bat feces, which is MDR and has the blaSHV gene encoding ESBL indicates that bats can be a reservoir for the transmission of MDR and ESBL bacteria has an impact on public health in the study area. Keywords: bat, blaSHV, extended-spectrum beta-lactamase, Klebsiella pneumoniae, public health.

Staphylococcus aureus causes foodborne disease in eggs. It is characteristic of pathogenicity and harmful to human health if contaminated eggs and products are contaminated from pre-production at the manufacturer until post-production. S. aureus is a Gram-positive bacterium normally present in the skin and mucosa of humans and other animals. Methicillin-resistant S. aureus (MRSA) is a strain of S. aureus that is resistant to several types of antibiotics, including tetracycline, amoxicillin, ampicillin, ciprofloxacin, ceftriaxone, beta-lactam, and azithromycin. Impure S. aureus infections in eggs and processed egg products have been reported in Indonesia for for 5 years. However, only a limited number of cases have been reported. Based on the Indonesian National Standard, S. aureus contamination in fresh poultry eggs is limited to <1×102 colony forming unit/g, eggs processed from salty eggs as much as <1 × 101 colonies/g, and food processed from base eggs, e.g., custard a must negative/gram. One Health is an approach to collaborative cross-recognized sector linkages between human health, animal health, and the environment, which should be managed holistically. It is expected that one health approach will be able to prevent and control the risk of S. aureus contamination in eggs and processed egg proucts. This review describes the incidence of S. aureus and MRSA in Indonesia compared with other countries. This review provides information on the One Health approach for preventing and controlling S. aureus contamination of eggs in Indonesia so that it can be adopted elsewhere.

New antimicrobial materials have drawn research and development attention due to antimicrobial resistance. Antimicrobial resistance is expected to pose a significant challenge to life in the future. This review comprehensively elucidates the potential of Myrmecodia spp. as an antibacterial agent by systematically selecting and reviewing the majority of relevant studies published in the past 10 years and retrieved from Scopus, PubMed, Web of Science, and related books. Myrmecodia spp. is a non-parasitic plant that grows as an epiphyte. These essential nutrients for the body, including flavonoids, alkaloids, polyphenols, tannins, and saponins, are found within plants. Myrmecodia spp.’s compound functions as an antibacterial agent. This review synthesizes information from multiple sources detailing Myrmecodia spp.’s antibacterial capacity through various testing methods. 

An individual’s ability to obtain enough nutritious and healthy food to sustain a healthy lifestyle is a crucial indicator of food security. This study estimated food insecurity’s prevalence and levels among parents/guardians of secondary school students in Basrah and describe its consequences.  The Food Insecurity Experience Scale (FIES) was implemented through a questionnaire survey to evaluate food insecurity. The relationship between financial factors, attitudes, and psychological impacts regarding food accessibility and affordability was studied in detail. The eight food insecurity questions’ responses were measured using the Rasch model approach.  Two hundred and fifty-two parents/guardians took part in the survey. The prevalence of food insecurity was estimated as 24% (with a 95% confidence interval of 18.9%–29.8%). Around 50% of the parents/guardians stated that their typical income is middle-income. 28% of respondents reported having sufficient food but not their preferred choices, while 35% paired food shortage with financial instability, 32% could not afford nutritionally balanced meals, and 21% of the parents admitted to cut or skipped their meals to other family members. 21% of parents/guardians were affected by inadequate food supply during the COVID-19 pandemic. The level of food insecurity included that 50% of the respondents exhibited mild food insecurity, 19.4% had moderate food insecurity, and 4.3% were classified as having severe food insecurity. According to the Rasch analysis of the FIES data, the likelihood of experiencing severe food insecurity is linked to consuming unhealthy food, having food run out, and eating unbalanced meals.  The study found that financial constraints, food safety concerns, and limited access to nutritious food explain the widespread food insecurity reported. Significant efforts are required to alleviate chronic food shortages in Basrah, including job creation, strengthening agricultural production, and implementing safety-net policies for affected families.