O-06 Innovative Expansion of CARPHA’s Regional one health foodborne and zoonotic diseases program

Methods: A mixed-methods approach was employed to evaluate the implementation of the enhancements to the existing FBD Programme. Data sources included CARPHA Member States (CMS) National Action Plans (NAPs), interactive polling, structured multisectoral discussions, outputs from newly developed OH digital surveillance systems, and applied assessment through a Caribbean-tailored outbreak simulation. Findings were triangulated to assess programme uptake, operationalization of innovations, and early systemlevel impacts.

Results: CARPHA expanded its foodborne diseases (FBD) program into a regional One Health (OH) FBD and Zoonoses Program. This included a coordinated OH digital ecosystem, a Regional Integrated Early Warning Surveillance System (RIEWSS), a secure collaboration platform, and enhanced governance through a new Multisectoral Steering Committee. Fourteen CMS and 20 regional/international agencies participated in implementation, with CMS updating their National Action Plans to meet new digital and multisectoral standards. CMS with higher engagement showed greater OH adoption, reflecting diffusion patterns. The Caribbean-tailored OH Tingua simulation improved cross-sectoral coordination and operational gains.

Conclusion: CARPHA’s expanded, innovative Regional OH Foodborne and Zoonotic Diseases Program has introduced the Caribbean’s first fully coordinated, multisectoral OH digital surveillance architecture. Digital modernization, strengthened governance, and aligned national planning have collectively advanced regional preparedness and accelerated OH adoption across CMS. These innovations position the Caribbean as a leading regional contributor to global OH implementation models, enhancing timely multisectoral information sharing and coordination for addressing FBD and zoonotic threats.