Academic Journal

Building a One Health mobile laboratory workforce: strengthening public health preparedness across Europe and Africa.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Building a One Health mobile laboratory workforce: strengthening public health preparedness across Europe and Africa.
Συγγραφείς: Melo AM; Infectious Diseases Epidemiology Department, Bernhard Nocht Institute for Tropical Medicine (BNITM), Hamburg, Germany. aryse.martins_melo@bnitm.de., Becker-Ziaja B; Service Unit Mobile Laboratory, Bernhard Nocht Institute for Tropical Medicine (BNITM), Hamburg, Germany., Keller M; Institute of Novel and Emerging Infectious Diseases, Friedrich-Loeffler-Institut (FLI), Federal Research Institute for Animal Health, Greifswald-Insel Riems, Germany., Sangale D; Infectious Diseases Epidemiology Department, Bernhard Nocht Institute for Tropical Medicine (BNITM), Hamburg, Germany., Puradiredja DI; Infectious Diseases Epidemiology Department, Bernhard Nocht Institute for Tropical Medicine (BNITM), Hamburg, Germany.; Interdisciplinary Academy of Competence and Education for Global Health, Centre for Education and Training, Bernhard-Nocht-Institute for Tropical Medicine (BNITM), Hamburg, Germany., Habermann T; Infectious Diseases Epidemiology Department, Bernhard Nocht Institute for Tropical Medicine (BNITM), Hamburg, Germany.; Interdisciplinary Academy of Competence and Education for Global Health, Centre for Education and Training, Bernhard-Nocht-Institute for Tropical Medicine (BNITM), Hamburg, Germany., Bönecke J; Infectious Diseases Epidemiology Department, Bernhard Nocht Institute for Tropical Medicine (BNITM), Hamburg, Germany.; Interdisciplinary Academy of Competence and Education for Global Health, Centre for Education and Training, Bernhard-Nocht-Institute for Tropical Medicine (BNITM), Hamburg, Germany., Tomazatos A; Infectious Diseases Epidemiology Department, Bernhard Nocht Institute for Tropical Medicine (BNITM), Hamburg, Germany., Peham JR; Austrian Institute of Technology (AIT), Center for Health and Bioresources, Competence Unit Molecular Diagnostics, Vienna, Austria., Michalek B; Austrian Institute of Technology (AIT), Center for Health and Bioresources, Competence Unit Molecular Diagnostics, Vienna, Austria., Aasamäe A; MDSC Systems OÜ, Tallinn, Estonia., Duscher GG; Austrian Agency for Health and Food Safety (AGES), Moedling, Austria., Winkelmayer L; Austrian Agency for Health and Food Safety (AGES), Moedling, Austria., Framke D; Austrian Agency for Health and Food Safety (AGES), Moedling, Austria., Schranz MT; Austrian Agency for Health and Food Safety (AGES), Moedling, Austria., Gleißner D; Austrian Agency for Health and Food Safety (AGES), Moedling, Austria., Groschup M; Institute of Novel and Emerging Infectious Diseases, Friedrich-Loeffler-Institut (FLI), Federal Research Institute for Animal Health, Greifswald-Insel Riems, Germany., Haghighi F; Institute of Novel and Emerging Infectious Diseases, Friedrich-Loeffler-Institut (FLI), Federal Research Institute for Animal Health, Greifswald-Insel Riems, Germany., Slowikowski P; Institute of Novel and Emerging Infectious Diseases, Friedrich-Loeffler-Institut (FLI), Federal Research Institute for Animal Health, Greifswald-Insel Riems, Germany., Schwabe K; Institute of Novel and Emerging Infectious Diseases, Friedrich-Loeffler-Institut (FLI), Federal Research Institute for Animal Health, Greifswald-Insel Riems, Germany., Politi L; Ethnikos Organismos Dimosias Ygeias (EODY)/National Public Health Organization (NPHO), Athens, Greece., Mellou K; Ethnikos Organismos Dimosias Ygeias (EODY)/National Public Health Organization (NPHO), Athens, Greece., Flountzi A; Ethnikos Organismos Dimosias Ygeias (EODY)/National Public Health Organization (NPHO), Athens, Greece., Dimitriadou D; Ethnikos Organismos Dimosias Ygeias (EODY)/National Public Health Organization (NPHO), Athens, Greece., Spiliopoulou I; Ethnikos Organismos Dimosias Ygeias (EODY)/National Public Health Organization (NPHO), Athens, Greece., Spanakos G; Ethnikos Organismos Dimosias Ygeias (EODY)/National Public Health Organization (NPHO), Athens, Greece., Varela A; Ethnikos Organismos Dimosias Ygeias (EODY)/National Public Health Organization (NPHO), Athens, Greece., Libenaga R; National Public Health Laboratory (NPHL), Dar Es Salaam, Tanzania., Beda M; National Public Health Laboratory (NPHL), Dar Es Salaam, Tanzania., Mgimba E; National Public Health Laboratory (NPHL), Dar Es Salaam, Tanzania., Ugolole A; National Environment Management Council (NEMC), Dar es Salaam, Tanzania., Rashidi J; Tanzania Agricultural Research Institute (TARI), Dar es Salaam, Tanzania., Munga A; Tanzania Wildlife Research Institute (TAWIRI), Arusha, Tanzania., Kagaruki P; Tanzania Veterinary Laboratory Agency (TVLA), Dar es Salaam, Tanzania., Motto S; Tanzania Veterinary Laboratory Agency (TVLA), Dar es Salaam, Tanzania., Mwafulango A; National Public Health Laboratory (NPHL), Dar Es Salaam, Tanzania., Moremi N; National Public Health Laboratory (NPHL), Dar Es Salaam, Tanzania., Mkama P; National Public Health Laboratory (NPHL), Dar Es Salaam, Tanzania., May J; Infectious Diseases Epidemiology Department, Bernhard Nocht Institute for Tropical Medicine (BNITM), Hamburg, Germany.; German Center for Infection Research (DZIF), Partner Site Hamburg-Lübeck-Borstel-Riems, Hamburg, Germany.; Tropical Medicine II, University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany., Affara M; Infectious Diseases Epidemiology Department, Bernhard Nocht Institute for Tropical Medicine (BNITM), Hamburg, Germany., Gehre F; Infectious Diseases Epidemiology Department, Bernhard Nocht Institute for Tropical Medicine (BNITM), Hamburg, Germany.
Πηγή: Human resources for health [Hum Resour Health] 2026 Sep 03; Vol. 24 (1). Date of Electronic Publication: 2026 Sep 03.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: BioMed Central Country of Publication: England NLM ID: 101170535 Publication Model: Electronic Cited Medium: Internet ISSN: 1478-4491 (Electronic) Linking ISSN: 14784491 NLM ISO Abbreviation: Hum Resour Health Subsets: MEDLINE
Imprint Name(s): Original Publication: [London] : BioMed Central
Ιατρικοί όροι (MeSH): Disease Outbreaks*/prevention & control , Mobile Health Units*/organization & administration , Capacity Building* , Public Health* , One Health* , Laboratories*, Humans ; Europe ; Public Health Infrastructure ; Africa ; Civil Defense ; Program Evaluation
Περίληψη: The emergence and re-emergence of infectious diseases remain a major public health threat in Europe. The Horizon Europe-funded MOBILISE project addresses this challenge by establishing a One Health Mobile Laboratory capable of handling risk group 3 and 4 pathogens, while strengthening outbreak preparedness through targeted capacity-building activities and the development of a rapid-response expert network. A key component of the project is a training-of-trainers (ToT) model, which enables participants to perform critical tasks in the field and transfer expertise within their home countries. This approach expands the pool of skilled professionals and strengthens collective preparedness. A descriptive mixed-methods programme evaluation, including pre- and post-test assessments, was conducted to assess the ToT model's implementation. In the first phase, two laboratory experts from each partner country were selected. They completed online courses, followed by a two-week in-person training at the Bernhard Nocht Institute for Tropical Medicine in Hamburg, Germany. Training covered biosafety, molecular diagnostics, sequencing, and mobile laboratory operation. The programme concluded with four field missions, allowing participants to apply their skills and train new cohorts. The evaluation also highlighted challenges related to retaining trained experts within the expert pool over time. This structured approach enhances outbreak preparedness, fosters cross-border collaboration, and strengthens the resilience of the health system.
(© 2026. The Author(s).)
Competing Interests: Declarations. Disclosure: Microsoft Word Copilot was used to assist with text refinement and language proofreading. The final revision of the manuscript was carried out by a native English speaker. Ethics approval and consent to participate: For the Austrian Trial only mock samples were used and no ethics approval was required. In Germany, only environmental guano samples were collected and no ethics approval was needed. In Greece, the study received approval from the 4th Regional Health Authority and the Ethics Committee of the EODY and complied with national guidelines. All samples were anonymised in accordance with the General Data Protection Regulation (GDPR). Collected data were sent to EODY, the competent authority for the surveillance of communicable diseases under Greek law. Publication permission was obtained from the Ethics Committee and the Scientific Board of EODY (submission code: ΚΠ17567; approved on 17–09-2024). In Tanzania, training activities were embedded into Ministry of Health’s regional RVFV surveillance activities. Work was conducted in line with the Ministry of Health’s national preparedness and response plan and therefore no ethics approval is required. Nevertheless, only remnants of processed, fully anonymised samples from the parental national surveillance study were used for training purposes, and no clinical results are published within this manuscript. Wherever relevant, all studies complied with the “Declaration of Helsinki”. All participants signed a written informed consent form to participate in the study. Consent for publication: All participants signed a publication consent form authorizing the publication of their data and, where applicable, identifiable images or information presented in this article. Competing interests: The authors declare no competing interest.
References: Ann Allergy Asthma Immunol. 2022 Mar;128(3):256-262. (PMID: 34929390)
Lancet Reg Health Eur. 2021 Oct;9:100230. (PMID: 34664039)
Lancet Reg Health Eur. 2020 Nov 12;1:100001. (PMID: 35081179)
Lancet. 2015 May 9;385(9980):1910-2. (PMID: 25987159)
Lab Med. 2023 Jan 5;54(1):e31-e36. (PMID: 36149058)
Appl Biosaf. 2019 Mar 1;24(1):20-29. (PMID: 36034633)
BMJ Glob Health. 2025 Dec 25;10(12):. (PMID: 41448805)
Infect Ecol Epidemiol. 2015 Feb 06;5:25300. (PMID: 25660757)
One Health Outlook. 2025 Oct 23;7(1):53. (PMID: 41131594)
Lancet. 2017 Mar 18;389(10074):1151-1164. (PMID: 27856085)
Clin Lab Sci. 2005 Fall;18(4):238-47. (PMID: 16315742)
BMC Med. 2021 Jul 9;19(1):160. (PMID: 34238298)
J Contin Educ Health Prof. 2012 Summer;32(3):215-226. (PMID: 23173243)
Grant Information: 101073982 HORIZON EUROPE Framework Programme
Contributed Indexing: Keywords: Capacity building; Emergency response; Health care professionals; One Health; Preparedness; Training-of-trainers
Entry Date(s): Date Created: 20260904 Date Completed: 20260904 Latest Revision: 20260906
Update Code: 20260906
PubMed Central ID: PMC13543605
DOI: 10.1186/s12960-026-01097-5
PMID: 42693462
Βάση Δεδομένων: MEDLINE
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  Data: Building a One Health mobile laboratory workforce: strengthening public health preparedness across Europe and Africa.
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  Data: <searchLink fieldCode="AU" term="%22Melo+AM%22">Melo AM</searchLink>; Infectious Diseases Epidemiology Department, Bernhard Nocht Institute for Tropical Medicine (BNITM), Hamburg, Germany. aryse.martins_melo@bnitm.de.<br /><searchLink fieldCode="AU" term="%22Becker-Ziaja+B%22">Becker-Ziaja B</searchLink>; Service Unit Mobile Laboratory, Bernhard Nocht Institute for Tropical Medicine (BNITM), Hamburg, Germany.<br /><searchLink fieldCode="AU" term="%22Keller+M%22">Keller M</searchLink>; Institute of Novel and Emerging Infectious Diseases, Friedrich-Loeffler-Institut (FLI), Federal Research Institute for Animal Health, Greifswald-Insel Riems, Germany.<br /><searchLink fieldCode="AU" term="%22Sangale+D%22">Sangale D</searchLink>; Infectious Diseases Epidemiology Department, Bernhard Nocht Institute for Tropical Medicine (BNITM), Hamburg, Germany.<br /><searchLink fieldCode="AU" term="%22Puradiredja+DI%22">Puradiredja DI</searchLink>; Infectious Diseases Epidemiology Department, Bernhard Nocht Institute for Tropical Medicine (BNITM), Hamburg, Germany.; Interdisciplinary Academy of Competence and Education for Global Health, Centre for Education and Training, Bernhard-Nocht-Institute for Tropical Medicine (BNITM), Hamburg, Germany.<br /><searchLink fieldCode="AU" term="%22Habermann+T%22">Habermann T</searchLink>; Infectious Diseases Epidemiology Department, Bernhard Nocht Institute for Tropical Medicine (BNITM), Hamburg, Germany.; Interdisciplinary Academy of Competence and Education for Global Health, Centre for Education and Training, Bernhard-Nocht-Institute for Tropical Medicine (BNITM), Hamburg, Germany.<br /><searchLink fieldCode="AU" term="%22Bönecke+J%22">Bönecke J</searchLink>; Infectious Diseases Epidemiology Department, Bernhard Nocht Institute for Tropical Medicine (BNITM), Hamburg, Germany.; Interdisciplinary Academy of Competence and Education for Global Health, Centre for Education and Training, Bernhard-Nocht-Institute for Tropical Medicine (BNITM), Hamburg, Germany.<br /><searchLink fieldCode="AU" term="%22Tomazatos+A%22">Tomazatos A</searchLink>; 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Institute of Novel and Emerging Infectious Diseases, Friedrich-Loeffler-Institut (FLI), Federal Research Institute for Animal Health, Greifswald-Insel Riems, Germany.<br /><searchLink fieldCode="AU" term="%22Politi+L%22">Politi L</searchLink>; Ethnikos Organismos Dimosias Ygeias (EODY)/National Public Health Organization (NPHO), Athens, Greece.<br /><searchLink fieldCode="AU" term="%22Mellou+K%22">Mellou K</searchLink>; Ethnikos Organismos Dimosias Ygeias (EODY)/National Public Health Organization (NPHO), Athens, Greece.<br /><searchLink fieldCode="AU" term="%22Flountzi+A%22">Flountzi A</searchLink>; Ethnikos Organismos Dimosias Ygeias (EODY)/National Public Health Organization (NPHO), Athens, Greece.<br /><searchLink fieldCode="AU" term="%22Dimitriadou+D%22">Dimitriadou D</searchLink>; Ethnikos Organismos Dimosias Ygeias (EODY)/National Public Health Organization (NPHO), Athens, Greece.<br /><searchLink fieldCode="AU" term="%22Spiliopoulou+I%22">Spiliopoulou I</searchLink>; Ethnikos Organismos Dimosias Ygeias (EODY)/National Public Health Organization (NPHO), Athens, Greece.<br /><searchLink fieldCode="AU" term="%22Spanakos+G%22">Spanakos G</searchLink>; 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Tanzania Wildlife Research Institute (TAWIRI), Arusha, Tanzania.<br /><searchLink fieldCode="AU" term="%22Kagaruki+P%22">Kagaruki P</searchLink>; Tanzania Veterinary Laboratory Agency (TVLA), Dar es Salaam, Tanzania.<br /><searchLink fieldCode="AU" term="%22Motto+S%22">Motto S</searchLink>; Tanzania Veterinary Laboratory Agency (TVLA), Dar es Salaam, Tanzania.<br /><searchLink fieldCode="AU" term="%22Mwafulango+A%22">Mwafulango A</searchLink>; National Public Health Laboratory (NPHL), Dar Es Salaam, Tanzania.<br /><searchLink fieldCode="AU" term="%22Moremi+N%22">Moremi N</searchLink>; National Public Health Laboratory (NPHL), Dar Es Salaam, Tanzania.<br /><searchLink fieldCode="AU" term="%22Mkama+P%22">Mkama P</searchLink>; National Public Health Laboratory (NPHL), Dar Es Salaam, Tanzania.<br /><searchLink fieldCode="AU" term="%22May+J%22">May J</searchLink>; Infectious Diseases Epidemiology Department, Bernhard Nocht Institute for Tropical Medicine (BNITM), Hamburg, Germany.; German Center for Infection Research (DZIF), Partner Site Hamburg-Lübeck-Borstel-Riems, Hamburg, Germany.; Tropical Medicine II, University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany.<br /><searchLink fieldCode="AU" term="%22Affara+M%22">Affara M</searchLink>; Infectious Diseases Epidemiology Department, Bernhard Nocht Institute for Tropical Medicine (BNITM), Hamburg, Germany.<br /><searchLink fieldCode="AU" term="%22Gehre+F%22">Gehre F</searchLink>; Infectious Diseases Epidemiology Department, Bernhard Nocht Institute for Tropical Medicine (BNITM), Hamburg, Germany.
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  Data: <searchLink fieldCode="JN" term="%22101170535%22">Human resources for health</searchLink> [Hum Resour Health] 2026 Sep 03; Vol. 24 (1). <i>Date of Electronic Publication: </i>2026 Sep 03.
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  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22BioMed+Central%22">BioMed Central </searchLink><i>Country of Publication: </i>England <i>NLM ID: </i>101170535 <i>Publication Model: </i>Electronic <i>Cited Medium: </i>Internet <i>ISSN: </i>1478-4491 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2214784491%22">14784491 </searchLink><i>NLM ISO Abbreviation: </i>Hum Resour Health <i>Subsets: </i>MEDLINE
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  Data: The emergence and re-emergence of infectious diseases remain a major public health threat in Europe. The Horizon Europe-funded MOBILISE project addresses this challenge by establishing a One Health Mobile Laboratory capable of handling risk group 3 and 4 pathogens, while strengthening outbreak preparedness through targeted capacity-building activities and the development of a rapid-response expert network. A key component of the project is a training-of-trainers (ToT) model, which enables participants to perform critical tasks in the field and transfer expertise within their home countries. This approach expands the pool of skilled professionals and strengthens collective preparedness. A descriptive mixed-methods programme evaluation, including pre- and post-test assessments, was conducted to assess the ToT model's implementation. In the first phase, two laboratory experts from each partner country were selected. They completed online courses, followed by a two-week in-person training at the Bernhard Nocht Institute for Tropical Medicine in Hamburg, Germany. Training covered biosafety, molecular diagnostics, sequencing, and mobile laboratory operation. The programme concluded with four field missions, allowing participants to apply their skills and train new cohorts. The evaluation also highlighted challenges related to retaining trained experts within the expert pool over time. This structured approach enhances outbreak preparedness, fosters cross-border collaboration, and strengthens the resilience of the health system.<br /> (© 2026. The Author(s).)
– Name: Abstract
  Label: Competing Interests
  Group: Ab
  Data: Declarations. Disclosure: Microsoft Word Copilot was used to assist with text refinement and language proofreading. The final revision of the manuscript was carried out by a native English speaker. Ethics approval and consent to participate: For the Austrian Trial only mock samples were used and no ethics approval was required. In Germany, only environmental guano samples were collected and no ethics approval was needed. In Greece, the study received approval from the 4th Regional Health Authority and the Ethics Committee of the EODY and complied with national guidelines. All samples were anonymised in accordance with the General Data Protection Regulation (GDPR). Collected data were sent to EODY, the competent authority for the surveillance of communicable diseases under Greek law. Publication permission was obtained from the Ethics Committee and the Scientific Board of EODY (submission code: ΚΠ17567; approved on 17–09-2024). In Tanzania, training activities were embedded into Ministry of Health’s regional RVFV surveillance activities. Work was conducted in line with the Ministry of Health’s national preparedness and response plan and therefore no ethics approval is required. Nevertheless, only remnants of processed, fully anonymised samples from the parental national surveillance study were used for training purposes, and no clinical results are published within this manuscript. Wherever relevant, all studies complied with the “Declaration of Helsinki”. All participants signed a written informed consent form to participate in the study. Consent for publication: All participants signed a publication consent form authorizing the publication of their data and, where applicable, identifiable images or information presented in this article. Competing interests: The authors declare no competing interest.
– Name: Ref
  Label: References
  Group: RefInfo
  Data: Ann Allergy Asthma Immunol. 2022 Mar;128(3):256-262. (PMID: <searchLink fieldCode="PM" term="%2234929390%22">34929390)</searchLink><br />Lancet Reg Health Eur. 2021 Oct;9:100230. (PMID: <searchLink fieldCode="PM" term="%2234664039%22">34664039)</searchLink><br />Lancet Reg Health Eur. 2020 Nov 12;1:100001. (PMID: <searchLink fieldCode="PM" term="%2235081179%22">35081179)</searchLink><br />Lancet. 2015 May 9;385(9980):1910-2. (PMID: <searchLink fieldCode="PM" term="%2225987159%22">25987159)</searchLink><br />Lab Med. 2023 Jan 5;54(1):e31-e36. (PMID: <searchLink fieldCode="PM" term="%2236149058%22">36149058)</searchLink><br />Appl Biosaf. 2019 Mar 1;24(1):20-29. (PMID: <searchLink fieldCode="PM" term="%2236034633%22">36034633)</searchLink><br />BMJ Glob Health. 2025 Dec 25;10(12):. (PMID: <searchLink fieldCode="PM" term="%2241448805%22">41448805)</searchLink><br />Infect Ecol Epidemiol. 2015 Feb 06;5:25300. (PMID: <searchLink fieldCode="PM" term="%2225660757%22">25660757)</searchLink><br />One Health Outlook. 2025 Oct 23;7(1):53. (PMID: <searchLink fieldCode="PM" term="%2241131594%22">41131594)</searchLink><br />Lancet. 2017 Mar 18;389(10074):1151-1164. (PMID: <searchLink fieldCode="PM" term="%2227856085%22">27856085)</searchLink><br />Clin Lab Sci. 2005 Fall;18(4):238-47. (PMID: <searchLink fieldCode="PM" term="%2216315742%22">16315742)</searchLink><br />BMC Med. 2021 Jul 9;19(1):160. (PMID: <searchLink fieldCode="PM" term="%2234238298%22">34238298)</searchLink><br />J Contin Educ Health Prof. 2012 Summer;32(3):215-226. (PMID: <searchLink fieldCode="PM" term="%2223173243%22">23173243)</searchLink>
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  Data: 101073982 HORIZON EUROPE Framework Programme
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  Data: <i>Keywords: </i>Capacity building; Emergency response; Health care professionals; One Health; Preparedness; Training-of-trainers
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    Identifiers:
      – Type: doi
        Value: 10.1186/s12960-026-01097-5
    Languages:
      – Code: eng
        Text: English
    Subjects:
      – SubjectFull: Humans
        Type: general
      – SubjectFull: Europe
        Type: general
      – SubjectFull: Public Health Infrastructure
        Type: general
      – SubjectFull: Africa
        Type: general
      – SubjectFull: Civil Defense
        Type: general
      – SubjectFull: Program Evaluation
        Type: general
      – SubjectFull: Disease Outbreaks prevention & control
        Type: general
      – SubjectFull: Mobile Health Units organization & administration
        Type: general
      – SubjectFull: Capacity Building
        Type: general
      – SubjectFull: Public Health
        Type: general
      – SubjectFull: One Health
        Type: general
      – SubjectFull: Laboratories
        Type: general
    Titles:
      – TitleFull: Building a One Health mobile laboratory workforce: strengthening public health preparedness across Europe and Africa.
        Type: main
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          Dates:
            – D: 03
              M: 09
              Text: 2026 Sep 03
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-electronic
              Value: 1478-4491
          Numbering:
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              Value: 24
            – Type: issue
              Value: 1
          Titles:
            – TitleFull: Human resources for health
              Type: main
ResultId 1