Comments

I worked for MSF in Darfur in the 2004/5, and in many other places. I wonder why we never mention in these articles that it is almost 100% men who are committing all of these atrocities and women and children who are disproportionately suffering. I always wonder why it is not worth explicitly mentioning that one group of people (men) are responsible for most of the violence and hold most positions of power in the contexts in which MSF works.

Hi Colin, thankyou very much for your response. I have about 50,000 plus hectares of customary land which I have a clear title and it is also formally registered under Incorporated Land Group (ILG). In 2020 with KMS an Indian company. We are still not sure of the progress till now and waiting.

Thanks Munira for your positive comments and very important question. To answer your question, I guess we need to engage with national health services and relevant global agencies to better understand their perspectives.

Thank you, Arouna, for your insightful comments. Indeed, the importance of ensuring vaccine availability for people and animals in insecure areas is of vital importance to effective disease prevention and control.

Thanks very much Esha for your encouraging comments. It is great to see Bangladesh, once again, leading on One Health implementation.

A practical solution for improving cold chain management of vaccination in Bangladesh is to adopt a shared, One Health-based system where public health facilities support veterinary vaccination programs through jointly managed cold chain infrastructure. This includes installing separate storage units for human and animal vaccines powered by shared electrical and backup systems, offering joint cold chain training, and coordinating maintenance and monitoring across sectors. Integrating animal vaccination data with district public health reporting and using renewable energy like solar-powered refrigerators can further strengthen resilience. By pooling resources and adopting unified planning, Bangladesh can enhance vaccine safety, reduce costs, and improve disease control in both humans and animals.

I found this article powerful and moving. The firsthand accounts from Sudan are heartbreaking, and the author's call for accountability is urgent and necessary. However, there's a major problem: the article repeatedly names the Rapid Support Forces (RSF) for specific atrocities—the El Geneina massacres, the siege of El Fasher. But it never once mentions the Sudanese Armed Forces (SAF) or the government by name. Instead, they're hidden behind vague phrases like "armed factions" and "warring parties." This matters because both sides are responsible for this catastrophe. The SAF refused to join or walked out from a series of peace talks, including Geneva last August. Reports indicate both sides are pursuing military victory rather than negotiation. Reaching peace could have saved countless civilian lives. The SAF has also repeatedly blocked humanitarian aid—so severely that the U.S. sanctioned their commander, General Abdel Fattah al-Burhan, for "using food deprivation as a war tactic." They've conducted airstrikes on civilians in numerous places across the country. The U.S. has even accused them of using chemical weapons. When an article demands accountability but only names one side, it weakens its own argument. You can't end a war by pretending only half of it exists. If we're serious about stopping the suffering in Sudan, we need to name all the perpetrators—not just some of them.

Thank you for sharing this concept. Strengthening collaboration between human and animal health systems is essential for improving vaccine cold chain management in LMICs and regions facing instability an approach fully aligned with the One Health vision. Shared logistics can make a real difference. Many health teams cannot reach remote or insecure areas, but coordinated transport, storage and information-sharing allow both human and animal health services to extend their reach to vulnerable communities. This gap is especially clear in unstable regions where humanitarian providers often focus only on human health. Livestock keepers may need vaccines for their animals but cannot access them. A collaborative One Health oriented system would enable efficient delivery of both human and animal vaccines to those who rely on them. The WHO recommendations could be a barrier to this integrated system. Revisiting these policies could open the door to more resilient, inclusive, and cost-effective vaccine delivery for all.

With the completion of LLG Elections in which, LLG President was elected, has his/her roles & responsibilities changed or remain unchanged?

It would be great for Bangladesh if the vaccines can be delivered maintaining the cold chain using the public health infrastructures. People from remote areas cannot think of doing animal vaccinations as they need to go to specific veterinary hospitals far from their houses, which also incurs a varying amount of costs to the owners. Great initiative. Hope it can be achieved through One Health.

I found this blog incredibly useful, especially the detailed examples of how coordinated cold chain systems can support both public and veterinary health services. It really shows how One Health collaborations can create real impact on the ground. I’m curious — what do you think are the biggest challenges countries face in scaling up these integrated approaches?

Thanks so much Jim for endorsing the concept of a One Health approach to vaccine cold chains and for sharing your excellent example of One Health in action.