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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.

Very good read. While wantok in Port Moresby has negative connotations, it is also (not always) a positive concept at the local level, and can and has been leveraged in ways similar to those proposed here. In that vein, two other overlooked experiences to review are the anti-corruption alliance of the late 2000s, and the use of DSIP-SIP guidelines which (although not uniformly across districts) have been successfully used in courts' adjudication of misappropriations since the early 2010s.

Congratulations Cornelio and Mike this is the first time I have come by the marvelous article and story. 'Better late than never', A Lawrie

A very timely and well-balanced analysis. Guinea clearly sits at the crossroads of opportunity and significant risk, where governance and mining revenues increasingly shape outcomes. The Australia–Guinea connection is more than a matter of shared geology. It is a measure of how responsibly both countries and their partners manage resource relationships in ways that strengthen institutions, protect civic space and ensure that mineral wealth contributes to long-term, inclusive development rather than instability.

I’m really interested on this PEV ballot. Please help me with more information.

Speaking from the human public health part of the One Health team, I heartily endorse the ideas in this post. Pragmatic sharing of resources benefits us all. In fact, my first introduction to One Health thinking was a related idea: years ago, I was working at provincial level in central Mozambique. We human health workers had a very successful programme of childhood vaccination, but human rabies vaccine was costly and beyond our reach. We were seeing a number of preventable human rabies cases every year, often where a dog foraging in the forest came home infected and bit its owner. On the other hand, our veterinary colleagues had an African-made canine vaccine but no community connections. The answer was for us to invite our community contacts to a vaccination day, but asking them to bring their dogs instead of their children. The idea was well received, many dogs were vaccinated, and the following year there were no human cases in the province.