The goals of this work package are to:

• Establish an enhanced, integrated human-animal health surveillance capacity that will serve 1.5 million people in western Kenya and improved care for over 6000 patients, together with new data on zoonotic disease burden. The surveillance system will also involve the development of mobile technology-based data collection tool;
• Provide a scientific evidence base, including cost-effectiveness data (of the existing and new system) and operational experience to justify and facilitate setting up of a national zoonoses surveillance system managed by the Kenya Zoonotic Disease Unit
• Assess the effect of devolution on existing surveillance structures in western Kenya

Importantly, the surveillance system does not have to be set up from scratch. Kenya already has veterinary surveillance for infectious diseases in place at livestock markets, slaughterhouses and butcheries and in the wider farming community. It also has clinics and hospitals reporting infectious diseases in people. So the systems exist and are manned by trained staff. What is needed, and will be provided by this work package, is increased awareness of zoonoses, better ways to record, share, analyze and interpret data, and closer integration between the human and animal health sectors.