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The One Health Joint Plan of Action of the Quadripartite Organizationsthe Food and Agriculture Organization of the United Nations (FAO), the United Nations Environmental Programme (UNEP), the World Organisation for Animal Health (WOAH), and the WHOemphasizes the interconnectedness of human, animal, plant, and environmental health [68]

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To date, because of the lack of clear consensus and/or evidence-based guidelines, there is a high degree of variability in the diagnostic approach as well as clinical management of these patients [19]