hoarding disorder, zoonosis, public health, animal hoarding disorder.

Hoarding disorder (HD) are the ones that have an excessive number of animals, objects in an obsessive way, suffering distress when throwing those away. It’s a complex problem that affects human-environment-animal. The animal hoarding disorder (AHD) is linked with several diseases and their contamination and spread vectors, but there are few scientific articles linking AHD with one health. To contribute with the control of hoarding disorder cases, this study aims to establish an action protocol, to be followed by public health, to identify zoonosis that are related with people with AHD (animal hoarding disorder) and/or OHD (object hoarding disorder) in two regions of the city of Recife. This study was made in two sanitary districts IV and VII, those are regions from Recife that already have a technical group that discuss people with hoarding disorder. The methodology of this study includes the following steps: (1) talks with Environmental Health and Endemic Combat Agents to raise awareness about HD, gastrointestinal parasites and sporotrichosis; (2) visits to people with hoarding disorder to collect canine and feline fecal samples of different breeds and ages, including both genders; (3) gastrointestinal parasites laboratory identification of the animals; (4) felines physic evaluation to identify suspicious injuries of sporotrichosis and laboratory diagnostics; (5) characterization of facts related to zoonosis from the perspective of public health; (6) actions of health education with tutors regarding gastrointestinal parasites and sporotrichosis. We raise awareness regarding hoarding disorder, zoonosis gastrointestinal parasites and sporotrichosis in eight health districts of the city of Recife, with 524 participants. 22 cases of hoarding disorder have been confirmed. 639 animals were analyzed, 201 (28,3%) dogs and 432 (67,6%) cats. At least one animal with sporotrichosis has been confirmed in nine of the households that have cats, summing up 30 sick animals. From 18 (81,8%) households visited, 19 fecal samples were collected, 30 (61,2%) of cats and 19 (38,8%) of dogs. From the samples collected it was found eggs and/or nematode oocysts and/or protozoa in 22 samples (44,9%). The gastrointestinal parasites found by specimens were Ancylostoma sp. (54,5%), Toxocara sp. (54,5%) and Toxoplasma sp. (4,5%). Several cases of people with hoarding disorder  have been confirmed in the health districts analyzed. The presence of zoonotic pathogens was found in the majority of the analyzed households. Permanent health education actions to raise awareness reached a large number of health professionals. It is expected, from the actions implemented, establish a default strategy to expand the actions on another health regions, cities or states, aiming the control of zoonoses from the perspective of public health, with integrated actions of health surveillance, primary care and another sectors beyond health care as a integrated management in favor of human, animal and environmental health.