A Scoping Review on Progression Towards Freedom from Peste des Petits Ruminants (PPR) and the Role of the PPR Monitoring and Assessment Tool (PMAT)

Peste des Petits Ruminants (PPR) is a highly contagious viral disease of small ruminants that severely threatens rural livelihoods and global food security. Under the Global Framework for the Progressive Control of Transboundary Animal Diseases (GF-TADs), the international animal health community has set the ambitious goal of eradicating PPR by 2030. However, significant disparities persist in the progression of PPR control across regions. This scoping review assesses the setbacks, deviations, and progress of 42 countries in Eastern, Western, and Northern Africa, as well as West Eurasia, toward achieving official freedom-from-PPR status. Progress was evaluated across key areas using the stepwise PPR Global Control and Eradication Strategy (GCES) approach and the PPR Monitoring and Assessment Tool (PMAT). The eligibility criteria included PubMed peer-reviewed studies, FAO/WOAH reports, presentations, guidelines, and country/region-specific PPR control plans from 2014 through 2024. The data are generated using qualitative and quantitative analyses, including spatial mapping and GCES stepwise progress evaluation. The findings reveal that many (31%) countries in the assessed regions remain in Stage 1 of the Progressive Stepwise Approach, whereas 59.5% have reached Stages 2 and 3, and only 4.8% are in Stage 4. Countries in Western Eurasia have achieved significant progress towards PPR control, with countries achieving PPR-free status, whereas, compared to Eastern and Northern Africa, the Western African region remains in the early control stages due to infrastructure gaps and resource constraints. Additionally, the recent suspension of PPR-free status in Romania, Greece and Hungary following disease emergence underscored vulnerabilities in historically free countries. The analysis results reiterate the critical role of regional collaboration, surveillance tools, and the integration of wildlife monitoring in advancing PPR control. These insights provide actionable pathways to addressing persistent barriers, highlighting the importance of adaptable, evidence-based approaches in achieving the global goal of PPR eradication by 2030.