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Twenty-Year Review Finds Zoonotic NTDs Remain Hidden in Laos and Cambodia as Diagnostics and Surveillance Stay Fragmented

The article synthesises publications and long-running surveillance at the animal–human interface in Laos and Cambodia, covering Taenia solium, Trichinella, Streptococcus suis, rickettsiae, melioidosis, hepatitis E, and Japanese encephalitis. Its recurring message is diagnostic invisibility caused by limited laboratories and fragmented human–animal–environment systems, with risks embedded in smallholder livestock, informal slaughter, raw-meat consumption, wet markets, and animal-contact occupations. It proposes scaling abattoir, animal-sentinel, market, and environmental surveillance alongside livelihood-aware risk communication. This is a narrative synthesis, not a systematic review or one national survey, so it maps patterns and gaps rather than estimating current national burden.