Pappaioanou Marguerite
Office of Global Health, Mailstop D-69, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
Prev Vet Med. 2004 Mar 16;62(3):153-63. doi: 10.1016/j.prevetmed.2003.11.001.
Dr. Calvin Schwabe's vision of "One Medicine" has long inspired many in the public health community to strive toward bringing human and veterinary medicine together to improve the public's health and well-being around the world. In an increasingly human-dominated world, as Dr. Schwabe suggested many years ago, human health provides the most-logical unifying or apical cause in veterinary medicine's hierarchy of values. Veterinarians in all aspects of the profession-have opportunity and responsibility to protect the health and well-being of people in all that they do, including protecting food security and safety; addressing threats to antibiotic sensitivity; preventing and controlling zoonotic emerging infectious diseases; protecting environments and ecosystems; participating in bio- and agro-terrorism preparedness and response; using their skills to confront non-zoonotic diseases (such as malaria, HIV/AIDS, vaccine preventable diseases, chronic diseases and injuries); strengthening the public-health infrastructure; and advancing medical science through research. This article provides an overview of contributions made by veterinarians in each of these areas, and discusses the challenges to be overcome and the need for strategic thinking and action to achieve the vision of "one medicine".
卡尔文·施瓦贝博士“同一医学”的愿景长期以来激励着公共卫生界的许多人努力将人类医学和兽医学结合起来,以改善世界各地公众的健康和福祉。在一个日益由人类主导的世界里,正如施瓦贝博士多年前所指出的,人类健康在兽医学的价值体系中提供了最合乎逻辑的统一或首要原因。该行业各个方面的兽医都有机会和责任在他们所做的一切事情中保护人们的健康和福祉,包括保障粮食安全和食品安全;应对抗生素敏感性受到的威胁;预防和控制人畜共患新发传染病;保护环境和生态系统;参与生物和农业恐怖主义的防范和应对;运用他们的技能应对非人畜共患疾病(如疟疾、艾滋病毒/艾滋病、疫苗可预防疾病、慢性病和伤害);加强公共卫生基础设施;以及通过研究推动医学科学发展。本文概述了兽医在上述每个领域所做的贡献,并讨论了需要克服的挑战以及为实现“同一医学”愿景而进行战略思考和采取行动的必要性。