改善人畜共患病扶贫控制的研究方法。

Research approaches for improved pro-poor control of zoonoses.

作者信息

Schelling Esther, Grace Delia, Willingham A Lee, Randolph Tom

机构信息

International Livestock Research Institute, Nairobi, Kenya.

出版信息

Food Nutr Bull. 2007 Jun;28(2 Suppl):S345-56. doi: 10.1177/15648265070282S214.

Abstract

BACKGROUND

Developing countries face difficulties in sustainably utilizing tools to effectively implement control measures for zoonoses. This is mainly due to dispersed and heterogeneous smallholder livestock systems, predominance of informal markets, poor infrastructure and lack of resources to deliver information, interventions, and regulations. In addition, developing countries lack an evidence base for planning and targeting control efforts. Zoonotic infections are receiving more and more international attention as diseases of neglected and impoverished communities, at the intersection between livestock production, human health, and poverty.

OBJECTIVE

To review research innovations and trends that can help identify and test targeted control strategies for zoonoses tailored to poor communities, focusing particularly on Africa.

METHODS

Review of recommendations of relevant working groups and scientific literature.

RESULTS

New and innovative research approaches promise to better capture the impact of zoonoses from a societal perspective and the perspective of poor livestock owners through more comprehensive frameworks that consider benefits of the control of zoonoses to the public health, livestock, and private sectors. It is challenging to better assure food safety in informal markets. Risk-based approaches with participatory elements provide a framework in which stakeholders can decide an appropriate level of protection to balance the needs for safe food, cheap food, and pro-poor economic growth. Appropriate information for all stakeholders and capacity-building of national and regional authorities is an important element of this process. New diagnostic tools that are accurate and easily used in developing-country health centers and markets can assist in reporting of cases, detection of patients, and testing of control strategies.

CONCLUSIONS

A research agenda on zoonoses of the livestock sector should be interdisciplinary and participatory and include intersectoral collaborations, notably between the livestock and public health sectors.

摘要

背景

发展中国家在可持续利用工具以有效实施人畜共患病控制措施方面面临困难。这主要是由于小农户畜牧系统分散且各异、非正式市场占主导、基础设施薄弱以及缺乏提供信息、干预措施和法规的资源。此外,发展中国家缺乏用于规划和确定控制工作目标的证据基础。人畜共患病作为在畜牧生产、人类健康和贫困交叉领域影响被忽视和贫困社区的疾病,正受到越来越多的国际关注。

目的

回顾有助于确定和测试针对贫困社区量身定制的人畜共患病目标控制策略的研究创新和趋势,尤其关注非洲。

方法

审查相关工作组的建议和科学文献。

结果

新的创新研究方法有望通过更全面的框架,从社会角度以及贫困畜牧业主的角度更好地捕捉人畜共患病的影响,这些框架考虑了人畜共患病控制对公共卫生、畜牧和私营部门的益处。在非正式市场更好地确保食品安全具有挑战性。带有参与性元素的基于风险的方法提供了一个框架,利益相关者可据此决定适当的保护水平,以平衡对安全食品、廉价食品和有利于穷人的经济增长的需求。为所有利益相关者提供适当信息以及国家和区域当局的能力建设是这一过程的重要组成部分。准确且易于在发展中国家卫生中心和市场使用的新型诊断工具可协助病例报告、患者检测和控制策略测试。

结论

畜牧部门人畜共患病的研究议程应具有跨学科性和参与性,并包括部门间合作,特别是畜牧和公共卫生部门之间的合作。

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