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坦桑尼亚的“同一健康”传染病监测:我们都搭乘同一班飞机了吗?

'One Health' infectious diseases surveillance in Tanzania: are we all on board the same flight?

作者信息

Mbugi Erasto V, Kayunze Kim A, Katale Bugwesa Z, Kendall Sharon, Good Liam, Kibik Gibson S, Keyyu Julius D, Godfrey-Faussett Peter, Van Helden Paul, Matee Mecky I

机构信息

Department of Microbiology and Immunology, Muhimbili University of Health and Allied Sciences.

出版信息

Onderstepoort J Vet Res. 2012 Jul 19;79(2):500. doi: 10.4102/ojvr.v79i2.500.

DOI:10.4102/ojvr.v79i2.500
PMID:23327385
Abstract

Infectious diseases account for nearly 40% of the burden of human mortality and morbidity in low-income countries, of which 7% is attributable to zoonoses and 13% to recently emerging diseases from animals. One of the strategic approaches for effective surveillance, monitoring and control of infectious diseases compromising health in both humans and animals could be through a combination of multiple disciplines. The approach can be achieved through a joint effort from stakeholders comprising health professionals (medical and veterinary), social, economic, agricultural, environmental and other interested parties. With resource scarcity in terms of number of staff, skills and facility in low-income countries, participatory multi- sectoral and multidisciplinary approaches in limiting the burden of zoonotic diseases could be worthwhile. We review challenging issues that may limit the 'One Health' approach for infectious diseases surveillance in Tanzania with a focus on Health Policy and how best the human and animal health systems could be complemented or linked to suit the community in need for disease control under the theme's context.

摘要

在低收入国家,传染病占人类死亡和发病负担的近40%,其中7%可归因于人畜共患病,13%可归因于最近出现的动物源性疾病。有效监测、监测和控制危害人类和动物健康的传染病的战略方法之一可能是多学科结合。这一方法可以通过包括卫生专业人员(医学和兽医)、社会、经济、农业、环境及其他相关方在内的利益攸关方的共同努力来实现。鉴于低收入国家在人员数量、技能和设施方面资源稀缺,采用参与性多部门和多学科方法来减轻人畜共患病负担可能是值得的。我们审视了可能限制坦桑尼亚传染病监测“同一健康”方法的挑战性问题,重点关注卫生政策以及在该主题背景下,人类和动物卫生系统如何能够得到补充或联系起来,以满足有疾病防控需求的社区。

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