Eddy Christopher, Stull Paul A, Balster Erik
Center for Global Health Systems, Management, & Policy, Boonshoft School of Medicine Wright State University, Kettering, OH 45420-4006, USA.
J Environ Health. 2013 Jul-Aug;76(1):46-8.
The authors find overwhelming evidence among environmental health practitioners that One Health disease reporting concepts are essential to the early detection of, and expedient recovery from, pandemic disease events. The authors also find, however, extraordinary evidence that local public health is not prepared, and potentially unaware of their responsibility, to be the initiator of the zoonotic infectious disease information intelligence necessary to make such early event mitigation possible. The authors propose that NEHA take an affirmative step towards the development of local public health-initiated biosurveillance systems by organizing and leading a tabletop study group that includes the Centers for Disease Control and Prevention, American Veterinary Medical Association, American Medical Association, Food and Drug Administration, U.S. Department of Agriculture, Institute of Medicine, and a robust panel of NEHA state affiliates. This study group should discuss the infrastructure necessary for local public health-the frontline against community-acquired infectious disease-to be the initiators of environmental health, veterinary, and medical One Health biosurveillance systems. The need to establish a community-focused, integrated disease prevention strategy that cautions people about the risks associated with food, water, animal, and contaminated environmental media, both prior to and during epidemic and pandemic events is equally important.
作者们在环境卫生从业者中发现了压倒性的证据,表明“同一健康”疾病报告概念对于大流行疾病事件的早期发现和迅速恢复至关重要。然而,作者们也发现了特别的证据,即地方公共卫生部门没有准备好,而且可能没有意识到自己有责任成为开展早期事件缓解措施所需的人畜共患传染病信息情报的发起者。作者们建议国家环境卫生协会采取积极措施,通过组织并领导一个桌面研究小组来推动地方公共卫生部门发起的生物监测系统的发展,该研究小组应包括疾病控制与预防中心、美国兽医医学协会、美国医学协会、食品药品监督管理局、美国农业部、医学研究所,以及国家环境卫生协会强大的州分会小组。该研究小组应讨论地方公共卫生部门(社区获得性传染病的一线部门)成为环境卫生、兽医和医学“同一健康”生物监测系统发起者所需的基础设施。同样重要的是,需要建立一个以社区为重点的综合疾病预防策略,在流行病和大流行事件之前及期间提醒人们注意与食物、水、动物和受污染环境介质相关的风险。