Leverhulme Centre for Integrative Research on Agriculture and Health, Veterinary Epidemiology and Public Health Group, Royal Veterinary College, London, UK,
Curr Top Microbiol Immunol. 2013;365:127-51. doi: 10.1007/82_2012_239.
The essence of One Health is an interdisciplinary approach combined with some degree of intersectoral integration that is aimed at mitigation of human and animal health risks, taking account of environmental, ecological, social and economic factors. While a large number of international stakeholders now consider the One Health approach necessary for more effective protection of the global community against health threats, there is still no systematic allocation of resources to integrated national or multinational programmes, partly due to the inertia of existing sectoral systems and the lack of convincing economic arguments in support of the approach. We propose different degrees of sectoral integration depending on system types and associated economic efficiency gains to be expected from a One Health approach. International and regional organisations have an important role in facilitating the adoption of the approach, since the costs and the benefits are often of a regional or even a global nature, such as in the case of avian influenza.
大健康理念的本质是一种跨学科方法,结合一定程度的跨部门整合,旨在减轻人类和动物的健康风险,同时考虑到环境、生态、社会和经济因素。虽然现在有大量的国际利益相关者认为,大健康理念对于更有效地保护全球社会免受健康威胁是必要的,但仍然没有系统地分配资源用于综合的国家或多国方案,部分原因是由于现有部门系统的惰性,以及缺乏支持该理念的令人信服的经济论据。我们根据系统类型和预期从大健康理念中获得的相关经济效率收益,提出了不同程度的部门整合。国际和区域组织在促进该理念的采用方面发挥着重要作用,因为成本和收益往往具有区域甚至全球性的性质,如禽流感的情况。