Grace Delia
International Livestock Research institute, Nairobi.
Onderstepoort J Vet Res. 2014 Apr 23;81(2):E1-6. doi: 10.4102/ojvr.v81i2.725.
This article outlines a pathway to develop the business case for One Health. It describes the origin and development of One Health and then identifies five potential areas where One Health can add value and reduce costs. These are: (1) sharing health resources between the medical and veterinary sectors; (2) controlling zoonoses in animal reservoirs; (3) early detection and response to emerging diseases; (4) prevention of pandemics; and (5) generating insights and adding value to health research and development. Examples are given for each category along with preliminary estimates of the potential savings from adopting the One Health approach. The literature reviewed suggests that one dollar invested in One Health can generate five dollars worth of benefits and a global investment of US$25 billion over 10 years could generate benefits worth at least US$125 billion. Conservation implications: the time has come to make the bigger case for massive investment in One Health in order to transform the management of neglected and emerging zoonoses and to save the lives of millions of people and hundreds of millions of animals whose production supports and nourishes billions of impoverished people per annum.
本文概述了制定“同一健康”商业案例的途径。它描述了“同一健康”的起源和发展，然后确定了“同一健康”可以增加价值和降低成本的五个潜在领域。这些领域是：（1）在医疗和兽医部门之间共享卫生资源；（2）控制动物宿主中的人畜共患病；（3）对新发疾病进行早期检测和应对；（4）预防大流行；（5）为卫生研究与开发提供见解并增加价值。针对每个类别都给出了示例，并对采用“同一健康”方法可能节省的成本进行了初步估算。所审查的文献表明，在“同一健康”方面投入一美元可以产生价值五美元的效益，在10年内全球投资250亿美元可能产生至少1250亿美元的效益。对保护的影响：现在是时候大力倡导对“同一健康”进行大规模投资了，以便改变对被忽视的人畜共患病和新发人畜共患病的管理，并拯救数百万人和数亿动物的生命，这些动物的生产每年为数十亿贫困人口提供支持和营养。
