Schurer J M, Mosites E, Li C, Meschke S, Rabinowitz P
Department of Veterinary Microbiology, University of Saskatchewan, 52 Campus Drive, Saskatoon S7N 5B4, Canada.
Department of Environmental and Occupational Health Sciences, University of Washington, 1959 Pacific Street, Seattle 98195, United States.
One Health. 2016 Nov 4;2:166-174. doi: 10.1016/j.onehlt.2016.11.002. eCollection 2016 Dec.
The One Health (OH) concept provides an integrated framework for observing and improving health issues involving human, animal, and environmental factors, and has been applied in particular to zoonotic disease problems. We conducted a systematic review of English and Chinese language peer-reviewed and grey literature databases to identify zoonotic endoparasite research utilizing an OH approach in community-based settings. Our review identified 32 articles where specimens collected simultaneously from all three OH domains (people, animals, and the environment) were assessed for endoparasite infection or exposure. Study sites spanned 23 countries, and research teams brought together an average of seven authors from two countries. Surveillance of blood-borne and gastrointestinal protozoa were most frequently reported (19 of 32; 59%), followed by trematodes, nematodes, and cestodes. Laboratory techniques varied greatly between studies, and only 16 identified parasites using Polymerase Chain Reaction (PCR) in all three OH domains. Our review identified important gaps in parasitology research operating under an OH framework. We recommend that investigators working in the realm of zoonotic disease strive to evaluate all three OH domains by integrating modern molecular tools as well as techniques provided by economists and social scientists.
“同一健康”（OH）概念提供了一个综合框架，用于观察和改善涉及人类、动物和环境因素的健康问题，尤其已应用于人畜共患疾病问题。我们对英文和中文的同行评审及灰色文献数据库进行了系统综述，以确定在基于社区的环境中利用“同一健康”方法开展的人畜共患体内寄生虫研究。我们的综述确定了32篇文章，这些文章对同时从“同一健康”的所有三个领域（人、动物和环境）采集的标本进行了体内寄生虫感染或接触情况评估。研究地点遍布23个国家，研究团队平均汇聚了来自两个国家的七名作者。血源和胃肠道原生动物的监测报告最为频繁（32篇中的19篇；59%），其次是吸虫、线虫和绦虫。不同研究之间的实验室技术差异很大，只有16项研究在“同一健康”的所有三个领域使用聚合酶链反应（PCR）鉴定寄生虫。我们的综述发现了在“同一健康”框架下开展的寄生虫学研究中存在的重要差距。我们建议，从事人畜共患疾病领域研究的人员应努力通过整合现代分子工具以及经济学家和社会科学家提供的技术来评估“同一健康”的所有三个领域。
