Rostal Melinda K, Ross Noam, Machalaba Catherine, Cordel Claudia, Paweska Janusz T, Karesh William B
EcoHealth Alliance, 460 W 34th St FL 17, New York, NY 10001, USA.
ExecuVet (PTY) Ltd, 8 Roderick Crescent, Noordhoek, Bloemfontein, Free State, South Africa.
One Health. 2018 Jan 11;5:34-36. doi: 10.1016/j.onehlt.2018.01.001. eCollection 2018 Jun.
One Health has been promoted by international institutions as a framework to improve public health outcomes. Despite strong overall interest in One Health, country-, local- and project-level implementation remains limited, likely due to the lack of pragmatic and tested operational methods for implementation and metrics for evaluation. Here we use Rift Valley fever virus as an example to demonstrate the value of using a One Health approach for both scientific and resources advantages. We demonstrate that coordinated, investigations between One Health sectors can yield higher statistical power to elucidate important public health relationships as compared to siloed investigations and post-hoc analyses. Likewise, we demonstrate that across a project or multi-ministry health study a One Health approach can result in improved resource efficiency, with resultant cost-savings (35% in the presented case). The results of these analyses demonstrate that One Health approaches can be directly and tangibly applied to health investigations.
“同一个健康”（One Health）已被国际机构作为改善公共卫生成果的框架加以推广。尽管总体上对“同一个健康”有着浓厚兴趣，但国家、地方和项目层面的实施仍然有限，这可能是由于缺乏务实且经过检验的实施操作方法和评估指标。在此，我们以裂谷热病毒为例，展示采用“同一个健康”方法所具有的科学和资源优势的价值。我们证明，与各自为政的调查和事后分析相比，“同一个健康”各部门之间进行协调调查能够产生更高的统计效力，以阐明重要的公共卫生关系。同样，我们证明，在一个项目或多部门健康研究中，采用“同一个健康”方法能够提高资源效率，并由此节省成本（在本案例中节省35%）。这些分析结果表明，“同一个健康”方法可直接且切实地应用于健康调查。
