Wannous C
Rev Sci Tech. 2020 Aug;39(2):461-470. doi: 10.20506/rst.39.2.3097.
In recent times, there has been an increased focus on animal health and zoonotic diseases that have the potential to trigger epidemics or pandemics that disproportionately affect the poor and most vulnerable. The recent Ebola, Zika and COVID-19 outbreaks demonstrate the devastating human, social and economic impacts of such diseases if they are not prevented or controlled, ideally at source. The risk drivers for zoonoses, which are complex and often interdependent, include climate change and related disasters, antimicrobial resistance, and anthropogenic drivers such as land-use changes and animal production practices. Understanding these drivers requires a better understanding of the ecology of zoonotic diseases at the human-animal-environment interface. Biosecurity and biosafety are critical for reducing the risk of accidental or deliberate release and should be included in risk management strategies. International frameworks for sustainable development, climate change, and disaster risk reduction have all integrated health as one of the core areas of work, calling for better preparedness and response to biological hazards and increased health system resilience. To improve their ability to prevent, prepare for, and respond to emerging and re-emerging threats, countries should address these risk drivers, taking a multidisciplinary One Health approach that involves the animal and human health and environment sectors. Cross-border cooperation is also vital, as diseases know no boundaries.
近年来,人们越来越关注动物健康以及可能引发流行病或大流行的人畜共患疾病,这些疾病对穷人和最弱势群体的影响尤为严重。近期的埃博拉、寨卡和新冠疫情表明,如果这些疾病得不到预防或控制,最好是从源头进行防控,将会对人类、社会和经济造成毁灭性影响。人畜共患病的风险驱动因素复杂且往往相互依存,包括气候变化及相关灾害、抗菌药物耐药性,以及土地利用变化和动物生产方式等人为主导因素。要了解这些驱动因素,就需要更好地理解人畜共患疾病在人类-动物-环境界面的生态情况。生物安全和生物安保对于降低意外或故意释放的风险至关重要,应纳入风险管理战略。可持续发展、气候变化和减少灾害风险的国际框架都将健康作为核心工作领域之一,要求更好地防范和应对生物危害,并增强卫生系统的复原力。为提高各国预防、防范和应对新出现及再次出现威胁的能力,各国应采取多学科的“同一健康”方法来应对这些风险驱动因素,该方法涉及动物健康、人类健康和环境部门。跨境合作也至关重要,因为疾病是不分国界的。