1Division of Foodborne, Waterborne, and Environmental Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
2Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, United Kingdom.
Am J Trop Med Hyg. 2021 Mar 8;104(5):1620-1624. doi: 10.4269/ajtmh.20-1129.
Stunting (low height for age) affects approximately one-quarter of children aged < 5 years worldwide. Given the limited impact of current interventions for stunting, new multisectoral evidence-based approaches are needed to decrease the burden of stunting in low- and middle-income countries (LMICs). Recognizing that the health of people, animals, and the environment are connected, we present the rationale and research agenda for considering a One Health approach to child stunting. We contend that a One Health strategy may uncover new approaches to tackling child stunting by addressing several interdependent factors that prevent children from thriving in LMICs, and that coordinated interventions among human health, animal health, and environmental health sectors may have a synergistic effect in stunting reduction.
发育迟缓（年龄相关的身高不足）影响了全球大约四分之一的<5 岁儿童。鉴于目前针对发育迟缓的干预措施效果有限，需要采取新的多部门循证方法，以降低中低收入国家的发育迟缓负担。我们认识到人类、动物和环境的健康是相互关联的，因此提出了考虑采用一种综合健康方法来解决儿童发育迟缓问题的基本原理和研究议程。我们认为，通过解决阻碍儿童在中低收入国家茁壮成长的几个相互依存的因素，综合健康策略可能会发现解决儿童发育迟缓问题的新方法，而人类健康、动物健康和环境卫生部门之间的协调干预可能会对减少发育迟缓产生协同效应。
