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从“同一健康”视角看抗生素耐药性问题。

A One Health perspective on the issue of the antibiotic resistance.

机构信息

Laboratoire CIMEOS EA4177, Université de Bourgogne, 4 boulevard Gabriel, 21000 Dijon, France.

出版信息

Parasite. 2021;28:16. doi: 10.1051/parasite/2021006. Epub 2021 Mar 19.

DOI:10.1051/parasite/2021006
PMID:33739262
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7977273/
Abstract

For a few years now, the One Health concept has appeared to go hand in hand with the issue of antibiotic resistance as the most comprehensive and global solution. As part of a study comparing the publicization process of the links between antibiotic resistance and food in France and in the United States, this paper retraces the One Health concept's trajectory in terms of significations and (re)definitions, according to the actors adopting this approach as a viable solution. Furthermore, this paper questions the concept's take over impact in antibiotic resistance reframing as well as its expansion in terms of functioning and applicability. Within social sciences research, interest in the issue of antibiotic resistance and the One Health approach has largely been established in recent years by a growing number of studies examining its different and multiple aspects. The specificity of this research lies in its two different levels of questioning the One Health concept. Firstly, the concept seems to be referred to by various formulas, from its oldest form, One Medicine-1984, to One World, One Health. Secondly, the concept is being redefined as links between a plurality of domains are recognized (human health, animal health, the environment, and food), following the emergence of international health and food crises and as their multi-level consequences are being addressed by various stakeholders, including public authorities, political leaders, and economic actors.

摘要

几年来,“同一健康”理念似乎与抗生素耐药性问题一起成为最全面和最具全球性的解决方案。本文作为一项比较法国和美国食品抗生素耐药性宣传过程的研究的一部分,根据采用这一方法作为可行解决方案的行为者,追溯了“同一健康”概念在意义和(重新)定义方面的轨迹。此外,本文还质疑了该概念在抗生素耐药性重新构建中的接管影响,以及在功能和适用性方面的扩展。在社会科学研究中,近年来,越来越多的研究考察了抗生素耐药性和同一健康方法的不同和多个方面,人们对该问题的兴趣大大增加。这项研究的特殊性在于其对同一健康概念的两个不同层面的质疑。首先,该概念似乎通过各种表述被提及,从其最古老的形式,即 1984 年的“同一医学”到“同一世界,同一健康”。其次,该概念正在被重新定义,因为人们认识到多个领域之间的联系(人类健康、动物健康、环境和食品),这是在出现国际卫生和食品危机之后发生的,并且各个利益相关者(包括公共当局、政治领导人以及经济行为者)正在针对这些危机的多层次后果进行处理。

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