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实施“同一健康”方法应对新出现和重新出现的人畜共患病威胁:来自“预测”项目的经验教训

Implementing One Health approaches to confront emerging and re-emerging zoonotic disease threats: lessons from PREDICT.

作者信息

Kelly Terra R, Machalaba Catherine, Karesh William B, Crook Paulina Zielinska, Gilardi Kirsten, Nziza Julius, Uhart Marcela M, Robles Erika Alandia, Saylors Karen, Joly Damien O, Monagin Corina, Mangombo Prime Mulembakani, Kingebeni Placide Mbala, Kazwala Rudovick, Wolking David, Smith Woutrina, Mazet Jonna A K

机构信息

One Health Institute, University of California, Davis, CA USA.

EcoHealth Alliance, New York, NY USA.

出版信息

One Health Outlook. 2020 Jan 10;2:1. doi: 10.1186/s42522-019-0007-9. eCollection 2020.

Abstract

Recurring outbreaks of emerging and re-emerging zoonoses, such as Ebola virus disease, avian influenza, and Nipah virus, serve as a reminder that the health of humans, animals, and the environment are interconnected and that early response to emerging zoonotic pathogens requires a coordinated, interdisciplinary, cross-sectoral approach. As our world becomes increasingly connected, emerging diseases pose a greater threat, requiring coordination at local, regional, and global levels. One Health is a multisectoral, transdisciplinary, and collaborative approach promoted to more effectively address these complex health threats. Despite strong advocacy for One Health, challenges for practical implementation remain. Here we discuss the value of the One Health approach for addressing global health challenges. We also share strategies applied to achieve successful outcomes through the USAID Emerging Pandemic Threats Program PREDICT project, which serve as useful case studies for implementing One Health approaches. Lastly, we explore methods for promoting more formal One Health implementation to capitalize on the added value of shared knowledge and leveraged resources.

摘要

新发和再发人畜共患病的反复爆发,如埃博拉病毒病、禽流感和尼帕病毒,提醒人们人类、动物和环境的健康是相互关联的,对新发人畜共患病原体的早期应对需要采取协调一致的跨学科、跨部门方法。随着我们的世界联系日益紧密,新发疾病构成了更大的威胁,需要在地方、区域和全球层面进行协调。“同一健康”是一种多部门、跨学科的协作方法,旨在更有效地应对这些复杂的健康威胁。尽管对“同一健康”进行了大力倡导,但实际实施仍面临挑战。在此,我们讨论“同一健康”方法在应对全球健康挑战方面的价值。我们还分享了通过美国国际开发署新兴大流行威胁计划“预测”项目实现成功成果所应用的策略,这些策略可作为实施“同一健康”方法的有益案例研究。最后,我们探索促进更正式实施“同一健康”的方法,以利用共享知识和杠杆资源的附加价值。

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