Baquero Oswaldo Santos
Department of Preventive Veterinary Medicine and Animal Health, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo, Brazil.
Research Group on Peripheries, Institute of Advanced Studies, University of São Paulo, São Paulo, Brazil.
Front Public Health. 2021 Jun 30;9:617003. doi: 10.3389/fpubh.2021.617003. eCollection 2021.
Amid the urgency to solve countless and severe health problems, asking what is health or who can and must have it may seem like a waste of time. However, some responses can reveal prevailing practices that divert attention from fundamental problems, thus maintaining privileges and deepening health inequities. One Health of Peripheries arises from these questions and takes three interdependent senses. The first refers to attributes determining the well-being and suffering of peripheral multispecies collectives: a state, a process, the realization of capacities. The second problematizes marginalizing apparatuses that define health and who can and should have it. The third encompasses practices in more-than-human social spaces in which, and through which, One Health is experienced, understood, and transformed. The qualification of health as "one" does not refer to the lack of plurality, nor to the simple aggregation of health fragments (human + animal + environmental), but to the complexity of health in a field with peripheral places, ensuing from margins to privilege those who are inside and legitimize the exploitation of those who are outside. The interaction among margins creates degrees and kinds of privilege and vulnerability that materialize epidemiologic profiles while articulating different peripheral strengths and needs supports a collective resistance to break margins. Social , a key concept in the (Latin American) collective health movement, underlies such profiles. However, this movement overlooks the more-than-human dimension of social determination; that is to say, One Health of Peripheries is a blind spot of collective health. The cartography of One Health of Peripheries has unique needs regarding participation, research, and inclusive policies for the decolonial promotion of healthy lifestyles.
在急于解决无数严重健康问题的背景下,追问什么是健康或谁能够且必须拥有健康,可能看似是在浪费时间。然而,一些回答可能会揭示那些将注意力从根本问题上转移开的普遍做法,从而维护特权并加深健康不平等。边缘地带的“同一健康”概念就源于这些问题,并具有三种相互依存的意义。第一种意义指的是决定边缘多物种群体福祉与苦难的属性:一种状态、一个过程、能力的实现。第二种意义对界定健康以及谁能够且应该拥有健康的边缘化机制提出质疑。第三种意义涵盖了在超人类社会空间中的实践,在这些空间里,人们体验、理解并转变“同一健康”。将健康界定为“同一”,并非指缺乏多元性,也不是指健康碎片(人类+动物+环境)的简单累加,而是指在一个存在边缘地带的领域中健康的复杂性,这种复杂性从边缘产生,以优待内部群体并使对外部群体的剥削合法化。边缘之间的相互作用产生了不同程度和种类的特权与脆弱性,这些特权与脆弱性形成了流行病学特征,同时阐明不同的边缘优势和需求,支持集体抵抗以打破边缘状态。“社会”是(拉丁美洲)集体健康运动中的一个关键概念,是这些特征的基础。然而,这一运动忽视了社会决定因素的超人类维度;也就是说,边缘地带的“同一健康”是集体健康的一个盲点。边缘地带的“同一健康”版图在参与、研究以及促进健康生活方式的去殖民化包容性政策方面有着独特需求。