Cameron Anishka, Esiovwa Regina, Connolly John, Hursthouse Andrew, Henriquez Fiona
University of the West of Scotland Paisley UK.
Glob Policy. 2022 May;13(2):179-192. doi: 10.1111/1758-5899.13049. Epub 2022 Mar 16.
The global COVID-19 pandemic has exacerbated existing health, social, and economic challenges and threatened progress towards achieving the UN sustainable development goals. We discuss lessons learned from the COVID-19 pandemic for global policymaking for health security governance, with a particular focus on antimicrobial resistance. We identify One Health as the primary foundation of public health risk management owing to the collaborative, multidisciplinary, and multisectoral efforts that underpin the One Health approach and that enhance understanding of the complex interactions at the human-animal-environment interface. We discuss the narrow human-centric focus of the One Health approach, highlight the underrepresentation of the environmental sector in One Health networks, and encourage greater representation from the environmental sector. Furthermore, we highlight the importance of the social sciences for health security research and the need for effective communication and trust. Finally, we underscore the importance of strengthened and collaborative health, social care, and disaster management systems. The application of these lessons will facilitate holistic, multisectoral, collaborative, and ethical actions on antimicrobial resistance.
全球新冠疫情加剧了现有的健康、社会和经济挑战,并威胁到在实现联合国可持续发展目标方面所取得的进展。我们讨论了从新冠疫情中吸取的经验教训,以用于全球卫生安全治理的政策制定,尤其关注抗菌药物耐药性。我们确定“同一健康”是公共卫生风险管理的主要基础,这是因为支撑“同一健康”方法的协作、多学科和多部门努力,增进了对人类-动物-环境界面复杂相互作用的理解。我们讨论了“同一健康”方法以人类为中心的狭隘关注点,强调了环境部门在“同一健康”网络中代表性不足的问题,并鼓励环境部门有更多代表参与。此外,我们强调社会科学对卫生安全研究的重要性以及有效沟通和信任的必要性。最后,我们强调加强卫生、社会护理和灾害管理系统并开展协作的重要性。应用这些经验教训将有助于在抗菌药物耐药性问题上采取全面、多部门、协作和符合伦理的行动。