de Moura Raphael Rolim, Chiba de Castro Wagner Antonio, Farinhas João Henrique, Pettan-Brewer Christina, Kmetiuk Louise Bach, Dos Santos Andrea Pires, Biondo Alexander Welker
Department of Veterinary Medicine, Federal University of Paraná (UFPR), Curitiba, PR 80035-050, Brazil.
Coordination of the Metropolitan Region of Curitiba, Secretariat of Urban Development and Public Works of Paraná State, Curitiba, PR 80530-140, Brazil.
One Health. 2022 Jan 31;14:100373. doi: 10.1016/j.onehlt.2022.100373. eCollection 2022 Jun.
One Health has been defined as a comprehensive approach to human, animal, and environmental health, but unsuccessful in providing a specific index for city, state, or country assessment. Accordingly, the present study aimed to calculate the One Health Index (OHI) in 29 cities of the Curitiba metropolitan area, the ninth largest in Brazil. Animal and Environmental health indicators were obtained from the city secretary of environment. The social vulnerability index (SVI) was used as the overall human health indicator. The indicators were parameterized following a binary logic Principal component analysis (PCA) was applied in association with city population, per capita income, and distance from the capital Curitiba. Permutational multivariate analysis of variance (PERMANOVA) was applied using the three first coefficients of the principal components obtained from Principal Component Analysis Plot (PCA) and exploring a pairwise comparison between the scenario ranges. A value of p less than 0.05 was considered significant. Overall, a higher OHI was associated with a higher city population and income, and shorter distance from the capital, and tendency of low-income cities to present lower OHI compared to higher-income cities. In conclusion, the OHI proposed herein portrays a holistic representation of a city's overall health. Moreover, animal issues should be considered part of local to global sustainability, considering OHI to calculate sustainability indexes.
“同一健康”已被定义为一种针对人类、动物和环境健康的综合方法，但在为城市、州或国家评估提供具体指标方面并不成功。因此，本研究旨在计算巴西第九大城市库里蒂巴大都市区29个城市的同一健康指数（OHI）。动物和环境健康指标来自城市环境秘书。社会脆弱性指数（SVI）被用作整体人类健康指标。这些指标按照二元逻辑进行参数化。主成分分析（PCA）与城市人口、人均收入以及与首都库里蒂巴的距离相关联应用。使用从主成分分析图（PCA）获得的主成分的前三个系数进行置换多元方差分析（PERMANOVA），并探索情景范围之间的成对比较。p值小于0.05被认为具有显著性。总体而言，较高的OHI与较高的城市人口和收入以及离首都较短的距离相关，并且低收入城市与高收入城市相比呈现较低OHI的趋势。总之，本文提出的OHI描绘了一个城市整体健康的全面表征。此外，考虑到OHI来计算可持续性指数，动物问题应被视为地方到全球可持续性的一部分。
