Centre for One Health Education, Advocacy, Research and Training (COHEART), Kerala Veterinary and Animal Sciences University, Pookode, Kerala, India.
Section of Epidemiology, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland.
J Vector Borne Dis. 2022 Jan-Mar;59(1):70-78. doi: 10.4103/0972-9062.331407.
BACKGROUND & OBJECTIVES: Kyasanur Forest Disease (KFD) is a vector borne haemorrhagic fever that is endemic in the Wayanad region located in Northern part of Kerala, India. The region is managing the outbreak well ever since the major epidemic of 2015. This was because of the successful implementation of One Health (OH) initiative concentrating on multisectoral collaboration between regional institutions involved in public, animal and environmental health domains. The article presents how OH was implemented for the first time in the district in the year 2015 and evaluates the degree OH-ness of the Initiative.
The OH approach involved trans-disciplinary stakeholder meetings and reviews, outbreak management and integrated surveillance targeting ticks, monkeys and humans. The degree of OH-ness used for addressing KFD during the year 2015 was evaluated following the protocol developed by the Network for Evaluation of One Health (NEOH). In detail, we (i) described the OH initiative and its system (Aim, stakeholders, action strategy) and (ii) scored different aspects of this initiative (i.e., OH-thinking, -planning, -working, -sharing, -learning, -organization), with values from 0 (=no OH approach) to 1 (=perfect OH approach).
We obtained a median score for each aspect evaluated. We reached high scores for OH systemic organization (1.0), OH thinking (0.83) and OH working (0.83). Lower scores were attributed to OH planning (0.58), OH sharing (0.50) and OH learning (0.33). The OH index was 0.36 and OH ratio was 0.95, indicating a balance between the OH operations and supporting infrastructures.
INTERPRETATION & CONCLUSION: With this we could high-light some critical issues related to communication on sharing data as well as learning gaps for consideration to control future outbreaks. The strengths and weaknesses detected may be used to refine the initiative, aiming to provide a basis for the development of shared recommendations in a more OH-oriented perspective. This model of evaluation criteria will serve to create a database of OH success stories in India that will in turn help to institutionalize the approach at ministerial level. Future India is moving towards implementing a One Health, hence, this study data will provide an ideal opportunity for all sectors to control any vector borne diseases.
基孔肯雅热（KFD）是一种由节肢动物传播的出血热，在印度喀拉拉邦北部的韦丹努尔地区流行。自 2015 年发生重大疫情以来，该地区一直很好地应对疫情。这是因为成功实施了一项关注公共、动物和环境卫生领域区域机构之间多部门合作的“同一健康”（OH）倡议。本文介绍了该地区 2015 年首次实施 OH 倡议的情况，并评估了该倡议的 OH 程度。
OH 方法涉及跨学科利益相关者会议和审查、疫情管理以及针对蜱、猴子和人类的综合监测。根据网络评估同一健康（NEOH）制定的协议，评估了 2015 年期间针对 KFD 采用 OH 方法的程度。具体来说，我们 (i) 描述了 OH 倡议及其系统（目标、利益相关者、行动策略），以及 (ii) 对该倡议的不同方面进行了评分（即，OH 思维、OH 规划、OH 工作、OH 共享、OH 学习、OH 组织），取值范围为 0（无 OH 方法）至 1（完美的 OH 方法）。
我们为每个评估方面获得了中位数得分。我们在 OH 系统组织方面（1.0）、OH 思维方面（0.83）和 OH 工作方面（0.83）获得了较高分数。较低的分数归因于 OH 规划方面（0.58）、OH 共享方面（0.50）和 OH 学习方面（0.33）。OH 指数为 0.36，OH 比率为 0.95，表明 OH 操作和支持基础设施之间的平衡。
通过这一点，我们可以突出与数据共享沟通以及学习差距相关的一些关键问题，以考虑控制未来的疫情。检测到的优势和劣势可用于改进该倡议，旨在为更具 OH 导向的视角提供制定共同建议的基础。该评估标准模型将用于在印度创建 OH 成功案例数据库，从而有助于在部级层面将该方法制度化。未来，印度将实施同一健康，因此，本研究数据将为所有部门控制任何媒介传播疾病提供理想的机会。
