UMR MoISA, CIRAD, Montpellier, France; MoISA, University of Montpellier, Montpellier, France; CIHEAM-IAMM, INRAE, Institut Agro, Montpellier, France.
Geneva Science-Policy Interface, University of Geneva, Geneva, Switzerland; Simon Institute for Longterm Governance, Geneva, Switzerland.
Lancet Glob Health. 2023 Aug;11(8):e1301-e1307. doi: 10.1016/S2214-109X(23)00246-2.
The COVID-19 pandemic has shown the need for better global governance of pandemic prevention, preparedness, and response (PPR) and has emphasised the importance of organised knowledge production and uptake. In this Health Policy, we assess the potential values and risks of establishing an Intergovernmental Panel for One Health (IPOH). Similar to the Intergovernmental Panel on Climate Change, an IPOH would facilitate knowledge uptake in policy making via a multisectoral approach, and hence support the addressing of infectious disease emergence and re-emergence at the human-animal-environment interface. The potential benefits to pandemic PPR include a clear, unified, and authoritative voice from the scientific community, support to help donors and institutions to prioritise their investments, evidence-based policies for implementation, and guidance on defragmenting the global health system. Potential risks include a scope not encompassing all pandemic origins, unclear efficacy in fostering knowledge uptake by policy makers, potentially inadequate speed in facilitating response efforts, and coordination challenges among an already dense set of stakeholders. We recommend weighing these factors when designing institutional reforms for a more effective global health system.
COVID-19 大流行表明需要更好地对全球大流行病的预防、防备和应对进行治理，并强调了有组织地开展知识生产和应用的重要性。在本项卫生政策研究中，我们评估了建立一个统一大健康政府间专家组（IPOH）的潜在价值和风险。与政府间气候变化专门委员会类似，一个 IPOH 将通过多部门办法促进在决策中采用知识，从而支持解决在人类-动物-环境界面出现和再次出现的传染病。对大流行病防备和应对的潜在惠益包括科学界发出明确、统一和权威的声音，支持帮助捐助者和机构确定其投资重点，为实施提供循证政策，并就打破全球卫生系统碎片化提供指导。潜在风险包括范围不包括所有大流行病的起源，对决策者促进知识应用的效果不明确，在推动应对工作方面速度可能不足，以及在已经密集的利益攸关方群体中进行协调的挑战。我们建议在为更有效的全球卫生系统设计体制改革时权衡这些因素。
