School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.
One Health Center, Shanghai Jiao Tong University-The University of Edinburgh, Shanghai, People's Republic of China.
Glob Health Res Policy. 2023 Sep 5;8(1):38. doi: 10.1186/s41256-023-00319-w.
Since the twenty first century, the outbreaks of global infectious diseases have caused several public health emergencies of international concern, imposing an enormous impact on population health, the economy, and social development. The COVID-19 pandemic has once again exposed deficiencies in existing global health systems, emergency management, and disease surveillance, and highlighted the importance of developing effective evaluation tools. This article outlines current challenges emerging from infectious disease control from the perspective of global health, elucidated through influenza, malaria, tuberculosis, and neglected tropical diseases. The discordance among government actors and absent data sharing platforms or tools has led to unfulfilled targets in health system resilience and a capacity gap in infectious disease response. The current situation calls for urgent action to tackle these threats of global infectious diseases with joined forces through more in-depth international cooperation and breaking governance barriers from the purview of global health. Overall, a systematic redesign should be considered to enhance the resilience of health systems, which warrants a great need to sustain capacity-building efforts in emergency preparedness and response and raises an emerging concern of data integration in the concept of One Health that aims to address shared health threats at the human-animal-environment interface.
自 21 世纪以来,几次全球传染病的爆发引发了几起国际关注的突发公共卫生事件,对人口健康、经济和社会发展造成了巨大影响。COVID-19 大流行再次暴露了现有全球卫生系统、应急管理和疾病监测方面的缺陷,并凸显了开发有效评估工具的重要性。本文从全球卫生的角度概述了传染病控制方面出现的当前挑战,通过流感、疟疾、结核病和被忽视的热带病加以阐明。政府行为者之间的不一致以及缺乏数据共享平台或工具,导致卫生系统弹性目标未实现,传染病应对能力出现缺口。当前形势需要通过更深入的国际合作采取紧急行动,通过全球卫生视角来打破治理障碍,共同应对这些全球传染病的威胁。总的来说,需要系统地重新设计以增强卫生系统的弹性,这就需要持续努力加强应急准备和应对方面的能力建设,并提出了一个新的关注点,即数据整合在“同一健康”概念中的应用,旨在解决人类-动物-环境界面的共同健康威胁。