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连接粮食系统与“同一健康”:预防未来大流行的关键?

Bridging Food Systems and One Health: A key to preventing future pandemics?

作者信息

Arredondo-Rivera Marcia, Barois Zoe, Monti Gustavo Enrique, Steketee Johanna, Daburon Annabelle

机构信息

Wageningen Economic Research, Wageningen University & Research, Atlas (gebouw 104), Droevendaalsesteeg 4, 6708 PB Wageningen, the Netherlands.

Wageningen Centre for Development Innovation, Wageningen University & Research, Droevendaalsesteeg 1, 6708 PB Wageningen, the Netherlands.

出版信息

One Health. 2024 Apr 10;18:100727. doi: 10.1016/j.onehlt.2024.100727. eCollection 2024 Jun.

DOI:10.1016/j.onehlt.2024.100727
PMID:38628630
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11019457/
Abstract

Food Systems and One Health are two approaches increasingly known for the holistic perspective they bring when addressing the issues that concern them: food and health. This systematic literature review aims to explore the evidence for using these approaches in a concerted manner to better manage zoonoses. By zoonoses management, we refer to improving the ability to address current zoonoses as well as preventing future ones. A total of 98 scientific articles were screened, of which 29 were considered eligible due to their focus on operationalizing each approach to help address zoonoses, as well as a combination of the two. Most articles implement One Health to prevent zoonoses by guiding stakeholders in concerted and participatory decision-making processes. However, the One Health approach can also be adopted via data modelling. Several articles refer to the monitoring and evaluation process of One Health initiatives to prevent zoonoses and discuss best practices to successfully implement the approach. Contrastingly, only three studies adopt a Food System approach to manage zoonoses, despite the profound connections existing between our food systems and the emergence of zoonotic risks. We conclude that there is a lack of integration between the One Health and Food System approaches to manage zoonoses. We also show that experts call for integration, so that not only human, animal, plant, and environmental health are considered, but also the socio-economic trade-offs when monitoring and developing strategies to manage zoonoses. This can be reversed, enabling zoonotic risks to be addressed when planning for our food systems of tomorrow.

摘要

粮食系统和“同一健康”是两种越来越为人所知的方法,它们在解决与它们相关的问题(即粮食和健康)时,带来了整体视角。本系统文献综述旨在探索以协同方式运用这些方法以更好地管理人畜共患病的证据。通过人畜共患病管理,我们指的是提高应对当前人畜共患病的能力以及预防未来的人畜共患病。总共筛选了98篇科学文章,其中29篇因其专注于将每种方法付诸实践以帮助应对人畜共患病以及两者的结合而被认为符合要求。大多数文章通过在协同和参与性决策过程中指导利益相关者来实施“同一健康”以预防人畜共患病。然而,“同一健康”方法也可以通过数据建模来采用。几篇文章提到了“同一健康”倡议预防人畜共患病的监测和评估过程,并讨论了成功实施该方法的最佳实践。相比之下,尽管我们的粮食系统与动物源性病风险的出现之间存在着深刻的联系,但只有三项研究采用粮食系统方法来管理人畜共患病。我们得出结论,在管理人畜共患病方面,“同一健康”和粮食系统方法之间缺乏整合。我们还表明,专家呼吁进行整合,以便在监测和制定管理人畜共患病的战略时,不仅要考虑人类、动物、植物和环境健康,还要考虑社会经济权衡。这种情况可以得到扭转,从而在规划我们未来的粮食系统时能够应对动物源性病风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f80/11019457/bb0335ee68c5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f80/11019457/bb0335ee68c5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f80/11019457/bb0335ee68c5/gr1.jpg

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本文引用的文献

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Exploring scenarios for the food system-zoonotic risk interface.探索食物系统-人畜共患病风险界面的情景。
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Co-production of knowledge as part of a OneHealth approach to better control zoonotic diseases.作为加强人畜共患病控制的“同一健康”方法的一部分的知识共同生产。
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国家内的“同一健康”系统强化:在人-动物-环境界面的三方工具和方法。
BMJ Glob Health. 2023 Jan;8(1). doi: 10.1136/bmjgh-2022-011236.
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Multisectoral prioritization of zoonotic diseases in Haryana (India) using one health approach.采用“One Health”方法对哈里亚纳邦(印度)的人畜共患病进行多部门优先排序。
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