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从“同一健康”视角看大流行带来的挑战与应对措施。

Challenges and response to pandemics as seen in a One Health perspective.

作者信息

Chen Jin, He Jian, Bergquist Robert

机构信息

National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention; Chinese Center for Tropical Diseases Research; NHC Key Laboratory for Parasites and Vectors Biology; WHO Collaborating Center for Tropical Diseases, Shanghai 200025, People's Republic of China.

School of Public Health, Fudan University, Shanghai 200025, People's Republic of China.

出版信息

Sci One Health. 2023 Mar 1;1:100010. doi: 10.1016/j.soh.2023.100010. eCollection 2022 Nov.

Abstract

The global pandemic caused by the coronavirus disease 2019 not only exposed the fragility of global preparedness and response to public health emergence, but also illustrated the fragmentation and gaps of research and development ecosystem. This emphasizes the need for planned actions against the potentiality of new pandemics and requires research to better understand how viruses bridge the animal/human divide making human-to-human transmission of new diseases possible. Major challenges to response to new epidemics under the current health framework reside in the so called 4-CC approach that focuses on Concept, Communication, Coherence, and Continuity. There is a need to also add a One Health perspective with emphasis on governance, surveillance, capacity building and multi-disciplinary research to achieve a holistic and better integrated system. Using a regulatory framework to equip professionals might facilitate the function of a multi-sector approach that recognizes the value of their mandates and a One Health approach in their work. Collaborative, multisectoral actions under the global regulations and guidance would make evidence-based One Health approaches sustainable and accessible to everyone.

摘要

2019年冠状病毒病引发的全球大流行不仅暴露了全球对突发公共卫生事件防范与应对的脆弱性,也凸显了研发生态系统的碎片化和差距。这强调了针对新的大流行可能性采取有计划行动的必要性,并且需要开展研究以更好地了解病毒如何跨越动物/人类界限,使得新疾病能够在人与人之间传播。当前卫生框架下应对新疫情的主要挑战在于所谓的4C方法,即侧重于概念、沟通、协调和连续性。还需要增加一个“同一健康”视角,强调治理、监测、能力建设和多学科研究,以实现一个更全面、整合度更高的系统。利用监管框架武装专业人员可能会促进多部门方法的运作,该方法认可他们任务的价值以及工作中的“同一健康”方法。在全球法规和指导下开展协作性多部门行动,将使基于证据的“同一健康”方法可持续且人人可用。

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