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“同一健康”治理:理论、实践与伦理

One Health governance: theory, practice and ethics.

作者信息

Zhou Yinling, Frutos Roger, Bennis Issam, Wakimoto Mayumi D

机构信息

Wuhan University Institute of International Law/Wuhan University Academy of International Law and Global Governance, Wuhan 430071, Hubei, China.

Cirad, Intertryp, Montpellier 34070, France.

出版信息

Sci One Health. 2024 Nov 8;3:100089. doi: 10.1016/j.soh.2024.100089. eCollection 2024.

DOI:10.1016/j.soh.2024.100089
PMID:39633847
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11616075/
Abstract

One Health approach is a global public good (GPG) that invites governance to maximize the health of humans, animals, and the environment by shaping interdisciplinary and cross-sectoral collaboration. This paper explores the theoretical foundations, practical applications, and ethical considerations of the One Health governance architecture. At the theoretical level, One Health governance invites systems thinking and involves collaborative efforts among multiple stakeholders, applying across multi-layered scenarios and requires public-private partnership (PPP). This governance architecture transcends traditional anthropocentrism and shifts towards ecocentrism, highlighting the integrity of ecosystems and the deep prevention of diseases. Selected case studies illustrate the implementation of One Health initiatives, such as shared water resources, disease surveillance programmes, and sustainable environmental health interventions, demonstrating the added value of a collaborative efforts across sectors and regions. Ethical considerations are integral to decision-making and actions of One Health governance, with a focus on equity, inclusivity and accountability, providing moral guidelines to prioritize the health of vulnerable populations and ecosystems. Through these efforts, One Health governance is expected to improve public health globally, promote sustainable development, and achieve a harmonious coexistence of human, animal, and environmental health.

摘要

“同一健康”方法是一种全球公共产品,它呼吁通过构建跨学科和跨部门合作来实现人类、动物和环境健康的最大化。本文探讨了“同一健康”治理架构的理论基础、实际应用和伦理考量。在理论层面,“同一健康”治理倡导系统思维,涉及多个利益相关者之间的协同努力,适用于多层场景,并需要公私伙伴关系(PPP)。这种治理架构超越了传统的人类中心主义,转向生态中心主义,强调生态系统的完整性和疾病的深度预防。选定的案例研究展示了“同一健康”倡议的实施情况,如共享水资源、疾病监测计划和可持续环境卫生干预措施,证明了跨部门和跨地区协同努力的附加价值。伦理考量是“同一健康”治理决策和行动不可或缺的一部分,重点关注公平、包容性和问责制,为优先考虑弱势群体和生态系统的健康提供道德准则。通过这些努力,预计“同一健康”治理将改善全球公共卫生,促进可持续发展,并实现人类、动物和环境健康的和谐共存。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4baa/11616075/719d12555e27/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4baa/11616075/719d12555e27/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4baa/11616075/719d12555e27/gr1.jpg

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本文引用的文献

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Constructing a One Health governance architecture: a systematic review and analysis of governance mechanisms for One Health.构建“同一健康”治理架构:对“同一健康”治理机制的系统评价与分析
Eur J Public Health. 2024 Dec 1;34(6):1086-1094. doi: 10.1093/eurpub/ckae124.
2
Global health, planetary health, One Health: conceptual and ethical challenges and concerns.全球健康、行星健康、One Health:概念、伦理挑战与关切
Theor Med Bioeth. 2024 Jun;45(3):241-250. doi: 10.1007/s11017-024-09670-6. Epub 2024 May 25.
3
Towards an actionable One Health approach.
迈向可行的“同一健康”方法。
Infect Dis Poverty. 2024 Apr 12;13(1):28. doi: 10.1186/s40249-024-01198-0.
4
Whose health and which health? Two theoretical flaws in the One Health paradigm.谁的健康和哪种健康?“One Health”范式中的两个理论缺陷。
Bioethics. 2023 Sep;37(7):674-682. doi: 10.1111/bioe.13192. Epub 2023 Jun 9.
5
Embed Multisectoral Governance Mechanisms in the Pandemic Instrument for One Health Action.将多部门治理机制嵌入大流行防范与应对基金中的“同一健康”行动。
J Law Med Ethics. 2022;50(S2):71-81. doi: 10.1017/jme.2023.30.
6
Evolution and expansion of the One Health approach to promote sustainable and resilient health and well-being: A call to action.推动可持续和有弹性的健康和福祉的“同一健康”方法的演变和扩展:行动呼吁。
Front Public Health. 2023 Jan 13;10:1056459. doi: 10.3389/fpubh.2022.1056459. eCollection 2022.
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Global and regional governance of One Health and implications for global health security.“同一健康”的全球和区域治理及其对全球卫生安全的影响
Lancet. 2023 Feb 25;401(10377):688-704. doi: 10.1016/S0140-6736(22)01597-5. Epub 2023 Jan 19.
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One Health: a call for ecological equity.同一健康:对生态公平的呼吁。
Lancet. 2023 Jan 21;401(10372):169. doi: 10.1016/S0140-6736(23)00090-9.
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One Health: A new definition for a sustainable and healthy future.同一健康:可持续健康未来的新定义。
PLoS Pathog. 2022 Jun 23;18(6):e1010537. doi: 10.1371/journal.ppat.1010537. eCollection 2022 Jun.
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The "One Health" approach in the face of Covid-19: how radical should it be?面对新冠疫情的“同一健康”方法:应该有多激进?
Philos Ethics Humanit Med. 2022 Feb 28;17(1):3. doi: 10.1186/s13010-022-00116-2.