Clifford Astbury Chloe, Demeshko Anastassia, Aguilar Russel, Mapatano Mala Ali, Li Angran, Togño Kathleen Chelsea, Shi Zhilei, Wang Zhuoyu, Wu Cary, Yambayamba Marc K, Carabin Hélène, Clarke Janielle, De Leon Valentina, Desai Shital, Gallo-Cajiao Eduardo, Lee Kirsten Melissa, Sivapragasam Krishihan, Wiktorowicz Mary, Penney Tarra L
Global Food System & Policy Research, York University, Toronto, Ontario, Canada.
Dahdaleh Institute for Global Health Research, York University, Toronto, Ontario, Canada.
BMJ Glob Health. 2025 Jan 14;10(1):e016313. doi: 10.1136/bmjgh-2024-016313.
Evolving human-wildlife interactions have contributed to emerging zoonoses outbreaks, and pandemic prevention policy for wildlife management and conservation requires enhanced consideration from this perspective. However, the risk of unintended consequences is high. In this study, we aimed to assess how unrecognised complexity and system adaptation can lead to policy failure, and how these dynamics may impact zoonotic spillover risk and food system outcomes.
This study focused on three countries: China, the Democratic Republic of the Congo (DRC) and the Philippines. We combined evidence from a rapid literature review with key informant interviews to develop causal loop diagrams (CLDs), a form of systems map representing causal theory about system factors and interconnections. We analysed these CLDs using the 'fixes that fail' (FTF) systems archetype, a conceptual tool used to understand and communicate how system adaptation can lead to policy failure. In each country, we situated the FTF in the wider system of disease ecology and food system factors to highlight how zoonotic risk and food system outcomes may be impacted.
We interviewed 104 participants and reviewed 303 documents. In each country, we identified a case of a policy with the potential to become an FTF: wildlife farming in China, the establishment of a new national park in the DRC, and international conservation agenda-setting in the Philippines. In each country, we highlighted context-specific impacts of the FTF on zoonotic spillover risk and key food system outcomes.
Our use of systems thinking highlights how system adaptation may undermine prevention policy aims, with a range of unintended consequences for food systems and human, animal and environmental health. A broader application of systems-informed policy design and evaluation could help identify instruments approporiate for the disruption of system traps and improve policy success. A One Health approach may also increase success by supporting collaboration, communication and trust among actors to imporove collective policy action.
不断演变的人类与野生动物的互动导致了新发人畜共患病的爆发,野生动物管理和保护的大流行预防政策需要从这一角度得到更多考虑。然而,产生意外后果的风险很高。在本研究中,我们旨在评估未被认识到的复杂性和系统适应性如何导致政策失败,以及这些动态如何影响人畜共患病溢出风险和粮食系统结果。
本研究聚焦于三个国家:中国、刚果民主共和国(DRC)和菲律宾。我们将快速文献综述的证据与关键信息提供者访谈相结合,以绘制因果循环图(CLD),这是一种系统地图形式,代表关于系统因素及其相互联系的因果理论。我们使用“适得其反的解决方案”(FTF)系统原型分析这些因果循环图,这是一种概念工具,用于理解和阐述系统适应性如何导致政策失败。在每个国家,我们将FTF置于更广泛的疾病生态系统和粮食系统因素体系中,以突出人畜共患病风险和粮食系统结果可能受到的影响。
我们采访了104名参与者并查阅了303份文件。在每个国家,我们都确定了一个有可能成为FTF的政策案例:中国的野生动物养殖、刚果民主共和国新国家公园的建立以及菲律宾的国际保护议程设定。在每个国家,我们都强调了FTF对人畜共患病溢出风险和关键粮食系统结果的特定背景影响。
我们对系统思维的运用突出了系统适应性可能如何破坏预防政策目标,对粮食系统以及人类、动物和环境健康产生一系列意外后果。更广泛地应用基于系统的政策设计和评估,有助于确定适合打破系统陷阱的手段,并提高政策成功率。“同一健康”方法也可能通过支持行为者之间的合作、沟通和信任来提高成功率,从而改进集体政策行动。