Beltramo Benni, Kolluru Soumya, Slager Lisa, Wall Lindsey, Ostwald Kai, Rasali Drona
School of Public Policy and Global Affairs, University of British Columbia, Vancouver, BC V6T 1Z2, Canada.
School of Population and Public Health, University of British Columbia, Vancouver, BC V6T 1Z3, Canada.
Int J Environ Res Public Health. 2024 Dec 30;22(1):34. doi: 10.3390/ijerph22010034.
In response to emerging challenges that intersect humans, animals, and environments, there is growing international exigent need to adopt 'One Health' approaches. While One Health efforts are emerging in British Columbia in Canada, there are still challenges to overcome in the adoption of a One Health approach in policymaking. We conducted a comparative analysis of One Health policies in Asia, specifically, Singapore, Hong Kong, Bangladesh, and Thailand, which have well-established and sophisticated One Health approaches, to determine good practices in the implementation of One Health that could be considered for adoption in British Columbia. We conducted a literature review and scan of public-facing One Health websites, strategic action plans, and health databases, complemented by 13 semi-structured interviews with researchers, educators, service providers, human and animal health experts, and policymakers in our chosen Asian jurisdictions and British Columbia. While there was diversity in the One Health approaches taken by four jurisdictions, three key characteristics were present in policymaking processes in all of them: a national One Health strategic action plan, inter-ministerial coordination, and flexibility in the working relationships of public servants. One Health presents an opportunity for British Columbia to take a novel approach to public health policymaking, the one that is more holistic and effective at addressing shared health challenges.
为应对涉及人类、动物和环境的新出现挑战，国际上迫切需要采用“同一健康”方法。虽然加拿大不列颠哥伦比亚省正在开展“同一健康”工作，但在政策制定中采用“同一健康”方法仍面临挑战。我们对亚洲（具体为新加坡、中国香港、孟加拉国和泰国）的“同一健康”政策进行了比较分析，这些地区拥有成熟且完善的“同一健康”方法，以确定在不列颠哥伦比亚省可考虑采用的“同一健康”实施良好做法。我们进行了文献综述，并浏览了面向公众的“同一健康”网站、战略行动计划和健康数据库，还对我们选定的亚洲司法管辖区和不列颠哥伦比亚省的研究人员、教育工作者、服务提供者、人类和动物健康专家以及政策制定者进行了13次半结构化访谈。虽然四个司法管辖区采取的“同一健康”方法存在差异，但它们在政策制定过程中都有三个关键特征：国家“同一健康”战略行动计划、部际协调以及公务员工作关系的灵活性。“同一健康”为不列颠哥伦比亚省提供了一个机会，以采取一种新颖的公共卫生政策制定方法，这种方法在应对共同的健康挑战方面更具整体性和有效性。
