Muehlen Marion, Dhand Navneet, Simmons Heather, Dunkle Stacie, Budke Christine, Zaghloul Ahmed, Castellan David, D'Albenzio Silvia, Dissanayake Ravi, Cargill Jessica, Koyie Stephen Leshan, Pinto Julio, Alessandrini Barbara, Schenkel Karl
World Health Organization, 20, Avenue Appia, CH-1211, Geneva 27, Switzerland.
Food and Agriculture Organization of the United Nations, Rome, Italy.
One Health Outlook. 2025 Mar 30;7(1):13. doi: 10.1186/s42522-025-00135-x.
Field epidemiologists play a crucial role in addressing the complex challenges posed by emerging infectious diseases, transboundary animal diseases, and antimicrobial resistance. Despite the interdisciplinary nature of these issues, traditional field epidemiology training programs are often narrowly focused on specific sectors. To effectively confront these evolving challenges, it is imperative to equip field epidemiologists with the skills to adopt the One Health approach. However, there are neither globally accepted One Health competencies for guiding field epidemiology training programs nor standardized curricular guidance for program managers. Recognizing this gap, three international organizations joined forces to develop the Competencies for One Health Field Epidemiology framework.
A desktop review was conducted of the existing frontline, intermediate, and advanced field epidemiology training program curricula. Knowledge, skills, and competency (KSC) statements for frontline, intermediate and advanced levels were then defined and grouped into domains and subdomains by thematic area. An international Technical Advisory Group of 59 experts from the animal, environment, and human health sectors was convened to review the proposed statements. The framework was revised based on their feedback. KSC statements were classified into core and optional, and a prioritization tool was developed to assist countries in selecting optional KSC statements based on their specific requirements.
The competency framework was developed and comprises KSC statements needed for field epidemiologists to successfully apply the One Health approach across the human, animal, and environment health sectors. These KSC statements are stratified by frontline, intermediate, and advanced training levels and are further categorized as core and optional; sector-specific KSC statements are also identified.
This innovative framework emerged from a multisectoral, collaborative, inclusive, and iterative process involving international animal, human, and environment health and field epidemiology training experts. Countries and regions can also use the framework to establish new, comprehensive One Health field epidemiology training programs or upgrade existing programs to incorporate the One Health approach. This framework is anticipated to pave the way for a more holistic approach to training the global community of field epidemiologists in all health sectors to meet the demands of our evolving health landscape.
现场流行病学家在应对新发传染病、跨界动物疾病和抗菌药物耐药性带来的复杂挑战方面发挥着关键作用。尽管这些问题具有跨学科性质，但传统的现场流行病学培训项目往往狭隘地专注于特定领域。为了有效应对这些不断演变的挑战，必须使现场流行病学家具备采用“同一健康”方法的技能。然而，既没有全球公认的用于指导现场流行病学培训项目的“同一健康”能力标准，也没有针对项目管理人员的标准化课程指南。认识到这一差距，三个国际组织联合起来制定了“同一健康”现场流行病学能力框架。
对现有的一线、中级和高级现场流行病学培训项目课程进行了桌面审查。然后确定了一线、中级和高级水平的知识、技能和能力（KSC）陈述，并按主题领域分组为领域和子领域。召集了一个由来自动物、环境和人类健康领域的59名专家组成的国际技术咨询小组，对拟议的陈述进行审查。根据他们的反馈对框架进行了修订。KSC陈述分为核心和可选两类，并开发了一个优先级工具，以协助各国根据其具体要求选择可选的KSC陈述。
制定了能力框架，其中包括现场流行病学家在人类、动物和环境卫生部门成功应用“同一健康”方法所需的KSC陈述。这些KSC陈述按一线、中级和高级培训水平分层，并进一步分为核心和可选两类；还确定了特定部门的KSC陈述。
这一创新框架源自一个多部门、协作、包容和迭代的过程，该过程涉及国际动物、人类和环境卫生以及现场流行病学培训专家。各国和各地区也可利用该框架建立新的、全面的“同一健康”现场流行病学培训项目，或升级现有项目以纳入“同一健康”方法。预计该框架将为以更全面的方式培训所有卫生部门的全球现场流行病学家群体铺平道路，以满足不断变化的卫生形势的需求。
