Schmeyers Lena, Thomschke Susan, Mende Lena Victoria, Stichel Greet, Schiller Daniel, Fleßa Steffen
University of Greifswald, Faculty of Law and Economics, Chair of General Business Administration and Health Care Management, Friedrich-Loeffler-Straße 70, 17489 Greifswald, Germany.
University of Greifswald, Faculty of Mathematics and Natural Sciences, Institute of Geography and Geology, Chair of Economic and Social Geography, Friedrich-Ludwig-Jahnstraße 16/17a, 17489 Greifswald, Germany.
One Health. 2025 Jun 21;21:101115. doi: 10.1016/j.onehlt.2025.101115. eCollection 2025 Dec.
COVID-19 and other zoonoses indicate the close connection between human, animal, and environmental health. This interdependency underscores the need for a comprehensive One Health approach. However, the One Health concept is sometimes reduced to combating zoonoses and antimicrobial resistance, neglecting the spatial and environmental dimensions. This narrow focus overlooks the potential of One Health in geographic contexts, where it can optimize health within regional ecosystems. Therefore, this paper aims to provide an overview of geographic contexts and economic approaches to measuring One Health and the importance of these factors for effective health outcomes.
A comprehensive search for economic evidence and the geographical scope of One Health was conducted. The search terms 'One Health', combined with 'region, landscape, area, geography, cost, economics, utility,' were used in Web of Science, Scopus, and PubMed. Articles were screened by two blinded reviewers. Year, author, economic method, intervention, outcome, study aim, topic, and geographical area of the articles were recorded.
1214 articles were retrieved and 108 were included in this analysis. The topics focused on: zoonoses (56 %), antimicrobial resistance (14 %), food safety/security (7 %), animal welfare (6 %), and governance (6 %). Most studies were conducted in African countries, the majority of studies (57 %) adopted a regional perspective, while 19 % employed a national and 13 % adopted a multi-country perspective. The most common economic approaches were mixed methods and CEA, regression analysis, as well as index methods.
The analyzed articles largely focus on zoonoses and current measurement instruments that do not yet align with the requirements of the One Health Joint Plan of Action 2022-26. Integrating geographical considerations promises a more comprehensive and effective approach to One Health challenges. The diversity of identified measurement instruments provides a valuable foundation for developing future, context-sensitive One Health strategies.
新冠疫情及其他动物源性疾病表明人类、动物和环境卫生之间存在着紧密联系。这种相互依存关系凸显了采取全面的“同一健康”方法的必要性。然而，“同一健康”概念有时被简化为应对动物源性疾病和抗菌药物耐药性，而忽视了空间和环境维度。这种狭隘的关注点忽略了“同一健康”在地理环境中的潜力，而在这种环境中它可以优化区域生态系统内的健康状况。因此，本文旨在概述衡量“同一健康”的地理环境和经济方法，以及这些因素对实现有效健康成果的重要性。
对“同一健康”的经济证据和地理范围进行了全面检索。在科学网、Scopus和PubMed中使用了搜索词“同一健康”，并结合“区域、景观、地区、地理、成本、经济、效用”。文章由两名盲审员进行筛选。记录了文章的年份、作者、经济方法、干预措施、结果、研究目的、主题和地理区域。
共检索到1214篇文章，其中108篇纳入本分析。主题集中在：动物源性疾病（56%）、抗菌药物耐药性（14%）、食品安全/保障（7%）、动物福利（6%）和治理（6%）。大多数研究在非洲国家进行，大多数研究（57%）采用区域视角，19%采用国家视角，13%采用多国视角。最常见的经济方法是混合方法、成本效益分析、回归分析以及指数方法。
分析的文章大多关注动物源性疾病和当前的测量工具，这些工具尚未符合《2022 - 2026年同一健康联合行动计划》的要求。纳入地理因素有望为应对“同一健康”挑战提供更全面、有效的方法。所确定的测量工具的多样性为制定未来因地制宜的“同一健康”战略提供了宝贵基础。
