Li Tianyun, Zhou Xiao-Nong, Tanner Marcel
School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
Infect Dis Poverty. 2025 Jul 31;14(1):77. doi: 10.1186/s40249-025-01337-1.
Emerging and re-emerging infectious diseases in different soci-ecological settings create unprecedented challenges for global public health and socio-economic development. The One Health concept is based on a systemic, transdisciplinary approach and hence captures the interactions between humans and animals, in a given socio-ecological setting. It could comprehensively address the human-animal-environment interface, the core of zoonotic diseases. Consequently, One Health approach is effective in controlling and eliminating the promoting factors of emerging infectious diseases (EIDs). We explored key principles for the prevention, control and elimination of EIDs through reviewing the transition of public health and global health strategies towards One Health and summarizing some successful experiences in effectively controlling EIDs. Recognizing heterogeneities and strengthening "surveillance-response systems" are the two key principles. It is recommended to promote health equity and conduct cost-effectiveness analysis to address the challenges of heterogeneity. Cross-sectoral collaboration and transdisciplinarity should be strengthened to facilitate the utilizing of systems thinking.
不同社会生态环境中不断出现和重新出现的传染病给全球公共卫生和社会经济发展带来了前所未有的挑战。“同一健康”概念基于系统的跨学科方法，因此能够捕捉特定社会生态环境中人类与动物之间的相互作用。它可以全面解决人畜共患病的核心——人类-动物-环境界面问题。因此，“同一健康”方法在控制和消除新发传染病（EIDs）的促进因素方面是有效的。我们通过回顾公共卫生和全球卫生战略向“同一健康”的转变，并总结有效控制新发传染病的一些成功经验，探索了预防、控制和消除新发传染病的关键原则。认识到异质性并加强“监测-应对系统”是两个关键原则。建议促进健康公平并进行成本效益分析，以应对异质性挑战。应加强跨部门合作和跨学科性，以促进系统思维的运用。
