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在非洲将基于社区的“同一健康”干预措施的实施扩展到猴痘疫情管理之外:见解与益处

Harnessing community-based one health interventions implementation beyond Mpox outbreak management in Africa: insights and benefits.

作者信息

Tambo Ernest, Djopmo Brice G, Djamfa Joelle N, Temomo Leonel D Z, Djouka Odile, Bitalabebo Florence Akiiki, Assob Jules C

机构信息

Institute for Global Health Equity, University of Global Health Equity, Butaro, Rwanda.

Africa Disease Intelligence, Preparedness and Response, Yaounde, Cameroon.

出版信息

Infect Dis Poverty. 2025 Sep 8;14(1):92. doi: 10.1186/s40249-025-01348-y.

Abstract

BACKGROUND

Little is documented on key community-based One Health (OH) approach implementation, pro-activeness and effectiveness of interactions and strategies against Mpox outbreak public health emergency in international concern (PHEIC) in various African countries in order to stamp out the persisting Mpox outbreak threat and burden. Prioritizing critical community-based interventions and lessons learned from previous COVID-19, Mpox, Ebola, COVID-19, Rift Valley Fever and Marburg virus outbreaks revealed critical shortcomings in funding, surveillance, and community engagement that plague public health initiatives across the continent. The article provides critical insights and benefits of community-based One Health approaches implementation against Mpox outbreak management in Africa.

MAIN BODY

Our findings provides a comprehensive community and primary healthcare systems strategies essential to foster community engagement and resilience, while addressing the social determinants of health. Investing in targeted, effective and contextual community-based OH strategies implementation shows to improve immediate vulnerable communities integrated (human,animal and environment) preparedness and response and building sustainable resilience strategies against Mpox and future emergencies threats. The importance of global and regional multi-sectorial collaboration, solidarity and coordination cannot be over-emphasized, to mobilize resource, sharing knowledge and successes in enhancing local OH anticipatory and ownership programs capabilities for equitably shared benefits. Timely strengthening community empowerment and national health systems last miles, WASH and vaccination activities are essential to control, contain and sustainable recovery from the ongoing Mpox outbreak and future crises. Tackling survivors and at high risk affected populations stigma, fear and misinformation surrounding Mpox those hinder effective health communication and disease management, highlighting the need for culturally sensitive educational and empowerment strategies. A comprehensive assessment community-based one-health approaches implementation was performed to understand and prioritize key data-driven community-based OH strategies in infectious disease outbreaks beyond. Leveraging on outbreak valuable lessons learned and emerging technologies benefits in addressing the health social determinants, optimizing Mpox PHEIC implemented programs capabilities efforts, building communities resilience and sustainable solutions, and prioritizing strategies against outbreaks/pandemics threats and burden.

CONCLUSIONS

Catalyzing evidence-based community-based OH governance, leadership and domestic financing commitment serve as a critical engine connecting all stakeholders in prioritizing and optimizing unprecedented outbreaks threats preparedness and response initiatives implementation and upholding global health security returns.

摘要

背景

关于基于社区的关键“同一健康”(OH)方法的实施、针对猴痘疫情这一国际关注的突发公共卫生事件(PHEIC)的互动与策略的积极性和有效性,在非洲各国的相关记录很少,以便消除持续存在的猴痘疫情威胁和负担。对基于社区的关键干预措施进行优先排序,并从先前的新冠疫情、猴痘、埃博拉、裂谷热和马尔堡病毒疫情中吸取的经验教训表明,资金、监测和社区参与方面存在严重缺陷,这些缺陷困扰着整个非洲大陆的公共卫生举措。本文提供了基于社区的“同一健康”方法在非洲猴痘疫情管理中的关键见解和益处。

主体

我们的研究结果提供了全面的社区和初级卫生保健系统战略,这些战略对于促进社区参与和恢复力至关重要,同时解决健康的社会决定因素。投资于有针对性、有效且因地制宜的基于社区的OH战略实施,似乎可以改善直接脆弱社区(人类、动物和环境)的综合准备和应对能力,并建立针对猴痘和未来紧急情况威胁的可持续恢复力战略。全球和区域多部门合作、团结与协调的重要性无论如何强调都不为过,以便调动资源、分享知识和成功经验,增强地方OH预期和所有权计划的能力,实现公平共享利益。及时加强社区赋权以及国家卫生系统的最后一公里、水、环境卫生和个人卫生(WASH)及疫苗接种活动,对于控制、遏制猴痘疫情并实现可持续恢复以及应对未来危机至关重要。应对幸存者以及高危受影响人群围绕猴痘的污名化、恐惧和错误信息,这些阻碍了有效的健康沟通和疾病管理,凸显了对具有文化敏感性的教育和赋权战略的需求。对基于社区的“同一健康”方法的实施进行了全面评估,以了解并优先考虑传染病爆发中基于关键数据驱动的社区OH战略。借鉴疫情中吸取的宝贵经验教训以及新兴技术在解决健康社会决定因素方面的益处,优化猴痘PHEIC实施计划的能力,建立社区恢复力和可持续解决方案,并优先考虑应对疫情/大流行威胁和负担的战略。

结论

促进基于证据的社区OH治理、领导力和国内融资承诺,是连接所有利益相关者的关键引擎,可优先考虑并优化前所未有的疫情威胁防范和应对举措的实施,并维护全球卫生安全回报。

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