Rabies management structures and challenges in the North in a One Health framework.

IF 1.3 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH International Journal of Circumpolar Health Pub Date : 2024-12-01 Epub Date: 2024-02-18 DOI:10.1080/22423982.2024.2318059
Karsten Hueffer
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Abstract

Rabies is often described as the quintessential One Health problem, linking especially animal health to human health. I examined how rabies is managed in the circumpolar North through semi-structured interviews of key informants in three cases: Alaska, Northwest Territories, and Svalbard. While rabies is controlled at the territorial or state level in the Northwest Territories and Alaska, respectively, the perception of where authority lies in rabies management is less evident in Norway concerning Svalbard than in the other two cases. Respondents generally characterised the working relationship between sectors and scales of governments as positive. However, coordination remains one of the main challenges to rabies management, with harsh environmental conditions and small remote communities adding additional challenges in all three cases. Rabies managers in Svalbard also face unique conditions, such as risks associated with hunting and the particular administrative structure of Svalbard. Due to limited veterinary services in dispersed small and remote communities, dogs present challenges to rabies management in Alaska and the Northwest Territories. Personal relationships are important in disease management across agencies, and the unique challenges in the far North will likely pose challenges in adopting approaches to disease management from temperate climates.

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在 "一个健康 "框架下,北方的狂犬病管理结构和挑战。
狂犬病通常被描述为典型的 "一体健康 "问题,尤其将动物健康与人类健康联系在一起。我通过对三个地区的主要信息提供者进行半结构化访谈,研究了环北极地区如何管理狂犬病:阿拉斯加、西北地区和斯瓦尔巴群岛。在西北地区和阿拉斯加,狂犬病分别由地区或州一级进行控制,而在挪威和斯瓦尔巴群岛,对狂犬病管理权限的认识则不如其他两个地区明显。受访者普遍认为各部门和各级政府之间的工作关系是积极的。然而,协调仍然是狂犬病管理面临的主要挑战之一,在所有三个案例中,恶劣的环境条件和偏远的小社区又增加了额外的挑战。斯瓦尔巴特群岛的狂犬病管理者还面临着独特的条件,如与狩猎有关的风险和斯瓦尔巴特群岛特殊的行政结构。由于分散在偏远小社区的兽医服务有限,狗给阿拉斯加和西北地区的狂犬病管理带来了挑战。在跨机构的疾病管理中,人际关系非常重要,而遥远的北方地区所面临的独特挑战很可能会给采用温带气候地区的疾病管理方法带来挑战。
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来源期刊
International Journal of Circumpolar Health
International Journal of Circumpolar Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.10
自引率
15.40%
发文量
51
审稿时长
6-12 weeks
期刊介绍: The International Journal of Circumpolar Health is published by Taylor & Francis on behalf of the Circumpolar Health Research Network [CircHNet]. The journal follows the tradition initiated by its predecessor, Arctic Medical Research. The journal specializes in circumpolar health. It provides a forum for many disciplines, including the biomedical sciences, social sciences, and humanities as they relate to human health in high latitude environments. The journal has a particular interest in the health of indigenous peoples. It is a vehicle for dissemination and exchange of knowledge among researchers, policy makers, practitioners, and those they serve. International Journal of Circumpolar Health welcomes Original Research Articles, Review Articles, Short Communications, Book Reviews, Dissertation Summaries, History and Biography, Clinical Case Reports, Public Health Practice, Conference and Workshop Reports, and Letters to the Editor.
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