Steps towards operationalizing One Health approaches

IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES One Health Pub Date : 2024-04-23 DOI:10.1016/j.onehlt.2024.100740
Kim M. Pepin , Keith Carlisle , Dean Anderson , Michael G. Baker , Richard B. Chipman , Jackie Benschop , Nigel P. French , Suzie Greenhalgh , Scott McDougall , Petra Muellner , Emil Murphy , Dion R.J. O'Neale , Michael J. Plank , David T.S. Hayman
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Abstract

One Health recognizes the health of humans, agriculture, wildlife, and the environment are interrelated. The concept has been embraced by international health and environmental authorities such as WHO, WOAH, FAO, and UNEP, but One Health approaches have been more practiced by researchers than national or international authorities. To identify priorities for operationalizing One Health beyond research contexts, we conducted 41 semi-structured interviews with professionals across One Health sectors (public health, environment, agriculture, wildlife) and institutional contexts, who focus on national-scale and international applications. We identify important challenges, solutions, and priorities for delivering the One Health agenda through government action. Participants said One Health has made progress with motivating stakeholders to attempt One Health approaches, but achieving implementation needs more guidance (action plans for how to leverage or change current government infrastructure to accommodate cross-sector policy and strategic mission planning) and facilitation (behavioral change, dedicated personnel, new training model).

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实施 "一个保健 "方法的步骤
一体健康 "认识到人类、农业、野生动物和环境的健康是相互关联的。这一概念已被世界卫生组织(WHO)、世界水事组织(WOAH)、联合国粮农组织(FAO)和联合国环境规划署(UNEP)等国际卫生和环境权威机构所接受,但 "一体健康 "方法更多的是由研究人员而非国家或国际权威机构实施。为了确定 "一体健康 "在研究范围之外的操作重点,我们对 "一体健康 "各部门(公共卫生、环境、农业、野生动物)和机构的专业人士进行了 41 次半结构式访谈,这些访谈的重点是国家规模和国际应用。我们确定了通过政府行动实现 "一个健康 "议程的重要挑战、解决方案和优先事项。参与者表示,"一体健康 "在激励利益相关者尝试 "一体健康 "方法方面取得了进展,但要实现实施还需要更多指导(行动计划,说明如何利用或改变当前的政府基础设施,以适应跨部门政策和战略任务规划)和促进(行为改变、专职人员、新的培训模式)。
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来源期刊
One Health
One Health Medicine-Infectious Diseases
CiteScore
8.10
自引率
4.00%
发文量
95
审稿时长
18 weeks
期刊介绍: One Health - a Gold Open Access journal. The mission of One Health is to provide a platform for rapid communication of high quality scientific knowledge on inter- and intra-species pathogen transmission, bringing together leading experts in virology, bacteriology, parasitology, mycology, vectors and vector-borne diseases, tropical health, veterinary sciences, pathology, immunology, food safety, mathematical modelling, epidemiology, public health research and emergency preparedness. As a Gold Open Access journal, a fee is payable on acceptance of the paper. Please see the Guide for Authors for more information. Submissions to the following categories are welcome: Virology, Bacteriology, Parasitology, Mycology, Vectors and vector-borne diseases, Co-infections and co-morbidities, Disease spatial surveillance, Modelling, Tropical Health, Discovery, Ecosystem Health, Public Health.
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