When the Blue Marble Health concept challenges our current understanding of One Health

IF 4.1 2区 医学 Q1 INFECTIOUS DISEASES One Health Pub Date : 2024-11-16 DOI:10.1016/j.onehlt.2024.100935
Marine Combe, Rodolphe Elie Gozlan
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Abstract

We address the issue of reconciling the hygienist and dilutionist (H&D) perspectives for a global understanding of health as envisioned in the One Health framework. Rich and poor countries share pockets of poverty on the outskirts of urban centres, known as ‘infectious bubbles’, which remain high-risk areas for disease emergence due to a common failure of both the H&D perspectives. People living in these IBs are exposed to infectious microbes on a daily basis due to inadequate hygiene infrastructure, while at the same time lacking a heathy nature to act as a buffer through a dilution effect. The Blue Marble Health approach shows that the burden of neglected diseases has also been neglected in rich countries. We argue for a single health framework that incorporates a mixed model of H&D views and addresses the issue of IB in the distribution and endemicity of emerging infectious diseases in large developed cities.
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当 "蓝宝石健康 "概念挑战我们目前对 "一体健康 "的理解时
我们探讨了如何协调卫生和稀释(H&D)两种观点,以便在全球范围内理解 "一个健康"(One Health)框架所设想的健康问题。富国和穷国都有位于城市中心外围的贫困地区,这些地区被称为 "传染病气泡",由于卫生和稀释两种观点的共同失效,这些地区仍然是疾病发生的高风险地区。由于卫生基础设施不足,生活在这些 IB 中的人们每天都会接触到传染性微生物,同时又缺乏健康的自然环境,无法通过稀释效应起到缓冲作用。蓝色大理石健康方法表明,富裕国家也忽视了被忽视疾病的负担。我们主张建立一个单一的卫生框架,将卫生与发展的混合模式纳入其中,并解决新发传染病在发达大城市分布和流行的 IB 问题。
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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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