Challenges and response to pandemics as seen in a One Health perspective

Jin Chen , Jian He , Robert Bergquist
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引用次数: 2

Abstract

The global pandemic caused by the coronavirus disease 2019 not only exposed the fragility of global preparedness and response to public health emergence, but also illustrated the fragmentation and gaps of research and development ecosystem. This emphasizes the need for planned actions against the potentiality of new pandemics and requires research to better understand how viruses bridge the animal/human divide making human-to-human transmission of new diseases possible. Major challenges to response to new epidemics under the current health framework reside in the so called 4-CC approach that focuses on Concept, Communication, Coherence, and Continuity. There is a need to also add a One Health perspective with emphasis on governance, surveillance, capacity building and multi-disciplinary research to achieve a holistic and better integrated system. Using a regulatory framework to equip professionals might facilitate the function of a multi-sector approach that recognizes the value of their mandates and a One Health approach in their work. Collaborative, multisectoral actions under the global regulations and guidance would make evidence-based One Health approaches sustainable and accessible to everyone.

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从“一个健康”的角度看大流行病的挑战和应对
2019冠状病毒病引发的全球大流行不仅暴露了全球防范和应对公共卫生突发事件的脆弱性,也暴露了研发生态系统的碎片化和缺口。这强调需要有计划地采取行动,防止可能出现新的大流行病,并需要进行研究,以更好地了解病毒如何跨越动物/人的鸿沟,使新疾病在人与人之间传播成为可能。在当前卫生框架下应对新流行病的主要挑战在于所谓的4-CC方法,该方法侧重于概念、沟通、一致性和连续性。还需要增加一个“同一个健康”的观点,强调治理、监测、能力建设和多学科研究,以实现一个整体和更好的综合系统。利用监管框架为专业人员提供装备,可能有助于多部门办法发挥作用,这种办法承认其任务的价值,并在其工作中采用“同一个健康”办法。根据全球条例和指南采取的多部门协作行动将使以证据为基础的“同一个健康”方针可持续并为所有人所利用。
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