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The 2024 WHO bacterial priority pathogens list: a critical evolution from a global One Health perspective 2024年世卫组织细菌重点病原体清单:从全球“同一个健康”的角度来看的重要演变
Pub Date : 2026-01-01 DOI: 10.1016/j.soh.2025.100145
Subhankar Mukhopadhyay , Ye Peng , Hein Min Tun
The 2024 WHO Bacterial Priority Pathogens List (WHO BPPL) is a critical tool for refining global antimicrobial resistance (AMR) strategy, prioritizing 24 bacteria with a focus on Gram-negatives and community threats like Salmonella Typhi. This perspective examines its One Health implications. While the 2024 WHO BPPL effectively guides research and development (R&D), policy, and infection control through vaccines and water, sanitation and hygiene (WASH) programs, its human-centric approach underrepresents critical agricultural and environmental AMR drivers. Surveillance biases towards high-income countries and the inherent challenges of cross-sectoral monitoring—given the distinct niches of pathogens like Enterococcus faecium and Shigella—further limit its scope. We call for integrating zoonotic and environmental metrics, strengthening global surveillance (e.g., Global Antimicrobial Resistance and Use Surveillance System [GLASS]), and accelerating development of novel therapies to advance a more equitable and holistic AMR response.
2024年世卫组织细菌重点病原体清单(世卫组织BPPL)是完善全球抗菌素耐药性(AMR)战略的重要工具,对24种细菌进行了优先排序,重点关注革兰氏阴性菌和伤寒沙门氏菌等社区威胁。这一观点考察了其“同一个健康”的含义。虽然2024年世卫组织基本方案清单通过疫苗和水、环境卫生和个人卫生(WASH)规划有效地指导了研发、政策和感染控制,但其以人为本的方法未能充分代表抗生素耐药性的关键农业和环境驱动因素。鉴于粪肠球菌和志贺氏菌等病原体的独特生态位,监测偏向于高收入国家以及跨部门监测的固有挑战进一步限制了其范围。我们呼吁整合人畜共患病和环境指标,加强全球监测(例如,全球抗菌素耐药性和使用监测系统[GLASS]),并加快新疗法的开发,以促进更公平和全面的抗菌素耐药性应对。
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引用次数: 0
Emerging zoonotic risk: molecular detection of Trichobilharzia franki in Western Europe's largest artificial lake, Alqueva, Portugal 新出现的人畜共患风险:在西欧最大的人工湖,葡萄牙Alqueva,弗兰基毛叉菌的分子检测。
Pub Date : 2026-01-01 DOI: 10.1016/j.soh.2025.100143
Maria Teresa Bispo, Isabel Larguinho Maurício, Pedro Manuel Ferreira, Silvana Belo, Manuela Calado

Background

Emerging parasites pose increasing challenges at the interface of human, animal, and ecosystem health. Among these, Trichobilharzia spp., schistosomatid of migratory and resident waterfowl, can cause cercarial dermatitis (CD) when its larval stage (cercaria) accidentally penetrate human skin. While this parasite has been documented in several European countries, its presence in Portugal has remained unreported, leaving a critical gap in understanding potential zoonotic risks in local freshwater ecosystems. Therefore, this study aimed to investigate the presence of Trichobilharzia spp. in freshwater snails from Lake Alqueva, providing the first insights into its potential ecological and public health implications in Portugal.

Methods

Fieldwork was carried out on Lake Alqueva, considered the largest artificial reservoir in Western Europe, with ecological and public health relevance. Freshwater snails from shore locations in Lake Alqueva were examined for cercarial shedding, and molecular identification was performed by PCR amplification of the cytochrome c oxidase subunit 1 (COX1) gene and internal transcribed spacer (ITS) regions.

Results

Morphological and genetic analyses confirmed Trichobilharzia franki from Radix auricularia, showing high homology with European and Asian lineages. Moreover, human infections compatible with CD were also reported in the region.

Conclusions

These findings highlight the need for continued malacological surveillance, particularly in recreational freshwater bodies, to assess risk areas and implement mitigation strategies. Furthermore, this study expands the known geographical distribution of T. franki in Europe and underscores the importance of integrating ecological and public health approaches to monitor emerging zoonotic parasites.
背景:新出现的寄生虫对人类、动物和生态系统健康构成越来越大的挑战。其中,迁徙和滞留水禽的血吸虫Trichobilharzia spp.,当其幼虫期(尾蚴)不小心穿透人体皮肤时,可引起子宫颈皮炎(CD)。虽然这种寄生虫在几个欧洲国家都有记录,但在葡萄牙仍未报告,这在了解当地淡水生态系统中潜在的人畜共患风险方面留下了重大空白。因此,本研究旨在调查Alqueva湖淡水蜗牛中Trichobilharzia spp.的存在,为其在葡萄牙潜在的生态和公共卫生影响提供首次见解。方法:在Alqueva湖进行实地调查,该湖被认为是西欧最大的人工水库,具有生态和公共卫生相关性。研究了Alqueva湖沿岸淡水蜗牛的尾蚴脱落情况,并通过PCR扩增细胞色素c氧化酶亚基1 (COX1)基因和内部转录间隔区(ITS)进行了分子鉴定。结果:形态学和遗传分析均证实来自木耳的franki毛叉菌与欧洲和亚洲血统具有较高的同源性。此外,该区域还报告了与乳糜泻相容的人感染。结论:这些发现突出了持续进行线虫学监测的必要性,特别是在休闲淡水水体中,以评估风险区域并实施缓解战略。此外,这项研究扩大了已知的法兰氏弓形虫在欧洲的地理分布,并强调了将生态和公共卫生方法结合起来监测新出现的人畜共患寄生虫的重要性。
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引用次数: 0
Pub Date : 2026-01-01
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引用次数: 0
Pub Date : 2026-01-01
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引用次数: 0
One Health showcase from Asia: the Lawa model—a community-based approach to liver fluke control in Thailand 一个来自亚洲的健康展示:Lawa模式——泰国以社区为基础的肝吸虫控制方法
Pub Date : 2025-01-01 DOI: 10.1016/j.soh.2025.100108
Banchob Sripa , Sirikachorn Tangkawattana
Liver fluke infection caused by Opisthorchis viverrini is a significant public health challenge in the Lower Mekong Basin, affecting over 10 million people and leading to cholangiocarcinoma, a fatal bile duct cancer. Traditional control efforts often fail due to complex socio-cultural and ecological factors. The Lawa model, implemented in the Lawa Lake region of Khon Kaen, Thailand, adopts a One Health framework to integrate human health interventions, environmental modifications, and animal reservoir management, addressing the transmission cycle comprehensively. This approach respects the cultural context of Isan communities and leverages evidence-based, community-driven strategies. Over 15 years, the model has achieved remarkable success, reducing human infection rates from 60 % to below 5 % and eliminating infections in intermediate hosts. Key lessons include the importance of systems thinking, transdisciplinary collaboration, and community engagement in achieving sustainable health outcomes, despite challenges like cultural dietary practices and environmental disruptions such as flooding.
由 Opisthorchis viverrini 引起的肝吸虫感染是湄公河下游流域面临的一项重大公共卫生挑战,影响到 1,000 多万人,并导致胆管癌(一种致命的胆管癌)。由于复杂的社会文化和生态因素,传统的防治工作往往以失败告终。在泰国孔敬省拉瓦湖地区实施的 "拉瓦模式 "采用 "一个健康 "框架,将人类健康干预、环境改造和动物水库管理结合起来,全面解决传播循环问题。这种方法尊重伊桑社区的文化背景,并利用以证据为基础的社区驱动战略。15 年来,该模式取得了显著成功,将人类感染率从 60% 降至 5% 以下,并消除了中间宿主的感染。主要经验包括:尽管存在文化饮食习惯和洪水等环境干扰等挑战,但系统思考、跨学科合作和社区参与在实现可持续健康成果方面的重要性。
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引用次数: 0
Pub Date : 2025-01-01
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引用次数: 0
Pub Date : 2025-01-01
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引用次数: 0
Pub Date : 2025-01-01
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引用次数: 0
Pub Date : 2025-01-01
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引用次数: 0
Pub Date : 2025-01-01
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引用次数: 0
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Science in One Health
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