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Improved latrines minimally impact Schistosoma mekongi transmission in Mekong islands 改善厕所对湄公河岛屿中湄孔血吸虫传播的影响最小
Pub Date : 2023-01-01 DOI: 10.1016/j.soh.2023.100038
Youthanavanh Vonghachack , Peter Odermatt , Jürg Utzinger , Somphou Sayasone

Schistosoma mekongi and other intestinal helminth infections remain public health concerns in Lao People's Democratic Republic, especially in remote areas where access to sanitation is limited.

We performed an experimental study in four villages where latrine construction was coupled with two rounds of mass drug administration (MDA) with praziquantel and albendazole, and compared with two control villages that only received two rounds of MDA. The prevalence of helminth infections before (baseline) and after (follow-up) intervention were compared. Additionally, the prevalence in intervention and control villages were compared 12 months post-intervention. Kato–Katz, formalin-ethyl acetate concentration and Baermann techniques were employed to assess helminth infections.

We found infection prevalence of S. mekongi in the intervention and control villages was 28.6% and 1.8%, respectively. The prevalences of other helminth infections were as follows: Opisthorchis viverrini, 79.5% and 71.8%; hookworm, 48.8% and 65.6%; and Strongyloides stercoralis, 43.1% and 38.3%. Other helminth species were detected in less than 5% of the study participants. Latrine intervention coupled with two rounds of MDA in the intervention villages reduced the prevalence of S. mekongi infection by 6.0% (from 28.6% to 22.6%; P < 0.001), O. viverrini infection by 11.3% (from 79.5% to 68.2%; P < 0.001), hookworm infection by 22.6% (from 48.8% to 26.2%; P < 0.001), and S. stercoralis infection by 12.0% (from 43.1% to 31.1%; P < 0.001). The observed reductions were not significantly different when compared to the control villages, where only two rounds of MDA were implemented (P > 0.05). Study participants in both groups commonly engaged in behaviours such as open defecation, bathing in the Mekong River, consuming raw or undercooked fish dishes and walking barefoot. These practices and behaviours are associated with helminth infections. Concluding, this study showed only a marginal impact associated with latrine use in intervention communities. There is a need for longer term studies with integrated interventions, such as effective health education to foster behavioural changes related to open defecation, raw or undercooked food consumption, wearing protected footwear outdoors, and personal hygiene.

在老挝人民民主共和国,特别是在获得卫生设施有限的偏远地区,湄孔血吸虫和其他肠道蠕虫感染仍然是令人关切的公共卫生问题。我们在4个村庄进行了一项实验研究,该村庄的厕所建设与两轮吡喹酮和阿苯达唑的大规模给药(MDA)相结合,并与只接受两轮MDA的两个对照村庄进行了比较。比较干预前(基线)和干预后(随访)的寄生虫感染率。此外,比较干预村和对照村12个月后的患病率。采用Kato-Katz法、福尔马林-乙酸乙酯浓度法和Baermann法评估寄生虫感染情况。干预村和对照村的感染流行率分别为28.6%和1.8%。其他寄生虫感染的患病率分别为:猪腹蛇(Opisthorchis viverrini),分别为79.5%和71.8%;钩虫分别占48.8%和65.6%;粪圆线虫分别占43.1%和38.3%。在不到5%的研究参与者身上检测到其他种类的蠕虫。在干预村,厕所干预加上两轮大规模预防接种,使湄孔虫感染率降低了6.0%(从28.6%降至22.6%;P & lt;0.001),弧菌感染上升11.3%(从79.5%上升到68.2%;P & lt;0.001),钩虫感染上升22.6%(从48.8%上升到26.2%;P & lt;0.001),粪球菌感染率为12.0%(从43.1%上升到31.1%;P & lt;0.001)。与只实施两轮MDA的对照村相比,观察到的减少没有显著差异(P >0.05)。这两组的研究参与者通常都有露天排便、在湄公河洗澡、食用生的或未煮熟的鱼以及赤脚走路等行为。这些做法和行为与寄生虫感染有关。最后,这项研究表明,在干预社区中,与厕所使用相关的影响很小。需要对综合干预措施进行长期研究,例如进行有效的健康教育,以促进与露天排便、食用生的或未煮熟的食物、在户外穿防护鞋和个人卫生有关的行为改变。
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引用次数: 2
A review on the use of machine learning techniques in monkeypox disease prediction 机器学习技术在猴痘疾病预测中的应用综述
Pub Date : 2023-01-01 DOI: 10.1016/j.soh.2023.100040
Shailima Rampogu

Infectious diseases have posed a global threat recently, progressing from endemic to pandemic. Early detection and finding a better cure are methods for curbing the disease and its transmission. Machine learning (ML) has demonstrated to be an ideal approach for early disease diagnosis. This review highlights the use of ML algorithms for monkeypox (MP). Various models, such as CNN, DL, NLP, Naïve Bayes, GRA-TLA, HMD, ARIMA, SEL, Regression analysis, and Twitter posts were built to extract useful information from the dataset. These findings show that detection, classification, forecasting, and sentiment analysis are primarily analyzed. Furthermore, this review will assist researchers in understanding the latest implementations of ML in MP and further progress in the field to discover potent therapeutics.

传染病最近已构成全球性威胁,从地方性疾病发展为大流行疾病。早期发现和找到更好的治疗方法是遏制这种疾病及其传播的方法。机器学习(ML)已被证明是早期疾病诊断的理想方法。这篇综述强调了ML算法在猴痘(MP)中的应用。建立各种模型,如CNN、DL、NLP、Naïve贝叶斯、GRA-TLA、HMD、ARIMA、SEL、回归分析和Twitter帖子,从数据集中提取有用的信息。这些发现表明,检测、分类、预测和情感分析是主要的分析。此外,这篇综述将有助于研究人员了解ML在MP中的最新实现和在该领域的进一步进展,以发现有效的治疗方法。
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引用次数: 1
Nanoscience and technology as a pivot for sustainable agriculture and its One Health approach awareness 纳米科学和技术作为可持续农业的支点及其“同一个健康”方法的认识
Pub Date : 2023-01-01 DOI: 10.1016/j.soh.2023.100020
Goshen David Miteu, Afolabi Ayomide Emmanuel, Irenosen Addeh, Olayemi Ojeokun, Temidayo Olayinka, James Sunday Godwin, Oluwatobi Ibukun Adeyemo, Elohozino Oghale Benneth

Nanoscience and technology have shown promise in revitalizing the agricultural sector and industries. This tool has gained the interest of many researchers as it can be utilized to drive sustainable agriculture by suggesting long-lasting solutions to different problems in the agricultural space. However, there is a paucity of data on its health implications for the environment, plants, animals, and humans. This review evaluated the cost-effectiveness and productivity of nanoscience and technologies. The review highlighted the underlying health implications of nanoscience and technology from a One Health perspective.

纳米科学和技术在振兴农业部门和工业方面显示出了前景。这一工具引起了许多研究人员的兴趣,因为它可以通过为农业领域的不同问题提出长期解决方案来推动可持续农业。然而,关于其对环境、植物、动物和人类健康影响的数据却很少。这篇综述评估了纳米科学和技术的成本效益和生产力。该综述从“一个健康”的角度强调了纳米科学和技术对健康的潜在影响。
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引用次数: 1
China's One Health governance system: the framework and its application 中国“一个健康”治理体系:框架及其应用
Pub Date : 2023-01-01 DOI: 10.1016/j.soh.2023.100039
Lulu Huang , Junyi He , Chensheng Zhang , Jingshu Liu , Zhaoyu Guo , Shan Lv , Xiaoxi Zhang , Shizhu Li

One Health is an interdisciplinary approach that promotes the resolution of complex health issues through collaboration across multiple disciplines. In addition to accountability, the One Health governance structure fosters shared understanding, trust, and an appreciation for diverse perspectives and requirements. This article provides a comprehensive analysis of the current integration of the One Health approach within China's existing health governance framework. It also proposes strategies for further improvement, with emphasis on the level of implementation and contributions to the advancement of One Health governance through an examination of current health policies.

“同一个健康”是一种跨学科方法,通过跨多个学科的合作促进解决复杂的卫生问题。除了问责制外,“同一个健康”治理结构还促进了对不同观点和要求的共同理解、信任和赞赏。本文全面分析了当前“一个健康”方案在中国现有卫生治理框架中的整合情况。它还提出了进一步改进的战略,重点是执行水平和通过审查现行卫生政策为推进“一个健康”治理作出贡献。
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引用次数: 1
Efficacy of traditional Chinese medicine on shortening the negative conversion time of SARS-CoV-2 ribonucleic acid in patients with mild COVID-19: A retrospective cohort study 中药对缩短轻症COVID-19患者SARS-CoV-2核糖核酸阴性转化时间的疗效:一项回顾性队列研究
Pub Date : 2023-01-01 DOI: 10.1016/j.soh.2023.100049
Yue-Lai Chen , Ming Yang , Yu Tian , Xiao-Xu Chen, Wei Lu, Hua-Feng Wei, Xiao Wang, Jiao Li, Dong Zhu, Shun-Xian Zhang

Background

The holistic view of the ‘The unity of man and nature’ promotes the development and application of traditional Chinese medicine (TCM). Despite the absence of modern pharmacological therapies with robust efficacy against coronavirus disease 2019 (COVID-19), TCM has exhibited potential utility for treating the disease in clinical practice.

Methods

A retrospective cohort study was conducted to investigate the therapeutic effect of TCM treatment intensity (TCMTI) in patients with mild COVID-19. A total of 6120 laboratory-confirmed patients with mild COVID-19 were recruited from temporary isolation facilities. The primary outcome measure was severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ribonucleic acid conversion time. In addition, restricted cubic spline models were employed to elucidate nonlinear relationships.

Results

The median age (range) of the study participants was 43.0 (2.0–75.0) years, with a median hospitalization duration of 9.7 (4.1–22.5) days. The median time for achieving SARS-CoV-2 ribonucleic acid negativity was 6.67 days. The restricted cubic spline models revealed a remarkable nonlinear association between TCMTI and the time-to-ribonucleic acid negativity. After adjusting for potential confounders, the high TCMTI group exhibited a markedly shorter median time to SARS-CoV-2 ribonucleic acid negativity and reduced hospitalization duration (P < 0.001) than the low TCMTI group. Moreover, the mean time to achieve SARS-CoV-2 ribonucleic acid negativity was shortened by 1.909 days (P < 0.001) in the high-TCMTI group compared to the low-TCMTI group.

Conclusion

This study suggests that early initiation and intensified use of TCM may accelerate the time required to achieve SARS-CoV-2 ribonucleic acid negativity in patients with COVID-19, bearing considerable implications for public health.

“天人合一”的整体观促进了中医的发展和应用。尽管目前尚无针对2019冠状病毒病(COVID-19)的有效现代药物疗法,但中医在临床实践中已显示出治疗该疾病的潜在效用。方法采用回顾性队列研究,探讨中医治疗强度(TCM)对轻症COVID-19患者的治疗效果。从临时隔离设施共招募了6120名实验室确诊的COVID-19轻度患者。主要结局指标为严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)核糖核酸转化时间。此外,采用限制三次样条模型来解释非线性关系。结果研究参与者的中位年龄(范围)为43.0(2.0-75.0)岁,中位住院时间为9.7(4.1-22.5)天。实现SARS-CoV-2核糖核酸阴性的中位时间为6.67 d。限制三次样条模型显示TCMTI与时间-核糖核酸负性之间存在显著的非线性关联。在对潜在混杂因素进行调整后,高TCMTI组出现SARS-CoV-2核糖核酸阴性的中位时间明显缩短,住院时间明显缩短(P <0.001),高于低cmti组。达到SARS-CoV-2核糖核酸阴性的平均时间缩短了1.909 d (P <0.001),高tcmti组与低tcmti组比较。结论早期开始使用和强化使用中药可能会加快COVID-19患者实现SARS-CoV-2核糖核酸阴性所需的时间,对公共卫生具有重要意义。
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引用次数: 0
An agent-based model for collaborative learning to combat antimicrobial resistance: Proof of concept based on broiler production in Senegal 协作学习对抗抗菌素耐药性的基于代理的模型:基于塞内加尔肉鸡生产的概念证明
Pub Date : 2023-01-01 DOI: 10.1016/j.soh.2023.100051
Paul Python Ndekou , Archie Drake , Jake Lomax , Michel Dione , Ardiouma Faye , Mohamed Daly Njiemessa Nsangou , Lilian Korir , Elizabeth Sklar

Antimicrobial resistance (AMR) is a substantial global One Health problem. This paper reports on initial, proof-of-concept development of an agent-based model (ABM) as part of wider modelling efforts to support collaborations between groups interested in policy development for animal health and food systems. The model simulates AMR in poultry production in Senegal. It simultaneously addresses current policy issues, builds on existing modelling in the domain and describes AMR in the broiler chicken production cycle as seen by producers and veterinarians. This enables implementation and assessment of producer antimicrobial use and infection prevention and control strategies in terms of immediate economic incentives, potentially helping to advance conversations by addressing national policy priorities. Our model is presented as a flexible tool with promise for extension as part of AMR policy development in Senegal and West Africa, using participatory approaches. This work indicates that ABM can potentially play a useful role in fostering counter-AMR initiatives driven by food system actor behaviour in lower- and middle-income countries more generally.

抗菌素耐药性(AMR)是一个重大的全球性“同一个健康”问题。本文报告了基于主体的模型(ABM)的初步概念验证开发,作为支持对动物卫生和食品系统政策制定感兴趣的团体之间合作的更广泛建模工作的一部分。该模型模拟了塞内加尔家禽生产中的抗生素耐药性。它同时解决了当前的政策问题,建立在该领域现有模型的基础上,并描述了生产者和兽医所看到的肉鸡生产周期中的抗生素耐药性。这使生产者抗微生物药物使用(AMU)和感染预防与控制(IPC)战略能够在直接的经济激励方面得到实施和评估,可能有助于通过解决国家政策重点推动对话。我们的模型是作为一种灵活的工具提出的,有望通过参与式方法作为塞内加尔和西非抗菌素耐药性政策制定的一部分加以推广。这项工作表明,在中低收入国家(LMIC), ABM可能在更广泛地促进由粮食系统行动者行为驱动的反抗菌素耐药性举措方面发挥有益作用。
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引用次数: 0
Genome analysis of SARS-CoV-2 haplotypes: Separation and parallel evolution of the major haplotypes occurred considerably earlier than their emergence in China SARS-CoV-2单倍型基因组分析:主要单倍型的分离和平行进化比其在中国出现的时间要早得多
Pub Date : 2023-01-01 DOI: 10.1016/j.soh.2023.100041
Siqin Guan , Xiaowen Hu , Guohui Yi , Lei Yao , Jiaming Zhang

More than 3 years have passed since the outbreak of COVID-19 and yet, the origin of the causal virus SARS-CoV-2 remains unknown. We examined the evolutionary trajectory of SARS-CoV-2 by analyzing non-redundant genome sets classified based on six closely linked mutations. The results indicated that SARS-CoV-2 emerged in February 2019 or earlier and evolved into three main haplotypes (GL, DS, and DL) before May 2019, which then continued to evolve in parallel. The dominant haplotype GL had spread worldwide in the summer (May to July) of 2019 and then evolved into virulent strains in December 2019 that triggered the global pandemic, whereas haplotypes DL and DS arrived in China in October 2019 and caused the epidemic in China in December 2019. Therefore, haplotype GL neither originated in China nor from the viral strains that caused the epidemic in China. Accordingly, considering data solely from China would be inadequate to reveal the mysterious origin of SARS-CoV-2, emphasizing the necessity of global cooperation.

新冠肺炎爆发已经过去了3年多,但致病病毒SARS-CoV-2的起源仍然未知。我们通过分析基于六个紧密相关突变分类的非冗余基因组集,研究了严重急性呼吸系统综合征冠状病毒2型的进化轨迹。结果表明,严重急性呼吸系统综合征冠状病毒2型于2019年2月或更早出现,并在2019年5月之前进化为三种主要单倍型(GL、DS和DL),然后继续平行进化。优势单倍型GL于2019年夏天(5月至7月)在全球传播,然后在2019年12月进化为毒力菌株,引发了全球疫情,而单倍型DL和DS于2019年10月抵达中国,并于2019年12月份在中国引发疫情。因此,单倍型GL既不起源于中国,也不来自引起中国疫情的病毒株。因此,仅考虑来自中国的数据不足以揭示严重急性呼吸系统综合征冠状病毒2型的神秘起源,强调全球合作的必要性。
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引用次数: 1
Innovative applications of artificial intelligence in zoonotic disease management 人工智能在人畜共患疾病管理中的创新应用
Pub Date : 2023-01-01 DOI: 10.1016/j.soh.2023.100045
Wenqiang Guo , Chenrui Lv , Meng Guo , Qiwei Zhao , Xinyi Yin , Li Zhang

Zoonotic diseases, transmitted between humans and animals, pose a substantial threat to global public health. In recent years, artificial intelligence (AI) has emerged as a transformative tool in the fight against diseases. This comprehensive review discusses the innovative applications of AI in the management of zoonotic diseases, including disease prediction, early diagnosis, drug development, and future prospects. AI-driven predictive models leverage extensive datasets to predict disease outbreaks and transmission patterns, thereby facilitating proactive public health responses. Early diagnosis benefits from AI-powered diagnostic tools that expedite pathogen identification and containment. Furthermore, AI technologies have accelerated drug discovery by identifying potential drug targets and optimizing candidate drugs. This review addresses these advancements, while also examining the promising future of AI in zoonotic disease control. We emphasize the pivotal role of AI in revolutionizing our approach to managing zoonotic diseases and highlight its potential to safeguard the health of both humans and animals on a global scale.

人畜共患疾病在人与动物之间传播,对全球公共卫生构成重大威胁。近年来,人工智能(AI)已成为对抗疾病的变革性工具。本文综述了人工智能在人畜共患疾病管理中的创新应用,包括疾病预测、早期诊断、药物开发和未来展望。人工智能驱动的预测模型利用广泛的数据集来预测疾病暴发和传播模式,从而促进积极主动的公共卫生应对。早期诊断受益于人工智能驱动的诊断工具,可以加快病原体的识别和控制。此外,人工智能技术通过识别潜在的药物靶点和优化候选药物,加速了药物的发现。本文综述了这些进展,同时也探讨了人工智能在人畜共患疾病控制方面的前景。我们强调人工智能在彻底改变人畜共患疾病管理方法方面的关键作用,并强调其在全球范围内保障人类和动物健康的潜力。
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引用次数: 0
Power of One Health: The first year of Science in One Health 一个健康的力量:科学在一个健康的第一年
Pub Date : 2023-01-01 DOI: 10.1016/j.soh.2023.100047
Hanqing Zhao, Logan Blair Wu, Lu He, Xiao-nong Zhou

The international journal Science in One Health (SOH), launched a year ago, is a platform to disseminate research achievements and practical lessons in the field of One Health globally and to achieve the United Nations Sustainable Development Goals by systematic thinking with multi-disciplinary approach to solve complex health problems. This paper reviews the efforts that SOH editorial board made in the first year to promote a multi-disciplinary teamwork, create a platform for exchanges of ideas, and initiate a community for One Health. SOH has received manuscripts from six continents and published 24 articles (5 in press) in the first year. SOH is devoted to providing more and more high-quality articles in One Health disciplines including One Health database, antimicrobial resistance, zoonotic diseases, food security, One Health governance and climate changes with their impacts. This editorial illustrated the power of Science in One Health.

一年前创刊的国际期刊《同一个健康中的科学》(Science in One Health, SOH)是一个在全球范围内传播“同一个健康”领域的研究成果和实践经验的平台,旨在通过系统思考和多学科方法解决复杂的健康问题,实现联合国可持续发展目标。本文回顾了《和谐健康》编辑部在第一年为促进多学科团队合作、创建思想交流平台和创建“同一个健康”社区所做的努力。第一年收到来自六大洲的稿件,发表文章24篇(出版5篇)。SOH致力于在One Health数据库、抗菌素耐药性、人畜共患疾病、食品安全、One Health治理、气候变化及其影响等领域提供越来越多的高质量文章。这说明了科学在同一健康中的力量。
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引用次数: 0
Triple-crises-induced food insecurity: Systematic understanding and resilience building approaches in Africa 三次危机导致的粮食不安全:非洲的系统理解和恢复力建设方法
Pub Date : 2023-01-01 DOI: 10.1016/j.soh.2023.100044
Ernest Tambo , Chen-Sheng Zhang , Gildas B. Tazemda , Bertin Fankep , Ngo T. Tappa , Cremona F Bette Bkamko , Laura M. Tsague , Daniella Tchemembe , Elodie F. Ngazoue , Kennedy K. Korie , Marie Paule N. Djobet , Oluwasogo A. Olalubi , Omer N. Njajou

The triple crises of the COVID-19 pandemic, conflict and climate change have severely impacted food systems, leading to socio-economic consequences and undermining food and nutrition security across Africa. To address the malnutrition and poverty affecting approximately 700 million people in Africa, there is potential for the One Health approach implementation and operationalization to bring together multidisciplinary solutions for tackling food insecurity and ensuring food safety net. However, there is limited documentation on the potential of the One Health approach system thinking implementation to guide responses to triple crises-induced food insecurity. Therefore, this article aims to systematically understand the triple crises-induced food insecurity, connect existing solutions, and explore the role of the One Health approach in strengthening food and agriculture systems in Africa.

Our finding showed the impact of triple crises exacerbating food system vulnerability in Africa and worldwide. Mitigating and resilient actions are urgently needed in tackling the emerging and persisting challenges, and infectious diseases menace and burden across Africa. We present a conceptual model illustrating the complex nature of triple crises-induced food insecurity, vulnerability areas within the food system, and actionable strategies for building community food resilience. Additionally, recommendations are provided to create an enabling environment that supports One Health approach implementation and addresses food insecurity challenges through innovative partnerships, local-led initiatives, and enhanced governance and artificial intelligence technology capacities in achieving sustainable and inclusive growth to reduce socio-economic inequalities.

Stepping up integrated, actionable, and sustainable food systems programs and innovative long-lasting solutions requires investing in promoting new partnership and research collaboration in building conflict resolution and peace towards strengthening and reshaping local and global food security related climate change adaptations actions for most vulnerable communities’ benefits. These are ingredients in fastening preparedness, prevention and control of infectious diseases prevention and control, reducing food supply chains disruption towards accelerating equitable benefits of Universal Health Coverage and Sustainable Development Goals, 2030 across Africa.

2019冠状病毒病大流行、冲突和气候变化三重危机严重影响了粮食系统,导致社会经济后果,并破坏了整个非洲的粮食和营养安全。为解决影响非洲约7亿人的营养不良和贫困问题,"同一个健康"方针的实施和运作有可能汇集多学科解决办法,以解决粮食不安全和确保粮食安全网的问题。然而,关于“同一个健康”方法系统思维实施在指导应对三重危机引起的粮食不安全方面的潜力的文件有限。因此,本文旨在系统地了解三重危机引起的粮食不安全,连接现有的解决方案,并探索“同一个健康”方法在加强非洲粮食和农业系统中的作用。我们的发现表明,三重危机的影响加剧了非洲和全世界粮食系统的脆弱性。在应对非洲各地新出现和持续存在的挑战以及传染病的威胁和负担方面,迫切需要采取缓解和抗灾行动。我们提出了一个概念模型,说明三重危机引起的粮食不安全的复杂性,粮食系统内的脆弱区域,以及建立社区粮食恢复力的可操作策略。此外,还提出了一些建议,以创造有利环境,支持实施“同一个健康”方针,并通过创新伙伴关系、地方主导的举措以及加强治理和人工智能技术能力,解决粮食不安全挑战,实现可持续和包容性增长,减少社会经济不平等。加强综合、可操作和可持续的粮食系统计划和创新的长效解决方案,需要投资于促进新的伙伴关系和研究合作,以建立解决冲突与和平,从而加强和重塑地方和全球粮食安全相关的气候变化适应行动,造福最脆弱社区。这些都是加强传染病预防和控制的准备、预防和控制,减少粮食供应链中断,以加速在整个非洲实现全民健康覆盖和2030年可持续发展目标的公平利益的组成部分。
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引用次数: 0
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Science in One Health
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