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Advancing One Health education: integrative pedagogical approaches and their impacts on interdisciplinary learning 推进 "一体健康 "教育:综合教学法及其对跨学科学习的影响
Pub Date : 2024-01-01 DOI: 10.1016/j.soh.2024.100079
Chang Cai , Yong-Sam Jung , Richard Van Vleck Pereira , Michael S.M. Brouwer , Junxia Song , Bennie Irve Osburn , Joanna McKenzie , Wim H.M. van der Poel , Yingjuan Qian
One Health is an integrative approach that emphasizes the interconnectedness of human, animal, and environmental health, advocating for collaborative, multidisciplinary efforts to address health challenges, particularly amid globalization and emerging threats. This paper examines the integration of One Health principles into global health education, highlighting the importance of interdisciplinary collaboration and innovative pedagogical approaches. It evaluates various teaching methods, including problem-based learning (PBL), team-based learning (TBL), simulation-based education (SBE), case-based learning (CBL), interdisciplinary workshops and seminars (IWS), and service-learning (SL), analyzing their strengths and weaknesses in fostering interdisciplinary understanding and practical application of One Health concepts. While these methods enhance learning by promoting critical thinking, collaboration, and real-world application, they also face challenges such as resource constraints, variability in group dynamics, and the complexity of assessing long-term learning outcomes. The paper also discusses the role of global partnerships, such as the Global One Health Research Partnership (GOHRP), in advancing One Health education through collaborative research and educational initiatives. Addressing challenges in curriculum integration and interdisciplinary collaboration is crucial for the effective implementation of One Health education, ensuring that future health professionals are equipped to tackle complex global health challenges.
一体健康 "是一种综合方法,强调人类、动物和环境健康之间的相互联系,主张通过多学科合作来应对健康挑战,尤其是在全球化和新威胁的背景下。本文探讨了将 "同一健康 "原则纳入全球健康教育的问题,强调了跨学科合作和创新教学方法的重要性。它评估了各种教学方法,包括基于问题的学习(PBL)、基于团队的学习(TBL)、基于模拟的教育(SBE)、基于案例的学习(CBL)、跨学科讲习班和研讨会(IWS)以及服务学习(SL),分析了它们在促进跨学科理解和 "一个健康 "概念的实际应用方面的优缺点。虽然这些方法通过促进批判性思维、合作和实际应用来提高学习效果,但它们也面临着资源限制、小组动态变化以及长期学习成果评估的复杂性等挑战。本文还讨论了全球合作伙伴关系(如全球统一健康研究合作伙伴关系,GOHRP)在通过合作研究和教育计划推进统一健康教育方面的作用。应对课程整合和跨学科合作方面的挑战,对于有效实施 "一体健康 "教育,确保未来的卫生专业人员具备应对复杂的全球卫生挑战的能力至关重要。
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引用次数: 0
Modern technologies and solutions to enhance surveillance and response systems for emerging zoonotic diseases 加强新发动物传染病监测和应对系统的现代技术和解决方案
Pub Date : 2024-01-01 DOI: 10.1016/j.soh.2023.100061
Li Zhang, Wenqiang Guo, Chenrui Lv

Background

Zoonotic diseases originating in animals pose a significant threat to global public health. Recent outbreaks, such as coronavirus disease 2019 (COVID-19), have caused widespread illness, death, and socioeconomic disruptions worldwide. To cope with these diseases effectively, it is crucial to strengthen surveillance capabilities and establish rapid response systems.

Aim

The aim of this review to examine the modern technologies and solutions that have the potential to enhance zoonotic disease surveillance and outbreak responses and provide valuable insights into how cutting-edge innovations could be leveraged to prevent, detect, and control emerging zoonotic disease outbreaks. Herein, we discuss advanced tools including big data analytics, artificial intelligence, the Internet of Things, geographic information systems, remote sensing, molecular diagnostics, point-of-care testing, telemedicine, digital contact tracing, and early warning systems.

Results

These technologies enable real-time monitoring, the prediction of outbreak risks, early anomaly detection, rapid diagnosis, and targeted interventions during outbreaks. When integrated through collaborative partnerships, these strategies can significantly improve the speed and effectiveness of zoonotic disease control. However, several challenges persist, particularly in resource-limited settings, such as infrastructure limitations, costs, data integration and training requirements, and ethical implementation.

Conclusion

With strategic planning and coordinated efforts, modern technologies and solutions offer immense potential to bolster surveillance and outbreak responses, and serve as a critical resource against emerging zoonotic disease threats worldwide.

背景源于动物的人畜共患病对全球公共卫生构成了重大威胁。最近爆发的疫情,如 2019 年冠状病毒病(COVID-19),在全球范围内造成了广泛的疾病、死亡和社会经济混乱。本综述旨在研究有可能加强人畜共患病监测和疫情应对的现代技术和解决方案,并就如何利用尖端创新技术预防、检测和控制新出现的人畜共患病疫情提供有价值的见解。在此,我们将讨论包括大数据分析、人工智能、物联网、地理信息系统、遥感、分子诊断、护理点检测、远程医疗、数字接触追踪和预警系统在内的先进工具。如果通过合作伙伴关系加以整合,这些战略可以大大提高人畜共患病控制的速度和效果。然而,一些挑战依然存在,特别是在资源有限的环境中,如基础设施限制、成本、数据整合和培训要求以及伦理实施等。 结论:通过战略规划和协调努力,现代技术和解决方案为加强监测和疫情应对提供了巨大的潜力,并成为应对全球新出现的人畜共患病威胁的重要资源。
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引用次数: 0
Microbiome One Health model for a healthy ecosystem 微生物群 "一体健康 "模式打造健康生态系统
Pub Date : 2024-01-01 DOI: 10.1016/j.soh.2024.100065
Antonietta Tomasulo , Barbara Simionati , Sonia Facchin

The attention on microbiome research and its translation to application deployment is escalating along with diffused hype. There is real excitement in this new science, leveraging the growing potential of advances in molecular biology and sequencing techniques. Yet, despite the substantial efforts provided by the scientific communities, the true significance of research achievements requires coordinated and constructive actions across interdisciplinary fields. Individual researchers, universities, small and large companies, venture capitalists, and governments play a fundamental role in fostering collaboration and promoting knowledge that will benefit each other and sustain global prosperity. Making meaningful connections across different fields and getting a new perspective on how technological developments interrelate are the main drivers for creativity and progress.

To help the broader innovation community focus on potentially new cross-sectorial developments, the One Health-microbiome-centric approach, defined here as “Microbiome One Health, is considered as the efficient, holistic approach to product and service exploitations meant to preserve human well-being within a healthy ecosystem. The model opposes the biomedical system and generalizes the “One World-One Health ™” concept. The focus will be given to Nutrition as a driver of health and the food system for its commercial exploitation microbiome-centric, specifically at the interface of human/animal/agricultural. Remarkably, at the interface of humans/animals, the interaction with pets, specifically dogs, has been recognized as a driving force of novel microbiome exploitation.

人们对微生物组研究及其应用部署的关注与日俱增。利用分子生物学和测序技术进步所带来的日益增长的潜力,这门新科学确实令人兴奋。然而,尽管科学界做出了巨大努力,研究成果的真正意义仍需要跨学科领域的协调和建设性行动。研究人员个人、大学、大小公司、风险资本家和政府在促进合作和推广知识方面发挥着根本性的作用,这将使彼此受益并维持全球繁荣。为了帮助更广泛的创新社区关注潜在的跨部门新发展,"一个健康"--以微生物组为中心的方法(在此定义为 "微生物组一个健康")被认为是一种高效、全面的产品和服务开发方法,旨在维护健康生态系统中的人类福祉。该模式与生物医学系统相对立,是对 "一个世界-一个健康™"概念的概括。重点将放在作为健康驱动力的营养和以微生物为中心进行商业开发的食品系统上,特别是在人类/动物/农业的交界处。值得注意的是,在人类/动物的界面上,与宠物(特别是狗)的互动已被认为是开发新型微生物组的推动力。
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引用次数: 0
A bibliometric analysis of One Health approach in research on antimicrobial resistance 抗菌药耐药性研究中的 "一体健康 "方法文献计量分析
Pub Date : 2024-01-01 DOI: 10.1016/j.soh.2024.100077
Zheyi Fang , Shiyi Tu , Jiayan Huang

Background

Antimicrobial resistance (AMR) is a global public health threat that requires actions through One Health intervention. This study aims to trace the historical development of One Health research on AMR to provide evidence supporting future research and actions.

Methods

A bibliometric analysis is conducted with One Health articles in the field of antimicrobial resistance (AMR-OH articles) retrieved from the Web of Science Core Collection (WoSCC). AMR-OH articles refer to articles in the field of AMR that simultaneously involve elements from human health and at least one other domain, including animals, environment, or plants. Three research periods were identified based on the development of global actions in combating AMR. Descriptive analysis of publications, keyword cluster analysis, annual trending topic analysis, and co-authorship analysis were conducted using R software, VOSViewer, and Pajek.

Results

The results indicated that the percentage of AMR-OH articles among all AMR articles increased from 5.21% in 1990 to 20.01% in 2023. Key topics in the current AMR-OH articles included the mechanism of AMR, AMR epidemiology, and public health control strategies. Epidemiological research initially focused on human and animal health and then shifted to environmental factors in the third period. Research at the molecular level focused on the mechanisms of AMR transmission in various domains, along with the dynamics and diversity of antibiotic resistance genes (ARGs). The co-authorship analysis suggested a significant increase in cooperation among low- and middle-income countries in the third period.

Conclusion

The scope of epidemiological research on AMR has expanded by including human, animal, and environmental areas. Moreover, genetic and molecular level research represents the forefront of this field, offering innovative tools to combat AMR in the future. This study suggests further research to translate existing findings into practical implementation of the One Health strategy, and to support globally consistent action in combating AMR.

背景抗菌素耐药性(AMR)是一种全球性的公共卫生威胁,需要通过 "一体健康 "干预措施采取行动。本研究旨在追溯有关 AMR 的 "一体健康 "研究的历史发展,为未来的研究和行动提供证据支持。方法对从科学网核心数据库(WoSCC)检索到的抗菌素耐药性领域的 "一体健康 "文章(AMR-OH 文章)进行文献计量分析。AMR-OH 文章是指同时涉及人类健康和至少一个其他领域(包括动物、环境或植物)的 AMR 领域文章。根据全球抗击 AMR 行动的发展情况,确定了三个研究时期。结果表明,AMR-OH 文章在所有 AMR 文章中所占比例从 1990 年的 5.21% 增加到 2023 年的 20.01%。当前 AMR-OH 文章的主要话题包括 AMR 的机制、AMR 流行病学和公共卫生控制策略。流行病学研究最初侧重于人类和动物健康,然后在第三个时期转向环境因素。分子层面的研究侧重于 AMR 在各个领域的传播机制,以及抗生素耐药基因 (ARG) 的动态和多样性。共同作者分析表明,第三阶段中低收入国家之间的合作显著增加。此外,基因和分子水平的研究代表了这一领域的前沿,为未来抗击 AMR 提供了创新工具。本研究建议进一步开展研究,将现有研究成果转化为 "一个健康 "战略的实际实施,并支持全球采取一致行动抗击 AMR。
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引用次数: 0
Global, regional, and national burden of upper respiratory infections, 1990–2021: Findings from the Global Burden of Disease study 2021 1990-2021 年全球、地区和国家上呼吸道感染负担:2021 年全球疾病负担研究结果
Pub Date : 2024-01-01 DOI: 10.1016/j.soh.2024.100084
Shun-Xian Zhang , Yu-Juan Liu , En-Li Tan , Guo-Bing Yang , Yu Wang , Xiao-Jie Hu , Ming-Zi Li , Lei Duan , Shan Lv , Li-Guang Tian , Mu-Xin Chen , Fan-Na Wei , Qin Liu , Yan Lu , Shi-Zhu Li , Pin Yang , Jin-Xin Zheng

Background

Upper respiratory infections (URIs) are common infectious diseases worldwide. Accurate and timely assessment of the disease burden of URIs is crucial for governments to develop comprehensive prevention and control strategies, and to allocate and utilize healthcare resources more efficiently.

Methods

For URIs in Global Burden of Disease (GBD) 2021 database, age-standardized incidence rates (ASIR), age-standardized prevalence rates (ASPR), age-standardized mortality rates (ASMR), disability-adjusted life-years (DALYs), and case numbers for incidence, prevalence, deaths, and DALYs across the globe, five socio-demographic index (SDI) regions, 21 geographical regions, and 204 countries and territories were provided and analyzed. Trends from 1990 to 2021 were described using the average annual percentage change (AAPC), and future URIs burden was projected with a Bayesian age-period-cohort (BAPC) model.

Results

From 1990 to 2021, there was a significant decline in global ASIR (APCC = −289.86, 95% confidence interval [CI]: −298.59 to −281.12), ASPR (AAPC = −4.04, 95% CI: −4.16 to −3.92), ASMR (AAPC = −0.02, 95 % CI: −0.02 to −0.03) and age-standardized DALY rate (AAPC = −0.75, 95% CI: −0.76 to −0.74). The ASIR, ASPR, ASMR, and age-standardized DALY rate were high in elderly for both males and females, and both genders. Similarly, the number of incident cases, prevalence cases, deaths, and DALY cases for URIs was highest in children under five years. The ASMR and age-standardized DALY rate exhibited a negative correlation with SDI across 204 countries and territories in 2021. The ASIR and ASPR for URIs will show an upward trend from 2022 to 2050, while ASMR and age-standardized DALY rate are expected to decline. Low birth weight for gestation remains the leading contributor to deaths related to URIs.

Conclusion

Despite the global decline in URIs burden, significant challenges remain among the elderly population. These findings support the optimization and implementation of public health policies, including targeted vaccination and integrated One Health approaches to reduce the burden in high-risk populations.
背景上呼吸道感染(URI)是全球常见的传染病。准确、及时地评估尿毒症的疾病负担对各国政府制定综合防控策略、更有效地分配和利用医疗资源至关重要。方法对于全球疾病负担(GBD)2021数据库中的尿毒症,提供并分析了全球5个社会人口指数(SDI)地区、21个地理区域以及204个国家和地区的年龄标准化发病率(ASIR)、年龄标准化流行率(ASPR)、年龄标准化死亡率(ASMR)、残疾调整生命年(DALYs)以及发病、流行、死亡和残疾调整生命年的病例数。结果从 1990 年到 2021 年,全球 ASIR 显著下降(APCC = -289.86,95% 置信区间 [CAPC])。86,95% 置信区间[CI]:-298.59 至 -281.12)、ASPR(AAPC = -4.04,95% CI:-4.16 至 -3.92)、ASMR(AAPC = -0.02,95% CI:-0.02 至 -0.03)和年龄标准化残疾调整寿命年率(AAPC = -0.75,95% CI:-0.76 至 -0.74)均有显著下降。老年男性和女性的 ASIR、ASPR、ASMR 和年龄标准化 DALY 率均较高。同样,五岁以下儿童的尿毒症发病人数、患病人数、死亡人数和残疾调整寿命年数也最高。2021 年,204 个国家和地区的 ASMR 和年龄标准化 DALY 率与 SDI 呈负相关。从 2022 年到 2050 年,尿毒症的 ASIR 和 ASPR 将呈上升趋势,而 ASMR 和年龄标准化残疾调整寿命年率预计将下降。尽管全球尿毒症负担有所下降,但老年人口仍面临巨大挑战。这些研究结果支持优化和实施公共卫生政策,包括有针对性的疫苗接种和 "一体健康 "综合方法,以减轻高危人群的负担。
{"title":"Global, regional, and national burden of upper respiratory infections, 1990–2021: Findings from the Global Burden of Disease study 2021","authors":"Shun-Xian Zhang ,&nbsp;Yu-Juan Liu ,&nbsp;En-Li Tan ,&nbsp;Guo-Bing Yang ,&nbsp;Yu Wang ,&nbsp;Xiao-Jie Hu ,&nbsp;Ming-Zi Li ,&nbsp;Lei Duan ,&nbsp;Shan Lv ,&nbsp;Li-Guang Tian ,&nbsp;Mu-Xin Chen ,&nbsp;Fan-Na Wei ,&nbsp;Qin Liu ,&nbsp;Yan Lu ,&nbsp;Shi-Zhu Li ,&nbsp;Pin Yang ,&nbsp;Jin-Xin Zheng","doi":"10.1016/j.soh.2024.100084","DOIUrl":"10.1016/j.soh.2024.100084","url":null,"abstract":"<div><h3>Background</h3><div>Upper respiratory infections (URIs) are common infectious diseases worldwide. Accurate and timely assessment of the disease burden of URIs is crucial for governments to develop comprehensive prevention and control strategies, and to allocate and utilize healthcare resources more efficiently.</div></div><div><h3>Methods</h3><div>For URIs in Global Burden of Disease (GBD) 2021 database, age-standardized incidence rates (ASIR), age-standardized prevalence rates (ASPR), age-standardized mortality rates (ASMR), disability-adjusted life-years (DALYs), and case numbers for incidence, prevalence, deaths, and DALYs across the globe, five socio-demographic index (SDI) regions, 21 geographical regions, and 204 countries and territories were provided and analyzed. Trends from 1990 to 2021 were described using the average annual percentage change (AAPC), and future URIs burden was projected with a Bayesian age-period-cohort (BAPC) model.</div></div><div><h3>Results</h3><div>From 1990 to 2021, there was a significant decline in global ASIR (APCC = −289.86, 95% confidence interval [<em>CI</em>]: −298.59 to −281.12), ASPR (AAPC = −4.04, 95% <em>CI</em>: −4.16 to −3.92), ASMR (AAPC = −0.02, 95 % <em>CI</em>: −0.02 to −0.03) and age-standardized DALY rate (AAPC = −0.75, 95% <em>CI</em>: −0.76 to −0.74). The ASIR, ASPR, ASMR, and age-standardized DALY rate were high in elderly for both males and females, and both genders. Similarly, the number of incident cases, prevalence cases, deaths, and DALY cases for URIs was highest in children under five years. The ASMR and age-standardized DALY rate exhibited a negative correlation with SDI across 204 countries and territories in 2021. The ASIR and ASPR for URIs will show an upward trend from 2022 to 2050, while ASMR and age-standardized DALY rate are expected to decline. Low birth weight for gestation remains the leading contributor to deaths related to URIs.</div></div><div><h3>Conclusion</h3><div>Despite the global decline in URIs burden, significant challenges remain among the elderly population. These findings support the optimization and implementation of public health policies, including targeted vaccination and integrated One Health approaches to reduce the burden in high-risk populations.</div></div>","PeriodicalId":101146,"journal":{"name":"Science in One Health","volume":"3 ","pages":"Article 100084"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142578036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
One Health approaches to tackling antimicrobial resistance 应对抗菌药耐药性的 "一体健康 "方法
Pub Date : 2024-01-01 DOI: 10.1016/j.soh.2024.100082
M.E.J. Woolhouse
Antimicrobial resistance (AMR) is a significant and growing threat to human health. A recent United Nations General Assembly declaration highlights that those in need must have sustained access to effective treatments. In the absence of a reliable supply of new drugs, pressure on existing drugs can be reduced by minimising demand. Routes to reducing demand include: promotion of WASH (access to clean water, sanitation and hygiene) and Universal Health Coverage (UHC); improved infection control in health care settings; and continued efforts to curtail drug use in agriculture. This is a One Health strategy, requiring coordinated action across the human, livestock and environmental sectors.
抗菌药耐药性(AMR)对人类健康构成了日益严重的威胁。联合国大会最近的一项宣言强调,有需要的人必须能够持续获得有效的治疗。在缺乏可靠的新药供应的情况下,可以通过最大限度地减少需求来减轻现有药物的压力。减少需求的途径包括:推广讲卫生运动(获得清洁水、环境卫生和个人卫生)和全民医保(UHC);改善医疗机构的感染控制;继续努力减少农业用药。这是一项 "一个健康 "战略,需要人类、畜牧业和环境部门采取协调一致的行动。
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引用次数: 0
Emergence of plasmid-mediated tigecycline resistance tet(X4) gene in Enterobacterales isolated from wild animals in captivity 从人工饲养的野生动物体内分离出的肠杆菌中出现质粒介导的耐虎头环素基因 tet(X4)
Pub Date : 2024-01-01 DOI: 10.1016/j.soh.2024.100069
Lei Lei , Panfeng Xiong , Zelin Yan , Yanyan Zhang , Yuchen Wu , Gongxiang Chen , Houhui Song , Rong Zhang

Background

Over the past few decades, antimicrobial resistance (AMR) has emerged as a global health challenge in human and veterinary medicine. Research on AMR genes in captive wild animals has increased. However, the presence and molecular characteristics of tet(X)-carrying bacteria in these animals remain unknown.

Methods

Eighty-four samples were collected from captive wild animals. tet(X) variants were detected using polymerase chain reaction and the isolates were identified using matrix-assisted laser desorption/ionization time-of-flight mass spectrometry. All isolated strains were subjected to antimicrobial susceptibility testing and whole-genome sequencing. The virulence of an Escherichia coli strain carrying enterotoxin genes was assessed using a Galleria mellonella larval model.

Results

We isolated two tet(X4)-positive E. coli strains and one tet(X4)-positive Raoultella ornithinolytica strain. Antimicrobial susceptibility tests revealed that all three tet(X4)-carrying bacteria were sensitive to the 13 tested antimicrobial agents, but exhibited resistance to tigecycline. Notably, one tet(X4)-carrying E. coli strain producing an enterotoxin had a toxic effect on G. mellonella larvae. Whole-genome sequencing analysis showed that the two tet(X4)-carrying E. coli strains had more than 95% similarity to tet(X4)-containing E. coli strains isolated from pigs and humans in China.

Conclusion

The genetic environment of tet(X4) closely resembled that of the plasmid described in previous studies. Our study identified tet(X4)-positive strains in wildlife and provided valuable epidemiological data for monitoring drug resistance. The identification of enterotoxin-producing E. coli strains also highlights the potential risks posed by virulence genes.

背景在过去的几十年里,抗菌药耐药性(AMR)已成为人类和兽医面临的全球性健康挑战。对圈养野生动物中 AMR 基因的研究也在增加。采用聚合酶链式反应检测 tet(X)变体,并采用基质辅助激光解吸/电离飞行时间质谱法鉴定分离菌株。对所有分离菌株进行了抗菌药敏感性测试和全基因组测序。结果我们分离出两株 tet(X4)阳性大肠杆菌和一株 tet(X4)阳性鸟疫杆菌。抗菌药敏感性测试显示,这三种携带 tet(X4) 的细菌都对 13 种测试过的抗菌药敏感,但对替加环素表现出耐药性。值得注意的是,一株产生肠毒素的大肠杆菌(tet(X4)-carrying E. coli strain)会对G. mellonella幼虫产生毒性作用。全基因组测序分析表明,这两株携带 tet(X4) 的大肠杆菌与中国从猪和人体内分离出的含有 tet(X4) 的大肠杆菌相似度超过 95%。我们的研究发现了野生动物中的 tet(X4)阳性菌株,为监测耐药性提供了宝贵的流行病学数据。产肠毒素大肠杆菌菌株的鉴定也凸显了毒力基因带来的潜在风险。
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引用次数: 0
Improving health literacy and stakeholder-directed knowledge of One Health through analysis of readability: a cross sectional infodemiology study 通过可读性分析提高 "一体健康 "的健康素养和利益相关者导向知识:一项横断面信息生理学研究
Pub Date : 2024-01-01 DOI: 10.1016/j.soh.2024.100088
John E. Moore , Beverley C. Millar
<div><h3>Background</h3><div>The One Health approach involves collaboration across several sectors, including public health, veterinary and environmental sectors in an integrated manner. These sectors may be disparate and unrelated, however to succeed, all stakeholders need to understand what the other stakeholders are communicating. Likewise, it is important that there is public acceptance and support of One Health approaches, which requires effective communication between professional and institutional organisations and the public. To help aid and facilitate such communication, written materials need to be readable by all stakeholders, in order to communicate effectively. There has been an exponential increase in the publication of papers involving One Health, with <5 per year, in the 2000s, to nearly 500 published in 2023. To date, readability of One Health information has not been scrutinised, nor has it been considered as an integral intervention of One Health policy communication. The aim of this study was therefore to examine readability of public-facing One Health information prepared by 24 global organisations.</div></div><div><h3>Methods</h3><div>Readability was calculated using <em>Readable</em> software, to obtain four readability scores [(ⅰ) Flesch Reading Ease (FRE), (ⅱ) Flesch-Kincaid Grade Level (FKGL), (ⅲ) Gunning Fog Index and (ⅳ) SMOG Index] and two text metrics [words/sentence, syllables/word] for 100 sources of One Health information, from four categories [One Health public information; PubMed abstracts; <em>Science in One Health</em> (SOH) abstracts (articles); SOH abstracts (reviews)].</div></div><div><h3>Results</h3><div>Readability of One Health information for the public is poor, not reaching readability reference standards. No information was found that had a readability of less than 9th grade (around 14 years old). Mean values for the FRE and FKGL were (19.4 ± 1.4) (target >60) and (15.6 ± 0.3) (target <8), respectively, with mean words per sentence and syllables per word of 20.5 and 2.0, respectively. Abstracts with “One Health” in the title were more difficult to read than those without “One Health” in the title (FRE: <em>P</em> = 0.0337; FKGL: <em>P</em> = 0.0087). Comparison of FRE and FKGL readability scores for the four categories of One Health information [One Health public information; PubMed abstracts; SOH abstracts (articles); SOH abstracts (reviews)] showed that SOH abstracts from articles were easier to read than those from SOH reviews. No One Health public-facing information from the 100 sources examined met the FKGL target of ≤8. The most easily read One Health information required a Grade Level of 9th grade (14–15 years old), with a mean Grade Level of 15.5 (university/college level).</div></div><div><h3>Conclusion</h3><div>Considerable work is required in making One Health written materials more readable, particularly for children and adolescents (<14 years of age). It is important that any
背景 "同一健康 "方法涉及多个部门的合作,包括公共卫生、兽医和环境部门的综合合作。这些部门可能互不相关,但要取得成功,所有利益相关者都需要了解其他利益相关者在传达什么信息。同样,公众接受和支持 "一体健康 "方法也很重要,这需要专业和机构组织与公众之间进行有效沟通。为了帮助和促进这种沟通,书面材料需要让所有利益相关者都能读懂,以便有效沟通。涉及 "一种健康 "的论文发表量呈指数级增长,从 2000 年代的每年 5 篇增加到 2023 年的近 500 篇。迄今为止,"一体健康 "信息的可读性尚未得到仔细研究,也未被视为 "一体健康 "政策传播中不可或缺的干预措施。因此,本研究旨在对 24 个全球组织编写的面向公众的 "一体健康 "信息的可读性进行审查。方法使用Readable软件对100条 "一种健康 "信息来源进行可读性计算,得出四项可读性评分[(ⅰ) Flesch Reading Ease (FRE)、(ⅱ) Flesch-Kincaid Grade Level (FKGL)、(ⅲ) Gunning Fog Index和(ⅳ) SMOG Index]以及两项文本指标[单词/句子、音节/单词];PubMed摘要;"一种健康 "科学(SOH)摘要(文章);SOH摘要(评论)]。结果 面向公众的 "一种健康 "信息的可读性很差,没有达到可读性参考标准。没有发现可读性低于 9 年级(14 岁左右)的信息。FRE和FKGL的平均值分别为(19.4 ± 1.4)(目标值>60)和(15.6 ± 0.3)(目标值<8),每句平均字数和每字平均音节数分别为20.5和2.0。标题中有 "One Health "的摘要比标题中没有 "One Health "的摘要更难阅读(FRE:P = 0.0337;FKGL:P = 0.0087)。对四类 "一种健康 "信息["一种健康 "公共信息;PubMed 摘要;SOH 摘要(文章);SOH 摘要(评论)]的 FRE 和 FKGL 可读性得分进行比较后发现,文章中的 SOH 摘要比 SOH 评论中的摘要更容易阅读。在所审查的 100 个来源中,没有一个面向公众的 "一个健康 "信息达到 FKGL ≤8 的目标。最容易阅读的 "一种健康 "信息要求的年级水平为九年级(14-15 岁),平均年级水平为 15.5(大学/学院水平)。重要的是,为支持公众更好地理解 "一种健康 "方法而采取的任何干预或缓解措施都不是短暂的,而是具有更持久的传承价值。在为利益相关者准备 "一种健康 "信息时,"一种健康 "信息的作者应考虑使用可读性计算器,以检查其作品的可读性,从而使最终材料符合推荐的可读性参考参数,以支持读者的健康素养和利益相关者导向的知识。
{"title":"Improving health literacy and stakeholder-directed knowledge of One Health through analysis of readability: a cross sectional infodemiology study","authors":"John E. Moore ,&nbsp;Beverley C. Millar","doi":"10.1016/j.soh.2024.100088","DOIUrl":"10.1016/j.soh.2024.100088","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;The One Health approach involves collaboration across several sectors, including public health, veterinary and environmental sectors in an integrated manner. These sectors may be disparate and unrelated, however to succeed, all stakeholders need to understand what the other stakeholders are communicating. Likewise, it is important that there is public acceptance and support of One Health approaches, which requires effective communication between professional and institutional organisations and the public. To help aid and facilitate such communication, written materials need to be readable by all stakeholders, in order to communicate effectively. There has been an exponential increase in the publication of papers involving One Health, with &lt;5 per year, in the 2000s, to nearly 500 published in 2023. To date, readability of One Health information has not been scrutinised, nor has it been considered as an integral intervention of One Health policy communication. The aim of this study was therefore to examine readability of public-facing One Health information prepared by 24 global organisations.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Readability was calculated using &lt;em&gt;Readable&lt;/em&gt; software, to obtain four readability scores [(ⅰ) Flesch Reading Ease (FRE), (ⅱ) Flesch-Kincaid Grade Level (FKGL), (ⅲ) Gunning Fog Index and (ⅳ) SMOG Index] and two text metrics [words/sentence, syllables/word] for 100 sources of One Health information, from four categories [One Health public information; PubMed abstracts; &lt;em&gt;Science in One Health&lt;/em&gt; (SOH) abstracts (articles); SOH abstracts (reviews)].&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Readability of One Health information for the public is poor, not reaching readability reference standards. No information was found that had a readability of less than 9th grade (around 14 years old). Mean values for the FRE and FKGL were (19.4 ± 1.4) (target &gt;60) and (15.6 ± 0.3) (target &lt;8), respectively, with mean words per sentence and syllables per word of 20.5 and 2.0, respectively. Abstracts with “One Health” in the title were more difficult to read than those without “One Health” in the title (FRE: &lt;em&gt;P&lt;/em&gt; = 0.0337; FKGL: &lt;em&gt;P&lt;/em&gt; = 0.0087). Comparison of FRE and FKGL readability scores for the four categories of One Health information [One Health public information; PubMed abstracts; SOH abstracts (articles); SOH abstracts (reviews)] showed that SOH abstracts from articles were easier to read than those from SOH reviews. No One Health public-facing information from the 100 sources examined met the FKGL target of ≤8. The most easily read One Health information required a Grade Level of 9th grade (14–15 years old), with a mean Grade Level of 15.5 (university/college level).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Considerable work is required in making One Health written materials more readable, particularly for children and adolescents (&lt;14 years of age). It is important that any ","PeriodicalId":101146,"journal":{"name":"Science in One Health","volume":"3 ","pages":"Article 100088"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142660398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Strengthening Africa's response to Mpox (monkeypox): insights from historical outbreaks and the present global spread 加强非洲对猴痘的应对:从历史疫情和目前的全球传播中得到的启示
Pub Date : 2024-01-01 DOI: 10.1016/j.soh.2024.100085
David B. Olawade , Ojima Z. Wada , Sandra Chinaza Fidelis , Oluwafemi S. Oluwole , Chibuike S. Alisi , Nifemi F. Orimabuyaku , Aanuoluwapo Clement David-Olawade
Mpox, formerly known as Monkeypox, is a viral zoonotic disease endemic to Central and West Africa that has posed significant public health challenges since its identification in 1970. Despite decades of experience in managing outbreaks, the 2022–2024 Mpox outbreaks exposed substantial gaps in global preparedness and response, leading the World Health Organization (WHO) to declare a Public Health Emergency of International Concern (PHEIC) in 2022. The resurgence of cases in Europe in 2022 and the more recent emergence of the virulent clade Ⅰb in the Democratic Republic of the Congo (DRC) in 2024 have highlighted a critical need for improved proactive and response strategies to curb the epidemic. This narrative review examines the historical and recent epidemiology of Mpox in Africa and explores the factors that have limited effective management. These include objective influences such as viral mutations, zoonotic transmission patterns, and environmental changes like deforestation, as well as subjective factors, including delayed responses, limited vaccine availability, cessation of smallpox vaccinations, and inequitable access to healthcare. In particular, the review emphasizes the ongoing disparities in global health equity, as wealthier nations have been able to secure vaccines and therapeutics quickly, while endemic regions in Africa continue to struggle with limited resources. The review also discusses how socio-economic and cultural factors, combined with weak public health infrastructure and inadequate surveillance systems, perpetuate cycles of outbreak in vulnerable populations. Furthermore, the emergence of clade Ⅰb in 2024, with its higher virulence and mortality rates among children, particularly in rural areas, underscores the urgency of addressing the evolving epidemiological landscape of Mpox. In response to these challenges, this review recommends strengthening healthcare infrastructure, enhancing surveillance systems, ensuring equitable access to vaccines and treatments, and integrating environmental management into public health strategies. Global collaboration remains essential to provide African countries with the resources and support needed to manage and prevent future outbreaks effectively. Without these measures, the world risks a prolonged public health crisis with far-reaching consequences for both Africa and the global community.
天花(原名猴痘)是一种流行于非洲中部和西部的病毒性人畜共患病,自1970年被确认以来一直对公共卫生构成重大挑战。尽管已有数十年管理疫情的经验,但 2022-2024 年爆发的天花疫情暴露了全球防备和应对工作的巨大差距,导致世界卫生组织(WHO)于 2022 年宣布将其列为国际关注的突发公共卫生事件(PHEIC)。2022年欧洲再次出现病例,最近2024年刚果民主共和国(DRC)又出现了毒力更强的Ⅰb支系,这些都凸显出亟需改进预防和应对策略以遏制疫情。这篇叙述性综述研究了非洲麻风腮的历史和近期流行病学,并探讨了限制有效管理的因素。这些因素包括病毒变异、人畜共患病传播模式、森林砍伐等环境变化等客观影响因素,也包括反应迟缓、疫苗供应有限、停止天花疫苗接种、医疗服务不公平等主观因素。综述特别强调了全球卫生公平性方面持续存在的差距,因为富裕国家能够迅速获得疫苗和治疗方法,而非洲流行地区则继续在有限的资源中挣扎。综述还讨论了社会经济和文化因素如何与薄弱的公共卫生基础设施和不完善的监测系统相结合,使易感人群中的疫情循环往复。此外,Ⅰb 支系将于 2024 年出现,其毒性更强,儿童死亡率更高,尤其是在农村地区。为应对这些挑战,本综述建议加强医疗保健基础设施,强化监测系统,确保公平获得疫苗和治疗,并将环境管理纳入公共卫生战略。全球合作对于为非洲国家提供有效管理和预防未来疫情爆发所需的资源和支持仍然至关重要。如果不采取这些措施,世界将面临长期的公共卫生危机,给非洲和全球社会带来深远影响。
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引用次数: 0
Irrational use of colistin sulfate in poultry and domestic animals in Nepal-an emerging public health crisis 尼泊尔家禽和家畜不合理使用硫酸秋水仙碱--新出现的公共卫生危机
Pub Date : 2024-01-01 DOI: 10.1016/j.soh.2024.100063
Sonu Adhikari , Sarita Phuyal , AbdulRahman A. Saied, Asmaa A. Metwally, Krishna Prasad Acharya
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引用次数: 0
期刊
Science in One Health
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