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Tracing the roots of One Health principles in nursing practice 在护理实践中追溯同一个健康原则的根源
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2026-06-01 Epub Date: 2025-12-19 DOI: 10.1016/j.onehlt.2025.101306
Júlio Belo Fernandes , Sónia Fernandes , Cidália Castro , Diana Vareta
This article examines the historical roots of the One Health concept and highlights its deep convergence with Florence Nightingale's Environmental Theory. Although One Health gained prominence in the early 2000s, its intellectual foundations are much older, encompassing Indigenous knowledge systems, nineteenth-century public health, and the work of Virchow, Osler, and Schwabe. Through a historical–conceptual analysis of Nightingale's writings and key One Health milestones, the article shows how her emphasis on environmental determinants, stewardship of natural and built environments, systematic observation, statistical evidence, and coordinated cross-sectoral action anticipated core One Health principles. Five areas of convergence are identified: prevention focused on environmental determinants, environmental stewardship, data-informed decision making, transdisciplinary collaboration, and continuous system improvement. The article argues that Nightingale's legacy positions nursing as a strategic actor in the local implementation of One Health, particularly in designing therapeutic and healthy environments and integrating environmental indicators into care, governance, and health policy.
本文考察了“一个健康”概念的历史根源,并强调了它与弗洛伦斯·南丁格尔的环境理论的深度趋同。尽管“同一健康”在21世纪初获得了突出的地位,但它的知识基础要古老得多,包括土著知识体系、19世纪的公共卫生,以及维尔肖、奥斯勒和施瓦贝的工作。通过对南丁格尔的著作和关键的“一个健康”里程碑的历史概念分析,文章展示了她对环境决定因素、自然和建筑环境管理、系统观察、统计证据和协调跨部门行动的强调如何预测了“一个健康”的核心原则。确定了五个趋同领域:以环境决定因素为重点的预防、环境管理、基于数据的决策、跨学科合作和持续的系统改进。文章认为,南丁格尔的遗产将护理定位为“一个健康”在当地实施中的战略角色,特别是在设计治疗和健康环境以及将环境指标纳入护理、治理和卫生政策方面。
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引用次数: 0
Using participatory epidemiology to understand differences in tick-borne disease perceptions from homeowners in the Ohio River valley 使用参与式流行病学来了解俄亥俄河谷房主对蜱传疾病的看法差异
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2026-06-01 Epub Date: 2025-12-26 DOI: 10.1016/j.onehlt.2025.101309
Emily G. Bache , Paulina Matzkin , Jessica Fleming , Risa Pesapane , Danielle M. Tufts
Tick-borne diseases (TBDs) are the most common vector-borne diseases reported annually in the United States. Lyme disease, caused primarily by the spirochetal bacterium Borrelia burgdorferi sensu stricto (s.s.) affects an estimated 476,000 people each year. Borrelia burgdorferi is transmitted by the tick Ixodes scapularis and is maintained in an enzootic cycle with small mammal reservoirs in the eastern United States. Since B. burgdorferi can infect humans and domestic animals, Lyme disease is an important One Health concern between humans and animals. People residing in endemic areas are likely to possess differences in knowledge and protective behaviors compared to people living in areas where Lyme disease is newly emerging. To better understand behavioral differences and perspectives of Lyme disease and other TBDs in these areas, elements of participatory epidemiology were incorporated by surveying homeowners from a Lyme disease endemic area (southwestern Pennsylvania) and an emerging area (eastern Ohio). The survey covered three main areas of interest: perceived risk of tick exposure and TBD health risks, personal protection methods used to prevent or reduce exposure to tick bites, and protection methods to reduce tick presence on residential properties. The results of our study suggest that residents in endemic regions may be more educated and aware of TBD risk and prevention methods based on their belief that TBDs pose at least a minor health risk. Additionally, more Pennsylvania residents used tick-bite prevention methods while outdoors on their property. Residents in Ohio were unlikely to make any changes to protect themselves or their property from ticks, which may be a result of a lack of education or motivation to change their behaviors. The findings from this study can inform public health education and interventions to increase awareness and reduce the risk of TBDs in endemic and emerging areas.
蜱传疾病(tbd)是最常见的媒介传播疾病报告在美国每年。莱姆病主要由严格意义的螺旋体细菌伯氏疏螺旋体引起,每年估计影响476 000人。伯氏疏螺旋体由肩胛骨蜱传播,并在美国东部的小型哺乳动物宿主中保持地方性循环。由于伯氏疏螺旋体可感染人类和家畜,莱姆病是人类和动物之间一个重要的健康问题。与生活在莱姆病新发地区的人们相比,生活在莱姆病流行地区的人们在知识和保护行为方面可能存在差异。为了更好地了解这些地区莱姆病和其他tbd的行为差异和观点,通过对莱姆病流行地区(宾夕法尼亚州西南部)和新兴地区(俄亥俄州东部)的房主进行调查,纳入了参与式流行病学的要素。该调查涵盖了三个主要领域:蜱虫暴露的感知风险和TBD健康风险,用于预防或减少蜱虫叮咬暴露的个人保护方法,以及减少住宅物业中蜱虫存在的保护方法。我们的研究结果表明,疫区居民可能会在认为TBD至少会造成轻微健康风险的基础上,对TBD风险和预防方法进行更多的教育和认识。此外,更多的宾夕法尼亚州居民在户外使用蜱虫叮咬预防方法。俄亥俄州的居民不太可能做出任何改变来保护自己或他们的财产免受蜱虫的侵害,这可能是缺乏改变行为的教育或动机的结果。本研究结果可为流行地区和新兴地区的公共卫生教育和干预措施提供信息,以提高认识并降低TBDs的风险。
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引用次数: 0
Spatial prediction of the probability of liver fluke infection using a geographic weighted regression (GWR) model in waterways connecting the Mekong River, Sakon Nakhon of Thailand 基于地理加权回归(GWR)模型的泰国湄公河流域肝吸虫感染概率空间预测
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2026-06-01 Epub Date: 2026-01-05 DOI: 10.1016/j.onehlt.2026.101320
Benjamabhorn Pumhirunroj , Patiwat Littidej , Thidarut Boonmars , Atchara Artchayasawat , Nutchanat Buasri , Donald Slack

Introduction

Liver flukes (Opisthorchis viverrine, OV) infections in water sources continue to persist in Sakon Nakhon Province, which is linked to the Mekong River. The agency's traditional infection data comprises the locations of infected water sources. However, this data is insufficient for developing a predictive model for infections within the sub-basin. When analyzed alongside independent variables, represented as identical points, it lacks the necessary information to generate a trend line that produces a reliable coefficient. This study implemented a spatial model that integrates a geographic-weighted regression (GWR) framework with appropriate weighting as a prototype. This approach improves the selection of independent variables by shifting from a point-based methodology to a weighted hexagonal grid.

Method

A set of eight independent variables land use, soil drainage, road network, water sources, streamlines, surface temperature, NDMI (Normalized Difference Moisture Index), and NDVI (Normalized Difference Vegetation Index) was initially weighted. This study developed three linear models based on the Geographically Weighted Regression (GWR) model. It demonstrates the advantages of utilizing a hexagonal grid instead of a point grid. The three alternative models were tested with various independent variables and employed a factor-by-factor averaging approach, which necessitates the hexagonal grid size as a counterweight to ensure fairness across the entire grid, rather than relying solely on point data. A mathematical model was developed to calculate the average of each factor in order to achieve equality across a hexagonal grid area. Subsequently, the correlation was tested, and the alternative models were grouped. The resulting dendrogram includes three models.

Results and discussion

The results of the GWR comparison test were derived from both infected and hexagonal water source data. Models constructed from hexagonal grids consistently outperformed all alternative models, with R2 values improving to 58.7 %, 41.1 %, and 53.2 % for Model-1, Model-2, and Model-3, respectively. The RMSE also showed significant improvement, decreasing to 77.1 %, 60.2 %, and 67.2 %. Additionally, the model's accuracy was evaluated using AUC values of 0.725, 0.652, and 0.707, indicating that the developed model can effectively predict water source infections. Model-1 emerged as the most representative across all tests, incorporating soil drainage factors and road proximity as key influences on water source infection. Finally, the results are presented as infection prediction maps for each grid, highlighting areas of both overestimation and underestimation. The most accurate prediction model identified that over 95 % of grids had a high degree of accuracy. This study is anticipated to be applicable to infections caused by other water-mediated parasites.
在与湄公河相连的萨贡那空省,水源中的肝吸虫感染继续存在。该机构的传统感染数据包括受感染水源的位置。然而,这些数据不足以建立亚盆地内感染的预测模型。当与自变量一起分析时,用相同的点表示,它缺乏必要的信息来产生产生可靠系数的趋势线。本研究将地理加权回归(GWR)框架与适当的加权作为原型,实现了一个空间模型。该方法通过将基于点的方法转换为加权六边形网格,改进了自变量的选择。方法对土地利用、土壤排水、道路网络、水源、流线、地表温度、归一化差水分指数(NDMI)和归一化差植被指数(NDVI) 8个自变量进行初始加权。本文在地理加权回归(GWR)模型的基础上建立了三个线性模型。它演示了使用六边形网格而不是点网格的优点。这三种可选模型使用各种独立变量进行测试,并采用逐因素平均方法,该方法需要六边形网格大小作为平衡权,以确保整个网格的公平性,而不是仅仅依赖于点数据。开发了一个数学模型来计算每个因素的平均值,以便在六边形网格区域内实现相等。随后,对相关性进行检验,并对备选模型进行分组。得到的树状图包括三个模型。结果与讨论GWR对比试验的结果分别来自于感染水源和六角形水源数据。由六边形网格构建的模型始终优于所有替代模型,模型1、模型2和模型3的R2值分别提高到58.7%、41.1%和53.2%。RMSE也有显著改善,分别降至77.1%、60.2%和67.2%。AUC值分别为0.725、0.652和0.707,表明该模型能够有效预测水源感染。模型1是所有测试中最具代表性的,其中土壤排水因素和道路邻近程度是影响水源感染的关键因素。最后,结果以每个网格的感染预测图的形式呈现,突出了高估和低估的区域。最准确的预测模型表明,超过95%的网格具有高度的准确性。该研究有望应用于其他水媒寄生虫引起的感染。
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引用次数: 0
Characteristics of Escherichia coli co-harboring blaNDM and mcr-1 genes from market chicken meat 市售鸡肉中共携带blaNDM和mcr-1基因的大肠杆菌的特性
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2026-06-01 Epub Date: 2026-01-12 DOI: 10.1016/j.onehlt.2026.101329
Zhiyu Li , Biao Tang , Huafeng Jian , Xiaoqian Long , Fengcheng Miao , Yao Shen , Tong Jiang , Yue Yang , Hua Yang , Lin Teng , Wenbin Zheng , Jiangang Ma
Carbapenems and colistin resistance in Enterobacterales is a global public health issue. In this study, we isolated seven Escherichia coli strains co-resistant to colistin and meropenem from market chicken meat in Zhejiang Province, China. Antimicrobial susceptibility testing showed that these strains exhibited extensive antimicrobial resistance, with a 100% multidrug-resistant rate. All seven strains harbored both blaNDM and mcr-1 genes, along with various additional resistance genes. Among the seven E. coli strains, the harboring blaNDM plasmids were IncX3 (4/7) and IncB/O/K/Z (3/7) plasmids, and the mcr-1 gene was primarily identified on IncI2 (3/7) plasmids. Notably, most plasmids harboring the blaNDM and mcr genes can be transferred to recipient bacteria via conjugation, highlighting their role as important vehicles for the dissemination of resistance genes. Meanwhile, we also identified a novel blaNDM variant, designated blaNDM-85, which exhibited amino acid substitutions E152K and M154L compared to blaNDM-1. Through the cloning and expression of blaNDM-1 to blaNDM-10 and blaNDM-85 genes, it was found that the resistance levels of blaNDM-85 were significantly higher than other blaNDM variants. It should be noted that the spread of blaNDM-85 will further increase the difficulty of treating clinically resistant bacteria. Our findings highlight the detection of blaNDM and mcr-1 producing E. coli in market chicken meat as a potential public health risk. And the urgent need for enhanced surveillance and intervention strategies to mitigate the spread of these multidrug-resistant pathogens in the food chain.
肠杆菌对碳青霉烯类和粘菌素的耐药性是一个全球性的公共卫生问题。本研究从浙江省市售鸡肉中分离出7株对粘菌素和美罗培南共耐药的大肠杆菌。药敏试验表明,这些菌株表现出广泛的耐药性,多重耐药率为100%。所有7个菌株都携带blaNDM和mcr-1基因,以及各种额外的抗性基因。在7株大肠杆菌中,携带blaNDM的质粒为IncX3(4/7)和IncB/O/K/Z(3/7)质粒,mcr-1基因主要在inc2(3/7)质粒上鉴定。值得注意的是,大多数含有blaNDM和mcr基因的质粒可以通过结合转移到受体细菌中,这突出了它们作为抗性基因传播的重要载体的作用。同时,我们还鉴定出一种新的blaNDM变体,命名为blaNDM-85,与blaNDM-1相比,它具有E152K和M154L的氨基酸替换。通过blaNDM-1对blaNDM-10和blaNDM-85基因的克隆和表达,发现blaNDM-85的抗性水平明显高于其他blaNDM变异。值得注意的是,blaNDM-85的扩散将进一步增加临床耐药菌的治疗难度。我们的研究结果强调,在市场鸡肉中检测到blaNDM和产生mcr-1的大肠杆菌是一种潜在的公共卫生风险。迫切需要加强监测和干预战略,以减轻这些耐多药病原体在食物链中的传播。
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引用次数: 0
The ecology of biting: buzzing through the main ecological, environmental and biological drivers of mosquito-borne diseases 叮咬生态学:通过蚊媒疾病的主要生态、环境和生物驱动因素
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2026-06-01 Epub Date: 2026-01-12 DOI: 10.1016/j.onehlt.2026.101326
Elisa Fesce , Josué Martínez-de la Puente , Martina Ferraguti
Mosquito populations are shaped by a variety of environmental drivers, including temperature fluctuations, habitat alterations, and physicochemical factors. These drivers impact mosquito community composition, influencing the spread of vector-borne diseases. Species differ in their sensitivity to environmental changes, with some thriving in anthropogenic landscapes and others exhibit preferences for natural habitats. Abiotic factors such as temperature, water pH, salinity, and dissolved oxygen strongly affect larval survival and development, while interspecific competition among larvae shapes community structure and species abundance, impacting pathogen transmission. Mosquito feeding preferences further influence pathogen transmission by determining host selection; with opportunistic mosquito species that can act as bridge vectors between humans, domestic animals, and wildlife, facilitating the spread of zoonotic pathogens. In this respect, understanding the dynamics of zoonotic pathogens requires a One Health approach that integrates human, animal and environmental health. Mathematical models, in particular, draw on ecological, environmental and biological factors to elucidate mosquito population dynamics and disease transmission, reinforcing the importance of adopting an integrated perspective. We examine the key environmental, ecological, and biological factors shaping mosquito community composition, and highlight the role of mathematical modelling in clarifying how these factors influence mosquito-borne disease transmission. Our findings emphasize that vector surveillance and control programs should target specific vector species in relevant habitats to optimize effectiveness and reduce economic costs.
蚊子的数量受到各种环境因素的影响,包括温度波动、栖息地改变和物理化学因素。这些驱动因素影响蚊子群落组成,影响媒介传播疾病的传播。物种对环境变化的敏感性各不相同,一些物种在人为景观中茁壮成长,而另一些物种则表现出对自然栖息地的偏好。温度、水体pH、盐度、溶解氧等非生物因素强烈影响幼虫的生存和发育,而幼虫之间的种间竞争塑造了群落结构和物种丰度,影响了病原体的传播。蚊子的取食偏好通过决定宿主选择进一步影响病原体的传播;机会性蚊子可以作为人类、家畜和野生动物之间的桥梁媒介,促进人畜共患病原体的传播。在这方面,了解人畜共患病原体的动态需要一个整合人类、动物和环境健康的“同一个健康”方法。数学模型尤其利用生态、环境和生物因素来阐明蚊子种群动态和疾病传播,从而加强了采用综合观点的重要性。我们研究了影响蚊子群落组成的关键环境、生态和生物因素,并强调了数学模型在阐明这些因素如何影响蚊媒疾病传播方面的作用。我们的研究结果强调,媒介监测和控制计划应针对相关栖息地的特定媒介物种,以优化效果并降低经济成本。
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引用次数: 0
Human 3D liver spheroids support productive infection of a novel tick-borne phenuivirus 人类三维肝球体支持一种新型蜱传苯病毒的生产性感染
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2026-06-01 Epub Date: 2026-01-10 DOI: 10.1016/j.onehlt.2026.101321
Wenbo Xu , Liyan Sui , Nan Liu , Lesley Bell-Sakyi , Yicheng Zhao , Yuanzhi Wang , Yinghua Zhao , Changfeng Zhu , Quan Liu
The identification of novel tick-borne viruses, such as Mukawa virus (MKWV), underscores a growing need to assess their potential public health risks. In this study, we isolated the MKWV strain HLJ1 from Ixodes persulcatus ticks. While this initial isolate demonstrated limited replication in mammalian cell lines and mice, it productively infected human primary cell-derived 3D spheroids. Serial passaging in this model significantly enhanced viral titers, suggesting adaptive evolution. The resulting adapted strain exhibited increased virulence, causing pronounced cytopathic effects in Vero cells, infecting diverse mammalian cell types, and leading to 100% mortality in suckling mice, with associated liver inflammation and damage. These pathogenic outcomes were recapitulated in the 3D human liver spheroids, which showed impaired cellular synthetic functions, cell death, and heightened inflammatory responses following infection. Epidemiological screening of 145 serum samples from tick-bitten patients in Northeastern China revealed low but detectable exposure, with 1.4% positive for MKWV RNA, 4.8% for IgG antibodies, and 3.4% for neutralizing antibodies. Collectively, our findings integrate a novel human-relevant 3D culture system with field surveillance to highlight the potential risks of MKWV to human health and provide a model framework for evaluating emerging tick-borne viruses.
诸如Mukawa病毒(MKWV)等新型蜱传病毒的发现,突显出越来越需要评估其潜在的公共卫生风险。本研究从过硫蜱中分离出MKWV株HLJ1。虽然这种初始分离物在哺乳动物细胞系和小鼠中的复制能力有限,但它能有效地感染人类原代细胞衍生的3D球体。该模型的连续传代显著提高了病毒滴度,提示适应性进化。由此产生的适应菌株表现出更高的毒力,在Vero细胞中引起明显的细胞病变,感染多种哺乳动物细胞类型,并导致哺乳小鼠100%的死亡率,并伴有相关的肝脏炎症和损伤。这些致病结果在三维人肝球体中得到了概括,显示出细胞合成功能受损、细胞死亡和感染后炎症反应加剧。对中国东北地区145例蜱叮咬患者的血清样本进行流行病学筛查,结果显示暴露程度低但可检测到,MKWV RNA阳性率为1.4%,IgG抗体阳性率为4.8%,中和抗体阳性率为3.4%。总的来说,我们的研究结果将一种新型的与人类相关的3D培养系统与现场监测相结合,以突出MKWV对人类健康的潜在风险,并为评估新出现的蜱传病毒提供了一个模型框架。
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引用次数: 0
Modeling the role of environmental and socioeconomic factors in endemic SFTS risk using a multicomponent framework 使用多成分框架对环境和社会经济因素在地方性SFTS风险中的作用进行建模。
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2026-06-01 Epub Date: 2026-01-30 DOI: 10.1016/j.onehlt.2026.101344
Wang Yao , Kou Zengqiang , Pang Bo , Tian Xueying , Wen Hongling

Background

Severe fever with thrombocytopenia syndrome (SFTS) is a rapidly emerging tick-borne disease with high mortality. Despite increasing recognition of environmental and socioeconomic drivers, their roles in sustaining local transmission remain poorly differentiated.

Methods

We collected county-level SFTS case data from Shandong Province between 2015 and 2022, along with corresponding socioeconomic and meteorological indicators. A random forest regression (RFE) model was used to quantify the relative importance of environmental and social drivers. Additionally, a spatiotemporal multi-component (STM) model was employed at the county level to characterize transmission heterogeneity and key driving forces.

Results

SFTS incidence exhibited pronounced spatiotemporal heterogeneity, with Jiaodong Peninsula and central Shandong identified as major hotspots. The epidemic component (0.59, 95%CI: 0.50, 0.76) predominated in coastal areas, while the endemic risk was more uniformly distributed (0.03, 95%CI: 0.01, 0.17). Maximum temperature (1.69, 95%CI: 0.10, 3.78) and relative humidity (1.67, 95%CI: 0.90, 2.88) was positively associated with endemic risk, whereas higher population density (−0.72, 95%CI: −0.91, −0.57) and wind speed (−1.19, 95%CI: −1.99, −0.33) were inversely associated. Incorporating these covariates significantly improved model fit and reduced unexplained heterogeneity in endemic risk. Three distinct transmission patterns were identified across high-incidence counties, reflecting dynamic shifts in dominant transmission modes over time.

Conclusions

Environmental and demographic factors jointly influence SFTS transmission in Shandong, with higher maximum temperature promoting its spread, whereas higher population density and stronger wind speed exert inhibitory effects. These findings emphasize the necessity of developing region-specific surveillance and intervention strategies that account for local environmental conditions and transmission patterns to effectively mitigate disease risk.
背景:发热伴血小板减少综合征(SFTS)是一种迅速出现的高死亡率蜱传疾病。尽管人们越来越认识到环境和社会经济驱动因素,但它们在维持当地传播方面的作用仍然分化不清。方法:收集山东省2015 - 2022年的SFTS病例数据,并结合相应的社会经济和气象指标。随机森林回归(RFE)模型用于量化环境和社会驱动因素的相对重要性。此外,采用时空多分量(STM)模型在县域尺度上对传播异质性和关键驱动力进行了表征。结果:SFTS发病具有明显的时空异质性,以胶东半岛和鲁中地区为主要热点。沿海地区以流行成分(0.59,95%CI: 0.50, 0.76)为主,流行风险分布较为均匀(0.03,95%CI: 0.01, 0.17)。最高温度(1.69,95%CI: 0.10, 3.78)和相对湿度(1.67,95%CI: 0.90, 2.88)与流行风险呈正相关,而较高的人口密度(-0.72,95%CI: -0.91, -0.57)和风速(-1.19,95%CI: -1.99, -0.33)与流行风险呈负相关。纳入这些协变量显著改善了模型拟合,减少了地方性风险中无法解释的异质性。在高发县确定了三种不同的传播模式,反映了主要传播模式随时间的动态变化。结论:环境和人口因素共同影响山东SFTS的传播,较高的最高气温促进了SFTS的传播,而较高的人口密度和较强的风速对其传播有抑制作用。这些发现强调有必要根据当地的环境条件和传播模式制定针对特定区域的监测和干预战略,以有效减轻疾病风险。
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引用次数: 0
The Botucatu Document: One health antifungal resistance policies — A call for action 博图卡图文件:一项卫生抗真菌耐药性政策——行动呼吁
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2026-06-01 Epub Date: 2026-01-06 DOI: 10.1016/j.onehlt.2026.101319
Paulo Cezar Ceresini , Waldir Cintra de Jesus Junior , Ana Carolina Firmino , Bárbara Pereira Christofaro Silva , Danilo Tancler Stipp , Edson Luiz Furtado , Fábio Luiz Checchio Mingotte , Karine Assis Costa , Paulo Renato Matos Lopes , Rita Luiza Peruquetti
Antifungal resistance in Aspergillus fumigatus and other environmental fungi represents a growing global threat to human health, driven in part by agricultural fungicide use. The scale of the threat is masked by inadequate multisector surveillance. In December 2025, the Brazilian Network Meeting on Aspergillus fumigatus Antimicrobial Resistance convened clinical, agricultural, environmental, and public-health experts to address these challenges using a One Health framework. Through a structured plenary deliberation, participants approved “The Botucatu Document: One Health Antifungal Resistance Policies — A Call for Action,” a unified Public Statement of Concern outlining governance principles and coordinated national actions for Brazil. The Statement reflects consensus across four Working Groups on clinical surveillance, environmental monitoring, fungicide regulation, and public health communication. Together, these directives call for independent AMR data collection, FAIR transparency, cross-sector governance, strengthened laboratory capacity, environmental aerobiome surveillance, new fungicide risk-assessment criteria, and comprehensive One Health communication strategies. This manuscript presents the full Public Statement as approved verbatim, situates it within global AMR policy frameworks, and highlights implications for Brazil's forthcoming National AMR Action Plan (2026–2031). The Botucatu Document represents a milestone in aligning agricultural and clinical sectors around a shared One Health AMR agenda.
烟曲霉和其他环境真菌的抗真菌耐药性是对人类健康日益严重的全球性威胁,部分原因是农业杀菌剂的使用。多部门监测不足掩盖了威胁的规模。2025年12月,巴西烟曲霉抗微生物药物耐药性网络会议召集了临床、农业、环境和公共卫生专家,利用“同一个健康”框架应对这些挑战。通过有组织的全体审议,与会者批准了“博图卡图文件:一项卫生抗真菌药物耐药性政策——行动呼吁”,这是一份统一的公开关注声明,概述了巴西的治理原则和协调的国家行动。该声明反映了四个工作组在临床监测、环境监测、杀菌剂管理和公共卫生传播方面的共识。这些指令共同要求进行独立的抗菌素耐药性数据收集、公平的透明度、跨部门治理、加强实验室能力、环境好氧菌群监测、新的杀菌剂风险评估标准以及全面的“同一个健康”传播战略。这份手稿一字不改地呈现了经批准的公开声明全文,将其置于全球抗微生物药物耐药性政策框架中,并强调了对巴西即将出台的《国家抗微生物药物耐药性行动计划(2026-2031)》的影响。《博图卡图文件》是使农业和临床部门围绕共同的“一种健康”抗菌药耐药性议程保持一致的一个里程碑。
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引用次数: 0
One health and community health workers: Bridging the gap in global health resilience 一名卫生和社区卫生工作者:弥合全球卫生复原力的差距
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2026-06-01 Epub Date: 2026-01-12 DOI: 10.1016/j.onehlt.2026.101330
Claude Mambo Muvunyi , Pierre Gashema , Emmanuel Edwar Siddig , Jean de Dieu Harelimana , Jean Kaseya
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引用次数: 0
Rickettsial seropositivity in Lao PDR smallholder livestock farms: Implications for animal and human health 老挝人民民主共和国小农养殖场立克次体血清阳性:对动物和人类健康的影响
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2026-06-01 Epub Date: 2026-01-10 DOI: 10.1016/j.onehlt.2026.101327
Chantal Tawfik , James R. Young , Syseng Khounsy , Phouvong Phommachanh , Peter Christensen , Watthana Theppangna , Tom Hughes , Jantana Wongsantichon , Stuart D. Blacksell , Michael P. Ward
Rickettsioses are emerging zoonotic diseases in Southeast Asia caused by vector-borne, intracellular Rickettsia bacteria that threaten public health, animal welfare, and food security. Despite their importance to rural livelihoods, the epidemiology of rickettsial exposure in livestock remains poorly understood. This study used abattoir-based serology to evaluate livestock as sentinels of environmental exposure to Rickettsia in Lao PDR and to identify spatial hotspots and risk factors for seropositivity. Abattoir-based serological data were generated from cattle, pigs, and water buffalo samples collected in 18 provinces between January 2022 and April 2023. The immunofluorescence assay was used to detect antibodies against three rickettsial antigens: Scrub Typhus Group (Orientia tsutsugamushi), Typhus Group (R. typhi), and Spotted Fever Group (R. conorii, R. honei). Samples with IgG titres ≥1:100 were considered positive. Of 821 samples tested, 32 were seropositive: 25 cattle (9.9%), seven pigs (2.4%), and none of the buffalo. Breed and age were significant predictors, with non-native breeds and animals under one year old more likely to be positive (p < 0.05). Spatial-temporal analysis revealed one significant cluster in cattle (p = 0.0056) in southern Laos. These results represent the first nationwide serological assessment of Rickettsia exposure in Lao livestock.
立克次体病是东南亚新出现的人畜共患疾病,由媒介传播的细胞内立克次体细菌引起,威胁公共卫生、动物福利和粮食安全。尽管立克次体对农村生计很重要,但对牲畜接触立克次体的流行病学仍然知之甚少。本研究利用屠宰场血清学对老挝人民民主共和国家畜作为立克次体环境暴露的哨兵进行了评价,并确定了空间热点和血清阳性的危险因素。从2022年1月至2023年4月期间在18个省收集的牛、猪和水牛样本中生成了基于屠宰场的血清学数据。免疫荧光试验是用来检测三个立克次体抗体抗原:恙虫病组(Orientia恙虫),斑疹伤寒组(r .伤寒)和斑疹热组(r . conorii r . honei)。IgG滴度≥1:100为阳性。在检测的821个样本中,32个血清呈阳性:25头牛(9.9%),7头猪(2.4%),没有水牛。品种和年龄是显著的预测因子,非本地品种和1岁以下的动物更可能呈阳性(p < 0.05)。时空分析显示,老挝南部有一个显著的牛群(p = 0.0056)。这些结果是老挝牲畜立克次体暴露的首次全国性血清学评估。
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