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From Four-Way Linking to a One Health Platform in Egypt: institutionalisation of a multidisciplinary and multisectoral One Health system. 从四方联系到埃及的一个卫生平台:多学科和多部门的一个卫生系统的制度化。
IF 0.6 4区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2019-05-01 DOI: 10.20506/rst.38.1.2958
L. Allal, H. Mahrous, A. Saad, S. Refaei, M. Attia, I. Mahrous, M. Fahim, S. Elfadaly, A. Abdelnabi
The convergence of humans, animals and our shared environment results in a dynamic in which the health of each group is inextricably linked. Taking into account the fact that the majority of emerging pathogens (e.g. highly pathogenic avian influenza [HPAI], severe acute respiratory syndrome coronavirus, Nipah virus, Middle East respiratory syndrome coronavirus) are zoonotic diseases, Egypt has established a national One Health coordination mechanism. The primary purpose of this mechanism is to provide a comprehensive, strategic approach to concurrent and future health challenges that are facing public and animal heath, including environmental impacts. In this way, the public health, animal health and environment sectors can improve disease mitigation measures, develop stronger and more stable public and animal health services, promote effective national communication strategies and improve One Health collaboration among all relevant sectors. In Egypt, the Food and Agriculture Organization of the United Nations (FAO) and the World Health Organization (WHO) currently assist in hosting the country's Four-Way Linking Task Force with the participation of the convening Ministries (Ministry of Health and Population, Ministry of Environment, and Ministry of Agriculture and Land Reclamation [MOALR] - through the General Organisation for Veterinary Services and the MOALR's laboratories). In the context of the Emerging Pandemic Threats 2 Program, funded by the United States Agency for International Development (USAID), FAO plans to assist Egypt in establishing a robust, multidisciplinary and multisectoral One Health system. This system is based on the solid foundation of the Four-Way Linking Platform, which combines information from four functional streams - epidemiology, laboratories, and animal and human health. Egypt's platform will involve all sectors concerned with HPAI control and combine all stakeholders in an integrated, holistic approach to improve the detection of, response to and control of any threats at the human- animal-environment interface in Egypt.
人类、动物和我们共同的环境的趋同导致了一种动态,在这种动态中,每个群体的健康都是不可分割地联系在一起的。考虑到大多数新发病原体(如高致病性禽流感、严重急性呼吸综合征冠状病毒、尼帕病毒、中东呼吸综合征冠状病毒)是人畜共患疾病,埃及建立了国家“同一个健康”协调机制。该机制的主要目的是提供一种全面的战略办法,以应对公共和动物卫生目前和未来面临的卫生挑战,包括环境影响。这样,公共卫生、动物卫生和环境部门可以改进疾病缓解措施,发展更强大和更稳定的公共和动物卫生服务,促进有效的国家沟通战略,并改善所有相关部门之间的“同一个健康”合作。在埃及,联合国粮食及农业组织(粮农组织)和世界卫生组织(世卫组织)目前协助主办该国的四方联系工作队,召集部委(卫生和人口部、环境部、农业和土地复垦部——通过兽医服务总组织和农业和土地复垦部的实验室)参加了该工作队。在美国国际开发署(USAID)资助的“新出现的流行病威胁计划”的背景下,粮农组织计划协助埃及建立一个强大的、多学科和多部门的“一个健康”系统。该系统建立在“四方链接平台”的坚实基础之上,该平台结合了流行病学、实验室、动物和人类健康四个功能流的信息。埃及的平台将涉及与高致病性禽流感控制有关的所有部门,并将所有利益攸关方联合起来,采取综合、整体的方法,以改善埃及人-动物-环境界面上任何威胁的检测、应对和控制。
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引用次数: 5
Viral haemorrhagic fevers in the Middle East. 中东地区的病毒性出血热。
IF 0.6 4区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2019-05-01 DOI: 10.20506/rst.38.1.2952
F. Zakham, A. Alaloui, L. Levanov, O. Vapalahti
Viral haemorrhagic fevers (VHFs) are a group of infectious, devastating and severe diseases caused by enveloped single-stranded RNA viruses. The endemicity, emergence or re-emergence of different VHF viruses and lack of vaccines and antiviral therapy for most VHFs result in a significant global threat. Most VHF viruses are restricted to specific parts of the world, and the dramatic expansion of their geographical distribution beyond their original habitats would greatly affect global public health. In the past few decades alone, several outbreaks have affected the Middle East, a part of the world containing arid to semi-arid, hot and water-scarce countries. Political instability, natural and humanitarian crises, direct contact with domesticated animals and climate change are the main factors in the dissemination of different zoonotic diseases, including vector-borne diseases. Some VHF viruses have been introduced into the Middle East (e.g. Alkhurma haemorrhagic fever) and others have been re-introduced and have become endemic in the region. Dengue fever, Crimean Congo haemorrhagic fever, Rift Valley fever and hantavirus haemorrhagic fever with renal syndrome are examples of re-emerging or endemic viruses in the region. The temporal and spatial extension of VHF distribution mandates a particular engagement from all the actors in the fields of animal, human and environmental health. The One Health concept is a multidisciplinary and multisectoral approach for promoting collaboration, coordination and communication among different nations, sectors and disciplines, which is highly relevant to the fight against endemic, emerging and re-emerging infectious agents at the human-animal-environment interface. The adoption of the One Health approach is a promising solution to addressing public health threats in the Middle East.
病毒性出血热(VHFs)是由包膜单链RNA病毒引起的一组传染性、破坏性和严重疾病。不同甚高频病毒的流行、出现或重新出现以及缺乏针对大多数甚高频病毒的疫苗和抗病毒治疗,构成了重大的全球威胁。大多数甚高频病毒仅限于世界上的特定地区,其地理分布在其原始栖息地之外的急剧扩大将极大地影响全球公共卫生。仅在过去几十年里,中东就发生了几次疫情,中东是世界上干旱至半干旱、炎热和缺水国家的一部分。政治不稳定、自然和人道主义危机、与家养动物的直接接触以及气候变化是各种人畜共患疾病(包括病媒传播疾病)传播的主要因素。一些甚高频病毒已传入中东(如阿尔库尔玛出血热),其他病毒已重新传入并在该区域流行。登革热、克里米亚刚果出血热、裂谷热和汉坦病毒出血热伴肾综合征是该区域重新出现的病毒或地方性病毒的例子。甚高频分布的时间和空间扩展要求动物、人类和环境卫生领域的所有行动者特别参与。“同一个健康”概念是促进不同国家、部门和学科之间的合作、协调和沟通的多学科和多部门方法,与在人-动物-环境界面上防治地方性、新出现和再出现的传染原高度相关。采用“同一个健康”方针是解决中东公共卫生威胁的一个有希望的解决办法。
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引用次数: 6
The Great East Japan Earthquake (2011): using the One Health approach to minimise the impact on the livestock industry and human health. 东日本大地震(2011年):利用“同一个健康”方法尽量减少对畜牧业和人类健康的影响。
IF 0.6 4区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2019-05-01 DOI: 10.20506/rst.38.1.2945
M. Furusawa, S. Inukai
Supplying safe livestock products made from healthy animals is the primary purpose of the agriculture industry, making it essential to include agriculture in the One Health approach to disaster preparedness and response. After the Great East Japan Earthquake of 11 March 2011, and the following crisis at the Fukushima Nuclear Complex, producing and supplying safe livestock products became a challenging issue, because the area was highly polluted with radiation leaks from the nuclear plants. To produce livestock products that satisfied the safety standards for radioactive materials in food for humans, it was necessary to create feeding management guidelines and set standard limits for radioactive materials in animal feeds. The Ministry of Agriculture, Forestry and Fisheries (MAFF) established provisional maximum limits on radioactive caesium in feeds in order to secure safe food for the nation. Furthermore, there were other issues that Japan's livestock industry had to tackle. The authors outline key measures taken by the Livestock Industry Department of the MAFF to reconstruct the livestock industry, which was a small but important part of the whole reconstruction plan. They also discuss the measures implemented to protect companion animals.
提供由健康动物制成的安全畜产品是农业的主要目的,因此必须将农业纳入备灾和救灾的“同一个健康”方针。在2011年3月11日东日本大地震后,以及随后的福岛核电站危机之后,生产和供应安全的畜产品成为一个具有挑战性的问题,因为该地区受到核电站辐射泄漏的严重污染。为了生产符合人类食品中放射性物质安全标准的畜产品,有必要制定饲养管理准则,并规定动物饲料中放射性物质的标准限值。农林水产部为保障国民的食品安全,制定了饲料中放射性元素铯的临时限量标准。此外,日本畜牧业还必须解决其他问题。本文概述了农业部畜牧业司为重建畜牧业而采取的关键措施,畜牧业是整个重建计划中一个小而重要的组成部分。他们还讨论了保护伴侣动物的措施。
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引用次数: 1
Integration of wildlife and environmental health into a One Health approach. 将野生动物和环境卫生纳入“同一个健康”方针。
IF 0.6 4区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2019-05-01 DOI: 10.20506/RST.38.1.2944
J. Sleeman, K. Richgels, C. White, C. Stephen
Climate change, habitat fragmentation and pollution, and subsequent loss of biodiversity and degradation of natural environments, threaten the range of ecosystem services that support all life on this planet. These changes, among others, are also driving the emergence of infectious diseases, with negative health outcomes for humans, animals, and our shared environment. Historically, interventions aimed at human and agricultural health issues did not always integrate wildlife or environmental health as part of the solution, which has resulted in unintended consequences. One Health recognises the interdependence of humans, animals and their shared environment, and provides a conceptual framework for developing interventions that optimise outcomes for human, animal and environmental health. However, there is a need to clearly articulate the core values, goals, and objectives of One Health for all relevant sectors in order to maximise synergies for communication, coordination, collaboration and, ultimately, for joint actions on disease control and prevention. The application of systems and harm reduction approaches, focusing on the socio-economic and environmental determinants of health, and ensuring good governance and effective leadership will also maximise the opportunities to develop 'win-win-win' solutions to global health and environmental challenges. These solutions would help propel One Health forward to reach its full potential and truly optimise health outcomes for all.
气候变化、栖息地破碎化和污染,以及随之而来的生物多样性丧失和自然环境退化,威胁着支持地球上所有生命的生态系统服务范围。除其他外,这些变化也推动了传染病的出现,对人类、动物和我们共同的环境产生了负面的健康后果。从历史上看,针对人类和农业健康问题的干预措施并不总是将野生动物或环境健康作为解决方案的一部分,这导致了意想不到的后果。“同一健康”认识到人类、动物及其共同环境的相互依存关系,并为制定干预措施提供了一个概念性框架,以优化人类、动物和环境卫生的成果。然而,有必要为所有相关部门明确阐明“同一个健康”的核心价值、目标和目的,以便最大限度地发挥沟通、协调、合作的协同作用,并最终在疾病控制和预防方面采取联合行动。应用系统和减少危害的方法,注重健康的社会经济和环境决定因素,并确保善治和有效的领导,也将最大限度地创造机会,制定应对全球健康和环境挑战的“三赢”解决方案。这些解决方案将有助于推动“同一个健康”向前发展,充分发挥其潜力,真正优化所有人的健康结果。
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引用次数: 17
Introduction. One Health: over a decade of progress on the road to sustainability. 介绍。同一个健康:十多年来在可持续发展道路上取得的进展。
IF 0.6 4区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2019-05-01 DOI: 10.20506/RST.38.1.2939
C. B. Behravesh
: En el curso del ultimo decenio, los planteamientos de Una sola salud han ido ganando impulso en todas las regiones del planeta. Los sectores de la salud humana, animal y ambiental de paises del mundo entero piden cada vez mas apoyo para poner en practica la logica multisectorial de Una sola salud como expediente idoneo para afrontar las amenazas sanitarias que surgen en los ambitos de confluencia (la interfaz) de personas, animales y medio ambiente, amenazas como enfermedades zoonoticas, enfermedades infecciosas emergentes, resistencias a los antimicrobianos, factores de insalubridad de los alimentos o enfermedades de la fauna silvestre, sin olvidar otros problemas que tambien inciden en la salud, como la pobreza. En este numero de la Revista cientifica y tecnica de la Organizacion Mundial de Sanidad Animal (OIE) se destacan diversos logros obtenidos a escala infranacional, nacional, regional o mundial en relacion con uno u otro tema ligado a la nocion de Una sola salud, desde la resistencia a los antimicrobianos hasta las zoonosis. A los autores que firman los articulos de este numero se les pidio que dieran cuenta de ejemplos en que se hubieran aplicado con exito los principios de Una sola salud y examinaran aquellos problemas aun por resolver que pudieran ser de ayuda para aprehender mas eficazmente la mejor manera de poner en practica los postulados de Una sola salud. El conjunto de articulos aqui reunidos no aspira a constituir una referencia exhaustiva de todos los problemas sanitarios conocidos que podrian beneficiarse de los principios de Una sola salud, sino mas bien una suma de ideas que alimenten la reflexion y ayuden a entender mejor la manera de promover con exito esta metodologia. Tambien se destacan aqui las dificultades que subsisten en relacion con Una sola salud: los numerosos autores que firman esta publicacion dan cuenta de ejemplos fructiferos y tambien de eventuales deficiencias para ayudar a otros a aplicar eficazmente los principios de Una sola salud, al tiempo que defienden el interes de trabajar desde este planteamiento para mejorar el estado de salud de personas y animales que habitan un medio comun. Observara el lector que hay una serie de temas cardinales que surgen una y otra vez, en especial la utilidad de inscribir las labores de coordinacion, colaboracion y comunicacion en la logica de Una sola salud y los pasos necesarios para que esta metodologia arraigue duraderamente, entre ellos el hecho de oficializar mecanismos de coordinacion multisectorial en clave de Una sola salud y de emplear las herramientas de Una sola salud elaboradas por asociados de dimension nacional o mundial para enriquecer este concepto o respaldar su aplicacion practica. La logica de Una sola salud federa a cuantos sectores y disciplinas intervienen en la interfaz de personas, animales y medio ambiente en un proceso de colaboracion que resulta mas eficaz, eficiente y sostenible de lo que podria conseguirse en ausencia del objetivo comun de
:在过去十年中,单一卫生办法在全球所有区域都取得了势头。人类、动物和环境卫生部门的国家要求世界各地越来越多的支持,以便在实施逻辑只靠一个健康档案idoneo多而带来的健康威胁应对在大堂ambitos(界面)等人、动物和环境、威胁zoonoticas疾病、传染病、抗菌素沙门氏菌,食物不健康因素或野生动物疾病,不要忘记其他也影响健康的问题,如贫困。在这个号码cientifica)杂志和技术世界动物卫生组织(OIE)着重成果缺少、国家、区域或全球一级与某一个主题紧紧围绕关系nocion一个健康抗菌素耐药性、人畜共患病。行为人签署这本书将要求告知你知道这个号码的例子与成功运用了一个健康原则和考虑那些问题的解决可能如何协助逮捕最好最有效的方法把实践一个卫生假设。第集在这里聚集,并不构成追求所有已知的卫生问题的全面参考你可以享受一个健康原则,而是相当一笔有很多食物reflexion,帮助更好的理解这个metodologia以增进与成功。也在这里着重在某些关系存在的困难和一个健康:众多作者签署这个例子fructiferos也发表意识到潜在缺陷帮助其他切实奉行一个原则,同时捍卫健康工作的兴趣是从这个方针,以改善健康状况,人和动物生活环境异常。读者会注意到,有一系列反复出现的主要问题,特别是将协调、合作和沟通工作纳入单一健康的逻辑的有用性,以及使这种方法持久扎根的必要步骤,其中包括将多部门协调机制正化,并利用国家或全球伙伴制定的单一卫生工具来丰富这一概念或支持其实际应用。一个健康的逻辑将多领域和学科参与人类、动物和环境界面colaboracion过程结果比我想象的更有效、高效和可持续的目标可以实现在没有异常改善健康状况的人喜欢动物。
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引用次数: 18
One Health Surveillance: perceived benefits and workforce motivations. 一种健康监测:感知利益和劳动力动机。
IF 0.6 4区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2019-05-01 DOI: 10.20506/rst.38.1.2957
J. Akkina, V. J. Del Rio Vilas, K. DeVore, F. Dórea, C. Dupuy, M. Maxwell, V. Singh, F. Vial, F. Contadini, L. Streichert
One Health Surveillance (OHS) implements the One Health approach to improving health by collecting data and producing information to support integrated action across the animal health, human health and environment sectors. The purpose of this study was to survey the biosurveillance community to assess its OHS practices and capabilities, its attitudes towards OHS (perceived value), and the factors that motivate its members to implement OHS practices. The authors used a convenience sample of 185 professionals from multiple domains and 44 nations. They examined the extent to which these professionals implemented OHS, gathered their opinions on the value of OHS, assessed their perceptions of the capacity to perform specific OHS tasks and identified their priorities for change. Over 85% of all respondents said that they considered OHS to be beneficial, with no significant differences between work domains or country income groups; over 50% indicated that they already applied OHS. Obtaining access to data collected by other domains was both the most frequent challenge and the most difficult to improve. The highest priority for improvement was having the ability to send and receive electronic data. Respondents from low-income or middle-income countries were more motivated to make improvements than stakeholders from high-income countries. These findings provide a snapshot of current opinions and practices and, together with suggestions for improvements from professionals in the field, can help to target priority needs for OHS information, training and resources.
“一个健康监测”(OHS)通过收集数据和提供信息来支持动物健康、人类健康和环境部门的综合行动,实施“一个健康”方针,以改善健康状况。本研究的目的是调查生物监测社区,以评估其职业健康安全实践和能力,对职业健康安全的态度(感知价值),以及激励其成员实施职业健康安全实践的因素。作者使用了来自44个国家不同领域的185名专业人士作为方便样本。他们检查了这些专业人员实施职业健康安全的程度,收集了他们对职业健康安全价值的意见,评估了他们对执行特定职业健康安全任务的能力的看法,并确定了他们变革的优先事项。85%以上的受访者表示,他们认为职业健康卫生是有益的,不同工作领域或国家收入群体之间没有显著差异;超过50%的人表示他们已经申请了职业健康安全。获得对其他领域收集的数据的访问权是最常见的挑战,也是最难改进的。需要改进的最高优先事项是具备发送和接收电子数据的能力。来自低收入或中等收入国家的受访者比来自高收入国家的利益相关者更有动力做出改进。这些调查结果提供了当前意见和做法的快照,并与该领域专业人员提出的改进建议一起,有助于针对职业健康安全信息、培训和资源的优先需求。
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引用次数: 5
Middle East respiratory syndrome: making the case for surveillance of transboundary coronaviruses in the Middle East. 中东呼吸综合征:对中东跨界冠状病毒进行监测的理由
IF 0.6 4区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2019-05-01 DOI: 10.20506/rst.38.1.2941
U. Wernery, Patrick C Y Woo
Middle East respiratory syndrome (MERS) is a zoonotic viral disease identified in both animals and human beings. More than 2,200 laboratory-confirmed cases have been reported in humans from 27 countries, with a crude case fatality rate of 35% since the disease's emergence in the Middle East in 2012. In the coming years, MERS will continue to pose a severe threat to economic development as well as to the elimination of poverty and advances in food security. An important gap in the effort to keep MERS at bay is the lack of surveillance of animals in the Middle East. The authors identify the need for international collaboration to conduct MERS coronavirus (CoV) surveillance in animals in the Middle East, since the emergence of new MERS-CoV variants with the ability to sustain efficient person-to-person transmission is a genuine threat. However, effective surveillance will be very difficult, if not impossible, to achieve. There are multiple obstacles in the region to overcome, including a lack of transparency as governments in the Middle East generally do not disclose detailed information on animal diseases. In addition, there is minimal collaboration between local and international agencies in both the human and animal health sectors and a limited number of readily available qualified laboratories to screen animals for MERS- CoV. Last, but not least, there is a lack of adequate active communication between all relevant laboratories, local and abroad. However, with the support of the Food and Agriculture Organization of the United Nations (FAO), the World Organisation for Animal Health (OIE), and other partners, the responsibility of the Mediterranean Zoonosis Control Centre in Athens, Greece, could be widened to include the countries of the Middle East. This would foster a stronger alliance and far more effective collaboration in the spirit of One Health.
中东呼吸综合征(MERS)是一种在动物和人类中发现的人畜共患病毒性疾病。自2012年该疾病在中东出现以来,已报告了来自27个国家的2200多例实验室确诊病例,粗病死率为35%。在未来几年,中东呼吸综合征将继续对经济发展、消除贫困和提高粮食安全构成严重威胁。在控制中东呼吸综合征的努力中,一个重要的缺口是中东缺乏对动物的监测。这组作者指出,需要进行国际合作,在中东地区的动物中开展MERS冠状病毒(CoV)监测,因为能够维持高效人际传播的新型MERS冠状病毒变体的出现是一个真正的威胁。然而,要实现有效的监测即使不是不可能,也是非常困难的。该地区需要克服多重障碍,包括缺乏透明度,因为中东各国政府一般不披露有关动物疾病的详细信息。此外,在人类和动物卫生部门,地方和国际机构之间的合作很少,而且能够筛查动物是否感染中东呼吸综合征冠状病毒的合格实验室数量有限。最后,但并非最不重要的是,国内外所有相关实验室之间缺乏充分的积极沟通。但是,在联合国粮食及农业组织(粮农组织)、世界动物卫生组织(兽疫局)和其他伙伴的支持下,可以扩大位于希腊雅典的地中海人畜共患病控制中心的职责,使其包括中东国家。这将本着“同一个健康”的精神促进更强大的联盟和更有效的合作。
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引用次数: 5
One Health operations: a critical component in the International Health Regulations Monitoring and Evaluation Framework. 一个卫生行动:《国际卫生条例》监测和评价框架的关键组成部分。
IF 0.6 4区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2019-05-01 DOI: 10.20506/rst.38.1.2962
S. de la Rocque, F. Caya, A. El Idrissi, L. Mumford, G. Belot, M. Carron, R. Sreedharan, L. Suryantoro, R. Stelter, F. Copper, N. Isla, L. N. Mayigane, A. Bell, Q. Huda, J. Stratton, A. Di Giacinto, S. Corning, J. Pinto, H. J. Ormel, S. Chungong
Under the International Health Regulations (IHR, 2005), a legally binding document adopted by 196 States Parties, countries are required to develop their capacity to rapidly detect, assess, notify and respond to unusual health events of potential international concern. To support countries in monitoring and enhancing their capacities and complying with the IHR (2005), the World Health Organization (WHO) developed the IHR Monitoring and Evaluation Framework (IHR MEF). This framework comprises four complementary components: the State Party Annual Report, the Joint External Evaluation, after-action reviews and simulation exercises. The first two are used to review capacities and the second two to help to explore their functionality. The contribution of different disciplines, sectors, and areas of work, joining forces through a One Health approach, is essential for the implementation of the IHR (2005). Therefore, WHO, in partnership with the Food and Agriculture Organization of the United Nations (FAO), the World Organisation for Animal Health (OIE), and other international and national partners, has actively worked on facilitating the inclusion of the relevant sectors, in particular the animal health sector, in each of the four components of the IHR MEF. Other tools complement the IHR MEF, such as the WHO/OIE IHR-PVS [Performance of Veterinary Services] National Bridging Workshops, which facilitate the optimal use of the results of the IHR MEF and the OIE Performance of Veterinary Services Pathway and create an opportunity for stakeholders from animal health and human health services to work on the coordination of their efforts. The results of these various tools are used in countries' planning processes and are incorporated in their National Action Plan for Health Security to accelerate the implementation of IHR core capacities. The present article describes how One Health is incorporated in all components of the IHR MEF.
根据196个缔约国通过的具有法律约束力的文件《国际卫生条例》(2005年),各国必须发展迅速发现、评估、通报和应对可能引起国际关注的异常卫生事件的能力。为了支持各国监测和加强其能力并遵守《国际卫生条例(2005)》,世界卫生组织(世卫组织)制定了《国际卫生条例监测和评估框架》。该框架由四个互补部分组成:缔约国年度报告、联合外部评估、行动后审查和模拟演习。前两个用于审查能力,后两个用于帮助探索其功能。不同学科、部门和工作领域的贡献,通过“同一个健康”方法联合起来,对于实施《国际卫生条例(2005)》至关重要。因此,世卫组织与联合国粮食及农业组织(粮农组织)、世界动物卫生组织(兽疫局)以及其他国际和国家伙伴合作,积极致力于促进将相关部门,特别是动物卫生部门纳入《国际卫生条例》MEF的四个组成部分。其他工具补充了《国际卫生条例》MEF,如世卫组织/世界动物卫生组织IHR- pvs[兽医服务绩效]国家衔接讲习班,促进最佳利用《国际卫生条例》MEF和世界动物卫生组织兽医服务绩效途径的成果,并为动物卫生和人类卫生服务的利益攸关方创造了协调其努力的机会。这些不同工具的结果用于各国的规划过程,并被纳入其国家卫生安全行动计划,以加速实施《国际卫生条例》核心能力。本文描述了如何将“同一个健康”纳入《国际卫生条例》MEF的所有组成部分。
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引用次数: 11
Preface. Successes and remaining challenges within the One Health approach. 前言。“同一个健康”方针的成功和仍然存在的挑战。
IF 0.6 4区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2019-05-01 DOI: 10.20506/rst.38.1.2938
M. Eloit
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引用次数: 0
Progress towards rabies control and elimination in Vietnam. 越南在控制和消除狂犬病方面取得的进展。
IF 0.6 4区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2019-05-01 DOI: 10.20506/rst.38.1.2953
H. T. Nguyen, H. T. Nguyen, T. T. Nguyen, M. Urabe, T. N. Pham, A. D. Dang, D. O. Afriyie, D. N. Tran, S. Otsu
Rabies is a fatal viral disease that causes an estimated 59,000 human deaths each year. The majority of these deaths occur in developing countries in Asia. Canine rabies is endemic to Vietnam, which is, however, moving towards the disease's elimination. Many countries, such as Vietnam, have invested tremendous resources in controlling rabies, highlighting the goal of regional and global elimination of this neglected disease. In Vietnam, rabies is recognised as one of five high-priority, zoonotic diseases by the Ministry of Health and the Ministry of Agriculture and Rural Development. Investment by the government and by international partners for rabies prevention and control has played a substantial role in reducing human rabies deaths from 404 cases in 1992 to 74 cases in 2017. The catalyst for this effort was the Prime Minister's creation of the National Rabies Program in 1996, which led to increased support and resources for rabies prevention and control. Interventions carried out since then include the expansion of post-exposure prophylaxis centres throughout the country, the introduction or revision of key legislation and guidelines, and improved multisectoral One Health collaboration. In addition, support from international partners, such as the World Organisation for Animal Health (OIE), the World Health Organization (WHO), the Food and Agriculture Organization of the United Nations (FAO), and the Centers for Disease Control and Prevention (CDC), has helped to increase awareness, manage dog populations more effectively, and improve Vietnam's surveillance and diagnostic capabilities. To pursue the goal of eliminating dog-mediated rabies in Vietnam, political commitment is crucial. Resources must be made available to enforce the regulations and guidelines that will enable Vietnam to achieve greater canine rabies vaccination coverage. In this paper, the authors provide an overview of the animal and human health systems in Vietnam, as well as past, current and future directions of rabies prevention and control.
狂犬病是一种致命的病毒性疾病,每年导致约5.9万人死亡。这些死亡大多发生在亚洲的发展中国家。犬狂犬病是越南的地方性疾病,然而,越南正朝着消灭这种疾病的方向迈进。越南等许多国家在控制狂犬病方面投入了大量资源,突出了区域和全球消除这一被忽视疾病的目标。在越南,狂犬病被卫生部和农业与农村发展部认定为五种高度优先的人畜共患疾病之一。政府和国际伙伴在狂犬病预防和控制方面的投资在将人类狂犬病死亡人数从1992年的404例减少到2017年的74例方面发挥了重要作用。这一努力的催化剂是总理于1996年创建的国家狂犬病规划,该规划增加了对狂犬病预防和控制的支持和资源。自那时以来开展的干预措施包括在全国各地扩大接触后预防中心,采用或修订关键立法和准则,以及改进多部门“同一个健康”合作。此外,世界动物卫生组织(OIE)、世界卫生组织(WHO)、联合国粮食及农业组织(FAO)和疾病控制和预防中心等国际伙伴的支持有助于提高认识,更有效地管理犬类种群,并提高越南的监测和诊断能力。为了在越南实现消除犬媒狂犬病的目标,政治承诺至关重要。必须提供资源来执行法规和指导方针,使越南能够实现更大的犬狂犬病疫苗接种覆盖率。在本文中,作者概述了越南的动物和人类卫生系统,以及过去、现在和未来狂犬病预防和控制的方向。
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引用次数: 16
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