综合一体的健康监测和响应的全面方法

Aseel Basheer, Wolfgang Jentner, Katrin Kuhn, Michael Wimberly, Jason Vogel, David Ebert
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摘要

监测数据在了解和应对新发传染病方面发挥着至关重要的作用;在此,我们将了解为什么采用 "统一健康 "监测方法来应对新发传染病有助于保护人类、动物和环境的健康。超过 75% 的影响人类的新发传染病 (EID) 是以动物为宿主的人畜共患疾病,可通过水传播、食物传播、病媒传播或空气传播等途径传播。(7) 早期检测非常重要,可以通过预防和控制措施迅速做出反应。然而,EIDs 的早期检测受到一些障碍的阻碍,例如气候变化会改变栖息地,导致蚊子和蜱虫等携带疾病的病媒的分布发生变化。这可能导致疟疾、登革热和莱姆病等疾病在已有传播的地区变得更加常见,或完全传播到新的地区。(4) 森林砍伐和城市化等环境变化破坏了生态系统,增加了人畜共患病从野生动物蔓延到人类的可能性。除了在这些变化的交界处开展工作外,检测和追踪 EID 还需要共享复杂的数据并使其标准化,以及整合不同地区和卫生系统的流程。
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A comprehensive approach to integrated one health surveillance and response
Surveillance data plays a crucial role in understanding and responding to emerging infectious diseases; here, we learn why adopting a One Health surveillance approach to EIDs can help to protect human, animal, and environmental health. Over 75% of emerging infectious diseases (EIDs) affecting humans are zoonotic diseases with animal hosts, which can be transmitted by waterborne, foodborne, vector-borne, or air-borne pathways. (7) Early detection is important and allows for a rapid response through preventive and control measures. However, early detection of EIDs is hindered by several obstacles, such as climate change, which can alter habitats, leading to shifts in the distribution of disease- carrying vectors like mosquitoes and ticks. This can result in diseases such as malaria, dengue fever, and Lyme disease becoming more common in areas with established transmission or spreading to new areas entirely. (4) Environmental changes such as deforestation and urbanization disrupt ecosystems, increasing the likelihood of zoonotic disease spillover from wildlife to humans. In addition to working at the interface of these changes, detection and tracking of EIDs also requires sharing and standardization of complex data and integrating processes across different regions and health systems.
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