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Auplish A, Raj E, Booijink Y, de Balogh K, Peyre M, Taylor K, Sumption K, Häsler B. Current evidence of the economic value of One Health initiatives: A systematic literature review. One Health 2024; 18:100755. [PMID: 38770400 PMCID: PMC11103946 DOI: 10.1016/j.onehlt.2024.100755] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2023] [Revised: 05/06/2024] [Accepted: 05/08/2024] [Indexed: 05/22/2024] Open
Abstract
Funding and financing for One Health initiatives at country level remain challenging as investments commonly require demonstrated evidence of economic value or returns. The objectives of this review were to i) identify, critically analyse and summarise quantitative evidence of the net economic value of One Health initiatives; ii) document methodologies commonly used in the scientific literature; and iii) describe common challenges and any evidence gaps. Scientific databases were searched for published literature following the PRISMA guidelines and an online survey and workshop with subject matter experts were used to identify relevant grey literature. Studies were included if they reported on quantitative costs and benefits (monetary and non-monetary) and were measured across at least two sectors. Relevant publications were analysed and plotted against the six action tracks of the Quadripartite One Health Joint Plan of Action to help classify the initiatives. Ninety-seven studies were included. Eighty studies involved only two sectors and 78 reported a positive economic value or return. Of those studies that reported a positive return, 49 did not compare with a sectoral counterfactual, 28 studies demonstrated an added value of using a cross-sectoral approach, and 6 studies demonstrated an added value of One Health communication, collaboration, coordination, and capacity building. Included studies most frequently related to endemic zoonotic, neglected tropical and vector-borne diseases, followed by health of the environment and food safety. However, diversity in economic analysis methodology between studies included resulted in difficulty to compare or combine findings. While there is a growing body of evidence of the value of One Health initiatives, a substantial part of the evidence still focuses on "traditional" One Health topics, particularly zoonoses. Developing a standardised and practical approach for One Health economic evaluation will facilitate assessment of the added value and gather evidence for One Health to be invested in and endorsed by multiple sectors.
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Affiliation(s)
- Aashima Auplish
- Food and Agriculture Organization of the United Nations (FAO), 00153 Rome, Italy
| | - Eleanor Raj
- Food and Agriculture Organization of the United Nations (FAO), 00153 Rome, Italy
| | - Yoeri Booijink
- Centre de Coopération Internationale en Recherche Agronomique Pour le Développement (CIRAD), Montpellier Cedex 5 34398, France
| | - Katinka de Balogh
- Food and Agriculture Organization of the United Nations (FAO), 00153 Rome, Italy
| | - Marisa Peyre
- Centre de Coopération Internationale en Recherche Agronomique Pour le Développement (CIRAD), Montpellier Cedex 5 34398, France
| | - Katrin Taylor
- Food and Agriculture Organization of the United Nations (FAO), 00153 Rome, Italy
| | - Keith Sumption
- Food and Agriculture Organization of the United Nations (FAO), 00153 Rome, Italy
| | - Barbara Häsler
- Food and Agriculture Organization of the United Nations (FAO), 00153 Rome, Italy
- Royal Veterinary College, London NW1 0TU, UK
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Cargnel M, Kelly M, Imberechts H, Catry B, Filippitzi ME. Using a Stakeholder Analysis to Implement the Belgian One Health National Report for Antimicrobial Use and Resistance. Antibiotics (Basel) 2024; 13:84. [PMID: 38247644 PMCID: PMC10812551 DOI: 10.3390/antibiotics13010084] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2023] [Revised: 01/04/2024] [Accepted: 01/06/2024] [Indexed: 01/23/2024] Open
Abstract
(1) Background. Antimicrobial resistance (AMR) poses a substantial global health threat with profound economic implications. Acknowledging the imperative for a One Health (OH) strategy to combat this menace, Belgium introduced an annual national OH report, known as the "BELMAP report," encompassing antimicrobial use (AMU) and AMR, with the first edition completed in 2021. The integration of innovations for the healthcare system demands a meticulously planned process. (2) Methods. We introduced a three-step stakeholder analysis (SA) as a prospective framework for navigating this new report process, fostering complementary collaboration, pinpointing obstacles, suggesting approaches to overcome them, and facilitating national policy development. The SA unfolds in three steps: stakeholders identify and list their relevant activities, assess their positions regarding the BELMAP report, and complete "actor mapping" of national AMR and AMU stakeholders. (3) Results. Stakeholder identification reveals a fragmented landscape of AMR and AMU activities across Belgium. Assessment of stakeholder positions uncovers diverse expectations, collaborative challenges, and resource considerations. "Actor mapping" identifies key stakeholders, emphasizing the importance of high-interest and high-power actors. (4) Conclusions. This SA approach not only provides insights into the present stakeholder landscape in Belgium, it can also serve as a blueprint for other countries in the process of developing OH reports.
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Affiliation(s)
- Mickaël Cargnel
- Coordination of Veterinary Activities Service, Infectious Diseases in Animals Department, Sciensano, 1050 Brussels, Belgium
| | - Moira Kelly
- Healthcare-Associated Infections and Antimicrobial Resistance Service, Epidemiology and Public Health Department, Sciensano, 1050 Brussels, Belgium; (M.K.); (B.C.)
| | - Hein Imberechts
- Strategy and External Positioning, Sciensano, 1050 Brussels, Belgium;
| | - Boudewijn Catry
- Healthcare-Associated Infections and Antimicrobial Resistance Service, Epidemiology and Public Health Department, Sciensano, 1050 Brussels, Belgium; (M.K.); (B.C.)
- Faculty of Medicine, Université Libre de Bruxelles, 1070 Brussels, Belgium
| | - Maria-Eleni Filippitzi
- Animal Production, Ichthyology, Ecology and Protection of the Environment Department, Health Sciences School, Faculty of Veterinary Medicine, Aristotle University of Thessaloniki, University Campus, 54124 Thessaloniki, Greece;
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McIntyre KM, Cooper M, Baylis M. Capacity for One Health research in the Horn of Africa. One Health 2023; 16:100549. [PMID: 37363254 PMCID: PMC10288085 DOI: 10.1016/j.onehlt.2023.100549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2023] [Revised: 04/20/2023] [Accepted: 04/21/2023] [Indexed: 06/28/2023] Open
Abstract
Introduction In low-and-middle-income countries, many people live near livestock. Rural livelihoods need improvement, however livestock-sector growth is a 'wicked' problem, needing careful management and One Health approaches which balance positive aspects of livestock ownership against deleterious impacts. Materials and methods A Key Informant survey was delivered to higher education and research institute Units in Horn of Africa, to quantify baseline estimates for One Health research, understand characteristics, and risk factors for usage. Principal results Four-fifths of Units acknowledged some One Health research; however, this was biased towards human-focused dimensions including at the human/animal/environment-interface and human/animal-interface; One Health approaches were also more often reported when all or the animal/environment dimensions were examined. We detected subject-bias impacting environment-focus in research; only research-focused Units had staff with higher environmental science degrees. Our work suggested good national research buy-in, and Units engaging with national policy-makers most often; local policy-makers were least engaged. Four-fifths of Units had laboratories, with two-thirds processing either human or animal samples and half processing both. Funding for equipment purchase, supplies and maintenance, staff training on technical/safety issues was nearly half that previously identified. Major conclusions The necessity for One Health research approaches is acknowledged, however our results suggest persistent and systemic neglect of the environment in approaches and research staff education, and a lack of integration across government hierarchies during policy-development, potentially driven by international organisation domination. Further, Units lack funding for laboratory equipment purchase/supplies/maintenance, and staff training on technical/safety issues.
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Affiliation(s)
- K. Marie McIntyre
- Department of Livestock and One Health, Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, IC2 Building, Brownlow Hill, Liverpool L3 5RF, United Kingdom
- Network for EcoHealth and One Health (NEOH), European Chapter of Ecohealth International, Kreuzstrasse 2, P.O. Box, 4123 Allschwil, Switzerland
| | - Michael Cooper
- Department of Livestock and One Health, Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, IC2 Building, Brownlow Hill, Liverpool L3 5RF, United Kingdom
| | - Matthew Baylis
- Department of Livestock and One Health, Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, IC2 Building, Brownlow Hill, Liverpool L3 5RF, United Kingdom
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Cernicchiaro N, Oliveira ARS, Hanthorn C, Renter DG. Outcomes research: origins, relevance, and potential impacts for veterinary medicine. J Am Vet Med Assoc 2022; 260:714-723. [DOI: 10.2460/javma.21.06.0318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Affiliation(s)
- Natalia Cernicchiaro
- Center for Outcomes Research and Epidemiology (CORE), College of Veterinary Medicine, Kansas State University, Manhattan, KS
| | - Ana R. S. Oliveira
- Center for Outcomes Research and Epidemiology (CORE), College of Veterinary Medicine, Kansas State University, Manhattan, KS
| | - Christy Hanthorn
- Center for Outcomes Research and Epidemiology (CORE), College of Veterinary Medicine, Kansas State University, Manhattan, KS
| | - David G. Renter
- Center for Outcomes Research and Epidemiology (CORE), College of Veterinary Medicine, Kansas State University, Manhattan, KS
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Buschhardt T, Günther T, Skjerdal T, Torpdahl M, Gethmann J, Filippitzi ME, Maassen C, Jore S, Ellis-Iversen J, Filter M. A one health glossary to support communication and information exchange between the human health, animal health and food safety sectors. One Health 2021; 13:100263. [PMID: 34041347 PMCID: PMC8141924 DOI: 10.1016/j.onehlt.2021.100263] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2021] [Revised: 05/07/2021] [Accepted: 05/07/2021] [Indexed: 11/11/2022] Open
Abstract
Collaboration across sectors, disciplines and countries is a key concept to achieve the overarching One Health (OH) objective for better human, animal and environmental health. Differences in terminology and interpretation of terms are still a significant hurdle for cross-sectoral information exchange and collaboration within the area of OH including One Health Surveillance (OHS). The development of the here described glossary is a collaborative effort of three projects funded within the One Health European Joint Programme (OHEJP). We describe the infrastructure of the OHEJP Glossary, as well as the methodology to create such a cross-sectoral web resource in a collaborative manner. The new OHEJP Glossary allows OH actors to identify terms with different or shared interpretation across sectors. Being aware of such differences in terminology will help overcome communication hurdles in the future and consequently support collaboration and a more inclusive development of OHS. The OHEJP Glossary was implemented as a web-based, user-friendly and searchable infrastructure that complies with the Findable, Accessible, Interoperable, Reusable (FAIR) data principles. Maintenance, enrichment and quality control of the OHEJP Glossary is supported through a flexible and updatable curation infrastructure. This increases the uptake potential and exploitation of the OHEJP Glossary by other OH initiatives or tools and services.
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Affiliation(s)
- Tasja Buschhardt
- German Federal Institute for Risk Assessment, Department of Biological Safety, Max-Dohrn-Str. 8-10, 10589 Berlin, Germany
| | - Taras Günther
- German Federal Institute for Risk Assessment, Department of Biological Safety, Max-Dohrn-Str. 8-10, 10589 Berlin, Germany
| | - Taran Skjerdal
- Norwegian Veterinary Institute, Arboretveien 57, N-1433 Ås, Norway
| | - Mia Torpdahl
- Statens Serum Institut, 5 Artillerivej, DK-2300 Copenhagen S, Denmark
| | - Jörn Gethmann
- Friedrich-Loeffler-Institut – Federal Research Institute for Animal Health (FLI), Südufer 10, D-17493 Greifswald-Insel Riems, Germany
| | | | - Catharina Maassen
- National Institute for Public Health and the Environment, Antonie van Leeuwenhoeklaan 9, 3721 MA Bilthoven, the Netherlands
| | - Solveig Jore
- Norwegian Institute of Public Health, Lovisenberggata 8, 0456 Oslo, Norway
| | - Johanne Ellis-Iversen
- National Food Institute at the Technical University of Denmark, Kemitorvet 202, DK-2800 Kgs Lyngby, Denmark
| | - Matthias Filter
- German Federal Institute for Risk Assessment, Department of Biological Safety, Max-Dohrn-Str. 8-10, 10589 Berlin, Germany
| | - The OHEJP Glossary Team
- German Federal Institute for Risk Assessment, Department of Biological Safety, Max-Dohrn-Str. 8-10, 10589 Berlin, Germany
- Norwegian Veterinary Institute, Arboretveien 57, N-1433 Ås, Norway
- Statens Serum Institut, 5 Artillerivej, DK-2300 Copenhagen S, Denmark
- Friedrich-Loeffler-Institut – Federal Research Institute for Animal Health (FLI), Südufer 10, D-17493 Greifswald-Insel Riems, Germany
- Sciensano, Juliette Wytsmanstraat 14, 1050 Elsene, Belgium
- National Institute for Public Health and the Environment, Antonie van Leeuwenhoeklaan 9, 3721 MA Bilthoven, the Netherlands
- Norwegian Institute of Public Health, Lovisenberggata 8, 0456 Oslo, Norway
- National Food Institute at the Technical University of Denmark, Kemitorvet 202, DK-2800 Kgs Lyngby, Denmark
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Sandberg M, Hesp A, Aenishaenslin C, Bordier M, Bennani H, Bergwerff U, Chantziaras I, De Meneghi D, Ellis-Iversen J, Filippizi ME, Mintiens K, Nielsen LR, Norström M, Tomassone L, van Schaik G, Alban L. Assessment of Evaluation Tools for Integrated Surveillance of Antimicrobial Use and Resistance Based on Selected Case Studies. Front Vet Sci 2021; 8:620998. [PMID: 34307513 PMCID: PMC8298032 DOI: 10.3389/fvets.2021.620998] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2020] [Accepted: 05/21/2021] [Indexed: 01/18/2023] Open
Abstract
Regular evaluation of integrated surveillance for antimicrobial use (AMU) and resistance (AMR) in animals, humans, and the environment is needed to ensure system effectiveness, but the question is how. In this study, six different evaluation tools were assessed after being applied to AMU and AMR surveillance in eight countries: (1) ATLASS: the Assessment Tool for Laboratories and AMR Surveillance Systems developed by the Food and Agriculture Organization (FAO) of the United Nations, (2) ECoSur: Evaluation of Collaboration for Surveillance tool, (3) ISSEP: Integrated Surveillance System Evaluation Project, (4) NEOH: developed by the EU COST Action "Network for Evaluation of One Health," (5) PMP-AMR: The Progressive Management Pathway tool on AMR developed by the FAO, and (6) SURVTOOLS: developed in the FP7-EU project "RISKSUR." Each tool was scored using (i) 11 pre-defined functional aspects (e.g., workability concerning the need for data, time, and people); (ii) a strengths, weaknesses, opportunities, and threats (SWOT)-like approach of user experiences (e.g., things that I liked or that the tool covered well); and (iii) eight predefined content themes related to scope (e.g., development purpose and collaboration). PMP-AMR, ATLASS, ECoSur, and NEOH are evaluation tools that provide a scoring system to obtain semi-quantitative results, whereas ISSEP and SURVTOOLS will result in a plan for how to conduct evaluation(s). ISSEP, ECoSur, NEOH, and SURVTOOLS allow for in-depth analyses and therefore require more complex data, information, and specific training of evaluator(s). PMP-AMR, ATLASS, and ISSEP were developed specifically for AMR-related activities-only ISSEP included production of a direct measure for "integration" and "impact on decision making." NEOH and ISSEP were perceived as the best tools for evaluation of One Health (OH) aspects, and ECoSur as best for evaluation of the quality of collaboration. PMP-AMR and ATLASS seemed to be the most user-friendly tools, particularly designed for risk managers. ATLASS was the only tool focusing specifically on laboratory activities. Our experience is that adequate resources are needed to perform evaluation(s). In most cases, evaluation would require involvement of several assessors and/or stakeholders, taking from weeks to months to complete. This study can help direct future evaluators of integrated AMU and AMR surveillance toward the most adequate tool for their specific evaluation purpose.
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Affiliation(s)
- Marianne Sandberg
- Department for Food Safety, Veterinary Issues and Risk Analysis, Danish Agriculture and Food Council, Copenhagen, Denmark
- National Food Institute, Technical University of Denmark, Lyngby, Denmark
| | - Ayla Hesp
- Department of Bacteriology and Epidemiology, Host Pathogen Interaction and Diagnostics Development, Wageningen Bioveterinary Research, Lelystad, Netherlands
- Department of Infectious Diseases and Immunology, Utrecht University, Utrecht, Netherlands
| | - Cécile Aenishaenslin
- Groupe de recherche en épidémiologie des zoonoses et santé publique, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - Marion Bordier
- UMR Astre, Cirad, INRAE, University of Montpellier, Montpellier, France
| | - Houda Bennani
- Veterinary Epidemiology, Economics and Public Health Group, Department of Pathobiology and Population Sciences, Royal Veterinary College, London, United Kingdom
| | - Ursula Bergwerff
- Department of Farm Animal Health, Utrecht University, Utrecht, Netherlands
| | - Ilias Chantziaras
- Unit of Animal Science and Unit of Social Science, Flanders Research Institute for Agriculture, Fisheries and Food (ILVO), Merelbeke, Belgium
- Department of Reproduction, Obstetrics and Herd Health, University of Ghent, Ghent, Belgium
| | | | | | - Maria-Eleni Filippizi
- Veterinary Epidemiology Unit, Department of Epidemiology and Public Health, Sciensano, Brussels, Belgium
| | - Koen Mintiens
- Food and Agriculture Organization of the United Nations, Rome, Italy
| | - Liza R. Nielsen
- Department of Veterinary and Animal Sciences, University of Copenhagen, Frederiksberg, Denmark
| | - Madelaine Norström
- Department of Epidemiology, Norwegian Veterinary Institute, Oslo, Norway
| | - Laura Tomassone
- Department of Veterinary Sciences, University of Turin, Turin, Italy
| | - Gerdien van Schaik
- Department of Farm Animal Health, Utrecht University, Utrecht, Netherlands
- Royal GD Animal Health, Deventer, Netherlands
| | - Lis Alban
- Department for Food Safety, Veterinary Issues and Risk Analysis, Danish Agriculture and Food Council, Copenhagen, Denmark
- Department of Veterinary and Animal Sciences, University of Copenhagen, Frederiksberg, Denmark
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Naylor NR, Lines J, Waage J, Wieland B, Knight GM. Quantitatively evaluating the cross-sectoral and One Health impact of interventions: A scoping review and case study of antimicrobial resistance. One Health 2021; 11:100194. [PMID: 33304982 PMCID: PMC7718152 DOI: 10.1016/j.onehlt.2020.100194] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2020] [Revised: 10/30/2020] [Accepted: 11/05/2020] [Indexed: 12/05/2022] Open
Abstract
BACKGROUND Current frameworks evaluating One Health (OH) interventions focus on intervention-design and -implementation. Cross-sectoral impact evaluations are needed to more effectively tackle OH-issues, such as antimicrobial resistance (AMR). We aimed to describe quantitative evaluation methods for interventions related to OH and cross-sectoral issues, to propose an explicit approach for evaluating such interventions, and to apply this approach to AMR. METHODS A scoping review was performed using WebofScience, EconLit, PubMed and gray literature. Quantitative evaluations of interventions that had an impact across two or more of the human, animal and environment sectors were included. Information on the interventions, methods and outcome measures found was narratively summarised. The information from this review informed the construction of a new approach to OH-related intervention evaluation, which then was applied to the field of AMR. RESULTS The review included 90 studies: 73 individual evaluations (from 72 papers) and 18 reviews, with a range of statistical modelling (n = 13 studies), mathematical modelling (n = 53) and index-creation/preference-ranking (n = 14) methods discussed. The literature highlighted the need to (I) establish stakeholder objectives, (II) establish quantifiable outcomes that feed into those objectives, (III) establish agents and compartments that affect these outcomes and (IV) select appropriate methods (described in this review) accordingly. Based on this, an evaluation model for AMR was conceptualised; a decision-tree of intervention options, a compartmental-microeconomic model across sectors and a general-equilibrium (macroeconomic) model are linked. The outcomes of this multi-level model (including cost-utility and Gross Domestic Product impact) can then feed into multi-criteria-decision analyses that weigh respective impact estimates alongside other chosen outcome estimates (for example equity or uncertainty). CONCLUSION In conclusion, stakeholder objectives are key in establishing which evaluation methods (and associated outcome measures) should be used for OH-related interventions. The stated multi-level approach also allows for sub-systems to be modelled in succession, where resources are constrained.
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Affiliation(s)
- Nichola R. Naylor
- London School of Hygiene & Tropical Medicine, London, United Kingdom
| | - Jo Lines
- London School of Hygiene & Tropical Medicine, London, United Kingdom
| | - Jeff Waage
- London School of Hygiene & Tropical Medicine, London, United Kingdom
| | - Barbara Wieland
- International Livestock Research Institute (ILRI), Addis Ababa, Ethiopia
| | - Gwenan M. Knight
- London School of Hygiene & Tropical Medicine, London, United Kingdom
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Aenishaenslin C, Häsler B, Ravel A, Parmley EJ, Mediouni S, Bennani H, Stärk KDC, Buckeridge DL. Evaluating the Integration of One Health in Surveillance Systems for Antimicrobial Use and Resistance: A Conceptual Framework. Front Vet Sci 2021; 8:611931. [PMID: 33842569 PMCID: PMC8024545 DOI: 10.3389/fvets.2021.611931] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Accepted: 02/08/2021] [Indexed: 11/26/2022] Open
Abstract
It is now widely acknowledged that surveillance of antimicrobial resistance (AMR) must adopt a "One Health" (OH) approach to successfully address the significant threats this global public health issue poses to humans, animals, and the environment. While many protocols exist for the evaluation of surveillance, the specific aspect of the integration of a OH approach into surveillance systems for AMR and antimicrobial Use (AMU), suffers from a lack of common and accepted guidelines and metrics for its monitoring and evaluation functions. This article presents a conceptual framework to evaluate the integration of OH in surveillance systems for AMR and AMU, named the Integrated Surveillance System Evaluation framework (ISSE framework). The ISSE framework aims to assist stakeholders and researchers who design an overall evaluation plan to select the relevant evaluation questions and tools. The framework was developed in partnership with the Canadian Integrated Program for Antimicrobial Resistance Surveillance (CIPARS). It consists of five evaluation components, which consider the capacity of the system to: [1] integrate a OH approach, [2] produce OH information and expertise, [3] generate actionable knowledge, [4] influence decision-making, and [5] positively impact outcomes. For each component, a set of evaluation questions is defined, and links to other available evaluation tools are shown. The ISSE framework helps evaluators to systematically assess the different OH aspects of a surveillance system, to gain comprehensive information on the performance and value of these integrated efforts, and to use the evaluation results to refine and improve the surveillance of AMR and AMU globally.
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Affiliation(s)
- Cécile Aenishaenslin
- Centre de recherche en santé publique de l'Université de Montréal et du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montreal, QC, Canada
- Research Group on Epidemiology of Zoonoses and Public Health, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - Barbara Häsler
- Veterinary Epidemiology Economics and Public Health Group, Department of Pathobiology and Population Sciences, Royal Veterinary College, Hatfield, United Kingdom
| | - André Ravel
- Centre de recherche en santé publique de l'Université de Montréal et du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montreal, QC, Canada
- Research Group on Epidemiology of Zoonoses and Public Health, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - E. Jane Parmley
- Centre for Foodborne, Environmental and Zoonotic Infectious Diseases, Public Health Agency of Canada, Guelph, ON, Canada
- Department of Population Medicine, University of Guelph, Guelph, ON, Canada
| | - Sarah Mediouni
- Centre de recherche en santé publique de l'Université de Montréal et du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montreal, QC, Canada
- Research Group on Epidemiology of Zoonoses and Public Health, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, QC, Canada
| | - Houda Bennani
- Veterinary Epidemiology Economics and Public Health Group, Department of Pathobiology and Population Sciences, Royal Veterinary College, Hatfield, United Kingdom
| | - Katharina D. C. Stärk
- Department of Animal Health, Federal Office for Food Safety and Veterinary Affairs, Bern, Switzerland
| | - David L. Buckeridge
- Department of Epidemiology, Biostatistics and Occupational Health, Faculty of Medicine, McGill University, Montreal, QC, Canada
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Galardi M, Contalbrigo L, Toson M, Bortolotti L, Lorenzetto M, Riccioli F, Moruzzo R. Donkey assisted interventions: A pilot survey on service providers in North-Eastern Italy. Explore (NY) 2020; 18:10-16. [PMID: 33243594 DOI: 10.1016/j.explore.2020.11.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Revised: 10/23/2020] [Accepted: 11/15/2020] [Indexed: 11/04/2022]
Abstract
CONTEXT Animal Assisted Interventions (AAI), which are generally defined as 'pet therapy', focus on the improvement of human health and wellbeing through a multidisciplinary approach and the involvement of domestic animals. An Italian survey conducted in 2017 revealed that donkeys were the third most involved species in AAI. Nevertheless, data on the main features of the providers of Donkey Assisted Interventions (DAI), especially in Italy, and their organisational models are scarce. OBJECTIVE This questionnaire-based pilot study aimed to collect information about the features of DAI providers in the Veneto Region to have a general framework about the field. STUDY METHOD In this descriptive mixed-method pilot study, we interviewed DAI providers through a computer assisted telephone interview. Respondents were selected by integrating data from the Veneto Region Livestock Database and from the Italian official register of AAI professionals. The questionnaire was designed following the advice from Equator Network. MAIN OUTCOME MEASURES Our outcome measures included the prevalent organisational system adopted by our respondents, main type of AAI programs, and users. Furthermore, we collected qualitative data about economic and income and respondents' personal opinions about DAI (strengths and weaknesses). MAIN RESULTS Data analysis revealed a heterogeneous picture of the DAI field with a prevalence of non-profit organisations providing mainly Donkey Assisted Activities to a large range of user categories. Despite the poor economic framework and low income from DAI, DAI providers were strongly motivated and spent more time and efforts in delivering this service.
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Affiliation(s)
- Morgana Galardi
- National Reference Centre for Animal Assisted Interventions, Istituto Zooprofilattico Sperimentale delle Venezie, Viale dell'Università 10, 35020 Legnaro PD, Italy; Department of Veterinary Science - University of Pisa, Viale delle Piagge 2, 56124 Pisa, Italy.
| | - Laura Contalbrigo
- National Reference Centre for Animal Assisted Interventions, Istituto Zooprofilattico Sperimentale delle Venezie, Viale dell'Università 10, 35020 Legnaro PD, Italy.
| | - Marica Toson
- Istituto Zooprofilattico Sperimentale delle Venezie, Viale dell'Università 10, 35020 Legnaro PD, Italy.
| | - Laura Bortolotti
- Istituto Zooprofilattico Sperimentale delle Venezie, Viale dell'Università 10, 35020 Legnaro PD, Italy.
| | - Monica Lorenzetto
- Istituto Zooprofilattico Sperimentale delle Venezie, Viale dell'Università 10, 35020 Legnaro PD, Italy.
| | - Francesco Riccioli
- Department of Veterinary Science - University of Pisa, Viale delle Piagge 2, 56124 Pisa, Italy.
| | - Roberta Moruzzo
- Department of Veterinary Science - University of Pisa, Viale delle Piagge 2, 56124 Pisa, Italy.
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Gibb R, Franklinos LHV, Redding DW, Jones KE. Ecosystem perspectives are needed to manage zoonotic risks in a changing climate. BMJ 2020; 371:m3389. [PMID: 33187958 PMCID: PMC7662085 DOI: 10.1136/bmj.m3389] [Citation(s) in RCA: 39] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Affiliation(s)
- Rory Gibb
- Centre for Biodiversity and Environment Research, Division of Biosciences, University College London, London, UK
| | - Lydia H V Franklinos
- Centre for Biodiversity and Environment Research, Division of Biosciences, University College London, London, UK
- Institute for Global Health, University College London, London, UK
| | - David W Redding
- Centre for Biodiversity and Environment Research, Division of Biosciences, University College London, London, UK
- Institute of Zoology, Zoological Society of London, London, UK
| | - Kate E Jones
- Centre for Biodiversity and Environment Research, Division of Biosciences, University College London, London, UK
- Institute of Zoology, Zoological Society of London, London, UK
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11
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Michalon J. Accounting for One Health: Insights from the social sciences. ACTA ACUST UNITED AC 2020; 27:56. [PMID: 33141659 PMCID: PMC7608981 DOI: 10.1051/parasite/2020056] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2020] [Accepted: 10/21/2020] [Indexed: 01/01/2023]
Abstract
This paper discusses the relationship between One Health (OH) and the social sciences. Using a comparison between three narratives of the history of OH, it is argued that OH can be studied as a social phenomenon. The narrative of OH by its promoters (folk narratives) emphasizes two dimensions: OH as a renewal of veterinary medicine and OH as an institutional response to global health crises. Narratives from empirical social science work explore similar dimensions, but make them more complex. For political sociology, OH is the result of negotiations between the three international organisations (WHO, OIE and FAO), in a context of a global health crisis, which led to the reconfiguration of their respective mandates and scope of action: OH is a response to an institutional crisis. For the sociology of science, OH testifies to the evolution of the profession and veterinary science, enabling it to position itself as a promoter of interdisciplinarity, in a context of convergence between research and policy. In the Discussion section, I propose an approach to OH as an “epistemic watchword”: a concept whose objective is to make several actors work together (watchword), in a particular direction, that of the production of knowledge (epistemic).
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Affiliation(s)
- Jérôme Michalon
- UMR Triangle - ENS de Lyon site Descartes, Bat D4 (recherche) - 2ème étage, 15 parvis René Descartes, 69342 Lyon cedex 07 - France
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12
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Kurniawan W, Suwandono A, Widjanarko B, Suwondo A, Artama WT, Shaluhiyah Z, Adi MS, Sofro MAU. The effectiveness of the One Health SMART approach on dengue vector control in Majalengka, Indonesia. JOURNAL OF HEALTH RESEARCH 2020. [DOI: 10.1108/jhr-07-2019-0162] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
PurposeThe purpose of this study was to apply the OH-SMART approach on dengue vector control and assess the influence on knowledge, attitude, practice (KAP) amongst elementary students in Majalengka as well as check the dengue serotypes distribution.Design/methodology/approachThis study was designed by sequential exploration. An OH-SMART workshop involving local government institutions, schools, colleges and health professional organizations was conducted. A total of 334 elementary students, chosen by cluster sampling, participated including 171 in the intervention group and 163 in the control group. A self-administered questionnaire was used to assess the differences in the subject's KAP. Dengue serotypes were analyzed by reverse transcription–polymerase chain reaction (RT-PCR), and the distribution was measured by GPS. Descriptive statistics, paired t-test and the Wilcoxon rank test were used for data analysis.FindingsThere were eight gaps in Dengue vector control in Majalengka and three main recommendations after the OH-SMART workshop i.e. the formation of OH-teams, the preparation of module training, and training of vector control in the schools. After the program, there were statistically significant differences between the intervention and control groups (p = 0,001, CI 95%). All differences in the intervention group were higher than in the control. The most commonly found dengue serotype was DEN-1.Originality/valueOH-SMART has never been applied in Indonesia, especially in a local government setting but is recognized as an effective approach in the prevention of vector-borne disease and zoonotic.
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13
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Entrican G, Lunney JK, Wattegedera SR, Mwangi W, Hope JC, Hammond JA. The Veterinary Immunological Toolbox: Past, Present, and Future. Front Immunol 2020; 11:1651. [PMID: 32849568 PMCID: PMC7399100 DOI: 10.3389/fimmu.2020.01651] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2020] [Accepted: 06/22/2020] [Indexed: 12/02/2022] Open
Abstract
It is well-recognized that research capability in veterinary species is restricted by a lack of immunological reagents relative to the extensive toolboxes for small rodent biomedical model species and humans. This creates a barrier to the strategic development of disease control solutions for livestock, companion animals and wildlife that not only affects animal health but can affect human health by increasing the risk of transmission of zoonotic pathogens. There have been a number of projects aimed at reducing the capability gaps in the veterinary immunological toolbox, the majority of these focusing on livestock species. Various approaches have been taken to veterinary immunological reagent development across the globe and technological advances in molecular biology and protein biochemistry have accelerated toolbox development. While short-term funding initiatives can address specific gaps in capability, they do not account for long-term sustainability of reagents and databases that requires a different funding model. We review the past, present and future of the veterinary immunological toolbox with specific reference to recent developments discussed at the International Union of Immunological Societies (IUIS) Veterinary Immunology Committee (VIC) Immune Toolkit Workshop at the 12th International Veterinary Immunology Symposium (IVIS) in Seattle, USA, 16–19 August 2019. The future availability of these reagents is critical to research for improving animal health, responses to infectious pathogens and vaccine design as well as for important analyses of zoonotic pathogens and the animal /human interface for One Health initiatives.
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Affiliation(s)
- Gary Entrican
- The Roslin Institute at The University of Edinburgh, Easter Bush Campus, Midlothian, United Kingdom
| | - Joan K Lunney
- Animal Parasitic Diseases Laboratory, BARC, NEA, ARS, USDA, Beltsville, MD, United States
| | - Sean R Wattegedera
- Moredun Research Institute, Pentlands Science Park, Edinburgh, United Kingdom
| | | | - Jayne C Hope
- The Roslin Institute at The University of Edinburgh, Easter Bush Campus, Midlothian, United Kingdom
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14
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Santiago-Alarcon D, MacGregor-Fors I. Cities and pandemics: urban areas are ground zero for the transmission of emerging human infectious diseases. JOURNAL OF URBAN ECOLOGY 2020. [DOI: 10.1093/jue/juaa012] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
| | - Ian MacGregor-Fors
- Red de Ambiente y Sustentabilidad, Instituto de Ecología, A.C. (INECOL), Carretera antigua a Coatepec 351, El Haya, Xalapa 91073 Veracruz, Mexico
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15
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Abstract
AbstractIncreasing recognition of interdependencies of the health of humans, other organisms and ecosystems, and of their importance to socio-ecological systems, necessitates application of integrative concepts such as One Health and EcoHealth. These concepts open new perspectives for research and practice but also generate confusion and divergent opinion, prompting new theories, and call for empirical clarification and evaluation. Through a semi-systematic evaluation of knowledge generation in scientific publications (comprised of literature reviews, conceptual models and analyses of communities of practice), we show how integrative concepts and approaches to health evolve and are adopted. Our findings indicate that while their contexts, goals and rationales vary, integrative concepts of health essentially arise from shared interests in living systems. Despite recent increased attention to ecological and societal aspects of health including broader sustainability issues, the focus remains anthropocentric and oriented towards biomedicine. Practices reflect and in turn transform these concepts, which together with practices also influence ways of integration. Overarching narratives vary between optimism and pessimism towards integrated health and knowledge. We conclude that there is an urgent need for better, coherent and more deeply integrative health concepts, approaches and practices to foster the well-being of humans, other animals and ecosystems. Consideration of these concepts and practices has methodological and political importance, as it will transform thinking and action on both society and nature and specifically can enrich science and practice, expanding their scope and linking them better. Transdisciplinary efforts are crucial to developing such concepts and practices to properly address the multiple facets of health and to achieve their appropriate integration for the socio-ecological systems at stake. We propose the term “transdisciplinary health” to denote the new approaches needed.
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16
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Regan D, Garcia K, Thamm D. Clinical, Pathological, and Ethical Considerations for the Conduct of Clinical Trials in Dogs with Naturally Occurring Cancer: A Comparative Approach to Accelerate Translational Drug Development. ILAR J 2019; 59:99-110. [PMID: 30668709 DOI: 10.1093/ilar/ily019] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2017] [Revised: 11/26/2018] [Indexed: 01/21/2023] Open
Abstract
The role of comparative oncology in translational research is receiving increasing attention from drug developers and the greater biomedical research community. Pet dogs with spontaneous cancer are important and underutilized translational models, owing to dogs' large size and relative outbreeding, combined with their high incidence of certain tumor histotypes with significant biological, genetic, and histological similarities to their human tumor counterparts. Dogs with spontaneous tumors naturally develop therapy resistance and spontaneous metastasis, all in the context of an intact immune system. These fundamental features of cancer biology are often lacking in induced or genetically engineered preclinical tumor models and likely contribute to their poor predictive value and the associated overall high failure rate in oncology drug development. Thus, the conduct of clinical trials in pet dogs with naturally occurring cancer represents a viable surrogate and valuable intermediary step that should be increasingly incorporated into the cancer drug discovery and development pipeline. The development of molecular-targeted therapies has resulted in an expanded role of the pathologist in human oncology trials, and similarly the expertise of veterinary pathologists will be increasingly valuable to all phases of comparative oncology trial design and conduct. In this review, we provide a framework of clinical, ethical, and pathology-focused considerations for the increasing integration of translational research investigations in dogs with spontaneous cancer as a means to accelerate clinical cancer discovery and drug development.
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Affiliation(s)
- Daniel Regan
- Department of Microbiology, Immunology, and Pathology, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, Colorado
| | - Kelly Garcia
- Biologic Resources Laboratory, University of Illinois, Chicago, Illinois
| | - Douglas Thamm
- Flint Animal Cancer Center, Colorado State University, Fort Collins, Colorado
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17
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Rabinowitz PM, Pappaioanou M, Bardosh KL, Conti L. A planetary vision for one health. BMJ Glob Health 2018; 3:e001137. [PMID: 30294465 PMCID: PMC6169660 DOI: 10.1136/bmjgh-2018-001137] [Citation(s) in RCA: 53] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2018] [Accepted: 08/24/2018] [Indexed: 01/30/2023] Open
Affiliation(s)
- Peter MacGarr Rabinowitz
- Department of Environmental and Occupational Health Science, Department of Global Health, Department of Family Medicine, Department of Medicine, Division of Allergy and Infectious Disease, Center for One Health Research, University of Washington, Seattle, Washington, USA
| | - Marguerite Pappaioanou
- Department of Environmental and Occupational Health Sciences, Center for One Health Research, University of Washington, Seattle, Washington, United States
| | - Kevin Louis Bardosh
- Department of Anthropology, Department of Environmental and Global Health, Emerging Pathogens Institute, University of Florida, Gainesville, FL, United States
| | - Lisa Conti
- Florida Department of Agriculture and Consumer Services, Tallahassee, Florida, USA
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18
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Rüegg SR, Nielsen LR, Buttigieg SC, Santa M, Aragrande M, Canali M, Ehlinger T, Chantziaras I, Boriani E, Radeski M, Bruce M, Queenan K, Häsler B. A Systems Approach to Evaluate One Health Initiatives. Front Vet Sci 2018; 5:23. [PMID: 29594154 PMCID: PMC5854661 DOI: 10.3389/fvets.2018.00023] [Citation(s) in RCA: 73] [Impact Index Per Article: 12.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2017] [Accepted: 02/05/2018] [Indexed: 11/13/2022] Open
Abstract
Challenges calling for integrated approaches to health, such as the One Health (OH) approach, typically arise from the intertwined spheres of humans, animals, and ecosystems constituting their environment. Initiatives addressing such wicked problems commonly consist of complex structures and dynamics. As a result of the EU COST Action (TD 1404) "Network for Evaluation of One Health" (NEOH), we propose an evaluation framework anchored in systems theory to address the intrinsic complexity of OH initiatives and regard them as subsystems of the context within which they operate. Typically, they intend to influence a system with a view to improve human, animal, and environmental health. The NEOH evaluation framework consists of four overarching elements, namely: (1) the definition of the initiative and its context, (2) the description of the theory of change with an assessment of expected and unexpected outcomes, (3) the process evaluation of operational and supporting infrastructures (the "OH-ness"), and (4) an assessment of the association(s) between the process evaluation and the outcomes produced. It relies on a mixed methods approach by combining a descriptive and qualitative assessment with a semi-quantitative scoring for the evaluation of the degree and structural balance of "OH-ness" (summarised in an OH-index and OH-ratio, respectively) and conventional metrics for different outcomes in a multi-criteria-decision-analysis. Here, we focus on the methodology for Elements (1) and (3) including ready-to-use Microsoft Excel spreadsheets for the assessment of the "OH-ness". We also provide an overview of Element (2), and refer to the NEOH handbook for further details, also regarding Element (4) (http://neoh.onehealthglobal.net). The presented approach helps researchers, practitioners, and evaluators to conceptualise and conduct evaluations of integrated approaches to health and facilitates comparison and learning across different OH activities thereby facilitating decisions on resource allocation. The application of the framework has been described in eight case studies in the same Frontiers research topic and provides first data on OH-index and OH-ratio, which is an important step towards their validation and the creation of a dataset for future benchmarking, and to demonstrate under which circumstances OH initiatives provide added value compared to disciplinary or conventional health initiatives.
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Affiliation(s)
- Simon R. Rüegg
- Vetsuisse Faculty, University of Zurich, Zurich, Switzerland
| | | | | | - Mijalche Santa
- Faculty of Economics—Skopje, Saints Cyril and Methodius University of Skopje, Skopje, Macedonia
| | - Maurizio Aragrande
- Department of Agricultural and Food Sciences, University of Bologna, Bologna, Italy
| | - Massimo Canali
- Department of Agricultural and Food Sciences, University of Bologna, Bologna, Italy
| | - Timothy Ehlinger
- Center for Global Health Equity, University of Wisconsin Milwaukee, Milwaukee, WI, United States
| | | | - Elena Boriani
- Global Decision Support Initiative (GDSI), Technical University of Denmark, Kongens Lyngby, Denmark
- National Food Institute, Technical University of Denmark, Kongens Lyngby, Denmark
| | - Miroslav Radeski
- Faculty of Veterinary Medicine, Saints Cyril and Methodius University of Skopje, Skopje, Macedonia
| | - Mieghan Bruce
- School of Veterinary and Life Science, Murdoch University, Perth, WA, Australia
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