1
|
Laurent O, Gironza YC, Ancelet S, Armant O, Bard D, Baumgartner K, Bortoli S, Boudet C, Chamaret P, Cormier S, David A, Desqueyroux H, Gerber M, Grimbuhler S, Mougin C, Payrastre L, Schraub S, Trousse B, Reaud C, Charron S. Citizen science in environmental health research: A comparison with conventional approaches and creation of a guidance tool issued from the LILAS initiative. ENVIRONMENTAL RESEARCH 2024; 252:118914. [PMID: 38609071 DOI: 10.1016/j.envres.2024.118914] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/16/2024] [Revised: 04/02/2024] [Accepted: 04/09/2024] [Indexed: 04/14/2024]
Abstract
CONTEXT Public interest for citizen science (CS) in environmental health is growing. The goals of environmental health research projects are diverse, as are the methods used to reach these goals. Opportunities for greater implication of the civil society and related challenges differ at each step of such projects. These methodological aspects need to be widely shared and understood by all stakeholders. The LILAS initiative (acronym for "application of citizen science approaches such as LIving LAbS to research on environmental exposures and chronic risks") aimed to 1) favor a mutual understanding of the main issues and research methods in environmental health, of their stakes for different actors, but also of the requirements, strengths and limitations of these methods and to 2) identify expected benefits and points of attention related to stronger degrees of participation as part of environmental health research projects. METHODS The LILAS initiative gathered institutional researchers, academics and civil society representatives interested in environmental exposures. Five meetings allowed to collectively identify different types of environmental health research studies and reflect about the benefits, limitations, and methodological issues related to the introduction of growing citizen participation as part of such studies. An analytic table matrix summarizing these aspects was co-created and filled by participants, as a tool devoted to help stakeholders with the definition of future CS research projects in environmental health. RESULTS For different fields of research (e.g.: studies for assessment of environmental exposures, interventions on these exposures, quantitative risk assessment, epidemiological studies), the matrix lists expected benefits for various stakeholders, the fundamental principles of research methods and related practical constraints, but also advantages and limitations related to the use of CS or conventional research approaches. CONCLUSION The LILAS initiative allowed to develop a tool which provides consolidated grounds for the co-creation of research projects on environmental exposures involving CS.
Collapse
Affiliation(s)
- Olivier Laurent
- Institut de Radioprotection et de Sûreté Nucléaire (IRSN), PSE-SANTE/SESANE/LEPID, F-92260, Fontenay-aux-Roses, France.
| | - Yara Carrejo Gironza
- Institut de Radioprotection et de Sûreté Nucléaire (IRSN), PSE-SANTE/SESANE/LEPID, F-92260, Fontenay-aux-Roses, France
| | - Sophie Ancelet
- Institut de Radioprotection et de Sûreté Nucléaire (IRSN), PSE-SANTE/SESANE/LEPID, F-92260, Fontenay-aux-Roses, France
| | - Olivier Armant
- Institut de Radioprotection et de Sûreté Nucléaire (IRSN), PSE-ENV/SERPEN/LECO, F-13115 Cadarache, France
| | - Denis Bard
- Société Francophone de Santé Environnement, Paris, France
| | | | | | | | | | - Stéphanie Cormier
- CPIE des Pays de L'Aisne, For UNCPIE, Merlieux-et-Fouquerolles, France
| | - Arthur David
- Univ Rennes, EHESP, Inserm, Irset (Institut de Recherche en Santé, Environnement et Travail) - UMR_S 1085, F-35000 Rennes, France
| | | | | | - Sonia Grimbuhler
- Université Montpellier, INRAE, Institut Agro, UMR ITAP, Montpellier, France
| | - Christian Mougin
- Université Paris-Saclay, INRAE, AgroParisTech, UMR ECOSYS, Palaiseau, France
| | | | | | - Brigitte Trousse
- Centre Inria de Université Côte D'Azur, Sophia-Antipolis, France; European Network of Living Labs - ENoLL, Brussels, Belgium
| | - Cynthia Reaud
- Institut de Radioprotection et de Sûreté Nucléaire (IRSN), SPOS, F-92260, Fontenay-aux-Roses, France
| | - Sylvie Charron
- Institut de Radioprotection et de Sûreté Nucléaire (IRSN), SPOS, F-92260, Fontenay-aux-Roses, France
| |
Collapse
|
2
|
Li Y, Liu H, Vidal DG, Akpınar A, Li D. Editorial: Urban green spaces and human health. Front Public Health 2024; 12:1404452. [PMID: 38887260 PMCID: PMC11180904 DOI: 10.3389/fpubh.2024.1404452] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2024] [Accepted: 05/23/2024] [Indexed: 06/20/2024] Open
Affiliation(s)
- Yuan Li
- Northwest Land and Resource Research Center, Shaanxi Normal University, Xi'an, Shaanxi, China
| | - Hongxiao Liu
- CAS Engineering Laboratory for Vegetation Ecosystem Restoration on Islands and Coastal Zones, Key Laboratory of Vegetation Restoration and Management of Degraded Ecosystems, South China Botanical Garden, Chinese Academy of Sciences, Guangzhou, China
| | - Diogo Guedes Vidal
- Department of Life Sciences, Center for Functional Ecology, Faculty of Sciences and Technology, University of Coimbra, Coimbra, Portugal
- Department of Social Sciences and Management, Universidade Aberta, Lisbon, Portugal
| | - Abdullah Akpınar
- Department of Landscape Architecture, Faculty of Agriculture, Aydın Adnan Menderes University, Aydın, Türkiye
| | - Ding Li
- Institute of Development Studies, Southwestern University of Finance and Economics, Chengdu, China
| |
Collapse
|
3
|
Pepin KM, Carlisle K, Anderson D, Baker MG, Chipman RB, Benschop J, French NP, Greenhalgh S, McDougall S, Muellner P, Murphy E, O'Neale DR, Plank MJ, Hayman DT. Steps towards operationalizing One Health approaches. One Health 2024; 18:100740. [PMID: 38707934 PMCID: PMC11067352 DOI: 10.1016/j.onehlt.2024.100740] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2024] [Accepted: 04/21/2024] [Indexed: 05/07/2024] Open
Abstract
One Health recognizes the health of humans, agriculture, wildlife, and the environment are interrelated. The concept has been embraced by international health and environmental authorities such as WHO, WOAH, FAO, and UNEP, but One Health approaches have been more practiced by researchers than national or international authorities. To identify priorities for operationalizing One Health beyond research contexts, we conducted 41 semi-structured interviews with professionals across One Health sectors (public health, environment, agriculture, wildlife) and institutional contexts, who focus on national-scale and international applications. We identify important challenges, solutions, and priorities for delivering the One Health agenda through government action. Participants said One Health has made progress with motivating stakeholders to attempt One Health approaches, but achieving implementation needs more guidance (action plans for how to leverage or change current government infrastructure to accommodate cross-sector policy and strategic mission planning) and facilitation (behavioral change, dedicated personnel, new training model).
Collapse
Affiliation(s)
- Kim M. Pepin
- United States Department of Agriculture's National Wildlife Research Center (USDA-NWRC), Fort Collins, CO, USA
| | - Keith Carlisle
- United States Department of Agriculture's National Wildlife Research Center (USDA-NWRC), Fort Collins, CO, USA
| | - Dean Anderson
- Manaaki Whenua - Landcare Research, Lincoln, New Zealand
| | - Michael G. Baker
- Department of Public Health, University of Otago, Wellington, New Zealand
| | - Richard B. Chipman
- United States Department of Agriculture, Animal and Plant Health Inspection Services, Wildlife Services, National Rabies Management Program, NH, USA
| | | | | | | | | | - Petra Muellner
- Massey University, Palmerston North, Manawatu, New Zealand
- Epi-interactive, Wellington, New Zealand
| | - Emil Murphy
- Deer Industry New Zealand, Wellington, New Zealand
| | - Dion R.J. O'Neale
- University of Auckland, Auckland, New Zealand
- Te Pūnaha Matatini, Auckland, New Zealand
| | - Michael J. Plank
- School of Mathematics and Statistics, University of Canterbury, Christchurch, New Zealand
| | | |
Collapse
|
4
|
Weatherly C, Carag J, Zohdy S, Morrison M. The mental health impacts of human-ecosystem-animal relationships: A systematic scoping review of Eco-, Planetary, and One Health approaches. One Health 2023; 17:100621. [PMID: 38024273 PMCID: PMC10665142 DOI: 10.1016/j.onehlt.2023.100621] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2023] [Revised: 07/31/2023] [Accepted: 08/21/2023] [Indexed: 12/01/2023] Open
Abstract
The threats to human and animal health, biodiversity conservation, and our living planet's future are ever-present and increasingly more severe due to climate change and environmental degradation. There is an emerging discourse exploring the mental health dimensions contained within these changes. To better understand and respond to these impacts requires novel and creative methodological approaches built on conceptual frameworks that integrate perspectives from the social and natural sciences. Three of the most influential interdisciplinary frameworks at the human-animal-ecosystem interface include: One Health, EcoHealth, and Planetary Health. These frameworks report mental health as an integral component within overall health-related outcomes. However, a comprehensive synthesis of the state of the literature that examines how mental health is explored within these approaches does not currently exist. A systematic scoping review was therefore conducted to obtain clear understandings of patterns, gaps, and broad themes, and to highlight future research needs and considerations. Standardized PRISMA guidelines, including explicitly defined inclusion/exclusion criteria and dual screening/extractions, were used. 13 papers were included: seven using the One Health Framework, with Planetary and EcoHealth each represented by three. Trends observed include a predominate focus on companion animals as interventions, "sense of place" used as a component of mental well-being, and non-physical health-related measurements of animal well-being as an outcome within One Health research. The lack in retrieved studies also highlight the dearth in literature on mental health as a pillar of these three well established frameworks. Compiling what is known in the evidence-base as a launching point for scientific engagement, this review describes guidance for investigators on how to conduct mental health research within these framework parameters so that future studies can elucidate mechanisms underpinning the intersections between the biosphere and human mental-health and data-driven interventions and policy recommendations that simultaneously address mental health and global change can be proposed and enacted.
Collapse
Affiliation(s)
- C. Weatherly
- University of Georgia School of Social Work, 279 Williams St, Athens, GA 30602, United States of America
| | - J. Carag
- Emory University School of Medicine, 100 Woodruff Circle, Atlanta, GA 30322, United States of America
| | - S. Zohdy
- College of Forestry, Wildlife, and Environment and College of Veterinary Medicine, Auburn University, Auburn, AL 36849, United States of America
| | - M. Morrison
- St. Louis University School of Social Work, Tegeler Hall, 3550 Lindell Blvd, St. Louis, MO 63103, United States of America
| |
Collapse
|
5
|
Guo ZY, Zheng J, Li SZ, Zhou XN. Orientation of One Health development: think globally and act locally. SCIENCE IN ONE HEALTH 2023; 2:100042. [PMID: 39077032 PMCID: PMC11262291 DOI: 10.1016/j.soh.2023.100042] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/15/2023] [Accepted: 09/27/2023] [Indexed: 07/31/2024]
Abstract
One Health is dedicated to maintaining and fostering a dynamic balance among humans, animals, and the environment. Since 2013, it has seen considerable developments globally. This review aims to encapsulate the history of One Health, as well as chart its future trajectory. Numerous research institutions founded under the principles of One Health have been established, and several pragmatic projects are currently underway. While it is imperative to solidify foundational education, further policy support is required to cultivate the One Health paradigm. Identifying research directions at a political level is necessary to provide the technical support needed for practical application. The future of One Health envisions a comprehensive approach to primary prevention, the utilization of open and shared data sets, as well as real-world surveys and interviews. This integrated approach is encapsulated in the concept of One Health Delivery. At this stage, One Health Delivery needs to build a systematic framework that focuses on integrating and communicating across disciplines and training researchers with complete practical skills.
Collapse
Affiliation(s)
- Zhao-Yu Guo
- National Institute of Parasitic Diseases at Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases, Shanghai, People's Republic of China
| | - Jinxin Zheng
- School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
- Department of Nephrology, Institute of Nephrology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China
| | - Shi-Zhu Li
- National Institute of Parasitic Diseases at Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases, Shanghai, People's Republic of China
- School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
- One Health Center, Shanghai Jiao Tong University-The University of Edinburgh, Shanghai, People's Republic of China
| | - Xiao-Nong Zhou
- National Institute of Parasitic Diseases at Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases, Shanghai, People's Republic of China
- School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
- One Health Center, Shanghai Jiao Tong University-The University of Edinburgh, Shanghai, People's Republic of China
| |
Collapse
|
6
|
Manduca G, Zeni V, Moccia S, Benelli G, Canale A, Stefanini C, Romano D. Automated image-based analysis unveils acute effects due to sub-lethal pesticide doses exposure . ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2023; 2023:1-4. [PMID: 38082662 DOI: 10.1109/embc40787.2023.10340800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/18/2023]
Abstract
Pesticides are still abused in modern agriculture. The effects of their exposure to even sub-lethal doses can be detrimental to ecosystem stability and human health. This work aims to validate the use of machine learning techniques for recognizing motor abnormalities and to assess any effect post-exposure to a minimal dosage of these substances on a model organism, gaining insights into potential risks for human health. The test subject was the Mediterranean fruit fly, Ceratitis capitata (Wiedemann) (Diptera: Tephritidae), exposed to food contaminated with the LC30 of Carlina acaulis essential oil. A deep learning approach enabled the pose estimation within an arena. Statistical analysis highlighted the most significant features between treated and untreated groups. Based on this analysis, two learning-based algorithms, Random Forest (RF) and XGBoost were employed. The results were compared through different metrics. RF algorithm generated a model capable of distinguishing treated subjects with an area under the receiver operating characteristic curve of 0.75 and an accuracy of 0.71. Through an image-based analysis, this study revealed acute effects due to minimal pesticide doses. So, even small amounts of these biocides drifted far from distribution areas may negatively affect the environment and humans.
Collapse
|
7
|
Agache I, Laculiceanu A, Spanu D, Grigorescu D. The Concept of One Health for Allergic Diseases and Asthma. ALLERGY, ASTHMA & IMMUNOLOGY RESEARCH 2023; 15:290-302. [PMID: 37188486 DOI: 10.4168/aair.2023.15.3.290] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/19/2023] [Revised: 04/05/2023] [Accepted: 04/05/2023] [Indexed: 05/17/2023]
Abstract
The worldwide prevalence of allergic disease is rising as a result of complex gene-environment interactions that shape the immune system and host response. Climate change and loss of biodiversity are existential threats to humans, animals, plants, and ecosystems. While there is significant progress in the development of targeted therapeutic options to treat allergies and asthma, these approaches are inadequate to meet the challenges faced by climate change. The exposomic approach is needed with the recognition of the bidirectional effect between human beings and the environment. All stakeholders need to work together toward mitigating the effects of climate change and promoting a One Health concept in order to decrease the burden of asthma and allergy and to improve immune health. Healthcare professionals should strive to incorporate One Health counseling, environmental health precepts, and advocacy into their practice.
Collapse
Affiliation(s)
- Ioana Agache
- Faculty of Medicine, Transylvania University, Brasov, Romania.
| | | | - Daniela Spanu
- Faculty of Medicine, Transylvania University, Brasov, Romania
| | - Dan Grigorescu
- Faculty of Medicine, Transylvania University, Brasov, Romania
| |
Collapse
|
8
|
Wang YC, Law A, Namsanor J, Sithithaworn P. Examining ecosystem (dis-)services on liver fluke infection in rural Northeast Thailand. Infect Dis Poverty 2023; 12:38. [PMID: 37076937 PMCID: PMC10114451 DOI: 10.1186/s40249-023-01079-y] [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: 10/12/2022] [Accepted: 03/09/2023] [Indexed: 04/21/2023] Open
Abstract
BACKGROUND The direct reliance of humans on and their interactions with freshwater ecosystems in the Lower Mekong Basin have given rise to parasitic infections, which is particularly prevalent in Northeast Thailand where raw fish consumption is practiced. This study examined the interactions between environments, ecosystem (dis-)services, human raw fish consumption habits, and raw fish dish sharing on liver fluke infection risk. METHOD Water fecal contents and the first intermediate snail host were sampled between June and September of 2019. One hundred twenty questionnaires were surveyed in two villages of different environmental surroundings, one next to a river and the other located inland, in Northeast Thailand. Multivariate regression analyses using linear mixed effect models assessed the influence of social, behavioral and perceptual factors on raw fish consumption frequency, willingness to avoid consumption and liver fluke infection status. Social network analysis compared the degree of raw fish dish sharing between the villages and assessed the probable influence of connections to fish procurement locations and sharing activities on liver fluke infection risk. RESULTS High abundance of the first intermediate snail host and presence of fecal contamination in water could endanger both villages to ecosystem disservices of parasitic transmission. The river-side village relied more on provisioning ecosystem services than the inland village (29.7% vs. 16.1% of villages) to consume raw fish as their main source of protein. Males in both villages (64.5 and 40.4 days/year for the respective villages) are also likely to consume koi pla and pla som, higher risk fish dishes, more frequently than females (4.1 and 4.3 days/year for the respective villages). The consumption habits of both villages were driven mostly by deriving cultural ecosystem services. Participation in raw fish dish sharing activities significantly reduced the odds of an individual being willing to avoid the consumption (Odds ratio = 0.19). Network analysis suggested that river-side villagers had a more direct raw fish dish sharing interaction and they procured fish from multiple locations; these characteristics might potentially account for more liver fluke infected households in the village. CONCLUSION Villagers' raw fish consumption is driven by deriving cultural ecosystem services, and the geographic settings of the villages potentially affect villagers' fish procurement locations and infection risk. The findings underscore the linkages between villagers and their surrounding ecosystem environments as pertinent determinants for foodborne parasitic disease risk.
Collapse
Affiliation(s)
- Yi-Chen Wang
- Department of Geography, National University of Singapore, 1 Arts link, Block AS2, 117568, Singapore, Singapore.
| | - Andrea Law
- Department of Geography, National University of Singapore, 1 Arts link, Block AS2, 117568, Singapore, Singapore
| | - Jutamas Namsanor
- Department of Geography, National University of Singapore, 1 Arts link, Block AS2, 117568, Singapore, Singapore
| | - Paiboon Sithithaworn
- Department of Parasitology and Cholangiocarcinoma Research Institute, Faculty of Medicine, Khon Kaen University, 123 Mittraphap Rd, Mueang Khon Kaen District, 40002, Khon Kaen, Thailand
| |
Collapse
|
9
|
Mubareka S, Amuasi J, Banerjee A, Carabin H, Copper Jack J, Jardine C, Jaroszewicz B, Keefe G, Kotwa J, Kutz S, McGregor D, Mease A, Nicholson L, Nowak K, Pickering B, Reed MG, Saint-Charles J, Simonienko K, Smith T, Scott Weese J, Jane Parmley E. Strengthening a One Health approach to emerging zoonoses. Facets (Ott) 2023. [DOI: 10.1139/facets-2021-0190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023] Open
Abstract
Given the enormous global impact of the COVID-19 pandemic, outbreaks of highly pathogenic avian influenza in Canada, and manifold other zoonotic pathogen activity, there is a pressing need for a deeper understanding of the human-animal-environment interface and the intersecting biological, ecological, and societal factors contributing to the emergence, spread, and impact of zoonotic diseases. We aim to apply a One Health approach to pressing issues related to emerging zoonoses, and propose a functional framework of interconnected but distinct groups of recommendations around strategy and governance, technical leadership (operations), equity, education and research for a One Health approach and Action Plan for Canada. Change is desperately needed, beginning by reorienting our approach to health and recalibrating our perspectives to restore balance with the natural world in a rapid and sustainable fashion. In Canada, a major paradigm shift in how we think about health is required. All of society must recognize the intrinsic value of all living species and the importance of the health of humans, other animals, and ecosystems to health for all.
Collapse
Affiliation(s)
| | - John Amuasi
- Kwame Nkrumah University of Science and Technology, Kumasi, Ashanti Region, Ghana
| | | | | | - Joe Copper Jack
- Indigenous Knowledge Holder, Whitehorse, Yukon Territory, Canada
| | | | | | - Greg Keefe
- University of Prince Edward Island, Charlottetown, Prince Edward Island, Canada
| | | | - Susan Kutz
- University of Calgary, Calgary, Alberta, Canada
| | | | - Anne Mease
- Selkirk First Nation Citizen, Selkirk First Nation, Yukon Territory, Canada
| | | | | | - Brad Pickering
- Canadian Food Inspection Agency, Winnipeg, Manitoba, Canada
| | | | | | | | | | | | | |
Collapse
|
10
|
Zinsstag J, Hediger K, Osman YM, Abukhattab S, Crump L, Kaiser-Grolimund A, Mauti S, Ahmed A, Hattendorf J, Bonfoh B, Heitz-Tokpa K, Berger González M, Bucher A, Lechenne M, Tschopp R, Obrist B, Pelikan K. The Promotion and Development of One Health at Swiss TPH and Its Greater Potential. Diseases 2022; 10:65. [PMID: 36135221 PMCID: PMC9497760 DOI: 10.3390/diseases10030065] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2022] [Revised: 09/02/2022] [Accepted: 09/05/2022] [Indexed: 11/16/2022] Open
Abstract
One Health, an integrated health concept, is now an integral part of health research and development. One Health overlaps with other integrated approaches to health such as EcoHealth or Planetary Health, which not only consider the patient or population groups but include them in the social-ecological context. One Health has gained the widest foothold politically, institutionally, and in operational implementation. Increasingly, One Health is becoming part of reporting under the International Health Legislation (IHR 2005). The Swiss Tropical and Public Health Institute (Swiss TPH) has played a part in these developments with one of the first mentions of One Health in the biomedical literature. Here, we summarise the history of ideas and processes that led to the development of One Health research and development at the Swiss TPH, clarify its theoretical and methodological foundations, and explore its larger societal potential as an integrated approach to thinking. The history of ideas and processes leading to the development of One Health research at the Swiss TPH were inspired by far-sighted and open ideas of the directors and heads of departments, without exerting too much influence. They followed the progressing work and supported it with further ideas. These in turn were taken up and further developed by a growing number of individual scientists. These ideas were related to other strands of knowledge from economics, molecular biology, anthropology, sociology, theology, and linguistics. We endeavour to relate Western biomedical forms of knowledge generation with other forms, such as Mayan medicine. One Health, in its present form, has been influenced by African mobile pastoralists' integrated thinking that have been taken up into Western epistemologies. The intercultural nature of global and regional One Health approaches will inevitably undergo further scrutiny of successful ways fostering inter-epistemic interaction. Now theoretically well grounded, the One Health approach of seeking benefits for all through better and more equitable cooperation can clearly be applied to engagement in solving major societal problems such as social inequality, animal protection and welfare, environmental protection, climate change mitigation, biodiversity conservation, and conflict transformation.
Collapse
Affiliation(s)
- Jakob Zinsstag
- Swiss Tropical and Public Health Institute, CH-4123 Allschwil, Switzerland
- University of Basel, CH-4003 Basel, Switzerland
| | - Karin Hediger
- Swiss Tropical and Public Health Institute, CH-4123 Allschwil, Switzerland
- University of Basel, CH-4003 Basel, Switzerland
| | - Yahya Maidane Osman
- Swiss Tropical and Public Health Institute, CH-4123 Allschwil, Switzerland
- University of Basel, CH-4003 Basel, Switzerland
- Jigjiga University, Jigjiga P.O. Box 1020, Ethiopia
| | - Said Abukhattab
- Swiss Tropical and Public Health Institute, CH-4123 Allschwil, Switzerland
- University of Basel, CH-4003 Basel, Switzerland
| | - Lisa Crump
- Swiss Tropical and Public Health Institute, CH-4123 Allschwil, Switzerland
- University of Basel, CH-4003 Basel, Switzerland
| | - Andrea Kaiser-Grolimund
- Swiss Tropical and Public Health Institute, CH-4123 Allschwil, Switzerland
- University of Basel, CH-4003 Basel, Switzerland
| | - Stephanie Mauti
- Swiss Tropical and Public Health Institute, CH-4123 Allschwil, Switzerland
- University of Basel, CH-4003 Basel, Switzerland
| | - Ayman Ahmed
- Swiss Tropical and Public Health Institute, CH-4123 Allschwil, Switzerland
- University of Basel, CH-4003 Basel, Switzerland
- Institute of Endemic Diseases, University of Khartoum, Khartoum 11111, Sudan
- Sudanese National Academy of Sciences, Khartoum 11111, Sudan
| | - Jan Hattendorf
- Swiss Tropical and Public Health Institute, CH-4123 Allschwil, Switzerland
- University of Basel, CH-4003 Basel, Switzerland
| | - Bassirou Bonfoh
- Swiss Tropical and Public Health Institute, CH-4123 Allschwil, Switzerland
- University of Basel, CH-4003 Basel, Switzerland
- Centre Suisse de Recherches Scientifiques, Abidjan 01 BP 1303, Côte d’Ivoire
| | - Kathrin Heitz-Tokpa
- Swiss Tropical and Public Health Institute, CH-4123 Allschwil, Switzerland
- University of Basel, CH-4003 Basel, Switzerland
- Centre Suisse de Recherches Scientifiques, Abidjan 01 BP 1303, Côte d’Ivoire
| | - Mónica Berger González
- Swiss Tropical and Public Health Institute, CH-4123 Allschwil, Switzerland
- University of Basel, CH-4003 Basel, Switzerland
- Universitdad del Valle, Unidad de Antropologia Médica, Guatemala City 01015, Guatemala
| | - Alvar Bucher
- Swiss Tropical and Public Health Institute, CH-4123 Allschwil, Switzerland
- University of Basel, CH-4003 Basel, Switzerland
| | - Monique Lechenne
- Swiss Tropical and Public Health Institute, CH-4123 Allschwil, Switzerland
- University of Basel, CH-4003 Basel, Switzerland
| | - Rea Tschopp
- Swiss Tropical and Public Health Institute, CH-4123 Allschwil, Switzerland
- University of Basel, CH-4003 Basel, Switzerland
- Armauer Hansen Research Institute, Addis Ababa 1005, Ethiopia
| | - Brigit Obrist
- Swiss Tropical and Public Health Institute, CH-4123 Allschwil, Switzerland
- University of Basel, CH-4003 Basel, Switzerland
| | - Kristina Pelikan
- Swiss Tropical and Public Health Institute, CH-4123 Allschwil, Switzerland
- University of Basel, CH-4003 Basel, Switzerland
| |
Collapse
|
11
|
Gonzalez-Holguera J, Gaille M, del Rio Carral M, Steinberger J, Marti J, Bühler N, Kaufmann A, Chiapperino L, Vicedo-Cabrera AM, Schwarz J, Depoux A, Panese F, Chèvre N, Senn N. Translating Planetary Health Principles Into Sustainable Primary Care Services. Front Public Health 2022; 10:931212. [PMID: 35937241 PMCID: PMC9355637 DOI: 10.3389/fpubh.2022.931212] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Accepted: 06/13/2022] [Indexed: 12/27/2022] Open
Abstract
Global anthropogenic environmental degradations such as climate change are increasingly recognized as critical public health issues, on which human beings should urgently act in order to preserve sustainable conditions of living on Earth. "Planetary Health" is a breakthrough concept and emerging research field based on the recognition of the interdependent relationships between living organisms-both human and non-human-and their ecosystems. In that regards, there have been numerous calls by healthcare professionals for a greater recognition and adoption of Planetary Health perspective. At the same time, current Western healthcare systems are facing their limits when it comes to providing affordable, equitable and sustainable healthcare services. Furthermore, while hospital-centrism remains the dominant model of Western health systems, primary care and public health continue to be largely undervalued by policy makers. While healthcare services will have to adapt to the sanitary impacts of environmental degradations, they should also ambition to accompany and accelerate the societal transformations required to re-inscribe the functioning of human societies within planetary boundaries. The entire health system requires profound transformations to achieve this, with obviously a key role for public health. But we argue that the first line of care represented by primary care might also have an important role to play, with its holistic, interdisciplinary, and longitudinal approach to patients, strongly grounded in their living environments and communities. This will require however to redefine the roles, activities and organization of primary care actors to better integrate socio-environmental determinants of health, strengthen interprofessional collaborations, including non-medical collaborations and more generally develop new, environmentally-centered models of care. Furthermore, a planetary health perspective translated in primary care will require the strengthening of synergies between institutions and actors in the field of health and sustainability.
Collapse
Affiliation(s)
| | - Marie Gaille
- Laboratory SPHERE, UMR 7219, University Paris Diderot CNRS, Paris, France
| | | | - Julia Steinberger
- Institute of Geography and Sustainability, University of Lausanne, Lausanne, Switzerland
| | - Joachim Marti
- Department of Epidemiology and Health Systems, University Center for Primary Care and Public Health (Unisanté), Lausanne, Switzerland
| | - Nolwenn Bühler
- STS Lab, Institute of Social Sciences, University of Lausanne, Lausanne, Switzerland
| | - Alain Kaufmann
- ColLaboratoire (ColLAB), University of Lausanne, Lausanne, Switzerland
| | - Luca Chiapperino
- STS Lab, Institute of Social Sciences, University of Lausanne, Lausanne, Switzerland
| | - Ana Maria Vicedo-Cabrera
- Institute of Social and Preventive Medicine (ISPM), University of Bern, Bern, Switzerland
- Oeschger Center for Climate Change Research, University of Bern, Bern, Switzerland
| | - Joelle Schwarz
- Department of Family Medicine, University Center for Primary Care and Public Health (Unisanté), Lausanne, Switzerland
| | - Anneliese Depoux
- Centre Virchow-Villermé and Centre des Politiques de la Terre, Université Paris Cité, Paris, France
| | - Francesco Panese
- Institute of Social Sciences, University of Lausanne, Lausanne, Switzerland
| | - Nathalie Chèvre
- Faculty of Geosciences and the Environment, Institute of Earth Surface Dynamics (IDYST), University of Lausanne, Lausanne, Switzerland
| | - Nicolas Senn
- Department of Family Medicine, University Center for Primary Care and Public Health (Unisanté), Lausanne, Switzerland
| |
Collapse
|
12
|
Nadal D, Hampson K, Lembo T, Rodrigues R, Vanak AT, Cleaveland S. Where Rabies Is Not a Disease. Bridging Healthworlds to Improve Mutual Understanding and Prevention of Rabies. Front Vet Sci 2022; 9:867266. [PMID: 35782552 PMCID: PMC9240625 DOI: 10.3389/fvets.2022.867266] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Accepted: 05/23/2022] [Indexed: 11/13/2022] Open
Abstract
Deeply embedded in local social, cultural, and religious settings, traditional healing is part of dog bite and rabies management in many rabies endemic countries. Faith healing, which usually encompasses a more holistic approach to health including physical, mental and social dimensions, is rare in the context of rabies. In Gujarat, Western India, the Hindu goddess Hadkai Mata is worshiped by low-caste communities as the Mother of Rabies in the event of a dog bite to a person or their livestock. This belief might influence people's attitudes and behaviors toward rabies prevention but has never been investigated. Through 31 in-depth interviews with healers and staff of Hadkai Mata temples, this paper explores the system of knowledge around dog and human rabies that is built and shared in these places of worship and healing. Qualitative and quantitative data were analyzed looking for convergences and divergences with the recently launched National Action Plan for dog-mediated Rabies Elimination. Results suggest that while the etiology of human rabies as a social illness is usually explained as the goddess's wish to correct misbehaving people and restore positive interpersonal relations, there is some appreciation for the biological processes of infection that lead to rabies as a physical disease. Hadkai Mata is believed to cure rabies if her patients undergo the necessary process of moral growth. Although conventional post-exposure prophylaxis is not opposed per se, it is often delayed by patients who seek traditional treatment first. Some reluctance was expressed toward mass dog vaccination because it is seen as an interference in how the goddess controls dogs, by enraging them-hence infecting them with rabies-and sending them to bite wrongdoers. Addressing these cultural perceptions is likely to be critical in achieving effective control of dog rabies in this region. The study highlights the value of multidisciplinary approaches in the control and elimination of rabies, as well as other zoonoses. This includes the importance of understanding different culturally- and religiously- mediated ways in which humans relate to animals; and looking for points of convergence and mutual understanding, upon which context-tailored, linguistically-accurate, locally acceptable, feasible and effective strategies can be designed.
Collapse
Affiliation(s)
- Deborah Nadal
- Institute of Biodiversity, Animal Health & Comparative Medicine, College of Medical, Veterinary & Life Sciences, University of Glasgow, Glasgow, United Kingdom
- Center for One Health Research, School of Public Health, University of Washington, Seattle, WA, United States
| | - Katie Hampson
- Institute of Biodiversity, Animal Health & Comparative Medicine, College of Medical, Veterinary & Life Sciences, University of Glasgow, Glasgow, United Kingdom
| | - Tiziana Lembo
- Institute of Biodiversity, Animal Health & Comparative Medicine, College of Medical, Veterinary & Life Sciences, University of Glasgow, Glasgow, United Kingdom
| | - Rebecca Rodrigues
- Centre for Biodiversity and Conservation, Ashoka Trust for Research in Ecology and The Environment, Bangalore, India
| | - Abi Tamim Vanak
- Centre for Biodiversity and Conservation, Ashoka Trust for Research in Ecology and The Environment, Bangalore, India
- School of Life Sciences, University of KwaZulu-Natal, Westville, South Africa
- DBT/Wellcome Trust India Alliance Program, Hyderabad, India
| | - Sarah Cleaveland
- Institute of Biodiversity, Animal Health & Comparative Medicine, College of Medical, Veterinary & Life Sciences, University of Glasgow, Glasgow, United Kingdom
| |
Collapse
|
13
|
Treskova M, Kuhlmann A, Freise F, Kreienbrock L, Brogden S. Occurrence of Antimicrobial Resistance in the Environment in Germany, Austria, and Switzerland: A Narrative Review of Existing Evidence. Microorganisms 2022; 10:microorganisms10040728. [PMID: 35456779 PMCID: PMC9027620 DOI: 10.3390/microorganisms10040728] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Revised: 03/22/2022] [Accepted: 03/24/2022] [Indexed: 12/15/2022] Open
Abstract
(1) Background: This study summarizes the current research on antibiotic resistance (AR) in the environment conducted in Austria, Germany, and Switzerland; (2) Methods: A narrative systematic literature review of epidemiological studies based on searches in EMBASE and CAB abstracts (up to 16 June2021) was conducted. Environmental reservoirs included water sources, wastewater, animal husbandry, wildlife, soil, and sediment; (3) Results: Four hundred and four records were screened, and 52 studies were included. Thirteen studies examined aquatic environments, and eleven investigated wastewater. Eight studies investigated both wildlife and animal husbandry. Less evidence was available for sediments, soil, and air. Considerable heterogeneity in research focus, study design, sampling, and measurement of resistance was observed. Resistance to all categories of antimicrobials in the WHO CIA list was identified. Resistance to critically important and highly important substances was reported most frequently; (4) Conclusions: The current research scope presents data-gathering efforts. Usage of a unified protocol for isolate collection, selecting sampling sites, and susceptibility testing is required to provide results that can be compared between the studies and reservoirs. Epidemiological, environmental, and ecological factors should be considered in surveys of the environmental dissemination of AR. Systematic epidemiological studies investigating AR at the interface of human, animal, and environmental health are needed.
Collapse
Affiliation(s)
- Marina Treskova
- Department of Biometry, Epidemiology and Information Processing, University of Veterinary Medicine Hannover, 30559 Hannover, Germany; (M.T.); (F.F.); (L.K.)
- Heidelberg Institute of Global Health, Faculty of Medicine, University Heidelberg, 69120 Heidelberg, Germany
| | - Alexander Kuhlmann
- Faculty of Medicine, Martin Luther University of Halle Wittenberg, 06108 Halle (Saale), Germany;
| | - Fritjof Freise
- Department of Biometry, Epidemiology and Information Processing, University of Veterinary Medicine Hannover, 30559 Hannover, Germany; (M.T.); (F.F.); (L.K.)
| | - Lothar Kreienbrock
- Department of Biometry, Epidemiology and Information Processing, University of Veterinary Medicine Hannover, 30559 Hannover, Germany; (M.T.); (F.F.); (L.K.)
| | - Sandra Brogden
- Department of Biometry, Epidemiology and Information Processing, University of Veterinary Medicine Hannover, 30559 Hannover, Germany; (M.T.); (F.F.); (L.K.)
- Correspondence:
| |
Collapse
|
14
|
Boudreau LeBlanc A, Williams-Jones B, Aenishaenslin C. Bio-Ethics and One Health: A Case Study Approach to Building Reflexive Governance. Front Public Health 2022; 10:648593. [PMID: 35372246 PMCID: PMC8971560 DOI: 10.3389/fpubh.2022.648593] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2020] [Accepted: 01/31/2022] [Indexed: 11/13/2022] Open
Abstract
Surveillance programs supporting the management of One Health issues such as antibiotic resistance are complex systems in themselves. Designing ethical surveillance systems is thus a complex task (retroactive and iterative), yet one that is also complicated to implement and evaluate (e.g., sharing, collaboration, and governance). The governance of health surveillance requires attention to ethical concerns about data and knowledge (e.g., performance, trust, accountability, and transparency) and empowerment ethics, also referred to as a form of responsible self-governance. Ethics in reflexive governance operates as a systematic critical-thinking procedure that aims to define its value: What are the “right” criteria to justify how to govern “good” actions for a “better” future? The objective is to lay the foundations for a methodological framework in empirical bioethics, the rudiments of which have been applied to a case study to building reflexive governance in One Health. This ongoing critical thinking process involves “mapping, framing, and shaping” the dynamics of interests and perspectives that could jeopardize a “better” future. This paper proposes to hybridize methods to combine insights from collective deliberation and expert evaluation through a reflexive governance functioning as a community-based action-ethics methodology. The intention is to empower individuals and associations in a dialogue with society, which operation is carried out using a case study approach on data sharing systems. We based our reasoning on a feasibility study conducted in Québec, Canada (2018–2021), envisioning an antibiotic use surveillance program in animal health for 2023. Using the adaptive cycle and governance techniques and perspectives, we synthesize an alternative governance model rooted in the value of empowerment. The framework, depicted as a new “research and design (R&D)” practice, is linking operation and innovation by bridging the gap between Reflexive, Evaluative, and Deliberative reasonings and by intellectualizing the management of democratizing critical thinking locally (collective ethics) by recognizing its context (social ethics). Drawing on the literature in One Health and sustainable development studies, this article describes how a communitarian and pragmatic approach can broaden the vision of feasibility studies to ease collaboration through public-private-academic partnerships. The result is a process that “reassembles” the One Health paradigm under the perspective of global bioethics to create bridges between the person and the ecosystem through pragmatic ethics.
Collapse
Affiliation(s)
- Antoine Boudreau LeBlanc
- Bioethics Programs, Department of Social and Preventive Medicine, Public Health School, Université de Montréal, Montréal, QC, Canada
- *Correspondence: Antoine Boudreau LeBlanc
| | - Bryn Williams-Jones
- Bioethics Programs, Department of Social and Preventive Medicine, Public Health School, Université de Montréal, Montréal, QC, Canada
| | - Cécile Aenishaenslin
- Department of Pathology and Microbiology, Faculty of Veterinary Medicine, Université de Montréal, Montréal, QC, Canada
| |
Collapse
|
15
|
Davies K, Lim M, Qin T, Riordan P. CHANS-Law: preventing the next pandemic through the integration of social and environmental law. INTERNATIONAL ENVIRONMENTAL AGREEMENTS : POLITICS, LAW AND ECONOMICS 2022; 22:577-597. [PMID: 35309248 PMCID: PMC8917959 DOI: 10.1007/s10784-022-09566-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 02/02/2022] [Indexed: 06/14/2023]
Abstract
Zoonotic viruses have sacrificed hundreds of millions of people throughout human history. There are currently 1.7 million unidentified viruses estimated to be circulating in mammal and bird populations. It is foreseeable that in the near future, another of these will transmit to people, heralding the start of the next pandemic-one potentially more deadly than COVID-19. At the core of this article is a call for pre-emptive protection of the natural environment and its regenerative systems as the first fundamental step in the prevention of future epidemics and pandemics. While zoonoses originate in nature, the predominant legal discipline, managing these crises, is international health law which is invoked reactively once an outbreak has been reported. In this paper, we identify the need for a legal shift in epidemic and pandemic responses. In particular, we call for the incorporation of international environmental agreements to prevent the initial viral spillover from animal to human populations. We propose a strategy of strengthening existing agreements and a coupling of legal disciplines, such as health and environmental law, emphasizing the need for synergies across legal disciplines to enhance the emergence and management of future pandemics and epidemics. We introduce Coupled Human and Natural Systems (CHANS) Law to frame the required integration across legal instruments to regulate inextricably human-nature connections and advocate for the development of a Convention on Epidemics and Pandemics.
Collapse
Affiliation(s)
- Kirsten Davies
- University of New England Law School, Armidale, Australia
- Macquarie Law School, Macquarie University, Sydney, Australia
| | - Michelle Lim
- Macquarie Law School, Macquarie University, Sydney, Australia
| | - Tianbao Qin
- Research Institute of Environmental Law (RIEL), Wuhan, China
- School of Law, Wuhan University, Wuhan, China
- China Society of Environmental and Resources Law, Wuhan, China
| | - Philip Riordan
- Wildlife Without Borders, London, UK
- Department of Biological Sciences, University of Southampton, Southampton, UK
- Marwell Wildlife, Winchester, UK
| |
Collapse
|
16
|
Migeot V, Guihenneuc J, Ouazzani HE, Albouy M, Dupuis A, Rabouan S. Risk and asset-based strategies in health: priorities in biomedical, life and environmental science literature since the early twentieth century. A rapid review. Environ Health 2022; 21:22. [PMID: 35093075 PMCID: PMC8800416 DOI: 10.1186/s12940-022-00833-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2021] [Accepted: 01/12/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND In biomedical, life or environmental science research, two different strategies exist depending on the starting point of the researchers: "what makes us ill? " or "what makes us healthy?". Indeed, a risk-based strategy (RBS) attempts to minimize risk factors increasing the likelihood of developing a disease, while an asset-based strategy (ABS) attempts to promote and strengthen the factors that support good health and wellbeing. We provided an up-to-date overview of both research strategies in peer-reviewed scientific literature, in the fields of human health, animal and plant health and ecosystem health, to fit with the One Health framework. More particularly, we focused on human health by studying publications related to the COVID-19 at the beginning of the pandemic. DESIGN A rapid review of research science literature was carried out to identify in the PubMed/MEDLINE database the proportion of peer-reviewed articles adopting either a RBS or an ABS, in the main global environment fields from January 01, 1900 to December 31, 2019 and, related to COVID-19, from December 1, 2019 to May 31, 2020. RESULTS The number of published articles resulting from our search was 1,957,905, including 91.3% with an RBS and 8.7% with an ABS. When examining each field, we found that only 10.5% of human health articles deal with ABS, 5.5% for animal health, 2.2% for ecosystem health, 1.0% for plant health and 2.7% for environmental media. We noted that articles adopting both strategies were published in all health fields. Among the articles concerning COVID-19, 5,854 (55.9%), 542 articles (5.2%) adopted RBS and ABS, respectively, while 4069 (38.9%) simultaneously presenting both strategies. CONCLUSION Our results have allowed us to take stock of the biomedical research strategies prioritized during the twentieth century. It seems highly likely that the two strategies we have analyzed can now be chosen in such a way as to promote a balance in public health measures, at every level to guide One Health interventions aimed at helping people, animals, and plants to lead healthier lives.
Collapse
Affiliation(s)
- Virginie Migeot
- School of Medicine and Pharmacy, University of Poitiers, 6 rue de la Milétrie, TSA 51115, 86073, Poitiers Cedex, France
- Clinical Investigation Center, INSERM, 2 rue de la Milétrie 1402, 86021, Poitiers, France
- Biology-Pharmacy-Public Health Department, University Hospital of Poitiers, 2 rue de la Milétrie, 86021, Poitiers, France
- University of Poitiers, CNRS UMR7267, Ecologie & Biologie des Interactions, 86000, Poitiers, France
| | - Jérémy Guihenneuc
- School of Medicine and Pharmacy, University of Poitiers, 6 rue de la Milétrie, TSA 51115, 86073, Poitiers Cedex, France
- Clinical Investigation Center, INSERM, 2 rue de la Milétrie 1402, 86021, Poitiers, France
- Biology-Pharmacy-Public Health Department, University Hospital of Poitiers, 2 rue de la Milétrie, 86021, Poitiers, France
- University of Poitiers, CNRS UMR7267, Ecologie & Biologie des Interactions, 86000, Poitiers, France
| | - Houria El Ouazzani
- School of Medicine and Pharmacy, University of Poitiers, 6 rue de la Milétrie, TSA 51115, 86073, Poitiers Cedex, France
- Clinical Investigation Center, INSERM, 2 rue de la Milétrie 1402, 86021, Poitiers, France
- Biology-Pharmacy-Public Health Department, University Hospital of Poitiers, 2 rue de la Milétrie, 86021, Poitiers, France
| | - Marion Albouy
- School of Medicine and Pharmacy, University of Poitiers, 6 rue de la Milétrie, TSA 51115, 86073, Poitiers Cedex, France
- Clinical Investigation Center, INSERM, 2 rue de la Milétrie 1402, 86021, Poitiers, France
- Biology-Pharmacy-Public Health Department, University Hospital of Poitiers, 2 rue de la Milétrie, 86021, Poitiers, France
- University of Poitiers, CNRS UMR7267, Ecologie & Biologie des Interactions, 86000, Poitiers, France
| | - Antoine Dupuis
- School of Medicine and Pharmacy, University of Poitiers, 6 rue de la Milétrie, TSA 51115, 86073, Poitiers Cedex, France
- Clinical Investigation Center, INSERM, 2 rue de la Milétrie 1402, 86021, Poitiers, France
- Biology-Pharmacy-Public Health Department, University Hospital of Poitiers, 2 rue de la Milétrie, 86021, Poitiers, France
- University of Poitiers, CNRS UMR7267, Ecologie & Biologie des Interactions, 86000, Poitiers, France
| | - Sylvie Rabouan
- School of Medicine and Pharmacy, University of Poitiers, 6 rue de la Milétrie, TSA 51115, 86073, Poitiers Cedex, France
- Clinical Investigation Center, INSERM, 2 rue de la Milétrie 1402, 86021, Poitiers, France
- University of Poitiers, CNRS UMR7267, Ecologie & Biologie des Interactions, 86000, Poitiers, France
| |
Collapse
|
17
|
Fasina FO, Fasanmi OG, Makonnen YJ, Bebay C, Bett B, Roesel K. The one health landscape in Sub-Saharan African countries. One Health 2021; 13:100325. [PMID: 34584927 PMCID: PMC8455361 DOI: 10.1016/j.onehlt.2021.100325] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2021] [Revised: 09/06/2021] [Accepted: 09/06/2021] [Indexed: 02/08/2023] Open
Abstract
OBJECTIVES One Health is transiting from multidisciplinary to transdisciplinary concepts and its viewpoints should move from 'proxy for zoonoses', to include other topics (climate change, nutrition and food safety, policy and planning, welfare and well-being, antimicrobial resistance (AMR), vector-borne diseases, toxicosis and pesticides issues) and thematic fields (social sciences, geography and economics). This work was conducted to map the One Health landscape in Africa. METHODS An assessment of existing One Health initiatives in Sub-Saharan African (SSA) countries was conducted among selected stakeholders using a multi-method approach. Strengths, weaknesses, opportunities and threats to One Health initiatives were identified, and their influence, interest and impacts were semi-quantitatively evaluated using literature reviews, questionnaire survey and statistical analysis. RESULTS One Health Networks and identified initiatives were spatiotemporally spread across SSA and identified stakeholders were classified into four quadrants. It was observed that imbalance in stakeholders' representations led to hesitation in buying-in into One Health approach by stakeholders who are outside the main networks like stakeholders from the policy, budgeting, geography and sometimes, the environment sectors. CONCLUSION Inclusion of theory of change, monitoring and evaluation frameworks, and tools for standardized evaluation of One Health policies are needed for a sustained future of One Health and future engagements should be outputs- and outcomes-driven and not activity-driven. National roadmaps for One Health implementation and institutionalization are necessary, and proofs of concepts in One Health should be validated and scaled-up. Dependence on external funding is unsustainable and must be addressed in the medium to long-term. Necessary policy and legal instruments to support One Health nationally and sub-nationally should be implemented taking cognizance of contemporary issues like urbanization, endemic poverty and other emerging issues. The utilization of current technologies and One Health approach in addressing the ongoing pandemic of COVID-19 and other emerging diseases are desirable. Finally, One Health implementation should be anticipatory and preemptive, and not reactive in containing disease outbreaks, especially those from the animal sources or the environment before the risk of spillover to human.
Collapse
Key Words
- ACDC, Africa Centres for Disease Control and Prevention
- AFROHUN, Africa One Health University Network
- AMR, Antimicrobial resistance
- AMU, Arab Maghreb Union
- AU, African Union
- AU-IBAR, African Union Inter-African Bureau for Animal Resources
- Africa
- Animal health
- Antimicrobial resistance
- BMGF, Bill and Melinda Gates Foundation
- BSL-3, Biosafety level 3 laboratory
- CEMAC, Economic and Monetary Community of Central Africa
- CILSS, Permanent Inter-State Committee for Drought Control in the Sahel
- COCTU, Control of Trypanosomiasis in Uganda
- COMESA, Common Market for Eastern and Southern Africa
- COVID-19, Coronavirus (SARS CoV 2) disease 2019
- EAC, East African Community
- ECCAS, Economic Community of Central African States
- ECOWAS, Economic Community of West African States
- Emerging and re-emerging diseases
- Environment health
- FAO, Food and Agriculture Organization of the United Nations
- FELTP, Field Epidemiology & Laboratory Training Program
- Food safety
- GARC, Global Alliance for Rabies Control
- GHSA-ZDAH, Global Health Security Agenda's Zoonotic Diseases and Animal Health in Africa
- GIS, Geographic information system
- HPAI H5N1, Highly pathogenic avian influenza subtype H5N1
- IGAD, Intergovernmental Authority on Development
- ILRI, International Livestock Research Institute
- IRA, Institute for Resource Assessment
- ISAVET, Frontline In-Service Applied Veterinary Epidemiology Training
- KEMRI, Kenya Medical Research Institute
- M & E, monitoring and evaluation
- MALF, Ministry of Agriculture, Livestock, and Fisheries
- MRU, Mano River Union
- MoH, Ministry of Health
- NISCAI, National Inter-Ministerial Steering Committee on Avian Influenza
- NTCAI, National Technical Committee on Avian Influenza
- OH, One Health
- OIE, World Organization for Animal Health
- One health (OH)
- PMP, Progressive Management Pathway
- Public health
- RECs, regional economic commissions
- RVF, Rift Valley fever
- SACIDS, Southern African Centre for Infectious Disease Surveillance
- SACU, South African Customs Union
- SADC, South African Development Community
- SSA, Sub-Saharan Africa
- SWOT, Strengths, weaknesses, opportunities and threats
- Toxicosis
- UNICEF, United Nations Children's Fund
- UNSIC, United Nations System Influenza Coordination
- USAID, United States Agency for International Development
- WAEMU, West African Economic and Monetary Union
- WHO, World Health Organization
- ZDU, Zoonotic Disease Unit.
- Zoonosis
Collapse
Affiliation(s)
- Folorunso O. Fasina
- Emergency Centre for Transboundary Animal Diseases (ECTAD), Food and Agriculture Organization of the United Nations (FAO), Dar es Salaam, United Republic of Tanzania
- Department of Veterinary Tropical Diseases, University of Pretoria, Onderstepoort, South Africa
| | - Olubunmi G. Fasanmi
- Department of Veterinary Laboratory Technology, Federal College of Animal Health & Production Technology, Ibadan, Oyo State, Nigeria
| | - Yilma J. Makonnen
- FAO Sub-Regional Office for Eastern Africa, Food and Agriculture Organization of the United Nations, Addis Ababa, Ethiopia
| | - Charles Bebay
- Emergency Centre for Transboundary Animal Diseases (ECTAD), Food and Agriculture Organization of the United Nations (FAO), Nairobi, Kenya
| | - Bernard Bett
- International Livestock Research Institute, Nairobi, Kenya &ILRI/BMZ One Health Research, Education, Outreach and Awareness Centre (OHRECA), Kenya
| | - Kristina Roesel
- International Livestock Research Institute, Nairobi, Kenya &ILRI/BMZ One Health Research, Education, Outreach and Awareness Centre (OHRECA), Kenya
| |
Collapse
|
18
|
Crosse AM, Barry MM, Lavelle MJ, Sixsmith J. Bridging Knowledge Systems: A Community-Participatory Approach to EcoHealth. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182312437. [PMID: 34886163 PMCID: PMC8657114 DOI: 10.3390/ijerph182312437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Revised: 11/12/2021] [Accepted: 11/13/2021] [Indexed: 11/17/2022]
Abstract
Earth’s life-supporting ecosystems are integral to human and planetary health. Ecosystem services connect ecosystem functions to human wellbeing. The complex, multifaceted socio-ecological challenges of ecosystem decline necessitate a transdisciplinary approach, including the active and meaningful engagement and participation of local communities. Communities uniquely possess expert local knowledge, which, when integrated into policy development and community planning, has the potential to enhance and sustain ecosystem benefits for health and wellbeing. Community-informed mapping tools provide an opportunity for integrating science, policy, and public participation in data collection. However, there is a dearth of community-informed mapping tools demonstrating the interconnection of the ecological and social determinants of health at a place-based level. This paper presents a study that employs a community-based participatory research approach to mapping local knowledge systems on EcoHealth. The study seeks to develop a community mapping tool for shared dialogue and decision-making on EcoHealth between local communities and policymakers. The participatory research methods used to explore community awareness and knowledge regarding ecosystem services, health, and sustainability in the local area are described. The process of co-producing a Community EcoHealth Toolkit, based on the integration of different knowledge systems into local policy and planning, is discussed.
Collapse
|
19
|
Strategies for Implementing a One Welfare Framework into Emergency Management. Animals (Basel) 2021; 11:ani11113141. [PMID: 34827873 PMCID: PMC8614288 DOI: 10.3390/ani11113141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Revised: 10/27/2021] [Accepted: 10/31/2021] [Indexed: 11/16/2022] Open
Abstract
Simple Summary During emergencies, people’s decision-making and actions are strongly influenced by their relationship with their animals. In emergency management, a holistic approach is needed which recognises the important interrelationships between animal welfare, human well-being, and the physical and social environment. It is also vital to break down barriers of collaboration between individuals, organisations, and the community. One Welfare, a concept with human–animal-environment interdependencies at its core, provides a framework to achieve this. Successful implementation of a transformative change will require positive strategies to deal with challenges and to ensure that animals are truly integrated into emergency management, not just included as an aside. Abstract Responding to emergencies requires many different individuals and organisations to work well together under extraordinary circumstances. Unfortunately, the management of animal welfare in emergencies remains largely disconnected from emergency management overall. This is due predominately to professional silos and a failure to understand the importance of human–animal-environment (h-a-e) interdependencies. One Welfare (OW) is a concept with these interrelationships at its core. This paper argues that by adopting an OW framework it will be possible to achieve a transdisciplinary approach to emergency management in which all stakeholders acknowledge the importance of the h-a-e interdependencies and work to implement a framework to support this. Acknowledging that such a transformational change will not be easy, this paper proposes several strategies to overcome the challenges and optimise the outcomes for animal welfare emergency management (AWEM). These include legislation and policy changes including h-a-e interface interactions as business as usual, improving knowledge through interprofessional education and training, incorporating One Welfare champions, and recognising the role of animals as vital conduits into communities.
Collapse
|
20
|
Cristiano W, Giacoma C, Carere M, Mancini L. Chemical pollution as a driver of biodiversity loss and potential deterioration of ecosystem services in Eastern Africa: A critical review. S AFR J SCI 2021. [DOI: 10.17159/sajs.2021/9541] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Chemical pollution, i.e. the release of anthropogenic chemical substances into the environment, is a driver of biodiversity loss. Although this issue has been widely investigated in high-income countries of temperate regions, there is a lack of data for tropical areas of middle- or low-income countries, such as those in Eastern Africa. Some of the world’s richest biomes that are affected by multiple pressures, including chemical pollution, are hosted in this macro-region. However, few studies have addressed the impact of the release of anthropogenic chemical pollutants on the biodiversity, and the related potential implications for the deterioration of ecosystem goods and services in this area. A contribution in systemising the scientific literature related to this topic is, therefore, urgently needed. We reviewed studies published from 2001 to 2021, focusing on the chemical pollution impact on Eastern African wildlife. Despite an extensive literature search, we found only 43 papers according to our survey methods. We focused on wildlife inhabiting terrestrial ecosystems and inland waters. According to our search, Kenya and Uganda are the most represented countries accounting for about half of the total number of reviewed articles. Moreover, 67.4% of the studies focus on inland waters. The spread of anthropogenic chemicals into tropical areas, e.g. Eastern Africa, and their effects on living organisms deserve greater attention in research and politics. We report a weak increasing trend in publishing studies addressing this topic that might bode well. The combined effort of science and governments is crucial in improving the management of chemical pollutants in the environment for achieving the goals of biodiversity conservation.
Collapse
Affiliation(s)
- Walter Cristiano
- Unit of Ecosystems and Health, Department of Environment and Health, Italian National Institute of Health, Rome, Italy
- Department of Life Sciences and Systems Biology, University of Turin, Turin, Italy
| | - Cristina Giacoma
- Department of Life Sciences and Systems Biology, University of Turin, Turin, Italy
| | - Mario Carere
- Unit of Ecosystems and Health, Department of Environment and Health, Italian National Institute of Health, Rome, Italy
| | - Laura Mancini
- Unit of Ecosystems and Health, Department of Environment and Health, Italian National Institute of Health, Rome, Italy
| |
Collapse
|
21
|
Brandão APD, Sussai S, Germine JADL, Eltz DD, Araújo A. Social Sciences in One Health: Insights From Multiple Worlds Perspectives on the Dam Rupture in Brumadinho-Brazil. Front Public Health 2021; 9:649355. [PMID: 34660503 PMCID: PMC8511935 DOI: 10.3389/fpubh.2021.649355] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2021] [Accepted: 08/30/2021] [Indexed: 11/25/2022] Open
Abstract
Concepts that integrate human, animal, and ecosystem health - such as One Health (OH) - have been highlighted in recent years and mobilized in transdisciplinary approaches. However, there is a lack of input from the social sciences in OH discussions. This is a gap to overcome, including in Latin America. Therefore, this paper incorporates recent studies from economics and anthropology to the debate, contributing to the opening of transdisciplinary dialogues for the elaboration of OH theory and practice. As a starting point, we explore the recent case of a tailings dam breach, making considerations about how and why this event was experienced in different ways by the affected Indigenous and non-Indigenous worlds. From economics, we show how different theories perceive and impact these different worlds, presenting some existing alternatives to the hegemonic thinking of domination and exploitation. From anthropology, we present the perspectivism concept, deriving from the field of relational ontologies, suggesting there are significant and inevitable disagreements-equivocations-among different worlds. Thus, we discuss how the social sciences can help address challenging factors that need to be considered in health approaches that intend to deal with complex global problems. In conclusion, OH should incorporate social science discussions, considering relating practice to the multiple realities in which a particular problem or conflict is inserted. Overcoming the barriers that hinder transdisciplinary dialogue is fundamental and urgent for an effective approach to the multiple and distinct interconnections among humans, animals and environments.
Collapse
Affiliation(s)
| | - Stefanie Sussai
- Department of Preventive Veterinary Medicine and Animal Health, Faculty of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo, Brazil
| | | | - Diego Duarte Eltz
- Graduate Program in Social Anthropology, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Aline Araújo
- Graduate Program in Social Sciences, University of Vale do Rio dos Sinos, São Leopoldo, Brazil
| |
Collapse
|
22
|
Lederman Z, Magalhães-Sant’Ana M, Voo TC. Stamping Out Animal Culling: From Anthropocentrism to One Health Ethics. JOURNAL OF AGRICULTURAL & ENVIRONMENTAL ETHICS 2021; 34:27. [PMID: 34483696 PMCID: PMC8403469 DOI: 10.1007/s10806-021-09868-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/04/2020] [Indexed: 05/09/2023]
Abstract
Culling is used in traditional public health policies to control animal populations. These policies aim primarily to protect human interests but often fail to provide scientific evidence of effectiveness. In this article, we defend the need to move from a strictly anthropocentric approach to disease control towards a One Health ethics, using culling practices as an example. We focus on the recent badger culls in the UK, claiming that, based on data provided by the English Government, these culls may be unjustified, all thing considered. We highlight the relevance of ethical reasoning rooted in One Health for this discussion, and make several suggestions including a moratorium on culling until data are provided to support the effectiveness of culling; to conduct a randomized trial to compare proactive culling with alternative methods; to apply deliberative democratic methods to assess public opinion towards the culls, and to find in Brexit an opportunity for aiming for more effective control measures.
Collapse
Affiliation(s)
| | - Manuel Magalhães-Sant’Ana
- CIISA—Centre for Interdisciplinary Research in Animal Health, Faculty of Veterinary Medicine, University of Lisbon, 1300-477 Lisboa, Portugal
| | - Teck Chuan Voo
- Centre for Biomedical Ethics, Yong Loo Lin School of Medicine, National University of Singapore, Block MD11, Clinical Research Centre, #02-03, 10 Medical Drive, Singapore, 117597 Singapore
| |
Collapse
|
23
|
Tasker A, Braam D. Positioning zoonotic disease research in forced migration: A systematic literature review of theoretical frameworks and approaches. PLoS One 2021; 16:e0254746. [PMID: 34310626 PMCID: PMC8312951 DOI: 10.1371/journal.pone.0254746] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2021] [Accepted: 06/27/2021] [Indexed: 01/31/2023] Open
Abstract
BACKGROUND The emergence and transmission of zoonotic diseases are driven by complex interactions between health, environmental, and socio-political systems. Human movement is considered a significant and increasing factor in these processes, yet forced migration remains an understudied area of zoonotic research-due in part to the complexity of conducting interdisciplinary research in these settings. OBJECTIVES We conducted a systematic review to identify and analyze theoretical frameworks and approaches used to study linkages between forced migration and zoonotic diseases. METHODS We searched within eight electronic databases: ProQuest, SCOPUS, Web of Science, PubMed, PLoSOne, Science Direct, JSTOR, and Google Scholar, to identify a) research articles focusing on zoonoses considering forced migrants in their study populations, and b) forced migration literature which engaged with zoonotic disease. Both authors conducted a full-text review, evaluating the quality of literature reviews and primary data using the Critical Appraisal Skills Programme (CASP) model, while theoretical papers were evaluated for quality using a theory synthesis adapted from Bonell et al. (2013). Qualitative data were synthesized thematically according to the method suggested by Noblit and Hare (1988). RESULTS Analyses of the 23 included articles showed the increasing use of interdisciplinary frameworks and approaches over time, the majority of which stemmed from political ecology. Approaches such as EcoHealth and One Health were increasingly popular, but were more often linked to program implementation and development than broader contextual research. The majority of research failed to acknowledge the heterogeneity of migrant populations, lacked contextual depth, and insufficient acknowledgments of migrant agency in responding to zoonotic threats. CONCLUSIONS Addressing the emergence and spread of zoonoses in forced migration contexts requires more careful consideration and use of interdisciplinary research to integrate the contributions of social and natural science approaches. Robust interdisciplinary theoretical frameworks are an important step for better understanding the complex health, environment, and socio-political drivers of zoonotic diseases in forced migration. Lessons can be learned from the application of these approaches in other hard-to-reach or seldom-heard populations.
Collapse
Affiliation(s)
- Alex Tasker
- Department of Anthropology, University College London, London, United Kingdom
- * E-mail:
| | - Dorien Braam
- Disease Dynamics Unit, University of Cambridge, Cambridge, United Kingdom
| |
Collapse
|
24
|
Hitziger M, Berezowski J, Dürr S, Falzon LC, Léchenne M, Lushasi K, Markosyan T, Mbilo C, Momanyi KN, Özçelik R, Prejit N, Zinsstag J, Rüegg SR. System Thinking and Citizen Participation Is Still Missing in One Health Initiatives - Lessons From Fifteen Evaluations. Front Public Health 2021; 9:653398. [PMID: 34150701 PMCID: PMC8211880 DOI: 10.3389/fpubh.2021.653398] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2021] [Accepted: 04/29/2021] [Indexed: 11/24/2022] Open
Abstract
Tackling complex public health challenges requires integrated approaches to health, such as One Health (OH). A key element of these approaches is the integration of knowledge across sectors, disciplines and stakeholders. It is not yet clear which elements of knowledge integration need endorsement to achieve best outcomes. This paper assesses 15 OH initiatives in 16 African, Asian and European countries to identify opportunities to improve knowledge integration and to investigate geographic influences on knowledge integration capacities. Two related evaluation tools, both relying on semi-quantitative questionnaires, were applied to two sets of case studies. In one tool, the questions relate to operations and infrastructure, while the other assigns questions to the three phases of “design,” “implementation,” and “evaluation” of the project life cycle. In both, the question scores are aggregated using medians. For analysis, extreme values were identified to highlight strengths and weaknesses. Seven initiatives were assessed by a single evaluator external to the initiative, and the other eight initiatives were jointly assessed by several internal and external evaluators. The knowledge integration capacity was greatest during the project implementation stage, and lowest during the evaluation stage. The main weaknesses pointing towards concrete potential for improvement were identified to be a lack of consideration of systemic characteristics, missing engagement of external stakeholders and poor bridging of knowledge, amplified by the absence of opportunities to learn and evolve in a collective process. Most users were unfamiliar with the systems approach to evaluation and found the use of the tools challenging, but they appreciated the new perspective and saw benefits in the ensuing reflections. We conclude that systems thinking and associated practises for OH require not only specific education in OH core competencies, but also methodological and institutional measures to endorse broad participation. To facilitate meta-analyses and generic improvement of integrated approaches to health we suggest including knowledge integration processes as elements to report according to the COHERE guidelines.
Collapse
Affiliation(s)
- Martin Hitziger
- Section of Epidemiology, Vetsuisse Faculty, University of Zürich, Zurich, Switzerland
| | - John Berezowski
- Veterinary Public Health Institute, Vetsuisse Faculty, University of Bern, Bern, Switzerland
| | - Salome Dürr
- Veterinary Public Health Institute, Vetsuisse Faculty, University of Bern, Bern, Switzerland
| | - Laura C Falzon
- Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, United Kingdom.,International Livestock Research Institute, Nairobi, Kenya
| | - Monique Léchenne
- Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland.,Department of Public Health, Medical Faculty, University of Basel, Basel, Switzerland
| | - Kennedy Lushasi
- Department of Environmental Health and Ecological Sciences, Ifakara Health Institute, Dar es Salaam, Tanzania
| | - Tigran Markosyan
- Scientific Center for Risk Assessment and Analysis in Food Safety Area, Yerevan, Armenia
| | - Céline Mbilo
- Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland
| | | | - Ranya Özçelik
- Veterinary Public Health Institute, Vetsuisse Faculty, University of Bern, Bern, Switzerland
| | - Nambiar Prejit
- Centre for One Health Education, Advocacy, Research and Training, Kerala Veterinary and Animal Sciences University, Wayanad, India
| | - Jakob Zinsstag
- Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland.,Department of Public Health, Medical Faculty, University of Basel, Basel, Switzerland
| | - Simon R Rüegg
- Section of Epidemiology, Vetsuisse Faculty, University of Zürich, Zurich, Switzerland
| |
Collapse
|
25
|
Ferri M, Lloyd-Evans M. The contribution of veterinary public health to the management of the COVID-19 pandemic from a One Health perspective. One Health 2021; 12:100230. [PMID: 33681446 PMCID: PMC7912361 DOI: 10.1016/j.onehlt.2021.100230] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2020] [Revised: 01/11/2021] [Accepted: 02/25/2021] [Indexed: 12/13/2022] Open
Abstract
The human coronavirus disease 2019 (COVID-19) pandemic represents one of the greatest public health crises in recent history, which has caused unprecedented and massive disruptions of social and economic life globally, and the biggest communication challenges for public information-sharing. While there is strong evidence that bats are the animal source of SARS-CoV-2, the causative agent of COVID-19, there are many uncertainties around the epidemiology, the intermediate animal species, and potential animal routes of SARS-Cov-2 transmission to humans. While it has also long been known that coronaviruses circulate among different animal species, including SARS-CoV and MERS-CoV, responsible for the pandemics of severe acute respiratory syndrome and Middle East respiratory syndrome endemic in Middle Eastern countries in 2002-2003 and 2012 respectively, the way this pandemic is being managed tends to downplay or neglect the veterinary contribution, which is not in line with the One Health approach, if we consider that the genesis of the COVID-19 pandemic, likewise SARS and MERS lies on a close and interdependent links of humans, animals and the environment. To overcome this flaw, and to better operationalize the One Health approach, there are several lines of contributions the veterinary profession might provide to manage the COVID-19 pandemic in the framework of interventions jointly concerted in the veterinary and medical domains, notably: the experience in dealing with past animal epidemics, the skills in conducting wildlife surveillance targeting emerging pathogens at risky hot spots, and with the aim to predict and prevent future pandemics, the laboratory support for the diagnosis and molecular characterization of SARS-CoV-2 and human samples testing, and animal import risk assessment to define COVID-19 risk strategy for international air travel. The veterinary profession presents itself ontologically with a strong One Health accent and all the related valuable knowledge can be properly integrated within centralised multidisciplinary task-forces set up at the national and international level, with a renewed role in the management and monitoring structures required for managing the COVID-19 pandemic.
Collapse
Affiliation(s)
- Maurizio Ferri
- Scientific Coordinator of the Italian Society of Preventive Veterinary Medicine (SIMeVeP), Italy
| | - Meredith Lloyd-Evans
- Representative for Association of Veterinary Consultants on the European Food Safety Agency's Stakeholder Advisory Group on Emerging Risks, Founder of BioBridge Ltd, Cambridge, UK
| |
Collapse
|
26
|
Louzon M, Pauget B, Pelfrêne A, Gimbert F, de Vaufleury A. Combining human and snail indicators for an integrative risk assessment of metal(loid)-contaminated soils. JOURNAL OF HAZARDOUS MATERIALS 2021; 409:124182. [PMID: 33549356 DOI: 10.1016/j.jhazmat.2020.124182] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/25/2020] [Revised: 08/07/2020] [Accepted: 10/01/2020] [Indexed: 06/12/2023]
Abstract
With the new soil uses such as land restoration and to protect wilderness, the human health risk assessment (HHRA) and environmental risk assessment (ERA) should be combined. Based on the relationships demonstrated between an indicator of soil quality, the land snail, and human exposure, the aim of this study is to examine the snail and human risk indicators for twenty-nine soils contaminated by metal(loid)s. HHRA was evaluated by both hazard quotient and carcinogenic risk. When the human health indicators were ranked as uncertain, they were weighted by bioaccessibility to refine the risk assessment. The ERA was performed with risk coefficient after ex situ snail exposure. The results showed strong and novel relationships between human health and environmental risk indicators that had never been found before. For 62% of the soils, both indicators revealed either a confirmed risk or an uncertain level of risk. Overall pollutants present greater risk for human than for environment, with 55 vs 28% of the studied soils classified in the proven risk, respectively. An original integrative risk assessment of polluted soils has been proposed, that shall help setting up relevant strategies to manage contaminated soils considering not only human but also environmental indicators of risk.
Collapse
Affiliation(s)
- M Louzon
- UMR CNRS 6249 Chrono-Environment, University of Franche-Comté, 16 route de Gray, 25030 Besançon Cedex, France
| | - B Pauget
- TESORA, Le Visium, 22 Avenue Aristide Briand, 94110 Arcueil, France
| | - A Pelfrêne
- Yncréa Hauts-de-France, ULR 4515, Laboratoire Génie Civil et géo-Environnement (LGCgE), F-59000 Lille, France
| | - F Gimbert
- UMR CNRS 6249 Chrono-Environment, University of Franche-Comté, 16 route de Gray, 25030 Besançon Cedex, France
| | - A de Vaufleury
- UMR CNRS 6249 Chrono-Environment, University of Franche-Comté, 16 route de Gray, 25030 Besançon Cedex, France.
| |
Collapse
|
27
|
Chiesa F, Tomassone L, Savic S, Bellato A, Mihalca AD, Modry D, Häsler B, De Meneghi D. A Survey on One Health Perception and Experiences in Europe and Neighboring Areas. Front Public Health 2021; 9:609949. [PMID: 33681128 PMCID: PMC7925822 DOI: 10.3389/fpubh.2021.609949] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2020] [Accepted: 01/22/2021] [Indexed: 11/24/2022] Open
Abstract
A questionnaire survey was promoted under the COST Actions “Network for Evaluation of One Health-NEOH” and “European Network for Neglected Vectors and Vector-Borne Infections-EURNEGVEC”, from June 2016 to April 2017, to collect information on the existence of One Health (OH) collaboration and implementation of OH initiatives in 37 EU COST Countries. The questionnaire was to be answered by key respondents representing the three major OH components: (i). Animal Health; (ii). Human Health/Public Health; (iii). Environmental Health. A target respondent rate of nine respondents/country was aimed for, representing the following categories: (i). ministries; (ii). academia-research; (iii). private sector and NGOs, associations and scientific societies. The questionnaire, composed of 27 questions organized in six sections, was circulated to target respondents by Committee Members of the two COST actions. A total of 171 respondents from 34 countries completed the questionnaire, mainly belonging to academic and research institutions (55.5%), and to Animal Health/Animal Science fields (53.8%). Although the majority (57.9%) declared they had heard about OH, few respondents (10.7%) provided a complete definition. The “human” and “animal” elements prevailed over other key elements of OH definition (ecosystem, intersectoral, transdisciplinary, holistic, collaboration). Overall, 62.6% respondents declared to take part in OH initiatives. Antimicrobial resistance, avian influenza and environmental pollution were cited as the top three OH issues over the past 5 years. Limitations and gaps in intersectoral collaboration included communication and organizational problems resulting in poor networking, differing priorities and a lack of understanding between sectors. Regarding control and monitoring of zoonotic diseases, respondents from different sectors preferentially selected their own directorates/ministries while actually in most countries both Ministry of Health and Ministry of Agriculture are engaged. According to respondents, the level of awareness of OH amongst the general public is limited. Similarly, a dearth of opportunities of collaborations at different institutional and/or professional levels was described. Our survey provided an overview of how respondents in COST countries perceived and experienced OH and current limits to OH implementation. Identifying how initiatives are currently working and knowing the promoting and hindering factors allowed suggesting strategies to promote efficiency and effectiveness of OH implementation in the future.
Collapse
Affiliation(s)
- Francesco Chiesa
- Department of Veterinary Science, University of Turin, Grugliasco-Turin, Italy
| | - Laura Tomassone
- Department of Veterinary Science, University of Turin, Grugliasco-Turin, Italy
| | - Sara Savic
- Scientific Veterinary Institute "Novi Sad", Novi Sad, Serbia
| | - Alessandro Bellato
- Department of Veterinary Science, University of Turin, Grugliasco-Turin, Italy
| | - Andrei Daniel Mihalca
- Faculty of Veterinary Medicine, University of Agricultural Sciences and Veterinary Medicine of Cluj-Napoca, Cluj Napoca, Romania
| | - David Modry
- Department of Botany and Zoology, Faculty of Science, Masaryk University, Brno, Czechia.,Institute of Parasitology, Biology Centre, Czech Academy of Sciences, Ceske Budejovice, Czechia.,Department of Veterinary Sciences, Faculty of Agrobiology, Food and Natural Resources/CINeZ, Czech University of Life Sciences Prague, Prague, Czechia
| | | | - Daniele De Meneghi
- Department of Veterinary Science, University of Turin, Grugliasco-Turin, Italy
| |
Collapse
|
28
|
Davis A, Sharp J. Rethinking One Health: Emergent human, animal and environmental assemblages. Soc Sci Med 2020; 258:113093. [PMID: 32531688 PMCID: PMC7369629 DOI: 10.1016/j.socscimed.2020.113093] [Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Revised: 02/04/2020] [Accepted: 05/27/2020] [Indexed: 12/04/2022]
Abstract
One Health perspectives are growing in influence in global health. One Health is presented as being inherently interdisciplinary and integrative, drawing together human, animal and environmental health into a single gaze. Closer inspection, however, reveals that this presentation of entanglement is dependent upon an apolitical understanding of three pre-existing separate conceptual spaces that are brought to a point of connection. Drawing on research with livestock keepers in northern Tanzania, in the context of the history of livestock policy in colonial and postcolonial East Africa, this demonstrates what an extended model of One Health - one that moves from bounded human, animal and environmental sectors to co-constitutive assemblages - can do to create a flexible space that is inclusive of the multiplicity of health. We show that One Health is based on conceptual separation Colonial and postcolonial health policy in East Africa enacted this separation Critical social science forces One Health to recognise interspecies entanglements.
Collapse
Affiliation(s)
- Alicia Davis
- Lecturer of Global Health, Institute of Health and Wellbeing, School of Social and Political Sciences, 27 Bute Gardens, Room 221, University of Glasgow, Glasgow, G12 8RS, Scotland, UK.
| | - Jo Sharp
- Geography & Sustainable Development, University of St Andrews, St Andrews, Fife, KY16 9AL, Scotland, UK.
| |
Collapse
|
29
|
Sciortino R, Saini F. Towards a comprehensive narrative and response to COVID-19 in Southeast Asia. ACTA ACUST UNITED AC 2020; 2:100058. [PMID: 34173496 PMCID: PMC7462543 DOI: 10.1016/j.ssaho.2020.100058] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Revised: 08/21/2020] [Accepted: 08/24/2020] [Indexed: 11/25/2022]
Abstract
The dominant narrative of the COVID-19 pandemic in Southeast Asia barely gives attention to the many social and cultural dimensions of the crisis, and humanities and social science experts remain at the margins of containment decisions. This short commentary highlight our potential contribution based on our disciplinary core principles and what has been learned from other epidemics, foremost HIV. It argues that we can help broaden the current epidemiological approach to understand and impact on the social drivers of vulnerability and risk for diverse populations in specific contexts, while promoting transformative change. We can achieve this through paradigmatic adjustments as well as a more daring and engaged role on our part.
Collapse
Affiliation(s)
- Rosalia Sciortino
- Institute for Population and Social Research, Mahidol University, Thailand
| | - Fabio Saini
- Faculty of Public Health, Thammasat University, Thailand
| |
Collapse
|