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Clifford Astbury C, Lee KM, Mcleod R, Aguiar R, Atique A, Balolong M, Clarke J, Demeshko A, Labonté R, Ruckert A, Sibal P, Togño KC, Viens AM, Wiktorowicz M, Yambayamba MK, Yau A, Penney TL. Policies to prevent zoonotic spillover: a systematic scoping review of evaluative evidence. Global Health 2023; 19:82. [PMID: 37940941 PMCID: PMC10634115 DOI: 10.1186/s12992-023-00986-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2023] [Accepted: 11/01/2023] [Indexed: 11/10/2023] Open
Abstract
BACKGROUND Emerging infectious diseases of zoonotic origin present a critical threat to global population health. As accelerating globalisation makes epidemics and pandemics more difficult to contain, there is a need for effective preventive interventions that reduce the risk of zoonotic spillover events. Public policies can play a key role in preventing spillover events. The aim of this review is to identify and describe evaluations of public policies that target the determinants of zoonotic spillover. Our approach is informed by a One Health perspective, acknowledging the inter-connectedness of human, animal and environmental health. METHODS In this systematic scoping review, we searched Medline, SCOPUS, Web of Science and Global Health in May 2021 using search terms combining animal health and the animal-human interface, public policy, prevention and zoonoses. We screened titles and abstracts, extracted data and reported our process in line with PRISMA-ScR guidelines. We also searched relevant organisations' websites for evaluations published in the grey literature. All evaluations of public policies aiming to prevent zoonotic spillover events were eligible for inclusion. We summarised key data from each study, mapping policies along the spillover pathway. RESULTS Our review found 95 publications evaluating 111 policies. We identified 27 unique policy options including habitat protection; trade regulations; border control and quarantine procedures; farm and market biosecurity measures; public information campaigns; and vaccination programmes, as well as multi-component programmes. These were implemented by many sectors, highlighting the cross-sectoral nature of zoonotic spillover prevention. Reports emphasised the importance of surveillance data in both guiding prevention efforts and enabling policy evaluation, as well as the importance of industry and private sector actors in implementing many of these policies. Thoughtful engagement with stakeholders ranging from subsistence hunters and farmers to industrial animal agriculture operations is key for policy success in this area. CONCLUSION This review outlines the state of the evaluative evidence around policies to prevent zoonotic spillover in order to guide policy decision-making and focus research efforts. Since we found that most of the existing policy evaluations target 'downstream' determinants, additional research could focus on evaluating policies targeting 'upstream' determinants of zoonotic spillover, such as land use change, and policies impacting infection intensity and pathogen shedding in animal populations, such as those targeting animal welfare.
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Affiliation(s)
- Chloe Clifford Astbury
- School of Global Health, York University, Toronto, ON, Canada
- Dahdaleh Institute for Global Health Research, York University, Toronto, ON, Canada
- Global Strategy Lab, York University, Toronto, ON, Canada
| | - Kirsten M Lee
- School of Global Health, York University, Toronto, ON, Canada
- Dahdaleh Institute for Global Health Research, York University, Toronto, ON, Canada
| | - Ryan Mcleod
- School of Global Health, York University, Toronto, ON, Canada
| | - Raphael Aguiar
- Dahdaleh Institute for Global Health Research, York University, Toronto, ON, Canada
| | - Asma Atique
- School of Global Health, York University, Toronto, ON, Canada
| | - Marilen Balolong
- Applied Microbiology for Health and Environment Research Group, College of Arts and Sciences, University of the Philippines Manila, Manila, Philippines
| | - Janielle Clarke
- School of Global Health, York University, Toronto, ON, Canada
| | | | - Ronald Labonté
- School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada
| | - Arne Ruckert
- School of Epidemiology and Public Health, University of Ottawa, Ottawa, ON, Canada
| | - Priyanka Sibal
- School of Health Policy and Management, York University, Toronto, ON, Canada
| | - Kathleen Chelsea Togño
- Applied Microbiology for Health and Environment Research Group, College of Arts and Sciences, University of the Philippines Manila, Manila, Philippines
| | - A M Viens
- School of Global Health, York University, Toronto, ON, Canada
- Global Strategy Lab, York University, Toronto, ON, Canada
| | - Mary Wiktorowicz
- School of Global Health, York University, Toronto, ON, Canada
- Dahdaleh Institute for Global Health Research, York University, Toronto, ON, Canada
| | - Marc K Yambayamba
- School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of Congo
| | - Amy Yau
- Department of Public Health, Environments and Society, London School of Hygiene & Tropical Medicine, London, UK
| | - Tarra L Penney
- School of Global Health, York University, Toronto, ON, Canada.
- Dahdaleh Institute for Global Health Research, York University, Toronto, ON, Canada.
- Global Strategy Lab, York University, Toronto, ON, Canada.
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Wan X, Jin J, Ran S. Willingness of tobacco farmers to accept compensation for tobacco crop substitution in Lichuan City, China. Tob Control 2023; 32:338-343. [PMID: 34535508 DOI: 10.1136/tobaccocontrol-2021-056751] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2021] [Accepted: 09/04/2021] [Indexed: 11/03/2022]
Abstract
OBJECTIVE This study, conducted in China, explores tobacco farmers' willingness to accept (WTA) compensation for tobacco crop substitution. METHODS The contingent valuation method was used to elicit farmers' WTA compensation. A face-to-face survey was conducted with 280 tobacco farmers in Lichuan City, China. The standard logit regressions were used to identify the factors that influence farmers' WTA. RESULTS Without compensation, most of the respondents were unwilling to implement tobacco crop substitution. However, if the government provided compensation, the proportion of respondents' willingness for substitution increased to 86.7%. Male tobacco farmers are more likely to accept a given compensation value than female farmers. Older tobacco farmers have a higher probability of accepting compensation. The number of farmers engaged in tobacco growing in a family is negatively associated with the probability of accepting a given compensation amount. Tobacco farmers with greater confidence in the expected benefits of tobacco crop substitution tend to be more willing to accept compensation. The mean WTA estimate was achieved as US$2020.35/ha/year. CONCLUSIONS If appropriate compensation is provided for tobacco farmers, there is a potential to implement the tobacco crop substitution policy in the study area.
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Affiliation(s)
- Xinyu Wan
- State Key Laboratory of Earth Surface Processes and Resource Ecology (ESPRE), Beijing Normal University, Beijing, People's Republic of China
- Faculty of Geographical Science, Beijing Normal University, Beijing, People's Republic of China
| | - Jianjun Jin
- State Key Laboratory of Earth Surface Processes and Resource Ecology (ESPRE), Beijing Normal University, Beijing, People's Republic of China
- Faculty of Geographical Science, Beijing Normal University, Beijing, People's Republic of China
| | - Shenghong Ran
- Institute of Geographical Sciences and Natural Resources Research, Chinese Academy of Sciences, Beijing, People's Republic of China
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What Determines Pig Farmers' Epidemic Coping Behaviors: A Qualitative Analysis of Endemically Infected Areas in Relation to African Swine Fever. Vet Sci 2021; 8:vetsci8110266. [PMID: 34822639 PMCID: PMC8620968 DOI: 10.3390/vetsci8110266] [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: 09/24/2021] [Revised: 10/31/2021] [Accepted: 11/01/2021] [Indexed: 11/17/2022] Open
Abstract
An animal epidemic is a big threat for economic development that may seriously disturb the breeding industry and people's normal life. The most effective approach so far for epidemic control is biosecurity, zoning, culling animals exposed, and other relevant measures, which highly demands the cooperation of farmers in epidemic areas. However, an uncooperative phenomenon among individual farmers facing an epidemic has been recorded for a long time and includes unwilling to report the epidemic and selling infected pork. It is important to unravel the determinants of farmers' coping behaviors during an animal epidemic outbreak and use corresponding strategies to reduce farmers' inappropriate behaviors. Taking African Swine Fever (ASF) crisis as an example, this study aimed to reveal the determinants and underlying mechanism of pig farmers' coping behaviors. We adopted qualitative interviews with 45 pig farmers across four endemically infected areas in Hunan provinces, and the data collected were subjected to a grounded theory analysis. Our results showed that emergency response, information sources, and information channels jointly affected pig farmers' epidemic risk perception and their perception of coping behaviors. Meanwhile, both the characteristics of the government and pig farmers moderated this affect. Consequently, by processing information through either a heuristic or an analytical path, pig farmers' behavioral intention was transformed into actual coping behaviors. Our study emphasizes the value of sufficient risk communication, proper compensation policies, and strong public trust in the government for improving the farmers' participation in the epidemic response. Theoretical and practical implications to animal epidemic prevention and control are provided.
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Worsnop CZ. Concealing Disease: Trade and Travel Barriers and the Timeliness of Outbreak Reporting. INTERNATIONAL STUDIES PERSPECTIVES 2019; 20:344-372. [PMID: 38626279 PMCID: PMC7149472 DOI: 10.1093/isp/ekz005] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
Slow outbreak reporting by states is a key challenge to effectively responding to global health emergencies like Zika, Ebola, and H1N1. Current policy focuses on improving domestic outbreak surveillance capacity globally in order to reduce reporting lags. However, governments also face economic and political incentives to conceal outbreaks, and these incentives largely are ignored in policy discussions. In spite of the policy implications for outbreak response, the "capacity" and "will" explanations have not been systematically examined. Analysis of a dataset coding the timeliness of outbreak reporting from 1996-2014 finds evidence that states' unwillingness to report-rather than just their inability-leads to delayed reporting. The findings suggest that though building surveillance capacity is critical, doing so may not be sufficient to reduce reporting lags. Policy aimed at encouraging rapid reporting must also mitigate the associated economic and political costs.
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