Health SecurityPub Date : 2026-05-01Epub Date: 2026-06-18DOI: 10.1177/23265094261453733
Iwona A Kredzińska
{"title":"Reimagining Global One Health Governance: How the International Mental Health Organization and the International Health Tribunal Bridge Psychosocial and Environmental Frontlines.","authors":"Iwona A Kredzińska","doi":"10.1177/23265094261453733","DOIUrl":"10.1177/23265094261453733","url":null,"abstract":"<p><p>The classical One Health paradigm-centered on the biological interdependence of humans, animals, and the environment-does not adequately address the deepening psychosocial consequences of climate change, ecological collapse, armed conflict, and mass displacement. This commentary presents the International Mental Health Organization (IMHO) and the International Health Tribunal (IHT) as institutions that operationalize a new architecture of global health governance rooted in psychosocial protection. IMHO deploys interdisciplinary crisis response strategies that integrate mental healthcare, community-based resilience programs, and legal-humanitarian diplomacy. Concurrently, IHT establishes a precedent-based framework for prosecuting systemic neglect of psychosocial health under international law. Based on case studies from Colombia, Gaza, Haiti, and Mozambique, I illustrate how traditional health frameworks systematically overlook collective trauma and emotional collapse. I also introduce practical tools-such as cumulative trauma indicators, regional stabilization hubs, and the proposed Convention on Mental Health Protection-to institutionalize psychosocial foresight within the One Health Security doctrine. Ultimately, these institutions reframe mental health not as a derivative concern, but as a foundational element of international security, and call for an intergenerational and intercontinental pact to uphold psychosocial resilience as a universal legal and ethical imperative.</p>","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"231-241"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148271215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health SecurityPub Date : 2026-05-01Epub Date: 2026-07-01DOI: 10.1177/23265094261459293
Guillain Mikaty, Wasfi Fares, Rita Feghali, Sylvia Karam, Elisa Pérez-Ramírez, Jovita Fernández-Pinero, Oliver Donoso Mantke, Elaine McCulloch, Olfert Landt, Vincent Robert, Maria Grazia Dente, Silvia Declich, Guy Hendrickx, Vanessa Lagal, Serena Battaglia, Nada Essawy, Maud Seguy, Miguel Angel Jiménez-Clavero, Jean-Claude Manuguerra
{"title":"MediLabSecure: A One Health Network Facing the COVID-19 Pandemic.","authors":"Guillain Mikaty, Wasfi Fares, Rita Feghali, Sylvia Karam, Elisa Pérez-Ramírez, Jovita Fernández-Pinero, Oliver Donoso Mantke, Elaine McCulloch, Olfert Landt, Vincent Robert, Maria Grazia Dente, Silvia Declich, Guy Hendrickx, Vanessa Lagal, Serena Battaglia, Nada Essawy, Maud Seguy, Miguel Angel Jiménez-Clavero, Jean-Claude Manuguerra","doi":"10.1177/23265094261459293","DOIUrl":"10.1177/23265094261459293","url":null,"abstract":"<p><p>The COVID-19 pandemic did not take us completely by surprise. The experts in public health worldwide heard the warnings and tried to alert and act. In many places, surveillance systems to monitor the emergence of new pathogens were set up. Many countries worldwide worked on prevention and preparedness for epidemic-prone infectious diseases. The rapidity of the identification of a novel human virus, and the quick sharing of its full sequence compared to past epidemics is proof of the continuous improvement of our systems worldwide. Immediately after the emergence of SARS-CoV-2, the first difficulty facing this completely new virus was to set up specific and sensitive diagnostic tools. The implementation of efficient and robust RT-qPCR in a timely manner has been critical for the global response. MediLabSecure, an international One Health project working on preparedness and prevention of zoonotic viruses in 22 Mediterranean, Black Sea, and Sahel countries, had been crucial to support the rapid and efficient implementation of diagnostic and sequencing tools in the region. During the first months of the pandemic, MediLabSecure shared protocols with all beneficiary countries, and sent reagents and positive controls corresponding to more than 23,000 reactions with public health and veterinary laboratories from 21 countries involved in SARS-CoV-2 diagnostics. This support facilitated and was significant for the first detection of cases in 15 countries of the network. Additionally, MediLabSecure shared sequencing protocols and trained scientists and technical staff for the sequencing and characterization of the virus during the pandemic. The One Health approach involving veterinary and public health laboratories proved highly beneficial for both sectors. This case study aims to advocate the importance of One Health and international capacity building projects, such as MediLabSecure, as essential actors in the multisectoral fight against emerging infectious diseases and for the efficiency and resilience of our public health systems.</p>","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"214-222"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148368209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health SecurityPub Date : 2026-05-01Epub Date: 2026-08-21DOI: 10.1177/23265094261465496
Erin M Sorrell, Meghan F Davis
{"title":"Introduction to the Special Feature: One Health Approaches for Health Security Extend Beyond Spillover From Border Security to Mental Health.","authors":"Erin M Sorrell, Meghan F Davis","doi":"10.1177/23265094261465496","DOIUrl":"https://doi.org/10.1177/23265094261465496","url":null,"abstract":"","PeriodicalId":12955,"journal":{"name":"Health Security","volume":"24 3","pages":"201-202"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148792358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health SecurityPub Date : 2026-05-01Epub Date: 2026-06-10DOI: 10.1177/23265094261453735
Sonia Ben Ouagrham-Gormley, Kathleen M Vogel
{"title":"Scientific Advocacy and Dissent in China and Russia: Role of Scientists in Shaping Communication and Governance Around Human Germline Genome Editing.","authors":"Sonia Ben Ouagrham-Gormley, Kathleen M Vogel","doi":"10.1177/23265094261453735","DOIUrl":"10.1177/23265094261453735","url":null,"abstract":"<p><p>When scientific scandals occur in non-Western countries, the focus of media and scientific discussions is often placed on the \"rogue scientist\" and the reactions of prominent Western scientists to the controversy. But the reactions and actions of the overall national scientific communities are often ignored or erased. Yet, even in countries with less developed public debate traditions, scientists have a role to play in shaping governance, ethics, and responsible research. We illustrate this point by highlighting the responses of the Chinese and Russian scientific communities to the actions of Chinese scientist He Jiankui and Russian scientist Denis Rebrikov, both of whom conducted or planned controversial human germline genome editing experiments. By placing the spotlight on the debates that occur within the larger scientific communities in these 2 countries, we aim to highlight the varied ways these communities have engaged with the public and government authorities to shape public discourse in debates and deliberations around controversies involving science and technology, and what they are able to achieve even in the confined space permitted by authoritarian regimes. Recognizing the work of local scientific communities is important not only to identify commonalities that can be leveraged to promote ethics and governance of emerging areas, such as germline genome editing, at the global level but also to promote continued mobilization against irresponsible scientific behavior in these countries.</p>","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"268-277"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148211133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health SecurityPub Date : 2026-05-01Epub Date: 2026-06-10DOI: 10.1177/23265094261453734
Heather N Fowler, Marisa L Rotolo, Chris E Hostetler
{"title":"Showing that We Care<sup>®</sup>: One Health in Practice in the Swine Industry.","authors":"Heather N Fowler, Marisa L Rotolo, Chris E Hostetler","doi":"10.1177/23265094261453734","DOIUrl":"10.1177/23265094261453734","url":null,"abstract":"<p><p>Pig farmers in the United States have a demonstrated historical and ongoing commitment to continuously improving pork production practices. This commitment includes employing One Health practices on their farms through the 6 We Care<sup>®</sup> Ethical Principles (WECP). These principles are a producer-conceived, philosophical guidance for pork production that empowers and protects people who work on the farms and live in communities where pork is produced. Simultaneously, these principles safeguard the planet's environment and natural resources and ensure the wellbeing of pigs themselves. As such, they directly align with One Health practices that recognize the connections between human, animal and environmental health. While historically, the One Health approach has been applied to emerging and reemerging zoonotic diseases, this approach is equally applicable across all aspects of pork production. Embedded within the US swine industry are programs such as Pork Quality Assurance<sup>®</sup> Plus, Transport Quality Assurance<sup>®</sup>, and the Common Swine Industry Audit. These education and certification programs employ One Health strategies in a way that has direct, \"in-barn\" application and ensure producers are following industry-established best practices. The One Health approach was implemented by the US swine industry in 2013, with the detection of porcine epidemic diarrhea virus (PEDV) for the first time in the US herd. This disease led to a herd mortality of up to 50% and significant reduction in the number of pigs produced in the United States during a 12-month period. The impacts of the virus were devastating and the response to it required an interconnected, multifaceted approach. We verify the use of a One Health approach through the application of the WCEPs by the US swine industry to respond to the 2013 PEDV outbreak.</p>","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"250-254"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148217630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health SecurityPub Date : 2026-05-01Epub Date: 2026-06-18DOI: 10.1177/23265094261453738
Daniel Donachie, Adrien Sivignon, Madison Wimmers, Fanny Ewann
{"title":"Mitigating Cross-Border Biological Threats: An Animal Health and Law Enforcement Perspective on One Health.","authors":"Daniel Donachie, Adrien Sivignon, Madison Wimmers, Fanny Ewann","doi":"10.1177/23265094261453738","DOIUrl":"10.1177/23265094261453738","url":null,"abstract":"<p><p>Cross-border biological threats are increasing both in frequency and complexity. Whether of natural, accidental, or deliberate origin, they pose serious risks for public and animal health, economics, and national security. They can also create vulnerabilities capable of being exploited by malicious actors, worsening health crises, and undermining trust in response efforts. Although both the health and security sectors share a common interest in mitigating these threats, they often operate in silos. The One Health approach, which aims at optimizing the health of animals, people, and the environment, has gained momentum in recent years; however, its implementation faces challenges such as weak governance, lack of resources, and, notably, the exclusion of security actors whose roles and capacities remain underrecognized. Security actors play a vital role in preventing, detecting, and investigating criminal activities related to biological incidents as well as supporting health actors with biological threat response. There is a general lack of understanding of the One Health approach within the security community and health is often predominately viewed through a human safety viewpoint often omitting animal and environmental health. This commentary advocates for the mutual integration of One Health and security approaches to strengthen resilience against cross-border biological threats. Concrete examples and recommendations to foster integration are discussed such as updating legislation, formalizing information sharing mechanisms, and undertaking joint capacity building, all while recognizing common challenges in mutual integration. To protect people, animals, and the environment alike, it is time to act to ensure coordinated efforts to mitigate cross-border biological threats.</p>","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"242-249"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148271134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health SecurityPub Date : 2026-05-01Epub Date: 2026-06-28DOI: 10.1177/23265094261453732
Isabel Meusel, David Manheim, Oscar Delaney, Daniel Greene, Rona Tobolsky, Hanna Palya, Naham Shapiro, Siddhanth Sharma
{"title":"A Metagenomic Biosurveillance Network for Emerging Infectious Diseases: A Simulation-Based Model.","authors":"Isabel Meusel, David Manheim, Oscar Delaney, Daniel Greene, Rona Tobolsky, Hanna Palya, Naham Shapiro, Siddhanth Sharma","doi":"10.1177/23265094261453732","DOIUrl":"10.1177/23265094261453732","url":null,"abstract":"<p><p>In this article, we propose a metagenomic next-generation sequencing (mNGS) system for symptomatic clinical respiratory disease samples in Israel to enable detection early enough to contain novel pathogen outbreaks, limit international spread and expedite countermeasure development. We built an open-source, interactive SEIR (susceptible, exposed, infectious, recovered)-based model extending the work of Sharma et al (2023) for 7 representative known respiratory pathogens with pandemic potential, aiming to estimate costs and detection time for the identification of a novel respiratory pathogen in Israel through a network of mNGS monitoring in hospitals. We find that a novel pathogen with SARS-CoV-2-like characteristics could be detected within 68 days (interquartile range [IQR]: 53 to 80) after the first 2 emergency department presentations and 213 (IQR: 94 to 429) total infections across Israel. This surveillance system would cost US$24 million annually over 10 years when implemented in Israel's 6 largest hospitals, covering 37% of the population. Our open-source interactive model allows policymakers and experts to explore different system configurations and their associated tradeoffs between cost, detection speed, and population coverage.</p>","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"255-267"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148345087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health SecurityPub Date : 2026-04-01Epub Date: 2026-04-05DOI: 10.1177/23265094261434692
Subhayan Chattopadhyay, Amanda Lehes, Tony Ingesson, Oscar Larsson, David Gisselsson
{"title":"Human Allele Frequency Distributions Contradict Current Narratives of Imminent Danger From Genetically Targeted Bioweapons.","authors":"Subhayan Chattopadhyay, Amanda Lehes, Tony Ingesson, Oscar Larsson, David Gisselsson","doi":"10.1177/23265094261434692","DOIUrl":"10.1177/23265094261434692","url":null,"abstract":"<p><p>Warnings of pathogens manufactured to target a specific ethnic group, so-called genetic bioweapons, have recently received considerable media attention. Genetic bioweapons figure prominently in reports on potential future risks emerging from combining genetic research, artificial intelligence and synthetic biology. They are also part of political narratives signaling imminent danger because of ongoing weapons development. However, little is known about the feasibility of genetically targeted weapons from the vantage point of natural genetic variation. To validate the fact base behind the narrative of genetic bioweapons, we analyzed the distribution across ethnic groups of 149 well-validated genetic variants with a role in modulating infection. We found only 3 variants that could be used as a basis for ethnic targeting with high specificity, all associated with indolent, treatable infections. In contrast, analysis of 136 variants modulating human response to pharmaceutical agents yielded 6 variants, all associated severe drug side effects in certain ethnicities, while others remained unaffected. We concluded that genetic weapons in the form of targeted pathogens have received unwarranted attention, while misuse of prescription drugs for ethnic targeting is a more imminent risk.</p>","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"174-182"},"PeriodicalIF":1.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147622781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health SecurityPub Date : 2026-04-01Epub Date: 2026-04-27DOI: 10.1177/23265094261438869
Suryesh Kumar Namdeo, Fatima Aziz, Michael Scott Friedman
{"title":"Developing Multistakeholder Engagement to Strengthen Biosecurity.","authors":"Suryesh Kumar Namdeo, Fatima Aziz, Michael Scott Friedman","doi":"10.1177/23265094261438869","DOIUrl":"10.1177/23265094261438869","url":null,"abstract":"<p><p>Strengthening biosecurity is critical for preventing the misuse of life sciences and achieving the goals of the Biological Weapons Convention (BWC). However, the global biosecurity landscape is hindered by fragmented efforts, inconsistent regulations, and limited resources, particularly in low- and middle-income countries and regions. Addressing biosecurity challenges requires active engagement of diverse stakeholders, including government, international organizations, academia, professional associations, industry, and civil society organizations. All of these stakeholders play key and complementary roles in different aspects of biosecurity. In this article, we examine 4 case studies for multistakeholder engagements and analyze major stakeholders for their relevant biosecurity roles, strengths, and limitations. We also provide policy recommendations and practical steps to fully realize the potential of multistakeholder engagement, including building networks and coalitions of stakeholders, creating educational and training initiatives, advocating for biosecurity standards, and improving communication channels that are suited to the interests of stakeholders. Additionally, we highlight the importance of having an inclusive and diverse representation of stakeholders. Multistakeholder engagement could enhance biosecurity and lower global risks while building robust structures to successfully handle biological threats in the future by promoting synergies while maximizing the optimal use of available resources.</p>","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"160-173"},"PeriodicalIF":1.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147769943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Health SecurityPub Date : 2026-04-01Epub Date: 2026-05-01DOI: 10.1177/23265094261434696
Sara Savic, Brigitte Bagnol, Fiona M Tomley, Naheeda Hamza, Lina Gazu, Marjan Leneman, Robyn G Alders, Norma R Forero-Muñoz, Valeriia Yustyniuk, Fatou Ndoye, Verónica Ormea, Amelia Ramadhani Anshar, Angela Adhiambo Opondoh, Charity Wiafe Akenten, Elicana Nduhuura, Patricia Nabisubi, Krupali Patel, Séverine Thys, Evan F Griffith, Sumana Goli, Sivaramyapragathi R S, Marianne Rouseau, Gabrielle Laing, Julie N Garnier
{"title":"How the Gender Dimension of One Health Helps Combat Outbreaks of Emerging and Reemerging Zoonotic Diseases: Case Studies.","authors":"Sara Savic, Brigitte Bagnol, Fiona M Tomley, Naheeda Hamza, Lina Gazu, Marjan Leneman, Robyn G Alders, Norma R Forero-Muñoz, Valeriia Yustyniuk, Fatou Ndoye, Verónica Ormea, Amelia Ramadhani Anshar, Angela Adhiambo Opondoh, Charity Wiafe Akenten, Elicana Nduhuura, Patricia Nabisubi, Krupali Patel, Séverine Thys, Evan F Griffith, Sumana Goli, Sivaramyapragathi R S, Marianne Rouseau, Gabrielle Laing, Julie N Garnier","doi":"10.1177/23265094261434696","DOIUrl":"10.1177/23265094261434696","url":null,"abstract":"<p><p>When outbreaks of emerging and reemerging zoonotic diseases are discussed, little attention is paid to differential gender impacts, or to gender involvement and roles in different settings during the outbreak. Gender roles shape how individuals' interactions with animals, wildlife, other people and the environment, which influences exposure to zoonotic pathogens. For example, in some rural communities, men may face risks of exposure to emerging pathogens during hunting whilst women who primarily take care of domestic animals may face prolonged exposure to other zoonotic diseases. In some settings, women (and men) lack access to health protection, education or communication with health officials (medical doctors or veterinarians). In some cultures, women are not allowed to speak directly with male service providers, further limiting their access to critical information and services. One Health is a holistic, inclusive approach which should be incorporating a gender lens when considering zoonoses. This includes thinking about the need to create appropriate gender sensitive policies that address disparities in surveillance, response, prevention, detection, and control of the disease (or health issue) being addressed. In this paper, we highlight these issues through several case studies that demonstrate the importance of including gender in zoonotic disease response and, ideally, when implementing prevention measures.</p>","PeriodicalId":12955,"journal":{"name":"Health Security","volume":" ","pages":"129-139"},"PeriodicalIF":1.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147814298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}