CABI One Health最新文献

{"title":"COVID-19 exposes weaknesses in public health in the Peruvian Amazon and highlights opportunities for a One Health approach","authors":"Verónica Ormea, R. Evaristo, Salomon Durand, A. Lover, S. Rüegg","doi":"10.1079/cabionehealth.2023.0006","DOIUrl":"https://doi.org/10.1079/cabionehealth.2023.0006","url":null,"abstract":"\u0000 The Amazon is home to important wildlife and a biodiversity hotspot of global importance. The ancestral knowledge kept by Indigenous communities about its fauna and flora contributes further to its irreplaceable value. The Peruvian Amazon was heavily struck by the COVID-19 epidemic with a cumulative incidence of 725, a mortality rate of 34 per 100,000 inhabitants, and a case fatality rate of 4.6% by the end of July 2020. In this work, we review scientific literature and media to trace the events that happened at the beginning of the COVID-19 epidemic in the Peruvian Amazon. Results are synthesized in three observations: (1) the evolution of the COVID-19 epidemic within the Peruvian Amazon and the response of the Peruvian health care system, (2) Confusing information about Ivermectin use for COVID-19 treatment and prevalent self-medication (3) The response of the traditional Indigenous health care system to the COVID-19 epidemic. These three observations are interdependent. There is an unexploited potential for integrative approaches linking traditional medical practices (TMP) and biomedical approaches and they may benefit from the interactions that occur between them. Synergies can also be explored between the human and animal health care sector, especially in terms of the use and stewardship of medicines. We conclude that there is a benefit of the One Health approach in the region, which can go through the common ambition to improve the integrated health of people, animals and ecosystems, facilitate the enhancement of equity and inclusion while improving access to health services and conserving biodiversity.\u0000 \u0000 \u0000 The Amazon region is home to wildlife flora and fauna and indigenous Amazon communities. The case presented in this work shows that an existing grassroots initiative has been reducing case fatality rates tenfold during the COVID-19 epidemic, while acting in respect towards nature and the environment, and using its resources. This is in stark contrast to the uncontrolled, ineffective self-medication with ivermectin in that same period, which may endanger the biodiversity hotspot through metabolic residues. While the current example seems to illustrate community resilience due to government negligence, it also shows the vastly unexplored potential of integrating biomedical and traditional indigenous knowledge in a solidaric and co-creative framework such as One Health.\u0000","PeriodicalId":136109,"journal":{"name":"CABI One Health","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130313020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing One Health: Updated core competencies","authors":"G. Laing, E. Duffy, Neil Anderson, N. Antoine-Moussiaux, M. Aragrande, Caetano Luiz Beber, J. Berezowski, E. Boriani, M. Canali, Luis Pedro Carmo, I. Chantziaras, Glen Cousquer, D. Meneghi, Ana Gloria Rodrigues Sanches da Fonseca, Julie Garnier, M. Hitziger, T. Jaenisch, H. Keune, C. Lajaunie, Lorena Franco Martinez, R. Maudling, Marie McIntyre, B. J. McMahon, Alberto Munoz Prieto, Liza Rosenbaum Nielsen, R. Özcelik, J. Rossen, S. Rüegg, S. Savić, Margarida Pires Simoes, D. Thomson, L. Tomassone, A. Tvarijonaviciute, M. Vilhena, Barbara Vogler, Barbara Häsler","doi":"10.1079/cabionehealth.2023.0002","DOIUrl":"https://doi.org/10.1079/cabionehealth.2023.0002","url":null,"abstract":"\u0000 \u0000 One Health recognises the interdependence between the health of humans, animals, plants and the environment. With the increasing inclusion of One Health in multiple global health strategies, the One Health workforce must be prepared to protect and sustain the health and well-being of life on the planet. In this paper, a review of past and currently accepted One Health core competencies was conducted, with competence gaps identified. Here, the\u0000 Network for Ecohealth and One Health (NEOH)\u0000 propose updated core competencies designed to simplify what can be a complex area, grouping competencies into three main areas of: Skills; Values and Attitudes; and Knowledge and Awareness; with several layers underlying each. These are intentionally applicable to stakeholders from various sectors and across all levels to support capacity-building efforts within the One Health workforce. The updated competencies from NEOH can be used to evaluate and enhance current curricula, create new ones, or inform professional training programs at all levels, including students, university teaching staff, or government officials as well as continual professional development for frontline health practitioners and policy makers. The competencies are aligned with the new definition of One Health developed by the One Health High-Level Expert Panel (OHHLEP), and when supported by subjectspecific expertise, will deliver the transformation needed to prevent and respond to complex global challenges.\u0000 \u0000 \u0000 \u0000 \u0000 Within a rapidly changing global environment, the need for practitioners competent in integrated approaches to health has increased substantially. Narrow approaches may not only limit opportunities for global and local solutions but, initiatives that do not consider other disciplines or social, economic and cultural contexts, may result in unforeseen and detrimental consequences. In keeping with principles of One Health, the\u0000 Network for Ecohealth and One Health (NEOH)\u0000 competencies entail a collaborative effort between multiple disciplines and sectors. They focus on enabling practitioners, from any background, at any level or scale of involvement, to promote and support a transformation to integrated health approaches. The updated competencies can be layered with existing disciplinary competencies and used to evaluate and enhance current education curricula, create new ones, or inform professional training programs at all levels-including for students, teachers and government officials as well as continual professional development for frontline health practitioners and policymakers. The competencies outlined here are applicable to all professionals and disciplines who may contribute to One Health, and are complimentary to, not a replacement for, any discipline-specific competencies. We believe the NEOH competencies meet the need outlined by the Quadripartite’s (Food and Agriculture Organisation, United Nations Environment Programme, World Health Organisation, World Organisa","PeriodicalId":136109,"journal":{"name":"CABI One Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129486544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidemiology of Q-fever in domestic ruminants and humans in Africa. A systematic review","authors":"S. F. Bwatota, E. Cook, Barend Mark de Clare Bronsvoort, N. Wheelhouse, Luis E Hernandez-Castor, G. Shirima","doi":"10.1079/cabionehealth.2022.0008","DOIUrl":"https://doi.org/10.1079/cabionehealth.2022.0008","url":null,"abstract":"\u0000 \u0000 Q-fever is a zoonotic infectious disease caused by the gram-negative, intracellular, spore-forming bacterium\u0000 Coxiella burnetii\u0000 . Infected ruminants (cattle, sheep, and goats) are the reservoirs of the pathogen and thus an important source of infection in humans. This systematic review aims to consolidate the knowledge and awareness of Q-fever in Africa and identify future research opportunities and possible interventions in low-resource settings. We review information on Q-fever epidemiology and the diagnostic challenges in humans and domestic ruminants in Africa from the last 23 years. Six databases including university repositories were searched for relevant articles. A total of 84 studies and 4 theses met the selection criteria and were thus included in the review. They include serological and molecular studies of Q-fever in humans or domestic ruminants in 24/54 African countries. The mean seroprevalence estimates were 16% (95%CI 11–23%) in humans; 14% (95%CI 10–20%) in cattle; 13% (95%CI 9–18%) in sheep; and 21% (95%CI 15–29%) in goats. The mean prevalence for molecular detection of the pathogen were 3% (95%CI 0–16%) in humans; 9% (95%CI 4–19%) in cattle; 16% (95%CI 5–41%) in sheep; and 23% (95%CI 20–80%) in goats. The number of studies that identified risk factors for exposure among domestic ruminants was: sex (n = 6), age (n = 17), contact with other animals (n = 5), lack of quarantine of newly purchased animals (n = 1), extensive grazing system (n = 4), herd size (2), history of abortion (n = 5), absence of vaccination (n = 2), and high temperature (n = 1). The number of studies that reported protective factors was: sanitation (n = 2), burying and/ or burning the aborted foetus (n = 2), and young (age) (n = 2). The studies that identified risk factors for human disease infection included: close contact to animals (n = 7), age (n = 3), and gender (n = 5), while those identifying protective factors included: living in non-irrigated areas (n = 1), awareness/knowledge about zoonosis (n = 1), rodent control (n = 1), sanitation/disinfection of equipment after and before use (n = 1), occasional grazing (n = 1), and do nothing to aborted materials (n = 1). Diagnostic challenges such as poverty, lack of a well-equipped laboratory with biosafety level 3 specific for Q-fever testing, unspecific and self-limiting clinical signs/symptoms, lack of gold standard test, and variation in test specificity and sensitivity were identified. The disease is likely to be widespread in Africa and of public importance and underreported thus ‘One Health’ approaches to future studies are recommended. Further studies should focus on concurrent studies of human and livestock populations.\u0000 \u0000 \u0000 \u0000 \u0000 This review applies to One Health stakeholders including, the public, players in the livestock value chain, animal/ human/ environmental health workers, policy makers, and other implementers. This review summarizes the available information regarding Q-fever (\u0000 Coxiella b","PeriodicalId":136109,"journal":{"name":"CABI One Health","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132504231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Guidance for evaluating integrated surveillance of antimicrobial use and resistance","authors":"S. Rüegg, N. Antoine-Moussiaux, C. Aenishaenslin, L. Alban, M. Bordier, H. Bennani, B. Schauer, J. Arnold, Isobel L. Gabain, C. Sauter-Louis, J. Berezowski, F. Goutard, Barbara Häsler","doi":"10.1079/cabionehealth.2022.0007","DOIUrl":"https://doi.org/10.1079/cabionehealth.2022.0007","url":null,"abstract":"Antimicrobial resistance (AMR) resulting from antimicrobial use (AMU) is an emerging threat to global health. One of the key elements for a better understanding and management of AMU and AMR is to develop effective and efficient integrated surveillance systems that consider the complex epidemiology of these issues and the impacts of resistance on humans, animals and the environment. Consequently, for this project, an international consortium of experts from multiple fields called CoEvalAMR was formed with the objectives to study user needs, characterise and compare existing tools for the evaluation of integrated AMU and AMR surveillance, apply them to case studies, and elaborate guidance on the purpose-fit selection and the use of the tools. For the comparison of evaluation tools, questions were extracted from existing tools and attributed to themes, to assess the user needs, interviews were conducted with national key stakeholders, and we applied a series of different evaluation tools to understand and document their strengths and weaknesses. The guidance was refined iteratively. From 12 evaluation tools, 1117 questions/indicators were extracted and attributed to seven emerging themes. Twenty-three experts were interviewed, who suggested to increase the ease-of-use, grant open access, provide web-based interfaces and allow results to be automatically generated. Respondents also wished for tools providing the flexibility to conduct a rapid review, or an in-depth analysis of the surveillance system, depending on the evaluation objectives. The case studies emphasised that proper evaluations require adequate resources, typically requiring the involvement of several assessors and/or stakeholders, and can take weeks or months to complete. The resulting web-based guidance comprises six main sections: 1. Introduction to surveillance evaluation, 2. Evaluation of surveillance for AMU and AMR, 3. Evaluation tools, 4. Support for selecting an evaluation tool, 5. Case studies and 6. Directory of existing tools. The audience for the guidance is personnel working in public, private, and non-governmental organisations, from public health, animal health, plant health and environmental health, at local, national and international levels. We conclude that the field is challenged by opposing user needs for reduction and simplicity versus system approaches allowing the synthesis of that knowledge to sufficiently reflect the complexity of AMU and AMR ecology for real-world decisions. The CoEvalAMR web platform allows a better understanding of the different evaluation tools and assists users in the selection of an approach that corresponds to their evaluation needs. The CoEvalAMR consortium continues to address remaining gaps and consolidate evaluation tools and approaches in the future. Antimicrobial resistance (AMR) resulting from antimicrobial use is a threat to human and animal health and may have unknown impacts on the environment. To understand how gover","PeriodicalId":136109,"journal":{"name":"CABI One Health","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115019026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Monkeypox: we cannot afford to ignore yet another warning","authors":"D. J. Bell, A. Cunningham","doi":"10.1079/cabionehealth.2022.0005","DOIUrl":"https://doi.org/10.1079/cabionehealth.2022.0005","url":null,"abstract":"\u0000 An unintended consequence of smallpox eradication and ending the smallpox vaccination campaign has been to render the global human population immunologically naïve to orthopoxvirus infection for the first time in history. This has occurred at a time when the majority of people worldwide live in high population densities in cities and when connectivity across the world has never been higher, both of which facilitate the emergence and spread of infectious diseases. It is not surprising, therefore, that novel zoonotic orthopoxvirus infections have been increasing in recent years, or that an international outbreak of human monkeypox disease has occurred. A One Health approach, including consideration of land-use change and the bushmeat and exotic pet trades, is required to prevent opportunities for the emergence of monkeypox, or diseases cause by other orthopoxviruses, and for a rapid and effective response to any outbreaks in order to limit their spread.\u0000 \u0000 \u0000 The current global outbreak of monkeypox is yet another warning for the adoption of a preventative, One Health, approach to minimise the risk of future emergence of known and unknown zoonotic pathogens. This includes the need to consider the roles, and to mitigate the impacts, of land-use change and the bushmeat and exotic pet trades in order to prevent opportunities for the emergence of monkeypox virus, or other orthopoxviruses, and for a rapid and effective response to any outbreaks in order to limit their spread.\u0000 \u0000 As of 9 September 2022, there have been 56,098 confirmed cases of monkeypox in people in 96 countries since an initial case was confirmed in the UK on 7 May (CDC, 2022). However, this does not include infections in Central and West Africa where the infection is endemic and where human cases of the disease have been escalating dramatically in recent years following smallpox eradication (\u0000 Tasamba, 2022\u0000 ). Monkeypox virus (MPV), the causative agent of monkeypox, is an orthopoxvirus (OPV) closely related to smallpox virus. Following a global vaccination campaign, the World Health Assembly confirmed the eradication of smallpox in 1980, after which vaccination against this disease was ended. During the following 40 years, therefore, and for the first time in history, the global human population has become immunologically naïve to OPVs (\u0000 Dye and Kraemer, 2022\u0000 ). This has created a gaping ecological niche that is open to exploitation by a new OPV. It is perhaps not surprising, therefore, that zoonotic infections with at least two previously unknown OPVs have emerged in recent years: Akhmeta pox and Alaska pox (\u0000 \u0000 Vora\u0000 et al\u0000 ., 2015\u0000 \u0000 ;\u0000 \u0000 Springer\u0000 et al\u0000 ., 2017\u0000 \u0000 ). Monkeypox virus is also a zoonotic OPV and, although recognized for many years as a public health threat in waiting subsequent to the decline of smallpox vaccination (\u0000 \u0000 Heymann\u0000 et al\u0000 ., 1998\u0000 \u0000 ), monkeypox has remained a neglected disease (\u0000 Di Giulio and Eckburg, 2004\u0000 ;\u0000 \u0000 Parker\u0000 et al\u0000 ., 2007\u0000 \u0000 ), whic","PeriodicalId":136109,"journal":{"name":"CABI One Health","volume":"107 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122959774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"One Health or ‘One Health washing’? An alternative to overcome now more than ever","authors":"P. Giraudoux, C. Besombes, D. Bompangue, J. Guégan, F. Mauny, Serge Morand","doi":"10.1079/cabionehealth.2022.0006","DOIUrl":"https://doi.org/10.1079/cabionehealth.2022.0006","url":null,"abstract":"\u0000 In March 2022, WHO, WOAH, FAO, and UNEP jointly advocated a rebalancing of the multiple components of One Health, explicitly including the notion of equity between sectors and disciplines, and a clearer ecological vision of the whole. Here we illustrate the vital need for this shift based on the multi-decadal experience of the authors in this field of research. We explain why One Health research still crucially requires the expansion of the current collaborations between disciplines and sectors to achieve its goals, and to release significant funding in each field for a successful transformational change. If not, ‘One Health’ will still stay as an aspiration and will not hit its promised targets.\u0000 \u0000 \u0000 In March 2022, WHO, WOAH, FAO, and UNEP jointly advocated a rebalancing of the multiple components of One Health, explicitly including the notion of equity between sectors and disciplines, and a clearer ecological vision of the whole. Here we illustrate the vital need for this shift based on the multi-decadal experience of the authors in this field of research. We explain why One Health research still crucially requires the expansion of the current collaborations between disciplines and sectors to achieve its goals, and to release significant funding in each field for a successful transformational change. If not, ‘One Health’ will still stay as an aspiration and will not hit its promised targets.\u0000","PeriodicalId":136109,"journal":{"name":"CABI One Health","volume":"11 20","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133426052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"To meat or not to meat: A One Health perspective on animal-source food consumption","authors":"J. Zinsstag, B. Bonfoh, Paul Teng, L. Crump","doi":"10.1079/cabionehealth20220003","DOIUrl":"https://doi.org/10.1079/cabionehealth20220003","url":null,"abstract":"\u0000 <jats:p />","PeriodicalId":136109,"journal":{"name":"CABI One Health","volume":"262 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115896123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How can One Health contribute to pandemic prevention? Looking at Ebola through a One Health lens","authors":"R. Maudling","doi":"10.1079/cabionehealth20220004","DOIUrl":"https://doi.org/10.1079/cabionehealth20220004","url":null,"abstract":"\u0000 One Health has been gaining acceptance as an approach to addressing complex health challenges. Due to the multifactorial nature of disease emergence, pandemic prevention efforts benefit from a transdisciplinary approach to identifying risk factors, effective mitigation strategies and control points, hence making One Health attractive. When considering a zoonotic disease with pandemic potential, such as Ebola Virus Disease (EVD), gaining an understanding of the factors that can contribute to an increased risk of disease spillover occurring allows for early intervention, decreasing the risk of initial transmission from animal to human. However, despite the advantages that the One Health approach offers, there remain challenges to adopting and operationalising it effectively, including barriers of status, bias and power between professions and the effective integration of environmental health and social science expertise.\u0000 \u0000 \u0000 \u0000 The SARS-CoV-2 pandemic has brought into sharp focus the interrelated nature of human, animal and environmental health. There is renewed focus on the importance of pandemic prevention efforts and an acknowledgement that human health cannot be viewed in isolation. By drawing on a wide variety of professional disciplines and embracing traditional and indigenous knowledge regarding diseases and social determinants of health, a much richer understanding of potential intervention points can be generated. Additionally, a deeper understanding can be gained concerning actions with the greatest potential to prevent the emergence and establishment of diseases with pandemic potential within a human population. This\u0000 desk study\u0000 highlights that there is value in harnessing the transdisciplinary One Health approach to increase knowledge regarding the currently poorly understood risk factors for Ebola Virus Disease (EBV) spilling over from animals to humans. It also highlights some of the challenges to effective implementation of the approach.\u0000 \u0000","PeriodicalId":136109,"journal":{"name":"CABI One Health","volume":"118 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131224764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sustainable development matters for animals too: Governments have a responsibility to recognize that.","authors":"Jeff Sebo, Cleo Verkuijl, M. Hötzel, P. Achakulwisut, M. B. Lima, Jonathan M. H. Green","doi":"10.1079/cabionehealth20220002","DOIUrl":"https://doi.org/10.1079/cabionehealth20220002","url":null,"abstract":"Animals matter for sustainable development, and sustainable development matters for animals. Yet animal welfare remains largely neglected in sustainable development governance. The 2030 Agenda for Sustainable Development aims to protect species, biodiversity, and habitats, but not individual animals. This June, governments will convene for the UN Stockholm+50 Conference, which marks 50 years of international environmental decision making. At this conference, governments have an opportunity to recognize the importance of animal welfare for sustainable development, and to aspire to harm animals less and benefit them more as part of sustainable development governance. We call on governments to take these steps for the sake of human and non-human animals alike.","PeriodicalId":136109,"journal":{"name":"CABI One Health","volume":"18 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132738789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perspectives from the Royal Society of Medicine\u0000 One Health: The Missing Link\u0000 Conference and Soulsby Lecture 2021","authors":"Ian Battersby, Martha Bower, Grace Dammery-Quigley, D. Danson, S. Harrison, David Heymann, E. Hunter, R. Jaspal, R. Maudling, J. Shotton, Samuel White, Philippe B. Wilson","doi":"10.1079/cabionehealth.2022.0010","DOIUrl":"https://doi.org/10.1079/cabionehealth.2022.0010","url":null,"abstract":"\u0000 \u0000 The term\u0000 One Health\u0000 encompasses the medicine of humans, animals, the environment and the interrelations between them. There has been substantial progress in recognising the importance of collective agreements and thinking in healthcare and preventative medicine, particularly in the wake of the COVID-19 pandemic, with amplified acknowledgement of the role zoonoses increasingly play in our global health system. The 2021 Royal Society of Medicine’s\u0000 One Health: The Missing Link\u0000 conference brought together subject experts from across medical specialties to discuss cultures of coworking, key challenges and the future vision of One Health both nationally and on a global scale. This perspective article aims to summarise the discussions arising from the event, and highlights particular challenges in medical education, public and global health policy, antimicrobial resistance and stewardship and environmental medicine. This article will serve to consolidate the outcomes of this event and generate dialogue between clinical and non-clinical stakeholders within the One Health space.\u0000 \u0000 \u0000 \u0000 This article summarises the discussions and contributions of the 2021 Royal Society of Medicine One Health symposium and linked events. Major discussion points are described including antimicrobial resistance, training of human and animal clinicians, the link to environmental medicine, and positioning one health efforts within the wider third sector. We outline current challenges in unifying a One Health approach as well as offering perspectives for collaboration and interdisciplinary work.\u0000","PeriodicalId":136109,"journal":{"name":"CABI One Health","volume":"319 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122087539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}