A global analysis of One Health Networks and the proliferation of One Health collaborations.


Journal

Lancet (London, England)
ISSN: 1474-547X
Titre abrégé: Lancet
Pays: England
ID NLM: 2985213R

Informations de publication

Date de publication:
18 02 2023
Historique:
received: 16 06 2021
revised: 14 07 2022
accepted: 11 08 2022
pubmed: 23 1 2023
medline: 25 2 2023
entrez: 22 1 2023
Statut: ppublish

Résumé

There has been a renewed focus on threats to the human-animal-environment interface as a result of the COVID-19 pandemic, and investments in One Health collaborations are expected to increase. Efforts to monitor the development of One Health Networks (OHNs) are essential to avoid duplication or misalignment of investments. This Series paper shows the global distribution of existing OHNs and assesses their collective characteristics to identify potential deficits in the ways OHNs have formed and to help increase the effectiveness of investments. We searched PubMed, Google, Google Scholar, and relevant conference websites for potential OHNs and identified 184 worldwide for further analysis. We developed four case studies to show important findings from our research and exemplify best practices in One Health operationalisation. Our findings show that, although more OHNs were formed in the past 10 years than in the preceding decade, investment in OHNs has not been equitably distributed; more OHNs are formed and headquartered in Europe than in any other region, and emerging infections and novel pathogens were the priority focus area for most OHNs, with fewer OHNs focusing on other important hazards and pressing threats to health security. We found substantial deficits in the OHNs collaboration model regarding the diversity of stakeholder and sector representation, which we argue impedes effective and equitable OHN formation and contributes to other imbalances in OHN distribution and priorities. These findings are supported by previous evidence that shows the skewed investment in One Health thus far. The increased attention to One Health after the COVID-19 pandemic is an opportunity to focus efforts and resources to areas that need them most. Analyses, such as this Series paper, should be used to establish databases and repositories of OHNs worldwide. Increased attention should then be given to understanding existing resource allocation and distribution patterns, establish more egalitarian networks that encompass the breadth of One Health issues, and serve communities most affected by emerging, re-emerging, or endemic threats at the human-animal-environment interface.

Identifiants

pubmed: 36682370
pii: S0140-6736(22)01596-3
doi: 10.1016/S0140-6736(22)01596-3
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

605-616

Subventions

Organisme : FIC NIH HHS
ID : D43 TW011519
Pays : United States
Organisme : NIAID NIH HHS
ID : T32 AI007025
Pays : United States

Commentaires et corrections

Type : CommentIn

Informations de copyright

Copyright © 2023 Elsevier Ltd. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of interests We declare no competing interests.

Auteurs

Athman Mwatondo (A)

Zoonotic Disease Unit, Ministry of Health, Nairobi, Kenya; International Livestock Research Institute, Nairobi, Kenya; Royal Institute of International Affairs, London, UK. Electronic address: amwatondo@yahoo.com.

Afifah Rahman-Shepherd (A)

London School of Hygiene & Tropical Medicine, London, UK; Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore; Royal Institute of International Affairs, London, UK.

Lara Hollmann (L)

Royal Institute of International Affairs, London, UK.

Scott Chiossi (S)

Royal Institute of International Affairs, London, UK.

Josphat Maina (J)

Zoonotic Disease Unit, Ministry of Health, Nairobi, Kenya; International Livestock Research Institute, Nairobi, Kenya.

Karishma Krishna Kurup (KK)

Royal Institute of International Affairs, London, UK.

Osama Ahmed Hassan (OA)

Royal Institute of International Affairs, London, UK.

Beatrice Coates (B)

Royal Institute of International Affairs, London, UK.

Mishal Khan (M)

London School of Hygiene & Tropical Medicine, London, UK; Department of Community Health Sciences and Department of Pathology, Aga Khan University, Karachi, Pakistan; Royal Institute of International Affairs, London, UK.

Julia Spencer (J)

London School of Hygiene & Tropical Medicine, London, UK.

Nyamai Mutono (N)

Paul G Allen School for Global Animal Health, Washington State University, Pullman, WA, USA; Center for Epidemiological Modelling and Analysis, University of Nairobi, Nairobi, Kenya.

Samuel M Thumbi (SM)

Paul G Allen School for Global Animal Health, Washington State University, Pullman, WA, USA; Center for Epidemiological Modelling and Analysis, University of Nairobi, Nairobi, Kenya; Institute of Immunology and Infection Research, University of Edinburgh, Edinburgh, UK.

Mathew Muturi (M)

Zoonotic Disease Unit, Ministry of Agriculture, Livestock, and Fisheries, Nairobi, Kenya; International Livestock Research Institute, Nairobi, Kenya.

Mumbua Mutunga (M)

Institute of Tropical and Infectious Diseases, University of Nairobi, Nairobi, Kenya.

Liã Bárbara Arruda (LB)

Centre for Clinical Microbiology, Division of Infection and Immunity, University College London, London, UK.

Melika Akhbari (M)

Clinical Academic Training Office, University of Cambridge, Cambridge, UK.

Dena Ettehad (D)

Academic Foundation Programme, Faculty of Medicine, Imperial College London, Imperial College Healthcare NHS Trust, London, UK.

Francine Ntoumi (F)

Fondation Congolaise pour la Recherche Médicale, Brazzaville, Democratic Republic of the Congo; Institute for Tropical Medicine, University of Tübingen, Tübingen, Germany.

Terence P Scott (TP)

Global Alliance for Rabies Control, Pretoria, South Africa.

Louis H Nel (LH)

Department of Biochemistry, Genetics, and Microbiology, University of Pretoria, Pretoria, South Africa.

Johanne Ellis-Iversen (J)

The Danish Veterinary and Food Administration, Glostrup, Denmark.

Ute Wolff Sönksen (UW)

National Centre for Antimicrobials and Infection Control, Statens Serum Institut, Copenhagen, Denmark.

Diana Onyango (D)

The One Health for Humans, Environment, Animals and Livelihoods Project, Addis Ababa, Ethiopia.

Zuleka Ismail (Z)

The One Health for Humans, Environment, Animals and Livelihoods Project, Addis Ababa, Ethiopia.

Kebadu Simachew (K)

The One Health for Humans, Environment, Animals and Livelihoods Project, Addis Ababa, Ethiopia.

David Wolking (D)

One Health Institute, University of California, Davis, CA, USA.

Rudovick Kazwala (R)

Department of Veterinary Medicine and Public Health, Sokoine University of Agriculture, Morogoro, Tanzania.

Zikankuba Sijali (Z)

Department of Veterinary Medicine and Public Health, Sokoine University of Agriculture, Morogoro, Tanzania.

Bernard Bett (B)

International Livestock Research Institute, Nairobi, Kenya.

David Heymann (D)

Department of Infectious Disease Epidemiology, London, UK.

Richard Kock (R)

Royal Veterinary College, University of London, London, UK.

Alimuddin Zumla (A)

Department of Infection, Division of Infection and Immunity, University College London, London, UK; National Institute for Health and Care Research Biomedical Research Centre, University College London Hospitals NHS Foundation Trust, London, UK.

Osman Dar (O)

Global Health Programme, Royal Institute of International Affairs, London, UK; Global Operations, UK Health Security Agency, London, UK.

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