One Health contributions towards more effective and equitable approaches to
health in low- and middle-income countries
#MMPMID28584176
Cleaveland S
; Sharp J
; Abela-Ridder B
; Allan KJ
; Buza J
; Crump JA
; Davis A
; Del Rio Vilas VJ
; de Glanville WA
; Kazwala RR
; Kibona T
; Lankester FJ
; Lugelo A
; Mmbaga BT
; Rubach MP
; Swai ES
; Waldman L
; Haydon DT
; Hampson K
; Halliday JEB
Philos Trans R Soc Lond B Biol Sci
2017[Jul]; 372
(1725
): ? PMID28584176
show ga
Emerging zoonoses with pandemic potential are a stated priority for the global
health security agenda, but endemic zoonoses also have a major societal impact in
low-resource settings. Although many endemic zoonoses can be treated, timely
diagnosis and appropriate clinical management of human cases is often
challenging. Preventive 'One Health' interventions, e.g. interventions in animal
populations that generate human health benefits, may provide a useful approach to
overcoming some of these challenges. Effective strategies, such as animal
vaccination, already exist for the prevention, control and elimination of many
endemic zoonoses, including rabies, and several livestock zoonoses (e.g.
brucellosis, leptospirosis, Q fever) that are important causes of human febrile
illness and livestock productivity losses in low- and middle-income countries. We
make the case that, for these diseases, One Health interventions have the
potential to be more effective and generate more equitable benefits for human
health and livelihoods, particularly in rural areas, than approaches that rely
exclusively on treatment of human cases. We hypothesize that applying One Health
interventions to tackle these health challenges will help to build trust,
community engagement and cross-sectoral collaboration, which will in turn
strengthen the capacity of fragile health systems to respond to the threat of
emerging zoonoses and other future health challenges. One Health interventions
thus have the potential to align the ongoing needs of disadvantaged communities
with the concerns of the broader global community, providing a pragmatic and
equitable approach to meeting the global goals for sustainable development and
supporting the global health security agenda.This article is part of the themed
issue 'One Health for a changing world: zoonoses, ecosystems and human
well-being'.
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