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How prepared is the world? Identifying weaknesses in existing assessment frameworks for global health security through a One Health approach.
Traore, Tieble; Shanks, Sarah; Haider, Najmul; Ahmed, Kanza; Jain, Vageesh; Rüegg, Simon R; Razavi, Ahmed; Kock, Richard; Erondu, Ngozi; Rahman-Shepherd, Afifah; Yavlinsky, Alexei; Mboera, Leonard; Asogun, Danny; McHugh, Timothy D; Elton, Linzy; Oyebanji, Oyeronke; Okunromade, Oyeladun; Ansumana, Rashid; Djingarey, Mamoudou Harouna; Ali Ahmed, Yahaya; Diallo, Amadou Bailo; Balde, Thierno; Talisuna, Ambrose; Ntoumi, Francine; Zumla, Alimuddin; Heymann, David; Fall, Ibrahima Socé; Dar, Osman.
Afiliación
  • Traore T; WHO Emergency Preparedness and Response Cluster, WHO Regional Office for Africa, Dakar Hub, Dakar, Senegal. Electronic address: traoret@who.int.
  • Shanks S; Institute of Zoology, Zoological Society of London, London, UK.
  • Haider N; Royal Veterinary College, University of London, London, UK; School of Life Sciences, Keele University, Keele, UK.
  • Ahmed K; Global Operations, UK Health Security Agency, London, UK.
  • Jain V; Institute for Global Health, University College London, London, UK.
  • Rüegg SR; Vetsuisse Faculty, University of Zurich, Zurich, Switzerland.
  • Razavi A; Global Operations, UK Health Security Agency, London, UK.
  • Kock R; Royal Veterinary College, University of London, London, UK.
  • Erondu N; O'Neill Institute for National and Global Health Law, Georgetown University Law Center, Washington, DC, USA.
  • Rahman-Shepherd A; Global Health Programme, Royal Institute of International Affairs, London, UK.
  • Yavlinsky A; Infectious Disease Informatics, Institute of Health Informatics, University College London, London, UK.
  • Mboera L; Southern African Centre for Infectious Disease Surveillance Foundation for One Health, Morogoro, Tanzania.
  • Asogun D; Ekpoma and Irrua Specialist Teaching Hospital, Ambrose Alli University, Irrua, Nigeria.
  • McHugh TD; Centre for Clinical Microbiology, Division of Infection and Immunity, University College London, London, UK.
  • Elton L; Centre for Clinical Microbiology, Division of Infection and Immunity, University College London, London, UK.
  • Oyebanji O; Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK.
  • Okunromade O; Nigeria Centre for Disease Control, Abuja, Nigeria.
  • Ansumana R; School of Community Health Sciences, Niala University, Bo Campus, Bo, Sierra Leone.
  • Djingarey MH; WHO Emergency Preparedness and Response Cluster, WHO Regional Office for Africa, Brazzaville, Republic of the Congo.
  • Ali Ahmed Y; WHO Emergency Preparedness and Response Cluster, WHO Regional Office for Africa, Brazzaville, Republic of the Congo.
  • Diallo AB; WHO Emergency Preparedness and Response Cluster, WHO Regional Office for Africa, Dakar Hub, Dakar, Senegal.
  • Balde T; WHO Emergency Preparedness and Response Cluster, WHO Regional Office for Africa, Brazzaville, Republic of the Congo.
  • Talisuna A; WHO Emergency Preparedness and Response Cluster, WHO Regional Office for Africa, Brazzaville, Republic of the Congo.
  • Ntoumi F; Fondation Congolaise pour la Recherche Médicale, Brazzaville, Republic of the Congo; Institute for Tropical Medicine, University of Tübingen, Tübingen, Germany.
  • 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.
  • Heymann D; Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, UK.
  • Fall IS; Emergency Response, WHO, Geneva, Switzerland.
  • Dar O; Global Operations, UK Health Security Agency, London, UK; Global Health Programme, Royal Institute of International Affairs, London, UK.
Lancet ; 401(10377): 673-687, 2023 02 25.
Article en En | MEDLINE | ID: mdl-36682374
The COVID-19 pandemic has exposed faults in the way we assess preparedness and response capacities for public health emergencies. Existing frameworks are limited in scope, and do not sufficiently consider complex social, economic, political, regulatory, and ecological factors. One Health, through its focus on the links among humans, animals, and ecosystems, is a valuable approach through which existing assessment frameworks can be analysed and new ways forward proposed. Although in the past few years advances have been made in assessment tools such as the International Health Regulations Joint External Evaluation, a rapid and radical increase in ambition is required. To sufficiently account for the range of complex systems in which health emergencies occur, assessments should consider how problems are defined across stakeholders and the wider sociopolitical environments in which structures and institutions operate. Current frameworks do little to consider anthropogenic factors in disease emergence or address the full array of health security hazards across the social-ecological system. A complex and interdependent set of challenges threaten human, animal, and ecosystem health, and we cannot afford to overlook important contextual factors, or the determinants of these shared threats. Health security assessment frameworks should therefore ensure that the process undertaken to prioritise and build capacity adheres to core One Health principles and that interventions and outcomes are assessed in terms of added value, trade-offs, and cobenefits across human, animal, and environmental health systems.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Salud Única / COVID-19 Tipo de estudio: Prognostic_studies Límite: Animals / Humans Idioma: En Revista: Lancet Año: 2023 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Salud Única / COVID-19 Tipo de estudio: Prognostic_studies Límite: Animals / Humans Idioma: En Revista: Lancet Año: 2023 Tipo del documento: Article Pais de publicación: Reino Unido