气候变化领域集成服务门户(CCPortal): Global and regional governance of One Health and implications for global health security

CCPortal

DOI	10.1016/S0140-6736(22)01597-5
	Global and regional governance of One Health and implications for global health security
	Elnaiem, Azza; Mohamed-Ahmed, Olaa; Zumla, Alimuddin; Mecaskey, Jeffrey; Charron, Nora; Abakar, Mahamat Fayiz; Raji, Tajudeen; Bahalim, Ammad; Manikam, Logan; Risk, Omar; Okereke, Ebere; Squires, Neil; Nkengasong, John; Rueegg, Simon R.; Hamid, Muzamil M. Abdel; Osman, Abdinasir Y.; Kapata, Nathan; Alders, Robyn; Heymann, David L.; Kock, Richard; Dar, Osman
发表日期	2023
ISSN	0140-6736
EISSN	1474-547X
起始页码	688
结束页码	704
卷号	401 期号:10377
英文摘要	The apparent failure of global health security to prevent or prepare for the COVID-19 pandemic has highlighted the need for closer cooperation between human, animal (domestic and wildlife), and environmental health sectors. However, the many institutions, processes, regulatory frameworks, and legal instruments with direct and indirect roles in the global governance of One Health have led to a fragmented, global, multilateral health security architecture. We explore four challenges: first, the sectoral, professional, and institutional silos and tensions existing between human, animal, and environmental health; second, the challenge that the international legal system, state sovereignty, and existing legal instruments pose for the governance of One Health; third, the power dynamics and asymmetry in power between countries represented in multilateral institutions and their impact on priority setting; and finally, the current financing mechanisms that predominantly focus on response to crises, and the chronic underinvestment for epidemic and emergency prevention, mitigation, and preparedness activities. We illustrate the global and regional dimensions to these four challenges and how they relate to national needs and priorities through three case studies on compulsory licensing, the governance of water resources in the Lake Chad Basin, and the desert locust infestation in east Africa. Finally, we propose 12 recommendations for the global community to address these challenges. Despite its broad and holistic agenda, One Health continues to be dominated by human and domestic animal health experts. Substantial efforts should be made to address the social-ecological drivers of health emergencies including outbreaks of emerging, re-emerging, and endemic infectious diseases. These drivers include climate change, biodiversity loss, and land-use change, and therefore require effective and enforceable legislation, investment, capacity building, and integration of other sectors and professionals beyond health.
语种	英语
WOS研究方向	Medicine, General & Internal
WOS类目	Science Citation Index Expanded (SCI-EXPANDED)
WOS记录号	WOS:000945230700001
来源期刊	LANCET
文献类型	期刊论文
条目标识符	http://gcip.llas.ac.cn/handle/2XKMVOVA/281414
作者单位	UK Health Security Agency (UKHSA); University of Oxford; University of London; University College London; University College London Hospitals NHS Foundation Trust; University of London; University College London; Harvard University; Harvard T.H. Chan School of Public Health; University of Zurich; University of Khartoum; University of London; University of London Royal Veterinary College; Australian National University; University of London; London School of Hygiene & Tropical Medicine; UK Health Security Agency (UKHSA)
推荐引用方式 GB/T 7714	Elnaiem, Azza,Mohamed-Ahmed, Olaa,Zumla, Alimuddin,et al. Global and regional governance of One Health and implications for global health security[J],2023,401(10377).
APA	Elnaiem, Azza.,Mohamed-Ahmed, Olaa.,Zumla, Alimuddin.,Mecaskey, Jeffrey.,Charron, Nora.,...&Dar, Osman.(2023).Global and regional governance of One Health and implications for global health security.LANCET,401(10377).
MLA	Elnaiem, Azza,et al."Global and regional governance of One Health and implications for global health security".LANCET 401.10377(2023).