Health and sustainable development: challenges and opportunities of ecosystem approaches in the prevention and control of dengue and Chagas disease
Health and sustainable development: challenges and opportunities of ecosystem approaches in the prevention and control of dengue and Chagas disease
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DOI：
10.1590/s0102-311x2009001300014
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发表时间：
2009-01-01
期刊：
影响因子：
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通讯作者：
Charron, Dominique
中科院分区：
文献类型：
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作者：
Boischio, Ana;Sánchez, Andrés;Charron, Dominique
一个健康的人生活在健康的生态系统中的世界已证明是可持续发展议程的一个难以实现的目标。许多基于科学的评估一致认为，人的健康、经济和环境之间存在着根本的相互依存关系，迫切需要在全球和地方各级采取基于多部门参与性办法的更坚定和协调一致的行动。要使知识与政策相关并能够促进健康和可持续的发展，就必须考虑到生态和社会系统之间动态和复杂的相互作用（系统思维），而且必须与发展行动相联系。这反过来又要求决策者、研究人员和民间社会之间加强互动和交流（多方利益攸关方参与进程）;利用不同学科和不同种类的知识（跨学科办法）。人类健康的生态系统方法（生态健康）将这些要素联系在一个可适应的研究和行动框架中。本文概述了适用于病媒传播疾病的生态健康研究方法，特别关注多方利益攸关方的参与，因为它在可持续发展政策讨论中占有重要地位。
A world of healthy people living in healthy ecosystems has proven to be an elusive goal of the sustainable development agenda. Numerous science-based assessments agree on the fundamental interdependence between people's health, the economy, and the environment, and on the urgency for more determined and concerted action based on multi-sector participatory approaches at the global and local levels. For knowledge to be policy-relevant and capable of contributing to healthy and sustainable development, it must take into account the dynamic and complex interactions between ecological and social systems (systems thinking), and it must be linked to development actions. This in turn requires greater interaction and exchange between decision-makers, researchers and civil society (a multi-stakeholder participatory process); and the harnessing of different disciplines and of different kinds of knowledge (a transdisciplinary approach). Ecosystem approaches to human health (ecohealth) link these elements in an adaptable framework for research and action. This paper presents an overview of ecohealth research approaches applied to vector-borne diseases, with particular attention to multi-stakeholder participation given its prominence in the sustainable development policy discourse.