A planetary health innovation for disease, food and water challenges in Africa
A planetary health innovation for disease, food and water challenges in Africa
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针对非洲疾病、粮食和水挑战的全球健康创新
DOI：
10.1038/s41586-023-06313-z
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发表时间：
2023
期刊：
影响因子：
64.8
通讯作者：
De Leo, Giulio A.
中科院分区：
文献类型：
--
作者：
Rohr, Jason R.;Sack, Alexandra;Bakhoum, Sidy;Barrett, Christopher B.;Lopez-Carr, David;Chamberlin, Andrew J.;Civitello, David J.;Diatta, Cledor;Doruska, Molly J.;De Leo, Giulio A.
全球低收入和中等收入国家的许多社区缺乏可持续、具有成本效益和互利的解决方案来应对传染病、粮食、水和贫困挑战，尽管它们之间存在固有的相互依存关系，，-。在这里，我们提供了支持的假设，即在西非的农业发展和化肥的使用增加了寄生虫病血吸虫病的负担，通过推动淹没水生植被的增长，窒息了水的接入点，并作为淡水蜗牛的栖息地，传播血吸虫病全球超过2亿人。在一项集群随机对照试验（ClinicalTrials.gov：NCT 03187366）中，我们从16个村庄中的8个村庄（即集群）的供水点移除了入侵性淹没植被，对照地点的学童血吸虫感染率是移除地点的1.46倍，开放水域的访问量较低。植被的清除对当地水质或淡水生物多样性没有任何可察觉的长期不利影响。在饲养试验中，去除的植被与传统的牲畜饲料一样有效，但便宜41至179倍，将植被转化为堆肥提供了私人作物生产和总（公共卫生加上作物生产效益）的效益成本比分别高达4.0和8.8。因此，这种方法产生了一种经济激励--具有重要的公共卫生共同利益--来维持清洁的水道，并将水生植物中捕获的营养物质返回农业，有望打破贫困-疾病陷阱。为了便于干预的目标和规模，我们奠定了基础，利用遥感技术来检测蜗牛栖息地。通过提供一种罕见的、有利可图的、双赢的方法来解决粮食和水的获取、减贫、传染病控制和环境可持续性问题，我们希望激发跨学科的探索，为二十一世纪世纪许多艰巨的、相互依存的全球重大挑战寻找全球健康解决方案。
Many communities in low- and middle-income countries globally lack sustainable, cost-effective and mutually beneficial solutions for infectious disease, food, water and poverty challenges, despite their inherent interdependence, , , , , –. Here we provide support for the hypothesis that agricultural development and fertilizer use in West Africa increase the burden of the parasitic disease schistosomiasis by fuelling the growth of submerged aquatic vegetation that chokes out water access points and serves as habitat for freshwater snails that transmitSchistosomaparasites to more than 200 million people globally, –. In a cluster randomized controlled trial (ClinicalTrials.gov: NCT03187366) in which we removed invasive submerged vegetation from water points at 8 of 16 villages (that is, clusters), control sites had 1.46 times higher intestinalSchistosomainfection rates in schoolchildren and lower open water access than removal sites. Vegetation removal did not have any detectable long-term adverse effects on local water quality or freshwater biodiversity. In feeding trials, the removed vegetation was as effective as traditional livestock feed but 41 to 179 times cheaper and converting the vegetation to compost provided private crop production and total (public health plus crop production benefits) benefit-to-cost ratios as high as 4.0 and 8.8, respectively. Thus, the approach yielded an economic incentive—with important public health co-benefits—to maintain cleared waterways and return nutrients captured in aquatic plants back to agriculture with promise of breaking poverty–disease traps. To facilitate targeting and scaling of the intervention, we lay the foundation for using remote sensing technology to detect snail habitats. By offering a rare, profitable, win–win approach to addressing food and water access, poverty alleviation, infectious disease control and environmental sustainability, we hope to inspire the interdisciplinary search for planetary health solutions to the many and formidable, co-dependent global grand challenges of the twenty-first century.
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影响因子：
168.9
作者：
Lozano, Rafael;Naghavi, Mohsen;Murray, Christopher J. L.
通讯作者：
Murray, Christopher J. L.
一年中水生植物伊乐藻和金鱼藻的养分含量
DOI：
--
发表时间：
1976
期刊：
Hydrobiological Bulletin
影响因子：
--
作者：
P. Best
通讯作者：
P. Best
转变粮食系统，以实现粮食安全、改善营养和人人享有负担得起的健康饮食
DOI：
--
发表时间：
2021
期刊：
影响因子：
--
作者：
C. Seifert;M. Roberts;D. Lobell
通讯作者：
D. Lobell
影响因子：
2.7
作者：
King, Charles H.
通讯作者：
King, Charles H.
全球入侵物种数据库
DOI：
--
发表时间：
2016
期刊：
影响因子：
--
作者：
Peña Contreras
通讯作者：
Peña Contreras