Benefits of a one health approach: An example using Rift Valley fever.

Benefits of a one health approach: An example using Rift Valley fever.
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DOI:
10.1016/j.onehlt.2018.01.001
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发表时间:
2018-06
期刊:
One health (Amsterdam, Netherlands)
影响因子:
--
通讯作者:
Karesh WB
Karesh WB
中科院分区:
其他
文献类型:
--
作者:
Rostal MK;Ross N;Machalaba C;Cordel C;Paweska JT;Karesh WB

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国际机构一直在促进“一个健康”,将其作为改善公共卫生成果的框架。尽管总体上对“一个健康”有强烈兴趣,但国家、地方和项目各级的执行仍然有限,这可能是由于缺乏务实和经过检验的执行业务方法和评价指标。在这里,我们使用裂谷热病毒作为一个例子,以证明使用一个健康的方法的科学和资源优势的价值。我们表明,协调,一个卫生部门之间的先验调查可以产生更高的统计能力,阐明重要的公共卫生关系相比,孤立的调查和事后分析。同样,我们证明,在一个项目或多部委的卫生研究中,一个健康的方法可以提高资源效率,从而节省成本(35%)。这些分析的结果表明,“一个健康”办法可以直接和切实地应用于健康调查。采用“一个健康”办法进行健康调查带来了巨大的好处。一个先验的一个健康调查设计可以增加统计能力。通过一个健康资源效率实现了35%的成本节约。
One Health has been promoted by international institutions as a framework to improve public health outcomes. Despite strong overall interest in One Health, country-, local- and project-level implementation remains limited, likely due to the lack of pragmatic and tested operational methods for implementation and metrics for evaluation. Here we use Rift Valley fever virus as an example to demonstrate the value of using a One Health approach for both scientific and resources advantages. We demonstrate that coordinated, a priori investigations between One Health sectors can yield higher statistical power to elucidate important public health relationships as compared to siloed investigations and post-hoc analyses. Likewise, we demonstrate that across a project or multi-ministry health study a One Health approach can result in improved resource efficiency, with resultant cost-savings (35% in the presented case). The results of these analyses demonstrate that One Health approaches can be directly and tangibly applied to health investigations. Tangible benefits were seen with a One Health approach to health investigations. An a priori One Health investigation design can increase the statistical power. A 35% cost-savings was achieved through One Health resource efficiency.
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