The challenges of implementing an integrated One Health surveillance system in Australia
The challenges of implementing an integrated One Health surveillance system in Australia
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DOI：
10.1111/zph.12433
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发表时间：
2018-02-01
影响因子：
2.4
通讯作者：
Bi, P.
中科院分区：
文献类型：
--
作者：
Johnson, I.;Hansen, A.;Bi, P.
由于75%的新出现的传染病是动物源性的，因此，将人类、动物和环境的健康融为一体的“一个健康”办法可以为人畜共患病的早期发现和预防提供机会。在澳大利亚，人类、动物和生态健康由不同的部门管理，沟通有限。本研究旨在探讨这些领域的专业人士如何看待一个健康的人畜共患病监测方法，旨在确定在澳大利亚实施综合系统的挑战。使用定性研究方法，10个半结构化的采访进行了学术专家，以深入了解在澳大利亚开发一个综合监控系统的可能性。对数据进行了专题分析。研究结果表明，缺乏一个明确的定义和未来的愿景，一个健康行为的跨学科合作的障碍，以及不同部门的孤立的方法限制了专业人员跨学科合作的能力。与会者认为，了解疾病的传播是“一个健康”办法取得成功的必要条件。最后，与会者认为，政治意愿是监测系统一体化的基本要求。这项研究表明，一个健康的方法要在澳大利亚实施，那些在人类，动物和生态健康领域的工作必须在几个方面达成一致。建立一个由各部门代表组成的正式治理机构，有助于克服长期存在的隐私和不信任障碍。此外，为医学，环境和兽医学生开发一个健康概念的跨学科培训可能会鼓励跨学科合作。最后，向政策制定者展示改进和及时检测人畜共患病的经济效益可能有助于促进澳大利亚疾病监测的结构化“一个健康”方法。
As 75 per cent of emerging infectious diseases are of animal origin, a One Health approach that integrates the health of humans, animals and the environment could provide an earlier opportunity for zoonotic disease detection and prevention. In Australia, human, animal and ecological health are managed by separate sectors with limited communication. This study aims to explore how professionals in these fields perceive a One Health approach to zoonotic disease surveillance, aiming to identify the challenges to the implementation of an integrated system in Australia. Using a qualitative research method, ten semistructured interviews were conducted with academic experts to gain insight into the possibility of developing an integrated surveillance system in Australia. A thematic analysis of the data was undertaken. Findings showed the absence of a clear definition and subsequent vision for the future of One Health act as a barrier to interdisciplinary collaboration, and that siloed approaches by different sectors restrict the ability for professionals to work collaboratively across disciplines. An understanding of disease transmission was considered by participants to be a necessary requirement for a successful One Health approach. Finally, participants considered political will an essential requirement for the integration of surveillance systems. This study demonstrates that for a One Health approach to be implemented in an Australian setting, those working in the fields of human, animal and ecological health must agree on several aspects. The establishment of a formal governance body with representatives from each sector could assist in overcoming long-standing barriers of privacy and distrust. Further, developing interdisciplinary training in One Health concepts for medical, environmental and veterinary students may encourage cross-disciplinary collaboration. Finally, demonstrating to policymakers the economic benefit of improved and timely detection of zoonoses may help in facilitating a structured One Health approach to disease surveillance in Australia.