One Health and planetary health research: leveraging differences to grow together

Castañeda, Rafael Ruiz de; Villers, Jennifer; Guzmán, C.; Eslanloo, Turan; Paula, Nicole de; Machalaba, Catherine; Zinsstag, Jakob; Utzinger, Jürg; Flahault, Antoine; Bolon, Isabelle

doi:10.1016/s2542-5196(23)00002-5

Cited by 36 publications

(19 citation statements)

References 8 publications

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“…16,17 Smaller labs servicing local catchment areas provide an invaluable resource to contribute to national diagnostic surveillance, whether private, public, academic, or cross-sectoral, such as veterinary or environmental testing facilities. The expansion of this One Health approach to health, for everything ranging from research and discovery 18,19 to the diagnosis of zoonotic pathogens, 20 is a key to ensuring that systems can operate together smoothly in the event of another pandemic occurring. The expansion of COVID-19 testing from national laboratory facilities to sub-national regions was a success story in the region, with capacity expanding from a limited number of national facilities to 200 or more sub-national laboratories, which resulted in near 100% coverage of the region.…”

Section: Whomentioning

confidence: 99%

Monitoring the quality of SARS‐CoV‐2 virus detection in molecular diagnostic laboratories in the Eastern Mediterranean Region during the COVID‐19 pandemic

Meredith,

Aboualy,

Ochola

et al. 2023

Influenza Resp Viruses

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IntroductionThe COVID‐19 pandemic placed unprecedented stress on laboratories in the Eastern Mediterranean Region. Building on existing capacity for influenza diagnostics, countries introduced COVID‐19 diagnostic support to ~100% regional coverage. A key challenge during the expansion was maintaining quality testing in laboratories, ensuring that correct results were shared with medical facilities.MethodsWHO organized two rounds of independently monitored severe acute respiratory syndrome coronavirus‐2 (SARS‐CoV‐2) external quality assurance programs (EQAP). The Public Health Laboratory (PHL) division of WHO supplied external quality assurance (EQA) panels, from the Royal College of Pathologists of Australasia Quality Assurance Programme (RCPAQAP) Australia to laboratories not enrolled in recurring Global Influenza Surveillance and Response System (GISRS) quality assurance programs, in which national influenza centers routinely participate.ResultsFifteen and 14 countries participated in PHL/EQAP for SARS‐CoV‐2 between 2020 and 2022. Concordance was consistent between rounds, reaching 96.4% and 89.9%. A separate assessment of GISRS/EQAP to national‐level laboratories identified high levels of response and concordance for SARS‐CoV‐2 (100% response, 93% concordance), which was reduced for influenza (50% response rate, 80% concordance), reflecting the challenge of prioritizing pathogens during outbreaks.ConclusionThe proliferation of laboratories in response to COVID‐19 was a success story from the pandemic. However, monitoring the quality of laboratories was challenging via existing EQAP. The addition of PHL/EQAP provided a mechanism to monitor performance of laboratories that were not designated as national influenza centers. While a high proportion of laboratories attained good results, continual emphasis on quality and enrollment in EQAP is key to ensuring sustainability of laboratory testing in future.

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Section: Whomentioning

confidence: 99%

Monitoring the quality of SARS‐CoV‐2 virus detection in molecular diagnostic laboratories in the Eastern Mediterranean Region during the COVID‐19 pandemic

Meredith,

Aboualy,

Ochola

et al. 2023

Influenza Resp Viruses

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“…One Health is rooted in effective communication, collaboration, coordination, and capacity building (hereinafter known as ‘the four Cs of One Health’), between people from different sectors, backgrounds and disciplines in society [ 1 ] and is gaining momentum as a practical approach at the local, national, and global levels. Conversely, Planetary Health encompasses a broader view that includes the interactions between human civilization, ecosystems, and the Earth's natural systems [ 2 ]. Both approaches, however, recognise the vital importance of understanding and addressing these complex interactions to promote improved well-being and health of the planet.…”

Section: Introductionmentioning

confidence: 99%

Current evidence of the economic value of One Health initiatives: A systematic literature review

Auplish,

Raj,

Booijink

et al. 2024

One Health

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“…In this context, Planetary Health (PH) emerges as an expanding transdisciplinary field and social movement. It highlights the intrinsic interdependencies between human health and the health of Earth's ecosystems, with an overarching goal of global equity [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Systems approach in planetary health education for medical students: a mixed methods study

Zandavalli,

Stein,

de Camargo

2024

BMC Med Educ

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Background Introducing students to the "planetary health lenses" perspective is crucial. Comprehensive strategies for teaching this perspective are lacking, especially in the domains of "interconnection within nature (IWN)" and "systems thinking/complexity." There is also a scarcity of studies assessing medical students' opinions on planetary health and evaluating teaching strategies. Objective To understand Brazilian medical students' perceptions and knowledge of planetary health (PH) and evaluate the application of the educational material "Patient and Clinic through the Lens of Planetary Health," which addresses "IWN" and "complexity" through the sociological lens of Actor-Network Theory, in an integrative course at a medical school in Brazil. Methods A mixed-methods, quasi-experimental design involving two medical student classes during 2022/2023. Participants completed a questionnaire on sociodemographic data; pre- and post-intervention closed-ended questions about perceptions related to PH, and an open-ended questionnaire on experience and learning. Each student group presented a portfolio under the planetary health lenses regarding a real patient, developing a network diagram that described the social network involving both human and non-human actors with which this person is interconnected. The cohorts participated in "IWN" activities: a contemplative trail or reflection on belonging to the planet. Results Ninety-six students and 9 professors participated. The majority of students (66.7%) reported significant or extremely significant learning from the sessions. There was an increase in perception of the need for physicians to incorporate PH into their clinical practice (p = 0.002; r = 0.46) and an intensification of the sense of interconnection with the environment (p = 0.003; r = 0.46). There was a gain in knowledge about how many diseases were related to PH (p < 0.02 for all 13 listed diseases). The majority (83%) found the sessions relevant or highly relevant and commented on their impact, both professionally and personally. Conclusions Teaching PH in a medical school allowed students to learn from the patient's perspective, considering psychosocial and environmental determinants, about the intrinsic interdependence between population's health and PH. This strategy made a significant contribution by proposing pioneering didactics and offering valuable insights into the challenges and nuances of teaching PH.

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One Health and planetary health research: leveraging differences to grow together

Cited by 36 publications

References 8 publications

Monitoring the quality of SARS‐CoV‐2 virus detection in molecular diagnostic laboratories in the Eastern Mediterranean Region during the COVID‐19 pandemic

Monitoring the quality of SARS‐CoV‐2 virus detection in molecular diagnostic laboratories in the Eastern Mediterranean Region during the COVID‐19 pandemic

Current evidence of the economic value of One Health initiatives: A systematic literature review

Systems approach in planetary health education for medical students: a mixed methods study

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