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Hobeika A, Stauffer MHT, Dub T, van Bortel W, Beniston M, Bukachi S, Burci GL, Crump L, Markotter W, Sepe LP, Placella E, Roche B, Thiongane O, Wang Z, Guérin F, van Kleef E. The values and risks of an Intergovernmental Panel for One Health to strengthen pandemic prevention, preparedness, and response. Lancet Glob Health 2023; 11:e1301-e1307. [PMID: 37474236 DOI: 10.1016/s2214-109x(23)00246-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2022] [Revised: 05/08/2023] [Accepted: 05/19/2023] [Indexed: 07/22/2023]
Abstract
The COVID-19 pandemic has shown the need for better global governance of pandemic prevention, preparedness, and response (PPR) and has emphasised the importance of organised knowledge production and uptake. In this Health Policy, we assess the potential values and risks of establishing an Intergovernmental Panel for One Health (IPOH). Similar to the Intergovernmental Panel on Climate Change, an IPOH would facilitate knowledge uptake in policy making via a multisectoral approach, and hence support the addressing of infectious disease emergence and re-emergence at the human-animal-environment interface. The potential benefits to pandemic PPR include a clear, unified, and authoritative voice from the scientific community, support to help donors and institutions to prioritise their investments, evidence-based policies for implementation, and guidance on defragmenting the global health system. Potential risks include a scope not encompassing all pandemic origins, unclear efficacy in fostering knowledge uptake by policy makers, potentially inadequate speed in facilitating response efforts, and coordination challenges among an already dense set of stakeholders. We recommend weighing these factors when designing institutional reforms for a more effective global health system.
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Affiliation(s)
- Alexandre Hobeika
- UMR MoISA, CIRAD, Montpellier, France; MoISA, University of Montpellier, Montpellier, France; CIHEAM-IAMM, INRAE, Institut Agro, Montpellier, France
| | - Maxime Henri Tibault Stauffer
- Geneva Science-Policy Interface, University of Geneva, Geneva, Switzerland; Simon Institute for Longterm Governance, Geneva, Switzerland
| | - Timothée Dub
- Department of Health Security, Finnish Institute for Health and Welfare, Helsinki, Finland
| | - Wim van Bortel
- Department of Biomedical Sciences, Institute of Tropical Medicine, Antwerp, Belgium
| | - Martin Beniston
- Institute for Environmental Sciences, University of Geneva, Geneva, Switzerland
| | - Salome Bukachi
- Institute of Anthropology, Gender and African Studies, University of Nairobi, Nairobi, Kenya
| | - Gian Luca Burci
- Graduate Institute of International and Development Studies, Geneva, Switzerland
| | - Lisa Crump
- Swiss Tropical and Public Health Institute, Allschwil, Switzerland; Human and Animal Health Unit, University of Basel, Basel, Switzerland
| | - Wanda Markotter
- Centre for Viral Zoonoses, Department of Medical Virology, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa
| | - Ludovico Pasquale Sepe
- Department of Biological Safety, German Federal Institute for Risk Assessment (BfR), Berlin, Germany
| | | | - Benjamin Roche
- Research Institute for Development, PREZODE Initiative, Montpellier, France
| | | | - Zhanyun Wang
- Empa-Swiss Federal Laboratories for Materials Science and Technology, Technology and Society Laboratory, St Gallen, Switzerland
| | - Frédérique Guérin
- Geneva Science-Policy Interface, University of Geneva, Geneva, Switzerland
| | - Esther van Kleef
- Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium; Julius Center for Health Sciences and Primary Care, Utrecht University, Utrecht, Netherlands.
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Grietens KP, Xuan XN, Ribera J, Duc TN, Bortel WV, Ba NT, Van KP, Xuan HL, D'Alessandro U, Erhart A. Social determinants of long lasting insecticidal hammock use among the Ra-glai ethnic minority in Vietnam: implications for forest malaria control. PLoS One 2012; 7:e29991. [PMID: 22253852 PMCID: PMC3257264 DOI: 10.1371/journal.pone.0029991] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2011] [Accepted: 12/09/2011] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Long-lasting insecticidal hammocks (LLIHs) are being evaluated as an additional malaria prevention tool in settings where standard control strategies have a limited impact. This is the case among the Ra-glai ethnic minority communities of Ninh Thuan, one of the forested and mountainous provinces of Central Vietnam where malaria morbidity persist due to the sylvatic nature of the main malaria vector An. dirus and the dependence of the population on the forest for subsistence--as is the case for many impoverished ethnic minorities in Southeast Asia. METHODS A social science study was carried out ancillary to a community-based cluster randomized trial on the effectiveness of LLIHs to control forest malaria. The social science research strategy consisted of a mixed methods study triangulating qualitative data from focused ethnography and quantitative data collected during a malariometric cross-sectional survey on a random sample of 2,045 study participants. RESULTS To meet work requirements during the labor intensive malaria transmission and rainy season, Ra-glai slash and burn farmers combine living in government supported villages along the road with a second home at their fields located in the forest. LLIH use was evaluated in both locations. During daytime, LLIH use at village level was reported by 69.3% of all respondents, and in forest fields this was 73.2%. In the evening, 54.1% used the LLIHs in the villages, while at the fields this was 20.7%. At night, LLIH use was minimal, regardless of the location (village 4.4%; forest 6.4%). DISCUSSION Despite the free distribution of insecticide-treated nets (ITNs) and LLIHs, around half the local population remains largely unprotected when sleeping in their forest plot huts. In order to tackle forest malaria more effectively, control policies should explicitly target forest fields where ethnic minority farmers are more vulnerable to malaria.
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Braks M, van der Giessen J, Kretzschmar M, van Pelt W, Scholte EJ, Reusken C, Zeller H, van Bortel W, Sprong H. Towards an integrated approach in surveillance of vector-borne diseases in Europe. Parasit Vectors 2011; 4:192. [PMID: 21967706 PMCID: PMC3199249 DOI: 10.1186/1756-3305-4-192] [Citation(s) in RCA: 59] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2011] [Accepted: 10/03/2011] [Indexed: 11/10/2022] Open
Abstract
Vector borne disease (VBD) emergence is a complex and dynamic process. Interactions between multiple disciplines and responsible health and environmental authorities are often needed for an effective early warning, surveillance and control of vectors and the diseases they transmit. To fully appreciate this complexity, integrated knowledge about the human and the vector population is desirable. In the current paper, important parameters and terms of both public health and medical entomology are defined in order to establish a common language that facilitates collaboration between the two disciplines. Special focus is put on the different VBD contexts with respect to the current presence or absence of the disease, the pathogen and the vector in a given location. Depending on the context, whether a VBD is endemic or not, surveillance activities are required to assess disease burden or threat, respectively. Following a decision for action, surveillance activities continue to assess trends.
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Affiliation(s)
- Marieta Braks
- Laboratory for Zoonoses and Environmental Microbiology, National Institute for Public Health and Environment (RIVM), Antonie van Leeuwenhoeklaan 9, Bilthoven, the Netherlands.
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