PDF(Pubmed)
Abstract：
The global pandemic caused by the coronavirus disease 2019 not only exposed the fragility of global preparedness and response to public health emergence, but also illustrated the fragmentation and gaps of research and development ecosystem. This emphasizes the need for planned actions against the potentiality of new pandemics and requires research to better understand how viruses bridge the animal/human divide making human-to-human transmission of new diseases possible. Major challenges to response to new epidemics under the current health framework reside in the so called 4-CC approach that focuses on Concept, Communication, Coherence, and Continuity. There is a need to also add a One Health perspective with emphasis on governance, surveillance, capacity building and multi-disciplinary research to achieve a holistic and better integrated system. Using a regulatory framework to equip professionals might facilitate the function of a multi-sector approach that recognizes the value of their mandates and a One Health approach in their work. Collaborative, multisectoral actions under the global regulations and guidance would make evidence-based One Health approaches sustainable and accessible to everyone.
摘要：
2019年冠状病毒病引起的全球大流行不仅暴露了全球准备和应对公共卫生的脆弱性，但也说明了研究和开发生态系统的碎片化和差距。这强调有必要采取有计划的行动来应对新的流行病的潜力，并需要进行研究以更好地了解病毒如何弥合动物/人类的鸿沟，从而使新疾病的人与人之间的传播成为可能。当前卫生框架下应对新流行病的主要挑战在于所谓的4-CC方法，该方法侧重于概念，Communication,连贯性,和连续性。还需要增加一个单一健康的观点，强调治理，监视,能力建设和多学科研究，以实现一个整体和更好的综合系统。使用监管框架来装备专业人员可能会促进多部门方法的功能，该方法认识到其任务的价值，并在其工作中采用“一个健康”方法。协作,全球法规和指导下的多部门行动将使以证据为基础的“一个健康”方法可持续，并为所有人所用。
