UNASSIGNED: Built upon extensive expert consultations and dialogues, this follow-up study enhances the 2022 global One Health index (GOHI) indicator system. The GOHI framework is enriched by covering three indices, e.g. external drivers index (EDI), intrinsic drivers index (IDI), and core drivers index (CDI). The comprehensive indicator system incorporates 13 key indicators, 50 indicators, and 170 sub I-indicators, utilizing a fuzzy analytic hierarchy process to ascertain the weight for each indicator. Weighted and summed, the EDI, IDI, and CDI scores contribute to the computation of the overall GOHI 2022 score. By comparing the ranking and the overall scores among the seven regions and across 160 countries/territories, we have not only derived an overall profile of the GOHI 2022 scores, but also assessed the GOHI framework. We also compared rankings of indicators and sub I-indicators to provide greater clarity on the strengths and weaknesses of each region within the One Health domains.
UNASSIGNED: The GOHI 2022 performance reveals significant disparities between countries/territories ranged from 39.03 to 70.61. The global average score of the GOHI 2022 is 54.82. The average score for EDI, IDI, and CDI are 46.57, 58.01, and 57.25, respectively. In terms of global rankings, countries from North America, Europe and Central Asia, East Asia and Pacific present higher scores. In terms of One Health domains of CDI, the lowest scores are observed in antimicrobial resistance (median: 43.09), followed by food security (median: 53.78), governance (median: 54.77), climate change (median: 64.12) and zoonotic diseases (median: 69.23). Globally, the scores of GOHI vary spatially, with the highest score in North America while lowest in sub-Saharan Africa. In addition, evidence shows associations between the socio-demographic profile of countries/territories and their GOHI performance in certain One Health scenarios.
UNASSIGNED: The objective of GOHI is to guide impactful strategies for enhancing capacity building in One Health. With advanced technology and an annually updated database, intensifying efforts to refine GOHI\'s data-mining methodologies become imperative. The goal is to offer profound insights into disparities and progressions in practical One Health implementation, particularly in anticipation of future pandemics.
■建立在广泛的专家咨询和对话的基础上,这项后续研究增强了2022年全球一个健康指数(GOHI)指标体系。GOHI框架涵盖了三个指数,例如,外部驱动程序索引(EDI),内在驱动因素指数(IDI),和核心驱动因素指数(CDI)。综合指标体系纳入了13项关键指标,50个指标,和170个子I指标,利用模糊层次分析法确定各指标的权重。加权和求和,EDI,IDI,和CDI分数有助于计算GOHI2022总得分。通过比较七个地区和160个国家/地区的排名和总分,我们不仅得出了GOHI2022分数的总体概况,还评估了GOHI框架。我们还比较了指标和I-子指标的排名,以更清楚地了解“一个健康”领域内每个地区的优势和劣势。
■GOHI2022的表现显示,国家/地区之间的显着差异在39.03至70.61之间。GOHI2022的全球平均得分为54.82。EDI的平均分,IDI,CDI分别为46.57、58.01和57.25。就全球排名而言,来自北美的国家,欧洲和中亚,东亚和太平洋地区的得分较高。就CDI的一个健康领域而言,抗菌素耐药性得分最低(中位数:43.09),其次是粮食安全(中位数:53.78),治理(中位数:54.77),气候变化(中位数:64.12)和人畜共患疾病(中位数:69.23)。全球范围内,GOHI的分数在空间上有所不同,在北美得分最高,而在撒哈拉以南非洲地区得分最低。此外,有证据表明,国家/地区的社会人口统计学特征与其在某些“一种健康”情景中的GOHI表现之间存在关联。
■GOHI的目标是指导有效的战略,以加强OneHealth的能力建设。凭借先进的技术和每年更新的数据库,加大力度完善GOHI的数据挖掘方法变得势在必行。目标是对实际实施“一个健康”的差距和进展提供深刻的见解,特别是对未来流行病的预测。