One Health Approach

一种健康方法
  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    纳米科学技术在振兴农业部门和工业方面显示出希望。该工具获得了许多研究人员的兴趣,因为它可以通过为农业领域的不同问题提出持久的解决方案来推动可持续农业。然而,关于其对环境的健康影响的数据很少,植物,动物,和人类。这篇综述评估了纳米科学和技术的成本效益和生产率。该审查从“一个健康”的角度强调了纳米科学和技术对健康的潜在影响。
    Nanoscience and technology have shown promise in revitalizing the agricultural sector and industries. This tool has gained the interest of many researchers as it can be utilized to drive sustainable agriculture by suggesting long-lasting solutions to different problems in the agricultural space. However, there is a paucity of data on its health implications for the environment, plants, animals, and humans. This review evaluated the cost-effectiveness and productivity of nanoscience and technologies. The review highlighted the underlying health implications of nanoscience and technology from a One Health perspective.
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  • 文章类型: Journal Article
    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。
    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.
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  • 文章类型: Journal Article
    废水是抗生素耐药性(AMR)的重要储库,其监测可以提供对AMR人口水平趋势的见解,为公共卫生政策提供信息。本研究比较了两种常见的高通量筛选方法,即(I)高通量定量PCR(HTqPCR),靶向73个抗菌素耐药基因,和(ii)宏基因组测序。每周从威尔士的47个污水处理厂(WWTP)采集废水进水的复合样本,作为国家AMR监测计划的一部分,以及一家大型市政医院每天4周的废水样本。宏基因组分析提供了更全面的耐药性覆盖,通过HTqPCR检测545个基因与靶向的73个基因进行比较。它还提供了对风险评估至关重要的背景信息(即潜在的细菌宿主)。相比之下,HTqPCR表现出更高的灵敏度,定量所有靶向基因,包括那些临床相关的低丰度存在。当限于HTqPCR靶基因时,两种方法都能够反映完整宏基因组抗性组的时空动态,区分医院和污水处理厂。两种方法都揭示了耐药性组成变化与铵废水浓度等环境变量之间的相关性,尽管他们对一些潜在影响因素的解释不同。总的来说,宏基因组学提供了更全面的耐药性分析,而qPCR允许对临床耐药性显著的基因的灵敏定量。我们强调选择与监测目标相一致的适当方法的重要性,以指导制定有效的基于废水的AMR监测计划。
    Wastewater serves as an important reservoir of antimicrobial resistance (AMR), and its surveillance can provide insights into population-level trends in AMR to inform public health policy. This study compared two common high-throughput screening approaches, namely (i) high-throughput quantitative PCR (HT qPCR), targeting 73 antimicrobial resistance genes, and (ii) metagenomic sequencing. Weekly composite samples of wastewater influent were taken from 47 wastewater treatment plants (WWTPs) across Wales, as part of a national AMR surveillance programme, alongside 4 weeks of daily wastewater effluent samples from a large municipal hospital. Metagenomic analysis provided more comprehensive resistome coverage, detecting 545 genes compared to the targeted 73 genes by HT qPCR. It further provided contextual information critical to risk assessment (i.e. potential bacterial hosts). In contrast, HT qPCR exhibited higher sensitivity, quantifying all targeted genes including those of clinical relevance present at low abundance. When limited to the HT qPCR target genes, both methods were able to reflect the spatiotemporal dynamics of the complete metagenomic resistome, distinguishing that of the hospital and the WWTPs. Both approaches revealed correlations between resistome compositional shifts and environmental variables like ammonium wastewater concentration, though differed in their interpretation of some potential influencing factors. Overall, metagenomics provides more comprehensive resistome profiling, while qPCR permits sensitive quantification of genes significant to clinical resistance. We highlight the importance of selecting appropriate methodologies aligned to surveillance aims to guide the development of effective wastewater-based AMR monitoring programmes.
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  • 文章类型: Journal Article
    产生超广谱β-内酰胺酶并表现出多药耐药性(MDR)的肠道沙门氏菌血清变型的出现构成了重大的全球威胁,导致广泛的食源性疾病,并给公共卫生带来令人震惊的问题。本研究特别集中于ESBL抗性基因的分离和鉴定(blaTEM,BLASHV,blaCTX-M1,blaCTX-M2,blaCTX-M9,MultiCaseACC,MultiCaseMOX,MultiCaseDHA,blaOXA)和从孟加拉国零售店购买的山羊肉样品中发现的肠沙门氏菌血清型的抗菌谱分析。在孟加拉国Sylhet区的研究中,研究人员从13个不同的Upazilas收集了总共210个山羊肉样本。首先,使用培养和生化方法从选定的样品中分离细菌。伤寒沙门氏菌和肠炎,以及三个抗ESBL基因,通过聚合酶链反应(PCR)鉴定。圆盘扩散测试用于确定抗微生物敏感性。在分析的210个样本中,沙门氏菌属。检测到18.10%(210人中有38人),在9.05%(210个中的19个)和5.24%(210个中的11个)的样本中发现肠炎沙门氏菌和鼠伤寒沙门氏菌,分别。共有72.73%(8/11)的肠炎沙门氏菌和100%(19/19)的鼠伤寒沙门氏菌呈多重耐药阳性。BlaTEM基因检测到63.16%(19个中的12个)的鼠伤寒沙门氏菌阳性结果,BlaSHV检测到21.05%(4/19)的阳性结果,基因。研究认为,零售山羊肉市场渠道可能是产ESBL多药沙门氏菌肠道血清型的突出传播途径,代表着重大的公共健康危害。
    The emergence of Salmonella enterica serovars that produce extended-spectrum beta-lactamase and exhibit multi-drug resistance (MDR) poses a substantial global threat, contributing to widespread foodborne illnesses and presenting an alarming issue for public health. This study specifically concentrated on the isolation and identification of ESBL-resistant genes (bla TEM, bla SHV, bla CTX-M1, bla CTX-M2, bla CTX-M9, MultiCase ACC, MultiCase MOX, MultiCase DHA, bla OXA) and the antibiogram profiling of Salmonella enterica serovars found in goat meat samples procured from retail outlets in Bangladesh. During the research in the Sylhet district of Bangladesh, researchers gathered a total of 210 samples of goat meat from 13 different Upazilas. Primarily, cultural and biochemical methods were used for isolation of bacteria from the selected samples. Salmonella enterica serovars Typhimurium and Enteritidis, along with three ESBL-resistant genes, were identified through polymerase chain reactions (PCRs). The disk diffusion test was used to determine antimicrobial susceptibilities. Out of 210 samples analysed, Salmonella spp. was detected in 18.10 % (38 out of 210), with S. Enteritidis and S. Typhimurium found in 9.05 % (19 out of 210) and 5.24 % (11 out of 210) of the samples, respectively. A total of 72.73 % (8/11) of S. Enteritidis and 100 % (19/19) of S. Typhimurium isolates were positive by Multidrug-resistant patterns. The positive outcomes were found of S. Typhimurium tested 63.16 % (12 out of 19) for the bla TEM gene and 21.05 % (4/19) for the bla SHV, gene. The study proposes that the retail goat meat market channel could be a prominent transmission way of ESBL-producing MDR Salmonella enterica serovars, representing a significant public health hazard.
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  • 文章类型: Journal Article
    抗菌素耐药性是一个令人担忧的公共卫生问题;它的重要性与重大的临床意义有关(发病率增加,死亡率,疾病持续时间,合并症的发展,和流行病),以及它对医疗保健行业的经济影响。事实上,对许多抗生素具有抗性的细菌的出现和传播严重限制了治疗选择。全球局势令人担忧,特别是鉴于革兰氏阴性菌肺炎克雷伯菌和鲍曼不动杆菌的流行,这些细菌经常在医院环境中被分离,更具体地说,在重症监护病房。该问题由于经常自我开处方治疗的患者对感染的无效治疗而变得更加复杂。耐药细菌也表现出对最新一代抗生素的耐药性,如碳青霉烯类。事实上,超级细菌,以首字母缩写词扩展谱β-内酰胺酶(ESBL)分组,正在变得普通。在畜牧业中也发现了抗生素耐药性,对动物生产产生严重影响。总的来说,这种现象影响到生物圈的所有成员,只能通过采用整体的“一个健康”方法来解决。在这篇文献综述中,收集了关于抗生素耐药性的知识,并提出了阻止其发展的建议。
    Antimicrobial resistance represents an alarming public health problem; its importance is related to the significant clinical implications (increased morbidity, mortality, disease duration, development of comorbidities, and epidemics), as well as its economic effects on the healthcare sector. In fact, therapeutic options are severely limited by the advent and spread of germs resistant to many antibiotics. The situation worldwide is worrying, especially in light of the prevalence of Gram-negative bacteria-Klebsiella pneumoniae and Acinetobacter baumannii-which are frequently isolated in hospital environments and, more specifically, in intensive care units. The problem is compounded by the ineffective treatment of infections by patients who often self-prescribe therapy. Resistant bacteria also show resistance to the latest generation antibiotics, such as carbapenems. In fact, superbacteria, grouped under the acronym extended-spectrum betalactamase (ESBL), are becoming common. Antibiotic resistance is also found in the livestock sector, with serious repercussions on animal production. In general, this phenomenon affects all members of the biosphere and can only be addressed by adopting a holistic \"One Health\" approach. In this literature overview, a stock is taken of what has been learned about antibiotic resistance, and suggestions are proposed to stem its advance.
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  • 文章类型: Journal Article
    钩端螺旋体病是全球公共卫生关注的最被忽视的人畜共患感染之一,也是印度等热带国家的复发感染。对于报告的疾病发生率和控制感染,感染最少的疾病以及流行病学和其他关键数据很少。钩端螺旋体病如皂毛病与感染本身一样被低估,本文旨在探讨这一疾病的意义。该研究综述旨在了解流行病学对感染的影响,以控制疾病的负面影响。进行了混合审查和分析,以了解在流行病学等关键和未充分研究领域发表的知识,传输,诊断,治疗,控制感染。进行了系统分析,以提取有关报告的循环菌株的信息,并利用PubMed上公布的数据研究印度的空洞。本文详细讨论了感染传播的关键推理领域,并解决了未受好评的感染领域的空白,以使用一种健康方法(OHA)控制感染的传播。并提出了控制钩端螺旋体感染的策略。本文还回顾了如何以及为什么钩端螺旋体病可以通过“一种健康方法”在印度得到最好的研究和控制。
    Leptospirosis is one of the most neglected zoonotic infections of public health concern worldwide and a remerging infection in tropical countries such as India. The infection least explored disease and the epidemiological and other critical data are scarce for the disease rate reported and to control the infection. Leptospirosis as sapronosis is as underrated as the infection itself, and this article aims to explore the significance of this aspect of the disease. The research review aimed at the epidemiological understanding of the infection to control the negative impact of the disease. A mixed review and analysis were carried out to understand the knowledge published on the critical and understudied areas like epidemiology, transmission, diagnosis, treatment, and control of infection. A systematic analysis was carried out to extract information about the reported circulating strains, and research lacunae in India with the published data available in PubMed. The article elaborately discusses crucial inference areas of infection transmission and addresses lacunae in critically unacclaimed areas of infection to control the spread of infection using one health approach (OHA), and strategies to control leptospiral infection are proposed. The article also reviewed how and why Leptospirosis can be best studied and controlled by \"One health approach\" in India.
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  • 文章类型: Journal Article
    反向人畜共患病揭示了病原体通过人-动物界面传播的过程以及人畜共患病病原体的溢出。在这篇文章中,我们有条不紊地展示了反向人畜共患病的各个方面,全面讨论了SARS-CoV-2和MPXV反向人畜共患病。首先,反向人畜共患病的不同成分,比如人类,不同的病原体,和许多动物(家禽,牲畜,宠物,野生动物,和动物园动物),已经被证明了。第二,它解释了在以前的各种爆发期间,具有不同病原体的反向人畜共患病的现状,流行病,和流行病。这里,我们提供了25个来自文献的例子。第三,使用几个例子,我们全面说明了SARS-CoV-2和MPXV的反向人畜共患病的现状。这里,我们提供了SARS-CoV-2反向人畜共患病的17例和MPXV反向人畜共患病的2例。第四,我们描述了反向人畜共患病的两个重要方面:理解溢出的基本方面和认识。这两个方面是防止当前两种重要病毒感染的反向人畜共患病所必需的。最后,一个健康的方法被生动地讨论,我们敦促来自不同地区的科学家共同努力解决反向人畜共患病的问题。
    Reverse zoonosis reveals the process of transmission of a pathogen through the human-animal interface and the spillback of the zoonotic pathogen. In this article, we methodically demonstrate various aspects of reverse zoonosis, with a comprehensive discussion of SARS-CoV-2 and MPXV reverse zoonosis. First, different components of reverse zoonosis, such as humans, different pathogens, and numerous animals (poultry, livestock, pets, wild animals, and zoo animals), have been demonstrated. Second, it explains the present status of reverse zoonosis with different pathogens during previous occurrences of various outbreaks, epidemics, and pandemics. Here, we present 25 examples from literature. Third, using several examples, we comprehensively illustrate the present status of the reverse zoonosis of SARS-CoV-2 and MPXV. Here, we have provided 17 examples of SARS-CoV-2 reverse zoonosis and two examples of MPXV reverse zoonosis. Fourth, we have described two significant aspects of reverse zoonosis: understanding the fundamental aspects of spillback and awareness. These two aspects are required to prevent reverse zoonosis from the current infection with two significant viruses. Finally, the One Health approach was discussed vividly, where we urge scientists from different areas to work collaboratively to solve the issue of reverse zoonosis.
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  • 文章类型: Journal Article
    抗菌素耐药性(AMR)是东地中海地区(EMR)的主要威胁,卫生系统薄弱,以及滥用抗菌药物。本文旨在讨论如何跨学科的行动和协作,特别是通过抗菌药物管理(AMS)和单一健康方法,可以有效地解决EMR中的AMR。审查的重点是成功的AMS倡议和在EMR内的国家采用“一个健康”方法,包括海湾合作委员会(GCC)埃及,伊朗,乔丹,和巴基斯坦。目标是强调在打击AMR方面取得进展的潜力,并确定加强跨学科合作的挑战和机遇。结果展示了在各个EMR国家/地区成功的AMS计划和OneHealth计划,展示他们应对AMR挑战的潜力。本文还讨论了这些国家面临的挑战,例如有限的资源,支离破碎的卫生系统,和知识差距。此外,通过区域合作加强跨学科行动的机会,国际伙伴关系,并对研究和创新进行了概述。总之,本文强调了在EMR中全面协作应对AMR的重要性。它主张将“一个健康”方法作为指导这些努力的关键框架,促进协调行动,改进监控,负责任的抗菌药物使用,加强跨学科合作,有效缓解AMR的威胁。
    Antimicrobial resistance (AMR) is a major threat in the Eastern Mediterranean region (EMR) due to factors such as the high prevalence of infectious diseases, weak health systems, and the misuse of antimicrobials. This paper aims to discuss how interdisciplinary action and collaboration, specifically through antimicrobial stewardship (AMS) and the One Health approach, can effectively address AMR in the EMR. The review focuses on successful AMS initiatives and the adoption of the One Health approach in countries within the EMR, including the Gulf Cooperation Countries (GCC), Egypt, Iran, Jordan, and Pakistan. The goal is to highlight the potential for progress in combating AMR and identify challenges and opportunities for strengthening interdisciplinary collaboration. The results showcase successful AMS programs and One Health initiatives in various EMR countries, demonstrating their potential to address AMR challenges. The paper also discusses the challenges faced by these nations, such as limited resources, fragmented health systems, and knowledge gaps. Additionally, opportunities for enhancing interdisciplinary action through regional cooperation, international partnerships, and research and innovation are outlined. In conclusion, this paper emphasizes the importance of a comprehensive and collaborative response to combat AMR in the EMR. It advocates for the One Health approach as a crucial framework to guide these efforts, promoting coordinated action, improved surveillance, responsible antimicrobial use, and enhanced interdisciplinary collaboration to effectively mitigate the threat of AMR.
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  • 文章类型: Journal Article
    这封信强调了环境驱动因素对中低收入国家(LMICs)抗菌素耐药性(AMR)的影响,并强调需要采取全面的方法来应对这一全球健康威胁。关键因素,比如农业实践,废水处理,和污染,有助于抗性病原体的发展和传播。利用“一个健康”方法,该论文强调了促进负责任的抗菌药物使用的重要性,加强公共卫生系统,投资于创新研究,并提高公众意识。通过理解和解决这些环境驱动因素,我们可以致力于维护全球健康并确保可持续的未来。
    This letter highlights the impact of environmental drivers on antimicrobial resistance (AMR) in low and middle-income countries (LMICs) and highlights the need for a comprehensive approach to address this global health threat. Key factors, such as agricultural practices, wastewater treatment, and pollution, contribute to the development and spread of resistant pathogens. Utilizing the One Health approach, the paper emphasizes the importance of promoting responsible antimicrobial use, strengthening public health systems, investing in innovative research, and raising public awareness. By understanding and addressing these environmental drivers, we can work toward safeguarding global health and ensuring a sustainable future.
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