How far has the globe gone in achieving One Health?Current evidence and policy implications based on global One Health index  

作　　者：Qiyu Zhang Jingshu Liu Lefei Han Xinchen Li Chensheng Zhang Zhaoyu Guo Anqi Chao Chenxi Wang Erya Wan Fumin Chen Hanqing Zhao Jiaxin Feng Jingbo Xue Lulu Huang Jin Chen Zhishan Sun Zile Cheng Jingxian Yin Zhengze He Liangyu Huang Logan Wu Siwei Fei Siyu Gu Tiange Jiang Tianyun Li Weiye Chen Nan Zhou Ne Qiang Qin Li Runchao He Yi Zhang Min Li Xiangcheng Wang Kokouvi Kassegne Yongzhang Zhu Leshan Xiu Qinqin Hu Kun Yin Shang Xia Shizhu Li Zhaojun Wang Xiaokui Guo Xiaoxi Zhang Xiao-Nong Zhou 

机构地区：[1]School of Global Health,Chinese Center for Tropical Diseases Research,Shanghai Jiao Tong University School of Medicine,Shanghai,People's Republic of China [2]Institute of One Health,Shanghai Jiao Tong University,Shanghai,People's Republic of China [3]School of Public Health,Shanghai Jiao Tong University School of Medicine,Shanghai,People's Republic of China [4]National Institute of Parasitic Diseases at Chinese Center for Disease Control and Prevention(Chinese Center for Tropical Diseases Research),NHC Key Laboratory of Parasite and Vector Biology,WHO Collaborating Centre for Tropical Diseases,Shanghai,People's Republic of China [5]Walter and Eliza Hall Institute,Parkville,Australia [6]Department of Medical Biology,Faculty of Medical and Health Sciences,University of Melbourne,Melbourne,Australia

出　　处：《Science in One Health》2024年第1期126-133,共8页全健康科学（英文）

基　　金：supported by China Medical Board[No.20–365];Bill&Melinda Gates Foundation[No.INV-046218];the National Natural Science Foundation of China[No.72204160].

摘　　要：Background:In the 21st century,as globalization accelerates and global public health crises occur,the One Health approach,guided by the holistic thinking of human-animal-environment and emphasizing interdisciplinary collaboration to address global health issues,has been strongly advocated by the international community.An immediate requirement exists for the creation of an assessment tool to foster One Health initiatives on both global and national scales.Methods: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 Iindicators to provide greater clarity on the strengths and weaknesses of each region within the One Health domains.Results: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

关 键 词：Global One Health index(GOHI) Zoonotic diseases Antimicrobial resistance Food security Climate change 

分 类 号：G84[文化科学—体育训练]