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Ecohealth. 2018 Mar;15(1):209-227. doi: 10.1007/s10393-017-1310-5. Epub 2018 Jan 12.

Quantitative Outcomes of a One Health approach to Study Global Health Challenges.

EcoHealth

Laura C Falzon, Isabel Lechner, Ilias Chantziaras, Lucie Collineau, Aurélie Courcoul, Maria-Eleni Filippitzi, Riikka Laukkanen-Ninios, Carole Peroz, Jorge Pinto Ferreira, Merel Postma, Pia G Prestmo, Clare J Phythian, Eleonora Sarno, Gerty Vanantwerpen, Timothée Vergne, Douglas J C Grindlay, Marnie L Brennan

Affiliations

  1. Veterinary Public Health Institute, University of Bern, Schwarzenburgstrasse 155, 3097, Liebefeld, Switzerland. [email protected].
  2. Institute of Infection and Global Health, University of Liverpool, 8 West Derby Street, Liverpool, L69 7BE, UK. [email protected].
  3. Veterinary Public Health Institute, University of Bern, Schwarzenburgstrasse 155, 3097, Liebefeld, Switzerland.
  4. Veterinary Epidemiology Unit, Department of Reproduction, Obstetrics and Herd Health, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, 9820, Merelbeke, Belgium.
  5. SAFOSO, Waldeggstrasse 1, 3097, Liebefeld, Switzerland.
  6. Anses, Laboratory of Animal Health, Epidemiology Unit, University Paris Est, 23, Avenue du Général de Gaulle, 94706, Maisons-Alfort Cedex, France.
  7. Department of Food Hygiene and Environmental Health, Faculty of Veterinary Medicine, University of Helsinki, P.O. Box 66, 00014, Helsinki, Finland.
  8. BIOEPAR, INRA, Oniris, 44307, Nantes, France.
  9. School of Veterinary Sciences, University of Bristol, Langford House, Langford, Bristol, BS40 5DU, UK.
  10. Section for Small Ruminant Research, Faculty of Veterinary Medicine, Institute for Production Animal Clinical Science, Norwegian University of Life Sciences, 4325, Sandnes, Norway.
  11. Institute for Food Safety and Hygiene, University of Zurich, Winterthurerstrasse 272, 8057, Zürich, Switzerland.
  12. Department of Veterinary Public Health and Food Safety, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.
  13. Veterinary Epidemiology Economics and Public Health group, Royal Veterinary College, London, UK.
  14. MIVEGEC Group, Institut de Recherche pour le développement, Montpellier, France.
  15. UMR ENVT-INRA IHAP, University of Toulouse, Toulouse, France.
  16. Centre of Evidence-based Dermatology, The University of Nottingham, King's Meadow Campus, Nottingham, NG7 2NR, UK.
  17. Centre for Evidence-based Veterinary Medicine, School of Veterinary Medicine and Science, The University of Nottingham, Sutton Bonington Campus, Loughborough, LE12 5RD, UK.

PMID: 29330676 PMCID: PMC6003973 DOI: 10.1007/s10393-017-1310-5

Abstract

Having gained momentum in the last decade, the One Health initiative promotes a holistic approach to address complex global health issues. Before recommending its adoption to stakeholders, however, it is paramount to first compile quantitative evidence of the benefit of such an approach. The aim of this scoping review was to identify and summarize primary research that describes monetary and non-monetary outcomes following adoption of a One Health approach. An extensive literature search yielded a total of 42,167 references, of which 85 were included in the final analysis. The top two biotic health issues addressed in these studies were rabies and malaria; the top abiotic health issue was air pollution. Most studies described collaborations between human and animal (n = 42), or human and environmental disciplines (n = 41); commonly reported interventions included vector control and animal vaccination. Monetary outcomes were commonly expressed as cost-benefit or cost-utility ratios; non-monetary outcomes were described using disease frequency or disease burden measurements. The majority of the studies reported positive or partially positive outcomes. This paper illustrates the variety of health challenges that can be addressed using a One Health approach, and provides tangible quantitative measures that can be used to evaluate future implementations of the One Health approach.

Keywords: Endemic and emerging infectious diseases; Non-communicable diseases; One Medicine; Scoping review; Systematic evidence; Transdisciplinarity; Zoonoses

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