Evolution and expansion of the One Health approach to promote sustainable and resilient health and well-being: A call to action.

One Health is a transdisciplinary approach used to address complex concerns related to human, animal, plant, and ecosystem health. One Health frameworks and operational tools are available to support countries and communities, particularly for the prevention and control of zoonotic diseases and antimicrobial resistance and the protection of food safety. However, One Health has yet to be implemented in a manner that fully considers the complexities and interconnectedness of the diverse influences that have impacts at a larger system level. This lack of consideration can undermine the sustainability of any positive outcomes. To ensure the One Health approach can function effectively within the new global context of converging and escalating health, social, economic, and ecological crises, it must evolve and expand in three overlapping dimensions: (1) Scope: the partners, knowledge, and knowledge systems included, (2) Approach: the techniques, methodologies, and scholarship considered, and (3) Worldview inclusivity: the interweaving of other worldviews together with the mainstream scientific worldview that currently predominates. Diverse partners and knowledge from outside the mainstream health and scientific sectors, including Indigenous peoples and representatives of local communities, and traditionally generated knowledge, must be included. These systems of knowledge can then be braided together with mainstream science to comprise a holistic framework for decision-making. Scholarship and methodologies being applied in other fields and contexts to solve complex challenges and manage uncertainty, such as collaborative governance, social-ecologic systems theory, and complexity science, must be recognized and incorporated. The spectrum of considered worldviews must also expand to authentically integrate the expanded scope and approach into action and sustainable impact. By increasing community and social engagement and by recognizing and entwining different worldviews, the plurality of disciplines, and traditional and scientific ways of knowing to address community concerns in the contexts in which they exist, we can ensure that One Health remains effective and true to its paradigm in our rapidly changing and complex world.

Integrated risk reduction along the food chain.

Animal health is the crucial first part of the food chain and must be considered when developing the controls or preventative measures for an endemic or emerging zoonotic food-borne diseases. Increasing the number of complementary control measures at various points along the food processing chain results in overall risk reduction and improved safety of products for the domestic markets and trade. In addition, a risk assessment must be made and surveillance implemented. Measures require sufficient infrastructure within veterinary services, and must be controlled and re-evaluated periodically. The system must be communicated to stakeholders in order to improve compliance as well as confidence from domestic consumers, trading partners, and the international community. Bovine spongiform encephalopathy (BSE) and avian influenza (AI) can be used as examples for implementation of these control concepts.

Use of sentinel herds to study the epidemiology of vesicular stomatitis in the state of colorado.

Approximately 20 sentinel premises in Colorado were visited quarterly during a 3-year prospective study to investigate the persistence of VS viruses in horses. A survey to assess management practices, health events, animal movements and environmental data was completed at each visit. Collection of serum samples and oral swabs along with a clinical examination of sentinel horses were performed at each visit. Serum samples were tested by 2 or more of 4 available serological tests. The data collected for two years (August 1998 to August 2000) are reported here. During this period there was seroconversion in 1 and 8 horses based on capture IgM tests for seroytpes New Jersey and Indiana, respectively. Kaplan-Meier curves were generated for those premises with horses that seroconverted and the mean survival time was 4.17 quarters (range 1.85-7.0). The occurrence of seroconversions during periods when no clinical disease was observed suggests the persistence of vesicular stomatitis viruses in the environment of the sentinel premises.