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Benefits of a one health approach: An example using Rift Valley fever

机译:一种健康方法的好处:以裂谷热为例

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摘要

One Health has been promoted by international institutions as a framework to improve public health outcomes. Despite strong overall interest in One Health, country-, local- and project-level implementation remains limited, likely due to the lack of pragmatic and tested operational methods for implementation and metrics for evaluation. Here we use Rift Valley fever virus as an example to demonstrate the value of using a One Health approach for both scientific and resources advantages. We demonstrate that coordinated, a priori investigations between One Health sectors can yield higher statistical power to elucidate important public health relationships as compared to siloed investigations and post-hoc analyses. Likewise, we demonstrate that across a project or multi-ministry health study a One Health approach can result in improved resource efficiency, with resultant cost-savings (35% in the presented case). The results of these analyses demonstrate that One Health approaches can be directly and tangibly applied to health investigations.
机译:国际机构已将“一种卫生”作为改善公共卫生成果的框架。尽管对“一个卫生”的总体兴趣浓厚,但在国家,地方和项目一级的实施仍然受到限制,这可能是由于缺乏用于实施的务实且经过测试的操作方法和评估指标所致。在这里,我们以裂谷热病毒为例,展示了采用“单一健康”方法既具有科学优势又具有资源优势的价值。我们证明,与孤立的调查和事后分析相比,一个卫生部门之间进行的协调,先验的调查可以产生更高的统计力,以阐明重要的公共卫生关系。同样,我们证明,在一个项目或多部门卫生研究中,“单一卫生”方法可以提高资源效率,从而节省成本(在本案例中为35%)。这些分析的结果表明,“一种健康”方法可以直接,切实地应用于健康调查。

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