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Peer-reviewed veterinary case report

A Delphi Survey and Analysis of Expert Perspectives on One Health in Australia.

Journal:
EcoHealth
Year:
2017
Authors:
Degeling, Chris et al.
Affiliation:
Marie Bashir Institute for Infectious Disease and Biosecurity and Sydney Health Ethics · Australia

Plain-English summary

This study looked at how experts in Australia view the One Health approach, which focuses on the health of people, animals, and the environment working together. Researchers surveyed 52 health professionals and policymakers to find out what they agree and disagree on regarding One Health, including its definition and the importance of working together across different sectors. While there was a strong belief that One Health is crucial for preventing and controlling infectious diseases, experts had different opinions on how to define it and the importance of animal health compared to economic factors. Overall, the findings showed that there is significant support for the One Health approach, but experts acknowledged the need to address differences between sectors.

Abstract

One Health (OH) is an interdisciplinary approach aiming to achieve optimal health for humans, animals and their environments. Case reports and systematic reviews of success are emerging; however, discussion of barriers and enablers of cross-sectoral collaboration are rare. A four-phase mixed-method Delphi survey of Australian human and animal health practitioners and policymakers (n = 52) explored areas of consensus and disagreement over: (1) the operational definition of OH; (2) potential for cross-sectoral collaboration; and (3) key priorities for shaping the development of an OH response to significantly elevated zoonotic disease risk. Participants agreed OH is essential for effective infectious disease prevention and control, and on key priorities for outbreak responses, but disagreed over definitions and the relative priority of animal health and welfare and economic considerations. Strong support emerged among Australian experts for an OH approach. There was also recognition of the need to ensure cross-sectoral differences are addressed.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/28831653/