A vision of a One Health system for Australia: on the need to rethink our health system

Steele, Sandra G.; Toribio, Jenny‐Ann L.M.L.; Mor, Siobhan M.

doi:10.5694/mja2.51733

Cited by 3 publications

(4 citation statements)

References 15 publications

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“…These improve coordination and integration of activities and programs across sectors [ 12 ]. The platforms and networks facilitate integrated engagements of multiple disciplines beyond zoonotic diseases such as antimicrobial resistance, food safety, non-communicable diseases, and climate changes [ 114 ]. Our study also found that majority of the publications emphasised the importance of the governance and mentioned the relevant policies that impact the One Health process.…”

Section: Discussionmentioning

confidence: 99%

The application of the One Health approach in the management of five major zoonotic diseases using the World Bank domains: A scoping review

Rai,

Tessema,

Fritschi

et al. 2024

One Health

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Section: Discussionmentioning

confidence: 99%

The application of the One Health approach in the management of five major zoonotic diseases using the World Bank domains: A scoping review

Rai,

Tessema,

Fritschi

et al. 2024

One Health

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“…Environmental health data will continue to be a priority as we see the effects of a changing climate on health outcomes. Australia is considering the development of a national Centre for Disease Control to address emerging and existing health risks and this may address some of the current gaps within the management of zoonoses ( 52 ). However, it is yet to be seen if a One Health approach will be supported and how the management of zoonoses within communities will be addressed.…”

Section: Discussionmentioning

confidence: 99%

Data analysis of zoonoses notifications in Aboriginal and Torres Strait Islander populations in Australia 1996–2021: implications for One Health

Riley,

Lovett,

Cumming

et al. 2023

Front. Public Health

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IntroductionZoonoses are a health concern for Aboriginal and Torres Strait Islander peoples in Australia that face elevated risk of disease related to the environment and animals. Internationally, One Health is encouraged to effectively manage zoonoses by taking integrated approaches involving animal, human, and environmental health sectors to improve health outcomes. However, Australia’s health systems manage zoonotic diseases in animals and people separately which does not support a One Health approach. For the effective management of zoonoses, a strong evidence base and database regarding the epidemiology of zoonotic pathogens is needed. However, we currently lack this evidence limiting our understanding of the impact of zoonoses on Aboriginal and Torres Strait Islander populations.MethodsAs a first step towards building the evidence base, we undertook a descriptive analysis of Aboriginal and Torres Strait Islander zoonotic notifications in Australia from 1996 to 2021. We presented notifications as annual notification rates per 100,000 population, and percentages of notifications by state, remoteness, sex, and age group.ResultsSalmonellosis and campylobacteriosis were the most notified zoonoses with the highest annual notification rates of 99.75 and 87.46 per 100,000 population, respectively. The north of Australia (Queensland, Northern Territory and Western Australia), remote and outer regional areas, and young children (0–4 years of age) had the highest percentages of notifications.DiscussionTo our knowledge, these findings are the first national presentation of the epidemiology of zoonoses within Aboriginal and Torres Strait Islander populations. A greater understanding of transmission, prevalence and impact of zoonoses on Aboriginal and Torres Strait Islander peoples (including animal and environmental health factors) is required to inform their effective management through a One Health approach.

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“…Australia called for Australia to set up its own national centre for disease control, to deliver One Health; the paper stressed the need for integration [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

“…Whilst transmission of avian flu to humans is rare, there is a small chance of mutation to a pandemic strain. A recent editorial in the Medical Journal of Australia called for Australia to set up its own national centre for disease control, to deliver One Health; the paper stressed the need for integration [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Integrated Management Systems (IMS) to Support and Sustain Quality One Health Services: International Lessons from the COVID-19 Pandemic by the IMIA Primary Care Working Group

et al. 2023

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Objectives: One Health considers human, animal and environment health as a continuum. The COVID-19 pandemic started with the leap of a virus from animals to humans. Integrated management systems (IMS) should provide a coherent management framework, to meet reporting requirements and support care delivery. We report IMS deployment during, and retention post the COVID-19 pandemic, and exemplar One Health use cases. Methods: Six volunteer members of the International Medical Association’s (IMIA) Primary Care Working Group provided data about any IMS and One Health use to support the COVID-19 pandemic initiatives. We explored how IMS were: (1) Integrated with organisational strategy; (2) Utilised standardised processes, and (3) Met reporting requirements, including public health. Selected contributors provided Unified Modelling Language (UML) use case diagram for a One Health exemplar. Results: There was weak evidence of synergy between IMS and health system strategy to the COVID-19 pandemic. However, there were rapid pragmatic responses to COVID-19, not citing IMS. All health systems implemented IMS to link COVID test results, vaccine uptake and outcomes, particularly mortality and to provide patients access to test results and vaccination certification. Neither proportion of gross domestic product alone, nor vaccine uptake determined outcome. One Health exemplars demonstrated that animal, human and environmental specialists could collaborate. Conclusions: IMS use improved the pandemic response. However, IMS use was pragmatic rather than utilising an international standard, with some of their benefits lost post-pandemic. Health systems should incorporate IMS that enables One Health approaches as part of their post COVID-19 pandemic preparedness.

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A vision of a One Health system for Australia: on the need to rethink our health system

Abstract: Future threats require an integrated approach to the health of humans, animals and the environment Open access: Open access publishing facilitated by The University of Sydney, as part of the Wiley -The University of Sydney agreement via the

Cited by 3 publications

References 15 publications

The application of the One Health approach in the management of five major zoonotic diseases using the World Bank domains: A scoping review

The application of the One Health approach in the management of five major zoonotic diseases using the World Bank domains: A scoping review

Data analysis of zoonoses notifications in Aboriginal and Torres Strait Islander populations in Australia 1996–2021: implications for One Health

Integrated Management Systems (IMS) to Support and Sustain Quality One Health Services: International Lessons from the COVID-19 Pandemic by the IMIA Primary Care Working Group

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