One Health action for health security and equity

Neglected cancer care needs among the nomadic pastoralist communities in sub-Saharan Africa: a call to action

“…Nomadic-specific cancer screening, and early detection, including One Health design, have shown initial promise on which future work should build on 14. One Health provides healthcare services that are tailored to the nomadic pastoralist that integrate human and veterinary health services 9 15. Adopting such strategies can bridge the gap among hard-to-reach nomadic communities and improve cancer care equity.…”

“…Nomadic-specific cancer screening, early detection and treatment strategies, including an amalgamation of ‘mobile’ services informed by the migratory tendencies of nomads, culturally acceptable services, community-directed interventions (CDIs) and One Health design, have shown promise 14. One Health is an approach calling for ‘the collaborative efforts of multiple disciplines working locally, nationally and globally, to attain optimal health for people, animals and our environment’, as defined by the One Health Initiative Task Force 9 15…”

Addressing the challenges of implementing evidence-based prioritisation in global health

“…This JPA aims to create a framework to collectively better prevent, predict, detect and respond to health threats. Developed through a participatory process, it aims to strengthen collaboration, communication, capacity building and coordination equally across all sectors responsible for addressing health concerns at the human–animal–ecosystem interface,3 4 where acute public health events typically begin. Strengthened surveillance systems across all sectors, including animal health, will help identify emerging threats to human and animal health, as evidenced by improvements in food safety 23.…”

“…Outcomes are frequently made based on the people present and ‘voices heard’ during decision-making and once a diverse range of stakeholders are in the room, it is difficult to leave these stakeholders and sectors out. Diverse expertise is more likely to construct cost-effective, just, and impactful interventions that will be taken up by communities and avoid negative consequences such as environmental harm 2–4. Expanding the number and type of sectors involved increases the complexity of prioritisation, but the benefits of reaching consensus can be significant50 and the approval on 30 June 2022 for the inclusion of civil society organisations into the World Bank Pandemic Fund should strengthen the outcomes.…”

“…Global health security (GHS) aims, further, to reduce the threat from and impact of acute public health events across regions and international boundaries (see reference 1 for a critique of GHS). Factors affecting both are the politicisation of public health, colonial structures, changing populations, urbanisation, mobility of people and goods, farming practices, wildlife trade, wars, climate change, and environmental degradation, which can all increase the risk of emerging and re-emerging infectious diseases and ecological disasters,2 and reflect the need for a One Health approach 3–6. One Health and the incorporation of planetary boundaries into planning and management are required for a sustainable future 2 3…”