The role of environmental health in One Health: A Uganda perspective

Musoke, David; Ndejjo, Rawlance; Atusingwize, Edwinah; Halage, Abdullah Ali

doi:10.1016/j.onehlt.2016.10.003

Cited by 34 publications

(33 citation statements)

References 13 publications

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“…Because viruses can be transmitted in a variety of exposure pathways, environmental health is also of vital importance. While environmental considerations have begun to be considered on a more local scale [74], these aspects have still not been as thoroughly investigated using the One-Health approach. Environmental engineers and scientists therefore have a critical role in the application of the One-Health methodology.…”

Section: One-health Methodsology: Proposed Approach For Water-relatedmentioning

confidence: 99%

A water-focused one-health approach for early detection and prevention of viral outbreaks

O’Brien

Xagoraraki

2019

One Health

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Despite consistent efforts to protect public health there is still a heavy burden of viral disease, both in the United States and abroad. In addition to conventional medical treatment, there is a need for a holistic approach for early detection and prevention of viral outbreaks at a population level. One-Health is a relatively new integrative approach to the solving of global health challenges. A key component to the One-Health approach is the notion that human health, animal health, and environmental health are all innately interrelated. One-Health interventions, initiated by veterinary doctors, have proven to be effective in controlling outbreaks, but thus far the applications focus on zoonotic viruses transmitted from animals to humans. Environmental engineers and environmental scientists hold a critical role in the further development of One-Health approaches that include water-related transport and transmission of human, animal, and zoonotic viruses. In addition to waterborne viruses, the proposed approach is applicable to a wide range of viruses that are found in human excrement since contaminated water-based surveillance systems may be used for early detection of viral disease. This paper proposes a greater One-Health based framework that involves water-related pathways. The first step in the proposed framework is the identification of critical exposure pathways of viruses in the water environment. Identification of critical pathways informs the second and third steps, which include water-based surveillance systems for early detection at a population level and implementation of intervention approaches to block the critical pathways of exposure.

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Section: One-health Methodsology: Proposed Approach For Water-relatedmentioning

confidence: 99%

A water-focused one-health approach for early detection and prevention of viral outbreaks

O’Brien

Xagoraraki

2019

One Health

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“…EHPs carry out house to house inspections on water, sanitation, and hygiene, hence are involved in abating risk factors at households that could pose a threat to public health. Such threats could be linked to the environment, as well as to animals [30].…”

Section: One Health Approach In Disease Controlmentioning

confidence: 99%

“…Maintenance and extension of the classic control modalities, such as epidemiological surveillance, clinical medicine, and clinical virology are essential. In addition, new tools such as mathematical modeling, remote sensing, and ecologically based approaches are also important [30]. Mathematical models can project how infectious diseases progress to show the likely outcome of an epidemic and help inform public health interventions.…”

Section: One Health Approach In Disease Controlmentioning

confidence: 99%

Ebola in the Eastern Democratic Republic of Congo: One Health approach to infectious disease control

Sikakulya

Mulisya²,

Munyambalu

et al. 2020

One Health

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A B S T R A C TThe Democratic Republic of Congo (DRC) is facing its tenth outbreak of Ebola virus disease (EVD), in North-Kivu and Ituri provinces. This is the second most deadly EVD outbreak in history, after the one that occurred in West Africa in 2014. The DRC Ministry of Health (MoH), supported by the World Health Organization (WHO) and a range of regional and international partners, are implementing EVD response plans in these affected areas such as screening of suspect cases at points of entry, case detection, contact tracing, laboratory testing, case management and infection prevention and control, safe and dignified burials, ring vaccination (this involves vaccination of infected individuals, direct contacts of infected individuals and contacts of their contacts), and therapeutics, community mobilization and free access to healthcare services. Despite these efforts, there has been a sharp rise in the number of confirmed cases within the identified affected areas, and due to a number of challenges unique to DRC, there has been an expansion in the geographical extent of transmission. The significance of the proximity of these regions to wildlife and the Virunga National Park is questionable in the EVD transmission dynamics. The close interaction between human, animal, and environmental factors, in combination with high population movement due to regular rebel attacks in these regions, suggest the need for the integration of the One Health approach in the holistic response plans for control and prevention of EVD. This paper seeks to highlight the implications and importance of a One Health-based approach into the infectious diseases control program implementation in DRC.

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“…While veterinary perspectives on health and disease management are expected to differ from those of other professionals ( 29 ), very few studies have carefully examined how in-country scientists or other professionals embedded within a national context frame zoonoses and OH ( 47 , 48 ). Professional perspectives also can interfere with OH integration policy processes through divergent framings among disciplines ( 30 , 49 ).…”

Section: Concept 1: Perspectivesmentioning

confidence: 99%

One Health Integration: A Proposed Framework for a Study on Veterinarians and Zoonotic Disease Management in Ghana

Valeix

2018

Front. Vet. Sci.

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In parallel with the recent world-wide promotion of One Health (OH) as a policy concept, a growing body of social science studies has raised questions about how successful OH policies and programs have been in managing some global health issues, such as zoonotic diseases. This paper briefly reviews this literature to clarify its critical perspective. Much of the literature on OH also is focused on health management at an international level and has paid less attention to implementation programs and policies for OH at the national and local levels, especially in low-and-middle-income countries (LMICs). Programs to implement OH often are linked to the concept of “integration”, a notion that lacks a universal definition, but is nonetheless a central tenet and goal in many OH programs. At the local and national levels, strong differences in perspectives about OH among different professions can be major barriers to integration of those professions into OH implementation. Policies based on integration among professions in sectors like animal, human and environmental health can threaten professions’ identities and thus may meet with resistance. Taking into account these criticisms of OH research and implementation, this paper proposes a research framework to probe the dominant social dimensions and power dynamics among professional participants that affect OH implementation programs at the local and national levels in a low-income country. The proposed research focus is the veterinary profession and one aspect of OH in which veterinarians are necessary actors: zoonotic disease management. Results from research framed in this way can have immediate application to the programs under study and can inform more expansive research on the social determinants of successful implementation of OH programs and policies.

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The role of environmental health in One Health: A Uganda perspective

Cited by 34 publications

References 13 publications

A water-focused one-health approach for early detection and prevention of viral outbreaks

A water-focused one-health approach for early detection and prevention of viral outbreaks

Ebola in the Eastern Democratic Republic of Congo: One Health approach to infectious disease control

One Health Integration: A Proposed Framework for a Study on Veterinarians and Zoonotic Disease Management in Ghana

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