One health adoption within prevention, preparedness and response to health threats: Highlights from a scoping review
Introduction: As the COVID-19 pandemic has demonstrated, the complexity of factors involved in the emergence of health threats requires a holistic One Health (OH) approach to enhance the effectiveness of prevention, preparedness, and response (PPR) strategies. Therefore, we conducted a scoping revie...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-12-01
|
| Series: | One Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352771423001337 |
| _version_ | 1797394909306552320 |
|---|---|
| author | Claudia Robbiati Alessia Milano Silvia Declich Kevin Di Domenico Laura Mancini Scilla Pizzarelli Franca D'Angelo Flavia Riccardo Gaia Scavia Maria Grazia Dente |
| author_facet | Claudia Robbiati Alessia Milano Silvia Declich Kevin Di Domenico Laura Mancini Scilla Pizzarelli Franca D'Angelo Flavia Riccardo Gaia Scavia Maria Grazia Dente |
| author_sort | Claudia Robbiati |
| collection | DOAJ |
| description | Introduction: As the COVID-19 pandemic has demonstrated, the complexity of factors involved in the emergence of health threats requires a holistic One Health (OH) approach to enhance the effectiveness of prevention, preparedness, and response (PPR) strategies. Therefore, we conducted a scoping review to explore how the OH approach has been adopted in the context of PPR strategies to health threats, and the challenges and benefits deriving from its integration. Methods: We defined the research questions and a strategy to guide the peer-reviewed and grey literature search to identify relevant articles and documents (identification). We assessed them for eligibility according to predefined criteria (screening) and finally included the ones that answered the research questions (inclusion). We performed a descriptive and thematic analysis of the results. Results: A total of 138 records were included in the review (57 from the peer-reviewed literature and 81 from the grey literature). The OH approach was mainly adopted in prevention strategies, particularly within the governance area. Human and animal health were the most integrated disciplines in the OH approach, while environmental and social sciences were the less integrated. The most targeted threats were antimicrobial resistance and zoonoses, with the African region being the most represented. Conducive factors for the adoption of OH PPR strategies were identified in resolutions and guidance emanating from international organisations. Discussion: The global governance of OH should utilise conducive factors, such as international resolutions and guidance, to enhance the adoption of multisectoral and multi-actor PPR strategies, that focus on national and international priorities and neglected threats, such as environmental hazards and pandemic risk. Integrated frameworks and metrics for the implementation and evaluation of OH PPR strategies need to be consolidated to contribute to the growing body of evidence supporting the adoption of the OH approach. |
| first_indexed | 2024-03-09T00:26:35Z |
| format | Article |
| id | doaj.art-ae9ceaaaa5cf4631bc32deb0a9de30aa |
| institution | Directory Open Access Journal |
| issn | 2352-7714 |
| language | English |
| last_indexed | 2024-03-09T00:26:35Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | One Health |
| spelling | doaj.art-ae9ceaaaa5cf4631bc32deb0a9de30aa2023-12-12T04:35:08ZengElsevierOne Health2352-77142023-12-0117100613One health adoption within prevention, preparedness and response to health threats: Highlights from a scoping reviewClaudia Robbiati0Alessia Milano1Silvia Declich2Kevin Di Domenico3Laura Mancini4Scilla Pizzarelli5Franca D'Angelo6Flavia Riccardo7Gaia Scavia8Maria Grazia Dente9Istituto Superiore di Sanità (Italian National Institute of Health), National Center for Global Health, Rome, Italy; Public Health and Infectious Diseases Dept., Sapienza University of Rome, Italy; Corresponding author at: Istituto Superiore di Sanità (Italian National Institute of Health), National Center for Global Health, Rome, Italy.Istituto Superiore di Sanità (Italian National Institute of Health), National Center for Global Health, Rome, Italy; Public Health and Infectious Diseases Dept., Sapienza University of Rome, ItalyIstituto Superiore di Sanità (Italian National Institute of Health), National Center for Global Health, Rome, ItalyPublic Health and Infectious Diseases Dept., Sapienza University of Rome, Italy; Istituto Superiore di Sanità (Italian National Institute of Health), Environment and Health Dept., Rome, ItalyIstituto Superiore di Sanità (Italian National Institute of Health), Environment and Health Dept., Rome, ItalyIstituto Superiore di Sanità (Italian National Institute of Health), Knowledge Unit (Documentation, Library), Rome, ItalyIstituto Superiore di Sanità (Italian National Institute of Health), National Center for Global Health, Rome, ItalyIstituto Superiore di Sanità (Italian National Institute of Health), Infectious Diseases Dept., Rome, ItalyIstituto Superiore di Sanità (Italian National Institute of Health), Food Safety, Nutrition and Veterinary Public Health Dept., Rome, ItalyIstituto Superiore di Sanità (Italian National Institute of Health), National Center for Global Health, Rome, ItalyIntroduction: As the COVID-19 pandemic has demonstrated, the complexity of factors involved in the emergence of health threats requires a holistic One Health (OH) approach to enhance the effectiveness of prevention, preparedness, and response (PPR) strategies. Therefore, we conducted a scoping review to explore how the OH approach has been adopted in the context of PPR strategies to health threats, and the challenges and benefits deriving from its integration. Methods: We defined the research questions and a strategy to guide the peer-reviewed and grey literature search to identify relevant articles and documents (identification). We assessed them for eligibility according to predefined criteria (screening) and finally included the ones that answered the research questions (inclusion). We performed a descriptive and thematic analysis of the results. Results: A total of 138 records were included in the review (57 from the peer-reviewed literature and 81 from the grey literature). The OH approach was mainly adopted in prevention strategies, particularly within the governance area. Human and animal health were the most integrated disciplines in the OH approach, while environmental and social sciences were the less integrated. The most targeted threats were antimicrobial resistance and zoonoses, with the African region being the most represented. Conducive factors for the adoption of OH PPR strategies were identified in resolutions and guidance emanating from international organisations. Discussion: The global governance of OH should utilise conducive factors, such as international resolutions and guidance, to enhance the adoption of multisectoral and multi-actor PPR strategies, that focus on national and international priorities and neglected threats, such as environmental hazards and pandemic risk. Integrated frameworks and metrics for the implementation and evaluation of OH PPR strategies need to be consolidated to contribute to the growing body of evidence supporting the adoption of the OH approach.http://www.sciencedirect.com/science/article/pii/S2352771423001337One HealthPreventionPreparednessResponse |
| spellingShingle | Claudia Robbiati Alessia Milano Silvia Declich Kevin Di Domenico Laura Mancini Scilla Pizzarelli Franca D'Angelo Flavia Riccardo Gaia Scavia Maria Grazia Dente One health adoption within prevention, preparedness and response to health threats: Highlights from a scoping review One Health One Health Prevention Preparedness Response |
| title | One health adoption within prevention, preparedness and response to health threats: Highlights from a scoping review |
| title_full | One health adoption within prevention, preparedness and response to health threats: Highlights from a scoping review |
| title_fullStr | One health adoption within prevention, preparedness and response to health threats: Highlights from a scoping review |
| title_full_unstemmed | One health adoption within prevention, preparedness and response to health threats: Highlights from a scoping review |
| title_short | One health adoption within prevention, preparedness and response to health threats: Highlights from a scoping review |
| title_sort | one health adoption within prevention preparedness and response to health threats highlights from a scoping review |
| topic | One Health Prevention Preparedness Response |
| url | http://www.sciencedirect.com/science/article/pii/S2352771423001337 |
| work_keys_str_mv | AT claudiarobbiati onehealthadoptionwithinpreventionpreparednessandresponsetohealththreatshighlightsfromascopingreview AT alessiamilano onehealthadoptionwithinpreventionpreparednessandresponsetohealththreatshighlightsfromascopingreview AT silviadeclich onehealthadoptionwithinpreventionpreparednessandresponsetohealththreatshighlightsfromascopingreview AT kevindidomenico onehealthadoptionwithinpreventionpreparednessandresponsetohealththreatshighlightsfromascopingreview AT lauramancini onehealthadoptionwithinpreventionpreparednessandresponsetohealththreatshighlightsfromascopingreview AT scillapizzarelli onehealthadoptionwithinpreventionpreparednessandresponsetohealththreatshighlightsfromascopingreview AT francadangelo onehealthadoptionwithinpreventionpreparednessandresponsetohealththreatshighlightsfromascopingreview AT flaviariccardo onehealthadoptionwithinpreventionpreparednessandresponsetohealththreatshighlightsfromascopingreview AT gaiascavia onehealthadoptionwithinpreventionpreparednessandresponsetohealththreatshighlightsfromascopingreview AT mariagraziadente onehealthadoptionwithinpreventionpreparednessandresponsetohealththreatshighlightsfromascopingreview |