Bradford Hill's criteria, emerging zoonoses, and One Health

被引：12

作者：

Asokan G.V. ^{[1
]}

Asokan V. ^{[2
]}

机构：

[1] College of Health Sciences, University of Bahrain

[2] Pediatrics Department, American Mission Hospital, Manama

来源：

Journal of Epidemiology and Global Health | 2016年 / 6卷 / 3期

关键词：

Disease causation; Emerging zoonoses; One Health;

D O I：

10.1016/j.jegh.2015.10.002

中图分类号：

学科分类号：

摘要：

Zoonoses constitute more than 60% of infectious diseases and 75% of emerging infectious diseases. Inappropriate overemphasis of specialization of disciplines has ignored public health. Identifying the causes of disease and determining how exposures are related to outcomes in “emerging zoonoses” affecting multiple species are considered to be the hallmarks of public health research and practice that compels the adoption of “One Health”. The interactions within and among populations of vertebrates in the causation and transmissions of emerging zoonotic diseases are inherently dynamic, interdependent, and systems based. Disease causality theories have moved from one or several agents causing disease in a single species, to one infectious agent causing disease in multiple species-emerging zoonoses. Identification of the causative pathogen components or structures, elucidating the mechanisms of species specificity, and understanding the natural conditions of emergence would facilitate better derivation of the causal mechanism. Good quality evidence on causation in emerging zoonoses affecting multiple species makes a strong recommendation under the One Health approach for disease prevention and control from diagnostic tests, treatment, antimicrobial resistance, preventive vaccines, and evidence informed health policies. In the tenets of One Health, alliances work best when the legitimate interests of the different partners combine to prevent and control emerging zoonoses. © 2015 Ministry of Health, Saudi Arabia

引用

页码：125 / 129

页数：4

共 17 条

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