Using a One Health Approach to Prioritize Zoonotic Diseases in China, 2019


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PLoS One. Nov 19, 2021; 16 (11): e0259706. doi: 10.1371 / journal.pone.0259706. Electronic collection 2021.


BACKGROUND: China is vulnerable to the transmission of zoonotic diseases due to a large agricultural workforce, a large population of domestic livestock, and a highly diverse ecology. To better address this threat, representatives of the human, animal and environmental health sectors in China organized a One Health Zoonotic Disease Prioritization Workshop (OHZDP) in May 2019 to develop a list of priority zoonotic diseases. for multisectoral collaboration and One Health.

METHODS: Representatives used the OHZDP process, developed by the US Centers for Disease Control and Prevention (US CDC), to prioritize zoonotic diseases for China. The representatives defined the criteria used for prioritization and determined the questions and weights for each individual criterion. A review of English and Chinese literature was conducted prior to the workshop to collect disease-specific information on prevalence, morbidity, mortality and disability-adjusted life years (DALYs) in China and the Pacific region. Western Region for zoonotic diseases considered to be priorities.

RESULTS: Thirty zoonotic diseases were assessed for prioritization. The selected criteria included: 1) the risk / severity of the disease (case fatality rate) in humans, 2) the extent and intensity of the epidemic (in humans and animals) in China, 3) economic impact, 4) prevention and control, and 5) social impact. Disease-specific information was obtained from 792 articles (637 in English and 155 in Chinese) and subject matter experts for the prioritization process. Following the discussion of the results of the OHZDP tool among disease experts, five priority zoonotic diseases were identified for China: avian influenza, echinococcosis, rabies, plague and brucellosis.

CONCLUSION: Representatives agreed on a list of five priority zoonotic diseases that can serve as a basis for strengthening the One Health collaboration for disease prevention and control in China; this list was developed before the emergence of SARS-CoV-2 and the COVID-19 pandemic. Next steps focused on establishing a multisectoral coordination mechanism, One Health, improving multisectoral linkages in laboratory testing and surveillance platforms, creating preparedness and response plans multisectoral and increasing the capacity of the workforce.

PMID: 34797849 | DOI: 10.1371 / journal.pone.0259706


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