Applying a One Health Approach in Global Health and Medicine: Enhancing Involvement of Medical Schools and Global Health Centers.
Catherine Machalaba, Jill Raufman, Assaf Anyamba, Amanda M Berrian, Franck C J Berthe, Gregory C Gray, Olga Jonas, William B Karesh, Michelle H Larsen, Ramanan Laxminarayan, Lawrence C Madoff, Keith Martin, Jonna A K Mazet, Elizabeth Mumford, Tina Parker, Lilian Pintea, Melinda K Rostal, Rafael Ruiz de Castañeda, Neil M Vora, Chadia Wannous, Louis M Weiss
Author Information
Catherine Machalaba: EcoHealth Alliance, 520 Eighth Ave, Ste 1200, New York, NY, USA. ORCID
Jill Raufman: Albert Einstein College of Medicine, Bronx, NY, USA. ORCID
Assaf Anyamba: Goddard Earth Science and Technology Research (GESTAR) Universities Space Research Association, NASA/Goddard Space Flight Center, Greenbelt, MD, USA.
Amanda M Berrian: College of Veterinary Medicine, The Ohio State University, Columbus, Ohio, USA. ORCID
Franck C J Berthe: World Bank Group, Washington, D.C., USA. ORCID
Gregory C Gray: Duke University School of Medicine & Global Health Institute, Durham, NC USA; Duke-NUS Medical School, Singapore; and Duke Kunshan University, Kunshan, China. ORCID
Olga Jonas: Harvard Global Health Institute, Cambridge, MA, USA.
William B Karesh: EcoHealth Alliance, 520 Eighth Ave, Ste 1200, New York, NY, USA. ORCID
Michelle H Larsen: Albert Einstein College of Medicine, Bronx, NY, USA. ORCID
Ramanan Laxminarayan: Center for Disease Dynamics, Economics & Policy (CDDEP), Washington, D.C., USA. ORCID
Lawrence C Madoff: ProMED, International Society for Infectious Diseases, Brookline, MA, USA. ORCID
Keith Martin: Consortium of Universities for Global Health, Washington, D.C., USA.
Jonna A K Mazet: One Health Institute, School of Veterinary Medicine, University of California, Davis, CA, USA. ORCID
Elizabeth Mumford: Country Health Emergency Preparedness and IHR, World Health Organization, Geneva, Switzerland. ORCID
Tina Parker: Office of Biodefense, Research Resources, and Translational Research, DMID, NIAID, NIH, Bethesda, MD, USA.
Lilian Pintea: Jane Goodall Institute, Vienna, VA, USA.
Melinda K Rostal: Center for Disease Dynamics, Economics & Policy (CDDEP), Washington, D.C., USA. ORCID
Rafael Ruiz de Castañeda: Institute of Global Health, Department of Community Health and Medicine, Faculty of Medicine, University of Geneva, Switzerland. ORCID
Neil M Vora: NYC Dept of Health and Mental Hygiene, New York, NY, USA. ORCID
Chadia Wannous: Toward a Safer World Network, Future Earth Health Knowledge Action Network, Stockholm, Sweden. ORCID
Louis M Weiss: Albert Einstein College of Medicine, Bronx, NY, USA. ORCID
Background: Multidisciplinary and multisectoral approaches such as One Health and related concepts (e.g., Planetary Health, EcoHealth) offer opportunities for synergistic expertise to address complex health threats. The connections between humans, animals, and the environment necessitate collaboration among sectors to comprehensively understand and reduce risks and consequences on health and wellbeing. One Health approaches are increasingly emphasized for national and international plans and strategies related to zoonotic diseases, food safety, antimicrobial resistance, and climate change, but to date, the possible applications in clinical practice and benefits impacting human health are largely missing. Methods: In 2018 the "Application of the One Health Approach to Global Health Centers" conference held at the Albert Einstein College of Medicine convened experts involved in One Health policy and practice. The conference examined issues relevant to One Health approaches, sharing examples of challenges and successes to guide application to medical school curricula and clinical practice for human health. This paper presents a synthesis of conference proceedings, framed around objectives identified from presentations and audience feedback. Findings and Recommendations: The following objectives provide opportunities for One Health involvement and benefits for medical schools and global health centers by: 1) Improving One Health resource sharing in global health and medical education; 2) Creating pathways for information flow in clinical medicine and global health practice; 3) Developing innovative partnerships for improved health sector outcomes; and 4) Informing and empowering health through public outreach. These objectives can leverage existing resources to deliver value to additional settings and stakeholders through resource efficiency, more holistic and effective service delivery, and greater ability to manage determinants of poor health status. We encourage medical and global health educators, practitioners, and students to explore entry points where One Health can add value to their work from local to global scale.
