Tribune One Health: “Our Top 5 Global Health Principles, Anticipating 21st Century Threats”

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A public health issue to prevent future health emergencies Like 75% of emerging diseases in humans, COVID-19 is likely related to the evolution of a coronavirus from an animal reservoir. , such as the latest emerging viral infections such as Ebola, bird flu. or AIDS The current crisis reinforces the need to understand health globally by integrating a more comprehensive preventive view of these threats. This approach will make it possible to identify in advance the risks related to environmental health and emerging diseases, to prevent them, to limit their impact and their spread, in order to avoid their evolution towards a pandemic. From a concept to its concrete application This approach can only materialize in an integrated and interdisciplinary way, in a conceptual framework where the protection of human health goes through that of animals and their interactions with the environment. Through a global vision, One Health or the global concept of “One Health”, as specified in the February 2022 scientific council report (“One Health one health, human animal, environment: the lessons of the crises”), will be able to better understand the ecosystemic relationships of the health problems of “living” in a broad sense. It is essential to quickly translate the lessons learned from this crisis into applied responses. In order to achieve concrete actions, we recommend the implementation as soon as possible of five essential axes that will have the first effects of preventing future health emergencies and improving responses to their occurrence. Towards a wider opening of healthcare training The first challenge is cultural, in order to allow professionals from different fields to capitalize on the multidisciplinary nature of action, reaction and interaction. The Covid-19 pandemic has highlighted the limits of current communication and coordination between human and animal health. Doctors, biologists, veterinarians, nursing staff, midwives and all other health actors need to know each other better, understand each other better and interact better. The global dimension is essential here to trigger an appropriate response, on the scale of a common team. Interdisciplinary training is the obvious solution to this need, from which the military model is rich in lessons: “we train as we fight, we fight as we train” (“we train as if we are fighting, we fight as we are trained.”) . In other words, the team works and trains together. To facilitate this cooperation between human and animal health, it is necessary to reintegrate veterinarians into the large family of health professionals, and create from their training interactions and lessons shared with doctors, in veterinary schools and medical faculties. These objectives. must be considered in a European and international dimension. In this sense, the installation of the WHO training center in Lyon will offer an excellent opportunity to spread this vision in current and future training. For the creation of a global “sentinel” surveillance network. Since the great epic of Pasteur, veterinarians have carried out health-related missions human, through the monitoring of transmissible animal diseases. Similarly, there are human health surveillance networks. It is essential that there is strong coordination between animal health and human health monitoring strategies. The latter will involve making each of the actors aware of the complementarities of their monitoring, and of the great plasticity of infectious threats, capable of crossing certain “species barriers” in favor of different circumstances. It is by strengthening the link between veterinarians and human health professionals that the global vision of infectious threats can be more effective, with the main objectives of developing tools for the anticipation and detection of epidemics, which allow the constitution of large databases also for research purposes. This sentinel will act in connection and coordination with the creation by WHO of the Berlin Hub, bringing the surveillance of zoonoses closer to that of human infections. Introduce comprehensive health education from an early age In order for this comprehensive approach to health to emerge in all public policies, only a strong political will will allow the entire population to take ownership of it. Just as the flapping of a butterfly’s wing can have a marked climatic effect, the emergence of an influenza virus in an animal species can have serious consequences for humans or their environment. This awareness and understanding must be anchored in a scientific culture worked on from childhood! The reaction of the Japanese people to earthquakes is exemplary in this regard because the Japanese regularly train, from kindergarten, to react to an earthquake. Promoting a broad citizen approach The continuity of professionals from different backgrounds to attend to the logistical and health needs during the epidemic period has also made it possible to contribute a diversity of skills to complement the scientific, technological and ethical approaches. Global health must be enriched by this multifaceted approach. Having a rich human capital, mixing citizens, industrialists, farmers, health professionals, philosophers, sociologists, anthropologists from all territories, would not only allow a better development of research and innovation on the subject of “one health ” in the maintenance of a human and ethical national state. vision, but it would also make it possible to develop a truly attractive and impactful civic approach. Promoting strong ambition through Global Health Finally, to conclude, France must bring this global health initiative to European level. It is now about going beyond his initiative to create a high-level panel of experts “One Health” in the framework of the Paris Peace Forum 2020. The strengthening of “Health Europe ” and the demonstration of challenges and results. of the coordination of member states through the pandemic, is an essential asset to widely share this vision. By relying especially on the European CDC and by capitalizing on France’s recognized network and expertise in the field of health, France must seize the opportunity to act for the common good and regain influence at the height of the his medical legacy. The crisis we went through led to a first phase of surprise, quickly followed by a reaction phase, characterized by the infallible commitment of healthcare professionals. The various lessons learned in recent months must now be used to better prevent these situations. We are convinced that through these 5 main principles of global health, we will be able to better anticipate the threats of the 21st century. Signatories, in alphabetical order. François Blanchecotte (President of the Union of Biologists of France), Yann Bubien (General Director of the Bordeaux University Hospital), Alexis Capelle (Member of the Board of Directors of the ESSEC Alumni Santé Club), Gaétan Casanova (President of the National Intersyndicale des Fellows ), Thierry Chiche (President Elsan), Laurence Comte Arassus (General Manager, France Benelux and Francophone Africa GE Healthcare), Nicolas Cristol (Director, Healthcare Industry), Julien Delpech (healthcare entrepreneur, founder of Invivox), Florence Dupré ( President France) , Medtronic), Valérie Freiche (Veterinarian, CHUVA Research Engineer, Alfort Veterinary School), Isabelle Fromantin (Doctoral Nurse, Institut Curie, K-Dog program), Michaël Galy (Director General, University Hospitals of Strasbourg), Jean -François Gendron (President of the French Health Association), Pr. Caroline Gilbert (veterinarian, CNRS-MNHN), Eric Guaguère (Veterinarian, former president of the “Clinical Sciences” section of the French Veterinary Academy), André Jestin (President of the French Veterinary Academy), Anne-Sophie Joly ( President of the National Collective of Obesity Associations), Olivier Louvet (health innovation consultant), Laurie Marrauld (Professor and researcher in digital and sustainable health), Franck Mouthon (President of France Biotech, CEO of Theranaxus, expert qualified Health Innovation 2030), Myriam Oukkal (president of the e-health board and co-founder of the Eco-Responsibility Collective). in Health), Prof. Patrick Pessaux (University Hospitals of Strasbourg, President of the Eco-Responsibility in Health Collective), Prof. Thierry Philip (President of the Institut Curie), Valérian Ponsinet (member of the national office of the Pharmaceutical Unions). of France), Pr Julien Pottecher (University Hospitals of Strasbourg, President of the National College of Professors of Anesthesia-Reanimation), Guillaume P rorel (Veterinarian, Director of Surgical Training) Pr Pierre Saï (President of the “Training -Research” of the French Veterinary Academy), Nathalie Salles (PU-PH, President of the French Society of Geriatrics and Gerontology), Pr. Jean Sibilia (Dean of the Faculty of Medicine, Maièutics and Health Sciences of Strasbourg), Morgane SOULIER (founder and director of feeleat, member of the Committee of Experts in Youth Health of the Fondation de France, expert in electronic health and metavers, patient expert), Pr. Karim Tazarourte (PU-PH emergency physician, head of the hyperbaric medicine department SAMU 69-emergencies, Édouard Herriot hospital group, civil hospices of Lyon), Dr. Franck Verdonk (MCU-PH and president of SNJAR, national union of young anesthetists-resuscitators), Pr. Eric Vibert (AP-HP, GHU Paris Saclay, BOPA Innovation Chair).
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