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Operationalizing One Health: Environmental Solutions for Pandemic Prevention.

Hernan Caceres-Escobar1,2,3, Luigi Maiorano1, Carlo Rondinini1

  • 1Department of Biology and Biotechnologies 'Charles Darwin', Sapienza University of Rome, Viale Dell'Università 32, 00185, Rome, Italy.

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|July 21, 2023
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Summary
This summary is machine-generated.

Pandemic prevention needs actionable targets, like those for climate change. Repurposing the Driver-Pressure-State-Impact-Response framework can operationalize prevention and decrease disease outbreak risks.

Keywords:
BiodiversityEmerging infectious diseasesGlobal health security agendaOne healthPandemic riskSustainable development goals

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Area of Science:

  • Environmental Health
  • Epidemiology
  • One Health

Background:

  • Increasing human environmental pressure elevates disease outbreak frequency and scope.
  • The One Health approach, integrating human, animal, and environmental health, is crucial but often overlooks prevention.
  • Current pandemic preparedness largely focuses on post-spillover response, neglecting proactive measures.

Purpose of the Study:

  • To highlight the need for actionable targets and indicators in pandemic prevention, analogous to those for climate change and biodiversity loss.
  • To propose the repurposing of the Driver-Pressure-State-Impact-Response (DPSIR) framework for operationalizing pandemic prevention.
  • To advocate for synergistic and complementary global responses under the One Health framework for effective pandemic prevention.

Main Methods:

  • Reviewing current pandemic prevention initiatives and preparedness cycles.
  • Adapting the Driver-Pressure-State-Impact-Response (DPSIR) framework for pandemic prevention.
  • Analyzing the necessity for agreed-upon goals, targets, and indicators in global pandemic prevention efforts.

Main Results:

  • Pandemic prevention initiatives currently lack actionable targets and indicators linked to overarching goals.
  • The DPSIR framework offers a viable model for structuring and operationalizing pandemic prevention strategies.
  • Global pandemic prevention efforts require better articulation within the One Health paradigm to achieve necessary scale and speed.

Conclusions:

  • Effective pandemic prevention necessitates clearly defined goals, targets, and indicators, integrated within a One Health approach.
  • Repurposing established frameworks like DPSIR can provide the structure needed for actionable pandemic prevention.
  • While environmental threats may not always be abatable, reducing the risk of pandemics arising from environmental pressures is an attainable objective.