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Comment mettre en oeuvre le concept "One Health" pour améliorer la surveillance des dangers sanitaires à l'interface homme-animal-environnement ?

Abstract : The One Health concept recognizes that human health, animal health and environmental health areinterconnected and promotes multisectoral and multidisciplinary collaboration to efficiently manage health issues atthe human-animal-environment interface. One Health surveillance is strongly encouraged as it suggests theenhanced performance and cost-effectiveness of surveillance. Nevertheless, surveillance systems continue to bedeveloped and operated in a highly sectoral approach. We argue that the challenging operationalization of OneHealth surveillance is partly due to the existence of confusion and uncertainty regarding its practical application aswell as its added value comparing to sectoral surveillance components operating independently.In this context, we developed a conceptual and methodological framework to help the implementation ofOne Health surveillance. First, we characterised One Health surveillance and its application contexts using asystematic literature review of existing One Health surveillance systems followed by an expert opinion elicitation.Then, we mobilized two approaches, stakeholder analysis and companion modelling, to develop and apply twoinnovative methods to facilitate the application of the One Health concept by surveillance actors. Finally, weidentified specific attributes to support the development of a tool aiming at evaluating the quality andappropriateness of implemented collaboration to meet the collaborative objectives. Along with other projects led byresearch teams across the world, our research work contributes to the promotion of One Health surveillance.
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Marion Bordier Bouchot. Comment mettre en oeuvre le concept "One Health" pour améliorer la surveillance des dangers sanitaires à l'interface homme-animal-environnement ?. Médecine humaine et pathologie. Université Paris-Est, 2019. Français. ⟨NNT : 2019PESC0101⟩. ⟨tel-02890399⟩

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