The quest for a true One Health perspective of brucellosis

J. Godfroid, X. De bolle, R. M. Roop, D. O'Callaghan, R. M. Tsolis, C. Baldwin, R. L. Santos, J. McGiven, S. Olsen, I. H. Nymo, A. Larsen, S. Al Dahouk, J. J. Letesson

Résultats de recherche: Contribution à un journal/une revueArticleRevue par des pairs

Résumé

One Health is an interdisciplinary collaboration that aims at mitigating risks to human health arising from microorganisms present in non-human animal species, which have the potential to be transmitted and cause disease in humans. Different degrees of scientific collaboration and sectoral integration are needed for different types of zoonotic diseases, depending on the health and associated economic gains that can be expected from a One Health approach. Indeed, mitigating zoonotic risks related to emerging diseases with pandemic potential is different from mitigating risks related to endemic zoonotic diseases like brucellosis. Likewise, management of brucellosis at the wildlife-livestock interface in wildlife conservation areas is in essence different from mitigating transmission of a given Brucella species within its preferential host species, which in turn is different from mitigating the spillover of a given Brucella species to non-preferential host species, humans included. Brucellosis economic models often oversimplify and/or wrongly assess transmission between reservoir hosts and spillover hosts. Moreover, they may not properly value non-market outcomes, such as avoidance of human disease, consumer confidence and conservation biology issues. As a result, uncertainty is such that the economic predictions of these models can be questionable. Therefore, understanding the infection biology of Brucella species is a prerequisite. This paper reviews and highlights important features of the infection biology of Brucella species and the changing epidemiology of brucellosis that need to be integrated into a true One Health perspective of brucellosis.

langue originaleAnglais
Pages (de - à)521-538
Nombre de pages18
journalOIE Revue Scientifique et Technique
Volume33
Numéro de publication2
Etat de la publicationPublié - août 2014

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