UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

Global and regional governance of One Health and implications for global health security

Elnaiem, Azza; Mohamed-Ahmed, Olaa; Zumla, Alimuddin; Mecaskey, Jeffrey; Charron, Nora; Abakar, Mahamat Fayiz; Raji, Tajudeen; ... Dar, Osman; + view all (2023) Global and regional governance of One Health and implications for global health security. The Lancet , 401 (10377) pp. 688-704. 10.1016/S0140-6736(22)01597-5. Green open access

[thumbnail of Manikam_Global and regional governance of One Health and implications for global health security_AAM.pdf]
Preview
Text
Manikam_Global and regional governance of One Health and implications for global health security_AAM.pdf - Accepted Version

Download (521kB) | Preview

Abstract

The apparent failure of global health security to prevent or prepare for the COVID-19 pandemic has highlighted the need for closer cooperation between human, animal (domestic and wildlife), and environmental health sectors. However, the many institutions, processes, regulatory frameworks, and legal instruments with direct and indirect roles in the global governance of One Health have led to a fragmented, global, multilateral health security architecture. We explore four challenges: first, the sectoral, professional, and institutional silos and tensions existing between human, animal, and environmental health; second, the challenge that the international legal system, state sovereignty, and existing legal instruments pose for the governance of One Health; third, the power dynamics and asymmetry in power between countries represented in multilateral institutions and their impact on priority setting; and finally, the current financing mechanisms that predominantly focus on response to crises, and the chronic underinvestment for epidemic and emergency prevention, mitigation, and preparedness activities. We illustrate the global and regional dimensions to these four challenges and how they relate to national needs and priorities through three case studies on compulsory licensing, the governance of water resources in the Lake Chad Basin, and the desert locust infestation in east Africa. Finally, we propose 12 recommendations for the global community to address these challenges. Despite its broad and holistic agenda, One Health continues to be dominated by human and domestic animal health experts. Substantial efforts should be made to address the social-ecological drivers of health emergencies including outbreaks of emerging, re-emerging, and endemic infectious diseases. These drivers include climate change, biodiversity loss, and land-use change, and therefore require effective and enforceable legislation, investment, capacity building, and integration of other sectors and professionals beyond health.

Type: Article
Title: Global and regional governance of One Health and implications for global health security
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/S0140-6736(22)01597-5
Publisher version: https://doi.org/10.1016/S0140-6736(22)01597-5
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher's terms and conditions.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Infection and Immunity
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
URI: https://discovery.ucl.ac.uk/id/eprint/10168591
Downloads since deposit
295Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item