Document emphasises on importance of a ‘One-Health’ approach to manage and prevent zoonotic disease outbreaks and pandemics
About 60 per cent of known infectious diseases in humans and 75 per cent of all emerging infectious diseases are zoonotic, according to a new report published recently by the United Nations Environment Programme (UNEP) and the International Livestock Research Institute (ILRI).
Preventing the Next Pandemic: Zoonotic diseases and how to break the chain of transmission was released on July 6, 2020, celebrated as ‘World Zoonoses Day’. “It may be the worst, but it is not the first,” Inger Andersen, executive director of UNEP wrote in the foreword of the report.
Zoonosis or zoonotic disease is a disease that has passed into the human population from an animal source directly or through an intermediary species. Zoonotic infections can be bacterial, viral, or parasitic in nature, with animals playing a vital role in maintaining such infections. Examples of zoonoses include HIV-AIDS, Ebola, Lyme Disease, malaria, rabies, West Nile fever, and the current novel coronavirus disease (COVID-19) disease.
The report discussed the context and nature of potential future zoonotic disease outbreaks, during the COVID-19 pandemic.
It identified seven anthropogenic driving factors leading to the emergence of zoonotic diseases — increased demand for animal protein; rise in intense and unsustainable farming; the increased use and exploitation of wildlife; unsustainable utilisation of natural resources; travel and transportation, changes in food supply chains and the climate change crisis.
The growing demand for animal-derived food has encouraged the intensification and industrialisation of animal production, wherein a large number of genetically similar animals are bred in for higher productivity and disease resistance.
Intensive farm settings cause them to be raised in close proximity to each other, in less ideal conditions characterised by limited biosecurity and animal husbandry, poor waste management and use of antimicrobials as substitute for these conditions.
This makes them more vulnerable to infections, which can further lead to emergence of zoonotic diseases. High use of antimicrobials in such farm settings is also contributing to the burden of antimicrobial resistance (AMR), which itself is a chronic pandemic of high cumulative damage threating public global public health.
Moreover, loss of forest cover for agricultural purposes such as growing of soy, used as a key constituent of animal feed, is also influencing the emergence of zoonotic diseases by increasing human access to wildlife.
The report also deciphered how human activity contributed to the emergence of diseases at the environment-wildlife interface. The increased use and exploitation of wildlife can bring humans in closer contact with wild animals, thus increasing the risk of zoonotic disease emergence.
This includes activities such as harvesting of wild animals for meat, hunting and consumption of wildlife for recreation, trading of live animals for recreational use or research, or use of animal parts for decorative, medical or commercial purposes.
Utilisation of natural resources owing to urbanisation, changes in land-use pattern and growing industrialisation can also cause destruction and fragmentation of wildlife habitats and increase contact between humans and wildlife.
The UNEP and ILRI emphasised on the importance of a ‘One-Health’ approach to manage and prevent zoonotic disease outbreaks and pandemics, occurring at the interface of human, animal and environment health.
The report made ten recommendations based on the One Health approach that could aid a coordinated multi-sectoral response to future pandemics. These included:
The document is one of the first to focus on the environmental side of the zoonotic dimension of disease outbreaks during the COVID-19 pandemic.
It underlined the need for strengthening the environmental dimensions of the One Health approach, since this was key to zoonoses risk reduction and control. This is also a crucial element of AMR containment efforts since waste from intensive farms using antimicrobials paves way for AMR determinants (for instance, antibiotic residues, resistant bacteria) in the environment.
There is an immediate need to invest in in-depth understanding of environmental linkages with zoonotic diseases, monitoring of such diseases in human-dominated environments, investigating how environmental change or degradation is impacting zoonotic disease emergence.
We must also begin to re-think our relationship with food, how it is grown and what impacts in can have on us and our environment. It is time we opt for sustainable methods of food production and reduce dependence on intensive systems to preserve health and ecosystems.
“Pandemics are devastating to our lives and our economies, and as we have seen over the past months, it is the poorest and the most vulnerable who suffer the most. To prevent future outbreaks, we must become much more deliberate about protecting our natural environment,” Andersen said in a press release to release the report.
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