An integrated approach to sustainably balance and optimize the health of people, animals, and ecosystems
In our increasingly connected planet, a revolutionary approach is transforming how we understand health. One Health represents a paradigm shift that recognizes the profound interconnections between human wellbeing, animal health, and the environment we share. This integrated perspective reveals that the sustainable use of natural resources isn't just an environmental concern—it's a fundamental requirement for human health and survival.
Imagine a world where deforestation leads to new disease outbreaks, where agricultural practices determine antibiotic effectiveness, and where climate patterns influence pandemic risk. This isn't a hypothetical scenario—it's our current reality. The COVID-19 pandemic dramatically highlighted these connections, exposing how gaps in our understanding of these relationships can have global consequences 1 5 . As we face growing challenges from emerging diseases, antimicrobial resistance, and environmental degradation, the One Health approach offers a transformative pathway toward a healthier, more sustainable future for all living beings.
One Health is defined as "an integrated, unifying approach that aims to sustainably balance and optimize the health of people, animals and ecosystems" 1 . This approach acknowledges that the health of humans, domestic and wild animals, plants, and the wider environment are closely linked and interdependent 1 .
The concept breaks down traditional silos between medical, veterinary, and environmental sciences, creating a collaborative framework for addressing complex health challenges.
Rather than viewing human health in isolation, One Health considers the entire ecosystem as an integrated system where each component affects the others.
The misuse of antibiotics in both human medicine and agriculture contributes to drug-resistant pathogens that threaten modern medicine 9 .
Ensuring safe, nutritious food requires understanding the connections between agricultural practices, environmental contamination, and human health 5 .
Pollution, climate change, and habitat destruction create new health risks while exacerbating existing threats 5 .
Changes in land use and climate affect the distribution of diseases like malaria, dengue, and Lyme disease 1 .
Breaking down silos between human medicine, veterinary science, and environmental disciplines for integrated solutions.
The complex interplay between human activities, environmental change, and health outcomes can be understood through the concept of "disease spillover"—when pathogens jump from animal populations to humans 5 . Understanding this process requires examining how human use of natural resources creates new transmission pathways.
Human activities that alter ecosystems—such as deforestation, urbanization, agricultural expansion, and wildlife trade—create new interfaces between humans, domestic animals, and wildlife 5 . These interfaces provide opportunities for pathogens to jump species boundaries. For instance, when forests are cleared for agriculture, human workers come into closer contact with wildlife that may harbor previously unknown viruses 2 .
Climate change further complicates this picture by altering the distribution of disease vectors like mosquitoes and ticks, potentially exposing new human populations to familiar diseases while creating conditions for novel pathogens to emerge 5 .
of emerging infectious diseases are zoonotic in origin 5
of new human diseases in the last decade originated from animals
animal viruses with potential to infect humans
Human activities like deforestation, urbanization, and agricultural expansion alter ecosystems and bring humans into closer contact with wildlife.
Increased contact creates opportunities for pathogens to transfer from animal reservoirs to humans.
Pathogens adapt to human hosts and develop the ability to transmit between humans.
Human-to-human transmission leads to local outbreaks that can spread regionally or globally.
To understand how One Health approaches work in practice, let's examine a typical multi-sectoral investigation into a potential zoonotic disease threat. Such investigations bring together experts from human medicine, veterinary science, ecology, and environmental science to identify and mitigate emerging health risks.
Public health, agricultural, and environmental monitoring systems share data to detect unusual patterns in human, animal, or ecosystem health 5 .
Teams collect samples from multiple sources—wildlife, livestock, humans, water, soil, and vectors—to identify potential pathogens and their reservoirs 4 .
Advanced genetic sequencing helps researchers understand pathogen characteristics, evolution, and transmission pathways 4 .
Information from diverse sources is combined to create predictive models of disease spread and identify intervention points 4 .
A 2024 study examining One Health implementation revealed that integrated approaches significantly improve outbreak detection and response capabilities 3 . The table below illustrates the comparative advantages of One Health versus traditional siloed approaches to health threats:
| Aspect | Traditional Siloed Approach | One Health Integrated Approach |
|---|---|---|
| Disease Detection | Reactive, after human cases emerge | Proactive, through animal and environmental monitoring |
| Data Collection | Sector-specific, fragmented | Shared, coordinated across sectors |
| Intervention Strategy | Focused on human treatment | Addresses sources in animals and environment |
| Resource Efficiency | Duplicative efforts | Optimized through shared resources |
| Prevention Capability | Limited to known threats | Anticipates emerging risks |
Research participants in One Health studies reported that the approach "can lead to more explicit acknowledgement of both positive and negative impacts of decisions" across human, animal, and environmental domains 3 .
For example, a public health decision might benefit human health in the short term but negatively impact ecosystem functioning, creating future health risks—considerations that are often overlooked in traditional approaches.
Implementing One Health approaches requires specialized tools and frameworks. The growing recognition of this need has led to the development of numerous resources to support practitioners across different sectors 4 .
| Tool Category | Examples | Primary Function |
|---|---|---|
| Disease Surveillance | Joint Risk Assessment Operational Tool; One Health Zoonotic Disease Prioritization Tool | Identify and prioritize zoonotic threats; coordinate multi-sectoral surveillance |
| Data Integration | One Health EJP Decision Support Tool; Spatial Monitoring and Reporting Tool (SMART) | Support decision-making for emerging threats; integrate geospatial data on health and environment |
| Coordination Mechanisms | Multisectoral Coordination Mechanisms Operational Tool; One Health Strategic Plan Development Toolkit | Facilitate cross-sector collaboration; develop coordinated strategic plans |
| Capacity Building | One Health Workforce Academies; Simulation Toolkit | Train One Health professionals; run simulation exercises |
These tools help overcome the significant challenges of working across traditional sectoral boundaries by providing shared frameworks, standardized processes, and communication platforms 4 .
Despite its compelling logic, implementing One Health approaches faces significant barriers. Professionals interviewed about One Health implementation identified "deep-rooted silos" between sectors as the primary challenge 3 . These silos manifest as sector-specific budgeting, mandates, data systems, professional languages, and even "unconscious discipline bias" 3 .
Establish cross-sector governance structures and communication channels
Develop interoperable systems for sharing human, animal, and environmental health data
Train professionals in systems thinking and cross-disciplinary collaboration
Establish metrics to evaluate One Health outcomes and economic benefits
The One Health approach represents more than just a scientific framework—it embodies a fundamental shift in how we conceptualize our relationship with the natural world. By recognizing that human health is inextricably linked to the health of animals and ecosystems, we can develop more effective, sustainable strategies for managing our natural resources and protecting global health.
As we face the interconnected challenges of climate change, biodiversity loss, and emerging diseases, the principles of One Health offer a roadmap for creating a more resilient future. This approach reminds us that we are part of a larger ecological system, and that our wellbeing depends on the health of the whole system—not just its human components.
The choices we make about land use, agricultural practices, wildlife conservation, and climate mitigation will determine not only the health of our environment but the future of human health for generations to come.
Through collaboration across disciplines, sectors, and communities, we can create a healthier, more sustainable world for all species.
A world where human, animal, and environmental health are balanced and optimized for the benefit of all species.
Breaking down silos between sectors and disciplines
Addressing health threats at their source before they emerge
Balancing human needs with ecosystem health for long-term resilience
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