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Volume 19, Number 12—December 2013
Conference Summary

Toward Proof of Concept of a One Health Approach to Disease Prediction and Control

Peter M. Rabinowitz1Comments to Author , Richard Kock, Malika Kachani, Rebekah Kunkel, Jason Thomas, Jeffrey Gilbert, Robert Wallace, Carina Blackmore, David Wong, William Karesh, Barbara Natterson, Raymond Dugas, Carol Rubin, and for the Stone Mountain One Health Proof of Concept Working Group
Author affiliations: Yale University School of Medicine, New Haven, Connecticut, USA (P.M. Rabinowitz); University of London, London, UK (R. Kock); Western University of Health Sciences, Pomona, California, USA (M. Kachani); Centers for Disease Control and Prevention, Atlanta, Georgia, USA (R. Kunkel, J. Thomas, C. Rubin); International Livestock Research Institute, Vientiane, Laos (J. Gilbert); University of Minnesota, Minneapolis, Minnesota, USA (R. Wallace); Florida Department of Public Health, Tallahassee, Florida, USA (C. Blackmore); National Park Service, Washington, DC, USA (D. Wong); Ecohealth Alliance, New York, New York, USA (W. Karesh); University of California Los Angeles Medical Center, Los Angeles, California, USA (B. Natterson); Pan American Health Organization/Panaftosa, Santiago, Chile (R. Dugas); 1Current affiliation: University of Washington, Seattle, Washington, USA.

Main Article

One Health Concept Evidence in support of concept Study type Reference
It is feasible to integrate human, animal, and environmental health efforts.
Reports of animal illness facilitated investigation of human cases caused by toxic environmental chemicals.
Case report
 14
Animal and human cases of Cryptococcus gattii infection can help identify environmental risk for infection.
Case report
 15
Collaboration between public health and wildlife health agencies enabled simultaneous testing of bats for rabies and white nose syndrome.
Case report
 16
A mathematical model showed proof of concept for an integrated approach to avian influenza control.
Disease model
 17
Sheep and cattle deaths helped trace release of weaponized anthrax.
Case report
 18
Integrated approaches that consider human, animal, and environmental health components can improve prediction of certain diseases.
 Cattle poisonings caused by lead exposure in the soil helped detect cases of lead poisoning in humans living nearby.
Case report
 19
Household pets served as sentinels for childhood lead poisoning risk.
Case report
 20
A household bird provided warning of carbon monoxide poisoning to household members.
Case report
 21
A prediction model incorporating bird, mosquito, and climate data was superior to less integrated models for predicting human infection with West Nile virus in Los Angeles, California.
Retrospective case cross-over study
 22
Climate based models predicted Rift Valley fever in humans and animals.
Prospective observational study
 23
Seasonal temperatures predicted risk for campylobacteriosis in chickens and humans.
Retrospective longitudinal study
 24
Integrated approaches that consider human, animal, and environmental health components can improve control of certain diseases. Enhanced mechanized ventilation in a horse stable led to improvements in indoor air quality and in the respiratory health of horses and humans.
Case report
 25
Reduced cases of poultry and human campylobacteriosis in Iceland over a multiyear period was attributed to better on-farm biosecurity measures and public education.
Retrospective longitudinal study
 26
Rates of human infection with Schistosoma japonicum were lower when treatment was given to humans and domestic buffaloes than when treatment was given to humans only.
Controlled intervention study
 27,28
Environmental interventions helped reduce human, animal, and environmental rates of S. japonicum infection.
Controlled intervention study
 29
The spread of methicillin-resistant Staphylococcus aureus infection in a horse hospital was stopped by environmental cleaning and isolation of animals and humans. Case report 30

Main Article

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Page created: November 08, 2013
Page updated: November 08, 2013
Page reviewed: November 08, 2013
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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