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Topic dossier · Health Nexus

One Health

Many emerging infectious diseases in people originate in animals, and the health of people, animals, plants and ecosystems is linked through shared pathogens, shared environments, food and antimicrobial use. One Health treats these as one system governed by several sectors. This page sets out how risk moves across the human, animal and environmental interfaces, how it is observed, and what joint evidence serves for the ministries and services that share responsibility for it.

01In brief

The short answer.

One Health is an integrated approach that balances and optimises the health of people, animals, plants and ecosystems, because they share pathogens, environments, food and antimicrobials. Many emerging infections in people originate in animals, and resistance moves between sectors, so ministries of health, agriculture and environment need joint evidence.

02Geography

Access to care in the Sahel.

How far each division sits from a large city, with the roads and airports that carry patients and supplies, shown for the Sahel as an example geography for this subject.

How far each division sits from a large city, with the roads and airports that carry patients and supplies.Indicator derived from Natural Earth at map scale; a screening view, not an assessment.
GCRI · Health Nexus · fieldDESIGN FIGURE
03The question

One Health: how the risk develops.

Human, animal and ecosystem interdependence. The dossier below sets out how the risk develops, what is measured, where the data come from, how it is modelled and who decides.

Mechanism

Spillover at the interface

Pathogens pass from wildlife or livestock to people where contact is frequent: land conversion, wildlife trade, intensive farming near forest edges and live animal markets. Each spillover is rare; the conditions that multiply contact are not.

Mechanism

Amplification in animals

Livestock and peri-domestic animals can amplify a pathogen before it reaches people, as with avian influenza in poultry or Rift Valley fever in ruminants after heavy rains. Animal outbreaks often precede human cases, which gives them warning value.

Mechanism

Resistance moves between sectors

Antimicrobial use in people, animals and crops selects resistant bacteria and resistance genes, which circulate through food, water, wastewater and soils. Resistance found in one sector cannot be explained or controlled within that sector alone.

Mechanism

Ecosystems set the conditions

Temperature, rainfall, land use and biodiversity loss change the range and abundance of vectors and reservoir hosts. A changing climate shifts where diseases such as dengue, malaria and tick-borne infections can establish and persist.

04Key terms

Terms used on this page.

Each term as this page uses it. Where a standard-setting body defines the term, the wording follows that body.

TermDefinition
ZoonosisAn infectious disease transmitted between animals and people.
SpilloverThe transmission of a pathogen from an animal host population to people or to another species.
Antimicrobial resistanceThe ability of bacteria, viruses, fungi and parasites to survive medicines that once killed or stopped them.
QuadripartiteFAO, UNEP, WHO and WOAH acting together on One Health under a joint plan of action.
05Indicators

What is measured, and how well.

Each indicator carries its unit, its cadence, the kind of source behind it and the evidence label a value would carry. No values are shown: a programme supplies them under its own authority.

IndicatorUnitCadenceSource typeLabel
Notified animal disease eventsevents per reporting periodimmediate and six-monthlyNational veterinary services reporting to WOAHOFFICIAL
Human cases of priority zoonosesnotified casesweeklyNotifiable disease surveillanceREPORTED
Antimicrobial use in animalsmilligrams of active ingredient per kilogram of animal biomassannualNational reports to WOAH ANIMUSEOFFICIAL
Antimicrobial resistance in priority bacteriapercent of tested isolates resistantannualLaboratory surveillance reported to WHO GLASSOBSERVED
Vector suitabilitydimensionless indexmonthlyClimate-driven ecological niche modelsMODELLED
Forest loss at the human-animal interfacesquare kilometresannualSatellite land-cover changeOBSERVED
Joint multisectoral investigationscount of investigations conducted jointlyannualOne Health coordination mechanism recordsREPORTED
06Canvas

From sources to decisions.

The topic as a computational graph: named sources feed the methods, an evidence review gates the outputs, and the decisions stay with the authorities that hold them.

Pipeline canvas · One Health as a run graphDesign, not a record
One Health: event detection, verification and notificationIndicator-based and event-based signals are triaged and verified; the national focal point assesses the event with the Annex 2 decision instrument and notifies within 24 hours when it qualifies; response and after-action review follow. Design of the process, not a record of a run.

Fig. 02Nodes carry their type, two metric rows and a state; connectors show what feeds what; dashed frames name the owners; the timeline is the cadence. Design of the pipeline, not a record of a run.

07Sources

Where the evidence comes from.

Named public datasets and institutional records, each with its licence class. Sources by agreement are used only under their terms and never republished.

SourceWhat it givesLicence class
WOAH World Animal Health Information System (WAHIS)Official notifications of animal disease events and six-monthly status reportsPublic, WOAH terms of use
FAO EMPRES Global Animal Disease Information System (EMPRES-i)Animal disease events, zoonoses included, compiled from official and other sourcesPublic, FAO terms of use
WHO Global Antimicrobial Resistance and Use Surveillance System (GLASS)National resistance and use data in human healthOpen, attribution, WHO terms of use
WOAH ANIMUSEAntimicrobial use in animals reported by national authoritiesPublic summaries, WOAH terms of use
Global Biodiversity Information Facility (GBIF)Occurrence records for reservoir hosts and vectorsOpen, licence per record (CC0, CC BY or CC BY-NC)
Hansen Global Forest ChangeAnnual forest loss and gain mapped from LandsatFree and open, attribution (CC BY 4.0)
INSDC sequence archives (GenBank, ENA, DDBJ)Pathogen genomes from human, animal and environmental samplesFree and unrestricted access
08Decisions

Who decides, and what the evidence serves.

Health Nexus prepares evidence. The decisions below are taken by the authorities named, under their own rules, and never by the platform.

Who decidesThe questionEvidence this page serves
National One Health coordination mechanismsWhich zoonoses to prioritise, and how ministries share surveillance and responseJoint risk assessments with each sector's evidence labelled; prioritisation inputs
Chief veterinary officers and veterinary servicesWhen an animal outbreak warrants control measures with human health implicationsAnimal event reports beside human surveillance and sequence relatedness
Ministries of health and agricultureWhere to restrict or steward antimicrobial use across human and animal sectorsResistance and use data compared across sectors, with comparability stated
Environment and wildlife authoritiesWhich land-use and wildlife trade practices raise spillover riskInterface maps and host occurrence evidence, with sampling gaps shown

Outputs this topic produces

  • Joint risk assessments that combine human, animal and environmental evidence
  • Spillover interface maps by land use, livestock density and host range
  • Antimicrobial resistance and use evidence linked across sectors
  • One Health evidence packs for multisectoral coordination mechanisms
09Core questions

What experts ask.

The central questions concern spillover, resistance and coordination.

  • Where and under what conditions do pathogens move between animals and people?
  • How do land-use change, farming practices and wildlife trade alter spillover risk?
  • How does antimicrobial use in human medicine, livestock and aquaculture drive resistance?
  • Can surveillance in animals and the environment give earlier warning than human case reports?
  • Which institutions must share data and decisions for a One Health approach to work?
10Mechanisms

Mechanisms and drivers.

Many emerging infectious diseases in people originate in animals. Spillover depends on contact between species, which is shaped by habitat loss, agricultural expansion, livestock density and the handling and trade of animals. Once a pathogen reaches people, its spread depends on transmissibility, population mobility and the response.

Antimicrobial resistance follows a different but connected mechanism: every use of an antimicrobial selects for resistant organisms, and resistance genes move between bacteria and between humans, animals and the environment through water, soil, food and waste. The result is a slow-moving threat to the effectiveness of routine medicine.

11Methods and data

How it is studied, and where the methods stop.

Method or dataWhat it showsLimits
Integrated surveillance across human, animal and environmental sectorsEarlier and broader detection of shared threatsSectors use different systems, definitions and reporting incentives
Wastewater and environmental samplingCommunity-level signals of pathogens and resistanceSignals need careful interpretation and do not identify cases
Genomic sequencingPathogen origins, relatedness and resistance genesSampling is uneven across regions and species
Ecological and land-use modellingWhere conditions favour spilloverIdentifies risk, not events; validation is difficult
12Methods

How it is studied, and what the methods cannot say.

  1. Epidemiology and public health scienceSurveillance design and evaluation · Nowcasting under reporting delayApplied here
  2. Molecular and life sciencesGenomic surveillance of pathogens · Cross-species linkage in One HealthApplied here
  3. Complex systems and agent-based modellingContact and mobility networks · Cascades across health and infrastructureApplied here
  4. Data engineering, interoperability and stewardshipLinking health information systems · Privacy-preserving publicationApplied here
  5. Probability and statisticsSurvey-weighted and small-area estimation · Expected baselines for excess mortalityApplied here
14Questions

Questions and answers.

What is One Health?
An integrated approach that recognises that the health of people, domestic and wild animals, plants and the wider environment are closely linked and interdependent, and that brings several sectors to work together. The Quadripartite organisations share this definition.
Can spillover be predicted?
Not as individual events. Evidence can identify the conditions and places where contact between people, livestock and wildlife is frequent, which helps authorities target surveillance and prevention.
Why link antimicrobial resistance across sectors?
Because resistant bacteria and resistance genes move through food, water and the environment. Measures in human medicine alone cannot control resistance that is being selected in animals and crops.
Is One Health only about pandemics?
No. It also covers antimicrobial resistance, foodborne illness, neglected zoonoses, vector-borne disease and environmental contamination, many of which cause steady harm rather than sudden crises.
Why is coordination so difficult?
Human, animal and environmental health are usually run by different ministries with separate budgets, legal powers and data systems. One Health asks them to share information and act together without merging their mandates.
Does Health Nexus collect field samples?
No. It works with published and governed data from competent laboratories and agencies, recorded in the source and data register.
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