Textual analysis on One Health development and practice

Abstract

Objective: To understand the application and research hotspots of One Health in the development of global public health, summarize and refine experiences from successful practice cases of One Health, reflect on the existing problems and shortcomings in China's current practice, and put forward corresponding suggestions and countermeasures, providing insights for improving the practice strategy of One Health in China and the development of public health.
Methods: A two-dimensional analytical framework was established based on the dimensions of One Health classification and research hotspots. Content analysis was used to analyze 49 case texts and 214 pieces of content related to the development and practice of One Health.
Results: In the One Health content classification in the X dimension, animal health was the most studied, followed by human health, while environmental health was the least studied, accounting for 42.52%, 35.51% and 21.96%, respectively. In the research hotspots of the Y dimension, emerging infectious diseases accounted for the highest proportion (37.38%), followed by zoonotic diseases (36.45%), antibiotic abuse (14.49%), and food safety problems accounted for relatively lower proportion (11.68%). In the two-dimensional coupled analysis, practices related to animal health were imbalanced, with exploration related to zoonosis being the most common (22.90%), and those related to antibiotic resistance being the least (1.87%). Practices related to emerging infectious diseases accounted for the greatest proportion (18.22%) in population health studies, while food safety problems accounted for the smallest proportion (3.74%). The practices and exploration of environmental health were more balanced.
Conclusions: In future One Health practices, multi-departmental, cross-field and multi-disciplinary participation should be established with leadership and organization. A rapid, rich and accurate information sharing platform should be enhanced to address the imbalance in the overall structure of One Health research and improve the two-dimensional coupling degree of specific research in the One Health field.

Keywords

One Health / Practical case / Textual analysis

Conflict of interest statement

The authors declare that there is no conflict of interest.

Funding

This study was funded by National Natural Science Foundation International (regional) cooperation and exchange project (2023YFVA1005).

Data availability statement

The data supporting the findings of this study are available from the corresponding author upon request.

Authors’ contributions

Li YT and Jiang F performed literature search, and wrote the first draft of the manuscript. Zhao DT, Wang YN and Liu YZ read the manuscript, made corrections to the manuscript, reviewed, and edited the content of the entire manuscript. Liang WJ reviewed the manuscript and suggested revisions, and Lu JH gave guidance on the overall structure and direction of the article. All authors approved the final copy of the manuscript before submission.

References

[1] Pan F. “One Health” is a new strategy to maintain human life and health - the theme focus of the 697th xiangshan science conference. Chin Med Rev 2019; 19(06): 1-5. (in Chinese)

[2] Karesh WB. One world One health. Clin Med (Lond) 2009; 9(3): 259-260.

[3] Gibbs EP. The evolution of One Health: A decade of progress and challenges for the future. Vet Rec 2014; 174(4): 85-91.

[4] Food and Agriculture Organization, World Organisation for Animal Health, World Health Organization . The FAO-OIE-WHO collaboration. [Online] Available from: https://www.woah.org/app/uploads/2021/03/final-concept-note-hanoi.pdf. [Accessed on 1 February 2025].

[5] School of Public Health, Sun Yat-sen University. One Health Research Center, School of Public Health, Sun Yat-sen University [Online] Available from: https://sph.sysu.edu.cn/article/193. [Accessed on 3 April 2025]. (in Chinese)

[6] Guangzhou Medical University . The second International Forum on One Health Research in China was successfully held. [Online] Available from: https://fao.gzhmu.edu.cn/info/1161/6042.htm. [Accessed on 3 April 2025]. (in Chinese)

[7] World Health Organization . 26 International experts to kickstart the One Health High Level Expert Panel (OHHLEP). [Online] Available from: https://www.who.int/news/item/11-06-2021-26-international-experts-to-kickstart-the-joint-fao-oie-unep-who-one-health-high-level-expert-panel-(ohhlep). [Accessed on 10 September 2024].

[8] World Health Organization . The three parties and the United Nations Environment Programme support the definition of “one health” by the High-Level Expert Panel. [Online] Available from: https://www.who.int/zh/news/item/01-12-2021-tripartite-and-unep-support-ohhlep-s-definition-of-onehealth. [Accessed on 10 September 2024].

[9] Shanghai Jiao Tong University School of Medicine. Shanghai jiaotong university to the university of Edinburgh and the whole health research center. [Online] Available from: https://news.sjtu.edu.cn/jdyw/20200509/124001.html. [Accessed on 14 February 2025].

[10] Emanuel J, Marzi A, Geronimo A, Feldmann H. Filoviruses: Ecology, molecular biology, and evolution. Adv Virus Res 2018: 100: 189-221.

[11] Western Pacific Regional Commission . Strategy for the control of emerging diseases in the Asia-Pacific region. Manila: WHO Regional Office for the Western Pacific. [Online] Available from: https://apps.who.int/iris/handle/10665/260087. [Accessed on 14 February 2025].

[12] Gongal G, Ofrin RH, de Balogh K, Oh Y, Kugita H, Dukpa K. Operationalization of One Health and tripartite collaboration in the Asia-Pacific region. WHO South East Asia J Public Health 2020; 9(1): 21-25.

[13] Press Information Bureau of the Government of India. Department of Animal Husbandry and Dairying has formulated National Action Plan for Prevention, Control and Containment of Avian Influenza. [Online] Available from: https://www.pib.gov.in/PressReleasePage.aspx?PRID=2042611®=3&lang=2#:~:text=Department%20of%20Animal%20Husbandry%20and%20Dairying%20(DAHD)%2C%20Government,and%20containment%20of%20Avian%20Influenza%20in%20the%20Country. [Accessed on 14 February 2025].

[14] Coghlan B, Hall D. The development of One Health approaches in the Western Pacific. Curr Top Microbiol Immunol 2013; 366: 93-111.

[15] Ding XM, Gregory CG, Lu JH. “One Health” and zoonosis. J Trop Med 2014; 14(6): 832-835. (in Chinese)

[16] Batsukh Zayat, Tsolmon B, Otgonbaatar Dashdavaa, Undraa Baatar, Dolgorkhand Adyadorj, Ariuntuya Ochirpurev . One Health in Mongolia. Curr Top Microbiol Immunol 2013; 366.

[17] Pu C, Xu L, Wan JJ, Li RZ, Shang JY, Liu Y, et al. Progress and prospect of schistosomiasis surveillance and early warning system. J Prev Med Inf 2025; 41(2): 278-284. (in Chinese)

[18] Zeng XY. Analysis of H5N1 avian influenza virus variation and research on prevention and control vaccine from 2008 to 2013. PhD thesis; Chinses Academy of Agricultural Scienses; 2013. (in Chinese)

[19] Qiu CY, Chen KR. Analysis of COVID-19 data sharing at home and abroad. Digital Lib Forum 2022; 5: 60-65. (in Chinese)

[20] School of Management, Hainan Medical University . Ecological governance of Hainan coastline from the perspective of total health (2021 Three Rural Outcomes Collection). [Online] Available from: https://www.muhn.edu.cn/glxy/info/1039/8964.htm. [Accessed on 14 February 2025].

[21] Lu JH, Hao YT. One Health and emerging infectious diseases. Beijing: People’s Medical Publishing House; 2019. (in Chinese)

[22] Climate Change Laws of the World. Report (White paper) on China’s Policies and Actions to Address Climate Change. [Online] Available from: https://climate-laws.org/documents/white-paper-on-china-s-policies-and-actions-to-address-climate-change_a4f4. [Accessed on 15 February 2025].

[23] APEC Health Working Group. APEC Emerging Infectious Disease Network (EINET): Expert Roundtable Series on Hot Topics in Emerging Infectious Diseases. [Online] Available from: https://www.apec.org/docs/default-source/publications/2010/12/apec-emerging-infectious-disease-network-einet-report/210_htf_einet_forweb.pdf. [Accessed on 15 February 2025].

[24] Cheng ZG, Fu YL. Research progress of Hendra virus. Vet Guide 2023; 4: 12-16. (in Chinese)

[25] Liu JY, Sun T, Liu YN, Chen ZY, Chen HJ. Research progress and risk analysis of Nipah virus. Chin J Anim Infect Dis 2024. https://doi.org/10.19958/j.cnki.cn31-2031/s.20241016.002. (in Chinese)

[26] Rehman S, Effendi MH, Witaningruma AM, Nnabuikeb UE, Bilal M, Abbas A, et al. Avian influenza (H5N1) virus, epidemiology and its effects on backyard poultry in Indonesia: A review. F1000Res 2022; 11: 1321.

[27] Zhang YL. Prevention and control measures of rabies. Today Anim Husb Vet Med 2019; 36(4): 20. (in Chinese)

[28] Vaughn DW, Hoke CH Jr. The epidemiology of Japanese encephalitis: Prospects for prevention. Epidemiol Rev 1992; 14: 197-221.

[29] Willgert K, Cliff M, Meinke S, Messina D, Broom DM, Wood J, et al. Burden of bovine tuberculosis on animal health, welfare and production: A systematic review. Transbound Emerg Dis 2025; 6541298. doi: 10.1155/tbed/6541298.

[30] Liu ZX, Chen LR, He JY, Zhang XL. Interpretation of Chinese guidelines for diagnosis, treatment and prevention of clostridium difficile infection (2024 edition). J Crit Care Med 2019; 31(1): 21-25. (in Chinese)

[31] Chen T, ZHAO GH, Ning CS, Zhang LX. Progress of epidemiological research on cysticercosis in China. Shanghai J Anim Husb Vet Med 2006; 5: 18-20. (in Chinese)

[32] Zhu RX, Hua R, Ren Y, Luo CY, Zou ZC, Feng X. Metagenomic analysis reveals intestinal microbial community characteristics of healthy captive snub-nosed monkeys in Sichuan, Yunnan and Guizhou. Chin J Anim Nutr 2018; 36(12): 8149-8160. (in Chinese)

[33] Zinsstag J, Crump L, Schelling E, Hattendorf J, Maidane YO, Ali KO, et al. Climate change and One Health. FEMS Microbiol Lett 2018; 365(11): fny085.

[34] Riley LW. Distinguishing pathovars from nonpathovars: Escherichia coli. Microbiol Spectr 2020; 8(4): 10.1128/microbiolspec.ame-0014-2020.

[35] Doherr MG. Bovine spongiform encephalopathy (BSE)-infectious, contagious, zoonotic or production disease? Acta Vet Scand Suppl 2003; 98: 33-42.

[36] Espitia NF, Zoran DL, Clendenin A, Crosby SM, Dominguez B, Ellis CL, et al. Direct measurement of veterinary student learning outcomes for the NAVMEC professional competencies in a multi-user virtual learning environment. J Vet Med Educ 2021; 48(1): 33-47.

[37] Michael SW, Patricia AC, Jenna N . One Health-One Education: Medical and Veterinary Inter-Professional Training. J Vet Med Educ 2019; 46(1): 14-20.

[38] Liu CH, ZHAO Y. Detection and analysis of fox viral diseases in 2017. Shandong J Anim Sci Vet Med 2018; 11: 24-25. (in Chinese)

[39] Wanjia Huan, Zeng Teqing. Theoretical agreement and practice of “One health” and ecological governance. Med Philos 2024; 45(11): 13-17+28. (in Chinese)

[40] Chen L. Research and implementation progress of the National Environment and Health Action Plan. [Online] Available from: https://kns.cnki.net/KCMS/detail/detail.aspx?dbcode=CPFD&filename=YNKX201411001018. [Accessed on 14 February 2025]. (in Chinese)

[41] Gong ZY, Gao Y, Wang JN, Cheng EF, Sun JM, Guo JX, et al. Practice of sustainable vector control in “no four hazards Village” in Zhejiang Province under “One Health”. Chin Health Pestic Mach 2024; 30(2): 101-105. (in Chinese)

[42] Sui JY, Li MZ, Cao XM, Wang XY, Sun XL, Zhao SJ, et al. The concept of “one health” addresses the global crisis of antimicrobial resistance. Chin J Anim Quarant 2018; 41(4): 38-44. (in Chinese)

[43] Paola LC, Rosa IFX, Christine MC, Ian SK . Circular economy and food safety: A focus on One Health. Appl Food Res 2024; 4(2): PP 100509- 100509.

[44] Jiang BK, Sun SH, Liu SR, Li BB. Development of surveillance and response system for wild animal diseases in China under the concept of One Health. Biodiv Sci 2012; 30(11): 251-265. (in Chinese)

[45] Paternoster G, Babo MS, Mattivi A, Cagarelli R, Angelini P, Bellini R, et al. Economics of One Health: Costs and benefits of integrated West Nile virus surveillance in Emilia-Romagna. PLoS One 2017; 12(11): e0188156.

[46] Schelling E, Bechir M, Ahmed MA, Wyss K, Randolph TF, Zinsstag J. Human and animal vaccination delivery to remote nomadic families, Chad. Emerg Infect Dis 2007; 13(3): 373-379.

[47] Deng MX. Thinking based on baseline investigation and prevention of brucellosis. Chin Anim Health 2019; 27(1): 113-114. (in Chinese)

[48] Xu S, Shen WT. Influenza A virus HA protein-specific nanoantibodies provide broad spectrum neutralization effect. Chin J Vet Sci 2019; https://doi.org/10.16656/j.issn.1673-4696.2025.0098. (in Chinese)

[49] Pang Sufen, Yuan Liping. The world organization for animal health “One Health” concept and practice. Chin Anim Health Inst 2015; 32(1): 58-60. (in Chinese)

[50] Xie TC, Chai PN, Luo SS, Zheng HX, Zhao BZ, Wu CX, et al. Bacterial drug resistance from the perspective of One Health. J TROP MED-US 2019; 24(9): 1355-1361.

[51] Liu GJ. Tuberculosis prevention and control status quo and prevention and control strategy. Cardiovasc Dis Electron J Integr Traditional Chin West Med 2019; 7(36): 17. (in Chinese)

[52] Subedi D, Pantha S, Jyoti S, Gautam B, Kaphle K, Yadav RK, et al. Anthrax in humans, animals, and the environment and the One Health strategies for anthrax control. Pathogens 2024; 13(9): 773.

[53] World Health Organization . One Health. [Online] Available from: https://www.who.int/zh/news-room/fact-sheets/detail/one-health. [Accessed on 25 March 2025].

[54] Van HJ, Bovenkerk B, Verweij M. One Health as a moral dilemma: Towards a socially responsible zoonotic disease control. Zoonoses Public Health 2019; 66(1): 26-34.

[55] Gongal G, Ofrin RH, Balogh K, Oh Y, Kugita H, Dukpa K. Operationalization of One Health and tripartite collaboration in the Asia-Pacific region. WHO South-East Asia J Public Health 2020; 9: 21-25.

[56] Fang XY, Fan YG, Yang SG, Ye DQ. New the epidemic situation of infectious diseases and influence factors and strategy thinking. Chin J of Dis Control 2025; 29(1): 1-7+33. (in Chinese)

[57] Yao SM, Cao SB, Li CX. Global research situation analysis of zoonoses from One Health perspective. Chin J Zoonoses 2019; 40(10): 994-1002. (in Chinese)

[58] Yu LY, Xie G, Zhang Y, Wu QK. Research progress of biosensors based on CRISPR/Cas12a system in food safety detection. Food Ferment Ind 2015; 2: 1-12. (in Chinese)

[59] Saify MB, Jones N, Fieroze F, Mitchell J, Hicks JP, Huque S, et al. Engaging rural communities in Bangladesh to tackle antimicrobial resistance through the Community Dialogue Approach: A process evaluation protocol for COSTAR project in Cumilla, Bangladesh. Front Public Health 2024; 12: 1466780.

[60] Wang JQ, Wang CC. Identification of policy concerns in China’s digital countryside: A text analysis based on the “tool-scene” two-dimensional framework. Hebei Acad J 2019; 45(1): 183-192. (in Chinese)

[61] Wen X, Zhang JR, Cheng WC, Hu YK, Wang ZJ, Zheng XY. Study on the relationship between physical health status and elder maltreatment in China. Chin J Dis Control 2017; 21(6): 546-549+571. (in Chinese)

[62] Huang YP, Li L. Meta-analysis of mental health status assessment of Chinese college students by symptom self-rating inventory (SCL-90). Chin Ment Health J 2009; 5: 67-72. (in Chinese)

[63] Yuan XQ. On the cultivation of college students’ social adaptability. J Shandong Youth Manag Inst 2007; 3: 51-53. (in Chinese)

[64] China National Knowledge Net . Knowledge meta retrieval atmosphere. [Online] Available from: http://www-cnki-net-s.webvpn.hainmc.edu.cn:8118/old/. [Accessed on 15 February 2025].

[65] China National Knowledge Net . Knowledge meta retrieval freshwater. [Online] Available from: http://www-cnki-net-s.webvpn.hainmc.edu.cn:8118/old/. [Accessed on 15 February 2025].

[66] China National Knowledge Net . Knowledge meta retrieval ocean. [Online] Available from: http://www-cnki-net-s.webvpn.hainmc.edu.cn:8118/old/. [Accessed on 15 February 2025].

[67] China National Knowledge Net . Knowledge meta retrieval soil. [Online] Available from: http://www-cnki-net-s.webvpn.hainmc.edu.cn:8118/old/. [Accessed on 15 February 2025].

[68] China National Knowledge Net . Knowledge meta retrieval natural ecology. [Online] Available from: http://www-cnki-net-s.webvpn.hainmc.edu.cn:8118/old/. [Accessed on 15 February 2025].

[69] China National Knowledge Net . Knowledge meta retrieval acoustic environment. [Online] Available from: http://www-cnki-net-s.webvpn.hainmc.edu.cn:8118/old/. [Accessed on 15 February 2025].

[70] China National Knowledge Net . Knowledge meta retrieval radiation. [Online] Available from: http://www-cnki-net-s.webvpn.hainmc.edu.cn:8118/old/. [Accessed on 15 February 2025].

[71] China National Knowledge Net . Knowledge meta retrieval climate change and natural disasters. [Online] Available from: http://www-cnki-net-s.webvpn.hainmc.edu.cn:8118/old/. [Accessed on 15 February 2025].

[72] China National Knowledge Net . Knowledge meta retrieval infrastructure. [Online] Available from: http://www-cnki-net-s.webvpn.hainmc.edu.cn:8118/old/. [Accessed on 15 February 2025].

[73] China National Knowledge Net . Knowledge meta retrieval energy. [Online] Available from: http://www-cnki-net-s.webvpn.hainmc.edu.cn:8118/old/. [Accessed on 15 February 2025].

[74] China National Knowledge Net . Knowledge meta retrieval wild animal. [Online] Available from: http://www-cnki-net-s.webvpn.hainmc.edu.cn:8118/old/. [Accessed on 15 February, 2025].

[75] China National Knowledge Net . Knowledge meta retrieval livestock. [Online] Available from: http://www-cnki-net-s.webvpn.hainmc.edu.cn:8118/old/. [Accessed on 15th February, 2025].

[76] Zhou W, Wang MK, GU MT. Evolution characteristics and quantitative research of local government digital rural policy in China: Based on policy text analysis at provincial level. Think Tank Theory Pract 2025: 1-22.

[77] China Economic Times. Theoretical hot spot Wei Xinjun: To further strengthen the evaluation of the effect of ecological and environmental policies. [Online] Available from: https://news.qq.com/rain/a/20250319A05MJH00. [Accessed on 15 March 2025].

[78] National Health Commission . Status report on antimicrobial management and bacterial drug resistance in China. [Online] Available from: http://www.nhc.gov.cn/yzygj/s3594/201904/1b5a42f0e326487295b260c813da9b0e/files/65d864a34e824d1abbc6807cd3c999b1.pdf. [Accessed on 15 February 2025].

[79] Qiu J. One Health multi-fields work together to address the challenge of microbial drug resistance. Med J 2024; 4. doi: 10.44211/n.cnki.nysbz.2024.000451. (in Chinese)

[80] Li M, Jiang TX, Chen WY, Hu YZ, Guo XK, Zhu YZ. Research progress of microbial resistance monitoring system based on holistic health concept. Chin J Trop Med 2019; 24(11): 1293-1300. (in Chinese)

[81] World Health Organization . William Karesh: Championing “One Health”. [Online] Available from: https://iris.who.int/bitstream/handle/10665/336838/PMC7652556.pdf. [Accessed on 15 March 2025].

[82] Ren XD, Dong JH. Common health of human-animal-environment. [Online] Available from: https://www.zhihu.com/market/pub/120327305/manuscript/1536855270844493824. [Accessed on 15 March 2025].

[83] Institute of Urban Environment, Chinese Academy of Sciences . International symposium on environmental antibiotic resistance under “One Health” was successfully held in Ningbo. [Online] Available from: http://www.iue.cas.cn/xwzx/xshd/202309/t20230930_6889603.html. [Accessed on 15 March 2025].

[84] Lu JH. Realizing the goal of human health community by “One Health” strategy. Int Pers Exch 2023; 6: 3. (in Chinese)

[85] Gao GF, Chen JS, Zhao GP, Xu JG, Lu JH. The 697th Xiangshan science conference consensus report on One Health and human health. One Health Bull 2021; 1: 3-9.

[86] Li QQ, Sun SQ. Construction of whole-process emergency decision-making system for public health emergencies. Chin J Inf 2019; 44(2): 66-71+91.

[87] Li LM, Wang B, Lu J, Liao CX, Hao YT. Current situation and challenge of public health science and technology innovation in China. Sci Found Chin 2019; 38(2): 303-307.

[88] Deng Q, Lu JH. One health and human health. Sci Bull 2022; 67: 37-46. (in Chinese)

[89] Hu H, Lu JH. Response to emerging and re-emerging infectious diseases based on one health strategy. J Sun Yat-sen Univ Med Sci 2022; 43(5): 705-711.

[90] Liao CX, Li M. Development and practice of “One Health”. Chin J Epidemiol 2022; 43(7): 987-995.

[91] European Centre for Disease Prevention and Control. Public health functions. [Online] Available from: https://www.ecdc.europa.eu/en/about-us/ecdcs-organisational-structure#public-health-functions. [Accessed on 15 March 2025].

[92] Chang XY. Interpretation of EU’s digital services act and its implications for China. Law Sci 2025; 13(2): 225-232.