This month of May, IV Congress of International Cooperationwhich is organized by the Foundation for International Cooperation Collegiate Medical Organization (FCOMCI) and the College of Physicians of Valencia.
As part of this congress, a panel discussion “Climate change and cooperation in healthcare: a critical view” took place, a colloquium moderated by pink streamdeputy of FCOMCI, in which experts gathered Fernando Farinasdirector of the Institute of Clinical Immunology and Infectious Diseases; santiago vegaProfessor of Animal Health at the Faculty of Veterinary Medicine CEU Cardenal Herrera University and Fernando ValladaresCSIC Research Professor and PhD in Biological Sciences from the Complutense University of Madrid.
At the table, various experts expressed the need to implement an approach “One health” in all policies and also in strengthening global epidemiological surveillance systems. Last for participants the pandemic has highlighted the need for a proactive surveillance system and a non-reactive one that ensures the safety of all the inhabitants of the planet and that has maximum transparency from all national governments to mitigate climate change by reducing the loss of biodiversity and various forms of contamination.
“There must be a paradigm shift in our society towards prevention and respect for human rights,” said Fernando Valladares, stressing the need change a profound change in mentality as a society where prevention is preferred over treatment, a change that is the task of each of us who are part of society so that we don’t die out,” he stated.
Likewise, Valladares warned against the risk of triggering cascading effects according to temperature, one of the “big threats” they are currently experiencing. In his opinion, health is affected in almost all aspects related to the physical and psychological spheres. “Preventing people from getting sick is not a business,” he said.
Finally he claimed that science and scientists have weight wherever they are, “we need to stop being mere advisors to start changing things, but to do that, I insist, this paradigm shift is necessary towards a society that acts in favor of prevention and the common good”.
from his side, santiago vegainsisted on the importance of introduction access ‘One health” all because “One health is absolutely everything and we need to be aware of that.” Vega expressed the problem needs to be made more visible which society faces because you need to be aware of what is going on to “train people to deal with it with determination and knowledge”.
“We are disrupting biodiversity, we have opened the door for them to leave or for us to enter a natural environment that was previously kept safe. This must be added to globalization, migration and changes in diet regarding wild animals. Only 1% of the viruses that are hidden have come out, that’s a big risk,” he emphasized.
In this sense, the veterinarian stated that health professionals must require management to act, civil society is the one that has to squeeze and push. “It is the responsibility of all of us who are here,” he insisted, also joining Fernando Valladares on the importance of prevention, arguing that this approach must be adopted because it “saves lives and is cheaper.”
In the same line, director of the Institute of Clinical Immunology and Infectious Diseases Fernando Farinas, He also emphasized the importance of the “One Health” cross-cutting approach and the implementation of a multidisciplinary approach and active to achieve effective actions. In this sense, he demanded more attention from administrations and politicians “who do not want to hear about ‘One Health’ and reiterated the importance of listening to veterinarians because “they contribute the most to this topic” “Without them we are not talking about One Health, but about my cheers,” he said.
Farinas qualified that “there is only one medicine and one health” and that there are many factors that affect human health as a result of human impact on biodiversity and changes in nature. In this context, he revealed that there are different pandemics, such as lack of immunity, a pandemic that is aggravated by circumstances such as malnutrition, which is “one of the causes of great immunosuppression.” Vaccines do not have the same effect as others and this threatens their lives, therefore it is an integrated vision absolutely necessary, there is only one medicine and one health, and ‘One Health’ is the glue that holds it all together,” he explained.
“We are not really aware of how we are changing nature and how we are harming the health of the planet. Today fungi kill more than tuberculosis and there are almost 1.7 million potential viruses, of which which of them can infect us between 600,000 and 800,000, to whom we give the opportunity to connect with us through this invasion and destruction of biosystems. With current inaction against climate change, we are speeding up the emergence of new infectious agents with a mortality rate higher than 20%, and I remind you that the mortality rate of SARS CoV-2 is lower than 2%, i.e. we are on the horizon. at enormous risk,” he said.
Santiago Vega explains the 10 points of the “One Health” Decalogue.
DECALOGUE “ONE HEALTH” AGREED BY DOCTORS AND VETERINARIANS IN SPAIN
The table ended with the “One Health” decalogue to prevent future pandemics and take care of global health. These ten have been agreed upon by the Spanish Collegiate Medical Organization and the Veterinary Collegiate Organization (OCV).
In the first point of the Decalogue, it is emphasized that there is a very close relationship between international trade and emerging diseases, and therefore it is determined to prevent the consolidation of the idea of a single global health.One world, one health“, which protects ecosystems, fauna, flora and at the same time people.
On the second point, it should be noted that the economic development of many countries is evolving humans attack wildlife. “To this we must add the essential element, the ever-higher density of the human population and its unprecedented mobility, which support countless routes of contagion,” they emphasize.
Third, it means that “pandemics occur when we open a breach in nature in an excessive and uncontrolled manner, such as those caused by trade, hunting and consumption of wild animals, deforestation or overexploitation of livestock”. “All this disrupts the protective effect of biodiversity and promotes the transmission of pathogens,” says the decalogue.
The fourth point is defended change the paradigm of action against pandemics, because “new ones will appear in the future”. This requires not only further research in laboratories, but also an inventory of potential emerging viruses and knowledge of which environmental conditions favor the transition from animal or plant pathogens to humans.
Fifth, he insists that preventing disease events, “rather than simply responding to them,” requires coordination across the wildlife, environment, human, animal and plant health sectors. “Prevention is always better than controlbecause it actively limits the impact of the disease”, it is emphasized.
As a sixth point, it is urgently necessary to think about what ecosystem management we will do so that the next infectious agent appears as late as possible we will strengthen our health systems and our ability to respond to future pandemics and how we will address growing social inequalities and the impacts of globalization and climate change,” the decalogue explains.
Likewise, the seventh point of the ten is committed limit interaction between domestic species and especially with humans, especially in a stressful environment (markets with an offer, high density of animals, etc.). As well as adopting strict biosecurity measures on farms, direct contact between microorganisms carried by many domestic species and humans can be prevented.
“It will become necessary change people’s habits and customs. The consumption of products such as blood is traditional in the gastronomy of five continents. Eating wild species can also pose a significant risk of exposure to hazardous substances, although the risk of causing a pandemic appears to be lower. We have to limit or limit the consumption of certain types or the preparation of certain culinary dishes”, says the eighth point of the ten.
Another of the measures considered, in this case in point 9, is the creation, improvement and strengthening of systems epidemiological surveillance worldwide. “Recent pandemics have highlighted the need to have an active zoonotic surveillance system that ensures the safety of all the planet’s inhabitants and that has maximum transparency on the part of all national governments,” it reads, among other things. In this regard, it is emphasized that the coordinated action of the World Health Organization (OMS), World Organization for Animal Health (OMSA) and governments to adopt better mechanisms for surveillance, diagnosis, warning and action in the event of the occurrence of a possible potentially pandemic disease.
Finally, point ten emphasizes that keeping the environment in good condition (mitigating climate change, reducing the loss of biodiversity and various forms of pollution) is one of the best investments that can be made in health. “He the health care budget dedicated to the “one health” approach must be increased significantly,” they conclude.
Image of the discussion table “Climate change and health cooperation: a critical perspective” at IV. international cooperation congress
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