title: 'One health' and development priorities in resource-constrained countries: policy lessons from avian and pandemic influenza preparedness in Zambia.
abstract: 'One World, One Health' has become a key rallying theme for the integration of public health and animal health priorities, particularly in the governance of pandemic-scale zoonotic infectious disease threats. However, the policy challenges of integrating public health and animal health priorities in the context of trade and development issues remain relatively unexamined, and few studies to date have explored the implications of global disease governance for resource-constrained countries outside the main centres of zoonotic outbreaks. This article draws on a policy study of national level avian and pandemic influenza preparedness between 2005 and 2009 across the sectors of trade, health and agriculture in Zambia. We highlight the challenges of integrating disease control interventions amidst trade and developmental realities in resource-poor environments. One Health prioritizes disease risk mitigation, sidelining those trade and development narratives which speak to broader public health concerns. We show how locally important trade and development imperatives were marginalized in Zambia, limiting the effectiveness of pandemic preparedness. Our findings are likely to be generalizable to other resource-constrained countries, and suggest that effective disease governance requires alignment with trade and development sectors, as well as integration of veterinary and public health sectors.
authors: Beit Scholar, Independent Health Researcher, Indianapolis, Indiana 46268, USA and Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK kapala.mwacalimba@gmail.com.
authors: Kennedy Kapala
authors: KK
authors: Mwacalimba
authors: Beit Scholar, Independent Health Researcher, Indianapolis, Indiana 46268, USA and Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK.
authors: Judith
authors: J
authors: Green
mesh_terms: D000818:Animals; D003906:Developing Countries; D006285:Health Planning; D006291:Health Policy; D006292:Health Priorities / Q000458:organization & administration; D006801:Humans; D053124:Influenza A Virus, H5N1 Subtype; D007252:Influenza Vaccines / Q000627:therapeutic use; D005585:Influenza in Birds / Q000453:epidemiology / Q000517:prevention & control*; D007251:Influenza, Human / Q000453:epidemiology / Q000517:prevention & control*; D058873:Pandemics / Q000517:prevention & control*; D011200:Poultry / Q000821:virology; D011201:Poultry Diseases / Q000453:epidemiology / Q000517:prevention & control; D015024:Zambia / Q000453:epidemiology; D015047:Zoonoses / Q000453:epidemiology / Q000517:prevention & control*
chemical_list: D007252:Influenza Vaccines
keywords: Avian influenza; development; one health; preparedness; trade