title: Making One Health a Reality--Crossing Bureaucratic Boundaries.
abstract: A One Health approach requires that nontraditional partners with differing mandates collaborate and communicate effectively. Barriers to such redefined relationships range from personality and institutional cultural and value differences to impediments that require changes in agency-specific policies. This article reviews interagency One Health collaborations, nationally and internationally. It presents a series of case studies that describe situations in which barriers were overcome, thus culminating in successful One Health outcomes. The case studies illustrate challenges, tipping points, and externally enabling factors that help institutionalize cross-bureaucratic working relationships. Likewise, the cases demonstrate the added value of taking a One Health approach to solving (or preventing) public health problems.
authors.affiliation: National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA 30333.
authors.forename: Carol
authors.initials: C
authors.lastname: Rubin
authors.affiliation: Center for Veterinary Medicine, U.S. Food and Drug Administration, Rockville, MD 20855.
authors.forename: Bernadette
authors.initials: B
authors.lastname: Dunham
authors.affiliation: National Wildlife Health Center, U.S. Geological Survey, Madison, WI 53711.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Sleeman
mesh_terms: D000818:Animals; D003299:Cooperative Behavior; D003695:Delivery of Health Care / Q000458:organization & administration*; D004777:Environment; D014943:Global Health; D006268:Health Facilities; D006291:Health Policy / Q000639:trends*; D006298:Health Services Administration / Q000639:trends*; D006801:Humans; D033183:Interdisciplinary Communication; D014481:United States