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Introduction to One Health
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Table of Contents

Foreword xiii Acknowledgments xv About the Companion Website xvii Part I An Introduction and Impetus for One Health 1 1 Why One Health? 3 1.1 Book Overview 8 1.2 Conclusions and Welcome to One Health 10 End of Chapter Questions & Activities 11 Interview 12 Works Cited 13 2 Our Interconnected World 15 2.1 One Health Challenges on a Connected Planet 17 2.2 Global Challenges for One Health Practitioners 19 2.2.1 Emerging Infectious Diseases and Invasive Species 19 2.2.2 Loss of Biodiversity and Natural Resources 19 2.2.3 Climate Change 21 2.2.4 Environmental Degradation and Environmental Contaminants 21 2.2.5 Loss of Habitat and Increased Interactions of Domestic Animals-Wildlife-Humans 22 2.3 Drivers of Our Connected Health Challenges 22 2.4 Solutions Using a One Health Approach 24 2.5 Connectivity Across the Human-Animal-Environment Interface 25 End of Chapter Questions & Activities 26 Interview 26 Case Study28 Works Cited 29 3 Greatest Threats to Planetary Health 31 3.1 The Climate Crisis 31 3.2 Emerging and Re?emerging Infectious Diseases 36 3.3 The Loss of Biodiversity 39 3.3.1 Habitat Loss 40 3.3.2 Pollution 41 3.3.3 Invasive Species 44 3.4 The Anthropocene and Inequality 46 3.4.1 Wealth and Income Inequality 46 3.4.2 Global Food Insecurity 48 3.4.3 Environmental Racism 49 3.5 Science Denial 51 3.6 Conclusion 52 End of Chapter Questions & Activities 53 Interview 54 Works Cited 56 Part II The One Health Triad 59 4 Environmental Health as One Health 61 4.1 Threats to Environmental Health 63 4.2 Pollution and Environmental Contamination 64 4.3 Habitat Loss and Land Use Alterations 68 4.4 Environmental Health and Health of the Future 70 4.5 Two Things Exacerbate Everything 71 4.5.1 Population Growth and Consumption 71 4.5.2 Climate Change 72 4.6 Things Can Get Better 72 4.7 Conclusion 74 End of Chapter Questions & Activities 74 Interview 75 Case Study 77 Works Cited 79 5 Animal Health as One Health 81 5.1 Vulture Declines and One Health 83 5.2 Animals that Share Our Planet 85 5.3 How Do We Keep All Animals Healthy on a Changing Planet? 86 5.4 Threats to Animal Health on a Changing Planet 88 5.5 Conclusions 88 End of Chapter Questions & Activities 89 Interview 90 Case Study 91 Works Cited 93 6 Human Health as One Health 95 6.1 Human Health as One Health 96 6.2 Human Disease in the Context of One Health 98 6.2.1 Infectious Diseases 98 6.2.2 Disruption of Embryonic and Fetal Development 99 6.2.3 Diseases of Nourishment 100 6.2.4 Respiratory Disease 102 6.2.5 Cancer 104 6.3 Climate Change and Human Health 105 6.4 Going Forward 105 End of Chapter Questions & Activities 107 Interview 107 Case Study 109 Works Cited 110 Part III Practitioners and Their Tools 113 7 The One Health Practitioner 115 7.1 Who Is a One Health Practitioner? 117 7.2 The Beauty of an Interdisciplinary, Team?Based Approach 119 7.2.1 Problem Solving 119 7.2.2 One Health Is Anticipatory 120 7.3 Occupational Opportunities in One Health 120 7.3.1 The One Health Triad 120 7.3.2 One Health Practitioners and Their Tools 121 7.3.3 How to Start a Movement 122 7.3.4 The Humanity of Science 122 7.4 The Citizen Practitioner 123 End of Chapter Questions & Activities 124 Interview 124 Case Study 126 Works Cited 127 8 Essential Tools for One Health Practitioners 129 8.1 Why We Need One Health Tools 131 8.2 The Tools of One Health 132 8.2.1 The Tangible: Hard Tools of One Health 132 8.2.2 People Power: The Intangible Tools of One Health 134 8.2.3 Disease Risk Analyses: Linking the Tangible with the Intangible Tools of One Health 138 8.3 Tools to Help Start a One Health Movement 140 8.4 Conclusions 141 End of Chapter Questions & Activities 141 Interview 142 Case Study 144 Works Cited 145 Part IV How to Start a Movement 147 9 Education and Critical Thinking in One Health 149 9.1 Higher Education and One Health 151 9.2 One Health Practitioners as Educators 153 9.3 Conclusions 158 End of Chapter Questions & Activities 158 Interview 159 Case Study 160 Works Cited 161 10 Communication and Advocacy in One Health 163 10.1 A Hole in the Ozone 163 10.2 Scientific Communication 165 10.3 Science Denial and the Cautionary Language of Scientists 166 10.4 Communication as the Bridge?Building Tool of One Health 168 10.5 Communication as Outreach 168 10.6 Citizen Science as One Health 171 10.7 Communication and Advocacy as a One Health Tool 172 10.8 Conclusion 174 End of Chapter Questions & Activities 174 Interview 175 Case Study 177 Works Cited 179 Part V The Humanities of One Health 181 11 Culture and Theology in One Health 183 11.1 Culture 185 11.2 Culture, Social Structure, and One Health 185 11.2.1 Poverty 185 11.2.2 Marginalization 186 11.2.3 Women and Gender Equity 186 11.3 Culture and Animal/Ecosystem One Health 187 11.4 Religion and One Health 189 11.5 Cultural and Religious Awareness and One Health 191 End of Chapter Questions & Activities 191 Interview 192 Case Study 193 Works Cited 194 12 Economics and One Health 197 12.1 Economics: The Connection Between Values and Behaviors 199 12.2 Cost and Externalities 200 12.3 The Cost and Value of Life 201 12.4 The Conundrum of Economics and the Environment 204 12.5 Business and Sustainability: Patagonia 205 12.6 Business and Sustainability: New Belgium Brewing 205 12.7 Global Economics and Planetary Health 206 End of Chapter Questions & Activities 207 Interview 208 Case Study 210 Works Cited 211 13 Politics and Policy of One Health 213 13.1 What Do We Mean by the Politics of One Health? 215 13.2 How a Health Issue May Become a Political Issue 216 13.3 Political Differences, Realities, and Challenges 217 13.4 Key Local, National, and International One Health Organizations and Movements 218 13.5 Environmental/Biodiversity 218 13.5.1 International Climate Accord 218 13.5.2 International Union for the Conservation of Nature 218 13.5.3 The Convention on International Trade in Endangered Species of Wild Fauna and Flora 219 13.5.4 United States Environmental Protection Agency 219 13.6 Animal and Human Health 219 13.6.1 World Health Organization 219 13.6.2 Food and Agriculture Organization of the United Nations 220 13.6.3 The World Organization for Animal Health 220 13.6.4 Centers for Disease Control and Prevention 220 13.7 Approaching Health Policies Through the One Health Lens 221 13.8 Call to Action - Advocacy, Policy, and Politics 221 13.9 Conclusions 223 End of Chapter Questions & Activities 223 Interview 224 Case Study 226 Works Cited 227 Part VI Where Do We Go From Here? 229 14 Working in a Global Environment 231 14.1 Think Globally, Act Locally, and the Butterfly Effect 232 14.2 How a Global Environment Fits in One Health 233 14.3 Education and Skills Needed to Work and Thrive in a Global World 235 14.4 How To Be a One Health Practitioner in a Global Environment 238 14.5 International Programs, Policies, and Laws for One Health in the Global Environment 239 14.6 Conclusion 240 End of Chapter Questions & Activities 242 Interview 243 Case Study 245 Works Cited 245 15 The Past and Future of One Health 247 15.1 The Lesson of Easter Island 248 15.2 One Health in History 249 15.3 How One Health Became One Health 249 15.4 Our Futures 250 15.5 Our Current Actions Establish the Path 252 15.6 The Ethics of Our Decisions 252 15.7 Conclusions 252 End of Chapter Questions & Activities 252 Interview 253 Works Cited 255 Glossary 257 Index 267

About the Author

The authors Sharon L. Deem, DVM, PhD, Diplomate ACZM, is Director of the Institute for Conservation Medicine at the Saint Louis Zoo in St. Louis, Missouri, USA, and Adjunct Associate Professor in the Veterinary College and MPH Program at the University of Missouri in Columbia, Missouri, USA. Kelly E. Lane-deGraaf, PhD, is Assistant Professor and Director of the Center for One Health at Fontbonne University in St. Louis, Missouri, USA. Elizabeth A. Rayhel, PhD, is Professor and member of the Center for One Health at Fontbonne University in St. Louis, Missouri, USA.

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