One Health

“A Transdisciplinary Approach for Global Health Sustainability”

Dr. Henri Michael von Blanquet, MD, PhD, MaHMThe Health Captains Club
Prof. Dr. Michael Friebe, Dipl.-Ing., PhD — AGH University of Science and Technology, Krakow, Poland / Otto-von-Guericke University, Magdeburg, Germany / Advisory Board of  The Health Captains Club

Abstract

The One Health concept represents a holistic, systems-level framework that recognizes the interconnectedness of human, animal, and environmental health. This chapter examines the scientific underpinnings, strategic imperatives, and implementation challenges associated with the One Health paradigm. Emphasizing a convergence of disciplines—including medicine, veterinary science, environmental research, and public health—it underscores the urgent need for integrative knowledge networks and innovation platforms to tackle global health threats such as zoonotic diseases, climate change, and antimicrobial resistance. As planetary boundaries are increasingly crossed, One Health offers a sustainable path forward by aligning academic research, health policy, and socio-environmental interventions under a common goal: health for all forms of life.

 

1. Introduction

In the 21st century, health challenges are becoming increasingly complex, interdependent, and global in scope. From zoonotic pandemics such as COVID-19 to escalating environmental degradation, traditional sectoral approaches to health are proving inadequate. One Health is emerging as a scientifically grounded response to these multidimensional problems. Originally focused on zoonotic disease management, the One Health model has evolved into a transdisciplinary framework that integrates Human Health, Animal Health, and Environmental & Planetary Health to address the root causes of disease and ecosystem instability. It advocates for collaborative, cross-sectoral strategies to safeguard global health across species and generations.

2. The One Health Paradigm: Key Concepts and Scientific Foundations

2.1 Defining One Health

According to the World Health Organization (WHO) and the One Health High-Level Expert Panel (OHHLEP), One Health is defined as:

“An integrated, unifying approach that aims to sustainably balance and optimize the health of people, animals and ecosystems.”

This definition emphasizes the ecological, biological, and socio-economic interdependence of health systems across species and environments.

2.2 Interconnected Systems Thinking

The One Health Triad consists of:

  • Human Health: Physical, mental, and social well-being, shaped by public health systems, individual behaviors, and social determinants.

  • Animal Health: Encompassing both livestock and wildlife, crucial for food security, livelihoods, and zoonotic disease surveillance.

  • Environmental (Planetary) Health: Quality and sustainability of ecosystems, climate regulation, air and water quality, and biodiversity.

These components form a complex adaptive system, in which perturbations in one domain can propagate across others—necessitating integrated modeling and governance approaches.

2.3 Scientific Imperatives for One Health

  • Zoonoses: Over 60% of known infectious diseases in humans are zoonotic; 75% of emerging infectious diseases originate in animals (Taylor et al., 2001).

  • Climate Change: Alters disease vectors, water and food availability, and habitat stability, intensifying health risks across the triad (Myers et al., 2017).

  • Antimicrobial Resistance (AMR): A growing global health crisis exacerbated by antibiotic misuse in both human medicine and animal agriculture (Robinson et al., 2016).

  • Biodiversity Loss: Decreases ecosystem resilience and increases the likelihood of pathogen spillover events (Daszak et al., 2020).

3. Implementation Challenges and Strategic Priorities

3.1 Gaps in Education and Institutional Frameworks

Despite scientific consensus, One Health is not yet fully embedded in most academic curricula. Human medicine, veterinary science, and environmental health still operate in silos, with limited coordination. The absence of One Health research institutes and dedicated innovation ecosystems is a critical bottleneck.

3.2 Governance and Policy Integration

Implementing One Health requires coordinated policymaking across:

  • Ministries of Health, Agriculture, and Environment

  • International bodies (e.g., WHO, FAO, OIE, UNEP)

  • Private sector and civil society

Current governance mechanisms are fragmented, reactive, and inadequately resourced for integrated action.

3.3 The Need for Transdisciplinary Innovation

Scientific innovation in One Health should focus on:

  • Planetary diagnostics: CO₂ and pollutant tracking in health metrics

  • Bioinformatics and surveillance tools for zoonotic pathogens

  • Precision public health strategies leveraging AI and Big Data

  • Sustainable infrastructure (e.g., zero-emission health facilities)

The creation of One Health Technology Parks and Academic-Industry Innovation Hubs is essential for bridging science, application, and entrepreneurship.

4. Summary and Conclusion

One Health offers a science-based, scalable response to the systemic health challenges of our time. By recognizing the inseparability of human, animal, and environmental health, it calls for a reorganization of health education, research, and policy into integrated, collaborative models. The implementation of this approach is not merely idealistic—it is scientifically necessary. As we face global threats such as zoonotic pandemics, AMR, biodiversity collapse, and climate instability, One Health provides a comprehensive framework for resilience, innovation, and equity.

To ensure its success, we must invest in One Health Education, build transdisciplinary knowledge networks, and support research-driven policy at local, national, and global scales. These are not theoretical ambitions—they are urgent scientific, societal, and ecological imperatives.

References

  1. Taylor, L. H., Latham, S. M., & Woolhouse, M. E. (2001). Risk factors for human disease emergence. Philosophical Transactions of the Royal Society of London. Series B: Biological Sciences, 356(1411), 983–989. https://doi.org/10.1098/rstb.2001.0888

  2. Myers, S. S., & Frumkin, H. (2017). Planetary Health: Protecting Nature to Protect Ourselves. Island Press.

  3. Daszak, P., Olival, K. J., & Li, H. (2020). A strategy to prevent future pandemics similar to the 2019-nCoV outbreak. Biosafety and Health, 2(1), 6–8. https://doi.org/10.1016/j.bsheal.2020.01.003

  4. Robinson, T. P., Bu, D. P., Carrique-Mas, J., et al. (2016). Antibiotic resistance is the quintessential One Health issue. Transactions of the Royal Society of Tropical Medicine and Hygiene, 110(7), 377–380. https://doi.org/10.1093/trstmh/trw048

  5. Mackenzie, J. S., & Jeggo, M. (2019). The One Health approach—why is it so important? Tropical Medicine and Infectious Disease, 4(2), 88. https://doi.org/10.3390/tropicalmed4020088

  6. Frankson, R., et al. (2016). One Health core competency domains. Frontiers in Public Health, 4, 192. https://doi.org/10.3389/fpubh.2016.00192

  7. Rabinowitz, P. M., et al. (2017). Incorporating One Health into medical education. BMC Medical Education, 17(1), 45. https://doi.org/10.1186/s12909-017-0883-6

  8. Binot, A., et al. (2015). Participatory modeling to promote collective action in One Health. One Health, 1, 44–48. https://doi.org/10.1016/j.onehlt.2015.07.001

Leading One Health Institutions & Initiatives

  • EcoHealth Alliance – A US-based NGO conducting global research in pandemic prevention, wildlife health, and One Health, advising OIE, WHO, FAO, UNEP, and others on zoonotic disease and wildlife trade 

  • One Health Trust (formerly CDDEP) – A Washington‑based public health research entity focused on antimicrobial resistance, zoonoses, animal health, and planetary health, with offices in India and the US 

  • One Health Institute (UC Davis) – Based at UC Davis, integrating veterinary, wildlife, human, and environmental health to address global challenges 

  • Sciensano – The Belgian national institute combining public health, animal health, and food safety under a unified One Health framework

  • African Centre of Excellence for Genomics of Infectious Diseases (ACEGID) – A West African genomics hub working on infectious disease surveillance, diagnostics, and pathogen detection

Prominent One Health Conferences & Symposia

50th Annual One Health & Zoonoses Conference
Host: One Health Institute, Colorado State University
Location: Denver, Colorado, USA
onehealth.colostate.edu
Global leader in One Health conferences, marking decades of interdisciplinary zoonotic disease research

One Health, One Future
Host: University of Alaska Fairbanks Center for One Health Research
Location: Fairbanks, Alaska, USA
uaf.edu

Winter One Health Conference (UC Davis WIFSS)
Host: UC Davis Western Institute for Food Safety and Security
Location: Davis, California, USA
wifss.ucdavis.edu

OHIO One Health Conference
Host: One Health India Organization & BBIFCC
Location: Lucknow, India
onehealth-in.org

1st MENA Region One Health Conference
Co-organized by FAO, WHO, World Bank, UNEP, OIE
Location: Tunis, Tunisia
onehealthmena.org

4th International Symposium: One Health, One World (OHOW)
Co-organized by University of Tokyo and CSIR-CBRI (India)
Location: Tokyo, Japan & Lucknow, India (hybrid)
ohow2025.in

International Conference on One Health (ICOH)
Standard multidisciplinary platform for One Health research exchange
Location: Digital (hosted from Paris, France)
en.wikipedia.org/wiki/International_Conference_on_One_Health

One Health, One Vision: Advancing Europe’s Health Security
High-level EU forum on AMR and cross-sectoral One Health policy coordination
Location: Brussels, Belgium
id-alliance.org

 

Global Leader in One Health Conferences

The 50th Annual One Health & Zoonoses Conference at Colorado State University is widely recognized as the flagship and global leader in One Health convenings, due to its long history and multidisciplinary focus on zoonoses and integrated health research.

Top 15 Thought Leaders in One Health

  1. Dr. William B. Karesh

  2. Dr. Rita R. Colwell

    • Institution: University of Maryland & Johns Hopkins Bloomberg School of Public Health

    • Role: Distinguished Professor Emeritus

    • umd.edu / jhu.edu

  3. Dr. James Hughes

    • Institution: Emory University, Rollins School of Public Health

    • Role: Professor and Former CDC Division Director

    • emory.edu

  4. Dr. Peter Daszak

  5. Dr. Lisa Conti

    • Institution: Florida Department of Agriculture and Consumer Services

    • Role: Chief Veterinary Officer

    • fdacs.gov

  6. Dr. Gregory Gray

    • Institution: Duke University, Global Health Institute

    • Role: Professor of Epidemiology

    • duke.edu

  7. Dr. Maria Van Kerkhove

    • Institution: World Health Organization (WHO)

    • Role: Technical Lead, COVID-19 Response

    • who.int

  8. Dr. Calum Semple

    • Institution: University of Liverpool

    • Role: Professor of Child Health and Outbreak Medicine

    • liverpool.ac.uk

  9. Dr. Jonathan Epstein

  10. Dr. Delia Grace

    • Institution: International Livestock Research Institute (ILRI)

    • Role: Scientist, Food Safety and Zoonoses

    • ilri.org

  11. Dr. Sonia Jaffe

  12. Dr. John Amuasi

    • Institution: Centre for Infectious Disease Research, Ghana (CIDRZ)

    • Role: Director

    • cidrz.org

  13. Dr. Bernadette Dunham

    • Institution: Former Director, FDA Center for Veterinary Medicine

    • Role: Veterinary Public Health Leader (now retired)

    • fda.gov

  14. Dr. Barbara Natterson-Horowitz

  15. Dr. Jakob Zinsstag

    • Institution: Swiss Tropical and Public Health Institute

    • Role: Professor

    • swisstph.ch

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“ What drives me is a kind of motto in life. You have to try to think the unthinkable. If we don’t ask questions, we don’t get answers. I think it is important to carefully analyze dogmas that exist in different areas of life. Even in the scientific field, it is not always credible what these dogmas convey to us – however, they occasionally erect intellectual fences that we must try to tear down.”

PROFESSOR HARALD ZUR HAUSEN

President Emeritus German Cancer Research Center DKFZ

Nobel Laureate in Physiology or Medicine