Some Major Issues and Strategic Countermeasures of Integrated Prevention and Control of Ecology, Environment and Health in China
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摘要: 随着经济全球化和城市扩张化，人畜共患病和食品安全等事件频发，面对人与自然日益紧张的矛盾以及复杂的、难以解释的人类疾病问题，为了进一步更好地实现“美丽中国”和“健康中国”的部署，提出了生态、环境与人类健康“一体防控”的理念，从整体视角处理复杂的生态环境与健康问题，联动不同部门、不同学科突破信息壁垒，解决当前存在问题. 近年来，我国在“一体防控”方面已经做出了一些努力，包括以中山大学为依托成立One Health研究中心，在疫情防控上实施多学科的联防联控，全周期上的生物监测以及新的交叉学科的不断建立和发展，均体现了我国“一体防控”的理念，但其仍然处于起步阶段，仍需进一步加强和完善. 通过系统梳理目前我国生态环境与人体健康领域的发展现状及可能存在的问题，提出了“一体防控”的思想，建议未来应进一步加强生物、环境与人体健康领域的共建共治，建立“一体防控”的官方机构，形成多部门联动、多学科交叉、多维度协同的治理体系和方法；推动“一体防控”理念下的基础调查研究和监测网络的建设，加强全周期的科学技术手段，促进相关学科的交叉融合，共同实现人与自然和谐共生.Abstract: With the globalization and expansion of economy, incidents such as zoonosis and food safety occur frequently. In the face of the increasingly tense conflicts between man and nature and complex and difficult human disease problems, the concept of ‘integrated prevention and control’ of ecology, environment and human health is proposed to further and better realize the strategic deployment of ‘Beautiful China’ and ‘Healthy China’. The above concepts are put forward to address complex ecological, environment and health issues from a holistic perspective, connect different departments and disciplines to break through information barriers and solve current problems. In recent years, China has made some efforts in ‘integrated prevention and control’, including the establishment of One Health Research Center based on Sun Yat-sen University, multidisciplinary joint prevention and control of epidemics, full-cycle biomonitoring, and the continuous establishment and development of new interdisciplines, all of which reflect the concept of ‘integrated prevention and control’ in China. However, it is still in the initial stage and needs to be further strengthened and improved. This paper systematically sorts out the current development situation and possible problems in the fields of ecology, environment and human health in China, puts forward the idea of ‘integrated prevention and control’, and suggests that in the future, we should further strengthen the co-construction and co-management in the fields of ecology, environment and human health, establish the official organizations of ‘integrated prevention and control’, form a governance system and method with multi-sectoral linkage, multi-disciplinary intersection and multi-dimensional coordination, promote the construction of basic research and monitoring network under the concept of ‘integrated prevention and control’, strengthen the scientific and technological means of the whole cycle, and promote the cross-fertilization of related disciplines to jointly achieve the harmonious coexistence between human and nature.
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Key words:
- ecology /
- environment /
- health /
- one prevention and control
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[1] United Nations Environment Programmeand International Livestock Research Institute.Preventing the next pandemic:zoonotic diseases and how to break the chain of transmission[M].Nairobi:International Livestock Research Institute,2020. [2] WANG X L,WU F C,ZHAO X L,et al.Enlightenment from the COVID-19 pandemic:the roles of environmental factors in future public health emergency response[J].Engineering,2022,8:108-115. doi: 10.1016/j.eng.2020.12.019 [3] MA J,XU J,ZHAO X L,et al.Several major issues concerning the environmental transmission and risk prevention of SARS-CoV-2[J].Science China:Earth Sciences,2022,65(6):1047-1056. doi: 10.1007/s11430-021-9918-9 [4] ZHONG S F,ZHANG K,BAGHERI M,et al.Machine learning:new ideas and tools in environmental science and engineering[J].Environmental Science & Technology,2021,55(19):12741-12754. [5] MU Y S,SHAO M C,ZHONG B Q,et al.Transmission of SARS-CoV-2 virus and ambient temperature:a critical review[J].Environmental Science and Pollution Research,2021,28(28):37051-37059. doi: 10.1007/s11356-021-14625-8 [6] KAHN L H.Perspective:the one-health way[J].Nature,2017,543(7647):S47. doi: 10.1038/543S47a [7] DYE C.One Health as a catalyst for sustainable development[J].Nature Microbiology,2022,7(4):467-468. doi: 10.1038/s41564-022-01076-1 [8] DASZAK P,CUNNINGHAM A A,HYATT A D.Emerging infectious diseases of wildlife:threats to biodiversity and human health[J].Science,2000,287(5452):443-449. doi: 10.1126/science.287.5452.443 [9] PATZ J A,DASZAK P,TABOR G M,et al.Unhealthy landscapes:policy recommendations on land use change and infectious disease emergence[J].Environmental Health Perspectives,2004,112(10):1092-1098. doi: 10.1289/ehp.6877 [10] HAHN M B,GANGNON R E,BARCELLOS C,et al.Influence of deforestation,logging,and fire on malaria in the Brazilian Amazon[J].PLoS One,2014,9(1):e85725. doi: 10.1371/journal.pone.0085725 [11] TAYLOR L H,LATHAM S M,WOOLHOUSE M E.Risk factors for human disease emergence[J].Philosophical Transactions of the Royal Society of London Series B,Biological Sciences,2001,356(1411):983-989. doi: 10.1098/rstb.2001.0888 [12] JONES K E,PATEL N G,LEVY M A,et al.Global trends in emerging infectious diseases[J].Nature,2008,451(7181):990-993. doi: 10.1038/nature06536 [13] United Nations Environment Programme International Livestock Research Institute (ILRI).Mapping of poverty and likely zoonoses hotspots.zoonoses project 4:report to department for international development[M].Nairobi:International Livestock Research Institute,2012. [14] FABRICIUS K E,DE'ATH G,NOONAN S,et al.Ecological effects of ocean acidification and habitat complexity on reef-associated macroinvertebrate communities[J].Proceedings Biological Sciences,2013,281(1775):20132479. [15] BOOTS B,RUSSELL C W,GREEN D S.Effects of microplastics in soil ecosystems:above and below ground[J].Environmental Science & Technology,2019,53(19):11496-11506. [16] TAYLOR M L,GWINNETT C,ROBINSON L F,et al.Plastic microfibre ingestion by deep-sea organisms[J].Scientific Reports,2016,6:33997. doi: 10.1038/srep33997 [17] STEHLE S,SCHULZ R.Agricultural insecticides threaten surface waters at the global scale[J].Proceedings of the National Academy of Sciences of the United States of America,2015,112(18):5750-5755. doi: 10.1073/pnas.1500232112 [18] EBI K L,VANOS J,BALDWIN J W,et al.Extreme weather and climate change:population health and health system implications[J].Annual Review of Public Health,2021,42:293-315. doi: 10.1146/annurev-publhealth-012420-105026 [19] PRÜSS-ÜSTÜN A.Preventing disease through healthy environments:a global assessment of the burden of disease from environmental risks[M].Geneva:World Health Organization,2016 [20] URBAN M C.Accelerating extinction risk from climate change[J].Science,2015,348(6234):571-573. doi: 10.1126/science.aaa4984 [21] CEBALLOS G,EHRLICH P R,RAVEN P H.Vertebrates on the brink as indicators of biological annihilation and the sixth mass extinction[J].Proceedings of the National Academy of Sciences of the United States of America,2020,117(24):13596-13602. doi: 10.1073/pnas.1922686117 [22] SMITH K R.Highlights of the Chinese exposure factors handbook (adults)[M].Salt Lake City UT:Academic Press,2015 [23] CHRISTOPHER M M.One health,one literature:weaving together veterinary and medical research[J].Science Translational Medicine,2015,7(303):303fs36. [24] DESTOUMIEUX-GARZÓN D,MAVINGUI P,BOETSCH G,et al.The one health concept:10 years old and a long road ahead[J].Frontiers in Veterinary Science,2018,5:14. doi: 10.3389/fvets.2018.00014 [25] BROOK R D,RAJAGOPALAN S,et al.Particulate matter air pollution and cardiovascular disease:an update to the scientific statement from the American Heart Association[J].Circulation,2010,121(21):2331-2378. doi: 10.1161/CIR.0b013e3181dbece1 [26] LADEN F,SCHWARTZ J,SPEIZER F E,et al.Reduction in fine particulate air pollution and mortality:extended follow-up of the Harvard Six Cities study[J].American Journal of Respiratory and Critical Care Medicine,2006,173(6):667-672. doi: 10.1164/rccm.200503-443OC [27] GUO W J,ZHANG Z Y,WANG H,et al.Exposure characteristics of antimony and coexisting arsenic from multi-path exposure in typical antimony mine area[J].Journal of Environmental Management,2021,289:112493. doi: 10.1016/j.jenvman.2021.112493 [28] VERMEULEN R,SCHYMANSKI E L,BARABÁSI A L,et al.The exposome and health:where chemistry meets biology[J].Science,2020,367(6476):392-396. doi: 10.1126/science.aay3164 [29] HUANG J J,WANG Y,XU L Y,et al.Cumulative risk assessment for an urban agglomeration based on a relative risk model and multi-media fugacity model:a case study in Guangdong Province,China[J].Environmental Impact Assessment Review,2021,91:106637. doi: 10.1016/j.eiar.2021.106637 [30] CHEN X,CAO S Z,WEN D S,et al.Sentinel animals for monitoring the environmental lead exposure:combination of traditional review and visualization analysis[J].Environmental Geochemistry and Health,2022,45(3):1-24. [31] RAFAEL A,BEATRIZ N,LUIZA P,et al.Antimicrobial resistance:formulation of the response in the global health context[J].Original Article,2020,44:607-623. [32] Centers for Disease Control and Prevention.CDC′s one health office:who we are[EB/OL].Atlanta:National Center for Emerging and Zoonotic Infectious Diseases,(2022-11-08)[2022-12-18].https://www.cdc.gov/onehealth/basics/index.html. [33] 中山大学公共卫生学院.中山大学公共卫生学院One Health研究中心[EB/OL].广州:中山大学公共卫生学院,(2016-08-11)[2022-12-18].https://sph.sysu.edu.cn/article/193. [34] 中国互联网新闻中心.新闻办就新型冠状病毒感染的肺炎疫情联防联控工作有关情况举行发布会[EB/OL].北京:中国互联网新闻中心,(2020-01-26)[2022-12-19].http://www.gov.cn/xinwen/2020-01/26/content_5472299.htm#1. [35] 国家卫生健康委员会.国务院联防联控机制2022年7月8日新闻发布会文字实录[EB/OL].北京:国家卫生健康委员会,(2022-07-08)[2022-12-19].http://www.nhc.gov.cn/xcs/yqfkdt/202207/0cfdc8703b224992bca1adbaae26f4aa.shtml. [36] 张培东,蒋俊俊,李炫蓉,等.现阶段我国突发公共卫生事件的应急体系建设[J].内科,2022,17(4):428-431.ZHANG P D,JIANG J J,LI X R,et al.Construction of emergency response system for public health emergencies in China at present stage[J].Internal Medicine,2022,17(4):428-431. [37] 聂新臻.新冠肺炎疫情下我国公共卫生危机协同治理研究[D].济南:山东财经大学,2022:41-43. [38] 孙统达.突发公共卫生事件引起的反思及对策研究[D].杭州:浙江大学,2004:143-158. [39] COLLIGNON P J,McEWEN S A.One health-its importance in helping to better control antimicrobial resistance[J].Tropical Medicine and Infectious Disease,2019,4(1):22. doi: 10.3390/tropicalmed4010022 [40] MCEWEN S A,COLLIGNON P J.Antimicrobial resistance:a one health perspective[J].Microbiology Spectrum,2018,6(2):1-26. [41] 李志慧,李芊璘,王子晨,等.基于“One Health”理念的新型冠状病毒肺炎防控策略[J].暨南大学学报(自然科学与医学版),2020,41(2):99-103.LI Z H,LI Q L,WANG Z C,et al.Prevention and control strategies of Corona Virus Disease 2019 based on the perspective of ‘One Health’[J].Journal of Jinan University (Natural Science & Medicine Edition),2020,41(2):99-103. [42] ROSSATI A.Global warming and its health impact[J].The International Journal of Occupational and Environmental Medicine,2017,8(1):7-20. doi: 10.15171/ijoem.2017.963 [43] FANN N L,NOLTE C G,SAROFIM M C,et al.Associations between simulated future changes in climate,air quality,and human health[J].JAMA Network Open,2021,4(1):e2032064. doi: 10.1001/jamanetworkopen.2020.32064 [44] 王颖,梁丁元,李垚,等.历史传染病疫情的环境与气候特征初探及对新冠肺炎疫情的思考[J].环境科学研究,2020,33(7):1555-1561.WANG Y,LIANG D Y,LI Y,et al.Preliminary study on environmental and climatic characteristics of historical infectious diseases and some thoughts of COVID-19[J].Research of Environmental Sciences,2020,33(7):1555-1561. [45] HARVELL C D,MITCHELL C E,WARD J R,et al.Climate warming and disease risks for terrestrial and marine biota[J].Science,2002,296(5576):2158-2162. doi: 10.1126/science.1063699 [46] DANTAS-TORRES F.Climate change,biodiversity,ticks and tick-borne diseases:the butterfly effect[J].International Journal for Parasitology:Parasites and Wildlife,2015,4(3):452-461. doi: 10.1016/j.ijppaw.2015.07.001 [47] 生态环境部.系列解读(9):加强新污染物治理统筹推动有毒有害化学物质环境风险管理[EB/OL].北京:生态环境部,(2021-11-09)[2022-12-19].https://www.mee.gov.cn/zcwj/zcjd/202111/t20211119_961028.shtml. [48] 新华社.中共中央 国务院关于深入打好污染防治攻坚战的意见[EB/OL].北京:新华社,(2021-11-07)[2022-12-19].http://www.gov.cn/zhengce/2021-11/07/content_5649656.htm. [49] 新华网.食品相关产品质量安全监督管理暂行办法明年3月起施行[EB/OL].北京:新华社,(2022-10-09)[2022-12-19].http://www.gov.cn/xinwen/2022-10/09/content_5717021.htm. [50] 新华社.中共中央 国务院关于完整准确全面贯彻新发展理念做好碳达峰碳中和工作的意见[EB/OL].北京:新华社,(2021-10-24)[2022-12-19].http://www.gov.cn/zhengce/2021-10/24/content_5644613.htm. [51] 国务院.国务院关于印发2030年前碳达峰行动方案的通知[EB/OL].北京:国务院,(2021-10-26)[2022-12-19].http://www.gov.cn/zhengce/content/2021-10/26/content_5644984.htm. [52] 段伟文.一体健康框架下的新发疫病防控之道[J].工程研究-跨学科视野中的工程,2020,12(1):36-44.DUAN W W.Strategies for prevention and control of emerging infectious diseases under the framework of one health[J].Journal of Engineering Studies,2020,12(1):36-44. [53] 国务院办公厅.国务院办公厅关于印发生态环境监测网络建设方案的通知[EB/OL].北京:国务院,(2015-08-12)[2022-12-19].http://www.gov.cn/zhengce/content/2015-08/12/content_10078.htm. [54] 柏仇勇,赵岑.中国生态环境监测40年改革发展与成效[J].中国环境管理,2019,11(4):30-33.BAI Q Y,ZHAO C.The main reform development and progress of ecological and environmental monitoring in 40 years of China[J].Chinese Journal of Environmental Management,2019,11(4):30-33. [55] 陈善荣.我国生态环境监测的40年发展回顾与展望[J].环境保护,2018,46(20):21-25.CHEN S R.Retrospect and prospect of China ′s ecological environment monitoring reform in the past 40 years[J].Environmental Protection,2018,46(20):21-25. [56] 吴季友,陈传忠,蒋睿晓,等.我国生态环境监测网络建设成效与展望[J].中国环境监测,2021,37(2):1-7.WU J Y,CHEN C Z,JIANG R X,et al.Progress and prospects of ecological and environmental monitoring network construction in China[J].Environmental Monitoring in China,2021,37(2):1-7. [57] 王国庆,许学慧,李跃进.多溴联苯醚及其衍生物在土壤中的分布、转化和生物效应研究进展[J].环境科学研究,2021,34(3):755-765.WANG G Q,XU X H,LI Y J.Distribution,transformation and biological effects of polybrominated diphenyl ethers and their derivatives in soil:a review[J].Research of Environmental Sciences,2021,34(3):755-765. [58] 李惠娟,周德群,魏永杰.空气污染的健康经济损失评价研究进展[J].环境科学研究,2020,33(10):2421-2429.LI H J,ZHOU D Q,WEI Y J.Review on health economic loss assessment of air pollution[J].Research of Environmental Sciences,2020,33(10):2421-2429. [59] 侯敏,谢玉为,毛怡心,等.污水新型冠状病毒监测研究进展及启示[J].环境科学研究,2022,35(12):2647-2656.HOU M,XIE Y W,MAO Y X,et al.Research progress and implication of wastewater surveillance of SARS-CoV-2[J].Research of Environmental Sciences,2022,35(12):2647-2656. [60] 王文兴,柴发合,任阵海,等.新中国成立70年来我国大气污染防治历程、成就与经验[J].环境科学研究,2019,32(10):1621-1635.WANG W X,CHAI F H,REN Z H,et al.Process,achievements and experience of air pollution control in China since the founding of the People's Republic of China 70 years ago[J].Research of Environmental Sciences,2019,32(10):1621-1635. [61] GIBB S.Toxicity testing in the 21st century:a vision and a strategy[J].Reproductive Toxicology,2008,25(1):136-138. doi: 10.1016/j.reprotox.2007.10.013 [62] PATEL C J,BHATTACHARYA J,BUTTE A J.An Environment-Wide Association Study (EWAS) on type 2 diabetes mellitus[J].PLoS One,2010,5(5):e10746. doi: 10.1371/journal.pone.0010746 [63] FRANCO G.Ramazzini and workers' health[J].Lancet,1999,354(9181):858-861. doi: 10.1016/S0140-6736(99)80042-7 [64] CANZLER S,SCHOR J,BUSCH W,et al.Prospects and challenges of multi-omics data integration in toxicology[J].Archives of Toxicology,2020,94(2):371-388. doi: 10.1007/s00204-020-02656-y [65] 新华社.国务院办公厅印发《“十四五”国民健康规划》[EB/OL].北京:新华社,(2022-05-20)[2022-12-19].http://www.gov.cn/xinwen/2022-05/20/content_5691494.htm. [66] 中华人民共和国自然资源部.第三次全国国土调查主要数据公报[EB/OL].北京:中华人民共和国自然资源部,(2021-08-26)[2021-12-19].https://www.mnr.gov.cn/dt/ywbb/202108/t20210826_2678340.html. [67] JIANG C,WANG X,LI X Y,et al.Dynamic human environmental exposome revealed by longitudinal personal monitoring[J].Cell,2018,175(1):277-291.e31. doi: 10.1016/j.cell.2018.08.060 [68] 吴丰昌,刘羽,赵晓丽.环境地球科学学科发展战略研究报告[M].北京:科学出版社,2021. -
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