Global One Health index for zoonoses: A performance assessment in 160 countries and territories

Zhi-Shan Sun; Er-Ya Wan; Yannick Luther Agbana; Han-Qing Zhao; Jing-Xian Yin; Tian-Ge Jiang; Qin Li; Si-Wei Fei; Logan Blair Wu; Xin-Chen Li; Qi-Yu Zhang; Jing-Shu Liu; Si-Yu Gu; Zhao-Yu Guo; Jing-Bo Xue; Le-Fei Han; Xiao-Xi Zhang; Shang Xia; Susan Christina Welburn; Moses Okpeku; Xiao-Kui Guo; Zhao-Jun Wang; Jun-Hu Chen; Yi Zhang; Xiao-Nong Zhou; Kokouvi Kassegne

doi:10.1016/j.isci.2024.109297

Global One Health index for zoonoses: A performance assessment in 160 countries and territories

iScience. 2024 Mar 11;27(4):109297. doi: 10.1016/j.isci.2024.109297. eCollection 2024 Apr 19.

Authors

Zhi-Shan Sun^{1

2}, Er-Ya Wan^{1

2}, Yannick Luther Agbana³, Han-Qing Zhao^{1

2}, Jing-Xian Yin^{1

2}, Tian-Ge Jiang^{1

2}, Qin Li⁴, Si-Wei Fei^{1

2}, Logan Blair Wu^{1

2

5

6}, Xin-Chen Li^{1

2}, Qi-Yu Zhang^{1

2}, Jing-Shu Liu^{1

2}, Si-Yu Gu^{1

2}, Zhao-Yu Guo⁴, Jing-Bo Xue⁴, Le-Fei Han^{1

2}, Xiao-Xi Zhang^{1

2}, Shang Xia⁴, Susan Christina Welburn^{7

8}, Moses Okpeku⁹, Xiao-Kui Guo^{1

2}, Zhao-Jun Wang^{1

2}, Jun-Hu Chen⁴, Yi Zhang⁴, Xiao-Nong Zhou^{1

2}, Kokouvi Kassegne^{1

2}

Affiliations

¹ School of Global Health, Chinese Centre for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.
² One Health Center, Shanghai Jiao Tong University-The University of Edinburgh, Shanghai 200025, China.
³ Pan African University Life and Earth Sciences Institute (PAULESI), University of Ibadan, Ibadan, Nigeria.
⁴ National Health Commission of the People's Republic of China (NHC) Key Laboratory of Parasite and Vector Biology, National Institute of Parasitic Diseases at Chinese Centre for Disease Control and Prevention, Chinese Centre for Tropical Diseases Research, WHO Collaborating Centre for Tropical Diseases, National Centre for International Research on Tropical Diseases of the Chinese Ministry of Science and Technology, Shanghai 200025, China.
⁵ Population Health and Immunity Division, Walter and Eliza Hall Institute of Medical Research, Parkville, Melbourne, VIC 3052, Australia.
⁶ Department of Medical Biology, University of Melbourne, Grattan Street, Parkville, Melbourne, VIC 3010, Australia.
⁷ Infection Medicine, Deanery of Biomedical Sciences, College of Medicine and Veterinary Medicine, The University of Edinburgh, Edinburgh EH8 9JZ, Scotland, UK.
⁸ Zhejiang University - University of Edinburgh Institute, Zhejiang University, International Campus, Haining, Zhejiang 314400, China.
⁹ Discipline of Genetics, School of Life Sciences, University of KwaZulu-Natal, Durban, South Africa.

Abstract

The One Health (OH) approach is used to control/prevent zoonotic events. However, there is a lack of tools for systematically assessing OH practices. Here, we applied the Global OH Index (GOHI) to evaluate the global OH performance for zoonoses (GOHI-Zoonoses). The fuzzy analytic hierarchy process algorithm and fuzzy comparison matrix were used to calculate the weights and scores of five key indicators, 16 subindicators, and 31 datasets for 160 countries and territories worldwide. The distribution of GOHI-Zoonoses scores varies significantly across countries and regions, reflecting the strengths and weaknesses in controlling or responding to zoonotic threats. Correlation analyses revealed that the GOHI-Zoonoses score was associated with economic, sociodemographic, environmental, climatic, and zoological factors. Additionally, the Human Development Index had a positive effect on the score. This study provides an evidence-based reference and guidance for global, regional, and country-level efforts to optimize the health of people, animals, and the environment.

Keywords: Environmental health; Public health.