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Interventions to Reduce Risk for Pathogen Spillover and Early Disease Spread to Prevent Outbreaks,Epidemics, and Pandemics
Authors:Neil M. Vora  Lee Hannah  Chris Walzer  Mariana M. Vale  Susan Lieberman  Ashley Emerson  Jonathan Jennings  Robyn Alders  Matthew H. Bonds  Jo Evans  Bhavana Chilukuri  Sonila Cook  Nigel C. Sizer  Jonathan H. Epstein
Abstract:The pathogens that cause most emerging infectious diseases in humans originate in animals, particularly wildlife, and then spill over into humans. The accelerating frequency with which humans and domestic animals encounter wildlife because of activities such as land-use change, animal husbandry, and markets and trade in live wildlife has created growing opportunities for pathogen spillover. The risk of pathogen spillover and early disease spread among domestic animals and humans, however, can be reduced by stopping the clearing and degradation of tropical and subtropical forests, improving health and economic security of communities living in emerging infectious disease hotspots, enhancing biosecurity in animal husbandry, shutting down or strictly regulating wildlife markets and trade, and expanding pathogen surveillance. We summarize expert opinions on how to implement these goals to prevent outbreaks, epidemics, and pandemics.
Keywords:zoonoses   vector-borne infections   bioterrorism and preparedness   public health   pandemic prevention   pandemic preparedness   One Health   policy   planetary health
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