Jorge Pinto Ferreira, Eleonora Sarno, Clare J. Phythian, Laura C. Falzon, Riikka Laukkanen-Ninios, Gerty Vanantwerpen, Lucie Collineau, Merel Postma, Timothée Vergne, Ilias Chantziaras, Douglas J.C. Grindlay, Marnie L. Brennan, Isabel Lechner, Carole Peroz, Pia Gjertsen Prestmo, Maria-Eleni Filippitzi, Aurélie Courcoul, Veterinary Public Health Institute, Universität Bern [Bern], Institute of Infection and Global Health, University of Liverpool, Universiteit Gent = Ghent University [Belgium] (UGENT), Safe Food Solutions Inc. (SAFOSO), Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail (ANSES), University of Helsinki, Biologie, Epidémiologie et analyse de risque en Santé Animale (BIOEPAR), Institut National de la Recherche Agronomique (INRA), School of Veterinary Sciences, Norwegian University of Life Sciences (NMBU), Institute for Food Safety and Hygiene, Universität Zürich [Zürich] = University of Zurich (UZH), Interactions hôtes-agents pathogènes [Toulouse] (IHAP), Institut National de la Recherche Agronomique (INRA)-Ecole Nationale Vétérinaire de Toulouse (ENVT), Institut National Polytechnique (Toulouse) (Toulouse INP), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Institut National Polytechnique (Toulouse) (Toulouse INP), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées, Veterinary Epidemiology, Economics and Public Health Group, Royal Veterinary College, Institut de Recherche pour le Développement (IRD), Centre of Evidence Based Dermatology, University of Nottingham, and University of Nottingham, UK (UON)
Having gained momentum in the last decade, the One Health initiative promotes a holistic approach to address complex global health issues. Before recommending its adoption to stakeholders, however, it is paramount to first compile quantitative evidence of the benefit of such an approach. The aim of this scoping review was to identify and summarize primary research that describes monetary and non-monetary outcomes following adoption of a One Health approach. An extensive literature search yielded a total of 42,167 references, of which 85 were included in the final analysis. The top two biotic health issues addressed in these studies were rabies and malaria; the top abiotic health issue was air pollution. Most studies described collaborations between human and animal (n = 42), or human and environmental disciplines (n = 41); commonly reported interventions included vector control and animal vaccination. Monetary outcomes were commonly expressed as cost–benefit or cost–utility ratios; non-monetary outcomes were described using disease frequency or disease burden measurements. The majority of the studies reported positive or partially positive outcomes. This paper illustrates the variety of health challenges that can be addressed using a One Health approach, and provides tangible quantitative measures that can be used to evaluate future implementations of the One Health approach. Electronic supplementary material The online version of this article (10.1007/s10393-017-1310-5) contains supplementary material, which is available to authorized users.