Recent outbreaks of avian flu, SARS, the Ebola virus, and mad cow disease wreaked havoc on global trade and transport. They also all originated in animals. Humanity today is acutely vulnerable to diseases that start off in other species, yet our health care remains dangerously blinkered. It is time for a new, global approach.
William B. Karesh is Director of the Field Veterinary Program at the Wildlife Conservation Society and Co-chair of the World Conservation Union's Veterinary Specialist Group. Robert A. Cook is Vice President of and Chief Veterinarian at the Wildlife Conservation Society.
How studying animal and human disease together could help prevent and treat the next pandemic.
ONE WORLD, ONE HEALTH
In recent years, outbreaks of diseases such as avian flu, severe acute respiratory syndrome (SARS), the Ebola virus, and mad cow disease have frightened the public, disrupted global commerce, caused massive economic losses, and jeopardized diplomatic relations. These diseases have also shared a worrisome key characteristic: the ability to cross the Darwinian divide between animals and people. None of these illnesses depends on human hosts for its survival; as a result, they all persist today, far beyond the reach of medical intervention.
Meanwhile, humanity has become vulnerable to cross-species illnesses, thanks to modern advances such as the rapid transportation of both goods and people, increasing population density around the globe, and a growing dependence on intensified livestock production for food. The global transport of animals and animal products, which includes hundreds of species of wildlife, also provides safe passage for the harmful bacteria, viruses, and fungi they carry, not to mention the prion proteins that cause insidious illnesses such as mad cow disease and chronic wasting disease in deer and elk.
Adding to the risks is the fact that while many people in the developed world would scarcely recognize meat if it did not come wrapped in clear plastic, the vast majority of people on the planet today still slaughter animals for meat themselves or buy it fresh, salted, or smoked in open-air markets. These markets generally go uninspected by health officials, and consumers rarely have access to good health care, education on hygiene, common vaccines, or antibiotics.
Not only is local and national health care often a problem; internationally, no agency is responsible for, or capable of, monitoring and preventing the myriad diseases that can now cross the borders between countries and species. More specifically, no organization has the mandate to pursue policies based on a simple but critically important concept: that the health of people, animals, and the environment in which we all live are inextricably linked...
This is a premium article
You must be a logged in Foreign Affairs subscriber to continue reading. If you wish to continue reading this article please subscribe , or activate your online account to get full online access.
Log In
Buy PDF
Buy a premium PDF reprint of this article.Related
If an influenza pandemic struck today, borders would close, the global economy would shut down, international vaccine supplies and health-care systems would be overwhelmed, and panic would reign. To limit the fallout, the industrialized world must create a detailed response strategy involving the public and private sectors.
Since it first emerged in 1997, avian influenza has become deadlier and more resilient. It has infected 109 people and killed 59 of them. If the virus becomes capable of human-to-human transmission and retains its extraordinary potency, humanity could face a pandemic unlike any ever witnessed.
How studying animal and human disease together could help prevent and treat the next pandemic.
