{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T02:54:25Z","timestamp":1793415265532,"version":"4.5.0"},"reference-count":57,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2021,10,25]],"date-time":"2021-10-25T00:00:00Z","timestamp":1635120000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:p>The \u201cOne Health\u201d (OH) approach has been recognized by world health authorities such as FAO\/OIE\/WHO, advocating for effective, multi-sectoral, and transdisciplinary collaboration. However, there is a lack of published evidence of the awareness of the OH concept in Colombia and other countries in the Latin American Region. In order to explore existing collaboration amongst the animal health, human-public health, environmental health sectors, and to describe the perception, knowledge, and barriers on OH in Colombia and other countries of Latin America, an online questionnaire-based survey was distributed among key professionals representing the three OH pillars (August 2018\u2013August 2020). Overall, 76 key respondents from 13 countries (Colombia, M\u00e9xico, Chile, Brazil, Argentina, Bolivia, Costa Rica, Ecuador, Per\u00fa, Guatemala, Nicaragua Uruguay, and Venezuela) completed the questionnaire. Respondents worked in institutions of animal (59%), public (20%), human (7%), and environmental health (7%); they mainly belonged to higher academic institutions (59%), followed by ministries (11%), and research organizations (9%). Most participants (92%) were familiar with the OH term and 68% were aware of the formal cooperation among sectors in their countries, mostly on zoonoses; in 46% of the cases, such connections were established in the last 5 years. The main reported limiting factors to intersectorality were the lack of commitment of policy-makers, resources, and budget for OH (38%) and the \u201csiloed approach\u201d of sectors and disciplines (34%). Respondents ranked a median score of 3.0 (1\u20135 scoring) in how good OH activities are implemented in their countries, and a median score of 2.0 in the citizen awareness on OH as regards their countries. The most important OH issues were identified in vector-borne diseases, rabies, wrong and\/or improper use of antimicrobials, emerging viral diseases, food-borne diseases, neglected parasitic diseases, deforestation, and ecosystem fragmentation. Although there is a high-perceived importance on conjoint cooperation, OH implementation, and operationalization remain weak, and the environmental component is not well-integrated. We consider that integration and implementation of the OH Approach can support countries to improve their health policies and health governance as well as to advocate the social, economic, and environmental sustainability of the Region.<\/jats:p>","DOI":"10.3389\/fpubh.2021.649240","type":"journal-article","created":{"date-parts":[[2021,10,25]],"date-time":"2021-10-25T05:20:41Z","timestamp":1635139241000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":31,"title":["A Survey on One Health Approach in Colombia and Some Latin American Countries: From a Fragmented Health Organization to an Integrated Health Response to Global Challenges"],"prefix":"10.3389","volume":"9","author":[{"given":"Natalia Margarita","family":"Cediel Becerra","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Mar\u00eda","family":"Olaya Medellin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Tomassone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Chiesa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniele","family":"De Meneghi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2021,10,25]]},"reference":[{"key":"B1","volume-title":"High-Level Technical Meeting to Address Health Risks at the Human-Animal Ecosystems Interfaces","year":"2012"},{"key":"B2","doi-asserted-by":"publisher","first-page":"492","DOI":"10.4102\/ojvr.v79i2.492","article-title":"From \u2018two medicines\u2019 to \u2018One Health\u2019 and beyond","volume":"79","author":"Zinsstag","year":"2012","journal-title":"Onderstepoort J Vet Res."},{"key":"B3","unstructured":"WHOOne health2020"},{"key":"B4","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1093\/ilar.51.3.193","article-title":"One health perspective","volume":"51","author":"Monath","year":"2010","journal-title":"ILAR J."},{"key":"B5","doi-asserted-by":"publisher","first-page":"e130265","DOI":"10.3201\/eid1912.130265","article-title":"Toward proof of concept of a one health approach to disease prediction and control","volume":"19","author":"Rabinowitz","year":"2013","journal-title":"Emerg. Infect. Dis."},{"key":"B6","doi-asserted-by":"publisher","first-page":"e109986","DOI":"10.1371\/journal.pone.0109986","article-title":"Prioritizing zoonoses: a proposed one health tool for collaborative decision-making","volume":"9","author":"Ristl","year":"2014","journal-title":"PLoS ONE"},{"key":"B7","doi-asserted-by":"publisher","first-page":"281","DOI":"10.1136\/vr.d5378","article-title":"One Health and the neglected zoonoses: turning rhetoric into reality","volume":"169","author":"Okello","year":"2011","journal-title":"Vet Rec."},{"key":"B8","doi-asserted-by":"publisher","first-page":"148","DOI":"10.1016\/j.prevetmed.2010.07.003","article-title":"From \u2018one medicine\u2019 to the \u2018one health\u2019 and systemic approaches to health and well-being","volume":"101","author":"Zinsstag","year":"2011","journal-title":"Prev Vet Med."},{"key":"B9","doi-asserted-by":"publisher","first-page":"23","DOI":"10.3389\/fvets.2018.00023","article-title":"A systems approach to evaluate OH initiatives","volume":"5","author":"R\u00fcegg","year":"2018","journal-title":"Front Vet Sci."},{"key":"B10","doi-asserted-by":"publisher","first-page":"155","DOI":"10.3389\/fvets.2019.00155","article-title":"Editorial: Concepts and experiences in framing, integration and evaluation of One Health and Ecohealth","volume":"6","author":"R\u00fcegg","year":"2019","journal-title":"Front Vet Sci."},{"key":"B11","unstructured":"Carrascal Vel\u00e1squezJC\n            Pettan-BrewerKC\n            Pastrana PucheNE\n            Gonz\u00e1lez MezaJH\n            Botero SernaYP\n            FigueroaD\n          2nd One Health Colombia International Symposium OHCIS20192019"},{"key":"B12","unstructured":""},{"key":"B13","doi-asserted-by":"publisher","first-page":"841","DOI":"10.20506\/rst.23.3.1527","article-title":"Importancia de la salud p\u00fablica veterinaria en la actualidad: el proyecto SAPUVET","volume":"23","author":"Ortega","year":"2004","journal-title":"Rev Sci Tech Off Int Epiz."},{"key":"B14","doi-asserted-by":"publisher","first-page":"60","DOI":"10.1590\/S1020-49892005000100011","article-title":"Las redes SAPUVET y SPVet: un modelo de integraci\u00f3n en materia de salud p\u00fablica veterinaria entre Europa y Am\u00e9rica Latina","volume":"17","author":"Ortega","year":"2005","journal-title":"Rev Panam Salud P\u00fabl"},{"key":"B15","unstructured":"Washington, DCWorld BankOne Health: Operational Framework for Strengthening Human, Animal, and Environmental Public Health Systems at Their Interface.2018"},{"key":"B16","doi-asserted-by":"publisher","first-page":"609949","DOI":"10.3389\/fpubh.2021.609949","article-title":"A survey on one health perception and experiences in Europe and neighboring areas","volume":"9","author":"Chiesa","year":"2021","journal-title":"Front Public Health."},{"key":"B17","doi-asserted-by":"publisher","first-page":"1","DOI":"10.5812\/sdme.67670","article-title":"Snowball sampling: a purposeful method of sampling in qualitative research","volume":"14","author":"Naderifar","year":"2017","journal-title":"Strides Dev Med Educ."},{"key":"B18","unstructured":"Subjective Video Quality Assessment Methods for Multimedia Applications2021"},{"key":"B19","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1186\/s12955-016-0443-5","article-title":"Intervals between response choices on a single-item measure of quality of life","volume":"14","author":"Henchoz","year":"2016","journal-title":"Health Qual Life Outcomes."},{"key":"B20","unstructured":"Taking a Multisectoral, One Health Approach: A Tripartite Guide to Addressing Zoonotic Diseases in Countries2019"},{"key":"B21","unstructured":"Propuesta de Programa Nacional Integral e Integrado de Zoonosis (PNIIZ) SCON2016-003262016"},{"key":"B22","doi-asserted-by":"publisher","first-page":"229","DOI":"10.3889\/MJMS.1857-5773.2010.0131","article-title":"Concept of one health - a new professional imperative","volume":"3","author":"Hristovski","year":"2010","journal-title":"Maced J Med Sci."},{"key":"B23","doi-asserted-by":"publisher","first-page":"e0184430","DOI":"10.1371\/journal.pone.0184430","article-title":"A system dynamics approach to understanding the One Health concept","volume":"12","author":"Xie","year":"2017","journal-title":"PLoS ONE."},{"key":"B24","doi-asserted-by":"crossref","DOI":"10.1079\/9781780643410.0000","volume-title":"One Health: The Theory and Practice of Integrated Health Approaches","author":"Zinsstag","year":"2015"},{"key":"B25","doi-asserted-by":"publisher","first-page":"453","DOI":"10.20506\/rst.33.2.2294","article-title":"A review of the metrics for One Health benefits","volume":"33","author":"Haesler","year":"2014","journal-title":"Rev Sci Tech"},{"key":"B26","doi-asserted-by":"publisher","first-page":"20","DOI":"10.3389\/fpubh.2017.00020","article-title":"A blueprint to evaluate one health","volume":"5","author":"R\u00fcegg","year":"2017","journal-title":"Front Public Health."},{"key":"B27","volume-title":"Preventing The Next Pandemic: Zoonotic Diseases and How to Break the Chain of Transmission","year":"2020"},{"key":"B28","unstructured":"National Integrated and Integral Program of Zoonoses2016"},{"key":"B29","unstructured":"One Health Zoonotic Disease Prioritization Workshops2019"},{"key":"B30","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1590\/S0102-311X2007000200004","article-title":"Ecosystem approaches and health in Latin America","volume":"23","author":"de Freitas","year":"2007","journal-title":"Cadern Sa\u00fade P\u00fabl."},{"key":"B31","unstructured":"Cambridge, Reino UnidoUNEP-WCMCEl estado de la biodiversidad en Am\u00e9rica Latina y el Caribe2016"},{"key":"B32","doi-asserted-by":"publisher","first-page":"316","DOI":"10.1590\/s1020-49892013000500002","article-title":"Setting priorities for surveillance, prevention, and control of zoonoses in Bogot\u00e1, Colombia","volume":"33","author":"Cediel","year":"2013","journal-title":"Rev Panam Salud Publ"},{"key":"B33","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1590\/S1517-83822013005000011","article-title":"Zoonoses in humans from small rural properties in Jataizinho, Parana, Brazil","volume":"44","author":"Gon\u00e7alves","year":"2013","journal-title":"Braz J Microbiol"},{"key":"B34","doi-asserted-by":"publisher","first-page":"1343","DOI":"10.1016\/S0140-6736(14)61494-X","article-title":"Social determinants of health, universal health coverage, and sustainable development: case studies from Latin American countries","volume":"385","author":"De Andrade","year":"2015","journal-title":"Lancet."},{"key":"B35","unstructured":"Social Determinants of Health in the Americas2021"},{"key":"B36","first-page":"430","article-title":"La situaci\u00f3n actual de las zoonosis m\u00e1s frecuentes en M\u00e9xico","author":"Garza-Ramos","year":"2010","journal-title":"Gaceta M\u00e9d M\u00e9xico."},{"key":"B37","doi-asserted-by":"publisher","first-page":"787","DOI":"10.15446\/rsap.v19n6.72109","article-title":"Pol\u00edticas p\u00fablicas de zoonosis en Colombia, 1975-2014. Un abordaje desde la ciencia pol\u00edtica y la salud p\u00fablica","volume":"19","author":"Agudelo-Su\u00e1rez","year":"2017","journal-title":"Rev Salud P\u00fablica."},{"key":"B38","doi-asserted-by":"publisher","first-page":"2872","DOI":"10.1098\/rstb.2011.0362","article-title":"Bringing together emerging and endemic zoonoses surveillance: shared challenges and a common solution","volume":"367","author":"Halliday","year":"2012","journal-title":"Philos Trans R Soc Lond. B Biol Sci."},{"key":"B39","doi-asserted-by":"publisher","first-page":"25300","DOI":"10.3402\/iee.v5.25300","article-title":"The concept of health in One Health and some practical implications for research and education: what is One Health?","volume":"5","author":"Lerner","year":"2015","journal-title":"Infect Ecol Epidemiol"},{"key":"B40","unstructured":"Working Together to Fight Antimicrobial Resistance2020"},{"key":"B41","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1111\/zph.12192","article-title":"The establishment of the Colombian Integrated Program for Antimicrobial Resistance Surveillance (COIPARS): a pilot project on poultry farms, slaughterhouses and retail market","volume":"62","author":"Donado-Godoy","year":"2015","journal-title":"Zoon Publ Health"},{"key":"B42","doi-asserted-by":"publisher","first-page":"e229","DOI":"10.1111\/zph.12433","article-title":"The challenges of implementing an integrated One Health surveillance system in Australia","volume":"65","author":"Johnson","year":"2018","journal-title":"Zoon Publ Health"},{"key":"B43","doi-asserted-by":"publisher","first-page":"e1002448","DOI":"10.1371\/journal.pbio.1002448","article-title":"\u201cOne health\u201d or three? Publication silos among the one health disciplines","volume":"14","author":"Manlove","year":"2016","journal-title":"PLoS Biol."},{"key":"B44","doi-asserted-by":"publisher","first-page":"e000121","DOI":"10.1136\/bmjgh-2016-000121","article-title":"Implementing One Health as an integrated approach to health in Rwanda","volume":"2","author":"Nyatanyi","year":"2017","journal-title":"BMJ Glob Health."},{"key":"B45","doi-asserted-by":"publisher","first-page":"100085","DOI":"10.1016\/j.onehlt.2019.100085","article-title":"Overcoming challenges for designing and implementing the One Health approach: a systematic review of the literature","volume":"7","author":"dos Ribeiro","year":"2019","journal-title":"One Health"},{"key":"B46","doi-asserted-by":"crossref","DOI":"10.1007\/978-4-431-55120-1","volume-title":"Confronting Emerging Zoonoses: The OH Paradigm","author":"Yamada","year":"2014"},{"key":"B47","doi-asserted-by":"publisher","first-page":"687110","DOI":"10.3389\/fpubh.2021.687110","article-title":"From the approach to the concept: One Health in Latin America - experiences and perspectives in Brazil, Chile, and Colombia","volume":"9","author":"Pettan-Brewer","year":"2021","journal-title":"Front. Public Health."},{"key":"B48","unstructured":"Pa\u00edses en Am\u00e9rica Latina y el Caribe - LANIC - Espa\u00f1ol"},{"key":"B49","doi-asserted-by":"publisher","first-page":"422","DOI":"10.1177\/0047287505274655","article-title":"Comparing mail and web-based survey distribution methods: results of surveys to leisure travel retailers","volume":"43","author":"Cole","year":"2005","journal-title":"J Travel Res."},{"key":"B50","volume-title":"High-Level Technical Meeting to Address Health Risks at the Human-Animal Ecosystems Interfaces","year":""},{"key":"B51","doi-asserted-by":"publisher","first-page":"e16777","DOI":"10.7554\/eLife.16777","article-title":"Origins of the 2009 H1N1 influenza pandemic in swine in Mexico","volume":"5","author":"Mena","year":"2016","journal-title":"Elife"},{"key":"B52","doi-asserted-by":"publisher","first-page":"1631","DOI":"10.1080\/13504622.2018.1499015","article-title":"Environmental education in Latin American and the Caribbean: the challenges and limitations of conducting a systematic review of evaluation and research","volume":"24","author":"Briggs","year":"2018","journal-title":"Environ Educ Res."},{"key":"B53","author":"Vizeu-Pinheiro","year":"2020","journal-title":"Environmental Governance Indicators for Latin America and the Caribbean"},{"key":"B54","unstructured":"Pol\u00edticas de zoonosis en Colombia: del 1 de Salud P\u00fablica (PDSP) 2012-2021\n            AgudeloN\n            VillamilLC\n          2018"},{"key":"B55","unstructured":"Clase Social y salud. Resumen ejecutivo2021"},{"key":"B56","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1186\/s42522-020-00029-0","article-title":"Helping to heal nature and ourselves through human-rights-based and gender-responsive One Health","volume":"2","author":"Garnier","year":"2020","journal-title":"One Health Outlook"},{"key":"B57","doi-asserted-by":"publisher","first-page":"211","DOI":"10.2471\/BLT.17.202705","article-title":"Knowledge integration in One Health policy formulation, implementation and evaluation","volume":"96","author":"Hitziger","year":"2018","journal-title":"Bull World Health Organ."}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2021.649240\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,25]],"date-time":"2021-10-25T05:21:14Z","timestamp":1635139274000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2021.649240\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,25]]},"references-count":57,"alternative-id":["10.3389\/fpubh.2021.649240"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2021.649240","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,25]]},"article-number":"649240"}}