Is a One Health Approach Utilized for Q Fever Control? A Comprehensive Literature Review

Md Rezanur Rahaman, Adriana Milazzo, Helen Marshall and Peng Bi
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Md Rezanur Rahaman: School of Public Health, The University of Adelaide, Adelaide, South Australia 5005, Australia
Adriana Milazzo: School of Public Health, The University of Adelaide, Adelaide, South Australia 5005, Australia
Helen Marshall: Adelaide Medical School and Robinson Research Institute, The University of Adelaide, Adelaide, South Australia 5005, Australia
Peng Bi: School of Public Health, The University of Adelaide, Adelaide, South Australia 5005, Australia

IJERPH, 2019, vol. 16, issue 5, 1-22

Abstract: Q fever, a zoonotic disease transmitted from animals to humans, is a significant public health problem with a potential for outbreaks to occur. Q fever prevention strategies should incorporate human, animal, and environmental domains. A One Health approach, which engages cross-sectoral collaboration among multiple stakeholders, may be an appropriate framework and has the underlying principles to control Q fever holistically. To assess whether components of One Health for Q fever prevention and control have been applied, a comprehensive literature review was undertaken. We found 16 studies that had practiced or recommended a One Health approach. Seven emerging themes were identified: Human risk assessment, human and animal serology, integrated human–animal surveillance, vaccination for at-risk groups, environmental management, multi-sectoral collaboration, and education and training. Within the multi-sectoral theme, we identified five subthemes: Policy and practice guidelines, information sharing and intelligence exchange, risk communication, joint intervention, and evaluation. One Health practices varied between studies possibly due to differences in intercountry policy, practice, and feasibility. However, the key issue of the need for multi-sectoral collaboration was highlighted across most of the studies. Further research is warranted to explore the barriers and opportunities of adopting a One Health approach in Q fever prevention and control.

Keywords: Q fever; zoonotic disease; prevention and control; environmental; One Health; multi-sectoral (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
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