Lancet One Health Commission urges global shift for sustainable health solutions

July 2025: Newly published Lancet One Health Commission involving Edinburgh researchers calls for a transformative, interdisciplinary approach to tackle global health threats like infectious diseases and climate change.

LANCET ONE HEALTH COMMISSION
Figure: A map of the socioecological system

Expanding the One Health vision

The One Health approach has evolved from a narrow focus on zoonotic diseases to a comprehensive framework emphasizing the interdependence of human, animal, and environmental health. By recognizing these vital connections, One Health addresses global challenges in an integrated manner. 

The COVID-19 pandemic underscored the need to consider these interactions, prompting a shift towards more collaborative and inclusive strategies. 

This broader perspective advocates for interdisciplinary research, policy coordination, and public awareness to effectively manage health threats within our interconnected ecosystems.

Strategic priorities for action

The Commission stresses the urgency of combating climate change, biodiversity loss, and pollution to protect health and ecosystems. It calls for integrated disease surveillance systems and improved data sharing to bolster resilience.

To combat infectious diseases and antimicrobial resistance, equitable access to medications and strategic health investments are essential. The report also broadens its focus to include non-communicable diseases, advocating collaborative prevention and management strategies.

Transforming food systems is critical, requiring engagement with corporate stakeholders to reconcile profit with sustainability and ensure food security. The Commission calls for a shift from GDP-focused economics to models that prioritize sustainability and wellbeing.

Knowledge systems play a pivotal role, advancing education and research that align with One Health values to drive systemic and sustainable change.

LANCET ONE HEALTH COMMISSION
Figure: Integrated approaches to achieving healthy and sustainable socioecological systems

Edinburgh pioneering the One Health space

Edinburgh is represented on the commission through Anna Okello (Commissioner) who is based in the School of Biomedical Sciences and Lian Thomas (Advisor to the commission) is based at The Royal (Dick) School of Veterinary Studies (R(D)SVS). R(D)SVS has been pioneering in the One Health space - launching the highly popular MSc in One Health over a decade ago. 
 
The report is a comprehensive synthesis of where One Health is today and lays out a vision for how the approach can be utilised within the key global challenges of non-communicable diseases, infectious diseases, antimicrobial resistance and the development of a sustainable global food system. It therefore frames much of the work that R(D)SVS will be undertaking as a 'One Health supercluster' within Edinburgh's 2025-2030 research strategy. 
 

This report provides a comprehensive sythesis of where the One Health is today and importantly emphasises structural  transformation in our dominant economic paradigm and policy frameworks as necessities if a One Health approach is to be applied to our myriad of complex global challenges

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