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The "One Health" approach in the face of Covid-19: how radical should it be?
Philosophy, Ethics, and Humanities in Medicine ( IF 1.9 ) Pub Date : 2022-02-28 , DOI: 10.1186/s13010-022-00116-2
Vittorio A Sironi 1 , Silvia Inglese 2 , Andrea Lavazza 3, 4
Affiliation  

BACKGROUND The 2020-2021 coronavirus (Covid-19) pandemic is just the latest epidemic event that requires us to rethink and change our understanding of health. Health should no longer be conceived only in relation to human beings, but in unitary terms, as a dimension that connects humans, animals, plants, and the environment (holistic view, One Health). In general, alterations occurring in this articulated chain of life trigger a domino effect. METHODOLOGY In this paper, we review the One Health paradigm in the light of the Covid-19 pandemic and distinguish two approaches within it that might be dubbed the Prudent one and the Radical one. Each approach is structured in three levels - epistemological, medical, and ethical. RESULTS In this way, we show how we humans can better address the pandemic today and how, in the future, we can treat the whole living system better, by renouncing our anthropocentric perspective on health. CONCLUSION We hold that the Prudent approach can be very helpful, and we discuss the medical and ethical issues related to it. We also consider the Radical view and the epistemological turn it requires compared to the Prudent one.

中文翻译:

面对 Covid-19 的“一个健康”方法:它应该有多激进?

背景 2020-2021 年冠状病毒 (Covid-19) 大流行只是最新的流行事件,需要我们重新思考和改变我们对健康的理解。健康不应再仅与人类相关,而应以统一的方式,作为连接人类、动物、植物和环境的维度(整体观点,One Health)。一般来说,在这个连接的生命链中发生的变化会引发多米诺骨牌效应。方法 在本文中,我们根据 Covid-19 大流行回顾了 One Health 范式,并在其中区分了两种方法,可能被称为谨慎的一种和激进的一种。每种方法都分为三个层次——认识论的、医学的和伦理的。结果 通过这种方式,我们展示了我们人类如何能够更好地应对当今的流行病,以及未来如何,通过放弃我们对健康的以人类为中心的观点,我们可以更好地对待整个生命系统。结论 我们认为审慎的方法非常有帮助,我们讨论了与之相关的医学和伦理问题。我们还考虑了激进观点及其与审慎观点相比所需的认识论转向。
更新日期:2022-02-28
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