PROGRAMME - British Society of Animal Science
PROGRAMME - British Society of Animal Science
PROGRAMME - British Society of Animal Science
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211<br />
Epidemiology and one health - rebrand, new clothes or tautology?<br />
Stuart WJ Reid<br />
The Royal Veterinary College, North Mymms, Hatfield, AL9 7TA<br />
Email: swjreid@rvc.ac.uk<br />
Increasingly, understanding the complexity and interconnected nature <strong>of</strong> the ecosystems we share with other species is<br />
recognised as central to the delivery <strong>of</strong> sustainable solutions. The intersect <strong>of</strong> the classical host/pathogen/environment<br />
conceptual Venn diagram, if not now coming <strong>of</strong> age, is at least captured sublimely in the moniker "one health".<br />
The role that epidemiology has played in bringing us to this point should not be underestimated. One can point to a range<br />
centres worldwide where epidemiology has the range <strong>of</strong> prefixes one might expect <strong>of</strong> one health; genetic epidemiology,<br />
behavioural epidemiology, zoonotic epidemiology, environmental epidemiology, aquatic epidemiology, diagnostic<br />
epidemiology...the list is a long one. Some argue that this is epidemiology's big problem - that it is not a pure science. I argue<br />
the opposite. The fact that an epidemiological approach is prevalent in these broad areas <strong>of</strong> investigation reinforces the fact that<br />
the key elements <strong>of</strong> epidemiology - a population approach, controlling for confounding and bias and accounting for error -<br />
make it one <strong>of</strong> the sciences which must underpin one health. Furthermore, the recent focus on the need to demonstrate the<br />
impact and benefits <strong>of</strong> research can, in many cases, be addressed by adopting well designed quantitative trials <strong>of</strong> some sort;<br />
once again, an epidemiologist's bread and butter.<br />
However, challenges remain and lest we overstate the case, there are other sciences that will be critical to the delivery <strong>of</strong> a true<br />
one health agenda. With environmental scientists, engineers and social scientists now at the table with those from the<br />
veterinary, medical and life sciences, synergy can only be achieved with a new common language and open dialogue. We will<br />
require approaches that are beyond multidisciplinary and pursue our endeavours at the interfaces and intercepts <strong>of</strong> our<br />
individual subject areas, where inter-disciplinary and trans-disciplinary are the watchwords and where we align thinking aside<br />
from our "ology" or "omic" bound lexicons.<br />
Evident from its track record, epidemiology's role will be as but one <strong>of</strong> the multilingual platforms on which much <strong>of</strong> this<br />
interaction can occur and by remaining true to its roots but being open to other cognate approaches, epidemiology will ensure<br />
its place close to the centre <strong>of</strong> the new world that is one health. So rather than a rebranding, or new clothes or even tautology,<br />
one health <strong>of</strong>fers epidemiology new opportunities, new horizons and the ability to make a difference.<br />
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