HIV/STI Unit, Institute of Tropical Medicine, Antwerp, Belgium; Division of Infectious Diseases and HIV Medicine, University of Cape Town, Anzio Road, Observatory 7700, South Africa.
Epidemics. 2020 Dec;33:100410. doi: 10.1016/j.epidem.2020.100410. Epub 2020 Oct 21.
An accurate understanding of why zoonoses such as SARS-CoV-2 are emerging at an increased rate, is vital to prevent future pandemics from the approximately 700,000 viruses with zoonotic potential. Certain authors have argued that the consumption of wildlife, or human contact with bats was responsible for the emergence of SARS-CoV-2. Others argue that a range of anthropogenic environmental degradations have played a vital role in the emergence of SARS-CoV-2 and other zoonoses. In this opinion piece, I argue that these divergent viewpoints stem, in part, from different foundational conceptual frameworks - biomedical individualist and eco-social frameworks, respectively. Based on the fact that the eco-social framework provides a more complete account of the different types of causal factors underpinning the emergence of zoonoses, I propose that the COVID-19 pandemic provides an additional reason for the health sciences to ground its theory of health and disease in an eco-social conceptual framework.
准确理解为什么像 SARS-CoV-2 这样的人畜共患病的出现率正在增加,对于防止未来的大流行(大约有 70 万种具有人畜共患潜力的病毒)至关重要。一些作者认为,野生动物的消费,或人类与蝙蝠的接触,是 SARS-CoV-2 出现的原因。另一些人则认为,一系列人为的环境退化在 SARS-CoV-2 和其他人畜共患病的出现中发挥了重要作用。在这篇观点文章中,我认为这些不同的观点部分源于不同的基础概念框架——分别是生物医学个体主义和生态社会框架。基于生态社会框架为支撑人畜共患病出现的不同类型的因果因素提供了更完整的解释,我提出 COVID-19 大流行提供了另一个理由,使健康科学将其健康和疾病理论建立在生态社会概念框架之上。