Publicatie

Publicatie datum

Vulnerability and One Health assessment approaches for infectious threats from a social science perspective: a systematic scoping review

Jeleff, M., Lehner, L., Giles-Vernick, T., Dückers, M.L.A., Napier, A.D., Jirovsky-Platter, E., Kutalek, R. Vulnerability and One Health assessment approaches for infectious threats from a social science perspective: a systematic scoping review Lancet Planetary Health: 2022, 6(8), e682-e693
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Objective
Vulnerability assessments identify vulnerable groups and can promote effective community engagement in
responding to and mitigating destabilising events. This scoping review maps assessments for local-level vulnerabilities
in the context of infectious threats.

Method
We searched various databases for articles written between 1978 and 2019.

Findings
Eligible
documents assessed local-level vulnerability, focusing on infectious threats and antimicrobial resistance. Since few studies provided this dual focus, we included tools from climate change and disaster risk reduction literature that
engaged the community in the assessment. We considered studies using a One Health approach as essential for
identifying vulnerability risk factors for zoonotic disease affecting humans. Of the 5390 records, we selected 36 articles
for review.

Conclusions
This scoping review fills a gap regarding vulnerability assessments by combining insights from various
approaches: local-level understandings of vulnerability involving community perspectives; studies of social and
ecological factors relevant to exposure; and integrated quantitative and qualitative methods that make generalisations
based on direct observation. The findings inform the development of new tools to identify vulnerabilities and their
relation to social and natural environments.