A global pandemic treaty should aim for deep prevention – The Lancet

To clarify the focus, a distinction can be made between upstream, midstream, and downstream stages of intervention for a prevention system. Downstream prevention is usually understood as prevention from a public health perspective—ie, prevention of disease spread. Upstream prevention and midstream prevention are both encompassed by what we term deep prevention. Upstream prevention is an area that a global pandemic treaty should address, specifically from the One Health perspective.1,  3,  4,  5,  6 There is a link between certain key drivers of environmental degradation, such as illicit wildlife traffic or land-use change, and the increased frequency of zoonotic disease outbreaks,4,  7 which has led WHO and other organisations to call for the suspension of sales of captured living wild mammals in food markets.8 This link directs attention to the relevance of some widely ratified environmental treaties—eg, the Convention on International Trade in Endangered Species, the Convention on Biological Diversity, or the UN Convention to Combat Desertification—for reducing risk of zoonosis. A global pandemic treaty could strengthen the coherence between these environmental treaties and the I

Source: A global pandemic treaty should aim for deep prevention – The Lancet