Health from a Social–Ecological Systems Perspective: Enriching Social and Cultural Dimensions


Paradigm

Key concepts, principles or tenets

Relevance to One Health, examples of applications

Key journals

Social–ecological systems

Takes a complex adaptive systems view of people–environment relations, with particular focus on the ecology. Contributes the idea of resilience. Focuses on interactions across multiple geographical, social and governance scales

Encourages a dynamic view of the relationships inherent in epidemiology, interpreted in terms of complexity. How do pathogens and vectors behave in changing contexts? How do multiple factors interact to produce outcomes and trends? How do humans, animals and ecosystems adapt to changing circumstances, including disturbances?
 
Human ecology

Examines people–environment relationships comprehensively, with considerable emphasis on adaptation. It is particularly holistic when combined with anthropological approaches (ethnography). The early work tended to over-emphasise the relevance of ecological change processes (adaptation) towards human ones; later work has been comprehensive in theoretical development and case studies

The body of published work, especially ethnographies that include relationships with animals

Adaptation concept, processes of adaptation

Human Ecology

Journal of Human Ecology

Human Organization

Political ecology

An offshoot of human ecology and political economy that emphasises power relationships in shaping environmental and social justice outcomes

Important for the recognition of how power relationships within society and governance can easily disadvantage the least powerful in society. Governance processes and landscape outcomes often favour the rich and powerful. In One Health, there is a risk of the least powerful in societies bearing the burden of disease control (e.g. in culling of animals)

Political Ecology

Environment−behaviour studies/environmental psychology

A field developed with respect to the built environment, usually at small scales e.g. neighbourhoods, housing. Studies the two-way interactions between people and their environments. Brings useful focus on cognitions, and concepts such as behaviour settings and activity systems

Available for elaboration to include human relationships with animals in natural and built settings. Encourages attention to built environments, such as how built forms and the behaviours within them mediate exposure to animals and disease risks

Environment and Behaviour

Journal of Environmental Psychology




2.1 Opportunities for One Health


Given the origins in forest ecology, the social–ecological systems concept is strongly place based. One Health requires the nested idea of local to global relationships (including individuals), but cannot afford to limit to particular local and regional ecosystems. Rather, One Health will be interested in changes in social–ecological conditions that favour zoonotic disease transfers and spread (e.g. Caron et al. 2010; Si et al. 2010), and in pandemics that transfer readily from one local or regional ecosystem to another. One Health will be far more interested than the social–ecological systems theorists (so far) in the role of animals in people’s lives (as livestock and companion animals, or wild species they eat or interact with), and in people’s behaviour patterns within those interactions (e.g. animal tending practices, supply chain behaviour cf. Dudley 2008) that foster good health or risk disease spread.

One Health will thus be interested in the linkages between specific ecosystems, or at least in the ecological basis of particular pathogens and disease vectors that might readily (and often rapidly) find opportunities elsewhere. Given the rapidity of international travel, the transfers of animals and foods under a globalised economy, and influences of migratory bird movements (Cumming 2010), One Health should be interested in one global system made up of many localised, but also highly networked, sub-systems. One Health may find the concept of resilience very useful: since we cannot prevent diseases (of animals, humans or both) altogether, or control them entirely, how can we make vulnerable people and regions more resilient to their occurrence? How can adaptive capacity be understood and enhanced, towards achieving that resilience? What are the key components of adaptive capacity and resilience (Berkes and Ross 2013; Magis 2010; Armitage et al. 2011) in a One Health practice context? Since management of risk and control of diseases is beyond any single authority’s control (human health or veterinary), what possibilities lie in looking towards adaptive governance ideas (Stirling and Scoones 2009), focused on collaboration across parties with capacity to address parts of a problem, and on taking adaptive rather than rigid approaches to solution finding.

Further, how can One Health manage the risks of conflicting activity between scales (levels within a system) when addressing crises? Adger et al. (2011) noted with respect to climate change adaptation that some case study countries worked in harmony with and empowered local people’s adaptation, whereas others over-rode good local initiative and practice with imposed national policies in ways that damaged overall capacity. The analogies for One Health are obvious: how can local practice and arrangements be harmonised with national and international effort, rather than running the risk of contradictions, conflicts, inefficiencies and increased disease risk?


2.2 Important System Interactions in One Health


One Health is interested in interactions between humans, animals and ecosystems, and hence their systems of management, towards enhancing well-being, reducing risks and making management more effective. One Health will thus have particular foci of interest within the complexity of our global social–ecological systems (which includes economic systems). Human–animal–environment interactions of particular interest to One Health are:



  • The many ways in which humans interact with animals, from the tending of livestock for livelihoods and also cultural reasons (where livestock may represent cultural status, savings, bridge-price or dowries), to interactions with wildlife for sustenance (hunting) and enjoyment, or accidental contact in the course of other practices, to the psychological benefits of human–companion animal interaction.


  • Causes of different patterns of interaction between wildlife, domesticated species and humans—for instance, where seasons or the effects of environmental change (including climate change) affect species movements and disease vectors, or where loss of wildlife habitat through land clearing to meet population increases and economic demands leads to new interactions among different animals, and animals and humans.


  • The effects of global movements of people and animals, for instance, in travel and trade (including supply chains, Dudley 2008).


  • The policy and administrative interactions involved in issues that transcend (or force collision between) established systems of governance. (Western-influenced forms of governance typically keep health and environment separate, animal and human health separate and national and local government powers separate, where One Health requires strong networking and capacity for coordinated action across all of these).



3 Social and Cultural Dimensions Important to One Health


From the wealth of social science concepts available for understanding human thinking and behaviour, some key concepts appear particularly relevant to the points above. All of these feature within the other paradigms (see Table 1) which could well enrich missing dimensions in social–ecological systems. This analysis makes no claim to comprehensiveness: other social science concepts are potentially relevant. It concentrates on cultural, cognitive and behavioural dimensions of people–animal–ecosystem/environment interactions. Since a culture entails a coherent combination of many of these concepts, aspects of this analysis will overlap.


3.1 Cultural Dimensions


Cultures are known to develop, over lengthy periods, in relation to ecosystems and climate. Thus, hunter–gather societies, in general, are known to have some characteristics in common that differ markedly from those of agricultural societies. McMichael (2004) points out that major cultural shifts have also been associated with shifts in infectious disease threats. Cultures are commonly studied in terms of religion and belief systems, kinship, resource use, economic behaviour, development and use of technologies and built environment. Together, these (and other) characteristics shape interactions between people and their ecosystems, the people within the society and people and materials. Culture includes the social rules for relationships among people, and the nature of the supernatural worlds they create. Myriad permutations are possible, for instance, the diverse forms and meanings of vernacular housing and settlements developed by the world’s different cultures (Rapoport 1969).

The relevance for One Health is extensive. Culture shapes (or represents) all of the social attributes explored below, and is a major part of defining—or reflecting—the ways in which humans, animals and ecosystems interact for economic and socially-defined purposes. It influences relationships among members of a society (e.g. gendered relationships), and the way communication occurs (e.g. Hickler 2007), and hence the strategies that One Health practitioners might need to adopt in addressing disease risks.


3.2 Cognitive Dimensions


This represents the set of individual and shared mental domains that are potentially relevant in people–animal–ecosystem interactions. Values express broad preferences concerning appropriate courses of action or outcomes, representing a person’s or society’s sense of right and wrong or desirable conditions. In a One Health context, we may be interested in values towards particular species, specific environments and practices (whether culturally or socially endorsed, or discouraged). Values are closely related to social and behavioural norms; the social ‘rules’ for behaviour in a society are taught and enforced through social influence. Norms tend to be more transient and mutable than values; for instance, norms for food handling have changed as a matter of public education and social influence.

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Nov 6, 2016 | Posted by in GENERAL | Comments Off on Health from a Social–Ecological Systems Perspective: Enriching Social and Cultural Dimensions

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