Conservation medicine

Conservation medicine is an emerging, interdisciplinary field that studies the relationship between human and non-human animal health and environmental conditions. Specifically, conservation medicine is the study of how the health of humans, animals, and the environment are interconnected and affected by conservation issues.^[1] It is also known as planetary health, environmental medicine, medical geology, or ecological medicine.^[1][2]

The environmental causes of health problems are complex, global, and poorly understood. Conservation medicine practitioners form multidisciplinary teams to tackle these issues. Teams may involve physicians and veterinarians working alongside researchers and clinicians from diverse disciplines, including microbiologists, pathologists, landscape analysts, marine biologists, toxicologists, epidemiologists, climate biologists, anthropologists, economists, and political scientists.^[2]

A physician in the 1800s, Rudolf Virchow, once said "between animal and human medicine, there is no dividing line- nor should there be".^[3] The intersection of the health of animals, humans, and their environment has been an area of discussion since then. The term conservation medicine was first described in the 1990s with the recognition of the impact human population, environmental degradation, illegal hunting, and biodiversity loss contributed to the health of wildlife populations in Africa.^[4] The increasing interest in conservation medicine since then represents a significant development in both medicine and environmentalism.^[5]

While the initial discovery of conservation medicine focused on health of wildlife populations, it became apparent that human health is also impacted by animals and the environment as humans became more aware of zoonotic diseases.^[3] Diseases that spread between animals and humans such as certain strains of the flu, salmonellosis, West Nile virus, the plague, coronaviruses (severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS)), rabies, brucellosis, malaria, HIV, avian influenza, Lyme disease, Nipah virus, and other emerging infectious diseases are among the few human diseases known to be connected to the environment or animal health.^[6] As of 2023, up to 70% of emerging infectious diseases (EID) originate from animals,^[7] which has brought the concept of conservation medicine to the forefront of current ideas in healthcare.

While the hands-on process of conservation medicine in individual cases is complicated, the underlying concept is quite intuitive, namely, that human health, wildlife health, and ecosystem health are all related.^[8] The threat of zoonotic diseases that travel to humans from animals is central. For example, burning huge areas of forest to make way for farmland may displace a wild animal species, which then infects a domesticated animal. The domesticated animal then enters the human food chain and infects people, and a new health threat emerges. Conventional approaches to the environment, animal and human health rarely examine these connections. In conservation medicine, such relationships are fundamental. Professionals from the many disciplines involved necessarily work closely together.

Since the emergence of the idea of conservation medicine, many human physicians and veterinarians have adopted the initiative titled One Health.^[9] One Health evolved from the early idea of One Medicine, which was developed by veterinary communities as early as the 1900s.^[9] Originally, One Health solely promoted the interconnectedness of animal health and human health, and failed to recognize the role of the ecosystem's health in the health and wellbeing of animals and humans.^[9] However, One Health is now a recognized and valued approach to optimize the health of people, animals, and the environment, and has been adopted by a multitude of organizations and governing bodies to guide their work in protecting global health.^[10] The United States Centers for Disease Control and Prevention (CDC) and the United States National Institutes of Health (NIH) utilize the One Health approach to better understand and mitigate threats to human health.^[10][11] The World Organisation for Animal Health (WOAH) utilizes the One Health approach to improve animal health across the globe through advocacy and the spread of veterinary information.^[12] The United States Environmental Protection Agency (EPA) highlights their use of One Health to protect the environment stating "when we protect one, we protect all".^[13]

The concept of conservation medicine utilizes a One Health approach, and specifically works to decrease disease and health risks humans and animals experience due to the degradation of the natural environment.^[14]

Looking at the environment and health together, conservation medicine has the potential to effect rapid change in public opinion on complex societal issues, by making the distant and ill-defined, local and pressing. For instance, global warming may vaguely define long-term impacts, but an immediate effect may be a relatively slight rise in air temperature. This in turn raises the flight ceiling for temperature-sensitive mosquitoes, allowing them to feed on higher flying migratory birds than usual, which in turn may carry a disease from one country or continent to another.

Likewise, the broad topic of suburban sprawl is made more relevant when seen in terms of the immediate imbalance it brings to rural ecosystems, which increases population densities and forces humans into closer contact with animals (like rodents), increasing the risk of new cross-species diseases. When tied to actual cases (such as SARS or HIV/AIDS), this holistic outlook resonates more powerfully with the public than more abstract explanations.

• One Health
• Zoonosis
• Tropical medicine
• Emergent virus
• Environmentalism

• Aguirre, A. Alonso; Ostfeld, Richard S.; Tabor, Gary M.; House, Carol; Pearl, Mary C., eds. (2002). Conservation Medicine : ecological health in practice. Oxford University Press. ISBN 978-0-19-515093-3.
• Aguirre, A. Alonso; Ostfeld, Richard; Daszak, Peter, eds. (2012). New directions in conservation medicine : applied cases of ecological health. Oxford University Press. ISBN 9780199731473.
• Motavalli, Jim (November 2004). "Connecting the Dots - The Emerging Science of Conservation Medicine Links Human and Animal Health with the Environment". Emagazine.com. Archived from the original on 2005-02-08.
• Motavalli, Jim. "Too Darn Hot Global Warming Accelerates the Spread of Disease", E—The Environmental Magazine, November/December 2004.
• Moss, Doug. "E WORD: Conservation Health", E—The Environmental Magazine, November/December 2004.
• Pokras MA, Kneeland MK (2009) Lead uptake and effects across species lines: a conservation medicine approach. In Ingestion of lead from spent ammunition: implications for wildlife and humans (eds RT Watson, M Fuller, M Pokras, WG Hunt), pp. 7–22. Boise, ID: The Peregrine Fund.