Global health at crossroads: uniting together to overcome challenges, restore trust and advance priorities for a sustainable future

作者：Massimo Sartelli, Elías Mossialos, Federico Coccolini, Ib Jammer, Francesco M. Labricciosa, Philip S. Barie, Walter L. Biffl, Ziad A. Memish, Markus Maeurer, Gary P. Kobinger, Giuseppe Ippolito, Alimuddin Zumla, Fausto Catena, Lilian M. Abbo, Yishak Abraham, Fikri M. Abu‐Zidan, Harissou Adamou, Ervis Agastra, Antonella Agodi, Rizwan Ahmed, Eleni Aklillu, Aftab Ala, Mary A. Alex-Wele, Wadha Alfouzan, Majdi N. Al‐Hasan, Sajjad Ali, Syed Muhammad Ali, Amer A. Alomari, Jamal A. K. Al-Omari, Mohammed Al-Shehari, Afreenish Amir, Obed Kwabena Offe Amponsah, Anis Hasnaoui, Luca Ansaloni, Shamshul Ansari, Ana Belén Araúz, Stanley Aruyaru, Goran Augustin, Bih Awazi, Mohammad Azfar, Esam I. Azhar, Lovenish Bains, Miklosh Bala, Suman Baral, Oussema Baraket, Martina Barchitta, María Enriqueta Baridó Murguía, Herman W. Barkema, Rodrigo López, Ariful Basher, Matteo Bassetti, Gregory J. Beilman, Solomon Gurmu Beka, Moussa Benboubker, Bojana Beovič, Godfrey Biemba, Elena Bignami, Karl Blanchet, Stijn Blot, Robert A. Bonomo, Adrian Brink, Silvio Brusaferro, Juan Bueno, Maloni Bulanauca, Luis Buonomo, Miguel Caínzos, Adrián Camacho-Ortíz, Rafael Cantón, Alp Ömer Cantürk, Massimo Carlini, Antonio Cascio, Beatrice Casini, Alessandro Cassini, Rodolfo Catena, Jean‐Marc Cavaillon, Piera Ceschi, William G. Cheadle, Diana Chebet Olinyo, Francesca Chiara, Ibrahim Chikowe, Syrold Chimatiro, Anna Chioti, Zororai Chiwodza, Sharfuddin Chowdhury, Maria Elena Cocuz, Raúl Coimbra, Tiago Correia, Francesco Cortese, Monica Cricca, Yunfeng Cui, Jacek Czepiel, Ek Raj Dahal, Osman Dar, Giulia De Angelis, Samir Delibegović, E. Patchen Dellinger, Zaza Demetrashvili, Alessandra De Palma, Belinda De Simone, Danushka De Silva, Džemail Detanac, Sameer Dhingra, José J. Diaz, Claudia Dima, Vinod Diwan, Agron Dogjani, Gereltuya Dorj, Audrius Dulskas, Christian Eckmann, Sarnai Erdene, Beverly Egyir, Ahmed Elhassi, Mutasim M. Elmangory, Hala Fathi EmamElkhir Omer, Önder Ergönül, Juan Pablo Escalera-Antezana, Dean Everett, Elisa Fabbri, Joseph Fadare, Massimo Fantoni, Rana Farsakoury, Alessia Fassari, Paula Ferrada, Alberto R. Ferreres, Daniela Filipescu, Domitilla Foghetti, Chinmay Gandhi, Silvana Gastaldi, Fabrizio Gemmi, Chiara Gerardi, Wagih Ghannam, Helen Giamarellou, Alessio Giordano, George Gkiokas, James Glasbey, Natalya Glushkova, Carlos Augusto Gomes, Miguel R. Paredes Herrera, Harumi Gomi, Emre Gönüllü, Guido Granata, Ewen A. Griffiths, Fedir Grynchuk, Maria Rosaria Gualano, Xavier Guirao, Ruba Haddadin, Mohammed Hajhamad, Mojdeh Hakemi-Vala, Gregory Halle‐Ekane, Sonja Hansen, Mainul Haque, Timothy Craig Hardcastle, Andreas Hecker, David S.C. Hui, Kenji Inaba, Arda Işık, Marcel Ishimwe, Katia Iskandar, Kamal M.F. Itani, Shabbar Jaffar, Nadia Jaidane, Marc G. Jeschke, Peter Østrup Jensen, Walt Johnson, Ibrahim Franklyn Kamara, Adeeba Kamarulzaman, Souha S. Kanj, Lewis J. Kaplan, Masoud Keikha, Abdullahi Khalid, Faryal Khamis, Vladimir Khokha, Ronald Kiguba, Claire Kilpatrick, Hong Bin Kim, Andrew W. Kirkpatrick, Wen‐Chien Ko, Kenneth Yuh Yen Kok, Oleksii Korzh, Vihar Kotecha, Ibrahima Kouma, Jehona Krasniqi, Vitor Favali Kruger, І. А. Кryvoruchko, Ravina Kullar, Akira Kuriyama, Steve Kyota, Mohammad Naeem Lakanwall, Botond Lakatos, Sulaiman Lakoh, Mary Ann Lansang, Rifat Latifi, Jae Gil Lee, Shui Shan Lee, Marc Léone, Ari Leppäniemi, Gabriel Levy Hara, Andrey Litvin, Yolanda López‐Vidal, Gustavo M. Machaín, Alejandro E. Macías, Oluchi Mbamalu, Fawzi Mahomoodally, Sourav Maiti, Md Anwarul Azim Majumder, Sydney Malama, Justen Manasa, Ramiro Manzano-Núñez, Cristina Marmorale, Aleix Martínez‐Pérez, Sanjay Marwah, Ryan C. Maves, Timothy D. McHugh, Carol Mclay, Libardo J. Meléndez, Marianna Meschiari, Gökhan Metan, Sayoki Mfinanga, Anna Mierzejewska, Marı́a Guadalupe Miranda-Novales, Margareta Mikic, Shyam Kumar Mishra, Yahaya Mohammed, Gabriel A Molina, Lindita Molla, Philippe Montravers, Roberta Monzani, Maria Luisa Moro, Fabrizio Motta, Pierre Moukala Mpele, Steward Mudenda, Mc Juan Muco Mugisha, Rita Murri, Ana-Maria Mușină, Nico T. Mutters, Peter Mwaba, Juliet Nabyonga‐Orem, Junaid Naeem, Pradeep H. Navsaria, Ionuţ Negoi, David Nyeko, Francine Ntoumi, Jan Nouwen, Eric Ochoa‐Hein, Donald J. O’Connor, Maria Olausson, Chizaram Onyeaghala, Carlos A. Ordóñez, H Orozco, Mouaqit Ouadii, Abdoul–Salam Ouédraogo, Léonardo Pagani, José Artur Paiva, Angelo Pan, Arpád Panyko, Ciro Paolillo, Daniela Pasero, Jay Patel, Eskild Petersen, Patrizio Petrone, Nicola Petrosillo, Tadeja Pintar, Giuseppe Pipitone, Emmamouil Pikoulis, Haurald Plaudis, Mauro Podda, Alfredo Ponce‐de‐León, Samuel Ponce de León, Adrián Puello Guerrero, Kemal Raşa, Martin Reichert, Jordi Rello, Glendee Reynolds-Campbell, Vladimir Resanović, G Rezza, Julival Ribeiro, Jennifer Rickard, Giancarlo Ripabelli, Gabriel Rodrigues, Alfonso J. Rodríguez‐Morales, Gustavo Eduardo Roncancio Villamil, Anna Różańska-Walędziak, Inés Rubio‐Pérez, Godfrey Mutashambara Rwegerera, Michela Sabbatucci, Jesús Manuel Sáenz Terrazas, Esther Saguil, Boris Sakakushev, Žilvinas Saladžinskas, Samson Sahile Salile, Ibrahima Sall, Hossein Samadi Kafil, Patricio Santillán‐Doherty, Giovanni Satta, Robert G. Sawyer, Dimitriοs Schizas, Helmut Alfredo Segovia Lohse, Jeremiah Seni, Edward Septimus, Gabriele Sganga, Vivian Shabaan, Daniel Mønsted Shabanzadeh, Mohamud Sheek Hussein, Vishal G. Shelat, Agumas Shibabaw, S. A. Shlyapnikov, Iqbal Singh, Keerti Singh, Boonying Siribumrungwong, Francis Somville, Elina Shor, Kjetil Søreide, Stefania Stefani, Jules Storr, Larysa Sydorchuk, Ruslan Sydorchuk, Bálint Gergely Szabó, Boun Kim Tan, Ermira Tartari, Pierre Tattevin, Orlando Téllez Almenares, Brian Tian, Joël Noutakdie Tochie, Zoran Todorović, Kasu Tola Bifa, Matti Tolonen, Margarida Torres, Tieble Traore, Iván Trostchansky, Gabriel Trueba, Constantinos Tsioutis, Novissi Tsogbale, Fabio Tumietto, Víctor Turrado-Rodriguez, Ubong Udoh, Jan Ulrych, Ian Umo, Selman Uranues, Maarten van Dongen, Chris Varghese, A Vasilescu, Krstina Doklestic Vasiljev, George C. Velmahos, Bruno Viaggi, Jordi Vilà, Maciej Wałędziak, Daniel Waruingi, Richard Watkins, Agnes Wechsler-Fördös, Olivia Waworuntu, Evelyn Wesangula, K. Yadgarova, Dorothy Yeboah‐Manu, Raul Yepez, Mark Willcox, Muhammad Umar Younis, Kuo-Ching Yuan, Andee Dzulkarnaen Zakaria, Tanya L. Zakrison, Victor Zamora Mesia, Irma Zamudio-Lugo, Guixi Zhang, Anna Zorzet, Nadezhda Zubareva, Susu M. Zughaier, Wietse P. Zuidema, Adam Zumla · 发表于：World Journal of Emergency Surgery · 年份：2025 · DOI：10.1186/s13017-025-00656-w · 被引用次数：9 · 研究领域：Zoonotic diseases and public health、Viral Infections and Outbreaks Research、Climate Change and Health Impacts

The world is currently facing an unprecedented convergence of crises that threaten the core pillars of public health, scientific integrity, and social stability. These challenges are profoundly interconnected and have the potential to exacerbate global inequalities, jeopardize health security, and undermine the progress achieved through decades of international collaboration. Our viewpoint declaration, developed by 366 healthcare workers and scientists from 119 countries across six continents, highlights the urgent need for global solidarity and collective action to address these interconnected global health challenges. As healthcare workers and scientists, we must prioritize the protection of scientific integrity, combat political interference, and restore public trust in the scientific process. This will require a commitment to transparency, ethical responsibility, and evidence-based decision-making that can stand strong in the face of political and social adversity. The COVID-19 pandemic has underscored the critical importance of resilient healthcare systems, emphasizing that preparedness, capacity building and coherent leadership and coordination are essential for future global health crises. In addition, our call for a One Health approach, acknowledging the intricate relationship between human, animal, and environmental health, has never been more pressing, especially as zoonotic diseases and antimicrobial resistance spread across borders. As we confront ongoing wars, en...