One Health/One Planet: A Special Magazine Issue on Climate Change, Diseases, and Research that Could Save Us
In the spirit of rising to difficult challenges and erasing pointless divisions, we present One Health/One Planet, a single-issue magazine that explores how climate change and other environmental shifts are increasing vulnerabilities to infectious diseases by land and by sea. The magazine probes how scientists are making progress with leaders in other fields toward solutions that embrace diverse perspectives and the interconnectedness of all lifeforms and our precious blue dot.
This special issue is a collaboration among the science outlet Leaps.org, the impact and engagement company GOOD, the Aspen Institute Science & Society Program, and the Science Philanthropy Alliance.
The articles explore potential breakthroughs that are taking single-aim at the overlapping dilemmas of a warming planet and more frequent global pandemics. These predicaments, while certainly not new, have begun to seem more tangible and ominous in the midst of COVID-19, a tragedy that could very well repeat itself on an even more disastrous scale as deforestation and changing temperatures force new interactions among species, increasing the risk of disease transmission—including viral jumps to humans.
Going forward, we must do more to support scientific efforts that address a number of complex and interrelated areas, around which this magazine issue is organized: PARTNERSHIPS, NEW FRAMEWORKS, MICROBES, SPILLOVERS, ANIMAL & PLANT HEALTH, HUMAN HEALTH, INSECTS, SURVEILLANCE, CHANGING HABITATS and MODELING.
When historians of the 22nd century judge how we protected our own health, the health of our planetary cohabitants and the planet itself, the criteria will take account of, but extend far beyond the work and achievements of modern science. Their benchmarks will include how we met the need to engage diverse audiences—such as our farmers, historically underrepresented and underserved communities, conservationists, frontline medical workers, artists, politicians and communicators. We need their contributions in order to pursue the questions that are the most relevant, incisive and holistic. Only then can we be sure that we are allocating scarce resources toward the best possible answers. Nothing less will work against such steep challenges. Only with the broadest, most collaborative and transdisciplinary engagement can we truly hope to embrace the One Health/One Planet paradigm needed for our future salvation and prosperity.
This collection is available as a free, beautifully designed digital magazine for both desktop and mobile.
TABLE OF CONTENTS:
- PARTNERSHIPS IN ONE HEALTH/ONE PLANET: Conversation between Rajiv J. Shah and Louis J. Muglia
- FRAMEWORKS & APPROACHES: A Complex Problem Calls for New Strategies Plus the Wisdom of Our Ancestors
- MICROBES:
With Infections, We've Been Playing 'Pin the Blame on the Microbe.' Is It Time to Change the Game? - SPILLOVER:
Climate Change and the New Pandemic Age - EXCLUSIVE INTERVIEW WITH RAINA PLOWRIGHT, DISEASE ECOLOGIST AT CORNELL:
To What's Better than a Swift Response to Pandemics? Preventing Them in the First Place - ANIMALS, PLANTS & CROPS:
Which Ones Will Survive in a Changing Climate? - HUMAN HEALTH:
Staying Well in the 21st Century is Like Playing Chess - THE INSECT APOCALYPSE:
It Will Devastate Humans, but Science Can Keep Them Buzzing - SURVEILLANCE:
What Tools and Technologies are Needed to Monitor Zoonotic Spillovers and Optimize Disease Management - CHANGING HABITATS:
For Solutions to Climate Change and Infectious Disease, Researchers Go Back to the First Domino - MODELING:
Scientists Recommend a Multi-Disciplinary Approach to Predicting Outbreaks
A sleek, four-foot tall white robot glides across a cafe storefront in Tokyo’s Nihonbashi district, holding a two-tiered serving tray full of tea sandwiches and pastries. The cafe’s patrons smile and say thanks as they take the tray—but it’s not the robot they’re thanking. Instead, the patrons are talking to the person controlling the robot—a restaurant employee who operates the avatar from the comfort of their home.
It’s a typical scene at DAWN, short for Diverse Avatar Working Network—a cafe that launched in Tokyo six years ago as an experimental pop-up and quickly became an overnight success. Today, the cafe is a permanent fixture in Nihonbashi, staffing roughly 60 remote workers who control the robots remotely and communicate to customers via a built-in microphone.
More than just a creative idea, however, DAWN is being hailed as a life-changing opportunity. The workers who control the robots remotely (known as “pilots”) all have disabilities that limit their ability to move around freely and travel outside their homes. Worldwide, an estimated 16 percent of the global population lives with a significant disability—and according to the World Health Organization, these disabilities give rise to other problems, such as exclusion from education, unemployment, and poverty.
These are all problems that Kentaro Yoshifuji, founder and CEO of Ory Laboratory, which supplies the robot servers at DAWN, is looking to correct. Yoshifuji, who was bedridden for several years in high school due to an undisclosed health problem, launched the company to help enable people who are house-bound or bedridden to more fully participate in society, as well as end the loneliness, isolation, and feelings of worthlessness that can sometimes go hand-in-hand with being disabled.
“It’s heartbreaking to think that [people with disabilities] feel they are a burden to society, or that they fear their families suffer by caring for them,” said Yoshifuji in an interview in 2020. “We are dedicating ourselves to providing workable, technology-based solutions. That is our purpose.”
Shota Kuwahara, a DAWN employee with muscular dystrophy. Ory Labs, Inc.
Wanting to connect with others and feel useful is a common sentiment that’s shared by the workers at DAWN. Marianne, a mother of two who lives near Mt. Fuji, Japan, is functionally disabled due to chronic pain and fatigue. Working at DAWN has allowed Marianne to provide for her family as well as help alleviate her loneliness and grief.Shota, Kuwahara, a DAWN employee with muscular dystrophy, agrees. "There are many difficulties in my daily life, but I believe my life has a purpose and is not being wasted," he says. "Being useful, able to help other people, even feeling needed by others, is so motivational."
When a patient is diagnosed with early-stage breast cancer, having surgery to remove the tumor is considered the standard of care. But what happens when a patient can’t have surgery?
Whether it’s due to high blood pressure, advanced age, heart issues, or other reasons, some breast cancer patients don’t qualify for a lumpectomy—one of the most common treatment options for early-stage breast cancer. A lumpectomy surgically removes the tumor while keeping the patient’s breast intact, while a mastectomy removes the entire breast and nearby lymph nodes.
Fortunately, a new technique called cryoablation is now available for breast cancer patients who either aren’t candidates for surgery or don’t feel comfortable undergoing a surgical procedure. With cryoablation, doctors use an ultrasound or CT scan to locate any tumors inside the patient’s breast. They then insert small, needle-like probes into the patient's breast which create an “ice ball” that surrounds the tumor and kills the cancer cells.
Cryoablation has been used for decades to treat cancers of the kidneys and liver—but only in the past few years have doctors been able to use the procedure to treat breast cancer patients. And while clinical trials have shown that cryoablation works for tumors smaller than 1.5 centimeters, a recent clinical trial at Memorial Sloan Kettering Cancer Center in New York has shown that it can work for larger tumors, too.
In this study, doctors performed cryoablation on patients whose tumors were, on average, 2.5 centimeters. The cryoablation procedure lasted for about 30 minutes, and patients were able to go home on the same day following treatment. Doctors then followed up with the patients after 16 months. In the follow-up, doctors found the recurrence rate for tumors after using cryoablation was only 10 percent.
For patients who don’t qualify for surgery, radiation and hormonal therapy is typically used to treat tumors. However, said Yolanda Brice, M.D., an interventional radiologist at Memorial Sloan Kettering Cancer Center, “when treated with only radiation and hormonal therapy, the tumors will eventually return.” Cryotherapy, Brice said, could be a more effective way to treat cancer for patients who can’t have surgery.
“The fact that we only saw a 10 percent recurrence rate in our study is incredibly promising,” she said.