Reclaiming Education for Health. One Health as an Emerging Paradigm in Response to COVID-19 and other Anomalies
The One Health approach reveals a growing awareness that human health is interdependent with the health of all living beings and therefore requires keeping the entire planetary ecosystem healthy. The COVID-19 crisis has made this interconnection undeniable: by intruding into wild ecosystems, driven by the combined pressures of population growth and extractive economics, the risk of zoonotic diseases for which human immune systems and health care facilities are unprepared has drastically increased; the tremendous impact of this unrestrained colonization of nature is now clear worldwide. One Health has emerged in response to the increasing complexity of health issues. It states that to guarantee the health of humans, considering the health of other-than-human beings is crucial. Various related disciplines should collaborate to face the current health challenges. Despite this growing demand for a more systemic approach, health institutions and professionals appear slow in embracing it; at best, they take a narrow approach to One Health, limited to interactions between domestic animals and humans. This article proposes a systemic analysis that explains this slow uptake of One Health. It explores lock-ins in epistemological and pedagogical patterns, focusing on the university as the site where these are (re)produced. Universities emerged during the Enlightenment when technical discoveries encouraged a mechanistic worldview and a separatist approach to knowledge. The structuring of academia in separate faculties reflects this worldview and paradigm. Even if the issues the planet is facing have become much more complex, universities have not significantly changed their underlying concepts and practices of research and education. In order for professionals to adopt a more systemic approach to health, they need to unlearn this separatist worldview, transcend the disciplinary boundaries, and familiarize themselves with a ‘relational’ paradigm. The article describes a concrete example of a learning programme that is learner-driven and fosters transdisciplinary learning. Two vignettes presented by Ph.D. researchers illustrate the analysis and the response proposed here. The text concludes by proposing leverages needed to unleash the potential of this kind of transdisciplinary learning about health.