Skip navigation
Journal article

Towards a One Health approach to WASH to tackle zoonotic disease and promote health and wellbeing

This paper advances growing efforts to link One Health and WASH from a risk perspective, reviewing implications for humans and animals, as well as the environment, and expands this to address other interconnected challenges.

Sarah Dickin, Linus Dagerskog / Published on 9 June 2025

Read the paper  Open access

Citation

Dickin, S., Dagerskog, L., Dione, M., Thomas, L., & Arcilla, J. (2025). Towards a One Health approach to WASH to tackle zoonotic disease and promote health and wellbeing. PLOS Water, 4(5):e0000376. https://doi.org/10.1371/journal.pwat.0000376

Long-horned cow looks over straw pile while a child carries a white bag with more, near a pit filled with stones and other people in the background near a house with cow patties stuck to the side.

Awareness is increasing that exposure to animal faeces contributes to the global burden of diarrheal disease, as well as other zoonotic diseases. This recognition has prompted a re-evaluation of water, sanitation, and hygiene (WASH) interventions to address animal-related transmission pathways. However, current efforts focus primarily on animal faeces within household environments, neglecting other critical human-animal interactions that favour contamination such as animal handling.

After reviewing the efforts to link the two with a risk perspective, the authors discuss how a comprehensive One Health–WASH approach can move beyond risks to also enable opportunities to promote health, equity, climate resilience and other benefits. This framing offers possibilities to reduce disease transmission and enhance biosecurity, while addressing interconnected challenges facing low- and middle-income countries including food insecurity and agricultural livelihoods, animal health and welfare, and ecosystem degradation from excessive nutrients found in excreta.

Read the paper

Open access

SEI authors

Linus Dagerskog
Linus Dagerskog

Research Fellow

SEI Headquarters

Read the paper
Read the paper Open access
Related centres
SEI Headquarters