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Cover -- Half Title -- Title -- Copyright -- Contents -- Preface -- Acknowledgments -- 1. Understanding Leadership -- An Overview of Leadership -- Studying Public Health Leadership -- Political Leaders and Bureaucrats -- Defining Leadership -- 2. The Long March to Improving the Public's Health -- Infectious Disease Epidemics -- Vaccines: A Fortunate Coincidence -- An Unfortunate Side Effect of Hospitals -- Early Public Health Epidemics in the Newly Formed United States -- Sweeping Social Changes in Europe -- The Father of Epidemiology -- Crossing Borders: European Influences on Early American Public Health Efforts -- Awakenings: A Long-Awaited Breakthrough -- The Germ Theory of Disease -- The Civil War and the Changing Face of U.S. Public Health -- Postwar Public Health Developments -- The Beginnings of International Health -- Pandemic Influenza in the Early 20th Century -- The Beginnings of the World Health Organization -- The HIV/AIDS Pandemic -- Public Health Past, Present, and Future -- 3. Microbes as Weapons -- Biowarfare and Bioterrorism through the Ages -- Advances in the 20th Century -- The Role of the United States -- The Role of the Soviet Union -- Terrorist Acts by Groups and Individuals -- Emerging Concerns -- 4. Rising to the Occasion -- Political Leadership during Infectious Disease Crises -- Anthrax Attack, Fall 2001, Hamilton Township, New Jersey -- Mayor Glen D. Gilmore, Hamilton Township, New Jersey -- Cryptosporidium Outbreak, Spring 1993, Milwaukee, Wisconsin -- Mayor John Norquist, Milwaukee, Wisconsin -- Severe Acute Respiratory Syndrome (SARS), Spring 2003, Toronto, Canada -- Deputy Mayor Case Ootes, Toronto, Canada -- Conclusion -- 5. Success Favors the Prepared Public Health Leader -- Anthrax Attacks in New Jersey, Florida, Maryland, and New York -- New Jersey -- Florida -- Maryland -- New York City.

The One Health concept that human, animal, plant, environmental, and ecosystem health are linked provides a framework for examining and addressing complex health challenges. This framework can be represented as a multi-dimensional matrix that can be used as a tool to identify upstream drivers of disease potential in a concise, systematic, and comprehensive way. The matrix can involve up to four dimensions depending on users' needs. This paper describes and illustrates how the matrix tool might be used to facilitate systems thinking, enabling the development of effective and equitable public policies. The multidimensional One Health matrix tool will be used to examine, as an example, global human and animal fecal wastes. The fecal wastes are analyzed at the microbial and population levels over a timeframe of years. Political, social, and economic factors are part of the matrix and will be examined as well. The One Health matrix tool illustrates how foodborne illnesses, food insecurity, antimicrobial resistance, and climate change are inter-related. Understanding these inter-relationships is essential to develop the public policies needed to achieve many of the United Nations' Sustainable Development Goals.

Disasters, whether man-made or naturally occurring, require complex responses across multiple government agencies and private sector elements, including the media. These factors mandate that, for effective disaster management and because of the unpredictability of such events, response structures must be in place in advance, ready to be activated on short notice, with lines of responsibility clearly delineated and mechanisms for coordination of efforts already established. Disaster response experiences in the USA and the UK were reviewed at a conference convened by the New York Academy of Medicine and the Royal Society of Medicine in June 2007. Lessons to be drawn from these comparisons were sought. The importance of careful advance planning, clear delineation of spheres of responsibility and response roles, effective mechanisms for communication at all levels, and provision for adequate communication with the public were all identified as key elements of effective response mechanisms.

Ecosystem Health, Conservation Medicine, EcoHealth, One Health, Planetary Health and GeoHealth are inter-related disciplines that underpin a shared understanding of the functional prerequisites of health, sustainable vitality and wellbeing. All of these are based on recognition that health interconnects species across the planet, and they offer ways to more effectively tackle complex real-world challenges. Herein we present a bibliometric analysis to document usage of a subset of such terms by journals over time. We also provide examples of parasitic and vector-borne diseases, including malaria, toxoplasmosis, baylisascariasis, and Lyme disease. These and many other diseases have persisted, emerged or re-emerged, and caused great harm to human and animal populations in developed and low income, biodiverse nations around the world, largely because of societal drivers that undermined natural processes of disease prevention and control, which had developed through co-evolution over millennia. Shortcomings in addressing drivers has arisen from a lack or coordinated efforts among researchers, health stewards, societies at large, and governments. Fortunately, specialists collaborating under transdisciplinary and socio-ecological health umbrellas are increasingly integrating established and new techniques for disease modeling, prediction, diagnosis, treatment, control, and prevention. Such approaches often emphasize conservation of biodiversity for health protection, and they provide novel opportunities to increase the efficiency and probability of success.

Growing concerns about a threatened environment, conflicts, inequities, poverty, ideological extremes, and consumerism are all indicative of a pressing need to reflect on the global status quo and to find constructive and long-term, sustainable strategies for planet and people. The need to give the younger generation "a better deal" for helping to shape a sustainable world has been embraced by the global One Health Commission (OHC) in association with the One Health Initiative (OHI). Envisioning a program that provides funding for national and global One Health-themed educational projects, One Health leaders - in collaboration with partners - call for collective action by legislators, public / private educators, and public health professionals to support the development and implementation of progressive and comprehensive global One Health learning opportunities. One Health (and well-being) projects led by teachers who want to make a difference could begin in primary/secondary schools and extend through graduate and professional education. The overall intent of the concept paper is to raise awareness about the urgent need for the development and to explore the concept further through a small pre-project proposal conference (possibly off and/or on-line) with a view to fleshing out a strong plan to fund the envisioned global learning program.