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COVID-19 is the latest zoonotic RNA virus epidemic of concern. Learning how it began and spread will help to determine how to reduce the risk of future events. We review major RNA virus outbreaks since 1967 to identify common features and opportunities to prevent emergence, including ancestral viral origins in birds, bats, and other mammals; animal reservoirs and intermediate hosts; and pathways for zoonotic spillover and community spread, leading to local, regional, or international outbreaks. The increasing scientific evidence concerning the origins of Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) is most consistent with a zoonotic origin and a spillover pathway from wildlife to people via wildlife farming and the wildlife trade. We apply what we know about these outbreaks to identify relevant, feasible, and implementable interventions. We identify three primary targets for pandemic prevention and preparedness: first, smart surveillance coupled with epidemiological risk assessment across wildlife–livestock–human (One Health) spillover interfaces; second, research to enhance pandemic preparedness and expedite development of vaccines and therapeutics; and third, strategies to reduce underlying drivers of spillover risk and spread and reduce the influence of misinformation. For all three, continued efforts to improve and integrate biosafety and biosecurity with the implementation of a One Health approach are essential. We discuss new models to address the challenges of creating an inclusive and effective governance structure, with the necessary stable funding for cross-disciplinary collaborative research. Finally, we offer recommendations for feasible actions to close the knowledge gaps across the One Health continuum and improve preparedness and response in the future.more » « less
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Abstract Zoonotic diseases represent 75% of emerging infectious diseases worldwide, and their emergence is mainly attributed to human‐driven changes in landscapes. Land use change, especially the conversion of natural areas to agricultural use, has the potential to impact hosts and vector dynamics, affecting pathogen transmission risk. While these links are becoming better understood, very few studies have investigated the opposite question—how native vegetation restoration affects zoonotic disease outbreaks.We reviewed the existing evidence linking native vegetation restoration with zoonotic transmission risk, identified knowledge gaps, and, by focusing on tropical areas, proposed forest restoration strategies that could help in limiting the spread of zoonotic diseases.We identified a large gap in information on the effects of native vegetation restoration on zoonotic diseases, especially within tropical regions. In addition, the few studies that exist do not consider environmental aspects that can affect the outcomes of restoration on disease risk, such as the land use history and landscape structural characteristics (as composition and configuration of native habitats). Our conceptual framework raises two important points: (1) the effects of forest restoration may depend on the context of the existing landscape, especially the percentage of native vegetation existing at the beginning of the restoration; and (2) these effects will also be dependent on the spatial arrangement of the restored area within the existing landscape. Furthermore, we propose important topics to be studied in the coming years to integrate zoonotic disease risk as a criterion in restoration planning.Synthesis and application. Our results contribute to a more comprehensive forest restoration planning, comprising multiple ecosystem services and resulting in healthier landscapes for both people and nature. Our framework could be integrated into the post‐2020 global biodiversity framework targets.more » « less
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