Human well-being is affected by demographic, geographical, environmental and economic changes in the modern world. Advanced and rapid technological advances have left countries without an adequate structural framework. The One Health concept, rooted in the interconnectedness of human health, animal health and the environment, addresses today’s global health challenges. These include non-communicable and zoonotic diseases, antimicrobial resistance, ecosystem degradation and food security. All of these require a holistic approach, bringing together multiple disciplines. Therefore, an exploration of the One Health concept was undertaken, which focuses on the collaboration of professionals from different disciplines, as well as looking at human health in a multi-faceted way. The aim of the study was to explore how the One Health concept could contribute to effective pandemic prevention and a broader holistic understanding of human health. It was also relevant to identify its application in occupational medicine. The narrative review was adopted as the research method of choice. The authors emphasise the importance of interdisciplinary collaboration, education and international partnerships in preparing for future health emergencies. Human health should not only be assessed from a medical perspective, but also from an environmental point of view. International cooperation is therefore essential to prepare a unified response to threats and challenges. The system of teaching medical personnel needs to be improved, returning to anthropological assumptions. With zoonotic diseases systematically emerging, health professionals should be as prepared as possible for emergencies. Qualified teams are needed to assess risks and hazards in the workplace in a multidisciplinary manner. An in-depth knowledge of zoonotic pathogen transmission is crucial. The impact of environmental degradation on the immune system must be taken into account. A holistic view of workers’ health is needed, taking into account ecological, environmental, social and economic factors.
Over-the-counter (OTC) drugs taken as intended and according to medical advice are a safe form of disease control. In the public consciousness, they are regarded as harmless agents. Thus, there is a danger of insufficient knowledge about possible side effects, interactions with other drugs or the consequences of taking too high doses. The availability of OTC drugs and social acceptance of their use are sometimes the reason for their recreational use. This article describes the case of a female patient who presented to the emergency department with complaints such as significant weakness, deterioration of exercise tolerance, muscle weakness and dizziness. The subjective examination was deepened with a psychiatric history, which revealed a long-standing intoxication with non-steroidal anti-inflammatory drugs (NSAIDs). In conjunction with the toxicological findings, the reported complaints were considered to be a consequence of NSAIDs abuse and recommendations for therapeutic treatment for addiction were made. The article also discusses recommendations in the field of increasing awareness and prevention of OTC drug abuse and the use of the preventive care system in this area.
PL
Leki wydawane bez recepty (over-the-counter – OTC) zażywane zgodnie z przeznaczeniem i zaleceniami pozwalają w bezpieczny sposób złagodzić objawy i leczyć choroby. Powszechnie uważane są za środki nieszkodliwe, co wiąże się z brakiem dostatecznej wiedzy na temat skutków ubocznych, interakcji z innymi lekami lub konsekwencji przyjmowania zbyt wysokich dawek. Dostępność leków OTC i społeczna akceptacja ich stosowania bywa przyczyną zażywania ich w celach rekreacyjnych. Artykuł przedstawia przypadek pacjentki, która zgłosiła się do izby przyjęć ze znacznym osłabieniem, pogorszeniem tolerancji wysiłku, osłabieniem siły mięśniowej oraz zawrotami głowy. Badanie podmiotowe pogłębiono o wywiad psychiatryczny, w którym ujawniono długoletnią intoksykację lekami z grupy niesteroidowych leków przeciwzapalnych (NLPZ). Uwzględniając wyniki badań toksykologicznych, uznano, że zgłaszane dolegliwości są konsekwencją nadużywania NLPZ i wydano zalecenia związane z leczeniem uzależnienia. W artykule omówiono także rekomendacje dotyczące zwiększania wiedzy na temat zapobiegania nadużywaniu leków OTC oraz wykorzystania systemu opieki profilaktycznej w tym zakresie.
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