One World-One Health

Reducing health risks at the animal-human-ecosystems

interface

Katinka de Balogh Senior Officer-Veterinary Public Health

Animal Health Service Food and Agriculture Organization

Rome

FVE 7 April 2014

The Food and Agriculture Organization of the United Nations

FVE Brussels 2014 3

The „one medicine“ by Calvin Schwabe‘s has ist origins in his work with Dinka pastoralists in Sudan in the 1960s

„There is no difference of paradigm between human and veterinary medicine. Both sciences share a common body of knowledge in anatomy, physiology, pathology, on the origines of diseases in all species.“ Schwabe C. (1964, 1984 3rd Edition): Veterinary Medicine and Human Health. Williams and Wilkins, Baltimore

Courtesy J. Zinsstag

OWOH Manhattan Principles, 2004

• Developed by Wildlife Conservation Society (WCS) in 2004 in New York

• Increasingly being adopted to address pathogen jumps between animals and humans

• Holistic approach encompassing interfaces among the human, animal and ecosystem health domains

• Proposes an international, interdisciplinary, cross-sectoral approach to disease emergence and control

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Highly pathogenic avian influenza H5N1 Inter-ministerial and technical meetings

FAO and OIE International Scientific

Conference on Avian Influenza and

Wild Birds

May 2006

Rome, Italy

June 2006

Vienna, Austria

Seniors Officers Meeting on

Avian & Human Pandemic

Vaccination: a tool for the

control of avian influenza

20-22 March 2007

Verona, Italy

2005 2006 2007 2008 2009

27-29 June 2007

Rome, Italy

Technical Meeting on Highly

Pathogenic Avian Influenza

on Human H5N1 Infection

4-6 December 2007

New Delhi, India

International Ministerial

Conference on Avian and

Pandemic Influenza

April 2005

Paris, France

OIE/FAO International Scientific

Conference on Avian Influenza

December 2006

Bamako, Mali

International Ministerial

Conference on Avian and

Pandemic Influenza

7-9 October 2008

Verona, Italy

FAO-OIE-WHO Joint

Technical Consultation on

Avian Influenza at the

Human-Animal Interface

24-26 October 2008

Sharm el Shiekh, Egypt

The 6th International Ministerial

Conference on avian and

pandemic influenza

March 2009

Winnipeg, Canada

Operationalizing

One Healthg

November 2005

Geneva, Switzerland

FAO/WHO/OIE/World Bank

Conference on Avian

Influenza and Human

Pandemic Influenza

International Pledging Conference

on Avian and Human Pandemic

Influenza

January 2006

Beijing, China

6th Interministerial Conference on Avian and Pandemic Influenza (IMCAPI), Sharm- el Sheikh, October 2008

Goal

Diminish the

threat and

minimize the

global impact

of epidemics

and pandemics

due to highly

infectious and

pathogenic

diseases of

humans and

animals

Focus

Emerging and

re-emerging

infectious

diseases

at the animal-

human-

ecosystems

interface

Ecosystem Health

Animal Health

Human Health

One Health

H1N1

Spread in humans: numbers 2009

27 Apr 7 May 8 June

Confirmed human cases 52 2 117 25 146

No. Countries 4 24 77

Deaths from A/H1N1 0 44 133

FAO-OIE-WHO

Tripartite Position Paper

April 2010

0

10

20

30

40

50

60

70

80

90

-20

-16

-12 -8 -4 0 4 8 12 16 20 24 28 32 36 40

Nu

mb

er

of

cases

Time

Animal cases

Human cases

Amplification

Outbreaks in Humans

Animal Outbreaks

Climate and Vegetation

Rift Valley fever

Prevention and control of Rift Valley fever

Ebola

Map from Vogel, 2006

Photo by Seyllou/AFP/Getty Images

Emergency

Preparedness

Early detection

Rapid response

Better Health

systems

Development

Poverty alleviation

Public awareness

Chain approach

Empowered

consumers

Certification

systems

Antibiotic residues

and antimicrobial

resistance

19

Canadian Integrated Program for Antimicrobial Resistance Surveillance (CIPARS) www.phac-aspc.gc.ca/cipars-picra/index-eng.php

healthy humans

food consumption

food distribution +

marketing

feed/food crops

waste

soil/water

food animal

processing

live animal trade and transport

food animal production

wildlife

arthropod vectors

pets + feral dogs/cats

feed processing

healthy eco- systems healthy

animals

healthy plants

healthy fisheries and forestry

public health

safe food

One Health in the Food Chain

healthy food and agriculture

The importance of risk communication and the impact of social media

SHORT TERM LONG TERM

L

O

C

A

L

G

L

O

B

A

L

pathogen

centered

emergency

situation

people

centered

sustainable

development

efforts

.

Key elements of effective cross-sectoral collaboration

Key Supporting Elements Key Operational Elements

1. Political will and high-level commitment A. Joint cross-sectoral coordination mechanisms

2. Trust B. Routine communication

3. Common objectives and priorities C. Joint simulation exercises

4. Shared benefits D. Data sharing

5. Strong governance structures, aligned legal frameworks, and recognition of existing international standards

E. Joint risk assessment

6. Adequate and equitably distributed resources F. Active cooperation on disease control programmes

7. Identification and involvement of all relevant partners

8. Coordinated planning of activities

9. Guidance on implementation of cross-sectoral collaborations

10. Capacity development

11. Strong and effective health systems within the individual sectors (HLTM, Mexico 2011)

Preparing today

the professionals of

tomorrow

Thank you!!!