one world - one health presentation katinka de balogh fao
DESCRIPTION
During the FVE conference in Brussels on April 7, 2014, Katinka de Balogh, leader the global Veterinary Public Health activities of the FAO, presented the One-Health approach to highlight the importance of prevention, ensuring health and welfare of people and animals in a globalized environment: • The benefit coming from the implementation of good health management in practice, both in terms of health and welfare, as well as, of financial sustainability • The importance of coordinating actions in both sectors via a One-Health approach, with a particular focus on zoonotic diseases • The role of the medical and veterinary profession in assuring these matters and educating the society Katinka de Balogh is of Dutch and Hungarian origins and grew up in Latin-America. She studied veterinary medicine in Berlin and Munich and graduated and obtained her doctorate in tropical parasitology from the Tropical Institute of the University of Munich in 1984. In the late 80’s she had spent two years as a young professional at the Veterinary Public Health Unit of the World Health Organization (WHO) in Geneva. In 2002 she started working at the Food and Agriculture Organization of the United Nations (FAO) in Rome.TRANSCRIPT
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!!!