One HealthWhere To Go From Here:

Implementation And The Way Forward

Chadia Wannous19 November 2013

One Health: Health Risks At The Human-Animal-Ecosystem

Interface

Introduction

•The One Health approach reflects the experience accumulated during decades of preparing for and responding to influenza outbreaks that focus on whole of society and multisectoral collaboration. •The investments made in pandemic preparedness can best be sustained by transferring this expertise into ongoing sectoral programs.

•Although the One Health approach has been described and implemented for nearly 10 years, its application has gained momentum in the past three years. •Discussions intensified in the last three International

Ministerial Conferences on Animal and Pandemic Influenza. Each meeting of the IMCAPI provided important contributions to the broader One Health effort.• In Hanoi Conference in 2010, A Framework for

Sustaining Momentum was agreed by delegates• The Framework offers three streams of work that need

sustained attention by national, regional and global authorities. These are are (a) prevention and control of HPAI, (b) adoption of One Health approaches, and (c) readiness for response to influenza pandemics.

Whole of Society Readiness

It requires a concerted effort that brings together the experience and resources of different Government Ministries, businesses, civil society, media and the military to sustain essential infrastructure and mitigate impacts on the economy.

2012: EVOLVING NARRATIVE

•Planet security, food security, human security are featuring in dialogue among youth groups, business leaders, government leaders, civil society: local, regional and global•Consistent focus on risks and benefits – now and in the future: significance and synergy.•Recognition that boundaries and interfaces matter – between people, species, systems, professions, cultures – and that work at interfaces and across boundaries brings progress.

2012: VALUE ONE HEALTH WORKING

• Interfaces are risky and can be dangerous• Particularly when

bureaucracies are under pressure to cut their costs and exposure•Dangers flourish when

mandates and accountability are rigid• Risks of ill health at

interfaces are well-known

We are in a moment in time where the One Health working should be valued:

Challenges

Cross-sectoral working often presents challenges: • It calls for systems that make the one health vision come to

life • It needs careful investment of time to make the systems

work. The time must be used well – to build trust, innovate, learn lessons, and establish sustainable ways of working.

•Such work is not easy to sustain within institutions but individuals committed are increasingly linked in Movements.•The recent H7N9 and nCoV threats help to understand institutional issues and accountability. •Adequate resources are needed to make this happen: if the funds needed for close working together are not available, collaboration will not materialize.

2012 PRACTICAL STEPS

1. Start with experience from communities and countries2. Bring livestock into all politics on poverty and equity, food

security and safety, value chains & risk management3. Focus on resilience in face of health risks at interfaces4. Advocate whole of society approaches5. Nurture professionals networks that span interfaces6. Ensure strong normative institutional anchor 7. Stimulate innovative energy – partner with farmers and

consumers, business, research, youth groups8. Establish and maintain an operational framework for the OH

as a basis for investment with strong regulatory base9. Seek financing mechanisms that support effective

investments 10. Work towards multi-stakeholder guidance process: sustain

the spirit of movement and leadership from countries

What is happening now

•More and more countries are exploring the One Health approach and are implementing it in different ways. •More and more practitioners within each of the relevant disciplines are skilled in the one health approach. •Consortiums of researchers working in government-university or research institutes are established in many part of the world including in Africa, Europe and America.•This trend is anticipated to continue in the coming years.

Although these examples are excellent steps in the right direction, more is needed. In particular, work on collaboration, resource sharing, and strengthened advocacy and communication deserve greater attention.

What we should aim for now

Make the shift from principles to practices to accountability and measuring of impact.

The way forwardTo do so four processes are needed: 1.Bringing people together: setting up functioning multi-stakeholder platforms that can guide decisions and move implementation for maximum results.2.Establishing coherent policy and legislation frameworks recognized across stakeholders from different sectors.3. Aligning programs and actions around common results. •Good quality programs should be designed and

implemented based on assessment of needs and the required financing should be mobilized. • Institutional synergies are vital to the success of OH

programs.

The way forward

4. Increasing investment in OH approach through: •Provide compelling economic analysis to complement the technical and policy work behind the OH movement and improve communications. •Strong champions from governments to support investment in such area of work. Few governments have done so. •Setting up a financial tracking system that allows credible resource mobilization based on domestic and external spending on one health.

The role of international organizations in advancing the OH approach

•Agencies should move at the same speed as countries and universities• Provide coordinated estimates of needs and financial

modalities, and work with partners to monitor gaps and also overlaps.•Help countries develop and implement OH approaches at

national level: provide access to countries to comprehensive and holistic support to build their public and veterinary health systems with a strong focus on collaboration between these systems. •Work with partners to moblilize and deploy resources for

operations to strengthen health and vet systems

Conclusions

•The well-being of individuals, households, societies, governments, nations, and cultures depends on good care of health at interfaces.•Our actions should move away from emergency

response to sustained risk reduction and risk management across sectors and borders. •That is why we value One Health working and seek to

promote it.

Thank You