continuing education,the incorporation of the one health concept with a focus on the oie region...
TRANSCRIPT
Continuing education,the
incorporation of the One Health concept with a
focus on the OIE Region Middle East «Dr. William Hueston
Dr. MacDonald FarnhamUniversity of Minnesota
Outline and objectives
• Review OIE emphasis on continuing education (CE) and One Health
• Overview of continuing education in the OIE Region of Middle East
• Opportunities for greater incorporation of One Health approaches in CE
While not a new concept, the OIE endorses the “One Health” approach as a collaborative and all-encompassing way to address, when relevant, animal and public health globally. This collaboration should not be limited to only the international level, but must be translated as a new and fundamental paradigm at national levels.From the OIE Website
OIE contributions to globalization ofOne Health concept
One HealthHigh Level
Technical MeetingGabon
'Health Risks at theAnimal-Human-Ecosystem
Interface' High Level TechnicalMeeting, Mexico City
One Health GlobalImplementation MeetingRockefeller: Bellagio, Italy
1st InternationalOne Health Congress
Australia
United Nations & WorldBank adopt One Health
approach
FAO-OIE -WHO-UNSIC-UNICEF- WB
Reducing Risks of InfectiousDiseases @ Animal
-Human-Ecosystem Interface
Operationalizing"One Health"
Stone Mountain, USA
FAO-OIE -WHO
'Tripartite'formed
'Hanoi declaration' forbroad implementation
of One Health
One Health implementationworkshop
Winnipeg, Canada
'One Health' recommended approachInternational Ministerial Conference on Avian and
Pandemic Influenza
One World, One Healthtrademarked & 12 Manhattan
Principles adoptedWildlife Conservation Society
'One Medicine'concept coined byCalvin Schwabe
References relatinganimal & human diseaseBabylon, Nile Valley, China, Leviticus (OldTestament), Greece (Hippocrates), Rome
(Virgil & Galen)
Interdependence betweenhuman & animal healthRudolf Virchow (1800s)
'Father' of the OneMedicine
Osler (1849-1919)
Antiquity
1976 2004
2007
2008
2009
2010
2011
2012
September 2013created by
Dr. Mac Farnham
One Health convergenceworkshop
Salzburg, Austria
1st One HealthConference in Africa
Johannesburg
One HealthForum
S. Korea
PrinceMahidolAward
ConferenceBangkok,Thailand
2013
One Health, OnePlanet, One Future
Davos
Second Global Conference ofOIE Reference Laboratoriesand Collaborating Centres
Paris, France
USAID Emerging Pandemic Threats(EPT) program established
RESPOND, IDENTIFY , PREDICT, PREVENT & PREPARE
'OIE Global Conference onWildlife Animal Health andBiodiversity' Paris, France
Second FAO/ OIE /WHO - Influenza andother Emerging Zoonotic Diseases at the
human-animal interfaceVerona, Italy
Shaded bubbles indicate directsupport or participation byOIE
Upstream paradigm shift using One Health approach
Manage diseases and infections in humans
Prevent transmission and prevent emergence
Control measures in animal population
Pathogen circulating in animals
Disease Emergence
Disease impact in human population
One Health paradigm shift Down stream reactive approach to upstream
proactive approach
Downstream approach in disciplinary silos
Graphic credit:Prof Robinson MdgelaSokoine University, Tanzania
Survey of CE and incorporation of One Health in the Middle East1) Gather data related to continuing
education / in-service training by Veterinary Services of the Region
2) Make a rapid analysis of incorporation of One Health concepts into continuing education efforts
Initial Veterinary Education and access to the profession• 13 of 16 (81%) aware of
• ‘Day One Graduate Competencies’ for veterinary training programmes
• ‘Veterinary Education Core Curriculum’
– 12 of 13 indicate compliance with guidelines
• Nine Members (56%) – veterinary profession regulated by a veterinary statutory body
Continuing education for veterinarians
Continuing education for veterinarians• Accessibility of continuing education
– 10 Members both public and private sector– 5 only to public (government) sector
• Methodologies used– Lectures – 15 (94%)– Wet laboratories – 14 (88%)– Field trips – 13 (81%)– Panel discussions – 13 (81%) – Simulation exercises – 8 (50%)
One Health concept
• 11 / 16 (69%) have working definition of “One Health”
• Most indicate contribution to public health outcome
• One Health action plan– 7 currently implemented– 5 planned for future
• Most common words– Public health– Zoonotic– Collaboration– Diseases
One Health collaboration areas
• Most respondents (94%) have programme areas working with other health disciplines
• Most common multi-disciplinary collaborations1) Brucellosis
2) Rabies
3) Food Safety
4) Tuberculosis
Integration of One Health concepts into continuing education programmes
From OIE-cosponsore workshop at PMAC - actions to move forward OH approaches
1) National One Health Strategic Plans
2) “How to…” guides to advance OH
3) Demand-driven research goals and outcome-based funding
4) OH skill-building and education
5) Engage communities for bottom-up efforts
Barriers to implementing One Health conceptFrom international One Health case study development workshop at UMN
Key Barriers- Communication (within and between disciplines)- (Lack of) Resources - Collaboration / Willingness to collaborate- Leadership
Conclusions
• Strong recognition of One Health
• Active implementation of One Health collaborations
• OH approaches only moderately integrated into CE for veterinarians
Thank you