partnerships in action: ecohealthnet and university ... · implementing one health approaches in...

Emerging Pandemic Threats ProgramPREDICT • RESPOND • PREVENT • IDENTIFY

Partnerships in Action:

EcoHealthNet and University

Network Faculty Exchange 2013

Katey Pelican DVM, PhD

[email protected]


Introduction• USAID Pandemic Threats Program “RESPOND” funded

third annual One Health University Network faculty

exchange-June 2013.

• Objectives:

– Sharing and developing models of One Health training and

education

– Participating and co-delivering courses at the UMN Public Health

Institute

– Participating in a variety of cross-sectoral, cross-disciplinary

teaching/training activities

– Implementing a workshop/active learning short course as part of

the NSF funded EcoHealthNet research network


One Health University Networks


Introduction

• 17 faculty members from 10

countries representing

vetmed, medicine, public

health and nursing

• One Health (OH) University

Networks in Central and East

Africa (OHCEA) and

Southeast Asia (SEAOHUN)


Summary of Activities

• Variety of teaching platforms involving active

learning, and field-based exercises for

implementing One Health approaches in the

regions.

• Highlights included:

– Developing cases and teaching using those cases.

– Participating in a wide variety of field- and

experience-based training experiences

– Learning about One Health approaches in state

government agencies and academic teaching

– Participation in EcoHealthNet Workshop


I. One Health Case Development

Workshop• UMN Center for Teaching and

Learning

• Active learning, the

scholarship of teaching and

learning, and case study

development

• Ultimate outcome was to

develop a One Health disease

outbreak case study using

cross-disciplinary,

international teams

Example Case Study Template - RABIES CASE IN BALI

Case description

Brief description of case This case is about rabies outbreak taken place in Bali, Indonesia. Initial investigation lead to the case of Made, 27 year old father who had been bitten by a neighbor’s dog but refused to get help which eventually resulting in his death. The dog attacked other victims from the nearby village. Those victims seek or got medical treatments and the authorities were notified upon receiving the case by the sub-district health centre. This case described actions that have been taken by the authorities that lead to the substantially reduced rabies incidence in Bali.

Background for the case

Disease Rabies

Goal for this case; The purpose of this case is to initiate students’ critical thinking

about rabies and using One Health approach to resolve an outbreak

in a rural village in Bali, Indonesia.

One Health Domains: 1. Communication The ability to foster effective communication and information

sharing across disciplines and sectors to improve planning for and

response to One Health challenges.

2. Collaboration and Partnership The ability to identify, recruit, work with, and sustain the capacities of stakeholders to effectively meet One Health challenges. 3. Culture and Beliefs The ability to understand, analyzes, and appreciates social, religious, and historical diversity across different cultures within individuals and societies. 4. Management The ability to foster shared visions through critical and strategic decision-making for inter-disciplinary One Health approach.

One Health Competencies The One Health Competencies implicated in this case are: Domain 1: Communication

i. Communicate the risks of a zoonotic outbreak at multiple levels.

ii. Foster open communication to support and enable a One Health response.

iii. Disseminate and customize information, education, and communication to various levels.

Domain 2: Collaboration and Partnership i. Identify the potential stakeholders and their roles in

coordinating a One Health response.


II. Public Health Institute: International

Approaches to Zoonotic Disease Outbreaks

The four teams of interdisciplinary faculty representing mixed nationalities

presented their case studies to graduate students and working professionals at the

Public Health Institute course


III. Public Health Institute: Aquaculture

and Processed Foods

• Faculty guests participated

in two Public Health

Institute classes looking at

global food systems

– Processed foods and

aquaculture.

– The format of courses

revolved around site visits to

major facilities representing

these highly complex food

systems.


IV. Disaster Management Camp

• The faculty role-played as “important officials” during

a public health disaster of unknown origin.


V. One Health Field Trips

Field trips to some of Minnesota’s notable agencies and institutions addressing

the state’s One Health problems-Minnesota Department of Health, Department

of Agriculture, Board of Animal Health, Department of Natural Resources,

Minneapolis Farmer’s Market, Minnesota Zoo and Deer Farm.


VI. EcoHealth/One Health

Approaches to Prevention and

Control of Zoonotic Disease

• 22 participants, 8 disciplines, 7 countries - One Health collaboration at its

best!

– veterinary, ecology, public health, economics, and wildlife biology graduate students.

• National Science Foundation (NSF) funded research network workshop:

EcoHealthNet.

• Exchange faculty helped facilitate this annual training workshop

– Theme was EcoHealth/One Health Approaches to Prevention and Control of Zoonotic

Disease.

• Faculty participated in this field-based and experiential workshop

– Students trained in practical research skills and immersed them in real-world field

locations.


Develop Response plan based on observation made and information shared by subject matter expert-Then communicate plan to mock

Legislature

Outbreak determination (scenario discussion/didactic discussion of

outbreak scenario and tools needed for outbreak investigation)

Understand Risk mitigation

(Visit and understand culture roles and responsibilities of USDA

APHIS, FSIS, MDA, MDH, BAH

Communication/collaboration Structure

Assessing Risk on Farm (On farm, at wildlife reserve area and deer

farm)

OH Approach to Zoonotic Disease

Control


Didactic /Outbreak Scenario

Livestock group

Visit to a Dairy

Farm/Assess Risk MDH/MDA /USDA/BAH

visit.(comm./collaboration-roles and responsibilities)

FSIS-Plant visit

Contribute The livestock perspective to the Development of Response Plan

Visit Deer Farm/Assess

Risk at the Interface

Wildlife group

Visit Carlos Avery/assess Risk in Wildlife Ecosystem

DNR Roles & responsibilities

FSIS-Custom S/Plant

Contribute the wildlife perspective to the RESPONSE plan

Visit Deer Farm/ Assess Risk at Interface of livestock or

farmed animals and wildlife


One Health

Approaches

to Dse’ Cntrl

Leadership

Culture

CommunicationSystems thinking

Values and Ethics

Management

Collaboration


EvaluationsExchange:

• Overall impressions:

– 100% of participants rated the overall event as “good” or “excellent.” 100%

strongly agree that the event met its stated objectives and 100% “agree” or

“strongly agree” that the event met their personal expectations.

• One Health understanding:

– 100% “agree” or “strongly agree” that this event helped clarify or expand their

understanding of One Health.

EcoHealthNet

• Overall impressions:

– 81.3% felt workshop met its objectives very well or extremely well. While 67.7% felt that

the workshop met their personal goals very well or extremely well. 81.8 % of the

respondents felt like all their personal predetermined goals were met.

• Future applications:

– 100% of participants indicated that the information shared was going to be

useful in their professions;

Acknowledgments• Southeast Asia One Health

University Network

• One Health Central and East Africa

• U.S. Agency for International Development

• Minnesota Department of Health

• Minnesota Board of Animal Health

• Minnesota Department of Agriculture

• Ecohealth Alliance


Thank you for your time

Questions?

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