THE EMERGING “ONE HEALTH”AGENDA                       IADG                IFAD, Rome               May 4-5, 2010          ...
OUTLINE• Where we came from• Where we are• Where we are going                         2
Do we know from whence      we came?                         3
EMERGING AND RE-EMERGING INFECTIOUS        DISEASES 1996 - 2003                                4
Some of the more recentthreats: •   BSE •   SARS •   H5N1 •   H1N1 •   Y2K? These are not one-off events • Known Pathogens...
Economic Impact of Selected Diseases                 $50bn                                                                ...
Do we know where we are?                           7
GLOBAL EFFORT TO CONTROLH5N1 AND H1N1• 7th Ministerial Meeting – Hanoi, April 20-2, 2010.• Approximately US$3.9 B committe...
Do we know where we aregoing?                          9
“One Health” --The Divergence of               Views: A Milestone in the Development ofHealth Systems and the “Health in A...
ONE HEALTH“the collaborative efforts of multiple disciplinesworking locally, nationally and globally to attainoptimal heal...
“One Health” Evolution                Specialization      Increased                   human          Intra-sectoral       ...
Scope: Ecosystems Health Focus                        Ecosystems health                                               Dome...
One Health Concept                     14
Does a “One Health Concept” make sense?• Faster understanding of biology and  epidemiology of newly emerging zoonotic  dis...
Institutional Capacity Building a                  PrerequisiteI.     Case-by-case “emergency” action          Inefficient...
Vertical and horizontal orientation in  disease prevention and control                                         17
THANK YOU!             18
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The Emerging “ONE HEALTH”

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Presentation from the Livestock Inter-Agency Donor Group (IADG) Meeting 2010. 4-5 May 2010 Italy, Rome IFAD Headquarters.



The event involved approximately 45 representatives from the international partner agencies to discuss critical needs for livestock development and research issues for the coming decade.

[ Originally posted on http://www.cop-ppld.net/cop_knowledge_base ]

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The Emerging “ONE HEALTH”

  1. 1. THE EMERGING “ONE HEALTH”AGENDA IADG IFAD, Rome May 4-5, 2010 1
  2. 2. OUTLINE• Where we came from• Where we are• Where we are going 2
  3. 3. Do we know from whence we came? 3
  4. 4. EMERGING AND RE-EMERGING INFECTIOUS DISEASES 1996 - 2003 4
  5. 5. Some of the more recentthreats: • BSE • SARS • H5N1 • H1N1 • Y2K? These are not one-off events • Known Pathogens -1,415; 61% of animal origin • Spanish flu of 1918-1919 that killed 5 between 50-100 million people
  6. 6. Economic Impact of Selected Diseases $50bn SARS China, Hong Kong, Singapore, Canada,… $50bn+ $40bnEstimated Cost $30bn Foot & Mouth UK $30bn $20bn Avian Flu, Asia Swine Flu, BSE, UK Netherlands US, Canada $10bn Foot & Mouth $10-13bn $2.3bn $10bn Taiwan, $5-8bn BSE, Canada $1.5bn BSE, US Nipah, Malaysia BSE, $3.5bn Lyme disease $350-400m Japan Avian Flu, EU US, $2.5bn 1.5bn $500m 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 6 Source: Bio-Era. Courtesy of Dr. Will Hueston, Center for Animal Health and Food Safety, UM
  7. 7. Do we know where we are? 7
  8. 8. GLOBAL EFFORT TO CONTROLH5N1 AND H1N1• 7th Ministerial Meeting – Hanoi, April 20-2, 2010.• Approximately US$3.9 B committed & US$2.7 Bdisbursed.• WB alone has 72 operations in 60 countries.We have learned along the way• Pandemic prevention and control requires amulti-sectoral effort -- Several Ministries.• A health systems approach is required: human-animal-ecosystems.• Cost of control escalates with time --between 8detection and control.
  9. 9. Do we know where we aregoing? 9
  10. 10. “One Health” --The Divergence of Views: A Milestone in the Development ofHealth Systems and the “Health in All Policies” Concept? OR Opportunistic collaborate if or when necessary? 10
  11. 11. ONE HEALTH“the collaborative efforts of multiple disciplinesworking locally, nationally and globally to attainoptimal health for people, animals and ourenvironment” (American Veterinary Medical Association 2008)Pursuing that Paradigm in Operational terms meansgradualism. Thus with respect to controlling zoonoticdisease --pandemic potential and neglected:“controlling these diseases at the human-animal-ecosystems interface” --the outcome is more effectiveand efficient Public Health services. 11
  12. 12. “One Health” Evolution Specialization Increased human Intra-sectoral medicine SpecializationJoint human and animal “One Health” health providers Specialization veterinary Increased medicine Intra-sectoral Specialization 17-19 th 20 th. century 20 -21 th. century century 12
  13. 13. Scope: Ecosystems Health Focus Ecosystems health Domestic Human Animal health HealthThis is a Cabinet level focus! Ministries of Health, Agriculture, Finance, Environment, Infrastructure, Interior, Military, Tourism, Civil Society 13
  14. 14. One Health Concept 14
  15. 15. Does a “One Health Concept” make sense?• Faster understanding of biology and epidemiology of newly emerging zoonotic diseases.• Enhancing effectiveness and efficiency of surveillance and diagnosis of known (unknown?) diseases.• Enhancing effectiveness of control and resource use.• Enhancing efficiency of infrastructure dev.• Galvanize cross-sectoral and inter-disciplinary collaboration at national and supra-national levels. 15
  16. 16. Institutional Capacity Building a PrerequisiteI. Case-by-case “emergency” action Inefficient. Cooperation not sustainable, new emergency – new effort.II. Permanent coordination mechanisms for contingency planning and emergency action Preparedness plans: On legal basis or through less formal memorandum of understanding.III. Permanent , multi-disciplinary inter-departmental task force “One Health” teams? Responsibility for surveillance, information sharing, business continuity and “fire-brigade” capacity.IV. Merging of existing structures into independent agency Greater efficiency but low political attractiveness and doubtful economic justification. 16
  17. 17. Vertical and horizontal orientation in disease prevention and control 17
  18. 18. THANK YOU! 18

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