Presented by Delia Grace to the Progress Meeting on Ecosystem Approaches to the Better Management of Zoonotic Emerging Infectious Diseases in the South East Asian Region, Bangkok, 10-13 December 2011.

1. Health and agro-ecosystems
Delia Grace
Program Manager: Agriculture associated disease
1
International Livestock Research Institute

2. Overview
Integrative approaches to health
EcoZD contribution to global thinking
on health at the interface
New CGIAR research program on
agriculture and health
2

3. One Health - the collaborative effort of
multiple disciplines to attain optimal
health for people, animals, and our
environment.
Ecohealth - systemic, participatory
approaches to understanding and
promoting health and well-being in the
context of social and ecological
interactions.
3

4. Evolution of integrative
approaches
EcoHealth OneHealth
Healthy people + Healthy environments + Healthy animals
Hazards VBD, pollutants EID, zoonoses
Disciplines Ecology, sociology Vet med, economics, sociology
Origin American European
Focus Research 4 Development Disease control 4

5. ONE HEALTH
Vet
Human Pub Animal
Health Societies, cultures,
health Health Economies, institutions
Policies
One
medicine Wildlife
health
Plant health
Agroecosystem
health
EcoHealth 5

6. EH/OH for Development
ARIs Inter-ministerial International
•STPH •FAO
•Minnesota/Tufts/UCDavis/Guelph •OIE
•ITM/Uppsala/RVC •WHO
•WB
Chatham house
IDRC
Bellagio group
USAID
Ecohealth Alliance EcoHealth Kunming
Stone
Mountain CDC
EHRC
Ecohealth COP MelbourneOH
Afrique one
OHECA ICOPHAI
SACIDS
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7. Essentials
Integrative
Ecological
Engagement & Economic
Political
participation
Social
Systems
(agro, ecology…)
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8. Challenges
 Specification– broad definition
 Proliferation - Creating new structures easier than
de-commissioning old
 Projectisation – projects most successful
 Added value - Getting ahead of the evidence-base:
little information on CB/CE of OH versus
conventional
 Added effort - Ignoring the costs and barriers – OH
requires considerable change & investment in
change
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9. Promise of One Health
 Conceptually credible and convincing
 Increasing participation and relevanceby greater
inclusiveness
 Improving delivery through sharing information and
resources
 Improving cost effectiveness, through identification
of cross over and realising economies of scale
 Promoting innovation, by bringing together people
from different perspectives
9

10. EcoZD contribution to emerging
global integrative health agenda
 Individual research findings
 Synthesis of findings across projects
 Tools, methodologies, manuals
 Understanding change processes
 Evidence for uptake
 Ecohealth/OH resource centers 10

11. EcoZD avenues to influence
 Conferences
– Ecohealth Kunming
– One Health Thailand
– ISVEE
Linking with other initiatives
FBLI, Respond
Linking with programs and actors
Communicating to key stakeholders
Briefs, media, articles, working papers
Linking to CRP 4 11

13. CRP4 Conceptual Framework
Health
Enhancing
Nutrition along Prevention ,
the Value Control of Ag-
Integrated Associated Diseases
Chain Programs and Component 3
Component 1
Policies
Biofortification
Component 2
Nutrition Component 4
Agriculture
Social Behavior Change and
Communications
All components
Availability,
access, intake Knowledge
Labor Income &
of nutritious, Risk of AAD of nutrition,
productivity gender
safe foods food safety
equity
RESULT: A better nourished, healthier population

14. Agriculture associated disease
Infectious disease
100
80
60
40
20
0
Rich Poor
4% disease is infectious 40% disease is infectious
one two hundredth of this from animals one fifth of this from animals (8%)
one thousandth of total burden Half of this is zoonotic
zoonotic .. 14

15. Food-borne disease
Safe Food, Fair food
1,800,000
1,600,000
1,400,000
Cases per year
1,200,000
1,000,000
800,000
600,000
400,000
200,000
0
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15

16. Zoonoses & EID
 Most diseases (>60%) are zoonotic
– 8% of disease burden in ldc is zoonotic or recently emerged
– 4 diseases cause more than 80% of this burden
 75% of EID zoonotic
– One new disease every 7 mths
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17. Other health risks of agro-
ecosystems
Water associated disease
Drug resistance
Occupational disease
Failure to regulate disease in agro-
ecosystems 17

18. CRP4 key research areas
 Measuring, mapping, monitoring
 Epidemiology, attribution, drivers, transmission
 New diagnostics, vaccines technologies
 Interventions and impact assessment
 Up-scale, out-scale, policy
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19. Outputs
Cross-cutting: Capacity building & communication
PRIORITIZE & SYSTEMS Outcomes
UNDERSTANDING
• System descriptions 1. Improved understanding of the gender-
• Stakeholder analyses disaggregated risks and livelihood impacts
• Identification and prioritizing of of AADs by farmers and key stakeholders. Impacts
risks
and research 2. Increased understanding of the
poverty, social, gender, and behavioral
determinants of adoption of risk-mitigating
RISK & SOCIO-ECONOMIC measures among key stakeholders
ASSESSMENT Reduction in
• Health risk assessments
the multiple
• Poverty, gender, economic &
environment assessments 3. New One Health/multidisciplinary burdens
• Risk factors & control points partnerships that multiply and scale up the
results of CGIAR research, leading to better
associated
assessment and management of AAD with
agricultural
INNOVATION & RISK-BASED diseases
4. Change in awareness, assessment, and
MANAGEMENT
management of the risks of AAD
• Innovations (technological,
organizational, and social) attributable to CGIAR research
• Assessments of impact 5. Wide use of new technologies for better
• Contributions to policy assessing, diagnosing, preventing, and
managing AAD, attributable to CGIAR
research

20. Locations
Programs Value chains
Mycotoxins
Kenya
Tanzania
SSA
Zoonoses
Neglected populations FBD
Kenya
EID Uganda
India, Vietnam, Uganda
Kenya CRP 3.7 VC
S Asia SE ASIA 20
West Africa
SE Asia

21. Agriculture associated disease
in SE Asia
Health risks (human & animal) in the
pork value chain Vietnam
Participatory epidemiology
Nutrition and health lens to analyze
VC
Safe food, fair food for SE Asia
Building on EcoZD
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22. Questions?
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