Health and agro-ecosystems


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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.

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  • Figure 7. From research to impact: multiple pathways in a risk management context
  • Health and agro-ecosystems

    1. 1. Health and agro-ecosystemsDelia GraceProgram Manager: Agriculture associated disease 1International Livestock Research Institute
    2. 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. 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. 4. Evolution of integrative approaches EcoHealth OneHealthHealthy people + Healthy environments + Healthy animalsHazards VBD, pollutants EID, zoonosesDisciplines Ecology, sociology Vet med, economics, sociologyOrigin American EuropeanFocus Research 4 Development Disease control 4
    5. 5. ONE HEALTH VetHuman Pub Animal Health Societies, cultures,health Health Economies, institutions Policies One medicine Wildlife health Plant health Agroecosystem health EcoHealth 5
    6. 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 USAIDEcohealth Alliance EcoHealth Kunming Stone Mountain CDC EHRC Ecohealth COP MelbourneOH Afrique one OHECA ICOPHAI SACIDS 6
    7. 7. EssentialsIntegrative EcologicalEngagement & Economic Political participation SocialSystems (agro, ecology…) 7
    8. 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 8
    9. 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. 10. EcoZD contribution to emergingglobal 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. 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
    12. 12. 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
    13. 13. Agriculture associated disease Infectious disease 100 80 60 40 20 0 Rich Poor4% disease is infectious 40% disease is infectiousone two hundredth of this from animals one fifth of this from animals (8%)one thousandth of total burden Half of this is zoonoticzoonotic .. 14
    14. 14. Food-borne disease Safe Food, Fair food 1,800,000 1,600,000 1,400,000Cases per year 1,200,000 1,000,000 800,000 600,000 400,000 200,000 0 ia l l) es is IV D ar (a os FB H sl al ea ul r ce M rc M an be C Tu 15
    15. 15. 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 16
    16. 16. Other health risks of agro- ecosystemsWater associated diseaseDrug resistanceOccupational diseaseFailure to regulate disease in agro- ecosystems 17
    17. 17. CRP4 key research areas  Measuring, mapping, monitoring  Epidemiology, attribution, drivers, transmission  New diagnostics, vaccines technologies  Interventions and impact assessment  Up-scale, out-scale, policy 18
    18. 18. OutputsCross-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
    19. 19. Locations Programs Value chainsMycotoxinsKenyaTanzaniaSSA Zoonoses Neglected populations FBD Kenya EID Uganda India, Vietnam, Uganda Kenya CRP 3.7 VC S Asia SE ASIA 20 West Africa SE Asia
    20. 20. 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 21
    21. 21. Questions? 22