One World - One Health presentation Katinka de Balogh FAO

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During the FVE conference in Brussels on April 7, 2014, Katinka de Balogh, leader the global Veterinary Public Health activities of the FAO, presented the One-Health approach to highlight the importance of prevention, ensuring health and welfare of people and animals in a globalized environment:
• The benefit coming from the implementation of good health management in practice, both in terms of health and welfare, as well as, of financial sustainability
• The importance of coordinating actions in both sectors via a One-Health approach, with a particular focus on zoonotic diseases
• The role of the medical and veterinary profession in assuring these matters and educating the society
Katinka de Balogh is of Dutch and Hungarian origins and grew up in Latin-America. She studied veterinary medicine in Berlin and Munich and graduated and obtained her doctorate in tropical parasitology from the Tropical Institute of the University of Munich in 1984. In the late 80’s she had spent two years as a young professional at the Veterinary Public Health Unit of the World Health Organization (WHO) in Geneva. In 2002 she started working at the Food and Agriculture Organization of the United Nations (FAO) in Rome.

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One World - One Health presentation Katinka de Balogh FAO

  1. 1. One World-One Health Reducing health risks at the animal-human-ecosystems interface Katinka de Balogh Senior Officer-Veterinary Public Health Animal Health Service Food and Agriculture Organization Rome FVE 7 April 2014
  2. 2. The Food and Agriculture Organization of the United Nations
  3. 3. FVE Brussels 2014 3 The „one medicine“ by Calvin Schwabe‘s has ist origins in his work with Dinka pastoralists in Sudan in the 1960s „There is no difference of paradigm between human and veterinary medicine. Both sciences share a common body of knowledge in anatomy, physiology, pathology, on the origines of diseases in all species.“ Schwabe C. (1964, 1984 3rd Edition): Veterinary Medicine and Human Health. Williams and Wilkins, Baltimore Courtesy J. Zinsstag
  4. 4. OWOH Manhattan Principles, 2004 •Developed by Wildlife Conservation Society (WCS) in 2004 in New York •Increasingly being adopted to address pathogen jumps between animals and humans •Holistic approach encompassing interfaces among the human, animal and ecosystem health domains •Proposes an international, interdisciplinary, cross-sectoral approach to disease emergence and control
  5. 5. slide title (1/20) text text text text text text text text text text text text text text
  6. 6. Highly pathogenic avian influenza H5N1 Inter-ministerial and technical meetings FAO and OIE International Scientific Conference on Avian Influenza and Wild Birds May 2006 Rome, Italy June 2006 Vienna, Austria Seniors Officers Meeting on Avian & Human Pandemic Vaccination: a tool for the control of avian influenza 20-22 March 2007 Verona, Italy 2005 2006 2007 2008 2009 27-29 June 2007 Rome, Italy Technical Meeting on Highly Pathogenic Avian Influenza on Human H5N1 Infection 4-6 December 2007 New Delhi, India International Ministerial Conference on Avian and Pandemic Influenza April 2005 Paris, France OIE/FAO International Scientific Conference on Avian Influenza December 2006 Bamako, Mali International Ministerial Conference on Avian and Pandemic Influenza 7-9 October 2008 Verona, Italy FAO-OIE-WHO Joint Technical Consultation on Avian Influenza at the Human-Animal Interface 24-26 October 2008 Sharm el Shiekh, Egypt The 6th International Ministerial Conference on avian and pandemic influenza March 2009 Winnipeg, Canada Operationalizing One Healthg November 2005 Geneva, Switzerland FAO/WHO/OIE/World Bank Conference on Avian Influenza and Human Pandemic Influenza International Pledging Conference on Avian and Human Pandemic Influenza January 2006 Beijing, China
  7. 7. 6th Interministerial Conference on Avian and Pandemic Influenza (IMCAPI), Sharm- el Sheikh, October 2008 Goal Diminish the threat and minimize the global impact of epidemics and pandemics due to highly infectious and pathogenic diseases of humans and animals Focus Emerging and re-emerging infectious diseases at the animal-human-ecosystems interface
  8. 8. Ecosystem Health Animal Health Human Health One Health
  9. 9. H1N1 Spread in humans: numbers 2009 27 Apr 7 May 8 June Confirmed human cases 52 2 117 25 146 No. Countries 4 24 77 Deaths from A/H1N1 0 44 133
  10. 10. FAO-OIE-WHO Tripartite Position Paper April 2010
  11. 11. 0 10 20 30 40 50 60 70 80 90 -20 -16 -12 -8 -4 0 4 8 12 16 20 24 28 32 36 40 Number of cases Time Animal cases Human cases Amplification Outbreaks in Humans Animal Outbreaks Climate and Vegetation Rift Valley fever
  12. 12. Prevention and control of Rift Valley fever
  13. 13. Ebola Map from Vogel, 2006 Photo by Seyllou/AFP/Getty Images
  14. 14. Emergency Preparedness Early detection Rapid response Better Health systems Development Poverty alleviation Public awareness Chain approach Empowered consumers Certification systems Antibiotic residues and antimicrobial resistance
  15. 15. 19 Canadian Integrated Program for Antimicrobial Resistance Surveillance (CIPARS) www.phac-aspc.gc.ca/cipars-picra/index-eng.php
  16. 16. healthy humans food consumption food distribution + marketing feed/food crops waste soil/water food animal processing live animal trade and transport food animal production wildlife arthropod vectors pets + feral dogs/cats feed processing healthy eco- systems healthy animals healthy plants healthy fisheries and forestry public health safe food One Health in the Food Chain healthy food and agriculture
  17. 17. The importance of risk communication and the impact of social media
  18. 18. SHORT TERM LONG TERM L O C A L GLOBA L pathogen centered emergency situation people centered sustainable development efforts .
  19. 19. Key elements of effective cross-sectoral collaboration Key Supporting Elements Key Operational Elements 1. Political will and high-level commitment A. Joint cross-sectoral coordination mechanisms 2. Trust B. Routine communication 3. Common objectives and priorities C. Joint simulation exercises 4. Shared benefits D. Data sharing 5. Strong governance structures, aligned legal frameworks, and recognition of existing international standards E. Joint risk assessment 6. Adequate and equitably distributed resources F. Active cooperation on disease control programmes 7. Identification and involvement of all relevant partners 8. Coordinated planning of activities 9. Guidance on implementation of cross-sectoral collaborations 10. Capacity development 11. Strong and effective health systems within the individual sectors (HLTM, Mexico 2011)
  20. 20. Preparing today the professionals of tomorrow Thank you!!!

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