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Beyond Three Circles
An Enhanced One Health Model
Gary Vroegindewey, DVM, MSS, DACVPM
Director, One Health Program
Lincoln Memorial University College of Veterinary Medicine
Chair, OIE ad hoc Group on Natural Disaster Risk Reduction
and Management in Relation to Animal Health and Welfare
and Veterinary Public Health
One Health History
The Greek physician Hippocrates
(c. 460 BCE – c. 370 BCE) text
"On Airs, Waters, and Place".
Promoted the concept that
public health depended on a
clean environment.
Hippocrates
One Health History
Rudolph Carl Virchow
(1821 – 1902)
“Between animal and human
medicine there is no dividing
line-nor should there be.
The object is different but
the experience obtained
constitutes the basis of all
medicine."
One Health History
Calvin Schwabe, DVM
© 2010 The International Bank for Reconstruction and Development /
The World Bank
1818 H Street, NW
Washington, DC 20433
© 2010 The International Bank for Reconstruction and Development / The World Bank
1818 H Street, NW
Washington, DC 20433
http://news.nationalgeographic.com/2015/01/150130-ebola-virus-outbreak-epidemic-sierra-leone-funerals/
Guinea’s Ministry of Health, indicated that 60% of cases in
that country could be linked to traditional burial and funeral
practices.
http://www.who.int/csr/disease/ebola/one-year-report/factors/en/
In their traditional Kissi culture, a
woman buried with her fetus
disturbs the world’s natural
cycles—
beginnings and endings among
humans, animals, and plants.
Our response-
Health care workers in white Personal Protective Equipment
(PPE)
"The problem was
that the people
handling the
intervention only
looked at this as a
health issue; they did
not try to understand
the cultural aspects of
the epidemic,"
Julienne Anoko WHO
“White Means Death”
Dr. MacGregor-Skinner
onehealth.grforum.org
www.studyblue.com
Epidemiologic
Triad
One Health Definition
One Health has been defined as "the
collaborative effort of multiple disciplines —
working locally, nationally, and globally — to
attain optimal health for people, animals and
the environment"
https://www.avma.org/KB/Resources/Reference/Pages/One-Health94.aspx
One Health Lenses
World Bank- People, Pathogens and our Planet
Narrow
One Health
Holistic
Broad
Sociosphere
This is all One Health
One Health
http://www.phac-aspc.gc.ca/owoh-
umus/index-eng.php
Holistic One Health
The Peaceable Kingdom- Edward Hicks 1780-1849
Questions/Discussion

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Beyond Three Circles - An Enhanced One Health Model Gary VROEGINDEWEY

Editor's Notes

  1. Referred to as "the father of modern pathology," he is considered one of the founders of social medicine. was a German doctor, anthropologist, pathologist, prehistorian, biologist and politician, known for his advancement of public health.