This document summarizes a presentation by the Chief Public Health Officer of Canada on advancing the One Health approach. It discusses challenges and opportunities for integration across human, animal and environmental health sectors. It provides examples of One Health initiatives in various countries and Canadian provinces. It also outlines competencies needed for the next generation of One Health practitioners and principles for effective collaboration, including respect, practical application and valuing cooperation over credit.

1. Public Health Agency of Canada
Agence de la santé publique du Canada
Setting the Stage: Moving Forward on One Health
GRF One Health Summit 2013
Dr. David Butler-Jones, MD
MHSc, LLD (hon), FRCPC, FACPM, CCFP
Chief Public Health Officer of Canada
Sunday, November 17, 2013
Davos, Switzerland
Public Health Agency of Canada | Agence de la santé publique du Canada

2. “To Prevent Disease,
to Relieve Suffering,
and to Heal the Sick,
-This Is Our Work”
Sir William Osler (late 19th C. clinical
Public Health Agency of Canada | Agence de la santé publique du Canada
pathologist, but also active in promotion of veterinary health)
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3. Setting the Stage: Refresher from Davos 2012
One Health…:
• Has gone from a concept to a broad, adopted paradigm globally
• Does not supplant disciplinary responsibilities, but helps us ask questions that might lead to
better answers
• If we’re going to be good at it, it’s not about creating new structures, but making existing
structures work better

4. A Reminder of the Connectedness of our Work: Davos 2012 (cont’d)
Slide from presentation by Jakob Zinsstag
“In 12 years, 8 episodes of zoonosis cost US$3
trillion, led to 70 million human fatalities and cost
4.8 per cent of global GDP…disease outbreaks in
both humans and animals can reverse
development.” – Francois Le Gall, World Bank
2012 Discussions also included One Health and:
• Allergies/Asthma
• Food Safety and Sustainability
• Development
• Economics
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5. Moving Forward on One Health: Challenges and Opportunities
Integration
Education
and
Training
Public Health Agency of Canada | Agence de la santé publique du Canada
Awareness
and
Attitudes
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6. Opportunities:
Integration
• Chance to show collaboration and leadership
nationally and globally
• One Health approach helps to bridge
educational/research gaps between human,
veterinary and environmental science fields
Challenges:
• Common language when mixing disciplines
• Truly taking multi-sectoral approaches
• ‘Proof of concept’ – showing One Health has been helping
Public Health Agency of Canada | Agence de la santé publique du Canada
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7. Opportunities:
Education
and
Training
• Improved professional competencies
• For veterinary medicine to leverage expertise in One
Health and lead advances in food-animal husbandry and
welfare, water safety and security, health of
wildlife/ecosystems
Challenges:
• Small number of One Health mentors and senior faculty
• Integrating what private and public sectors are doing
• Integrating key disciplines of human/veterinary medicine, biology, etc
Public Health Agency of Canada | Agence de la santé publique du Canada
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8. Opportunities:
• Paradigm to approach complex, multi-faceted issues –
inside and outside policy-making sphere
Awareness
and
Attitudes
• Meeting new global challenges head-on through multidisciplinary collaboration
• Adding to scientific knowledge
Challenges:
• Increasing professional opportunities, centres of
excellence in specific areas
• Requires changing behaviours and mindsets
• Career paths unclear, labelled as ‘non-experts’
• Funding challenges in global economic, political environment
Public Health Agency of Canada | Agence de la santé publique du Canada
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9. Practical Applications: Global
USA: One Health
Initiative Office
CDC One Health
Office
USDA-APHIS One
Health
Coordination
Office
Canada: PHAC
WHO, OIE, FAO,
World Bank –
developing joint
ministerial
processes,
surveillance
programs,
capacity
development
EU – European
External Action
Service
Africa: One Health Central
and Eastern Africa – network
of 14 educational institutions
in 6 countries
Asia: One Health
Alliance of South
Asia
Public Health Agency of Canada | Agence de la santé publique du Canada
Australia: Dept. of Agriculture,
Fisheries and Forestry;
Australian Veterinary
Association
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10. Practical Applications: Canada
Manitoba: One World
One Health Workshop
2012; One Health
Framework development
Canadian Cooperative Wildlife
Health Centre
Québec: Stratégie
québécoise de santé
et de bien-être des
animaux; Graduate
program in Veterinary
Public Health, U of M
British
Columbia:
Centre for
Coastal Health
Alberta: Livestock
and Meat Agency –
One Health Road
Map
National Farmed Animal Health
and Welfare Council Strategy
Saskatchewan:
One Health
Leadership
Camp, U of Sask
Public Health Agency of Canada | Agence de la santé publique du Canada
Ontario – U of Guelph –
Centre for Public Health and
Zoonoses and MPH Program9

11. Practical Applications: Public Health Agency of Canada
• Canadian Integrated Program for Antimicrobial Resistance Surveillance (CIPARS); CEnterNet
• Recent Case Studies: Integrating Science and Policy on One Health, Food Safety and
AMR
• Family Medicine Forum presentation – Enhancing Family Health Connections in
Clinical Practice – a One Health Approach
Public Health Agency of Canada | Agence de la santé publique du Canada
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12. The Next Generation of One Health Practitioners
Governance
Psychological
Public and Population Health
Physical
Environments
Sociological
Veterinary Medical
Historical
Public Population Health
Anthropological
Humans
Animals
Animal Science
Economic
Evolutionary and Comparative
Political
Public Policy
Social
Environments
Medical
Communication Studies
Biomedical
ONE HEALTH
Environmental and Ecological
Source: Rock et al., 2009
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13. “…We can rebuild him, we have the technology”
Public Health Agency of Canada | Agence de la santé publique du Canada
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14. How the PACEM Principle Applies to One Health
Enable
What we do
directly to
change
Partner
Who can we work with,
to do it better together?
Advocate
What should be
done at policy,
legislative level?
Moving Forward on One Health
Mitigate
Picking up
some of the
pieces, so it
isn’t worse
Public Health Agency of Canada | Agence de la santé publique du Canada
Cheerlead
Encouraging
and not
getting in the
way
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15. Moving Forward on One Health: Additional
Success Factors and Considerations
• Respect
• Make it practical
• Rule of three
• Have something to offer
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16. "It's amazing how much can be accomplished if no
one cares who gets the credit.”
“If you always do what you’ve always done, you’ll
always get what you’ve always got.”
Public Health Agency of Canada | Agence de la santé publique du Canada
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