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1. ONE HEALTH APPROACH:
THE PHILIPPINE EXPERIENCE
SIMEON S. AMURAO, JR., DVM, MBA, CESO IV
DIRECTOR III
July 26, 2016
Philippines
Workshop on Management and Control of Important Transboundary Animal
Diseases in the Asian Pacific Region

2. One Health
• A unifying concept that brought together
human and animal health care practitioners
and environmental professionals with a goal
that this partnership will help and develop
sustainable and effective interventions in
solving human, animal and environmental
health challenges.

3. Primary Application
Of all the animal health programs in the
Philippines, the One Health approach is very
much evident in the implementation of the
National Rabies Prevention and Control
Program through the enactment of Republic
Act 9482 or the “Anti Rabies Act of 2007.”

4. NRPCC
National Rabies Prevention and Control Committee
• Department of Agriculture –BAI
• Department of Health
• Department of Interior Local
Government
• Department of Environment and
Natural Resources
• Department of Education

5. Department of Agriculture
• Laboratory facilities
• Vaccine
• Surveillance
• Establish rabies free zones
• Conduct researches

6. Department of Health
• Human Anti Rabies vaccine in
Animal Bite Centers
• Post exposure treatment
• Human surveillance system
• Pre exposure treatment

7. Local Government Units
• Dog registration and vaccination
• Impounding of stray dogs
• Prohibit the trade of dogs for
meat
• Appoint a veterinarian
L
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8. Avian Influenza

9. Developed at the height of the
outbreak of HPAI in
South East Asia.
This is the primary references for
information on the government
AI prevention program and
preparedness plan.
Implemented in April 2005 through joint
Department Order No. 1 which also
established the national AI TASK FORCE
together with the poultry raisers.

10. 4 Stages of AIPP
Department of Agriculture
Stage 1 Keeping the Phil. Bird flu free
Stage 2 Control and eradication of AI in
domestic fowl
Department of Health
Stage 3 Prevention and control in human
Stage 4 Mitigation of Public Health and
Socio Economic Impact of
Pandemic Influenza

11. Four stages of the avian influenza threat:

12. Stage 1 Prevention Programs
(Manual of Procedures)
1. Ban on importation of poultry
from AI affected countries.
2. Minimum Biosecurity Measures
for all poultry holding facilities
3. Surveillance and Prevention
Programs in Airports and
Seaports.
4. Surveillance of Poultry in Critical
Areas in the Philippines (20
areas).

13. Stage 1 Prevention Programs
(Manual of Procedures)
5. Enforcement of the 2001
Wildlife Act.
6. Preventive Measures in
Humans.
7. IEC or communication,
education, participation and
awareness (CEPA).
8. Establishment of
compartmentalized AI-free
poultry production zones.

14. AI Lab Tests used in the Philippines
1. Real Time Reverse Transcriptase
Polymerase Chain Reaction (RRT-
PCR)
2. ELISA test
3. HA-HI test
4. AGID test and
5. virus isolation.

15. Upgrading of Regional AI
Diagnostic Laboratories (RAIDLs)
• Regions 2 and 12 - AusAID Project,
• Region 3 -New Zealand International
Aid and Development Agency Project
• Regions 7, 9 and 10 - Japan Special Trust
Fund Project.

16. Samples collected yearly for Avian
Influenza surveillance, 2005-2015.
YEAR No. of Samples
2005 5,976
2006 21,285
2007 16,123
2008 16,421
2009 5,423
2010 3,318
2011 6,461
2012 6,292
2013 10,947
2014 12,009
2015 13,353
Total 117,608

17. Philippine Inter-agency
Committee on Zoonoses
• To establish animal and human
health sector collaboration
between the DA, DOH and DENR
for the prevention, control and
elimination of zoonoses.
– Rabies
– Avian Influenza
– Ebola reston virus in pigs and
monkeys

18. Department of Health
• Serves as the lead agency on the
prevention and control of zoonotic
diseases of human
a. Conduct pro-active response to public
health concerns on matters pertaining to
food safety, sanitation and vector control
b. Adopt appropriate measures upon the
recommendation of the PhilCZ to be
undertaken in the health facilities for the
prevention and control of zoonotic
diseases

19. Department of
Agriculture
Serves as the lead agency on the
prevention and control of zoonotic
disease in livestock, poultry and other
domestic animals
a. Conduct pro-active response to public
health concerns on matters pertaining to
food safety, sanitation, vector control and
proper disposal of animals
b. Adopt appropriate measures to be
undertaken in animal facilities for the
control and prevention of zoonotic
diseases

20. Department of Environment
and Natural Resources
• Shall serve as the lead agency on
zoonotic diseases in wild fauna.
• It shall adopt appropriate measures
upon the recommendation to be
undertaken of the PhilCZ to be
undertaken in protected areas, in
wildlife facilities such as, but not
limited to, zoological parks, wildlife
rescue centers an in indentified risk
areas for the control and prevention
of zoonotic diseases.

21. Other Collaboration and
Cooperation
• Henipa Virus
• Ebola Reston Virus
• Neglected Tropical Diseases -
Schistosomiasis

22. Conclusion
• The One Health approach requires building
relationships with and respect for
professionals in various sectors
• One Health is synergism: When we
cooperate with one another we produce a
combined effect greater than the sum of
our independent effects.

23. Thank you very much!