7th ICAHIS International Conference of Animal Health Information Specialists Boston USA 38 May 2013 Marie Teissier Information Specialist mteissieroieint 0 Between animal and human medicine there is no dividing line ID: 736910
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Slide1
International Cooperation in support of «One Health»
7th ICAHIS (International Conference of Animal Health Information Specialists) Boston, USA, 3-8 May 2013
Marie Teissier Information Specialist – m.teissier@oie.int
0Slide2
“Between animal and human medicine there is no dividing line,
nor should there be”
(Robert Virchow 1821-1902)
1Slide3
A “Globalized World”
2Slide4
An Increase of Global Population: 1950-2050
Source:
United Nations Population Division,
World Population Prospects, The 2008 Revision
3Slide5
Emerging and Re-emerging
Infectious Diseases
4Slide6
Number of Emerging Infectious Disease (EID) Events per Decade by Transmission Type
EID events = classified by the temporal origin of the original case or cluster of cases that represents a disease emerging in the human population
Zoonotic potential of animal pathogens:60% of human pathogens are zoonotic75% of emerging diseases are zoonotic
80% of agents having a potential bioterrorist use are zoonotic pathogens
Many of them have a proven link with wildlife
→
Need
of prevention and control
Jones K et al. Nature,
Vol
451:21 February 2008. doi:10.1038/nature06536
5Slide7
One World, One Health
TM
*
Symposium -
Building
Interdisciplinary Bridges to Health in a “Globalized
World”,
Rockefeller University, NY City, September
2004
*TM
Wildlife Conservation Society www.wcs.org
Adoption
of the
‘Manhattan Principles’
12 recommendations with 2 aims:
preventing epidemic/epizootic disease
maintaining ecosystem integrity
Cooperating at the human-animal-ecosystem health
interface strengthening interdisciplinary cross-
sectoral
cooperation
:
“
Only
by breaking down the barriers among agencies, individuals, specialities and sectors
can we unleash the innovation and expertise needed to meet the many serious challenges to the health of people, domestic animals, and wildlife and to the integrity of ecosystems
…”
6Slide8
Tripartite Cooperation
Long
history of cooperation between the OIE, FAO
and
WHO before the current interest in One Health
M
oving
towards the
One Health
approach
despite the fact that it
did not
yet have a
name
Cooperation Agreements
S
igned as soon as 1952 (OIE/FAO) and 1960 (OIE/ WHO)
Based on the Joint FAO/WHO
Expert Committee on Veterinary Public
Health of 1975 an
OIE/FAO/WHO Study
Group on
Future Trends in Veterinary Public
Health (VPH)
met in 1999
and established VPH as an area of cooperation among the three organizations
7Slide9
Joint
OIE/FAO network of expertise for the control of avian
influenza - OFFLU
established
in
2005 by OIE and FAO
to develop
research,
offer veterinary
expertise to Member Countries to assist in the control of
AI, it collaborates
with WHO issues relating to the animal-human
interface
Expanded to OIE-FAO network of expertise
on all
animal influenza in 2009
http
://www.offlu.net
/
8Slide10
Global Framework for the Control of Transboundary Animal
Diseases (GF-TADs)
Agreement
between the OIE and the FAO
(Paris, 24-05-2004)
Replaces
a previous 50
year
old
agreement
Strengthens
complementarities
and synergies
of OIE /
FAO through:
Early warning
systems
Collection and analysis of
animal
health information
Design and implementation of strategies for disease control
Promotion of
research
WHO
associated in case
of
zoonoses
9Slide11
One
Health
Agenda
January
2006:
People’s Republic of China/European Commission/World
Bank/OIE/WHO/FAO
International Pledging Conference on
Avian and Human Pandemic Influenza
December
2007
:
at the
New
Delhi International Ministerial Conference
on Avian and Pandemic
Influenza,
the global avian influenza response moves towards a
broader ‘
One World, One Health’ agenda
,
focusing on the intersections of animal, human and ecosystem health
October
2008
:
Verona,
FAO-OIE-WHO Joint Technical Consultation on Avian Influenza at the
Human-Animal Interface October 2008: OIE/FAO/WHO/UNICEF/UN System Influenza Coordinator/World Bank “
Strategic Framework” for Reducing Risks of Infectious Diseases at the
Animal–Human–Ecosystems
Interface
presented at the
Sharm el Sheikh Inter Ministerial Conference on Avian
Influenza
10Slide12
17-18 January 2006, Beijing, China
A
decisive step towards
cross-
sectoral
international cooperation
through promotion and coordination of
financial support
Adoption
of the Beijing
Declaration (
quote):
“
We, Participants in the Conference,
c
ommit
ourselves to ensuring effective development and implementation of
integrated national
action plans within the framework of WHO/FAO/OIE global strategie
s
guided by
political leadership at the highest level
,
to mobilizing resources in our countries
and to
drawing upon government, civil society and the private sector
to effect a coordinated response
…by taking advantage of the expertise and the existing technical networks established by UN, WHO, FAO, OIE and other relevant organizations and groups…”
11Slide13
Contributing to
One World, One Health* A Strategic Framework for Reducing Risks of Infectious Diseases at the
Animal–Human–Ecosystems Interface14 October 2008
UN System
Influenza Coordination
THE WORLD BANK
*Used with permission of the Wildlife Conservation Society
12Slide14
Contributing to One World, One
Health: A Strategic Framework…
Presented
at the
2008
Sharm
El
Sheikh International Conference on Avian Influenza
“…
builds on
the existing approaches and mandates
of international institutions and other partners to form a flexible network…
able to
adapt and respond rapidly
to all new health emergencies
…”
with
specific objectives and outputs at national, regional and international levels:
Strengthen
public and animal health capacity, prevention, detection and rapid emergency response
to any disease
outbreaks
13
Develop
surveillance and monitoring
capacity
Promote inter-agency and cross-
sectoral
collaboration
and partnerships
Control HPAI and other
existing and potentially re-emerging infectious diseases
Conduct
strategic researchSlide15
One Health
Agenda
March 2009:
One World One Health – from ideas to action
, Winnipeg, Canada
April
2010
:
Second FAO-OIE-WHO Joint Scientific Consultation
: Influenza and other Emerging Zoonotic Diseases at the Human Animal Interface, Verona,
Italy
April 2010
:
International Ministerial Conference on Avian and Pandemic Influenza
, Hanoi,
Vietnam: adoption of OIE/FAO/WHO
Tripartite Concept Note
May
2010
:
Operationalizing “One Health”:
A Policy
Perspective-Taking
Stock and Shaping an Implementation Roadmap
, Stone Mountain, Georgia, USA
14Slide16
The « Stone Mountain » Meeting,
Stone Mountain, Georgia, USA, May 4-6, 2010
CDC, OIE, FAO, WHOdefined a 3-5 year vision of One Health :
culture change
increased visibility
political will/financial support
optimal coordinated efforts
15Slide17
One Health Priority
Partnerships
OIE (World Organisation for Animal Health)FAO (Food and Agriculture Organization)
WHO (World Health Organization)
Other
United Nations
Organisations
Regional Organisations (
AU-IBAR*, ASEAN**, SADC***
etc)
World Bank
WTO (World Trade Organization)
EC
(European Commission)
Private Sector
Donors
CVO’s (Chief Veterinary officers)
NGO’s (Non-governmental Organisations)
*
African Union/Interafrican bureau for agricultural resources
**Association of Southeast Asian
Nations
***
South Asian Association for regional Cooperation
16Slide18
2010 Tripartite Concept Note – April 2010
(released at the International Ministerial Conference on Avian and Pandemic Influenza, Hanoi, Vietnam)
Vision
A world capable of preventing, detecting, containing, eliminating, and responding to animal and public health risks attributable to zoonoses and animal diseases with
an impact on food security
through multi-sectoral
cooperation
and strong partnerships
“…recent efforts … have underscored the fact that successful and sustained results are possible when functional collaborations are established…
”
17Slide19
« Tripartite Concept Note
»
FAO-OIE-WHO
Tripartite
Cooperation
Address gaps and
strengthen collaboration
at the
human-animal-ecosystems interfaces
with
priority
topics
for joint
actions:
rabies
, which still kills nearly 70,000
people every
year,
zoonotic influenza viruses
and
antimicrobial
resistance
Achieve
alignment and coherence of related global standard setting
activities:
FAO/WHO Codex Alimentarius standards on food safety
OIE Codes/Manuals/Evaluation Tool for Performance of Veterinary services (PVS Pathway) for animalInternational Plant Protection
Convention (
IPPC
)
WHO International Health regulation (
IHR
) for public health
Prepare
tripartite protocols for risk assessment, management and communication, recommendations and guidance
for countries on identifying data gaps
Develop
normative standards and field programs
to achieve One Health goals
*International Plant Protection Convention
18Slide20
Tripartite Collaboration
Global
Early Warning
and
Response
System
(zoonoses) OIE /
WHO
/
FAO:
GLEW’s
Crisis
management Centre – Animal Health
(
CMC-AH
)
United States Agency for International Development (
USAID)
IDENTIFY
component of
the
Emerging Pandemic Threats (EPT) Program
19Slide21
combines and coordinates the
alert and response
mechanisms of OIE, FAO and WHO
assists in
prediction, prevention and control
of animal disease threats, including zoonoses
20Slide22
GLEWS
Zoonotic Diseases of Interest
AnthraxBrucellosis (B. melitensis)
BSE
Crimean Congo haemorrhagic fever
Ebola virus
Foodborne Diseases
Highly Pathogenic Avian Influenza
Japanese equine encephalitis
Marburg Hemorrhagic Fever
New world screwworm
Nipah Virus
Old world screwworm
Q fever
Rabies
Rift Valley fever
Sheep Pox/Goat Pox
Tularemia
Venezuelan equine encephalitis
West Nile fever
Non-Zoonotic Diseases
:
African Swine Fever, Classical Swine Fever, Contagious Bovine Pleuropneumonia, Foot and mouth disease, Peste des Petits Ruminants, Rinderpest
21Slide23
FAO-OIE-WHO partnership
Crisis management Centre – Animal Health established
in 2006 by FAO and OIE Mandated for rapid response to HPAI (Highly Pathogenic Avian Influenza), other
TADs and
emerging disease
threats
OIE
and FAO’s
network of expertise
Partnership agreement for
official WHO collaboration
Links
with other OIE, FAO and WHO mechanisms including
OIE-PVS Pathway
and
GLEWS
22Slide24
Laboratory
Capacity Building and NetworkingIDENTIFY project of the USAID Emerging Pandemic Threats (EPT) Program
Jointly implemented in 2009 with OIE, FAO
and
WHO
to:
Strengthen
diagnostic capacities
in 2 geographic “hot spots”:
Congo Basin region, South east/South Asia region
L
ink
laboratory networks
in the animal and human health
sectors through OIE/FAO/WHO existing institutional mechanisms
Develop
guidance
, policy and
training
23Slide25
Expanding
the scientific basis for effective
“One Health” approaches
OIE
Conferences on
Veterinary Education
2009 and
2011
(3
rd
Conference: Brazil,
December 2013
) recommend “One
He
alth” incorporation in curricula
OIE
Global Conference on
Veterinary Legislation
, Djerba, Tunisia, 7-9 December 2010
OIE/FAO/WHO/WCS
Global Conference on
Wildlife Animal Health and Biodiversity
, Paris, France, 23-25 February 2011
OIE/FAO/WHO
Global Conference on
Rabies Control
, Incheon–Seoul (Republic of Korea) 7-9 September 2011 24Slide26
Veterinary/Medical Education
First Global
Conference: "
Evolving veterinary education for a safer world
”, Paris, France, 12-14 October
2009
For
enhanced collaboration between all stakeholders,
the
One Health approach should be integrated
in curricula, university
and vocational training
courses
Second
OIE
“
World
Conference on Veterinary
Education
”, Lyon
,
France,13
to 14 May
2011
Recommendation
16:“Countries and regions should encourage stronger cooperation between the various education systems for animal health and human health”Third OIE Global Conference on Veterinary Education will take place from 4 to 6 December 2013 in Foz do Iguazu (Brazil)
25Slide27
In collaboration
with
Wildlife Conservation Society
(WCS),
FAO
and
WHO
Key
considerations
Biodiversity and ecosystems
services contribute to
health
Need to increase the capacity of all countries worldwide to conduct
surveillance, early detection, and response to diseases in wildlife
Responsibilities of
Veterinary Services
and their government partners to
protect and improve animal health
, including aspects related to
wildlife and
biodiversity
In collaboration with
OIE, FAO
and
WHO
Rabies control is considered as a priority model to apply the “One Health” concept
by countries and Intergovernmental Organisations
Recommendations e.g.: to encourage research to expand the scientific basis for the protection of biodiversity and environment to promote animal and public health
26Slide28
27
High
Level Technical Meeting on Health Risks at the Human-Animal-Ecosystems Interfaces, Mexico City, 15-17 November 2011*
Puts
into action the principles of the OIE/FAO/WHO Tripartite Note
Establishing
intersectoral collaboration through:
Political will, trust and financial support
Achieving effective disease surveillance and response through:
Strong governance structures and aligned legal frameworks
Ensuring early detection and rapid response through:
Sharing information in disease surveillance and reporting
Special focus on zoonotic influenza,
rabies
, and antimicrobial resistanceSlide29
G20
Ministerial Declaration
Meeting of G20 Agriculture Ministers
,
June 2011
Action Plan on Food Price Volatility and Agriculture
28
As
far as public health, animal health and plant health
are concerned, “we stress the
importance of
strengthening international and regional networks, international
standards
…
…We
encourage
international organizations
, especially FAO, WHO, OIE, Codex, IPPC and WTO
to continue their efforts towards enhancing
interagency cooperation
” (Point 25 of the Ministerial Declaration)Slide30
OIE 5
th Strategic Plan 2011-2015
New actions
The application
of the
‘One Health’
concept for the
reduction of risks of infectious diseases at the
animal–human–ecosystems
interface
considering:
The contribution of
animal health and veterinary public health
to the improvement of
food
security →
strengthen
food security
through
the reduction of disease in food-producing animals
and in
bees
The
relation between
animal production
and environment: the impact of climate and environmental changes on the occurrence and geographical
spread of diseases, disease vectors and invasive species
,
and the
impact of
animal
production practices on environment and climate change
29Slide31
Resolution 27
:
The “One Health” Approach to Address Health Risks at the Animal-Human-Ecosystem
Interface
(Point 9
):
“The
FAO/OIE/WHO
Tripartite Concept Note
be used as a basis for the cooperation of the OIE with WHO and FAO
,
and this also serve as a
framework
for
the work of the OIE
with other key partners such as
the World Bank and European Union
,
civil society, the private sector
and the many other supporters of the
“One Health”
approach”
30Slide32
Thank you for your attention
Organisation
Mondialede la SantéAnimale
World
Organisation
for Animal
Health
Organizaci
ó
n
Mundial
de Sanidad
Animal
12
rue de Prony, 75017 Paris, France -
www.oie.int
– oie@oie.int
31Slide33
Thank
you again for your attention
OrganisationMondialede la Santé
Animale
World
Organisation
for Animal
Health
Organizaci
ó
n
Mundial
de Sanidad
Animal
12
rue de Prony, 75017 Paris, France -
www.oie.int
– oie@oie.int
32