Continuing education,the

incorporation of the One Health concept with a

focus on the OIE Region Middle East «Dr. William Hueston

Dr. MacDonald FarnhamUniversity of Minnesota

Outline and objectives

• Review OIE emphasis on continuing education (CE) and One Health

• Overview of continuing education in the OIE Region of Middle East

• Opportunities for greater incorporation of One Health approaches in CE

While not a new concept, the OIE endorses the “One Health” approach as a collaborative and all-encompassing way to address, when relevant, animal and public health globally. This collaboration should not be limited to only the international level, but must be translated as a new and fundamental paradigm at national levels.From the OIE Website

OIE contributions to globalization ofOne Health concept

One HealthHigh Level

Technical MeetingGabon

'Health Risks at theAnimal-Human-Ecosystem

Interface' High Level TechnicalMeeting, Mexico City

One Health GlobalImplementation MeetingRockefeller: Bellagio, Italy

1st InternationalOne Health Congress

Australia

United Nations & WorldBank adopt One Health

approach

FAO-OIE -WHO-UNSIC-UNICEF- WB

Reducing Risks of InfectiousDiseases @ Animal

-Human-Ecosystem Interface

Operationalizing"One Health"

Stone Mountain, USA

FAO-OIE -WHO

'Tripartite'formed

'Hanoi declaration' forbroad implementation

of One Health

One Health implementationworkshop

Winnipeg, Canada

'One Health' recommended approachInternational Ministerial Conference on Avian and

Pandemic Influenza

One World, One Healthtrademarked & 12 Manhattan

Principles adoptedWildlife Conservation Society

'One Medicine'concept coined byCalvin Schwabe

References relatinganimal & human diseaseBabylon, Nile Valley, China, Leviticus (OldTestament), Greece (Hippocrates), Rome

(Virgil & Galen)

Interdependence betweenhuman & animal healthRudolf Virchow (1800s)

'Father' of the OneMedicine

Osler (1849-1919)

Antiquity

1976 2004

2007

2008

2009

2010

2011

2012

September 2013created by

Dr. Mac Farnham

One Health convergenceworkshop

Salzburg, Austria

1st One HealthConference in Africa

Johannesburg

One HealthForum

S. Korea

PrinceMahidolAward

ConferenceBangkok,Thailand

2013

One Health, OnePlanet, One Future

Davos

Second Global Conference ofOIE Reference Laboratoriesand Collaborating Centres

Paris, France

USAID Emerging Pandemic Threats(EPT) program established

RESPOND, IDENTIFY , PREDICT, PREVENT & PREPARE

'OIE Global Conference onWildlife Animal Health andBiodiversity' Paris, France

Second FAO/ OIE /WHO - Influenza andother Emerging Zoonotic Diseases at the

human-animal interfaceVerona, Italy

Shaded bubbles indicate directsupport or participation byOIE

Upstream paradigm shift using One Health approach

Manage diseases and infections in humans

Prevent transmission and prevent emergence

Control measures in animal population

Pathogen circulating in animals

Disease Emergence

Disease impact in human population

One Health paradigm shift Down stream reactive approach to upstream

proactive approach

Downstream approach in disciplinary silos

Graphic credit:Prof Robinson MdgelaSokoine University, Tanzania

Survey of CE and incorporation of One Health in the Middle East1) Gather data related to continuing

education / in-service training by Veterinary Services of the Region

2) Make a rapid analysis of incorporation of One Health concepts into continuing education efforts

Initial Veterinary Education and access to the profession• 13 of 16 (81%) aware of

• ‘Day One Graduate Competencies’ for veterinary training programmes

• ‘Veterinary Education Core Curriculum’

– 12 of 13 indicate compliance with guidelines

• Nine Members (56%) – veterinary profession regulated by a veterinary statutory body

Continuing education for veterinarians

Continuing education for veterinarians• Accessibility of continuing education

– 10 Members both public and private sector– 5 only to public (government) sector

• Methodologies used– Lectures – 15 (94%)– Wet laboratories – 14 (88%)– Field trips – 13 (81%)– Panel discussions – 13 (81%) – Simulation exercises – 8 (50%)

One Health concept

• 11 / 16 (69%) have working definition of “One Health”

• Most indicate contribution to public health outcome

• One Health action plan– 7 currently implemented– 5 planned for future

• Most common words– Public health– Zoonotic– Collaboration– Diseases

One Health collaboration areas

• Most respondents (94%) have programme areas working with other health disciplines

• Most common multi-disciplinary collaborations1) Brucellosis

2) Rabies

3) Food Safety

4) Tuberculosis

Integration of One Health concepts into continuing education programmes

From OIE-cosponsore workshop at PMAC - actions to move forward OH approaches

1) National One Health Strategic Plans

2) “How to…” guides to advance OH

3) Demand-driven research goals and outcome-based funding

4) OH skill-building and education

5) Engage communities for bottom-up efforts

Barriers to implementing One Health conceptFrom international One Health case study development workshop at UMN

Key Barriers- Communication (within and between disciplines)- (Lack of) Resources - Collaboration / Willingness to collaborate- Leadership

Conclusions

• Strong recognition of One Health

• Active implementation of One Health collaborations

• OH approaches only moderately integrated into CE for veterinarians

Thank you