1. Overview of Global and Regional Efforts to Implement One Health Dr. Liz Mumford (WHO) Dr. Neo Mapitse (OIE) Dr. Katinka de Balogh (FAO)

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3. H5N1 animal cases in 2012 (status 26 April 2012)

4. International Ministerial Conference on Avian and Pandemic Influenza (IMCAPI) meetings Meeting on Avian Influenza and Human Pandemic Influenza, Geneva, Switzerland, 7-9 November 2005 International Pledging Conference on Avian and Human Pandemic Influenza, Beijing, China, 17-18 January 2006. International Ministerial Meeting and Donor Conference, Bamako, Mali, 6-8 December 2006. International Ministerial Conference on Avian and Pandemic Influenza, New Delhi, India, 4-6 December 2007. International Ministerial Conference on Avian Influenza, Sharm El Sheikh, Egypt, 24-26 October 2008. International Ministerial Conference on Animal and Pandemic Influenza: The Way Forward, Hanoi, Vietnam, 19-21 April 2010.

5. International Ministerial Conference on Avian and Pandemic Influenza (IMCAPI; 2005-2010) Initially: Avian and Pandemic Influenza-focused Bringing in different sectors for high-level policy and strategic discussions Link with new and existing funding partners for global funding Promoted global awareness of the economic impacts of avian influenza Served as the platform for broader “One Health” discussions

6. Key joint documents OH strategy

7. What is One Health? “One Health is the collaborative efforts of multiple disciplines working locally, nationally, and globally to attain optimal health for people, animals, plants and our environment.”

8. Global-level OH policy and technical meetings Global-level policy meetings One World, One Health: Building Interdisciplinary Bridges to Health in a "Globalized World”, Manhattan, New York, USA, 29 September 2004. One World, One Health: From Ideas to Action, Winnipeg, Manitoba, Canada, 16-19 March 2009. Shifting from Emergency Response to Prevention of Pandemic Disease Threats at Source, Chatham House, London, UK, 16-17 March 2010. Operationalizing "One Health": A Policy Perspective – Taking Stock and Shaping an Implementation Roadmap, Stone Mountain, Atlanta, GA, USA, May 4–6, 2010 Expert Meeting on One Health Governance and Global Network, Atlanta, GA, USA, 31 October 31 to November 1, 2011. Technical meetings FAO/OIE/WHO Technical Consultation on the Control of Avian Influenza, Rome, Italy, 3-4 February 2004 Technical Workshop on Highly Pathogenic Avian Influenza and Human H5N1 Infection, Rome, Italy, June 27–29, 2007. FAO–OIE–WHO Joint Technical Consultation on Avian Influenza at the Human Animal Interface, Verona, Italy, 7-9 October 2008. Second FAO–OIE–WHO Joint Technical Consultation, Verona, Italy, 27-29 April 2010. The 1st International One Health Congress, Melbourne, Victoria, Australia, 14-16 February 2011 High-Level Technical Meeting to Address Health Risks at the Human – Animal -Ecosystem Interface Mexico City, Mexico November 2011.

9. Plus… MANY MANY: Technical meetings –Recommended disease-specific actions, and discussed technical and policy elements for cross sectoral collaboration Regional/country meetings –technical disease-specific issues (rabies, HPAI) –“One Health” & developing regional/local policy

10. Tripartite Concept Note Tripartite Position Paper April 2010

11. G20 Ministerial Declaration Meeting of G20 Agriculture Ministers, June 2011 Action Plan on Food Price Volatility and Agriculture (25.) As far as public health, animal health and plant health are concerned, we stress the importance of strengthening international and regional networks, international standard setting taking into account national and regional differences, information, surveillance and traceability systems, good governance and official services, since they ensure an early detection and a rapid response to biological threats, facilitate trade flows and contribute to global food security (…) …We encourage international organizations, especially FAO, WHO, OIE, Codex, IPPC and WTO to continue their efforts towards enhancing interagency cooperation.

12. Focus control emerging pandemic diseases (especially with an animal source) reducing risks of zoonotic including foodborne diseases and severe animal diseases and other (e.g antimicrobial resistance) at their source

13. Strategies and policy frameworks WHO International Health Regulations Codex Alimentarius OIE Codes and Manuals including PVS Tool Regional strategies

14. International, regional and national guidance Rapid risk assessment of acute public health events (WHO HQ) Integrated Disease Surveillance and Response (AFRO) Participatory Disease Surveillance and Response (PDSR-FAO) OIE PVS Tool

15. The OIE PVS Tool Evaluation of the Performance of Veterinary Services a tool for Good Governance of Veterinary Services 4 Fundamental Components Human, physical and financial resources Technical authority and capability Interaction with stakeholders Access to markets

16. One Health and the PVS Pathway Multiple core competencies of the Veterinary Services (VS) for which close collaboration with public health (PH) partners in the country is necessary and/or beneficial to the efforts of the VS and their contribution to Veterinary Public Health In particular, a high degree of collaboration and cooperation is needed in some general areas to achieve the maximum benefits for animal and public health, e.g. –Food safety –Endemic zoonotic diseases –Emerging infectious diseases (many are zoonotic)

17. Pilot PVS “One Health” Mission PVS “One Health” Mission Currently being piloted within the PVS Pathway “One Health” is not a new project or a new activity Follows/Builds upon PVS Evaluation mission Focuses on the activities of the Veterinary Services Reviews VS activities with collaborative partners, but not the activities of the partners Not an assessment of entire national systems in which VS is a partner 17

18. glews@glews.net

19. Good Emergency Management Practices

20. Limitations Often no clear mechanisms for joint, cross sectoral planning, prioritisation, decision making or response.

21. What do we have? Variety of uni-sectoral frameworks to support health systems General global agreement that cross sectoral approaches need to be taken and consensus on what it takes to implement them Regional/country level experience based on response to specific diseases (e.g. ZDU (Kenya))

22. Some next steps? Develop global guidance on best practices for implementing cross sectoral approaches in countries (HLTM-Mexico outcomes – more tomorrow) Facilitate country/regional collaborations as needed, e.g. inter-ministerial committees and strategies, prioritization, integrated simulation exercises…

23. Ecosystem Health AnimalHealth HumanHealth One Health Thank you!

24. katinka.debalogh@fao.org