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ONE HEALTH LEADERSHIP EXPERIENCE Dr. Mark Raizenne Centre for Food-Borne, Environmental and Zoonotic Infectious Diseases Public Health Agency of Canada.

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Presentation on theme: "ONE HEALTH LEADERSHIP EXPERIENCE Dr. Mark Raizenne Centre for Food-Borne, Environmental and Zoonotic Infectious Diseases Public Health Agency of Canada."— Presentation transcript:

1 ONE HEALTH LEADERSHIP EXPERIENCE Dr. Mark Raizenne Centre for Food-Borne, Environmental and Zoonotic Infectious Diseases Public Health Agency of Canada

2 Breaking Down Barriers, Creating Connections Public health has had a long history of recognizing that animal health and human health are linked – veterinary public health Some initiatives such as EcoHealth programs have explored the importance of human and ecosystem health Traditional silos exist between public health professionals, doctors, vets, ecologists, social scientists ONE HEALTH LEADERSHIP EXPERIENCE 2

3 3 Habitat disruption or modification (agricultural practices) Catastrophic natural events Climate change Movement of people, animals, goods Casual exposures Occupational exposures Human population growth Food and water consumption Drivers of Public Health Threats Today Ecosystems AnimalsHumans Economics

4 Public Health Agency of Canada | Agence de la santé publique du Canada 4 What is One Health? Transcending Borders: One Health recognizes the linkages among human, animal and ecosystem health domains. Source: “Contributing to One World, One Health” Strategic Framework, Oct. 14, 2008 A Whole-of-Society Approach: It proposes an international, interdisciplinary, cross-sectoral approach to surveillance, monitoring, prevention, control and mitigation of emerging diseases, as well as to environmental conservation.

5 ONE HEALTH LEADERSHIP EXPERIENCE 5 The Environment/Ecosystem Connection Environmental health is often forgotten »Challenge to engage environmental health researchers and scientists Climate change creates favourable conditions for the emergence and establishment of disease vectors Examples of environmental issues »Antimicrobial resistance »Prions »Shale gas and oil sands »Arboviruses

6 ONE HEALTH LEADERSHIP EXPERIENCE 6 One Health Helps us Focus on the Margins Big problems cross disciplines…and solutions are not specific to any one of us We need to focus on the margins – the spaces between human, animal and ecosystem health Risk of missing “causes of the causes” – what expertise don’t we need?

7 ONE HEALTH LEADERSHIP EXPERIENCE 7 One Health Advantages Multiple perspectives are better than one »Looking at human disease without including the context in which human illness occurs will not inform our decision-making ability One Health is a useful paradigm to frame complex public health issues A way to foster information sharing and integrative surveillance Improved professional competencies and education One Health is an integrated approach to risk management and decision making

8 ONE HEALTH LEADERSHIP EXPERIENCE 8 How Can One Health Improve What We Do? Current Situation With One Health Focus on outbreak response Focus is generally on health and scientific aspects of disease Approach tends to be siloed and fragmented Focus is primarily national Education tends to be discipline- specific Communities engaged and mobilized only after outbreak event Focus on preventing outbreaks Focus includes social and cultural determinants of health Approach is holistic, integrative and interdisciplinary Focus includes international cooperation and prevention Education is cross-sectoral, including other disciplines and perspectives Early education and information sharing with communities to prevent zoonotic outbreaks

9 One Health Activities PHAC’s One Health activities »PHAC is highly engaged in promoting One Health; collaborating with other departments (CFIA) »PHAC is applying a One Health approach to AMR policy development, CIPARS, C-EnterNet, West Nile and Lyme disease surveillance, Science-Policy Integration »One Health Operational Model Provinces and Territories »Manitoba, Ontario, Alberta, Saskatchewan, Quebec ONE HEALTH LEADERSHIP EXPERIENCE 9

10 ONE HEALTH AND THE PUBLIC HEALTH AGENCY OF CANADA 10 Infectious Disease Prevention and Control Branch (IDPC) One Health Operational Model

11 International One Health Activities United States: »CDC – One Health Office »USDA-APHIS – OH Coord’n Office »Multiple Universities European Union: »Animal Health Strategy (2007 – 2013) Australia World Health Organization (WHO), World Organization for Animal Health (OIE), Food and Agriculture Organization (FAO), the World Bank ONE HEALTH LEADERSHIP EXPERIENCE 11

12 Upcoming International Events 2 nd GRF One Health Summit 2013 »One Health - One Planet – One Future: Risks and Opportunities »Davos, Switzerland November 17 – 20, rd International One Health Congress »Amsterdam, Netherlands March 15-18, 2015 »Would be an excellent meeting to showcase the One Health activities at the University of Saskatchewan POWERPOINT TITLE GOES HERE USING: VIEW > HEADERS AND FOOTERS 12

13 One Health Education One Health curriculum needs to address the effects of climate on ecosystem health, wildlife, and the movement of plant, animal, and human diseases There is an opportunity for veterinary medicine to leverage its expertise in One Health and lead advances in food-animal husbandry and welfare, water safety and security, and the health of wildlife and ecosystems Need to integrate the key disciplines of human medicine, veterinary medicine, conservation biology, public health, basic sciences, agriculture, economics, social sciences and environmental sciences ONE HEALTH LEADERSHIP EXPERIENCE 13

14 Education Recommendations One Health is an “… opportunity to connect and educate health professionals at an early stage, when they are naturally learning together. As undergraduates, these students are excited about integrating new ideas, and their academic schedule may be more accommodating to a variety of classes. Presenting One Health concepts to students at this stage of their education could have a positive impact on their awareness of and attitudes toward public health.” »Farone TS. Incorporating the one-health concept into undergraduate education.J Am Vet Med Assoc Dec 1;239(11): “Introducing this concept to students early in their academic careers is important to ensure that they are still open to broad-based, interdisciplinary ways of thinking. »Kahn LH. Educating undergraduates on one health. J Am Vet Med Assoc Jan 15;240(2):144. ONE HEALTH LEADERSHIP EXPERIENCE 14

15 Challenges for One Health Leaders Labelled as a non-expert Issues with common language when mixing disciplines Lack of funding – public, private and industry, competing priorities Small number of One Health mentors and senior faculty No unifying vision for One Health in Canada and abroad - poor coordination among Canadian health actors, “siloes” Career paths in One Health are often unclear and few well- paying job opportunities are advertised for graduates Limited opportunities to mobilize interest in One Health outside of academia in Canada Will require changing behaviours and mindsets ONE HEALTH LEADERSHIP EXPERIENCE 15

16 An Uphill Battle “…a shortage of collaborative student programs, insufficient environmental training for health professionals, and a lack of institutional support impede progress” »Meredith A Barrett, Timothy A Bouley, Aaron H Stoertz, and Rosemary W Stoertz Integrating a One Health approach in education to address global health and sustainability challenges. Frontiers in Ecology and the Environment (e-View) ONE HEALTH LEADERSHIP EXPERIENCE 16

17 “If you always do what you've always done, you'll always get what you've always got.” ONE HEALTH LEADERSHIP EXPERIENCE 17

18 The Benefits of One Health (AVMA 2008) Improving animal and human health globally through collaboration among all the health sciences, especially between the veterinary and human medical professions to address critical needs Meeting new global challenges head-on through collaboration among multiple professions—veterinary medicine, human medicine, environmental, wildlife and public health Developing centers of excellence for education and training in specific areas through enhanced collaboration among colleges and schools of veterinary medicine, human medicine, and public health Increasing professional opportunities for veterinarians Adding to our scientific knowledge to create innovative programs to improve health ONE HEALTH LEADERSHIP EXPERIENCE 18

19 ONE HEALTH LEADERSHIP EXPERIENCE 19 Advantages for One Health Leaders Marketable Nimble, adaptable Responsive to disease outbreaks, challenges Broader perspective, see the commonalities Chance to show leadership nationally and globally Canada has recognized leaders in One Health – available for mentoring and support Help to bridge the educational and research gap between the human, veterinary and environmental science fields Potential employers – government, educational institutions, NGOs

20 ONE HEALTH LEADERSHIP EXPERIENCE 20 The Next Generation of One Health Practitioners Physical Environments Humans Animals Social Environments Psychological Sociological Historical Anthropological Economic Political Public Policy Communication Studies Biomedical Governance Public Population Health Public and Population Health Veterinary Medical Evolutionary and Comparative Animal Science Medical Environmental and Ecological Source: Rock et al., 2009

21 “Gentlemen, we can rebuild him, we have the technology” ONE HEALTH LEADERSHIP EXPERIENCE 21


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