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DVT 4403

Kesihatan Awam dan Perubatan Populasi

VETERINARY

PUBLIC

HEALTH

Title 3 : ONE HEALTH

19 Feb 2013 Semester 7, 2013 Prof. Madya Dr. Nur Hardy bin Abu Daud

Fakulti Perubatan Veterinar

v.1.13


DVT 4403

Title 3 : One Health

The idea of “One Health,� as it became known, would assume urgent practical significance in late 2003 with the emergence of highly pathogenic avian influenza (HPAI).

Prof. Madya Dr. Nur Hardy bin Abu Daud

Fakulti Perubatan Veterinar

v.1.13


DVT 4403

Title 3 : One Health

In 1964, veterinary epidemiologist Calvin Schwabe coined the term “One Medicine” to capture the interrelatedness between animal and human health, and the medical realities of preventing and controlling zoonotic diseases or “zoonoses” – diseases that are communicable between animals and humans.

Prof. Madya Dr. Nur Hardy bin Abu Daud

Fakulti Perubatan Veterinar

v.1.13


DVT 4403

Title 3 : One Health

Later, the term “One Health” came into use, and later still, the broader concept of “One World One Health,” which is today used to represent the links among human and animal health and the health of the ecosystems they inhabit

Prof. Madya Dr. Nur Hardy bin Abu Daud

Fakulti Perubatan Veterinar

v.1.13


DVT 4403

Title 3 : One Health

ADOPTION OF ONE WORLD ONE HEALTH STRATEGIC FRAMEWORK Meeting

Dates

Location

5th International Ministerial Conference on Avian and Pandemic Inluenza

December, 2007

New Delhi

6th International Ministerial Conference on Avian and Pandemic Inluenza

25-26 Oct 2008

Sharm el- Sheikh, Egypt

• Build robust and well-governed public and animal health system

• FAO • OIE • WHO • UN SYSTEM INFLUENZA COORDINATION • UNICEF • WORLD BANK

• Prevent regional and international crises by controlling disease outbreaks through improved emergency response capability

• Address the concern of the poor by shifting the focus from developed to developing economies

• Promote wide-ranging collaboration across sectors and diciplines • Develop rational and targeted disease control progrrame through strategic research

Prof. Madya Dr. Nur Hardy bin Abu Daud

Fakulti Perubatan Veterinar

v.1.13


DVT 4403

Title 3 : One Health

The consultation document Contributing to One World, One Health was subsequently tabled at the Sixth International Ministerial Conference on Avian and Pandemic Influenza in Sharm el-Sheikh, Egypt in October 2008. There the technical details of the Strategic Framework were discussed, and the document was subsequently translated into a series of “key recommendations� at the Expert Consultation on One World, One Health in Winnipeg in March 2009.

Prof. Madya Dr. Nur Hardy bin Abu Daud

Fakulti Perubatan Veterinar

v.1.13


DVT 4403 One Health

Title 3 : One Health

One Medicine signalled the recognition of the risks that zoonotic diseases pose to people, their food supplies, and their economies. Given the interrelatedness of human, animal, and ecosystem health, the rationale for some form of Coordinated policy and action among agencies responsible for public health, medical science, and veterinary services is quite intuitive

Prof. Madya Dr. Nur Hardy bin Abu Daud

Fakulti Perubatan Veterinar

v.1.13


DVT 4403

Title 3 : One Health Interacting Health Domains

Ecosphere ECOSYSTEM SERVICES

HUMAN Zoosphere

DOMESTIC ANIMALS

WILDLIFE

One Health CLIMATE

Prof. Madya Dr. Nur Hardy bin Abu Daud

Fakulti Perubatan Veterinar

WORLD BANK 2010 v.1.13


DVT 4403

Title 3 : One Health

The FAO-OIE-WHO Collaboration A Tripartite Concept Note – April 2010 VISION : Sharing responsibilities and coordinating global activities to address health risks at the animal-human-ecosystems interfaces

Prof. Madya Dr. Nur Hardy bin Abu Daud

Fakulti Perubatan Veterinar

v.1.13


DVT 4403

Title 3 : One Health

One Health : my opinion

WHO FAO OIE IPPC CITES WTO WCO

HUMAN

ANIMALS

PLANTS

ENVIRONMENT

Prof. Madya Dr. Nur Hardy bin Abu Daud

Fakulti Perubatan Veterinar

Manila 2011 v.1.13


DVT 4403

Title 3 : One Health ECOSYSTEM SERVICES

HUMAN

DOMESTIC ANIMALS

WILDLIFE

CLIMATE

Prof. Madya Dr. Nur Hardy bin Abu Daud

Fakulti Perubatan Veterinar

v.1.13


DVT 4403

Title 3 : One Health

Professional Cooperation Between Human and Animal Health Professionals • Exchange of information: case reports, data • Prevalence and distribution of diseases in animals and people • Health management of people in farm, lab, abattoir, processing plant, pet shop, zoo, aviary etc • Joint epidemiological investigations of zoonoses • Joint strategies and plans for zoonoses control • Awareness among medical professionals on zoonoses • Joint public awarness and education programmes

Prof. Madya Dr. Nur Hardy bin Abu Daud

Fakulti Perubatan Veterinar

v.1.13


DVT 4403

Title 3 : One Health

PUBLIC AWARENESS AND EDUCATION Human Health Sector To farmers & workers: i) Case definition of human disease ii) To practice good animal husbandry and use of PPE iii) To practice good personal hygiene iv) To seek treatment if influenza like illeness

Veterinary Sector To farmers and farm veterinarians i) Case definition of animal disease ii) Notification of disease iii) Improvement of biosecurity iv) Stop movement if disease occurrence

Prof. Madya Dr. Nur Hardy bin Abu Daud

Fakulti Perubatan Veterinar

v.1.13


DVT 4403

Title 3 : One Health

One World One Health Malaysian Perspectives

Prof. Madya Dr. Nur Hardy bin Abu Daud

Fakulti Perubatan Veterinar

v.1.13


DVT 4403

Title 3 : One Health

Our faceless national hero of Nipah warriors Prof. Madya Dr. Nur Hardy bin Abu Daud

Fakulti Perubatan Veterinar

v.1.13


Title 3 : One Health

DVT 4403

JAWATANKUASA ANTARA KEMENTERIAN BAGI KAWALAN PENYAKIT ZOONOTIK (JKAKKPZ)

Chairman

Director General – Dept of Health (MOHE) Director General – Dept of Veterinary Services (MOA)

Committee Members Dean Faculty of Veterinary Medicine, UPM Dean Faculty of BioMedicine, UPM Dean Faculty of Medicine, UM Dean Faculty of Veterinary Medicine, UMK Director General – Dept of Environment Director General – Dept of Wildlife Director General – Dept of Local Government Director General – Dept of Safety and Occupational Director General – Dept of Information

Prof. Madya Dr. Nur Hardy bin Abu Daud

Fakulti Perubatan Veterinar

v.1.13

(MOHE)

(MONRE)

(MOHLG) Hazard (MOHR) (MOICC)


DVT 4403

Title 3 : One Health LIST OF PRORITY ZOONOTIC DISEASES

Priority 1 1. Nipah 2. Influenza (human, HPAI, swine, equine) 3. Rabies 4. Salmonellosis (S.enteritidis, S.typhimurium) 5. Brucellosis 6. Tuberculosis 7. Leptospirosis

Priority 2 8. Filariasis 9. BSE/vCJD 10. Anthrax 11. Rift Valley Fever 12. Japanese Encephalitis 13. Q Fever 15. Hanta Virus

Prof. Madya Dr. Nur Hardy bin Abu Daud

Fakulti Perubatan Veterinar

v.1.13


Title 3 : One Health

DVT 4403

Kampong Nipah, Bukit Pelanduk, Port Dickson

Nipah Encepahlitis

265 cases of encephalitis and 105 human death

Pig

Sept 1998June 1999

1 miillion pig destroyed and 1 billion in loses

World Take Notice

(Bat)

Environment

( El-Nino) (Forest Fire)

Prof. Madya Dr. Nur Hardy bin Abu Daud

Fakulti Perubatan Veterinar

Wildlife

v.1.13

Human


DVT 4403

Title 3 : One Health

EACH LEVEL OF GOVERNMENT HAVE THEIR OWN JURISDICTION IN RELATION HEALTH CRISIS Directive 20: The Policy and Mechanism on National Disaster and Relief Management Of the National Security Council

Policy making bodies

Federal government

Cabinet

State government

State Executive Council

Local government

Local Council

Prof. Madya Dr. Nur Hardy bin Abu Daud

Fakulti Perubatan Veterinar

v.1.13


HPAI Operations – Health Cooperation Title 3 : One Between Various Agencies

DVT 4403

DISTRICT OFFICE

DEPT. OF VETERINARY SERVICES

• • • •

Chairman of District Operation Help to identify operation centre help supply of food during operation supply of fire woods, gunny sacks, diesel, zinc for top cover • Supply of red earth • Post for culling control • Liason

• • • • • • • • • • •

DISTRICT COUNCIL

HEALTH DEPT.

• Supervision of culling • Disinfection machine and water tanks • Disinfection of farms & culling sites (after operation)

• • • • •

Enforcement of quarantine Supply of PPEs Supply of chemical agents,disinfectants, soap Supply of animal handling equipment, plastic bags and tape (heavy duty) Animal census and records Various documents, letters, notices, various forms Supervision of culling personnel Supervision of farm and site disinfection (after operation) Press statement Surveillance patrol Secretariat for operation

SOCIAL SERVICE DEPT.

General health of owners and farm hands First aid services to farm hands Health survey house to house Lab test on human supect cases Public education

• •

Welfare of owners counselling

FARMERS’ ASSOCIATION PUBLIC WORKS DEPT. • Access roads to farms • Supply of earth • Rental/supply of back hoe, excavator & tipper lorry, fork-lift & crate

• Organise workers in farms • Supply workers in culling

DEPT. OF WORKERS SAFETY • •

Ensures safey of workers and farmers Advice of health

CIVIL DEFENCE RELA (NGO) • Traffic control and public • Supply staff in culling operation

POLICE DEPT. FIRE & RESCUE DEPT.

• • • •

Enforcement of quarantine Manning road blocks General safety and security Checks and control of movement

ENVIRONMENTAL DEPT.

Prof. Madya Dr. Nur Hardy bin Abu Daud

- Supervision of burning - Control of fire - Communication equipment

Fakulti Perubatan Veterinar

v.1.13

• Supervision of burning • Control of pollution


DVT 4403

Title 3 : One Health RESPONSE TIME DETERMINE SEVERITY OF DAMAGE

SPEED

Prof. Madya Dr. Nur Hardy bin Abu Daud

TIME Fakulti Perubatan Veterinar

v.1.13


DVT 4403

Title 3 : One Health

HIGHLY PATHOGENIC AVIAN INFLUENZA

Malaysia experience three episode of HPAI in 2004, 2006, 2007 Prof. Madya Dr. Nur Hardy bin Abu Daud

Fakulti Perubatan Veterinar

v.1.13


DVT 4403

Title 3 : One Health

One World One Health Animal

Human Ecosystem

animal-human- ecosystem health interface Prof. Madya Dr. Nur Hardy bin Abu Daud

Fakulti Perubatan Veterinar

v.1.13


DVT 4403

Title 3 : One Health

http://www.atlas.wcs.org/sw_high_tech_tools/ghp/owoh

Multisectorals Multidiciplines Prof. Madya Dr. Nur Hardy bin Abu Daud

Fakulti Perubatan Veterinar

v.1.13

Transboundry Transpecies


DVT 4403

Title 3 : One Health

http://www.oneworldonehealth.org/

Need for more Holistic approach Of health management

Scientists need to Breakdown barriers of their silo of knowledge Government Department and agencies need To work together

Collaborate Prof. Madya Dr. Nur Hardy bin Abu Daud

Fakulti Perubatan Veterinar

v.1.13


DVT 4403

Title 3 : One Health

One World One Health Approach “ the collaborative efforts of multiple disciplines working locally, nationally and globally to attain optimal health for people, animals and our environment.� ( American Veterinary Medical Association, 2008)

Prof. Madya Dr. Nur Hardy bin Abu Daud

Fakulti Perubatan Veterinar

v.1.13


One Health