The document discusses health risks at the human-animal-ecosystem interface and proposes practical steps forward. It notes that 2012 presents opportunities to advance the "One Health" approach due to growing interest in pandemic preparedness, disaster risk reduction, and managing risks across economic, environmental and social systems. It recommends 10 practical steps, including starting with community experiences, bringing livestock into policies on poverty and food security, focusing on resilience to health risks at interfaces, and establishing an operational framework to guide investments in a sustainable multi-stakeholder process.

1. HEALTH RISKS AT THE
HUMAN-ANIMAL-ECOSYSTEM
INTERFACE
Where to go from here: Challenges,
Opportunities, Practical Steps
David Nabarro: 20 February 2012: 1200

2. ELEMENTS
• 2012: Time of Opportunity
• 2012: Evolving Narrative
• 2012: Time to Value One Health
Working
• 2012: Ten Practical Steps

3. 2012: TIME OF OPPORTUNITY
• Disaster Risk Reduction and the Hyogo Framework
• Trans-boundary Animal Diseases and Avian Influenza
• One Health Movement : Towards a Safer World : Applying
the lessons of Pandemic Preparedness more widely
• Widening interest in Risk Prediction and Management:
Global Risks 2012 - economic, environmental, geopolitical,
societal and technological
• Multiple Stakeholders Engaged : Business, Society, State,
Science
• Focus on Agriculture – Safe Food Systems – Nutrition and
Health; water, energy, ecosystems, climate nexus; Climate-
smart and Evergreen: Protracted crises and Pastoralism
• Foresight Studies with emphasis on long-term policy

4. 2012: EVOLVING NARRATIVE
• Planetary Security, Food Security, Human Security
are featuring in dialogue among youth groups,
business leaders, government leaders, civil
society: local regional and global
• Consistent focus on risks and benefits – now and
in the future: resonance and synergy.
• Recognition that boundaries and interfaces
matter – between people, species, systems,
professions, cultures – and that work at
interfaces and across boundaries brings progress.
• This work is challenging to sustain in and
institution but there is a Movement underway

5. 2012: VALUE ONE HEALTH WORKING
• Interfaces are risky and can be dangerous
• Particularly when bureaucracies are under
pressure to cut their costs and exposure
• Dangers flourish when mandates and
accountability are rigid
• Risks of Ill Health at Interfaces are Well-Known
• Well-being of Individuals, Households, Societies,
Governments, Nations, Cultures depends on good
care of health at interfaces
• That is why we value One Health working and
seek to promote it.

6. 2012 PRACTICAL STEPS
1. Start with experience from communities and countries
2. Bring livestock into all politics on Poverty and Equity, Food
Security and Safety, Value Chains & Risk Management
3. Focus on Resilience in face of Health Risks at Interfaces
4. Advocate Whole of Society Approaches
5. Nurture Professionals Networks that Span Interfaces
6. Ensure Strong Normative Institutional Anchor
7. Stimulate Innovative Energy – partner with farmers and
consumers, business, research, youth groups
8. Establish and maintain an Operational Framework as a basis
for Investment with strong regulatory base
9. Seek Financing Mechanisms that support effective
investments
10. Work towards Multi-Stakeholder Guidance Process: sustain
the spirit of movement and leadership from countries