During the FVE conference in Brussels on April 7, 2014, Katinka de Balogh, leader the global Veterinary Public Health activities of the FAO, presented the One-Health approach to highlight the importance of prevention, ensuring health and welfare of people and animals in a globalized environment: • The benefit coming from the implementation of good health management in practice, both in terms of health and welfare, as well as, of financial sustainability • The importance of coordinating actions in both sectors via a One-Health approach, with a particular focus on zoonotic diseases • The role of the medical and veterinary profession in assuring these matters and educating the society Katinka de Balogh is of Dutch and Hungarian origins and grew up in Latin-America. She studied veterinary medicine in Berlin and Munich and graduated and obtained her doctorate in tropical parasitology from the Tropical Institute of the University of Munich in 1984. In the late 80’s she had spent two years as a young professional at the Veterinary Public Health Unit of the World Health Organization (WHO) in Geneva. In 2002 she started working at the Food and Agriculture Organization of the United Nations (FAO) in Rome.

1. One World-One Health Reducing health risks at the animal-human-ecosystems interface
Katinka de Balogh
Senior Officer-Veterinary Public Health
Animal Health Service
Food and Agriculture Organization
Rome
FVE 7 April 2014

2. The Food and Agriculture Organization of the United Nations

3. FVE Brussels 2014
3
The „one medicine“ by Calvin Schwabe‘s has ist origins in his work with Dinka pastoralists in Sudan in the 1960s
„There is no difference of paradigm between human and veterinary medicine. Both sciences share a common body of knowledge in anatomy, physiology, pathology, on the origines of diseases in all species.“ Schwabe C. (1964, 1984 3rd Edition): Veterinary Medicine and Human Health. Williams and Wilkins, Baltimore
Courtesy J. Zinsstag

4. OWOH Manhattan Principles, 2004
•Developed by Wildlife Conservation Society (WCS) in 2004 in New York
•Increasingly being adopted to address pathogen jumps between animals and humans
•Holistic approach encompassing interfaces among the human, animal and ecosystem health domains
•Proposes an international, interdisciplinary, cross-sectoral approach to disease emergence and control

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7. Highly pathogenic avian influenza H5N1
Inter-ministerial and technical meetings
FAO and OIE International Scientific Conference on Avian Influenza and Wild Birds
May 2006 Rome, Italy
June 2006 Vienna, Austria
Seniors Officers Meeting on Avian & Human Pandemic
Vaccination: a tool for the control of avian influenza
20-22 March 2007 Verona, Italy
2005 2006 2007 2008 2009
27-29 June 2007 Rome, Italy
Technical Meeting on Highly Pathogenic Avian Influenza on Human H5N1 Infection
4-6 December 2007 New Delhi, India
International Ministerial Conference on Avian and Pandemic Influenza
April 2005 Paris, France
OIE/FAO International Scientific Conference on Avian Influenza
December 2006 Bamako, Mali
International Ministerial Conference on Avian and Pandemic Influenza
7-9 October 2008 Verona, Italy
FAO-OIE-WHO Joint Technical Consultation on Avian Influenza at the Human-Animal Interface
24-26 October 2008 Sharm el Shiekh, Egypt
The 6th International Ministerial Conference on avian and pandemic influenza
March 2009 Winnipeg, Canada
Operationalizing One Healthg
November 2005 Geneva, Switzerland
FAO/WHO/OIE/World Bank Conference on Avian Influenza and Human Pandemic Influenza
International Pledging Conference on Avian and Human Pandemic Influenza
January 2006 Beijing, China

8. 6th Interministerial Conference on Avian and Pandemic Influenza
(IMCAPI), Sharm- el Sheikh, October 2008
Goal
Diminish the
threat and
minimize the
global impact
of epidemics
and pandemics
due to highly
infectious and
pathogenic
diseases of
humans and
animals
Focus
Emerging and
re-emerging
infectious
diseases
at the animal-human-ecosystems
interface

9. Ecosystem Health
Animal Health
Human Health
One Health

10. H1N1 Spread in humans: numbers 2009
27 Apr
7 May
8 June
Confirmed human cases
52
2 117
25 146
No. Countries
4
24
77
Deaths from A/H1N1
0
44
133

11. FAO-OIE-WHO
Tripartite Position Paper April 2010

12. 0
10
20
30
40
50
60
70
80
90
-20
-16
-12
-8
-4
0
4
8
12
16
20
24
28
32
36
40
Number of cases
Time
Animal cases
Human cases
Amplification
Outbreaks in Humans
Animal Outbreaks
Climate and Vegetation
Rift Valley fever

13. Prevention and control of Rift Valley fever

17. Ebola
Map from Vogel, 2006
Photo by Seyllou/AFP/Getty Images

18. Emergency Preparedness
Early detection
Rapid response
Better Health systems
Development
Poverty alleviation
Public awareness
Chain approach
Empowered consumers
Certification systems
Antibiotic residues and antimicrobial resistance

19. 19
Canadian Integrated Program for Antimicrobial Resistance Surveillance (CIPARS) www.phac-aspc.gc.ca/cipars-picra/index-eng.php

20. healthy humans
food consumption
food distribution + marketing
feed/food crops
waste
soil/water
food animal processing
live animal trade and transport
food animal production
wildlife
arthropod vectors
pets + feral dogs/cats
feed processing
healthy eco- systems
healthy animals
healthy
plants
healthy fisheries and forestry
public health
safe
food
One Health in the Food Chain
healthy food
and agriculture

21. The importance of risk communication and the impact of social media

22. SHORT TERM
LONG TERM
L O C A L
GLOBA
L
pathogen
centered
emergency
situation
people
centered
sustainable
development
efforts
.

23. Key elements of effective cross-sectoral collaboration
Key Supporting Elements
Key Operational Elements
1. Political will and high-level commitment
A. Joint cross-sectoral coordination mechanisms
2. Trust
B. Routine communication
3. Common objectives and priorities
C. Joint simulation exercises
4. Shared benefits
D. Data sharing
5. Strong governance structures, aligned legal frameworks, and recognition of existing international standards
E. Joint risk assessment
6. Adequate and equitably distributed resources
F. Active cooperation on disease control programmes
7. Identification and involvement of all relevant partners
8. Coordinated planning of activities
9. Guidance on implementation of cross-sectoral collaborations
10. Capacity development
11. Strong and effective health systems within the individual sectors
(HLTM, Mexico 2011)

25. Preparing today the professionals of tomorrow
Thank you!!!