One Health and Capacity Assessments

Transcription

1 One Health and Capacity Assessments Professor Mahmudur Rahman MBBS (Bangladesh), MPHM (Thailand), PhD (Cambridge, UK) Former Director Institute of Epidemiology, Disease Control and Research (IEDCR) Mohakhali, Dhaka Bangladesh 29 January 2018 Bangkok

2 One Health Concept The One Health concept is a worldwide strategy for expanding interdisciplinary collaborations and communications in all aspects of health care for humans, animals and the environment.[1] Joint External Evaluation (JEE) is one of the methods of One Health capacity Assessment 1. One Health Initiative.

3 Joint External Evaluation (JEE) Initial Assessment was conducted over 11 GHSA Action packages on 6 July 2015 Revised self-assessment was conducted over 19 JEE technical Areas through participation by in country on 10 March 2016 JEE took place in May, 2016

4 Bangladesh Scores

5 Bangladesh Scores (cont.)

6 Bangladesh Scores (cont.)

7 JEE to One Health Strategy Networking and partnerships Strategic communication and advocacy Institutional governance and program management One Health Capacity Transdisciplinary Research Coordinated surveillance Coordinated outbreak investigation and response

8 Institutional governance and programme Management

9 Formation of One Health Secretariat One Health Secretariat has formed with officers ondeputation from DGHS, DLS and DOF. It will be located at IEDCR Multi-sectoral One Health Steering Committee has been formed and chaired by one of the Secretaries and co-chaired by other two Secretaries on a 3- year rotation

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11 Zoonotic disease prioritization A participatory One Health Approach to prioritize the zoonotic diseases Using CDC one health tools Multi stakeholders involvement Rabies, Zoonotic influenza, Anthrax, Nipah, Brucellosis and Zoonotic Tuberculosis Rabies Zoonotic Influenza Anthrax Nipah Encephalitis Brucellosis Zoonotic tuberculosis

12 Coordinated surveillance

13 Coordinated surveillance in One Health Approach Avian influenza surveillance in Bangladesh High Risk Group Surveillance Live bird market Sink surveillance Nipah encephalitis surveillance in Bangladesh (icddrb, IEDCR, EcoHealth Alliance ) Anthrax surveillance in Bangladesh (IEDCR-DLS) Japanese encephalitis surveillance IEDCR-icddrb

14 Avian influenza surveillance in One Health Approach Risk based surveillance at live bird markets in partnership with IEDCR/DLS/FAO/icddrb Involving human-birdsenvironmental (air) sampling at live birds market Partnership with local administration (city corporation) Information sharing through coordination meetings and seminars

15 Coordinated outbreak investigation and response

16 Joint Outbreak Investigation of Crow mortality IEDCR

17 One Health for EIDs: Anthrax Orientation of field workers Advocacy meetings - local leaders, public representative & other professionals Inter-ministerial coordination Livestock anthrax vaccination intensified Mass media campaign Training of Health Workforce

18 One Health for EIDs: Nipah Encephalitis Joint outbreak investigation team Multidisciplinary research focused on human-bat-social behaviours Raw date palm sap identified as risk factors of Nipah encephalitis Bat surveillance to understand the ecology of Nipah encephalitis

19 Trans-disciplinary research

20 One Health Research Funding: BALZAC Transnational and Multidisciplinary approach for controlling the avian influenza Integration of human-animal health and policy

21 Workforce development

22 One Health Capacity Building & Education One Health Fellowship Program jointly delivered by Massey Uni, IEDCR, CVASU FETP-IEDCR-CDC CVASU-One Health Institute and Twinning with Tufts- OIE OH Training and Lab networking- FAO

23 Networking and partnerships

24 Building Institutional Partnership

25 Building International Partnership

26 Engagement of society Nine conferences with multidisciplinary stakeholders involvement 27 extended meeting 8 annual general meeting 700 members

27 One Health: From policy to grassroots One Health Young Voice for next generation champions Community based rabies control and animal welfare practices Wildlife conservation and research techniques training Relief International-EU One Health community program

28 Costing for Implementing the Action Plan of Joint External Evaluation

29 National Laboratory System Real-Time Surveillance Reporting Workforce Development Chemical Events Points of Entry (PoE) Radiation Emergencies Antimicrobial Resistance Biosafety and Biosecurity Food Safety IHR Coordination, Immunization National Legislation, Policy Zoonotic Disease Emergency Response Linking Public Health and Medical Countermeasures Preparedness Risk Communication Results Total Cost according to Indicatiors (in million BDT) , Total cost according to the category (in million BDT) 2, Detect Other Prevent Respond Detect Other Prevent Respond

30 Results Recurrent cost according to the category (in million BDT) Capital +Startup cost according to category (in million BDT) Detect Detect 1, Other Prevent Respond Other Prevent Respond

31 Result - Total Cost Total Startup Cost Recurrent Cost Year-1 Year-2 Year-3 Year-4 Year-5 Total for 5 years In million BDT 1, , , , , , , In million USD

32 Thank You