Kick-off meeting 30 April - 2 May 2014 – Bangkok, Thaïlande

One Health in Asia INNOVATE PROGRAM

ComAcross Companion Approach for Cross-sectoral collaboration in health risks management

in SEA

* The European Commission is supporting Animal Health since the 1980s’ in Asia …and Human (Public) Health globally since the 1990s (SVS projects). * The new EU animal health strategy * Research: joint infectious diseases programmes and “neglected zoonosis”. * Regional programme Asia: HPED (2009) FAO/OIE/WHO * COMMISSION STATEMENT ON « ONE HEALTH » IMCAPI Sharm-El-Sheikh October 2008 * Contributing to OWOH™. Strategic framework FAO-OIE-WHO-UNSIC-UNICEF-WB for Reducing Risks of Infectious Diseases at the Animal-Human-Ecosystems Interface, 14 October 2008 * Contributing to Hanoi Declaration, April 2010 : OH, Living with Infectious Uncertainty, Addressing serious risks at the interface Animal-Human-Environments ; The FAO-OIE-WHO Tripartite Concept Note * European Union. Outcome and Impact Assessment of the Global Response to the Avian Influenza Crisis, 2005-2010 *Expert meeting on One Health Governance and Global Network, Atlanta , November 2011 * INNOVATE INitiative for New One health Ventures in Asia Taking Ecosystems into account (Total EU grant 10 millions EUR; Call for proposals end 2012; Focus on academia, think hanks, civil society; Joint ventures (partners); Involve LDCs.

ONE HEALTH AND EUROPEAN UNION… A BIT OF HISTORY

Programme Objectives

(Source: A Vandersmissens 2014 – INNOVATE Networking Meeting Phnom Penh 8-9 April 2014)

(Source: A Vandersmissens 2014 – INNOVATE Networking Meeting Phnom Penh 8-9 April 2014)

(Source: A Vandersmissens 2014 – INNOVATE Networking Meeting Phnom Penh 8-9 April 2014)

Complementary to…

INFLUENZA (H5N1, H1N1,…?)

Links among human, animal and environmental health

* About 60% of human diseases are zoonotic and 75% of EIDs have an animal origin (OIE)

Associating human and veterinarian medicine to address zoonoses*.

One medicine (Calvin

Shwabe, 1976)

« Environment » (“One World, One Health-OWOH-™”

concept and the 12 “Manhattan

Principles”)

One Health

« Ecohealth »

• IDRC, International Association for Ecology & Health, (Ecohealth Journal), research/development and networks (forums, conferences,…)

• Pluridisciplinary experts, indigenous groups, civil society, decision-makers

• Research and action Programs/action gathering various local projects, potential scaling up

• Bottom up approach based on participation, equity

One Health ECOHEALTH

2 approaches responding challenging public health management

Improve health of human communities through the improvement of natural and social environment and human/nature interactions

• 2008 Initiative gathering FAO, OIE, WHO, WB + national governments, Global Early Warning System (joint platform to improve early warning of outbreaks worldwide), USAID, operationality…

• Strategic plan to reduce infectious diseases risks at the human-animal ecosystems interface

• Top down approach

One Health ECOHEALTH

2 approaches responding to complex challenges of public health …

Detect and fight more efficiently new pathogens at animal-human-ecosystem interface

Need for a paradigm

shift!

Wich « environment »

are we talking about?

improving cross-sectoral collaboration for health issues

What about « SOCIAL environment » drivers?

improving inter-disciplinary collaboration for health issues

… Development of a multidisciplinary approach through research/training projects and scientific networking

Objective : STRENGHTENING SYNERGIES AMONG RESEARCH INSTITUTIONS

http://www.grease-network.org/

An integrated approach in the framework of veterinarian public health… A corpus of methods and tools, which combine Ecology, Quantitative Epidemiology, Geography, Sociology, Biostatistics, Mathematical Modeling, Parasitology etc.

… Strengthening the interactions between social and biological/medical sciences

Researchers/ Experts

Communities/ Notables

Decision makers

Shaping cross-sectoral interest groups for risk management

Facilitating scientific exchanges & fund raising for projects designing (research & training)

Operational objectives

Merging together different point of view…

Qualitative data

Figures

Participatory approaches to Mapping/Modeling

CO-DESIGNING A SHARED REPRESENTATION OF SOCIO-ECO-EPIDEMIOLOGICAL SYSTEMS

Developing risk mapping

process with layers integrating multiple data

Risk factors, disease spreading, socio-spatial stakes at play, environmental patterns, socioeconomic resources, value chains, seasonality and periodicity etc.

DEVELOPING AN INTEGRATED ONE HEALTH APPROACH OPERATIONAL IN SEA

(THAILAND, LAOS, CAMBODIA)

AT THE HUMAN / ANIMAL / ENVIRONMENT INTERFACE

This project is partly funded by the European Commission (up to 2,2 Mio. EUR)

COMACROSS

• Thailand, Laos, Cambodia • 4 years (February 2014 – January 2018) • ComAcross consortium:

• OBJ: TO implement an integrated One Health Approach operational in SEA by developing an holistic approach to health among different stakeholders at the Animal-Human-Environment interface

PROJECT OVERVIEW

Specific Objective 1 Improved awareness on One Health and Ecohealth best practices

“Learning by doing” • Frameworks and mechanisms for

improved “dialogue” and routine collaboration among One Health traditional and non-traditional actors at the Animal-Human-Environment interface

• New culture of networking (through Companion modeling)

• 4 case studies

Specific Objective 2 Improved vocational competencies: stakeholders have better technical skills to address zoonotic diseases’ complexity

Deeply understand eco-epidemiological systems involving pathogens and their reservoir, vectors and hosts. Capacity and skills to collect, store

and analyze diverse data Integration of multi-disciplinary

data into common analytical frameworks (tools such as “health GIS”, interdisciplinary databases, and models to manage heterogeneous knowledge) Conducting participatory field

work and getting closer to communities at risk

• 3 trainings diagnostic tools • 3 trainings bar coding • 3 trainings interdisciplinary

databases • 2 training GIS • 3 trainings risk mapping • 2 trainings in economic impact

assessment • 2 training in wildlife an natural

ressources monitoring • 2 training in social diagnosis • 4 training in participatory

epidemiology

Specific Objective 2

BioZoonoSEA

Raised postgraduate students’ capacities on “Assessment and management of health risks at the human, animal and ecosystem interface”.

InterRisk Master degree under development Kasetsart Un./ ENVT

Joint teaching activities with other regional OH curriculum

Specific Objective 3

• ComAcross will implement 4 core Activities • Activity 1 aims at guiding target groups through the

setup of a Community of Practice (CoP).

• Activity 2 will ensure “filling the gaps” in target groups skills, through professional trainings and capacity building.

• Activity 3 will ensure the development of an academic Curriculum for awareness raising, training and capacity building of the next generation of One Health actors.

• Activity 4 focuses on disseminating ComAcross outcomes and lessons of the “Learning by Doing” process conducted throughout the action

Expected outputs • Sharing knowledge through participatory

approaches; • Improving data management and data sharing

across sectors; • Interdisciplinary risk mapping and health GIS; • Organisation of cross-sectoral workshops; • Disease economic impact assessment and

modelling; • Formal education degree; • Networking among laboratories.

Target groups

• State services • Academic staff (students, teachers and researchers) • Community representatives (health volunteers, farmers associations, commercial farmers, notables at district and commune levels) • Laboratories’ staff • Field operators (epidemiologists, vets, ecologists, public health and rural development workers)

Knowledge sharing and increased capacity building to analyse and manage zoonotic diseases

Expected outcomes

• Improvement of civil servants’ technical skills and methodological resources to better address cross-sectoral collaboration; Improved equipment and training of laboratory staff • Improvement of data management procedures and methods; publication of trainings workshops’ booklets, case studies booklets and 1 handbook valorising the companion modelling process that has been conducted throughout ComAcross action • Efficient networking at the AHE interface; web-based social networking tools; publications in international peer reviewed journal and presentations in international conferences • Effective implementation of Master 1 and Master 2 modules

WHAT WE PLAN TO DO?

• A “case study”-based approach : 4 “model diseases” that will function as case studies for knowledge sharing and cross-sectoral collaboration

• Thai long term study on flood driven diseases • Cambodian long-term study on Japanese

Encephalitis • Lao long-term study on zoonotic diseases of

livestock with a focus on parasitic diseases • Regional long-term study on Nipah Virus.

• 4 case studies to set up One Health community of practice: Selected because they cover a broad

range questions arising at the AHE interface. Projects involving partners of the

consortium are currently going on for each of the 4 cases (preliminary data are available, local stakeholders are already used to work with research teams).

The implementation of the 4 case studies will be coordinated through a participatory approach :

To reveal and strengthen the possible

synergies between the various stakeholders involved.

Enhancing their knowledge and competences to analyse and manage zoonotic diseases within a cross-sectoral and interdisciplinary framework

Companion modeling approach: Elaborating a conceptual model of socio-ecological interactions at work in a given system Will reveal step by step the cross-sectoral and inter-

disciplinary issues to be addressed

Shape a shared representation (conceptual models used to design ABM and role-playing games involving the stakeholders, or partially implemented on a computer)

Generate and play different scenarios

• Elaborate on existing OH networking

• GREASE research network (Thailand, Lao PDR, Cambodia, Vietnam, the Philippines and Indonesia) To improve the management of epidemiological emergent risks in SEA by strengthening synergies and skills/knowledge sharing. An integrated multidisciplinary approach through research/training projects and scientific networking Strengthening the interactions between social and biological/medical sciences (developing participatory and modeling tools)

• SEA-PREID working group, Development of Participatory Research group for Emerging and Infectious Animal Diseases management in South East Asia

Regional technical working group focusing on the implementation of participatory approaches to tackle the issues of infectious diseases surveillance and control (Participatory Epidemiology Network for Animal and Public Health (PENAPH) network coordinated by ILRI)

• ComMod READI Pilot Network of Excellence Improving animal health surveillance and control within livestock production systems through cross-sectoral dialogue and networking involving actors form Agriculture, Veterinary, Public health and Environment sectors. 3 meetings in Thailand, Vietnam and Cambodia ; participatory modeling approach

• South East Asia encephalitis (SEAe) research program Multidisciplinary regional project aiming to reduce the

morbidity and mortality associated to infectious encephalitis in SEA by improving diagnosis and medical care for patients and integrating potential ecological, epidemiological, and sociological factors to provide adapted surveillance and control methodologies.

• CEROPATH / BiodivHealth in Southeast Asia : Local impacts and perceptions of global changes:

Health, Biodiversity and Zoonoses in Southeast Asia

Rodents as models for investigating biodiversity changes and as zoonotic reservoirs (leptospirosis, scrub typhus)

Perception of risks at landscape level, risk exposure and land use change

• Evaluation of animal health surveillance systems in South East Asia (REVASIA) research program Research program developing innovative tools for the qualitative and quantitative evaluation of zoonotic or animal infectious diseases surveillance systems. It merges the inputs of epidemiology, social sciences, economy and modelling to improve surveillance in animal health at central and local levels.

• Elaborate on existing OH networking • Bottom-up process : consultative process (GREASE

network) highlighting partners needsfor capacity building and training in health risk management within a OH approach

Involving these partners and collaborators in ComAcross activities :

• State services (DLD), Zoological Park Organization • Universities (CMU, KKU, RUPP), ENVT • I.O. (FAO, OIE, …), • Intern. Research centers (ILRI/PENAPH, IRD, CNRS,…) • NgOs (FFI,…) • Etc.