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									ONE HEALTH LEADERSHIP EXPERIENCE
Dr. Mark Raizenne
Director General, Centre for Food-Borne, Environmental and Zoonotic
Infectious Diseases, Public Health Agency of Canada
ONE HEALTH LEADERSHIP EXPERIENCE




                       Play One Health Video




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ONE HEALTH LEADERSHIP EXPERIENCE



    One Health Activities
    • PHAC’s One Health activities
       » One Health approach being applied to:
           • AMR policy development
           • Canadian Integrated Program for Antimicrobial Resistance
             Surveillance (CIPARS)
           • National Enteric surveillance - C-EnterNet
           • Vectorborne disease surveillance - West Nile, Lyme disease
       » Science-Policy Integration Projects - One Health approach to
         food safety (led by PHAC) and One Health approach to
         emerging infectious diseases (led by CFIA)
    • Provinces and Territories
       » Manitoba, Ontario, Alberta, Saskatchewan, Quebec



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ONE HEALTH LEADERSHIP EXPERIENCE



    International One Health Activities
    • United States:
       » CDC – One Health Office
       » USDA-APHIS
       » Multiple Universities
    • European Union:
       » Animal Health Strategy (2007 – 2013)
    • Australia
    • World Health Organization (WHO), World Organization for
      Animal Health (OIE), Food and Agriculture Organization
      (FAO), the World Bank



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ONE HEALTH LEADERSHIP EXPERIENCE



    One Health Education
    • One Health curriculum needs to address the effects of climate
      on ecosystem health, wildlife, and the movement of plant,
      animal, and human diseases
    • There is an opportunity for veterinary medicine to leverage its
      expertise in One Health and lead advances in food-animal
      husbandry and welfare, water safety and security, and the
      health of wildlife and ecosystems
    • Need to integrate the key disciplines of human medicine,
      veterinary medicine, conservation biology, public health, basic
      sciences, agriculture, economics, social sciences and
      environmental sciences



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ONE HEALTH LEADERSHIP EXPERIENCE



    Education Recommendations
    •   One Health is an “… opportunity to connect and educate health
        professionals at an early stage, when they are naturally learning together.
        As undergraduates, these students are excited about integrating new ideas,
        and their academic schedule may be more accommodating to a variety of
        classes. Presenting One Health concepts to students at this stage of their
        education could have a positive impact on their awareness of and attitudes
        toward public health.”
         » Farone TS. Incorporating the one-health concept into undergraduate education.J
           Am Vet Med Assoc. 2011 Dec 1;239(11):1406-7.

    •   “Introducing this concept to students early in their academic careers is
        important to ensure that they are still open to broad-based, interdisciplinary
        ways of thinking.
         » Kahn LH. Educating undergraduates on one health. J Am Vet Med Assoc. 2012
           Jan 15;240(2):144.



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ONE HEALTH LEADERSHIP EXPERIENCE



    Challenges for One Health Leaders
    • Labelled as a non-expert
    • Issues with common language when mixing disciplines
    • Lack of funding – public, private and industry, competing
      priorities
    • Small number of One Health mentors and senior faculty
    • No unifying vision for One Health in Canada and abroad -
      poor coordination among Canadian health actors, “siloes”
    • Career paths in One Health are often unclear and few well-
      paying job opportunities are advertised for graduates
    • Limited opportunities to mobilize interest in One Health
      outside of academia in Canada
    • Will require changing behaviours and mindsets

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ONE HEALTH LEADERSHIP EXPERIENCE



    An Uphill Battle

    • “…a shortage of collaborative student programs, insufficient
      environmental training for health professionals, and a lack of
      institutional support impede progress”
       » Meredith A Barrett, Timothy A Bouley, Aaron H Stoertz, and
         Rosemary W Stoertz. 2010. Integrating a One Health approach
         in education to address global health and sustainability
         challenges. Frontiers in Ecology and the Environment (e-View)




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ONE HEALTH LEADERSHIP EXPERIENCE




    “If you always do what you've always
    done, you'll always get what you've
    always got.”




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ONE HEALTH LEADERSHIP EXPERIENCE




     The Benefits of One Health (AVMA 2008)

     •   Improving animal and human health globally through collaboration among
         all the health sciences, especially between the veterinary and human
         medical professions to address critical needs
     •   Meeting new global challenges head-on through collaboration among
         multiple professions—veterinary medicine, human medicine, environmental,
         wildlife and public health
     •   Developing centers of excellence for education and training in specific areas
         through enhanced collaboration among colleges and schools of veterinary
         medicine, human medicine, and public health
     •   Increasing professional opportunities for veterinarians
     •   Adding to our scientific knowledge to create innovative programs to improve
         health



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ONE HEALTH LEADERSHIP EXPERIENCE



     Advantages for One Health Leaders

     • Marketable
     • Nimble, adaptable
     • Responsive to disease outbreaks, challenges
     • Broader perspective, see the commonalities
     • Chance to show leadership nationally and globally
     • Canada has recognized leaders in One Health – available for
       mentoring and support
     • Help to bridge the educational and research gap between the
       human, veterinary and environmental science fields
     • Potential employers – government, educational institutions,
       NGOs


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ONE HEALTH LEADERSHIP EXPERIENCE


             The Next Generation of One Health Practitioners
                                        Governance
                   Psychological
                                                          Public and Population Health

         Sociological                    Physical               Veterinary Medical
                                       Environments

      Historical
                                                                    Public Population Health
     Anthropological
                             Humans                   Animals
                                                                      Animal Science
      Economic

                                                                Evolutionary and
       Political
                                         Social                 Comparative
                                      Environments        Environmental and
          Public Policy
                                                          Ecological
                                                       Medical
        Communication Studies
                                       Biomedical
                                                                     Source: Rock et al., 2009

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…leading in public health challenges

• Competencies in Public Health Leadership

   »   Leading Transformation
   »   Legislation and Politics
   »   Transorganization
   »   Team and Group Dynamics
Determinants of Health

•   Income and Social Status
•   Social support networks
•   Education and Literacy
•   Employment – Work Conditions
•   Social Environments
•   Physical Environments
•   Personal Health Practices – Coping Skills
•   Healthy Child Development
•   Biology – Genetic endowment
•   Gender
•   Culture
•   Health Services

								
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