Contributing to Contributing to One World, One Health One World, One Health A strategic framework for Reducing Risks of A strategic framework for Reducing Risks of Infectious Diseases at the Infectious Diseases at the Animal–Human–Ecosystems Interface Animal–Human–Ecosystems Interface Subhash Morzaria Subhash Morzaria Joint FAO-OIE-WHO-UNICEF-UNSIC-WB presentation Sharm El Sheikh Ministerial Conference on HPAI Egypt 25-26 October 2008 UNSIC Regional Workshop for UN Country Teams, 30-31 March 2009
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Contributing to One World, One Health A strategic framework for Reducing Risks of Infectious Diseases at the Animal–Human–Ecosystems Interface Subhash.
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Contributing to Contributing to One World, One HealthOne World, One Health
A strategic framework for Reducing Risks of A strategic framework for Reducing Risks of Infectious Diseases at the Infectious Diseases at the
Joint FAO-OIE-WHO-UNICEF-UNSIC-WB presentationSharm El Sheikh Ministerial Conference on HPAI
Egypt25-26 October 2008
UNSICRegional Workshop for UN Country Teams, 30-31 March 2009
Overview of the Overview of the presentationpresentation
Origin and the development of the Strategy
Components of the Strategy1. Introduction2. HPAI Achievements and Lessons Learned3. EIDs and Existing IDs and their Impacts4. The Strategic Framework5. Specific Objectives and Outputs6. Cross Cutting Issues7. Institutional Issues8. Financing the Framework
Conclusions and Way Forward
Origin and the development of the Strategy
Components of the Strategy1. Introduction2. HPAI Achievements and Lessons Learned3. EIDs and Existing IDs and their Impacts4. The Strategic Framework5. Specific Objectives and Outputs6. Cross Cutting Issues7. Institutional Issues8. Financing the Framework
Conclusions and Way Forward
IntroductionIntroductionNew Delhi recommendation, Dec 2007 Disease entrenched in several countries
Continued risk of re-emergence and pandemic flu
HPAI still a priority
Also recognition HPAI is one of many other E/rEIDs Address the larger issue of EIDs at animal-human-
ecosystem interface using OWOH approach
New Delhi recommendation, Dec 2007 Disease entrenched in several countries
Continued risk of re-emergence and pandemic flu
HPAI still a priority
Also recognition HPAI is one of many other E/rEIDs Address the larger issue of EIDs at animal-human-
ecosystem interface using OWOH approach
GenesisGenesis
Planning meeting in Geneva (FAO, WHO, OIE, UNICEF with UNSIC and WB) between 3-4 June 2008 to discuss strategy development
Based on the broad discussions in Geneva, outline for the Strategy agreed upon by mid June 2008
LATEST joint document (FAO-WHO-OIE-UNICEF-WB) finalized in mid October 2008
This is still a STRATEGIC FRAMEWORK with key concepts for WIDER CONSULTATION
Planning meeting in Geneva (FAO, WHO, OIE, UNICEF with UNSIC and WB) between 3-4 June 2008 to discuss strategy development
Based on the broad discussions in Geneva, outline for the Strategy agreed upon by mid June 2008
LATEST joint document (FAO-WHO-OIE-UNICEF-WB) finalized in mid October 2008
This is still a STRATEGIC FRAMEWORK with key concepts for WIDER CONSULTATION
Lessons learned… Lessons learned… Economic development and
disease
Disease control and livelihoods
Role of wildlife and transmission
Understanding epidemiology
Effective communication strategies
Cross-sectoral collaboration
Political commitment
Economic development and disease
Disease control and livelihoods
Role of wildlife and transmission
Understanding epidemiology
Effective communication strategies
Cross-sectoral collaboration
Political commitment
EIDs: main EIDs: main characteristicscharacteristics
Studies show over the last 50 years:One new disease every year
>70% are zoonotic, % increasing
Many are of transboundary in nature
Wide and significant impacts (SARS/HPAI)
Global significance, international public good
Studies show over the last 50 years:One new disease every year
>70% are zoonotic, % increasing
Many are of transboundary in nature
Wide and significant impacts (SARS/HPAI)
Global significance, international public good
Economic Impact of EIDEconomic Impact of EID
Figures are estimates and are presented as relative size.
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
Major thrusts/objectives Major thrusts/objectives 1. Preventive action and root causes and drivers
2. Building more robust public and animal health systems (IHR 2005, OIE Standards)
3. Strengthening the national and international emergency response capabilities
4. Better addressing the concerns of the poor: developed to developing economies potential to actual disease problems focusing on locally important diseases
5. Promoting cross sectoral and multi-disciplinary approach
6. Conducting strategic research
PrioritiesPriorities Country Level
Long term, improve disease control capacity, including the public and animal health and food safety services based on good governance compliant with WHO IHR and OIE standards
Country and Regional Levels Short to medium term establish risk-based disease surveillance
in humans and animals to identify diseases at source (hotspots, human-animal interface)
International Level Medium to long term strengthen capacity to improve ‘horizon
scanning’ to support countries to respond early and control infectious disease events (GLEWS).
Risk-based surveillance for Risk-based surveillance for sources of infectionsources of infection
Hotspots(Range of researchable issues)
Entrenchment animal/human/ecosystems
population density
A-Zoonotic/wild B-Zoonotic/domestic
D-Vector-borneC-Drug resistant
Cross cutting issues•Surveillance at three health domains •Biosecurity•Bioterrorism•Socio-economics•Development issues•Communications strategies at different levels
•Private-public partnership•Monitoring and evaluation
Cross cutting issues•Surveillance at three health domains •Biosecurity•Bioterrorism•Socio-economics•Development issues•Communications strategies at different levels
•Private-public partnership•Monitoring and evaluation
Country level initiation and implementing stronger intersectoral collaboration and political commitment
Country, regional and international levels coordinated action that brings together those working on human, animal and ecosystems health
International level engaging international institutions drawing on their unique mandates and complementary expert base
Permitting rapid engagement of a broader range of stakeholders, including regional organizations in order to respond effectively to a variety of disease threats
Financing FrameworkFinancing Framework
FUNDING FOR THE FOLLOWING KEY AREAS:
Responding to the ongoing avian influenza crisis Strengthening public and animal health services Improving surveillance: special attention for hotspots
and strengthening wildlife surveillance Providing funds for emergency response
1. Supporting communication and social mobilization
2. Conducting strategic research
3. Supporting international organizations for regional and global initiatives
Preliminary cost estimatesPreliminary cost estimates HPAI support
Annual funding needs over next 3 years: US$542–735 million
Estimated cost of funding the OWOH Strategic Framework to 2020 Average per year:
• Scenario 1: US$ 852 million (43 low income countries)• Scenario 2: US$1,343 million (139 eligible countries)