Transcript one health systems regional research priorities

AN OVERVIEW OF ONE HEALTH
REGIONAL RESEARCH
PRIORITIES
Prof. Robinson Mdegela
Sokoine University of Agriculture, Morogoro, Tanzania
BACKGROUND
 The time we live is characterized by an unprecedented
increase in the emergence of new health threats in humans
animals and in the environment
 Underlying this “new dynamic” of shared risk are five key
“drivers” that converge at the “human-animal-ecosystem”
interface
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Globalization
Population growth
Economic growth
Food security
Changing habitats
NATURE OF THE PROBLEM: INTERNATIONAL VS LOCAL
IMPORTANCE
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3
WATER SCARCITY
Water resource is increasingly becoming scarce
6
LACK OF VETERINARY SERVICES
USE OF ANTIBIOTICS AND EMERGENCE OF
ANTIMICROBIAL RESISTANCE
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PARADIGM SHIFT FROM DOWN STREAM TO UPSTREAM
Downstream approach in silos
Pathogen circulating
in animals
Disease
Emergence
Disease impact in
human population
Upstream paradigm shift using OHA
Control
measures in
animal
population
Prevent
transmission
and prevent
emergence
Manage
diseases and
infections in
humans
One Health
An interdisciplinary strategy to address
health from an integrated perspective
rather than a discipline-based
fragmented perspective
Is not a discipline, rather an approach
ONE HEALTH REGIONAL RESEARCH
PRIORITIES
 OHCEA membership map
Italy
Spain
Greece
Turkey
Syria
MEDITERRANEAN SEA
Iran
Iraq
Tunisia
Morocco
Canary Islands
Libya
Algeria
Western
Sahara
Egypt
Saudi Arabia
Mauritania
Cape
Verde
RED
SEA
Mali
Niger
Senegal
Gambia
Guinea Bissau
Guinea
Togo
Cote
LiberiaD’Ivoire Ghana
Yemen
Eritrea
Chad
Sudan
Burkina
Faso
Benin
Sierra Leone
Djibouti
Nigeria
Central
African
Republic
Cameroon
Ethiopia
Uganda
Kenya
Rwanda
Burundi
Dem. Rep.
of Congo
INDIAN
OCEAN
Angola
Tanzania
Comoros
ATLANTIC
OCEAN
Angola
Malawi
Zambia
Mozambique
Zimbabwe
Namibia
0
1000 Miles
1000 KM
 14 Public Health and Veterinary
Higher Education Institutions
Somalia
Equatorial Guinea
Sao Tome & Principe
Congo
Gabon
0
 One Health Central and Eastern
Africa network was established in
October 2010
 HQ- Kampala, Uganda
 6 countries: Democratic Republic
of Congo, Ethiopia, Kenya,
Rwanda, Tanzania and Uganda
Madagascar
Botswana
Swaziland
Lesotho
South Africa
 “Hot Spot” for emerging and reemerging infectious diseases
CRITERIA FOR SETTING ONE HEALTH
REGIONAL RESEARCH PRIORITIES
 Must be demand-driven, and responding to the needs and
priorities of a broad group of stakeholders
 Magnitude of the problems, that should also represent values
of social justice and equity, and the urgency of the problems
to be researched
 Must be ethically, socially and politically acceptable
 Must be feasible to be undertaken
 New research must complement existing knowledge and
avoid duplication of efforts
ONE HEALTH REGIONAL RESEARCH
PRIORITIES
One Health disease, condition and/or factor
specific regional research priorities
One Health systems regional research
priorities
 One Health cross cutting issues regional
research priorities
ONE HEALTH DISEASE, CONDITION AND/OR
FACTOR SPECIFIC REGIONAL RESEARCH
PRIORITIES
 Emerging and re-emerging infectious zoonotic
diseases of international and local priorities
 Endemic zoonotic diseases (neglected) of
international and local priorities
 Emerging health challenges
 Emergency of antimicrobial resistance
 Emerging pollutants in particular endocrine disruptors
 Food safety
 Occupational health risks; agricultural pesticides and
mining industries
ONE HEALTH SYSTEMS REGIONAL RESEARCH
PRIORITIES
 One health
information systems
 Information
technology
 Communication
technology and
systems
 Information up-take
 Utilization of one
health information for
policy and decision
making
ONE HEALTH SYSTEMS REGIONAL RESEARCH
PRIORITIES
One health policy
 Use of evidence in policy and decision making
 Use of research findings to inform policy and decision
making
 Capacity building in policy analysis
One health service delivery systems
ONE HEALTH SYSTEMS REGIONAL RESEARCH
PRIORITIES
One health financing systems
Resource mobilization and impact
Cost benefit analysis
 One health education systems
Curriculum
Leadership
 Inter-sectoral and Inter-Institutional collaboration
 Private Public Partnership
ONE HEALTH SOCIO-CULTURAL DETERMINANTS FOR
REGIONAL RESEARCH PRIORITIES
Gender
Social constructs
Taboos
Customs
Beliefs
Traditions
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RISK ASSESSMENT
RISK ANALYSIS FRAMEWORK ONE HEALTH REGIOANL
RESEARCH PRIORITIES
Hazard
identification
Hazard
characterization
Exposure
assessment
Risk characterization
RISK
COMMUNICATION
Risk communication
RISK
MANAGEMENT
Risk management
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VALUE FOR ONE HEALTH REGIONAL
RESEARCH PRIORITY SETTING
 Better utilization of merger resources,
particularly, in resource-poor countries
 More efficient alignment of limited human,
financial and material resources
THANK YOU FOR LISTENING
Prof. Robinson H. Mdegela
Sokoine University of Agriculture
P. O. Box 3021
Morogoro
Tanzania
Tel: +255 23 260 45 42
Fax: +255 23 260 46 47
E-mail: [email protected]
[email protected]
Web: www.suanet.ac.tz