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One Health Workforce Project One Health Workforce Project John Deen One Health Workforce Project Part of USAID’s EPT2 Program Emerging Threats Program Emerging Threats Program Each civil society needs the capacity and confidence to defend itself Emerging Threats Program Invasion by pathogens • Significant death and morbidity • Large amount of disruption – Health system – Economy – Agriculture – Trade – Politics • Large influx of aid is also disruptive • A breakdown in civil society Emerging Threats Program Factors for Human Disease Emergence . 1415 species of infectious agents reported to cause disease in humans . Viruses, prions, bacteria, rickettsia, fungi, protozoa, helminths . 868/1415 (61%) zoonotic . 175 emerging infectious diseases . 132/175 (75%) emerging zoonoses Taylor et al. Risk factors for disease emergence. 2001, Philosophical Transactions, The Royal Society, London Emerging Threats Program Human Cases One Health – Public health Wild Animal Domestic Animal as part of a larger “ecosystem” Animal Amplification C A Wildlife Surveillance/ S Forecasting Early Detection Control E Opportunity S Human Amplification TIME Which predicts a country’s susceptibility to a pathogen? Agent or Host? Emerging Threats Program Eg Ebola • The presence of the agent (R0 <2) • The presence of a host defense (Workforce plus government capacity) Emerging Threats Program National One Health Workforce • Competent • Inspired • Empowered To • Prevent • Detect • Respond Emerging Threats Program History • SARS IHR aim of 100% of countries compliant • Ebola, MERS IHR at 32%, PVS lower • IHR and PVS Workforce deficiencies in prevention, detection and response • Short term : external workforce • Medium term : training of current workforce • Long term: University – trained workforce Emerging Threats Program eCOMOS (July 1): H5N2 Control • The agent – not sure of distribution in environment – distribution in poultry farms in the American Midwest • 12M infected (passages), 38M uninfected but euthanized – poultry farms infecting environment? • The host – Birds of the American Midwest – Flocks of the American Midwest Emerging Threats Program • Which moves faster: the disease or the response? Emerging Threats Program Lessons • We need to understand transmission likelihoods • We need competent people to respond quickly • We need leadership in the face of partial information • We need to get rid of reliance on absolutes Emerging Threats Program Three mechanisms of disease control • Control the agent • Improve the host response • Improve the community response Emerging Threats Program Emerging Threats Program A Competent Workforce Emerging Threats Program One Health Core Competency Domains GLOBAL SEAOHUN OHCEA Management Management Management Communication and Communication and Communication Informatics Informatics Culture and Beliefs Culture and Beliefs Culture, Beliefs, and Gender Leadership Leadership Leadership Collaboration and Collaboration and Collaboration and Partnership Partnership Partnership Values and Ethics Values and Ethics Values and Ethics Systems Thinking Systems Thinking Systems Thinking Policy and Advocacy (also at country level) Research Emerging Threats Program Emerging Threats Program An Inspired Workforce Emerging Threats Program Invasion by pathogens • Significant death and morbidity • Large amount of disruption – Health system – Economy – Agriculture – Trade – Politics • Large influx of aid is also disruptive • A breakdown in civil society Emerging Threats Program Kikwit • Mayor (Dr) Cyrille Kiyungu Emerging Threats Program Kikwit, 1995 Emerging Threats Program Emerging Threats Program Ebola warrior leads the charge in Sierra Leone Monica Musenero Masanza Assistant Commissioner, Epidemiology and Surveillance at Ministry of Health - Uganda Emerging Threats Program Emerging Threats Program An Empowered Workforce Emerging Threats Program Entrepreneurial New Skills and Career Paths Economic Value Proposition and Social Value Proposition Emerging Threats Program 27 The educational enterprise Aims: Broadening of training Transdisciplinary Trans-sectoral Trans-locational New faculty competencies Alternate course content Alternate teaching modalities Alternate curricula Alternate programs Alternate career pathways Emerging Threats Program Emerging Threats Program The case for networks: Cross-border university networks as a development strategy: Lessons from three networks David Chapman Amy Pekol Elisabeth Wilson University of Minnesota " International Review of Education” (2014): 619-637 Emerging Threats Program “Networks typically involve a larger number of institutions and focus on a broader set of activities organized around a particular issue or goal.” “Advocates of university networks posit that networks can take on activities that would exceed the ability of individual institutions and the intention often is to establish a longer-term, more sustainable set of relationships than are typical in university-to-university partnering arrangements (twinning) (ADB 2012)” Emerging Threats Program VOHUN Vietnam MYOHUN THOHUN Malaysia Thailand INDOHUN Indonesia Emerging Threats Program Connections • Spread of infections – Residences: people, wildlife, livestock, food, water – Driving factors: shedding rates, contact rates, susceptibilities, immunity, climate… • Spread of information (data, models, technologies): – Residences: practitioners, labs, professions, governments, IGO’s – Driving factors: Knowledge, trust, communication, resources • Spread of societal investment – Residences: governments, society, owners – Driving factors: economics, publicity, investments Emerging Threats Program Emerging Threats Program Emerging Threats Program .
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