Programme & Short Abstracts

NE HEALTH ONE PLANET ONE FUTURE

3rd GRF One Health Summit 2015 04-06 October 2015 • Davos • Switzerland

NE HEALTH ONE PLANET ONE FUTURE Fostering interdisciplinary collaboration for global public and animal health Programme & Short Abstracts

Global Risk Forum GRF Davos SponSorSSponsors

The European Academy of Allergy and Clinical Immunology Organisation

Swiss National Science Foundation

Swiss International AirLines - Official Carrier

GRFGRF Davos Davos announces announces

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http://www.planet-risk.org Email: [email protected] ContentS

Sponsors ...... 2 Patronage Institutions ...... 4 Chairman’s Welcome ...... 5 Endorsing Partners ...... 6 Media Partners ...... 7 Scientific and Technical Advisory Board . . . . . 8 Programme Overview ...... 10 Map of the Congress Centre ...... 12 Detailed Programme Sunday, 04 Oct . 2015 . . . . 14 Detailed Programme Monday, 05 Oct . 2015 . . . 16 Detailed Programme Tuesday, 06 Oct . 2015 . . . 25 Poster Presentations ...... 31 Local Organizing Committee ...... 33 Global Risk Forum GRF Davos ...... 33 General Information & Emergency ...... 34 Extended Abstracts and Posters ...... 35 Short Abstracts Collection ...... 37

This 3rd GRF One Health Summit 2015 Programme booklet is conceptualised as an environmental and printer friendly digital publication .

Join the discussion online #ONEHEALTH2015

V30092015 patronage InStItutIonS

Federal Office of Public Health FOHP

The World Organisation for Animal Health (OIE)

Food and Agriculture Organization of the United Nations

United Nations Environment Programme UNEP

Co-HoStIng InStItutIonS

The European Academy of Allergy and Clinical Immunology Organisation

University of Denver - Graduate School of Social Work

H+ Die Spitäler

International Congress on Pathogens at the Human Animal Interface (ICOPHAI)

International Research Institute of Disaster Science (IRIDeS)

Michigan State University

SIAF - Swiss Institute of Allergy and Asthma Research

4 patronage InStItutIonS CHaIrman’S WelCome

On behalf of GRF Davos, I am very pleased to welcome you to Davos for the 3rd GRF One Health Summit 2015, and would like to thank you for joining Federal Office of Public Health FOHP this international gathering . This year’s summit builds on the success and progress of its preceding conferences in 2012 and 2013 and once again features a broad range of topics . It brings together actors and stakeholders from different regions and aims to strengthen partnerships and networks The World Organisation for Animal Health (OIE) between science and practice, policy building institutions, NGOs, and the private sector . With a vital mix of formats, including keynote lectures, plenary and parallel sessions, the summit shall provide a valuable forum for dialogue and a strategic platform to foster the exchange of information and viewpoints between scientists, practitioners and policy makers . Food and Agriculture Organization of the United Nations One Health has evolved from a pure human- animal interference approach Walter J . Ammann to a broad and holistic paradigm that addresses and frames the complex interactions between human health, livestock, pet and wildlife health, One Health Chairman environmental health, climate, ecosystems, agriculture, food systems and resilient, sustainable development . It includes aspects of nutrition, United Nations Environment Programme UNEP agriculture, the safety and security of food supplies, environmental stewardship and the management of natural resources, water, energy, and ecosystems services, as well as questions of awareness, behaviour and learning, governance, economics, and disaster preparedness .

Keeping in mind that more than half of the worldwide population is Co-HoStIng InStItutIonS living in urban areas and rural exodus continues to grow; One Health may become a crucial approach to successfully cope with all the drivers and consequences in urbanization dynamics . This year, important international agreements of the UN, the Hyogo Framework for Action (HFA), and the Millennium Development Goals (MDGs) come to an end and are to be replaced by new international frameworks . The Sendai Framework for Disaster Risk Reduction 2015-2030, replacing the HFA, has been adopted at the UN World Conference in Sendai, Japan, on March 18, 2015 . End of September in New York, the United Nations Sustainable Development Summit 2015 has successfully agreed on the Sustainable Development Goals, the SDGs, replacing the UN Millennium Development Goals of the last decade . Let us hope that by the end of this year, the United Nations Framework Convention on Climate Change will also agree on powerful instruments and commitments at COP15 in Paris .

The One Health approach has a direct and substantial impact on these frameworks and conventions . I would like to thank all the institutions and speakers for revealing these links and raising awareness . As a paradigm, One Health could be seen as THE solution to achieve the many goals set in these frameworks and conventions . It is therefore important to further strengthen our global movement at the interface of science, society, policy and practice . One Health is highly interdisciplinary and cross-sectorial and provides a fascinating, powerful framework that a variety of professional communities and social groups can adhere to, thus fostering a more sustainable way of life on our planet .

Dr Walter J . Ammann Chairman, 3rd GRF One Health Summit 2015 President, Global Risk Forum GRF Davos

55 endorSIng partnerS

• Academica Raetica, Davos Platz, Switzerland • CRIMEDIM – Research Center in Emergency and Disaster Medicine, Novara, Italy • African Rights Initiative International (ARII), Accra, Ghana • DesertNet International, Hamburg, Germany

• aha! Allergiezentrum Schweiz, Bern, • Earthquakes and Megacities (EMI), Quezon Switzerland City, Philippines

• Animal Health Australia, Canberra, Australia • Enhancing Learning and Research for Humanitarian Assistance (ELRHA), Cardiff, • ARCHIVE Global, New York, USA Wales

• Association Burkinabé pour la Survie de • Food Law Latest, Turin, Italy l’Enfance, Ouagadougou, Bourkina Faso • Global Alliance for Rabies Control (GARC), • Association of qualified nutritionists Manhattan, Kansas, USA Switzerland, Bern, Switzerland • Gavi -The Vaccine Alliance, Geneva, • Atharva Ayurveda India, Rajkot, India Switzerland

• Aussätzigen-Hilfswerk Österreich, Bregenz, • H + Die Spitäter der Schweiz, Bern, Austria Switzerland

• Basic Health Foundation, Abuja, Nigeria • Healthy-Polis International Consortium for Urban Environmental Health & Sustainability • Beijing Normal University, Beijing, China • Institute for Biosecurity (IBS), Halle, Germany • Blue torch Home Care LTD ., Enugu, Nigeria • IntBiotechnologies, Brooklyn, Maryland, USA • Catholic Bishops’ Conference of India Coalition for AIDS and Related Diseases (CBCI- • International Food Design Society, CARD), New Delhi, India International

• Centre for Advanced Research & Development • International One Health Congress 2015 , (CARD), Bhopal, India Maastricht, The Netherlands

• ChildHelp Sierra Leone, Freetown, Sierra • International Society for Disease Surveillance Leone (ISDS), Brighton, USA

• CILSIDA, Lomé, Togo • London School of Hygiene and Tropical Medicine, London, UK • Colorado State University, Warner College of Natural Resources, Fort Collins, USA • Minority Self Empowerment Foundation (MSEF), Dhaka, Bangladesh • Commonwealth Peoples’ Association of Uganda (CPAUG), Kampala, Uganda • Northumbria University, Disaster and Development Centre, Newcastle-upon-Tyne, • Community Health Development UK Organisation, Accra, Ghana • One Health Central and Eastern Africa (OHCEA), • Concern Health Education Project (CHEP), Kololo, Uganda Accra, Ghana • One Health Initiative, Sarasota, USA • Consortium of Universities for Global Health, Washington, D .C ., USA • Participatory Human Rights Advancement Society, Dhaka, Bangladesh

6 • PharmaAfrica, Global • University of Agriculture Faisalabad, Faisalabad, Pakistan • Rivers Network, Portland, USA • UNU International Institute for Global Health • SAFOSO AG, Bern, Switzerland (UNU-IIGH), Kuala Lumpur, Malaysia

• SaniWater Solutions, Lucknow, India • Vier Pfoten - Stiftung für Tierschutz, Zürich, Switzerland • Swiss Institute of Allergy and Asthma Research (SIAF), Davos Platz, Switzerland • WaterEmpowerment, Global

• Swiss National Science Foundation (SNSF) • World Animal Protection, London, UK - Healthy Nutrition and Sustainable Food Production (NRP 69), Bern, Switzerland • World Association for Disaster and Emergency Medicine (WADEM), Madison, USA • The Sackler Institute for Nutrition Science, New York, USA • World Veterinary Association, Brussels, Belgium

medIa partnerS

Competence Hospitalforum

Hospital Healthcare Management

77 SCIentIfIC and teCHnICal advISory Board

• Wael Al-Delaimy, Chief, Division of Global • Claude Favrot, Professor, Head of the Health, Department of Family and Preventive dermatology Unit, Vetsuisse Faculty in Zürich, Medicine, University of California, San Diego, Switzerland USA • Katherine H. Haman, Fish and Wildlife • Ali Ardalan, Director of Disaster and Health Specialist, Washington Department of Emergency Health Academy at Tehran Fish and Wildlife, Olympia, WA, USA University of Medical Sciences, Tehran, Iran • Duncan Hannant, Professor of Applied • Gertjan Berndt Beekman, Water Resources Immunology, School of Veterinary Medicine Planning and Development Specialist, and Science, University of Nottingham, UK InterAmerican Institute for Cooperation on Agriculture-IICA, Brasilia, Brazil • Bruce Kaplan, One Health Initiative, Sarasota, USA • Eric Bertherat, Global Alert and Response, Department of Pandemic and Epidemic • Alexander Kekulé, Director, Institute for Diseases, World Health Organization WHO, Biosecurity Research (IBS), Halle, Germany Geneva, Switzerland • Hillel S. Koren, Consultant and CEO, • Jean Bousquet, Professor of Pulmonary Environmental Health LLC, Durham, USA Medicine, Montpellier University, Montpellier, France • Shubha Kumar, Assistant Professor, Department of Preventive Medicine, Keck • Andrew Collins, Disaster and Development School of Medicine, University of Southern Network (DDN) and Dept . of Geography, California (USC) and Director, Master of Northumbria University, Newcastle-upon- Public Health Online Program and Distance Tyne, UK Education, USC Institute for Global Health, Los Angeles, USA • Peter Daniels, Deputy Director, CSIRO Australian Animal Health Laboratory (AAHL), • Roderick Lawrence, Visiting Professor, Geelong, Australia International Institute for Global Health, United Nations University, Kuala Lumpur, • Peter Daszak, President, EcoHealth Alliance, Malaysia New York, USA

8 • David T. Long, Professor, Aqueous and • David L. Skole, Professor, Global Ecology, Environmental Geochemistry . Co-Director Remote Sensing, and GIS, Departement of TREHB Project, Deptartment of Geological Forestry, Michigan State University, East Sciences, College of Natural Science, Michigan Lansing, USA State University, East Lansing, USA • Philip Tedeschi, Executive Director, Institute • Andrea Meisser, Swiss Tropical and Public for Human-Animal Connection, Graduate Health Institute, Basel, Switzerland School of Social Work, University of Denver, USA • Maria Antonella Muraro, Head of the Veneto Region Food Allergy Centre of Excellence for • Thomas C. Voice, Professor, Department Research and Treatment, University of Padua, of Civil and Environmenal Engineering, Padua, Italy Michigan State Univeristy, East Lansing, USA

• Steven G. Pueppke, Associate Vice-President, • Chadia Wannous, Senior Policy Advisor, Research and Graduate Studies, Director, United Nations System Influenza Coordination Global and Strategic Initiatives, College of UNSIC, Switzerland Agriculture and Natural Resources, Michigan State University, East Lansing, USA • James Herbert Williams, Dean, DU Graduate School of Social Work, University of Denver, • Dato’ C.P. Ramachandran, Academician Denver, USA Professor Emeritus, Kuala Lumpur, Malaysia • Qian Ye, Professor, State Key Laboratory for • Arno Rosemarin, Senior Research Fellow, Earth Surface Processes and Resource Ecology, Stockholm Environment Institute, Stockholm, Beijing Normal University, Beijing, P .R . China Sweden

• Mark Rosenberg, Professor, Queens University and Co-Chair Global Environmental Change and Human Health Project, Hamilton, Canada

• Peter Schmitz, Senior research fellow, Institute for Hygiene and Public Health, WHO CC, University of Bonn, Germany

99 programme overvIeW Sunday, 04 Oct. 2015 16:00-16:40 Opening Ceremony Location Aspen 16:40-17:10 Her Royal Highness Princess CHULABHORN: Honorary Lecture • Human Health as a Key Factor for Sustainable Development Location Aspen 17:20-17:50 MOLIN VALDES, Helena: Keynote I • Climate and Clean Air Coalition: Quick Action Needed on Super Pollutants - for Climate and Health Benefits Location Aspen 17:50-18:30 NEIRA, Maria P. : Keynote II • Health as a Pillar for Sustainable Development Location Aspen 18:30-18:45 Signing Ceremony: MoU between IRIDeS Tohoku University, Sendai and GRF Davos Location Aspen 18:45-19:00 Poster Session Opening Location Foyer Aspen Monday, 05 Oct. 2015 08:30-10:00 MON1.1: A Focus on Behaviours Necessary for Food Security in Animal Protein Value Chains Location Jakobshorn 08:30-10:00 MON1.2: Integrative Health Risk Management Location Pischa MON1.3: Water and Health Location Parsenn 10:30-11:00 EGAWA, Shinichi: Keynote III • One Health in the Sendai Framework for Disaster Risk Reduction 2015-2030 Location Aspen 11:00-12:30 Plenary I: One Health and the Sendai Framework for Disaster Risk Reduction Location Aspen 12:30-13:30 MON3.1: Poster Session Location Foyer Aspen 13:30-14:00 MADER, Markus: Keynote IV • The Role of the Red Cross for Global Public Health Location Aspen 14:10-15:40 MON4.1: The One Health Approach in Action - Programmes and Initiatives Location Jakobshorn MON4.2: Food Security and Food Safety Location Pischa MON4.3: Wildlife, Livestock and Pets - The Human Animal Interface Location Parsenn 15:50-17:20 MON5.1: One Health Approaches for Sustainable Development Location Jakobshorn MON5.2: Case Studies of Integrative Health Risk Management Location Pischa MON5.3: Surveillance and Early Warning - The Basis for Prevention Location Parsenn 17:30-19:00 Plenary II: Allergies and Asthma – A Rapidly Growing Disease Location Aspen 10 programme overview

Tuesday, 06 Oct. 2015 08:30-10:00 TUE1.1: Education and Capacity Building within One Health Location Jakobshorn TUE1.2: Implementing Animal Based Therapies in the Health Care Setting: A Team Approach Location Pischa TUE1.3: Vulnerabilities and Resilience - One Health Approaches for Sustainable Development Location Parsenn 10:30-11:00 BORRIELLO, Peter: Keynote V • One Health Aspects of Antibiotic Resistance Location Aspen 11:00-12:15 Plenary III: Targeting Infectious Diseases (Ebola) Location Aspen 13:15-14:15 TUE4.1: The One Health Approach in Action - Tools and Projects Location Jakobshorn TUE4.2: The One Health Approach for Communicable Diseases Location Pischa TUE4.3: Poverty and Health - One Health Approaches for Sustainable Development Location Parsenn 14:30-16:00 Plenary IV: Engaging Developing Regions for Effective Global One Health implementation - The ICOPHAI approach Location Aspen 16:15-17:30 Plenary V: Social Challenges and Opportunities for Effective One Health Governance Location Aspen 17:30-17:45 Closing Ceremony Location Aspen 19:30-23:00 Conference Dinner Location Hotel Grischa • Talstrasse 3 • 7270 Davos Platz (directly opposite the Train Station Davos Platz)

A mobile phone and tablet friendly version of the conference programme including all details and short abstracts can be found at https://www .conftool .pro/onehealth2015/sessions .php or via the QR code

Join the discussion online #ONEHEALTH2015 1111 map of tHe CongreSS Centre

Level 0 Promenade ATM /

cash machine

Entrance Promenade booth

GRF Davos

Registration

FOYER ASPEN Parsenn

Aspen Plenary Hall Pischa

Level -1 Parkgeschoss 12 Entrance Congress Centre Promenade

Jakobshorn

Level -2 Parkgeschoss

1313 detaIled programme Sunday, 04 oCt. 2015

14:00-16:00 Registration

16:00-16:40 Opening Ceremony Location Aspen Chair ROUHBAN, Badaoui - Senior Research Fellow, Global Risk Forum GRF Davos, Davos, Switzerland Music ViVoce - Susanne Mathys and Hans Michael Sablotny singing: • Heja in den Bergen – from “Csardasfürstin“ • Gern hab ich die Frauen geküsst – from “Paganini“ • Lippen schweigen – from “die lustige Witwe“

Welcome Chairman’s Welcome AMMANN, Walter J. - President and CEO, Global Risk Forum GRF Davos, Davos, Switzerland

Welcoming Address City of Davos CAVIEZEL, Tarzisius - Mayor of the City of Davos, Davos, Switzerland

Music ViVoce - Susanne Mathys and Hans Michael Sablotny singing: • What a wonderful world • Somewhere over the rainbow • Niemand liebt dich so wie ich – from “Paganini”

16:40-17:10 Honorary Lecture: Human Health as a Key Factor for Sustainable Development Location Aspen Her Royal Highness Princess CHULABHORN, Professor, Dr ., President of the Chulabhorn Research Institute is the youngest daughter of Their Majesties King Bhumibol Adulyadej and Queen Sirikit of Thailand, Bangkok, Thailand ViVoce

Hans michael Sablotny, tenor Susanne mathys, Sopran 14 detailed programme Sunday, 04 oct. 2015

17:10-17:20 Break

17:20-17:50 Keynote I: Climate and Clean Air Coalition: Quick Action Needed on Super Pollutants - for Climate and Health Benefits Location Aspen MOLIN VALDES, Helena - Head, Secretariat of the Climate and Clean Air Coalition to Reduce Short-Lived Climate Pollutants (CCAC), Paris, France

Music ViVoce - Susanne Mathys and Hans Michael Sablotny singing: • Medley from “Funiculli, funiculla“, “Non ti scordar di me“ and “Mattinata“ • Libiamo – from “La Traviata“

17:50-18:30 Keynote II: Health as a Pillar for Sustainable Development Location Aspen NEIRA, Maria P. - Director, WHO Department of Public Health, Environmental and Social Determinants of Health, Geneva, Switzerland

18:30-18:45 Signing Ceremony: MoU between IRIDeS Tohoku University, Sendai and GRF Davos Location Aspen ONO, Yuichi - Assistant Director and Professor, International and Regional Cooperation Office Disaster Information Management and Public Collaboration Division International Research Institute of Disaster Science (IRIDeS), Tohoku University, Sendai, Japan AMMANN, Walter J. - President and CEO, Global Risk Forum GRF Davos, Davos, Switzerland CAVIEZEL, Tarzisius - Mayor of the City of Davos, Davos, Switzerland

18:45-19:00 Poster Session Opening Location Foyer Aspen

1515 detaIled programme monday, 05 oCt. 2015

08:00-08:30 Registration

08:30-10:00 MON1.1: A Focus on Behaviours Necessary for Food Security in Animal Protein Value Chains Location Jakobshorn Chair DANIELS, Peter Wallace - Australian Animal Health Laboratory, Australia Speakers RUSHTON, Jonathan - Royal Veterinary College, UK Studying livestock food Systems - the need to Create Clarity DANIELS, Peter Wallace - Australian Animal Health Laboratory, Australia Surveillance for Infections with Zoonotic potential in farmed animals PATRICK, Ian - University of New England, Australia developing value Chain Incentives to Improve Biosecurity in Smallholder Commercial poultry farming Systems in Indonesia ALLEN, John - CSIRO, Australian Animal Health Laboratory, Geelong Australia Intergrated one Health Zoonoses risk assessments of Cross Border pork value Chains in lao pdr OKELLO, Anna L - Small Holder Pig Systems Project, LAO PDR from theory into action: applying a one Health approach for the Investigation and Control of a Hyperendemic focus of taenia Solium in lao pdr ALDERS, Robyn - University of Sydney, Australia a one Health approach to the Incorporation of village poultry production into nutrition-Sensitive landscapes DIXON, Jane - Australian National University, Australia resilience of our food Systems in terms of food Security and public Health KOMALADARA, Anak Agung Sagung Putri - Udayana University, Indonesia Contract Bonus Systems to encourage Biosecurity adoption on Small-Scale Broiler farms in Bali, Indonesia

08:30-10:00 MON1.2: Integrative Health Risk Management Location Pischa Chair RÜEGG, Simon - University of Zurich, Switzerland Speakers DOMINEY-HOWES, Dale - The University of Sydney, Australia rebranding antibiotic resistance as a disaster risk problem – a necessary Step towards Integrated Health risk management NIELSEN, Linda - Technical University of Denmark, Denmark Comparison of Science-Based frameworks for risk-Informed decision Support across life-Science and engineering disciplines BURDAKOV, Alexey - Black & Veatch, USA one Health epidemic risk management in Kazakhstan with open-Source eIdSS VROEGINDEWEY, Gary A. - World Organization for Animal Health, USA Beyond three rings: an enhanced one Health model 16 detailed programme monday, 05 oct. 2015

RÜEGG, Simon - University of Zürich, Switzerland one Health Impacts on Clinical decisions

08:30-10:00 MON1.3: Water and Health Location Parsenn Chair HALL, David C. - University of Calgary, Faculty of Veterinary Medicine, Canada Speakers NORMATOV, Parviz - Tajik National University, Tajikistan monitoring of emergency Water factors and anthropogenous loading of Industrial facilities on Quality of a Waterway of transboundary rivers HALL, David C. - University of Calgary, Faculty of Veterinary Medicine, Canada Water public Health, perceptions, and disease mitigation Strategies in rural vietnam DREISEITL, Herbert - Rambøll, Germany Water management in Singapore’s Bishan ang-mo Kio park – resilience and liveability through Blue-green and Social Infrastructure HAN, Guoyi - Stockholm Environment Institute, Stockholm, Sweden Conceptualising WaSH System resilience in the Context of natural Hazards MEJIA, Monica Pamela - San Carlos University of Guatemala, Guatemala multisectorial Scheme proposed for resilience in guatemala due to disasters Caused by Water PATIL, Manish Dattatray - Simple Ideas & Solutions, India to provide millions of gallons of fresh Water to all eco System In Sahara desert Without using Single Watt of energy

10:00-10:30 Break

10:30-11:00 Keynote III: One Health in the Sendai Framework for Disaster Risk Reduction 2015-2030 Location Aspen Keynote Speaker EGAWA, Shinichi - Professor, Divison of International Cooperation for Disaster Medicine, IRIDeS, Tohoku University, Sendai, Japan

1717 detailed programme monday, 05 oct. 2015

11:00-12:30 Plenary I: One Health and the Sendai Framework for Disaster Risk Reduction Location Aspen Plenary Session co-hosted and organized by the Tohoku University, International Research Institute of Disaster Science (IRIDeS), Sendai, Japan Co-Chair EGAWA, Shinichi - Professor, Divison of International Cooperation for Disaster Medicine, IRIDeS, Tohoku University, Sendai, Japan Co-Chair ONO, Yuichi - Assistant Director and Professor, International and Regional Cooperation Office Disaster Information Management and Public Collaboration Division International Research Institute of Disaster Science (IRIDeS), Tohoku University, Sendai, Japan

The Sendai Framework for Disaster Risk Reduction 2015-2030 (SFDRR) was adopted at the Third World Conference for Disaster Risk Reduction, 14-18 March 2015, Sendai, JAPAN . SFDRR aims at the substantial reduction of disaster risk and losses in lives, livelihoods and health and in the economic, physical, social, cultural and environmental assets . To achieve this goal, several targets were set and indicators (to be negotiated) will be set soon to reduce disaster risk through integrated and inclusive measures and thus strengthen resilience . Health is dramatically enhanced in the SFDRR compared to the previous Hyogo Framework for Action that provoked the Safe Hospital Campaign . Recent mega-disasters are changing its face both in the impact of hazards and the vulnerability of the communities . Accordingly, our capacity building is also required to be changed, since the health perspectives in disaster are rapidly changing . Every health professionals should recognize how to respond and to be prepared . Climate change, rapid urbanization, lack of resources, poverty and loss of biological diversities are related with each other and have greater impact on human, animal and plant health . This session includes the health overview of the SFDRR, disaster infectious diseases, and biohazards such as Ebola virus disease that require strategies not only by health professionals but also others from different sectors . Agricultural recovery process in the nuclear accident-affected area and designing cities both as a living place and a basis for increasing resilience will also be discussed . The session also introduces proposed activities of the Global Centre for Disaster Statistics that was jointly launched with UNDP and IRIDeS during the Third World Conference on Disaster Risk Reduction . The Centre would collect, archive, and analyse disaster damage data based on official sources .

Panellists ONO, Yuichi - Assistant Director and Professor, International and Regional Cooperation Office Disaster Information Management and Public Collaboration Division International Research Institute of Disaster Science (IRIDeS), Tohoku University, Sendai, Japan “global Centre for disaster Statistics” CHAGAN-YASUTAN, Haorile - Assistant Professor, Disaster Infectious Disease, IRIDeS, Tohoku University, Japan “one health and disaster related infectious disease” TAKADA, Ayato - Professor, Division of Global Epidemiology, Hokkaido University Research Center for Zoonosis Control, Sapporo, Japan “ebolavirus: ecology and antiviral strategies”

18 detailed programme monday, 05 oct. 2015

ISHII, Keiichi - Associate Professor, Department of Resource and Environment Economics, Graduate School of Agricultural Science, Tohoku University, Sendai, Japan “nuclear disaster and a Weakened resilience - reconstructing agriculture with aged farmers” MURAO, Osamu - Professor, Global Centre for Disaster Statistics IRIDeS, Tohoku University, Sendai, Japan “’City’ as a living environment from a viewpoint of disaster management”

12:30-13:30 LUNCH Location Foyer Aspen

12:30-13:30 MON3.1: Poster Session Location Foyer Aspen Please refer to page 31 for an overview of Posters presented.

13:30-14:00 Keynote IV: The Role of the Red Cross for Global Public Health Location Aspen Keynote Speaker MADER, Markus - Director-General, Swiss Red Cross, Berne, Switzerland

14:00-14:10 Break

1919 detailed programme monday, 05 oct. 2015

14:10-15:40 MON4.1: The One Health Approach in Action - Programmes and Initiatives Location Jakobshorn Co-Chair TAYLOR, Melanie Rose - Macquarie University, Australia Speakers DOUMA, Dale Peter - Manitoba Agriculture, Food and Rural Development, Canada 1st International one Welfare (oW) Conference ISMAIL, Noor Hassim -Universiti Kebangsaan Malaysia, Malaysia South east asia one Health university network (SeaoHun):one Health Initiative from universities to Stakeholders CANALI, Massimo -University of Bologna, Italy an operational tool to enhance one Health Interdisciplinarity KINGSLEY, Pete - University of Edinburgh, UK Working towards ‘one Health’ – the Hidden politics of Breaking down Barriers TAYLOR, Melanie Rose - University of Western Sydney, Australia the HHalter project: an Interdisciplinary one Health Collaboration in action BRANDES, Hagit - University of Denver, USA one Health and positive youth development - the potential of green Care interventions

14:10-15:40 MON4.2: Food Security and Food Safety Location Pischa Co-Chair BORIANI, Elena - DTU, Denmark Co-Chair ALDERS, Robyn Gwen - University of Sydney, Australia Speakers REED, Florence Leanne - Sustainable Harvest International, USA Healthy farms for Healthy people and a Healthy planet ALDERS, Robyn - The University of Sydney, Australia, International Rural Poultry Centre, Kyeema Foundation, Australia let them eat eggs: promoting the vital Contribution of eggs to food and nutrition Security in resource-poor Settings JENSEN, Michael J - Institute for Governance and Policy Analysis, University of Canberra, Australia mass and elite framing of food Security Concerns in australia BORIANI, Elena - DTU, Denmark Integrated food SeCurIty: mapping and Selecting different Indicators and metrics GUYONNET, Vincent - International Egg Foundation, UK eggs: the un-Cracked potential of eggs to Improve Human nutrition around the World

20 detailed programme monday, 05 oct. 2015

14:10-15:40 MON4.3: Wildlife, Livestock and Pets - The Human Animal Interface Location Parsenn Co-Chair POSPISCHIL, Andreas - University of Zurich / ETH Zurich, Switzerland Co-Chair COLSTON, Angie - GALVmed, UK Speakers POSPISCHIL, Andreas - Collegium Helveticum, University of Zurich / ETH Zurich, Switzerland one medicine - one oncology – Incidence and geographical distribution of tumors in dogs and Cats in Switzerland 1955-2008 COLSTON, Angie - GALVmed, UK fostering Intersectoral Collaboration for Control of taeniasis and Cysticercosis in Humans and pigs WARD, Michael P - The University of Sydney, Australia planning for rabies Incursions in remote, northern australian Indigenous Communities DÜRR, Salome - Veterinary Public Health Institute, University of Bern, Switzerland; The University of Sydney, Faculty of Veterinary Science, Australia Quantification of roaming Behaviour of free-ranging domestic dogs to Inform Zoonosis transmission WARDROP, Nicola A - University of Southampton, UK landscape Heterogeneity and taenia spp. distributions in Humans and pigs: evidence of environmental Influences on disease transmission MUTONONO-WATKISS, Beryl - World Animal Protection, UK dog population management: Integrated Solutions for animals and people

15:40-15:50 Break

15:50-17:20 MON5.1: One Health Approaches for Sustainable Development Location Jakobshorn Co-Chair Thi LE, Huong - Hanoi Medical University, Vietnam Co-Chair KINGSLEY, Pete - University of Edinburgh, UK Speakers SOHAIL, Kamran - Organization for Social Development Initiative, Pakistan Socio-economic determinants of Hepatitis B & C in rural poor of pakistan INTHAVONG, Phouth - National Animal Health Laboratory, Ministry of Agriculture and Forestry, Department of Livestock and Fisheries, Luang Prabang, Lao PDR use of rapid anthropology to determine taenia Solium transmission drivers and Control options in a remote Community in northern lao pdr ISLAM, Khaleda - Institute of Epidemiology, Disease Control and Research (IEDCR), People’s Republic of Bangladesh “one Health Bangladesh” a professional Initiative to transform one Health agenda to a one Health movement in Bangladesh

2121 detailed programme monday, 05 oct. 2015

PHAM-DUC, Phuc - Hanoi School of Public Health, Vietnam one Health perspective and assessment of giardia and Cryptosporidium Infections related to Wastewater and excreta use in agriculture in vietnam MUTURI, Mathew - Zoonotic Disease Unit, Government of Kenya, Nairobi, Kenya; Ministry of Agriculture, Livestock and Fisheries, Nairobi, Kenya Zoonotic disease unit of Kenya: Blueprint for national one Health action PATWARI, Jayprakash Manoharrao - Maharashtra Udayagiri Mahavidyalaya, India ambient air Quality Surveillance: environmental Impact of Brick Kiln emission

15:50-17:20 MON5.2: Case Studies of Integrative Health Risk Management Location Pischa Chair KEKULÉ, Alexander - Institut für Biologische Sicherheitsforschung GmbH, Germany Speakers TANGENA, Julie-Anne Akiko - Institut Pasteur du Laos, Lao PDR; Durham University, Stockton Rd, Durham, UK risk of mosquito-Borne diseases in relation to rubber plantation development in South-east asia NADIRADZE, Kakha - Association for Farmers Rights Defense, AFRD, Georgia Snoozes risk assessment and prevention in georgia PANIAGO, Marcelo - Ceva Animal Health, France vaccination against avian Influenza: What Has Changed and What Should Be Changed LIMMONGKON, Yuparat - School of Occupational Health and Safety, Institute of Medicine, Suranaree University of Technology, Nakhon Ratchasima, Thailand preparation of Hearing Conservation program for Stone Crushing Industry SUMALEE, Buensanteai - Suranaree University of Technology, Thailand the Study of fatigue Compared Between touch Screen and Keypad mobile phones When Social networking

15:50-17:20 MON5.3: Surveillance and Early Warning - The Basis for Prevention Location Parsenn Chair STAL, Marc - Global Risk Forum GRF Davos, Davos, Switzerland Speakers ACHARYA, Resham Prasad - Relief International, Nepal fighting Zoonoses in afghanistan, Bangladesh and nepal: Concept and progress of the one Health asia programme

22 detailed programme monday, 05 oct. 2015

KAZAKOV, Stanislav - Kazakh Scientific Center of Quarantine and Zoonotic Infections, Almaty, Kazakhstan one Health approach for CCHf Surveillance in Kazakhstan: results of open Source eIdSS application for risk level evaluation VICTOIR, Kathleen - Institut Pasteur, France medilabSecure: laboratory network for a one Health approach of vector- Borne and respiratory viruses in the mediterranean and Black Sea regions VAN KERKHOVE, Maria - Institut Pasteur, France Institut pasteur: an International partner to Implement one Health SMITH, Woutrina - One Health Institute, University of California, Davis, USA Shifting the diagnostic paradigm for undiagnosed Illnesses – low-tech lessons emerging from the Wild COLLINS EADE, Amanda - University of Greenwich, UK an Investigation Into the early detection of psychosis and depression in Individuals via Social media

17:20-17:30 Break

17:30-19:00 Plenary II: Allergies and Asthma – A Rapidly Growing Disease Location Aspen Plenary Session co-hosted and organized by European Academy of Allergy and Clinical Immunology, Zurich, Switzerland Chair AKDIS, Cezmi, Director, Swiss Institute for Allergy and Asthma Research SIAF, Davos, Switzerland Chair MURARO, Maria Antonella, Head of the Veneto Region Food Allergy Centre of Excellence for Research and Treatment, University of Padua, Padua, Italy

Allergies and Asthma are not just public health problems for developed countries; the prevalence of allergic diseases is also increasing in developing countries . As negative and aggravating side effects of our technological progress with its overwhelming pollution of the atmosphere, the hydro-, bio-, and geosphere, the potential for allergic reactions of people, animals and plants is substantially increasing and the human and economic burden associated with these conditions getting worse . It is estimated that up to 30 percent of pets are suffering from allergies . But also changes in life style and food production may partially account for this increased prevalence . Allergies are only the tip of the iceberg when it comes to the medical problems that may be triggered or worsened by all the substances people and animals can come in contact with . The costs to society could be reduced to a large extent through concerted national and international actions . This session discusses the drivers for the rise of prevalence, explores the interconnections between human and animal allergies, and presents solutions for today’s challenges in research and treatment of allergies and asthma patients in human and veterinary medicine .

2323 detailed programme monday, 05 oct. 2015

Panellists MURARO, Maria Antonella - Head of the Veneto Region Food Allergy Centre of Excellence for Research and Treatment, University of Padua, Italy “food allergy and anaphylaxis: the new epidemic of 21st century.” AGACHE, Ioana - EAACI Vice-President Communication & Membership, Associate Professor, Allergy & Clinical Immunology, Transylvania University, Brasov, Romania “the asthma epidemic: How did we come to worldwide 600 million patients?” FAVROT, Claude - Professor, Head Dermatology Unit, Vetsuisse Faculty, Zurich, Switzerland “allergic diseases of animals and potential interactions with humans” SCHMID-GRENDELMEIER, Peter - Head Allergy Unit, Department of Dermatology, University Hospital Zurich, Zurich, Switzerland “allergic diseases in africa”

24 detaIled programme tueSday, 06 oCt. 2015

08:00-08:30 Registration

08:30-10:00 TUE1.1: Education and Capacity Building within One Health Location Jakobshorn Chair VROEGINDEWEY, Gary A. - World Organization for Animal Health, USA Speakers MANCINI, Jay A. - The University of Georgia, USA Improving Community Health through mobilizing formal Systems and Informal networks: a Social organizational approach CONN, David Bruce - Berry College, USA opening the one Health Workforce pipeline: education and research define an unprecedented one Health undergraduate degree program SITHAMPARAM, Sumitra - Malaysian Medical Association, Malaysia the tranSage project ISMAIL, Noor Hassim - Universiti Kebangsaan Malaysia, Malaysia South east asia one Health university network (SeaoHun) agenda for future and present one Health Workforce VROEGINDEWEY, Gary A. - World Organization for Animal Health, USA the World organisation for animal Health (oIe) one Health role in resilience and disaster management VROEGINDEWEY, Gary A. - World Organization for Animal Health, USA one Health and resilience: a new Biological modelling framework

08:30-10:00 TUE1.2: Implementing Animal Based Therapies in the Health Care Setting: A Team Approach Location Pischa Chair PIERCE, Bess Janine - Center for Animal Human Relationships, Virginia- Maryland College of Veterinary Medicine, USA Speakers PIERCE, Bess Janine - Center for Animal Human Relationships, Virginia- Maryland College of Veterinary Medicine, USA Introduction to animal assisted therapies with focus on canine interactions DAVIS, Trent A - Virginia Polytechnic Institute, Cook Counseling Center Implementing animal Based therapies in the Health Care Setting: a team approach BERTKE, Andrea S. - Virginia-Maryland College of Veterinary Medicine, USA risk management for disease transmission

08:30-10:00 TUE1.3: Vulnerabilities and Resilience - One Health Approaches for Sustainable Development Location Parsenn Co-Chair GANZLEBEN, Catherine - European Environment Agency, Denmark Co-Chair VAN KERKHOVE, Maria D. - Institut Pasteur, France Speakers RÜEGG, Simon - University of Zürich, Switzerland Sustainable development: Where are We Heading? 2525 detailed programme tuesday, 06 oct. 2015

RICHTER, Carsten - Center for Mountain Ecosystem Studies, Kunming Institute of Botany, Chinese Academy of Sciences; World Agroforestry Centre (ICRAF), East and Central Asia Region ebola virus disease outbreak in West africa: the lessons We Have not learned OKELLO, Anna - Australian Animal Health Laboratory, Lao PDR understanding Social drivers of taenia solium transmission in northern laos ROGERS, Barbara - Independent Author, UK a matter of life and death: reproductive Health Should be part of one Health HEROLD, Annika - Global Risk Forum GRF Davos, Switzerland the effects of ebola on african tourism

10:00-10:30 Break

10:30-11:00 Keynote V: AMR – There is a lot going on, but not enough One Health Location Aspen BORRIELLO, Peter - Professor, Chief Executive Officer, Veterinary Medicines Directorate VMD, Surrey, UK

11:00-12:15 Plenary III: Targeting Infectious Diseases (Ebola) Location Aspen Chair BERTKE, Andrea - Assistant Professor, Infectious Diseases & Public Health, Department of Population Health Sciences, Virginia-Maryland College of Veterinary Medicine, Virginia Tech, Blacksburg, USA

The 2014 Ebola epidemic is the largest in history, affecting multiple countries in West Africa . There were a small number of cases reported in Nigeria and Mali and a single case reported in Senegal; however, these cases were contained, with no further spread in these countries . The WHO reported on October 14, 2014 that the number of new Ebola cases could reach 10,000 per week by December 2014 . As of August 4, 2015, more than 11 .296 deaths and 27 898. cases had been reported in Sierra Leone, Liberia and Guinea, according to the WHO . While numbers of Ebola cases have dropped, the affected countries still need the support of the international community to get to zero cases, stay there, and to move forward on the road to recovery . This session will discuss the recent advances, strategies and challenges of all Ebola aspects .

Panellists NORTON, Ian - Head, Foreign Medical Team Unit, World Health Organization WHO, Geneva, Switzerland “ebola response - perspectives from the field” VAN KERKHOVE, Maria - Head, Outbreak Investigation Task Force, Center for Global Health, Institut Pasteur, Paris, France “analysis of ebola field data - informing public health policy”

26 detailed programme tuesday, 06 oct. 2015

KEKULÉ, Alexander S. - Director, Institute for Medical Microbiology at the Martin Luther University Halle-Wittenberg and Chairman, Institute for Biosecurity Research (IBS), Halle, Germany “lessons learnt from ebola: How Can We prevent the next epidemic?”

12:15-13:15 LUNCH

13:15-14:15 TUE4.1: The One Health Approach in Action - Tools and Projects Location Jakobshorn Co-Chair COWEN, Peter - North Carolina State University, USA Co-Chair BERTKE, Andrea S. - Virginia-Maryland College of Veterinary Medicine, USA Speakers ALDERS, Robyn Gwen - International Rural Poultry Centre, Kyeema Foundation, and Charles Perkins Centre, The University of Sydney, Australia gender Issues in Human, animal and plant Health using a Broad one Health perspective HEFFERNAN, Claire - Livestock Development Group, UK Creating a one Health metric GANZLEBEN, Catherine - European Environment Agency, Denmark environment, Health and Well-being nexus - the european environment agency (eea) perspective MASCARENHAS, Adolfo Caridade - Local & Indigenous Knowledge System, Tanzania (LInKS),Commission of Science & Technology (COSTECH) Research on Poverty Alleviation (REPOA) Integrating Knowledge Systems: Beyond the triple Health of the maasai and leapfrogging Into a modern Health facility in Kagera/Central africa

13:15-14:15 TUE4.2: The One Health Approach for Communicable Diseases Location Pischa Chair SMITH, Woutrina Ann - University of California, Davis, USA Speakers VAN DER WERF, Sylvie - Institut Pasteur, France, on behalf of the PREDEMICS Consortium preparedness, prediction and prevention of emerging Zoonotic viruses with pandemic potential using multidisciplinary approaches CANALI, Massimo - University of Bologna, Italy the economic dimension of vector-Borne disease ecology: public Costs of aedes albopictus Control In europe, a Case Study WARDROP, Nicola A - University of Southampton, UK the epidemiology of Q fever in Western Kenya

2727 detailed programme tuesday, 06 oct. 2015

13:15-14:15 TUE4.3: Poverty and Health - One Health Approaches for Sustainable Development Location Parsenn Chair ARABASADI, Ashley - International Medical Corps, USA Speakers PETTAN-BREWER, Klaisy Christina - School of Medicine, University of Washington, Seattle USA; School of Veterinary Medicine and One Health, One World Brazil-Latin America, University Federal of Viçosa, Minas Gerais Brazil Borrelia in Brazil – fact or fiction? a Collaborative Study with a one Health approach MAGEN, Jed Gary - College of Osteopathic Medicine Michigan State University, USA a muslim mental Health Conference: Community approaches to dealing with disaffection and extremism G. VARATHARAJA, Puspa RaniI - KPJ Healthcare University College Nilai, Malaysia a Street Conducive to all ages ONYANGO, Esther Achieng - Griffith University School of Environment: Centre for Environment and Population Health and Environmental Research Futures Institute, Australia a Conceptual framework for Conducting and Integrated vulnerability assessment in Climate Change and malaria transmission

14:15-14:30 Break

14:30-16:00 Plenary IV: Engaging Developing Regions for Effective Global One Health implementation - The ICOPHAI approach Location Aspen Plenary Session co-hosted and organized by the International Congress on Pathogens at the Human Animal Interface (ICOPHAI) Chair ALDERS, Robyn - Associate Professor and Principal Research Fellow, Faculty of Veterinary Science, University of Sydney, Australia

This panel will provide insights on effective One Health implementation using model projects between North and South as well as South South partnerships . Developing regions remain hotspots of emerging zoonotic infectious diseases; among recent ones including Middle Eastern Respiratory Syndrome (MERS), Ebola virus and also various Antimicrobial resistant strains . We plan to summarize key recommendations for building sustainable One Health system and capacity in low resource settings using shared experience and engagement among global partners via the ICOPHAI and associated partnerships . In addition, specific models including Ohio State east Africa One Health model implementation and also the Global Innovation Initiative among U .S ., Brazil and U .K partners that focuses on global issues such as antimicrobial resistance, capacity building, Bovine Tuberculosis and Rabies will be included . In addition, the use of advanced electronic technology systems for effective partnership and efficient implementation will be highlighted .

28 detailed programme tuesday, 06 oct. 2015

Panellists KAZWALA, Rudovick - Professor of Veterinary Epidemiology and Public Health, Acting Dean, Faculty of Veterinary Medicine, Sokoine University of Agriculture, Tanzania “one Health approach to Solve Complex problems and Improve livelihoods at the Human-livestock-Wildlife Interface “ BISESI, Michael - Senior Associate Dean for Academic Affairs and Director, Center for Public Health Practice, Interim Chair of Environmental Health Sciences, and tenured Associate Professor of Environmental Health Sciences, College of Public Health, The Ohio State University, USA “the environmental Component of the one Health approach: an expanded paradigm” MATIUZZI, Mateus - Associate Professor of Bacteriology and Dean of Graduate Programs , University of Sao Francisco Valley (UNIVASF), Petrolina, Brazil “Brazilian experience in one Health: ICopHaI - one Health for Sustainable development” COWEN, Peter - Associate Professor, College of Veterinary Medicine’s, Department of Population Health and Pathobiology, North Carolina State University, USA (tbc) “Key elements for Starting up one Health Surveillance and response Systems: What ICopHaI Brings to the table” GEBREYES, Wondwossen - Professor of Molecular Epidemiology, Director of Global Health Programs, College of Veterinary Medicine, The Ohio State University, and Chair, Ohio State Global One Health Task Force, USA “ICopHaI: engaging Health Sciences and Beyond for effective and Sustainable global one Health Implementation “

16:00-16:15 Break

16:15-17:30 Plenary V: Social Challenges and Opportunities for Effective One Health Governance Location Aspen Plenary Session co-hosted and organized by the University of Denver, Graduate School of Social Work, Denver, USA Chair WILLIAMS, James Herbert - Dean, Graduate School of Social Work, University of Denver, USA

This Plenary Session focuses on the multiple inter-connections and feedbacks that exist between various social and societal issues and furthering the One Health paradigm . We will look at social and societal issues both in terms of challenges (e .g ., social inequality and disparities, patterns of oppression, lack of access to various resources including education) and opportunities (e .g ., improved availability of knowledge about sustainability and One Health, social learning processes, trends toward better awareness of animal health and welfare issues) . The Plenary will explore ways and means to use improved knowledge, insight and practice in the above areas to inform One Health governance at various levels with the goal to enhance its coherence, accountability and effectiveness . The Session will apply an inter-disciplinary and systems approach in exploring these aspects .

2929 detailed programme tuesday, 06 oct. 2015

Panellists READING, Richard - Director, Conservation Biology, Denver Zoological Foundation, Denver, USA “a one Health approach to protected areas management and governance: examples from mongolia and the uSa” RECHKEMMER, Andreas - Professor and American Humane Endowed Chair, University of Denver, Denver, USA “one Health governance and the Social Sciences: enhancing coherence, accountability and effectiveness” TEDESCHI, Philip - Professor, Executive Director, Institute for Human- Animal Connection, University of Denver, Denver, USA ”Ignoring nature no more: the new Work of Social Sciences in Collaboration resilience and Social problem Solving”

17:30-17:45 Closing Ceremony Location Aspen AMMANN, Walter J. - President and CEO, Global Risk Forum GRF Davos, Davos, Switzerland • Poster Award • Closing remarks

19:30-23:00 Conference Dinner Location Hotel Grischa Talstrasse 3, 7270 Davos Platz (directly opposite the Train Station Davos Platz) http://www .hotelgrischa .ch

Enrolment possible until 05 Oct . 2015 for Euro 70

HEALTHONE PLANET ONE FUTURE 30 poSter preSentatIonS

The initial Poster Session Opening will take place on Sunday, 04 October 2015 . The posters will be displayed during the whole duration of the conference . During the Poster Session on Monday, 05 October 2015 from 12:30-13:30, presenting authors will be available for discussion . You will be given a red poster award voting sheet at registration, please fill out the card and submit it at the GRF Davos booth . The Poster with the most votes will be awarded during the closing ceremony of the GRF One Health Summit 2015 .

Posterboard Number

CLADERÒN, Jaime de Jesùs - Short Stay Surgery Unit, Mexico PB 01 allergic rhinitis EDIA-ASUKE, Uregwu Agnes - Ahmadu Bello University, Nigeria Seroprevalence of taenia solium-Cysticercosis among Humans living in pig farming PB 02 Settlements of Kaduna metropolis, nigeria FÄNDER, Gabriele - MEDAIR, Switzerland extremely low exclusive Breast feeding (eBf) rate among the Syrian refugee PB 03 Communities in Jordan LE, Thi Phuong Mai - Institut Pasteur, Cambodia PB 04 Impact of livestock Intensification on Community Health in ietnamv SITHAMPARAM, Sumitra - Malaysian Medical Association, Malaysia PB 08 a Street Conducive to all ages ALMATRAFI, Mohammed Hamoud - King Saud Bin Abdulaziz University for Health Sciences, Saudi Arabia PB 09 prevalence and etiology of microcytosis in Sickle Cell anemia patients

KINGSLEY, Pete - University of Edinburgh, UK one World-one Health and neglected zoonotic disease: elimination, emergence PB 11 and emergency in uganda KYSELY, Jan - Institute of Atmospheric Physics CAS, Czech Republic Contrasting patterns of Hot Spell effects on morbidity and mortality for Cardiovascular PB 12 diseases in the Czech republic LE, Huong Thi - HANOI MEDICAL UNIVERSITY, Vietnam a new one health training –adressing the needs of preventive medicine doctor in PB 13 vietnam LU, JiaHai - Sen Yat-sen University, China PB 14 a one Health approach for Studying on emerging Infectious diseases, in guangdong

3131 Posterboard Number MAIBACH, Sereina - aha! Swiss Allergy Centre, Switzerland PB 15 atopic diseases – an Increasingly Important Issue of one Health? DOUMA, Dale Peter - Government of Manitoba, Canada PB 16 one Welfare - aligning animal Welfare and the Human Condition ARABASADI, Ashley - International Medical Corps, USA the importance of culture in a health emergency: International medical Corps’ PB 17 experience from the ebola response SITTITOON, Nalin - Suranaree University of Technology, Thailand PB 19 dust mitigation measures and Health Surveillance in Stone Crushing plant THEPPITAK, Chalermsiri - Suranaree University of Technology, Thailand PB 20 noise-induced hearing loss among quarry workers in nakhon ratchasima, thailand

• Please fill in an evaluation sheet to submit your vote . The Poster Award Evaluation Sheets are available at the registration desk

“From Thoughts to Action”

32 loCal organIZIng CommIttee

• Walter J. Ammann, Chairman • Jill Portmann, Administration, Communications and Marketing • Fabian Ammann, IT Responsible • Badaoui Rouhban, Scientific Programme • Judith Ammann, Additional Support Advisor

• Annika Herold, Administration • Marc Stal, Scientific Programme Coordination

• Sieglinde Moos, Customer Relations

gloBal rISK forum grf davoS “From Thoughts to Action”

GRF Davos Mission GRF Davos Main Purposes: Through a variety of activities, GRF Davos • To bridge the gaps between science and aims at serving as a Centre of Excellence practice; in knowledge and know-how generation, exchange and transfer for the application of • To promote the worldwide exchange of timely and appropriate risk reduction and know-how and experience; disaster management strategies, tools and • To promote solutions in integrative risk practical solutions . In doing so, GRF Davos management; helps to reduce vulnerability to all types of risks and disasters and protect life, property, • To harmonise risk reduction with climate the environment, critical infrastructures and change adaptation, land degradation, public services and all means of businesses on a health and food security; sustainable basis . • To provide a network for decision-makers, practitioners and experts from politics, governments, IGOs, the private sector, science, NGOs and the public;

• To contribute to the UN Hyogo Framework for Action and the UN Millennium Development Goals .

GRF Davos Operational Pillars: • CONFERENCES AND WORKSHOPS

• RISK ACADEMY www .grforum org. • RESEARCH & DEVELOPMENT Global Risk Forum GRF Davos Visit us at the GRF Davos Booth Promenade 35 CH-7270 Davos Tel .: +41 81 414 16 00 in the Exhibition Area of the info@grforum org. GRF One Health Summit 2015

3333 general InformatIon & emergenCy

Taxi: EMERGENCY NUMBERS Express-Taxi Tel . +41 (0)81 410 11 11 Medical Emergency Zurich Airport: Tel. 144 Telephone: +41(0)43 816 22 11 Email: info@unique .ch Police Other Information Tel. 117 Banking: Local currency: Swiss Francs / CHF 1 .- = 100 Rappen REGA (Swiss air-rescue) Payment with credit cards and in EURO Tel. 1414 Bank Offices: Mon - Fri 08:30/09:00 - 12:00 and 14:00 - Hospital Davos 16 .30/1730 . Promenade 4, Davos Platz Train Stations: Tel . +41 (0)81 414 88 88 Davos Dorf: Mon - Sun 07:40 - 11:40 and 13:50 - 18:10 Davos Platz: Mon - Sun 04:45 - 22:00 Pharmacy Amavita Apotheke Davos Platz Guest Pass Promenade 49, 7270 Davos Platz All hotel guests are entitled to a guest pass for the duration of their stay in Davos . This entitles Tel . +41 (0)58 878 10 50 guests to a variety of discounts including unlimited public transport on some routes, discounted tours and child minding . Please check with your hotel for details .

Bus The local bus is free with guest pass that you receive from the hotel upon your arrival . Without the guest pass bus tickets cost approximately CHF 2 .90 per ticket, valid for 1 hour of travel .

34 extended aBStraCtS and poSterS

For download in PDF Format available:

Extended Abstract Collection A collection of extended abstracts from presentations given at the One Health Summit 2015 .

Poster Collection A digital copy of the posters presented during the GRF One Health Summit 2015 .

To download a digitital copy in PDF format follow: http://onehealth .grforum .org/abstracts/ or via the QR code:

HEALTHONE PLANET ONE FUTURE 3535 36 3rd grf one HealtH SummIt 2015 proCeedIngS

3rd GRF One Health Summit 2015 Fostering interdisciplinary collaboration for global public and animal health

04-06 October 2015 • Davos • Switzerland

HEALTHONE PLANET ONE FUTURE Short Abstracts Collection

Oral Presentations Poster Presentation

Edited by Marc Stal Annika Herold Jill Portmann Walter J . Ammann

Global Risk Forum GRF Davos, Switzerland

3737 GRF Davos One Health Summit 2015

Citation: GRF Davos (2015) Short Abstracts Collection. Proceedings of the 3rd GRF One Health Summit 2015, Davos, Switzerland

This publication is prepared by The Global Risk Forum GRF Davos

Editorial Team Marc Stal, Annika Herold, Jill Portmann, Walter J. Ammann

Please note that during the editorial process only minor grammatical and spelling corrections were made to the abstracts.

Published and distributed by the Global Risk Forum GRF Davos, 7270 Davos Platz, Switzerland. Tel.: +41 (0)81 414 16 00; Fax: +41 (0)81 414 16 10; www.grforum.org

Digitalized extended abstracts are available at the 3rd GRF One Health Summit 2015 and upon request at [email protected].

38 GRF Davos One Health Summit 2015 Table of Contents

Abstracts are sorted alphabetically according to the presenting author or chair listed and divided into groups according to the type of abstracts submitted. Content Oral Presentations Oral presentations Oral Poster Presentations Poster presentations Authors Index Authors index Authors

39 GRF Davos One Health Summit 2015 Oral Presentations 47

An Operational Tool to Enhance One Health Interdisciplinarity ARAGRANDE, Maurizio; CANALI, Massimo ...... 47 Gender Issues in Human, Animal and Plant Health Using a Broad One Health Perspective BAGNOL, Brigitte (1,2); ALDERS, Robyn Gwen (2,3); MCCONCHIE, Robyn (4) ...... 48 Use of Rapid Anthropology to Determine Taenia Solium Transmission Drivers and Control Options in a Remote Community in Northern Lao PDR BARDOSH, Kevin (1); INTHAVONG, Phouth (2); XAYAHEUANG, Sivilai (3); OKELLO, Anna (3) . . . 48 Understanding Social Drivers of Taenia solium Transmission in Northern Laos BARDOSH, Kevin (1); INTHAVONG, Phouth (2); XAYAHEUANG, Sivilay (2); OKELLO, Anna (3) . . . 49 INTEGRATED FOOD SECURITY: Mapping and Selecting Different Indicators and Metrics BORIANI, Elena; MIRAGLIA, Simona; HALD, Tine ...... 50 One Health Epidemic Risk Management in Kazakhstan with Open-Source EIDSS BURDAKOV, Alexey (2); KAZAKOV, Stanislav (3); ESMAGAMBETOVA, Aizhan (1); UKHAROV, Andrey (2); KOPZHASAROV, Damir (1) ...... 50 The Economic Dimension Of Vector-Borne Disease Ecology: Public Costs Of Aedes Albopictus Control In Europe, A Case Study CANALI, Massimo; RIVAS MORALES, Stefano ...... 51 An Investigation into the Early Detection of Psychosis and Depression in Individuals via Social Media COLLINS EADE, Amanda; DE QUINCEY, Ed; FOSTER, John ...... 52 Opening the One Health Workforce Pipeline: Education and Research Define an Unprecedented One Health Undergraduate Degree Program CONN, David Bruce ...... 52 Fostering Intersectoral Collaboration For Control Of Taeniasis And Cysticercosis In Humans And Pigs CORDEL, Claudia (1); COLSTON, Angie (2) ...... 53 Surveillance for Infections with Zoonotic Potential in Farmed Animals DANIELS, Peter Wallace ...... 54 A Focus on Behaviours Necessary for Food Security in Animal Protein Value Chains DANIELS, Peter Wallace ...... 54 Let Them Eat Eggs: Promoting the Vital Contribution of Eggs to Food and Nutrition Security in Resource-Poor Settings DE BRUYN, Julia (1); ALDERS, Robyn (1,2); BAGNOL, Brigitte (2,3); GUYONNET, Vincent (4); MCGREGOR, Ombelline (1); THIEME, Olaf (5) ...... 55 Rebranding Antibiotic Resistance As A Disaster Risk Problem – A Necessary Step Towards Integrated Health Risk Management DOMINEY-HOWES, Dale (1); LABBATE, Maurizio (2) ...... 56 1st International One Welfare (OW) Conference DOUMA, Dale Peter (1); RUSK, Richard Craig (2) ...... 56

40 GRF Davos One Health Summit 2015

Water Management in Singapore’s Bishan Ang-Mo Kio Park – Resilience and Liveability through Blue-Green and Social Infrastructure DREISEITL, Herbert (1); DREISEITL-WANSCHURA, Bettina (2); LALOUSCHEK, Wolfgang (3) . . . 57 Quantification Of Roaming Behaviour Of Free-Ranging Domestic Dogs To Inform Zoonosis Transmission DÜRR, Salome (1,2); BOMBARA, Courtenay (2); GONGORA, Jaime (2); DHAND, Navneet (2); WARD, Michael P (2) ...... 58 Content MediLabSecure: Laboratory Network for a One Health Approach of Vector-Borne and Respiratory Viruses in the Mediterranean and Black Sea Regions ESCADAFAL, Camille (1); MANUGUERRA, Jean-Claude (1); JIMENEZ CLAVERO, Miguel Angel (2); PEREZ RAMIREZ, Elisa (2); ROBERT, Vincent (3); PICARD, Marie (3); DENTE, Maria Grazia (4); DECLICH, Silvia (4); RICCARDO, Flavia (4); CHERBLANC, Fanny (1); VICTOIR, Ka ...... 58 One Health Approach for CCHF Surveillance in Kazakhstan: Results of Open Source EIDSS Application for Risk Level Evaluation ESMAGAMBETOVA, Aizhan (2); BURDAKOV, Alexey (1); KAZAKOV, Stanislav (3); UKHAROV, Andrey (1); OSPANOV, Kenes (4) ...... 59 Vaccination Against Avian Influenza: What Has Changed and What Should Be Changed GARDIN, Yannick, Charles ...... 60 The Impacts of Climate Change on Food Safety and Health, The Case of Iran GHAZI, Iran; MAHMOUDZADEH, Amir; HASANZADEH, Samira; HAMEDI, Mohadeseh ...... 60 Eggs: The Un-Cracked Potential of Eggs to Improve Human Nutrition Around the World GUYONNET, Vincent (1); ALDERS, Robyn (2); BAGNOL, Brigitte (2); DE BRYUN, Julia (2); THIEME, Olaf (3) ...... 61 Water Public Health, Perceptions, and Disease Mitigation Strategies in Rural Vietnam. HALL, David C .; LE, Quynh Ba ...... 62 Creating a One Health Metric HEFFERNAN, Claire ...... 62 The Effects of Ebola on African Tourism HEROLD, Annika; AMMANN, Walter; MOSEDALE, Jan ...... 63 “One Health Bangladesh” A Professional Initiative to Transform One Health Agenda to a One Health movement in Bangladesh ISLAM, Khaleda ...... 63 South East Asia One Health University Network (SEAOHUN):One Health Initiative From Universities to Stakeholders ISMAIL, Noor Hassim ...... 64 South East Asia One Health University Network(SEAOHUN) Agenda for Future and Present One Health Workforce ISMAIL, Prof Dr Noor Hassim ...... 65 Environment, Health and Well-being nexus - the European Environment Agency (EEA) Perspective JAROSINSKA, Dorota; HOOGEVEEN, Ybele; GANZLEBEN, Catherine ...... 65 Mass and Elite Framing of Food Security Concerns in Australia JENSEN, Michael J; HAUSMANN, Roger; SI, Wei ...... 66

41 GRF Davos One Health Summit 2015

Conceptualising WASH System Resilience in the Context of Natural Hazards JOHANNESSEN, Åse (1); HAN, Guoyi (1); THOMALLA, Frank (2); JOHNSSON, Karlee (2) . . . . . 66 An Assessment of Access to Health Services for Children and Inter Sectoral Coordination in National Rural Health Mission in State of Punjab (India) KAUR, Navreet; KAUR, Ravneet; SITLHOU, Lhoukhokai ...... 67 Fighting Zoonoses in Afghanistan, Bangladesh and Nepal: Concept and Progress of the One Health Asia Programme KHAN, Javed; ACHARYA, Resham Prasad ...... 68 Working Towards ‘One Health’ – The Hidden Politics of Breaking Down Barriers KINGSLEY, Pete ...... 68 Contract Bonus Systems to Encourage Biosecurity Adoption on Small-Scale Broiler Farms in Bali, Indonesia KOMALADARA, Anak Agung Sagung Putri (1); PATRICK, Ian (2); HOANG, Nam (2) ...... 69 Preparation of Hearing Conservation Program for Stone Crushing Industry LIMMONGKON, Yuparat (1); SITTITOON, Nalin (2); EKA, Wasana (3); HONGRATHANAKORN, Jirathon (3) ...... 69 A Muslim Mental Health Conference: Community Approaches to Dealing with Disaffection and Extremism MAGEN, Jed Gary; ABBASI, Farha ...... 70 Improving Community Health through Mobilizing Formal Systems and Informal Networks: A Social Organizational Approach MANCINI, Jay A .; BOWEN, Gary L ...... 70 Ebola Virus Disease Outbreak in West Africa: The Lessons We Have Not Learned MARTIN, Vincent (1); RICHTER, Carsten (2,3); FEARNLEY, Lyle (4); WILCOX, Bruce (5) ...... 71 Integrating Knowledge Systems: Beyond the Triple Health of The Maasai And Leapfrogging Into A Modern Health Facility In Kagera/Central Africa MASCARENHAS, Adolfo Caridade (1); PAIS, Anthony Victor (2) ...... 72 Shifting the Diagnostic Paradigm for Undiagnosed Illnesses – Low-tech Lessons Emerging from the Wild MAZET, Jonna AK (1); SMITH, Woutrina (1); ANTHONY, Simon J (2,4); KREUDER-JOHNSON, Christine (1); JOLY, Damien (3); WOLFE, Nathan (3); KARESH, William B . (2); DASZAK, Peter (2); GOLDSTEIN, Tracey (1) ...... 72 Multisectorial Scheme Proposed for Resilience in Guatemala due to Disasters Caused by Water MEJIA, Monica Pamela ...... 73 Dog Population Management: Integrated Solutions for Animals and People MUTONONO-WATKISS, Beryl (1); FOGELBERG, Emelie (1); PARRAVANI, Ellie (1); KC, Pankaj (1); MUDOGA, Emily (2) ...... 74 Snoozes Risk Assessment and Prevention in Georgia NADIRADZE, Kakha; PHIROSMANASHVILI, Nana ...... 74 Social Benefits of Reducing the Risk of Lung Cancer from Radon Exposure NAVRUD, Stale ...... 75

42 GRF Davos One Health Summit 2015

Comparison of Science-Based Frameworks for Risk-Informed Decision Support Across Life- Science and Engineering Disciplines NIELSEN, Linda (1); SCHLUNDT, Jørgen (2); FABER, Michael Havbro (3) ...... 75 Monitoring of Emergency Water Factors and Anthropogenous Loading of Industrial Facilities on Quality of a Waterway of Transboundary Rivers NORMATOV, Parviz ...... 76

Intergrated One Health Zoonoses Risk Assessments of Cross Border Pork Value Chains in Lao PDR Content OKELLO, Anna (1); TIEMANN, Tassilo (2); INTHAVONG, Phouth (3); OKELLO, Walter (1); PHENGVILAYSOUK, Ammaly (4); KEONOUCHANH, Soukanh (4); KHAMLOME, Boualam (5); NEWBY, Jonathan (2); BLASZAK, Kate (1,6); ALLEN, John (1) ...... 76 A Conceptual Framework for Conducting and Integrated Vulnerability Assessment in Climate Change and Malaria Transmission ONYANGO, Esther Achieng ...... 77 Zoonotic Disease Unit of Kenya: Blueprint for National One Health Action OSORO, Eric (1,2); MBABU, Murithi (3); NJERU, Ian (1); BODAL, Huzeifa (4); KIBOYE, Maurice (5); RESCH, Kristin (5); KAIRU-WANYOIKE, Salome (3); KIAMBI, Stella (3); BITEK, Austine (2,3); MUTURI, Mathew (2,3) ...... 78 To Provide Millions Of Gallons Of Fresh Water To All Eco System In Sahara Desert Without Using Single Watt Of Energy. PATIL, Manish Dattatray ...... 78 Ambient Air Quality Surveillance: Environmental Impact of Brick Kiln Emission PATWARI, Jayprakash Manoharrao; NARKHEDE, Raju Kashinath ...... 79 Borrelia in Brazil – Fact or Fiction? A Collaborative Study with a One Health Approach PETTAN-BREWER, Klaisy Christina (1,2); RODRIGUES, Patricia (3); BANDEIRA, Antonio Carlos (4); NERO, Luis Augusto (2); R DE PAULA, Tarcizio Antonio (2); SCATAMBURLO MOREIRA, Maria Aparecida (2); BANKHEAD, Troy (5) ...... 80 One Health Perspective and Assessment of Giardia and Cryptosporidium Infections Related to Wastewater and Excreta Use in Agriculture in Vietnam PHAM-DUC, Phuc (1); NGUYEN-VIET, Hung (1,2,4); ODERMATT, Peter (2,3); ZINSSTAG, Jakob (2,3) . 80 Implementing Animal Based Therapies in the Health Care Setting: A Team Approach PIERCE, Bess Janine ...... 81 One Medicine - One Oncology – Incidence and Geographical Distribution of Tumors in Dogs and Cats in Switzerland 1955-2008 POSPISCHIL, Andreas (1); GRÜNTZIG, Katrin (1); GRAF, Ramona (1); BOO, Gianluca (1,2); FOLKERS, Gerd (1); OTTO, Vivianne (3); FABRIKANT, Sara Irina (2) ...... 82 Healthy Farms for Healthy People and a Healthy Planet REED, Florence Leanne ...... 83 A Matter of Life and Death: Reproductive Health Should be Part of One Health ROGERS, Barbara ...... 83 One Health Impacts on Clinical Decisions RUEGG, Simon ...... 84

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Sustainable Development: Where Are We Heading? RÜEGG, Simon ...... 84 Trauma Signature Analysis of the West Africa Ebola Outbreak: The Prominent Role of Fear Behaviors SHULTZ, James Michael ...... 85 Complex Systems Analysis of Disasters: Enhancing the One Health Connection SHULTZ, James Michael ...... 85 The 2013 Lac-Mégantic Runaway Train Derailment: A Complex Systems Analysis of the Event from a One Health Perspective SHULTZ, James Michael (1); GENEREUX, Mélissa (2); ROY, Mathieu (3); MALTAIS, Danielle (4); MAZURIK, Laurie (5) ...... 86 The TranSAge Project SITHAMPARAM, Sumitra (1); GUNASAGARAN, Vinomarlini (2); G .VARATHARAJA, Puspa Rani (3) . . 87 A Street Conducive to All Ages SITHAMPARAM, Sumitra (1); GUNASAGARAN, Vinomarlini (2); G .VARATHARAJA, Puspa RaniI (3) . 88 Socio-Economic Determinants of Hepatitis B & C in Rural Poor of Pakistan SOHAIL, Kamran ...... 88 The Study of Fatigue Compared Between Touch Screen and Keypad Mobile Phones When Social Networking SUMALEE, Buensanteai; SUPATTRA, Ruangram; RATREE, Khongpolpan; SUPASINEE, Petburi; KWANCHANOKE, Sompan ...... 89 Risk of Mosquito-Borne Diseases in Relation to Rubber Plantation Development in South-East Asia TANGENA, Julie-Anne Akiko (1,2); THAMMAVONG, Phoutmany (1); LINDSAY, Steve William (2); BREY, Paul (1) ...... 89 The HHALTER Project: An Interdisciplinary One Health Collaboration In Action TAYLOR, Melanie Rose (1); SCHREMBI, Nicole (1); WIETHOELTER, Anke (1); TORIBIO, Jenny-Ann (2); DHAND, Navneet (2); KUNG, Nina (3); MOLONEY, Barbara (4); WRIGHT, Therese (4); FIELD, Hume (5) ...... 90 Added Value of Anthropological Studies in Neglected Zoonotic Diseases Control. Report of Three Case Studies THYS, Séverine (1); SAHIBI, Hamid (2); MWAPE, Evans K . (3); KNOBEL, Darryn (4); RAHALI, Tarik (2); GABRIEL, Sarah (5); PHIRI, Andrew (3); VAN ROOYEN, Jacques (4); SIMPSON, Greg (6); LEFEVRE, Pierre (1); RHALEM, Abdelkbir (2); MARCOTTY, Tanguy (5); DORNY, ...... 91 Preparedness, Prediction and Prevention of Emerging Zoonotic Viruses with Pandemic Potential Using Multidisciplinary Approaches VAN DER WERF, Sylvie ...... 91 Institut Pasteur: An International Partner to Implement One Health VAN KERKHOVE, Maria; VICTOIR, Kathleen; PITROU, Isabelle; JOUAN, Marc; FONTANET, Arnaud; BRECHOT, Christian; GLOBAL HEALTH, Center for; INTERNATIONAL DIRECTION, Pasteur; EBOLA TASK FORCE, Pasteur ...... 92 One Health and Resilience: A New Biological Modelling Framework VROEGINDEWEY, Gary A ...... 93

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The World Organisation for Animal Health (OIE) One Health Role in Resilience and Disaster Management VROEGINDEWEY, Gary A ...... 93 Beyond Three Rings: An Enhanced One Health Model VROEGINDEWEY, Gary A ...... 94 Planning for Rabies Incursions in Remote, Northern Australian Indigenous Communities

WARD, Michael P; DURR, Salome ...... 94 Content The Epidemiology of Q Fever in Western Kenya. WARDROP, Nicola A (1); COOK, Elizabeth A (2); DE GLANVILLE, William A (2); THOMAS, Lian (2); ATKINSON, Peter M (1); WAMAE, Claire N (3); FEVRE, Eric M (4) ...... 95 Landscape Heterogeneity and Taenia spp. Distributions in Humans and Pigs: Evidence of Environmental Influences on Disease Transmission WARDROP, Nicola A (1); THOMAS, Lian (2); ATKINSON, Peter M (1); COOK, Elizabeth A (2); DE GLANVILLE, Will (2); WAMAE, Claire N (3); FEVRE, Eric M (4) ...... 95

Poster Presentations 97

Prevalence and Etiology of Microcytosis in Sickle Cell Anemia Patients ALMATRAFI, Mohammed Hamoud; ISMAIL, Abdulmalik Marwan ...... 97 Allergic Rhinitis CALDERON, Jaime de Jesus ...... 97 Seroprevalence of Taenia Solium-Cysticercosis among Humans Living in Pig Farming Settlements of Kaduna Metropolis, Nigeria EDIA-ASUKE, Uregwu Agnes (1,2); INABO, Helen (1); UMOH, Veronica (1); WHONG, Clement (1); MUKARATIRWA, Samson (2); ASUKE, Sunday (3); ELLA, Elijah Ekah (1) ...... 98 Extremely Low Exclusive Breast Feeding (EBF) Rate among the Syrian Refugee Communities in Jordan FÄNDER, Gabriele; STAMHUIS, Ellen; HOEVE, Johan B . ten; DYMENT, Wendy; BECK, Namseon . . 98 The Importance of Culture in a Health Emergency: International Medical Corps’ Experience from the Ebola Response FEUCHTE, Friederike; CASEY, Sean; ARABASADI, Ashley; BLACKMAN, Camille; PERRY, Kathryn . . 99 Determining the Risk of Occupational Exposure to Benzene, Toluene, Ethyl benzene and Xylene (BTEX) among Gasoline Stations Workers GHAZI, Iran (1); GHAZANCHAEI, Elham (2); JEBELLI, Beheshteh (2); NASRI, Athareh (3); MAHMOUDZADEH, Amir (4) ...... 99 Investigating the Relationship between Occupational and Non-Occupational Function and Low Back Pain of Iranian Workers of Irankhodro Car Manufacturing GHAZI, Iran (1); JEBELLI, Beheshteh (2); GHAZANCHAEI, Elham (2); MAHMOUDZADEH, Amir (3) . . 100 Comparative Study: Costs of Outpatient’s Recipes in the First Months of (2014-2015) with Emphasis on Transformation of Health System in Isfahan GHAZI, Iran (1); KIANI, Reza (2); JEBELLI, Beheshteh (3); GHAZANCHAEI, Elham (3); MAHMOUDZADEH, Amir (4) ...... 101

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Relationship between Multiple Sclerosis with Plumb Spatial Dispersion (Case Study in Iran) GHAZI, Iran; KHOSRAVI, Elham; MAHMOUDZADEH, Amir ...... 101 A Street Conducive To All Ages GUNASAGARAN, VIinomarliniI (2); SITHAMPARAM, Sumitra (1); G .VARATHARAJA, Puspa Rani (3) 102 Contrasting Patterns of Hot Spell Effects on Morbidity and Mortality for Cardiovascular Diseases in the Czech Republic HANZLIKOVA, Hana (1,2); PLAVCOVA, Eva (1); KYNCL, Jan (3); KRIZ, Bohumir (3); KYSELY, Jan (1) . 102 A New One Health Training –Adressing the Needs of Preventive Medicine Doctors in Vietnam LE, Huong Thi (1); LE, Xuan Thi Thanh (1); NGUYEN, Hinh Duc (1); FENWICK, Stanley (2); KIM, Oanh Thuy (3) ...... 103 Impact of Livestock Intensification on Community Health in Vietnam LE, Thi Phuong Mai (1); FROEHLICH, Yves (2) ...... 104 A One Health Approach for Studying on Emerging Infectious Diseases, in Guangdong LU, JiaHai; GUO, Xiaoqin; LIU, Kangkang; LIU, Lanlan ...... 104 Atopic Diseases – An Increasingly Important Issue of One Health? MAIBACH, Sereina; LUETHI, Hannes; SCHAEPPI, Georg ...... 105 One Welfare - Aligning Animal Welfare And The Human Condition RUSK, Richard Craig (1); DOUMA, Dale Peter (2) ...... 105 Emerging Innovators Councils for One Health SCHAFER, Jacob ...... 106 Dust Mitigation Measures and Health Surveillance in Stone Crushing Plant SITTITOON, Nalin (1); HONGRATHANAKORN, Jirathon (2); EKA, Wasana (2) ...... 107 One World-One Health and neglected zoonotic disease: Elimination, emergence and emergency in Uganda SMITH, James; TAYLOR, Emma Michelle; KINGSLEY, Pete ...... 107 Noise-induced Hearing Loss Among Quarry Workers in Nakhon Ratchasima, Thailand THEPPITAK, Calermsiri (1); LIMMONGKON, Yuparat (1); SITTITOON, Nalin (2); CHAUCHOT, Pilunthana (1); E-KA, Wasana (3); HONGRATHANAKORN, Jirathon (3) ...... 108

Authors index 109

Notes 113

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Oral Presentations Oral Presentations Oral An Operational Tool to Enhance One Health Interdisciplinarity health cases. Complexity is tackled with a sys- ARAGRANDE, Maurizio; CANALI, Massimo temto approach scheme based the scientific on the combination complexity of of sim real- University of Bologna, Italy ple epidemiologic and socio-economic models Presenting author: CANALI, Massimo to reach an all-inclusive understanding of each [email protected] examined case. According to this approach, a matrix allows to attribute the multiple aspects The development of analytical methodologies along the human history allowed for the great- The aim of the matrix is to identify the exist- and effects of the disease to specific expertise.- comprehensive understanding of real phe- ciplines, the grey areas of knowledge (where nomena,est scientific in terms achievements of context, at theside cost effects, of a lessand knowledgeing scientific is and missing), cultural and borders the overlapping among dis feedbacks. The One Health (OH) approach re- territories (where analytical competences are quires that disciplinary barriers are removed redundant and/or cooperative). This proce- for a global understanding of complex health dure intends to be a pivotal tool to coordinate problems. Especially with the increasing in- different disciplinary competences and interaction of socio-economic systems in the crease effectiveness in health research, policy globalized context, a real need for a renewed and management. approach to health issues does exist and is the- Keywords: One Health interdisciplinarity developed to quantify the advantages of OH Session: MON4.1 The One Health Approach in inoretically comparison justified, with but the fewtraditional essays havemono-dis been- Action - Programmes and Initiatives ciplinary methods. In 2014, partners from 20 European countries have organized a network Mon 05.10.2015 • 14:10-15:40 • Location: (NEOH - http://neoh.onehealthglobal.net/) to Jakobshorn study in depth the problem of OH evaluation, according to an interdisciplinary approach. NEOH is a Trans Domain Action of the Europe- an Programme COST. This paper is an individual contribution within the NEOH framework. It focuses on a system approach and interdisciplinarity: the two basic conceptual references to build up a global and holistic understanding of complex health problems. In this paper, the authors develop a multi-disciplinary matrix

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Gender Issues in Human, Animal and we also identify the different ways men and Plant Health Using a Broad One Health women are impacted by diseases of human, Perspective plants and animals. Lastly, we assess the bio- BAGNOL, Brigitte (1,2); ALDERS, Robyn Gwen (2,3); MCCONCHIE, Robyn (4) exposure, infection rates and mortality rates logical factors that influence the differences in 1: Department of Anthropology, between men and women during their life Witwatersrand University, Johannesburg, cycle. These four factors contribute to gender South Africa; 2: International Rural Poultry variations in relation to animal, human, plant Centre, Kyeema Foundation, Brisbane, and ecological health. Australia & Maputo, Mozambique; 3: Faculty Keywords: gender, conceptual framework, risk, of Veterinary Science and the Charles impact, emerging diseases Perkins Centre, The University of Sydney, Session: TUE4.1 The One Health Approach in Camperdown, NSW 2006 Australia; 4: Plant Action - Tools and Projects and Food Sciences, Faculty of Agriculture and Environment, The University of Sydney, NSW Tue 06.10.2015 • 13:15-14:15 • Location: 2006, Australia Jakobshorn Presenting author: ALDERS, Robyn Gwen [email protected] Use of Rapid Anthropology to Deter- A broad One Health perspective approximates mine Taenia Solium Transmission an ecohealth approach which is a core concept Drivers and Control Options in a Re- integrating environmental aspects with hu- mote Community in Northern Lao PDR man and animal health (domestic and wild an- BARDOSH, Kevin (1); INTHAVONG, Phouth imals). Zoonotic and emerging diseases affect (2); XAYAHEUANG, Sivilai (3); OKELLO, Anna human health and impact negatively on food (3) security. Although both the risk of contracting 1: School of Social and Political Science, The a disease and the subsequent impacts vary be- University of Edinburgh, 58 George Square, tween different genders, age groups, cultures Edinburgh, United KingdomRepublic; 2: and social conditions, very little research has National Animal Health Laboratory, Ministry been done on this and few guidelines or inter- of Agriculture and Forestry, Department ventions focus adequately on these aspects. of Livestock and Fisheries, Luang Prabang - Road, Ban Huanmouang,Vientiane Capital, tionship between gender inequalities and the Lao Democratic People’s Republic; 3: CSIRO riskOur conceptualof contracting framework a disease identifies through the broad rela Animal, Food and Health Sciences, Australian One Health perspective. It looks at the varying Animal Health Laboratory (AAHL) Regional impacts of plant, animal and human diseases Programme, 5 Portarlington Road, East Geelong, Victoria, Australia - Presenting author: INTHAVONG, Phouth and identifies four contributing factors. We ing social, economic, cultural, legal and politi- [email protected] calfirst factors discuss that the oftensocially determine defined roleswhich includ place Taenia solium taeniasis-cysticercosis is a Ne- men and women occupy in society, which ani- - mals and plants men or women have accumu- lic health concerns. Humans are both the lated knowledge of, which they have control of glected Tropical Disease of significant pub consumption of undercooked pork, pour the impact men and women have on the envi- definitive and end host of the parasite, with and which they benefit from and consequently sanitation, and free ranging pig production are important risk factors for disease trans- we analyse the gender differences in risk of mission. A recent parasitological study in infection.ronment dueIt also to these analyses specific cultural roles. differences Secondly, Taenia solium tapeworm prevalence of 26% plant and human diseases and discusses re- innorthern a secluded Laos minority identified community; a hyperendemic the high- spectivethat influence preventions practices and connected treatments. to Thirdly,animal, est reported prevalence to date in south-east 48 GRF Davos One Health Summit 2015

Asia. Interestingly, unlike the majority of com- (2); XAYAHEUANG, Sivilay (2); OKELLO, Anna munities examined in the project catchment (3) area that did not exhibit T.solium hyperen- 1: University of Edinburgh, United Kingdom; demicity, this village was homogenous for a 2: Department of Livestock and Fisheries, Lao particular minority; it was therefore felt that People’s Democratic Republic; 3: Australian Animal Health Laboratory, Lao People’s practices could contribute valuable insights Democratic Republic asa greaterto why understandingthe disease may of exist specific at such cultural el- Presenting author: OKELLO, Anna evated levels in this particular village. A rapid [email protected] ethnographic approach consisting of a suite Taenia solium taeniasis-cysticercosis is a Ne- of social research methodologies was used to examine the community’s KAPs around vari- health importance across endemic regions of ous disease transmission dynamics, includ- theglected world, Tropical for which Disease a One of significantHealth approach public has been promoted for control. Humans are pork, hygiene practices and pig production systems.ing sacrificial Qualitative slaughter research and consumptionaround cultural of

host of the parasite, with consumption of Presentations Oral practises revealed that although pork is nor- undercookedboth the definitive pork, open and accidentaldefecation deadand free end mally consumed well cooked, in the event of ranging pig production systems important risk factors for disease transmission. Recent epi- animistic festivals and household events the demiological investigations in northern Lao porksacrificial was always slaughter consumed occurring raw, around and as major such could explain the unusually high prevalence tapeworm prevalence of 26.1% in a secluded of T.solium in this homogenous community. minorityPDR identified community; a hyperendemic the highest Taenia reported solium - prevalence to date in southeast Asia. A rapid porting information regarding cultural norms ethnographic approach consisting of a suite of This finding, coupled with important sup of food preparation, latrine use and disease social research methodologies was used to ex- knowledge, highlights the innate complexi- amine the community’s knowledge, attitudes ties of integrating disease control within cer- and practices around various disease trans- tain cultural contexts, and the importance of - ter and consumption of pork, hygiene prac- dynamics for the development of longer term ticesmission and dynamics, pig production including systems. sacrificial Qualitative slaugh understanding specific disease transmission control recommendations. The use of rapid research around cultural practises revealed ethnography in this way showcases its rel- that although pork is normally consumed well step” methodology for engaging and directing occurring around major animistic festivals evance to NTD research as an important “first longer-term transdisciplinary approaches in andcooked, household in the eventevents ofthe sacrificial pork was slaughter always an area traditionally dominated by the bio- consumed raw, and as such could explain the medical sciences. unusually high prevalence of T.solium in this Keywords: Laos, Taenia solium, One Health, NTD coupled with important supporting informa- tionhomogenous regarding ethnic cultural community. norms of food This prepara finding,- Session: MON5.1 One Health Approaches for Sustainable Development tion, latrine use and disease knowledge, highlights the innate complexities of implementing Mon 05.10.2015 • 15:50-17:20 • Location: a One Health approach that integrates disease Jakobshorn control within certain cultural contexts, and the importance of understanding social driv- Understanding Social Drivers of Tae- ers of disease transmission for the develop- nia solium Transmission in Northern ment of longer term control recommenda- Laos tions. The use of rapid ethnography in this BARDOSH, Kevin (1); INTHAVONG, Phouth way showcases its relevance to NTD research

49 as an important “first step” methodology for GRF Davos One Health Summit 2015 engaging and directing longer-term transdis- lated, databases availability, uncertainty, vari- ciplinary approaches in an area traditionally dominated by the biomedical sciences. formulationability).Key indicators(e.g. a variable and to defined improve metrics food Keywords: Taenia solium, Neglected Tropical safetyfor decision but enlarging making for environmental each specific problemimpact) Disease, transdiscplinarity, social research methodologies, Southeast Asia Risk Assessment (Human health, Environ- Session: TUE1.3 Vulnerabilities and Resilience - are assessed using the SWOT approach. One Health Approaches for Sustainable Devel- opment (LCA) procedures and databases can be care- fullymental, combined Food) within and Life decision Cycle process Assessment in or- Tue 06.10.2015 • 08:30-10:00 • Location: der to get an optimal set of descriptive indica- Parsenn formulation. INTEGRATED FOOD SECURITY: Map- Stilltors, lotmetrics of research and values is needed for a specific to improve problem the ping and Selecting Different Indicators quality and reproducibility of input data for and Metrics these studies and some area are still missing BORIANI, Elena; MIRAGLIA, Simona; HALD, in both disciplines (e.g. microbial assessment Tine and Endocrine Disruptors activity in LCA , DTU, Denmark transport data referred to food traceability in Presenting author: BORIANI, Elena RA, chemicals total emissions, mixture expo- [email protected] sure, animal welfare , social, health and safety). In food security, integration of data and knowledge across disciplines is needed to prevent Keywords: food security, mapping, indicators food-related diseases, improve sustainability, Session: MON4.2 Food Security and Food traceability, quality, animal welfare, dimin- Safety ish food waste, have a clear picture of the environmental impact, improve communica- Mon 05.10.2015 • 14:10-15:40 • Location: Pischa tion to different stakeholders and introduce nutritional factors considering the enlarging One Health Epidemic Risk Manage- ment in Kazakhstan with Open-Source of indicators and metrics for making a holistic EIDSS assessmentneed to ”feed of thefood planet”. considering We propose human ahealth map BURDAKOV, Alexey (2); KAZAKOV, Stanislav risks (e.g. infectious agents, contaminants), (3); ESMAGAMBETOVA, Aizhan (1); UKHAROV, Andrey (2); KOPZHASAROV, Damir impacts, and social impacts (in particular vul- (1) nerablebenefits population).The (nutritional values), map is environmental analysed with 1: Committee on Consumer Rights Protection - of the Ministry of National Economics of the ties and threats) analysis for each problem a SWOT (strengths, weaknesses, opportuni Republic of Kazakhstan; 2: Black & Veatch, United States of America; 3: Kazakh Scientific case study. formulation. A pig Italian product is the first Center of Quarantine and Zoonotic Diseases, The map is focus on the availability of data- Almaty, Kazakhstan bases, data uncertainty and on the prefer- Presenting author: BURDAKOV, Alexey ences of different stakeholders (governance [email protected] regulators, NGO, distribution chains, small Epidemic risk management methodology de- and big production industry, consumers) in velopment and approbation based on multi- relation also to different regulations (e.g. CO- variate analysis per administrative areas of - Kazakhstan using the Electronic Integrated tive, REACH). Each indicator is investigated Disease Surveillance System (EIDSS) capabili- withDEX a alimentarius, the list of queries Water (e.g. Framework formula, single, Direc ties. composite, regulated, possible to be calcu-

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Large territory and diverse natural climatic Keywords: risk management, one health, EIDSS and landscape characteristics of Kazakhstan Session: MON1.2 Integrative Health Risk Man- make epidemic risks assessment and predic- agement tion for the whole country challenging. In order to transition epidemic risks manage- Mon 05.10.2015 • 08:30-10:00 • Location: Pischa ment to individual administrative areas the Committee for Consumer Rights Protection The Economic Dimension Of Vector- of Kazakhstan developed a concept for mod- Borne Disease Ecology: Public Costs Of ernizing the existing national epidemiological Aedes Albopictus Control In Europe, A surveillance system. Case Study The sanitary-epidemiological and socio-eco- CANALI, Massimo; RIVAS MORALES, Stefano nomic current and retrospective data will be University of Bologna, Italy consolidated in a new tool for epidemic risk Presenting author: CANALI, Massimo management called the Regional Sanitary- [email protected] Epidemiological Passport (RSEP) for each of Aedes albopictus, or Asian tiger mosquito, in-

Kazakhstan’s districts, providing capabilities Presentations Oral for short-term (2-3 years) and long-term (3-5 vaded in the last decades a wide area of the years) forecasting. RSEP will focus on plague, - vasive mosquito species, with a very aggres- World and is considered one of the most in and other marker diseases. Since population sporadictularemia, morbidity anthrax, hindersCCHF, brucellosis, the ability cholerato fore- urban ecosystems. It is also a known vector of sive behaviour and specific aptitudes to infest cast, RSEP will include GIS maps of natural important human and animal diseases, espe- foci, their distribution and long-term observa- cially caused by viruses and nematodes, and tions epizootic activity. has proved capacity for local transmission of Chikungunya and Dengue within Europe. The open-source EIDSS will serve as the main Its global expansion has been facilitated by tool of the proposed methodology in addition growth of international trade and movement to its functions of collecting, processing and of people. Prevention of diseases vectored by analyzing data on 64 diseases in 269 organiza- this Culicidae largely depends on the manage- tions of the Committee as the national epide- ment of the ecological factors, which boost miological e-surveillance system. In 2012-13 the spreading and the intensity of infesta- we tested the EIDSS capability to forecast the tions. This research evaluated public costs disease risk for the Kazakhstani population related to the implementation of the Plan for of contracting the Crimean-Congo hemor- A. albopictus control and Chikungunya and Dengue prevention set up in Emilia-Romagna 81.3/88.9% accurate. region (Northern Italy), where a Chikungunya rhagic fever (CCHF). The forecast proved to be The epidemic risk management methodology epidemic outbreak occurred in 2007 with 247 people infected. The Plan started in 2008 by steps: involving more than 280 municipalities and was developed and approbated for CCHF. Next 4.3 million inhabitants within the region. The diseases Plan’s activities mainly target the ecological • Methods development for the rest of marker conditions for the multiplication of infesta- - tion hotspots in urban areas to reduce the rithms• Estimation for individual methods nosologies) adjustment and (increasing calibra- probability of rapid and uncontrolled disease tionof the number of factors, use of specific algo spreading in case of outbreaks: this includes monitoring the infestation intensity, larvicide treatments in public and private areas, adul- years deep on 6 infections based on historical ticide emergency treatments to isolate dis- data)• Reach back data bank formation (15-20 ease outbreaks, information in schools and to citizens, and compulsory good practices. The countries for regional risk management. study accessed to data on the expenditure sup- • Methodology introduction into neighbor 51 GRF Davos One Health Summit 2015 ported by all the public institutions involved in sessment tools. Examples of keywords were; the implementation of the Plan. Main results I look ugly, suicidal thoughts, hearing voices, I include: evaluation of public costs related to hate myself, People are talking about me. some key indicators (inhabitants, extension of urban areas, type of treatments, etc.), analysis November 2013 have been collected, with a of differences in expenditure among munici- subsetOver 20,000 analysed tweets using posted SPSS. between July and palities and correlation between expenditure Initial results suggest that individuals feel and socio-economic and environmental fac- comfortable expressing their mental health tors, as well as recommendations to improve - twitter users. There were some posts indi- ment. difficulties to online friends, family and other the Plan’s economic efficiency and manage cating actual or vague thoughts of self harm Keywords: Economic efficiency of vector-borne or suicide which may cause concern or other diseases control, Tiger Mosquito, Chikungunya responses from those reading them. Low self and Dengue spreading in Europe esteem was a recurrent theme. Session: TUE4.2 The One Health Approach for - Communicable Diseases cussed along with implications for automated detectionFurther analysis systems of and these future tweets work will exploring be dis Tue 06.10.2015 • 13:15-14:15 • Location: Pischa how to teach the public to recognise when someone who is online may need help and An Investigation into the Early Detec- support. tion of Psychosis and Depression in Keywords: Early detection, mental health, Individuals via Social Media young people, Twitter COLLINS EADE, Amanda; DE QUINCEY, Ed; Session: MON5.3 Surveillance and Early Warn- ing - The Basis for Prevention University of Greenwich, United Kingdom PresentingFOSTER, John author: COLLINS EADE, Amanda Mon 05.10.2015 • 15:50-17:20 • Location: [email protected] Parsenn Mental health problems, if left untreated, can impact on a young person and their family in Opening the One Health Workforce Pipeline: Education and Research young people linked to social networking in Define an Unprecedented One Health many ways. With a rise in suicides amongst the UK, there are concerns that young peo- Undergraduate Degree Program ple who frequently post ‘vague’ but worrying CONN, David Bruce messages may encourage online friends not to Berry College, United States of America take them seriously. Mental health experts ar- Presenting author: CONN, David Bruce gue that ‘dark’ postings should not be hastily [email protected] dismissed because they can serve as an early Building and sustaining a pipeline of scientists a number of Social media sites, such as Twit- trained in One Health thinking and practice is ter,warning allowing system third for party timely access intervention. to user’s postsWith a growing global priority, but to date has focused on graduate and professional education. to explore in the early detection of psychosis To address the need for well-trained, effec- and depression.profile information, this is a possible area A pilot study was undertaken to analyse the degreetively oriented program students in One Healthentering Science these (OHS)fields, content of UK geolocated tweets, that con- inwe the have United established States. Our the B.S. first curriculum undergraduate com- prises integrative OHS courses and research and psychosis; Keywords were taken from as a minor, with majors in either biology, ani- tained specific keywords related to depression Beck’s depression inventory (BDI) and the mal science, or environmental science. Our Krawiecka, Goldberg and Vaughn (KGV) as- strengths leverage our 100-square-kilometer

52 GRF Davos One Health Summit 2015 campus – the largest outdoor academic labo- Fostering Intersectoral Collaboration ratory in the U.S. – including an equine center, For Control Of Taeniasis And Cysticer- beef cattle operations, dairy, sheep/goat oper- cosis In Humans And Pigs CORDEL, Claudia (1); COLSTON, Angie (2) - 1: GALVmed, South Africa; 2: GALVmed ations, fisheries lab, and wildlife management laborations with the U.S. Centers for Disease Presenting author: COLSTON, Angie operations. Further assets include strong col Control and Prevention and several partner [email protected] universities conducting research on our campus. Students engage with faculty and visiting Taeniasis and cysticercosis in humans is rec- scientists in One Health research, including among others: 1) zoonotic pathogen disper- tropical disease and important zoonosis re- ognised by WHO, FAO and OIE as a neglected sal between wildlife, livestock, and humans quiring collaboration between human and veterinary public health sectors. The disease insects in maintaining Cryptosporidium in is common in South and South East Asia, Sub- wildlifeby filth-feeding and livestock flies; 2)habitats; role of 3) coprophagous infection dy- Saharan Africa and Latin America. Taeniasis namics for sylvatic and peridomestic Trypano- is caused by the human tapeworm, Taenia soma cruzi transmission; 4) reducing congeni- solium. Humans are infected by eating un- Presentations Oral tal transmission of Chagas’ Disease through dercooked pork or ingesting contaminated DNA vaccination; 5) Mycobacterium avium food or water. Pigs are infected by eating con- subsp. paratuberculosis (MAP) on Berry cam- taminated human faeces or parasite eggs from pus; 6) biophysical characterization of Bovine the environment. In pigs, eggs develop into Leukemia Virus (BLV) retrovirus replication; cysticerci in the muscles but cause no clini- 7) amphibian chytrid fungus Batrachochytri- cal disease. In humans, cysticerci may cause um dendrobatidis infection in Georgia; 8) tick severe and sometimes fatal symptoms includ- exposure on Berry campus and environs; 9) ing the most common preventable form of epi- livestock feeds contamination by wildlife; 10) lepsy with associated socio-economic losses. Porcine cysticercosis (PC) reduces the value of frequenting bird feeders; 11) prevalence of village pig production and availability of safe arthropod-borneeffects of Mycoplasma diseases gallisepticum among birders; in finches 12) pork, an important protein source. Control of sentinel organism biosurveillance for zoonot- taeniasis and cysticercosis by education, sani- ic waterborne pathogens in North American tation, meat inspection and pig husbandry has and European rivers; 13) role of dung bee- limited success. An alternative, economically tles in taeniasis/cysticercosis epidemiology effective method to interrupt the life-cycle is direct reduction of PC prevalence to control encourage other institutions to develop simi- and eliminate the disease in not only pigs but larin agricultural undergraduate and sylvaticprograms areas as ofOne Peru. Health We also humans. The combined use of two, new awareness increases. tools in pigs, oxfendazole (30mg/kg, commercially available, MCI, Morocco) for PC treat- Keywords: training, undergraduate, collabora- ment and TSOL18 vaccine (M. Lightowlers, tion, integrative, research University Melbourne. Registration expected Session: TUE1.1 Education and Capacity Build- 2016, IIL, India) for PC prevention has been ing within One Health shown safe and effective. In 2015, GALVmed

Tue 06.10.2015 • 08:30-10:00 • Location: Jakobshorn Tanzania,(funding by South DfID, Africa UK and and BMGF) Nepal isto starting evaluate, a overcollaborative two years, series the systematic of field trials use of in oxfenda Uganda,- zole and TSOL18 in free-roaming pigs to reduce PC prevalence as assessed by necropsy. In Uganda (in collaboration with Imperial Col- lege London), the trial will also evaluate the effect of annual, praziquantel, human com-

53 GRF Davos One Health Summit 2015 munity, mass drug administration to school children and adults given concurrently in the a high proportion of fatal human cases have same villages. arisenicas. Strains in the of intensivezoonotic avianpoultry influenza populations with of East Asia, while the Nipah virus outbreak Keywords: Zoonosis, Porcine Cysticercosis, in Malaysia was propagated in intensively Oxfendazole, TSOL18 farmed pigs. Ideally such infections should be Session: MON4.3 Wildlife, Livestock and Pets - detected in the farmed animals before exten- The Human Animal Interface sive transmission to people occurs. This paper Mon 05.10.2015 • 14:10-15:40 • Location: advocates that the risk be recognized and that Parsenn concerted attention be given to developing management solutions for a problem that has tacitly been considered too hard. Surveillance for Infections with Zo- onotic Potential in Farmed Animals Keywords: surveillance, intensive animal farming, zoonoses, risk management Australian Animal Health Laboratory, Session: MON5.3 Surveillance and Early Warn- AustraliaDANIELS, Peter Wallace ing - The Basis for Prevention [email protected] Mon 05.10.2015 • 15:50-17:20 • Location: Parsenn ItPresenting is the policy author: of the DANIELS, animal Peterhealth Wallace organiza- that countries should be alert for infections A Focus on Behaviours Necessary for intions, animals the OIE that and may the pose FAO, major as well public as the health WHO Food Security in Animal Protein Value threats, detect these and report occurrences. Chains However the challenges for comprehensive surveillance for such infections are enormous, Australian Animal Health Laboratory, given the huge populations of farmed animals AustraliaDANIELS, Peter Wallace globally in a multitude of different farming sys- Presenting author: tems at varying stages of sophistication. Ani- - mals are raised commercially across a range of settings from traditional village systems to safeFood and security nutritious refers food to people’s to meet having their dietary physi modern intensive farming units. Clearly one needscal, social and andfood economicpreferences access for an to active sufficient, and single approach to surveillance for potential - zoonotic infections will not be applicable in all situations. The challenge is to identify animal preferencehealthy life. in Foods most ofsocieties. animal Hence origin the have iden nu- farming systems that could lead to a higher tritional benefits and attract a high level of probability of emergence of pathogens with to food security at all points along the animal acquired characteristics that may then lead to proteintification value and chain management is a necessary of risks component relating their becoming serious zoonotic threats. It is in delivering the food security outcome. In a usually stated that large populations of a sin- one health context the management of the gle farmed species give opportunities for sus- various risks posed by infectious agents is one tained transmission of infections with the con- important dimension of food security. Infec- sequent opportunities for emergence of new tions may reduce productivity, cause barriers strains. Hence it would seem appropriate risk to commerce and marketing or even cause human disease. Importantly, the management of of surveillance efforts at intensively farmed these risks requires a holistic approach involv- animalmanagement industries to target where a significant ever they proportion are main- ing an understanding of the human drivers of tained or being developed. The most recent activities in the production, sale, processing human pandemic agent, the pandemic H1N1 and marketing of the animal products as much as an understanding of the microbiology and arising in intensively farmed pigs in the Amer- host/environment interactions that lead to 2009 influenza virus, has been identified as 54 GRF Davos One Health Summit 2015 transmission and disease. The behavioural in- - of small-scale production systems which components but also habitual components based priselivestock. up to Family 80 percent poultry of poultryencompasses stocks a in range low- fluences will have financial or economic com- ment of the pathways of transmission of infec- and peri-urban areas. tionson cultural animal influences to animal, oranimal tradition. to person Manage and Theincome availability food-deficit of eggs countries, throughout in rural, the urban year product to person depends critically on modi- can help to mitigate the effects of seasonal food shortages, particularly in scavenging systems transmission of such infections. where less palatable or less nutrient-dense Thefication papers of in human this session behaviours delineate that aspects facilitate of food sources can be transformed into highly the “behaviour chain” approach and give ex- nutritious food for human consumption. Eggs - constitute an important source of choline, es- ventions that have contributed to favourable sential fatty acids, vitamins and protein, and outcomes.amples of specific problems and specific inter are known to be amongst the most affordable sources of many nutrients – with particular Keywords: food security, human behaviour,

importance for growth and development dur- Presentations Oral value chains, economics, zoonoses ing the intra-uterine and early post-natal pe- Session: MON1.1 A Focus on Behaviours Nec- riods. essary for Food Security in Animal Protein Value Chains and Agriculture Organization of the United Mon 05.10.2015 • 08:30-10:00 • Location: A recent collaborative effort between the Food- Jakobshorn - tivesNations from (FAO) the andpoultry International sector in Egg Zimbabwe, Founda Let Them Eat Eggs: Promoting the withtion (IEF)recognition has brought of the potential together for representa a greater Vital Contribution of Eggs to Food and contribution to national food and nutrition Nutrition Security in Resource-Poor security. Current research funded by the governments of Australia, Tanzania and Zambia Settings is exploring egg consumption patterns with BAGNOL, Brigitte (2,3); GUYONNET, Vincent a particular focus on nutritionally-vulnerable (4);DE BRUYN, MCGREGOR, Julia (1);Ombelline ALDERS, (1); Robyn THIEME, (1,2); Olaf groups. Through the introduction of a New- (5) castle disease control program, this work aims to provide households with guidelines on the 1: The University of Sydney, Australia; 2: inclusion of eggs in existing local diets. Con- International Rural Poultry Centre, Kyeema sideration is also being given to other barriers Foundation, Australia; 3: The University of to egg consumption, with a project comparing Witwatersrand, South Africa; 4: International storage options to increase the conservation Egg Foundation, London, United Kingdom; of eggs in village settings. 5: Food and Agriculture Organization of the United Nations, Rome, Italy Keywords: Food security, nutrition security, Presenting author: ALDERS, Robyn undernutrition, maternal and child health, [email protected] family poultry Animal source foods are widely-recognised Session: MON4.2 Food Security and Food for their valuable contribution to human nu- Safety trition, as sources of high-quality protein and bioavailable micronutrients. In developing Mon 05.10.2015 • 14:10-15:40 • Location: Pischa countries, they have the potential to greatly enhance the nutritional adequacy of traditional diets based on staple crops. Globally, poultry numbers have more than doubled in the past 25 years, in marked contrast to the more conservative increases in the number of other 55 GRF Davos One Health Summit 2015

Rebranding Antibiotic Resistance As A native and novel policy perspective. Govern- Disaster Risk Problem – A Necessary ments and disaster policy makers across the world use the Emergency Risk Management Step Towards Integrated Health Risk process in the management of and prepara- Management tion for natural disasters. This process is a Maurizio (2) evaluates and treats risks and takes an itera- DOMINEY-HOWES, Dale (1); LABBATE, 1: The University of Sydney; 2: University of systematic method that identifies, analyses, Technology Sydney lead to implementation of risk-treatment strategies.tive approach with well-defined activities that [email protected] ToPresenting see the emergenceauthor: DOMINEY-HOWES, of antibiotic resistance Dale Keywords: antibiotic resistance, disaster risk rebranded as a ‘disaster risk management’ Session: MON1.2 Integrative Health Risk Man- problem. Antibiotic resistance presents as an agement increasingly global and multifaceted risk to Mon 05.10.2015 • 08:30-10:00 • Location: Pischa human and animal life every bit as profound as other disaster risks such as climate change, natural disasters and global security. Antibiot- 1st International One Welfare (OW) ic resistance is no longer a “business as usual Conference problem”. Rebranding the risk in this man- DOUMA, Dale Peter (1); RUSK, Richard Craig ner opens up new opportunities for engage- (2) ment between management, community and 1: Manitoba Agriculture, Food and Rural diverse stakeholders allowing access to the Development, Canada; 2: Manitoba Health, skills and expertise of others such as disaster Healthy Living and Seniors,Canada risk managers. Presenting author: DOUMA, Dale Peter [email protected] systematic literature reviews; questionnaire The Province of Manitoba under the leader- surveysWe use and a mixed interviews method to explore approach stakeholder including ship of the One Health Steering Committee has (e.g., doctors, health care professionals, mem- begun the preparations for the 1st Interna- bers of the public, farmers etc) understanding - about the causes and consequences of antibi- nipeg, Manitoba, Canada in 2016. otic resistance and their role in facilitating or tional One Welfare (OW) Conference in Win data, intervention strategies may be devel- The OW concept builds on the international opedameliorating that reduce the problem. the unnecessary From this empiricalprescrip- stepOne recognizing World One the Health connection Expert that Consultation exists be- tion of antibiotics. tweenheld in the Winnipeg welfare inof 2009.animals OW and takes the thehumans next (1) The issue is almost exclusively framed as a that they coexist with. This will expand pre- health and medical problem; (2) health practitioners have been the dominate focus of efforts engaging issues such as animal welfare and to better control the use of antibiotics through relatedvious accomplishments disparities of human into health. the OW sphere antimicrobial stewardship programs; and (3) This is an opportunity for national and inter- using psycho-social models of risk perception national subject matter experts and decision usually employed in natural disaster contexts provides useful alternatives for investigating animal health and welfare to converge to learn stakeholder attitudes towards the problem of frommakers each engaged other. They in the will fields discuss of humanthe science, and antibiotic resistance. best practices, models, and policies that have Given the current state of the antibiotic re- shown successes in managing complex issues sistance problem and the likely near future of such as hoarding involving animals as well as untreatable bacterial infections, including epi- on-farm animal welfare issues often related demics and pandemics, we propose an alter- to human health disparities, such as mental

56 GRF Davos One Health Summit 2015 health, ageing and socioeconomic status. for places where people stay healthy and en- These cases are becoming increasingly recog- joy life? nized as challenges that demand collaborative Since 1981 we research and create such re- cross-jurisdictional approaches for successful resolution. The complexity of developing was that this needs to be a win-win situation a comprehensive management program in- silient shared spaces. One of our key findings volves multiple government and community events proved, water will take back the space based organizations. These relationships are for people and nature. As numerous flood space already when we plan our settlements? absence of high-level support. Butit needs. we have Why to tell should the story we notof water consider playfully this often difficult to arrange and maintain in the- and create beauty in order to have the instal- chosocial impacts on those involved in human lation of blue-green infrastructure become an orWorkshops animal welfare will provide incidents, education recognizing on the when psy interdisciplinary topic and to be accepted by mental health intervention is required and people. Today, designers and engineers have how to mitigate these impacts. to get local residents, decision-makers and

other stakeholders on board early to foster Presentations Oral - acceptance and a common approach for best gage in this initiative. The outcome can pro- solutions. Highest aesthetics and good tech- videWe invite a roadmap the international to navigate community the way forward to en nical performance work best within the local as it relates to prevention, response and re- cultural context. covery of these challenges encompassing governance, academic, and operational models. The presentation will include a summary of blue-green infrastructure where good governance,We will intelligent discuss engineering international and examples high design of concept. performance work hand in hand to enhance past, present and potential future of the OW resilience and liveability. Keywords: One Welfare, conference, mental The case will be made primarily by Singa- health, disparities, animal welfare pore’s recently built Bishan Ang-Mo Kio Park Session: MON4.1 The One Health Approach in and also touch on other cases like Cloudburst Action - Programmes and Initiatives in Copenhagen, an innovative way to adapt Mon 05.10.2015 • 14:10-15:40 • Location: urban open spaces like streets and plazas for Jakobshorn heavy storm water events and by that prevent

- Water Management in Singapore’s Bis- flooding. han Ang-Mo Kio Park – Resilience and er possible, hydrology in urban development shouldWater is not as dynamiconly be seen as our as societies. a problem Wherev but as Liveability through Blue-Green and an opportunity for contemporary design and Social Infrastructure creativity to increase health and biodiversity DREISEITL, Herbert (1); DREISEITL- and to create a liveable cityscape. Keywords: Liveability, blue-green infrastruc- 1:WANSCHURA, Rambøll; 2: Rambøll; Bettina (2); 3: The LALOUSCHEK, Tree ture, urban flooding, resilience, aesthetics, PresentingWolfgang (3) author: DREISEITL, Herbert public health [email protected] Session: MON1.3 Water and Health

- Mon 05.10.2015 • 08:30-10:00 • Location: Parsenn peciallyWe need within to find cities solutions and urban to environmental regions. Can crises like climate change and flooding, es regulate water, balance temperature, produce goodwe create air, save living natural systems resources, that filter, increase clean bioand- diversity and at the same time meet the need

57 GRF Davos One Health Summit 2015

Quantification Of Roaming Behaviour tween the dogs’ homes. A logistic regression Of Free-Ranging Domestic Dogs To - Inform Zoonosis Transmission tion to the data to describe disease transmis- DÜRR, Salome (1,2); BOMBARA, Courtenay sionmodel between was used individuals. to fit a distance kernel func Such information can further be implemented in theoretical rabies transmission models to 1:(2); Veterinary GONGORA, Public Jaime Health (2); DHAND, Institute, Navneet estimate spread and control options for rabies University(2); WARD, of Michael Bern, Switzerland; P (2) 2: The in both dogs and humans within these com- University of Sydney, Faculty of Veterinary munities. Science, Australia Keywords: dogs, free-roaming, home range, Presenting author: DÜRR, Salome contact rates, rabies [email protected] Session: MON4.3 Wildlife, Livestock and Pets - The close relationship between animals and The Human Animal Interface humans facilitates zoonosis transmission. Since dogs have been domesticated, they live Mon 05.10.2015 • 14:10-15:40 • Location: in close proximity to humans. Rabies is prob- Parsenn ably the most severe zoonosis that is transmitted by dogs, which act as the main reservoir. MediLabSecure: Laboratory Network The spread of infectious diseases depend on for a One Health Approach of Vector- the roaming behaviour of their hosts. The in- Borne and Respiratory Viruses in the vestigation of the dog movement can therefore Mediterranean and Black Sea Regions provide information on contact rates between individuals and disease spread. In remote northern Australia domestic dogs AngelESCADAFAL, (2); PEREZ Camille RAMIREZ, (1); MANUGUERRA, Elisa (2); are numerous and free-roaming. Rabies is ROBERT,Jean-Claude Vincent (1); JIMENEZ (3); PICARD, CLAVERO, Marie Miguel(3); absent from Australia but there is a risk of DENTE, Maria Grazia (4); DECLICH, Silvia (4); incursion from neighbouring, rabies-endemic Indonesia. Knowledge of roaming behaviour (1); VICTOIR, Ka of dogs would enable evidence based prepar- 1:RICCARDO, Institut Pasteur, Flavia (4);France; CHERBLANC, 2: Centre for Fanny edness plans for such an incursion, but this Research on Animal Health (CISA- INIA), information has been lacking. Madrid, Spain; 3: Institut de Recherche pour le - Développement (IRD), Montpellier, France; 4: riginal and Torres Strait Islander communities Istituto Superiore di Sanità (ISS), Roma, Italy inWe northern collared Australia105 free-roaming during different dogs in sixseasons Abo Presenting author: VICTOIR, Kathleen to investigate their roaming behaviours. The [email protected] dogs were found to roam generally around the As (re-)emerging viruses are threatening dog owner’s home with relatively small home global health, the EU-funded MediLabSecure range sizes of 0.4 and 4.9 ha for the median project (2014-2017) aims at enhancing the core and extended home range, respectively. preparedness and response to viral threats However, some individuals were found to by establishing an integrated network of labo- roam much more widely (HR size of 40–104 ratories in 19 non-EU countries of the Medi- ha) and cover large areas of their community terranean and Black Sea areas in partnership or beyond. These far roaming dogs are of par- with Institutes in 3 European countries. The ticular interest for infectious disease trans- MediLabSecure project is reinforcing the labo- mission. Season and age-gender interactions ratory network established by the EpiSouth - Plus project (2010-2013) by involving partners from animal virology and medical ento- were found to influence home range sizes sig the GPS data collected. The daily contact rates mology laboratories additionally to previous nificantly. Contact rates were estimated from between individuals ranged from 0–400 and partners from human virology laboratories were highly dependent on the distance be-

58 GRF Davos One Health Summit 2015 and public health institutions. ESMAGAMBETOVA, Aizhan (2); BURDAKOV, - Alexey (1); KAZAKOV, Stanislav (3); rology, animal virology, medical entomology) UKHAROV, Andrey (1); OSPANOV, Kenes (4) One laboratory per field of study (human vi 1: Black & Veatch, Overland Park, KS, - USA; 2: Committee of State Sanitary and volvedand per the country heads wasof laboratories selected in and2014. aimed A first at Epidemiological Surveillance of the Ministry meeting held in Paris in January 2015, in of Health of Kazakhstan; 3: Kazakh Scientific of interest. A “Needs assessment” question- Center of Quarantine and Zoonotic Infections, nairefirst interdisciplinary was implemented interactions to assess in laboratory the fields Almaty, Kazakhstan; 4: Scientific Center of capacities and needs regarding biosafety, diag- Sanitary and Epidemiological Expertise and nostic methods and integration of laboratory Monitoring, Almaty, Kazakhstan and epidemiological surveillance for emerging Presenting author: KAZAKOV, Stanislav vector-borne and respiratory viruses. [email protected] Development of a Crimean-Congo Hemorrhag-

theFifty project laboratories partners were and head selected of laboratories to actively based on a one health surveillance approach Presentations Oral tojoin meet the project.and exchange The January on the meeting objectives allowed and foric Fever the natural (CCHF) CCHDrisk evaluation foci in the methodology Republic of future steps of the project, their experiences, Kazakhstan for population epidemic risks needs and expectations. Based on these dis- with application of open source Electronic In- cussions and on the responses to the “Needs tegrated Disease Surveillance System (EIDSS). assessment” questionnaire, a training curricu-

- Kazakhstan has several active CCHF natural ratorieslum was to set implement up, of which harmonized the first workshopsand up-to- foci: 3-12 human CCHF cases occur per year; datewill be techniques organized to in perform June 2015, (1) enablinglaboratory labo di- infection occurs through tick bites and CCHF agnosis of vector-borne viral diseases such as duepatient to a blood variety contact. of natural Prediction and social of thefactors. CCHF - EIDSSepidemiological software situationtool was isused extremely for epidemio difficult- nya and (2) tailored training on mosquito spe- logical and vector surveillance data process- West Nile, Dengue, Rift Valley Fever, Chikungu cies determination. ing for situation prediction for certain regions By enhancing diagnostic capacities and re- of Kazakhstan. EIDSS collects and processes gional multidisciplinary cooperation, the epidemiological, clinical and laboratory in- Medilabsecure network could represent the formation on pathogens in humans, animals cornerstone of a corporate preparedness and and vectors. EIDSS was installed at 146 sites response to vector-borne and respiratory vi- of the Ministry of Agriculture, and 8 sites of ral threats in the Mediterranean and Black Sea the Ministry of Health in Kazakhstan. In 2012, regions based on a One Health approach. EIDSS was loaded with 3 groups of indicators Keywords: Laboratory network, Vector-borne for 2007-2011: population counts, tick infec- viral diseases, Integrative surveillance, Animal virology, Human Virology, Entomology multivariate epidemiological analysis was conductedtion rate and in the CCHF EIDSS human to reveal incidence areas rate. with A Session: MON5.3 Surveillance and Early Warn- ing - The Basis for Prevention prognosis risk levels for 2013 were assigned Mon 05.10.2015 • 15:50-17:20 • Location: the highest CCHF risk. As the result, outbreak Parsenn This information was provided to the public healthfor 25 CCHFservice endemic of Kazakhstan districts to of plan Kazakhstan. activities One Health Approach for CCHF Surveil- for 2013. lance in Kazakhstan: Results of Open Source EIDSS Application for Risk foci situation in 2013 it was determined that theAccording prognosis to the for actualdistricts information with high outbreakon CCHF Level Evaluation risks made in 2012 is accurate for 88.9%, for

59 GRF Davos One Health Summit 2015 districts with medium and low risks - 81.3%. Because of this new rHVT-HA5 vaccine, vaccination can no longer be neglected but needs let us consider that utilized approach for data to be considered as an essential part of a One collectionThe statistical and significanceanalysis using is 0.95. EIDSS The software results Health strategy to protect the poultry industry and wider communities against potentially enormous clinical and economic losses. beprovides used for a reliable the management tool for prognosis decision-making of CCHF More funds should be dedicated to the re- support.epidemic threats for specific districts, and can Keywords: One Health, CCHF, Epidemic Risk to dedicate so much resource to understand- Model, Open Source Tool, Kazakhstan ingsearch the ofrain new and AI the vaccines. ways to We control cannot it. continueIt is now time to also work more intensively on umbrel- Session: MON5.3 Surveillance and Early Warn- las. ing - The Basis for Prevention Keywords: Avian Influenza, Prevention, Vac- Mon 05.10.2015 • 15:50-17:20 • Location: cination Parsenn Session: MON5.2 Case Studies of Integrative Health Risk Management Vaccination Against Avian Influenza: What Has Changed and What Should Mon 05.10.2015 • 15:50-17:20 • Location: Pischa Be Changed GARDIN, Yannick, Charles The Impacts of Climate Change on Ceva Animal Health, France Food Safety and Health, The Case of Presenting author: GARDIN, Yannick, Charles Iran [email protected] GHAZI, Iran; MAHMOUDZADEH, Amir; HASANZADEH, Samira; HAMEDI, Mohadeseh in the last few years, and now poses a major Research Institute of Natural Hazards threatAvian not Influenza only to has our changedhealth but dramatically the entire Engineering of Shakhes Pajouh, Isfahan ,Iran, global economy. The disease is now induced Iran, Islamic Republic of by more types of viruses and is present in Presenting author: MAHMOUDZADEH, Amir more countries than ever before. The more [email protected] recent viruses are better “adapted” to wild waterfowl populations and can be carried health. Climate change may be a factor lead- over much longer distances. The recent epi- ingClimate to increased plays a risks significant of food- roleand water in people’s borne zootics that have occurred in the USA and Eu- illnesses from consumption of existing and rope do illustrate this. This changes the way emerging biological materials .Higher average in which the disease is spread and must also temperatures will likely lead to hotter days change our approach to controlling it. The risk and more frequent and longer heat waves. is much higher than ever and this is the right This could increase the number of heat-waves time to forget old dogmas and adapt to this illnesses which could terminate to casualties. new situation. Higher temperatures could increase the con- A new vector vaccine has been developed that centrations of air and water pollutants. Chang- overcomes most of the previous objections es in temperature, precipitation patterns, and to using vaccination. Many experiments have extreme weather events could enhance the been conducted that demonstrate its capacity spread of some diseases . to protect against a wide variety of different The impacts of climate change on health H5 type HPAIVs, breakthrough the presence depends on many factors. These factors inof MDA’s and be used reliably in the hatchery. clude the effectiveness of a community’s public health and safety systems to address part of a DIVA monitoring strategy to eradi- or preparation for the risk and the behavior, Vaccinated birds can be clearly identified as cate the disease, an important development age, gender, and economic status of individu- from the classical vaccines used until now. 60 GRF Davos One Health Summit 2015 als affected. Impacts will likely vary by region, Regular eggs can contribute to meeting the the sensitivity of populations, the extent and basic human needs in terms of proteins and length of exposure to climate change impacts, other nutrients in the developing world where and resiliency. protein consumption is low and often of plant- The impacts of climate change on public origin. The work required to maximize their health around the globe could have important potential is massive, taking into consideration the needs to concurrently boost produc- frequent and intense drought in areas such as tion and promote consumption in a number Sistan-Baluchistanconsequences for IRANprovince . For and example, in arid cities more of countries. A model based on Private-Public of Iran may cause more health disasters such Partnership has been developed to build ca- as malaria, leishmaniasis. pacities within national producers’ organizations to achieve improvement in egg produc- The aim of this research is to study the im- tion and egg consumption in Southern Africa. pacts of climate change on food security and health in IRAN. In the developed world, in addition to their recognized nutritional value, eggs can be used Descriptive and analytical methods were em-

as a vehicle to deliver more nutrients such as Presentations Oral ployed and the research was supported by the vitamin A, folic acid and omega 3 polyunsatu- literature review of reliable national and in- - ternational documents. lations. The science behind the enrichment This article describes the observed and pro- ofrated nutrients fatty acids in the (n-3 egg PUFA) has been in deficient well demon popu- jected health impacts of climate change, cur- strated and it is fairly easy and cost effective rent and future populations at risk, and the to produce these functional eggs. A number of strategies, policies and measures that have been used to reduce the impacts. clearly demonstrated in sound clinical stud- Keywords: Climate Change, Food Safety, nutritional and health benefits have also been- Health, IRAN toies. lower For instance, serum triglyceride the consumption levels andof eggs higher en Session: MON4.2 Food Security and Food HDL-cholesterol,riched in n-3 PUFA both have related shown toto acontribute reduced Safety risk of fatal ischemic heart disease. Unfortu- Mon 05.10.2015 • 14:10-15:40 • Location: Pischa nately, the potential of these functional eggs for human nutrition and health is still not yet Eggs: The Un-Cracked Potential of Eggs realized due to a number of reasons related to the nature of the egg itself, the skepticism of to Improve Human Nutrition Around consumers, the promotion and advertising re- the World quired and the lack of support from the health GUYONNET, Vincent (1); ALDERS, Robyn (2); professionals. THIEME, Olaf (3) Keywords: eggs, human nutrition, proteins, 1:BAGNOL, International Brigitte Egg (2); Foundation, DE BRYUN, UK; Julia 2: (2); functional foods University of Sydney, Australia; 3: FAO, Italy Session: MON4.2 Food Security and Food Presenting author: GUYONNET, Vincent Safety [email protected] Mon 05.10.2015 • 14:10-15:40 • Location: Pischa Eggs are one of the most recognized and accepted foods by consumers around the world. They are generally acknowledged as naturally rich in proteins and certain vitamins and min- by 14 million tonnes or 25% between 2000 anderals. 2010, With can production the eggs increasingcontribute worldwidefurther to human nutrition?

61 GRF Davos One Health Summit 2015

Water Public Health, Perceptions, and ute to cross-contamination of drinking and Disease Mitigation Strategies in Rural household water. Basic public health training Vietnam. is recommended to help farmers appreciate HALL, David C.; LE, Quynh Ba University of Calgary, Faculty of Veterinary theKeywords: benefits E. of coli, simple water mitigation quality, integrated strategies. Medicine, Canada farming, Vietnam, mitigation, public health Presenting author: HALL, David C. Session: MON1.3 Water and Health [email protected] Integrated management of livestock species, Mon 05.10.2015 • 08:30-10:00 • Location: aquaculture, and crops has been a part of rural Parsenn Vietnam for centuries and is formally promoted by the Ministry of Agriculture. However, Creating a One Health Metric management methods may be contributing to the emergence of zoonotic diseases of recent Livestock Development Group, United Kingdom HEFFERNAN, Claire a need for change in public health awareness [email protected] andconcern farm (e.g.,management. avian influenza). This suggests InPresenting creating author: a combined HEFFERNAN, impact Claire metric for human and animal health, the main issue is groups, and analysis of water samples to inves- as follows: the longevity of a livestock life is tigateWe used the public farm visits,health questionnaires,knowledge, livestock focus rather not important. However, the impacts of management, and association with presence livestock disease on the lives and livelihoods of coliform bacteria on 600 small scale inte- of the over 1.1 billion poor people who keep grated farms in north (Thai Binh) and south them, are. Therefore, any combined metric must account for both human well-being and were analyzed in national government labora- the poverty impacts of livestock disease. tories(An Giang) for E. Vietnamcoli as an in indicator 2013. Water organism samples for There are presently a number of well-accepted fecal contamination of water using culture and measures for human wellbeing ranging from tryptose broth methods. Questionnaire and the Human Development Index (HDI) to the focus group data were analyzed using summa- Quality Adjusted Health Year (QALY), which ry statistics, probit regression, and clustering measures the quality and additional quantity techniques for qualitative data. of years lived in the context of a disease inter- More than 80% (p<.01) of drinking and house- vention. Thus, human health metrics are gen- hold water samples in the sampling frame erally calculated at the individual level. Con- tested positive for unsafe levels of E. coli (rang- versely, livestock and poverty health measures ing from 0 to 500 cfu/ 100ml (mean=13.5, are generally assessed at the household level. - - froms.d.=39.6). livestock Farmers via waterwere wellbut wereaware not (>90%) well edFor measure example, to the assess Livestock the poverty and Poverty impacts As of awarethat avian that influenza bacteria orcould parasites spread could via spreadwater. particularsessment Toolspecies (LPA) or firstthe ‘Speciescalculates Gap’ a weight on the household level. Second, a ranking calculation and/or boil their drinking water, although may be performed which mediates the ‘wealth otherMost farmersbasic mitigation (>70%) strategies indicated such they hand filter - washing or preventing mixing of livestock was ease Gap’ or changes in the poverty status of a not common. effects’ of different species. Finally, the ‘Dis The presence of E. coli in drinking water was unacceptably high in most households we fromhousehold the LPA due illustrated to the impact the varying or influence impacts of of a sampled. Although farmers revealed some thelivestock same diseaselivestock may disease be calculated. across households Findings intuitive knowledge of public health, farm of differing socio-economic standing i.e. East management procedures such as incomplete - separation of livestock are likely to contrib- erty impact on the poorest farmers than those Coast Fever had a proportionally higher pov 62 GRF Davos One Health Summit 2015 comparatively better off. tions and effective strategies for stimulating The following study details the creation of a the tourism industry. One Health Metric (OHM) by combining the Keywords: Ebola, Tourism three tools above: the HDI, QALY and LPA. Global data sets on human health and live- Session: TUE1.3 Vulnerabilities and Resilience - One Health Approaches for Sustainable Devel- opment to inform the analysis. Key issues in creating andstock applying disease fromthe metric OIE and are WHO dicussed were inutilised addi- Tue 06.10.2015 • 08:30-10:00 • Location: tion to policy implications. Parsenn Keywords: One Health Metric, Policy, Human and Animal Health “One Health Bangladesh” A Profession- al Initiative to Transform One Health Session: TUE4.1 The One Health Approach in Action - Tools and Projects Agenda to a One Health movement in Bangladesh Tue 06.10.2015 • 13:15-14:15 • Location: ISLAM, Khaleda

Jakobshorn Institute of Epidemiology, Disease Control Presentations Oral and Research (IEDCR), Bangladesh, People’s The Effects of Ebola on African Tour- Republic of ism Presenting author: ISLAM, Khaleda [email protected] The professional body ‘One Health Bangla- GlobalHEROLD, Risk Annika; Forum AMMANN,GRF Davos, Walter; Switzerland desh’ is working to improve public health of PresentingMOSEDALE, author: Jan HEROLD, Annika the country. [email protected] Bangladesh the worst victim of climate change, The outbreak of Ebola not only led to several having high population density, is struggling thousand fatalities, mostly in Guinea, Liberia to combat emerging-reemerging infectious and Sierra Leone, but also the economies and diseases, food safety and food security. The the tourism sector are heavily affected. The Ebola crisis was even made worse as there needs a multi-sectoral approach to address is a negative perception by tourists of Africa professionals in the field realized that country being a country, instead of a continent when Health Bangladesh’ in December 2007 involv- it comes to risk assessment. This percep- ingthese wide diversified range of problems professionals, and formedresearchers, ‘One tion evoked fear, which spread faster than academicians, young activists from differ- the virus itself. As a consequence, not only ent agencies, institutions, civil societies and the Ebola-infected countries were suffering networks. ‘One Health Bangladesh’ adopted from economic losses, but also other African multidisciplinary approach to combat disease countries. Although not having had one case at human animal interface, to ensuring food of Ebola, countries such as Kenya or Namibia safety and food security. were and still are affected by it, as tourists are The Institute of Epidemiology, Disease Control avoiding the whole African continent. The re- and Research (IEDCR) is working as secretar- cent decreases in tourism numbers in Africa iat of ‘One Health Bangladesh’, taking differ- show that there is a need for a strategy that ent initiatives like hosting regular meetings, prevents further losses in case of another cri- creating awareness among professionals and sis – the question remains, which one the most stakeholders, arranging national conferences effective is. Interviews with National Tourism every year. These activities attracted develop- Organizations of African countries were con- - ducted to answer this question. This presen- er stakeholders, who supported the initiatives tation will show that a disease has the power soment that partners a large likegroup FAO, of WHO,people UNICE from differentand oth not only to infect people, but also to affect sev- disciplines like public health specialists, vet- eral countries, and will provide recommenda- 63 GRF Davos One Health Summit 2015 erinarians, wildlife specialists, environmen- health professionals to collaborate to respond talists and social scientists are now working to disease outbreak in timely and sustainable together under the umbrella of ‘One Health manner. Bangladesh’. U.S. Agency for International Development The organization formulated ‘Strategic frame- (USAID) has launched and Emerging Pan- work for One Health approach to infectious demic Threat (EPT1) program to prevent diseases in Bangladesh 2012’ endorsed by emerging and reemerging diseases that might caused pandemic threat at ‘hot spot’ regions. - RESPOND is one of the project that focus on Ministry of Health & Family Welfare, Ministry Universities network in South East Asia and workforce,of Fisheries IEDCR & Livestock introduced and Ministry MPH of(One En Central East Africa countries to initiate one Healthvironment and &Biosecurity) Forests. To in develop collaboration One Health with health approach to control the infectious and Massey University New Zealand. zoonotic diseases . The 8th ‘One Health Bangladesh’ national con- South East Asia One Health University Net- ference in 2015, attracted huge participants, work (SEAOHUN) was established in Decem- exceeding 400, life member 81, international ber 2011 is a consortium of 10 Universities - per presenter and panel discussants. Thailand and Vietnam. They are collaborating expert in the field attended conference as pa toand develop 14 Faculties One Health from Capacity Indonesia, and academic Malaysia, staff and some budget to coordinate multi- partnership with government and private sectoralFull functional approach secretariat of ‘One Health with Bangladesh’ designated stakeholder in promoting One Health ap- initiative is a crucial driving force to improve proach to prevent and control infectious and public health status of Bangladesh. zoonotic diseases . A key function of SEAOHUN and four national Keywords: One Health Approach, Professional body is to encourage and facilitate collaborative Session: MON5.1 One Health Approaches for activitiescoordinating and office project from among each countrynetwork (NCOs) mem- Sustainable Development bers , with emphasis on trans-disciplinary and Mon 05.10.2015 • 15:50-17:20 • Location: trans-boundary partnership. Programs in- Jakobshorn clude but not limited to developed one health core competencies, core competencies and technical skill training modules, curriculum South East Asia One Health Univer- mapping , curriculum development, strength- sity Network (SEAOHUN):One Health ening and developing teaching methodologies Initiative From Universities to Stake- ,staff exchange and evidence –base research holders for one health advocacy. ISMAIL, Noor Hassim SEAOHUN members and US Universities as Universiti Kebangsaan Malaysia, Malaysia collaborating partner will move forward to Presenting author: ISMAIL, Noor Hassim continue One Health Advocacy in ASEAN re- [email protected] gion next 5 years under EPT2 projects. Nearly 75% of emerging and reemerging of Keywords: South East Asia One Health Uni- diseases affecting human are originated from versity Network, Emerging and reemerging animals. These diseases might cause serious diseases public health ,economic and development Session: MON4.1 The One Health Approach in work together to ensure success in control- Action - Programmes and Initiatives lingconcerns. and prevention Trans-disciplinary of infectious field and zoonotic have to Mon 05.10.2015 • 14:10-15:40 • Location: diseases. The technical skill and other core Jakobshorn competencies are required by various stakeholders e.g. human, animal and environmental

64 GRF Davos One Health Summit 2015

South East Asia One Health Univer- Environment, Health and Well-being sity Network(SEAOHUN) Agenda for nexus - the European Environment Future and Present One Health Work- Agency (EEA) Perspective force ISMAIL, Prof Dr Noor Hassim GANZLEBEN, Catherine Universiti Kebangsaan Malaysia, Malaysia EuropeanJAROSINSKA, Environment Dorota; HOOGEVEEN, Agency, Denmark Ybele; Presenting author: ISMAIL, Prof Dr Noor Presenting author: GANZLEBEN, Catherine Hassim [email protected] [email protected] The EEA State of the Environment and Out- The emergence of SARS corona virus in 2003, look report (SOER 2010) showed that while H1N1 in 2009, Middle Eastern Respiratory environmental policies have resulted in sub- Syndrome (MERS) corona virus in Saudi stantial improvements in the state of the en- Arabia and recently Ebola Virus epidemic vironment in Europe, challenges to health and are indicated that health workforce are have well-being remain. The targeted policy instru- limited capacities to detect the early stage of ments are likely to further reduce particular

- - Presentations Oral ease threat.The early recognition of potential creasingly complex environmental challenges. threatspillover,amplification of the infectious anddiseases spread will of allow new disthe Givenburdens, the butunprecedented are insufficient rate toof addresschange and in affected country to take preemptive steps to systemic nature of environmental challenges, prevent it. Universities can contribute their SOER 2010 highlights the need for a transition expertise and facilities to train the future and towards a green economy. present health workforce whom will have the To respond to global, interconnected chal- required core competencies and technical lenges, such as climate change, depletion of skills to diagnose and prevent the epidemic. resources, ecosystem degradation, and persis- South East Asia One Health University Net- tent inequality, a better understanding of the work (SEAOHUN) are established to employ links between resource use, environmental the strengths of Universities to prepare the “ conditions and human health and well-being One Health” workforce in core competencies is needed, taking account of system interac- and skill for preventing, controlling,detecting tions, feedback loops and the trade-offs. The and responding to zoonotic diseases. Our One move towards a more systemic perspective on environment, health and well-being link- engagement on workforce needs, translat- ages and the transitions perspective call for ingHealth needs Workforce to future Themes workforce are :development, Government analytical framework capable of integrating faculty development and In-service training. the social, ecological, and physical aspects of SEAOHUN consist of Universities from Malay- the environment-human interactions. In the sia, Indonesia, Thailand and Vietnam , where ecosystem perspective, human well-being de- faculties from various discipline expertise pends on well-functioning ecosystems and the and stakeholders collaborating to conduct ac- way we use natural resources, such as food, tivities achieve our main objective to produce water, energy and materials. The exploitation competence one health workforce. of these resources is interdependent, with Keywords: South East Asia One Health Univer- direct and indirect impacts on human health sities Network(SEAOHUN), One Health work- and well-being, often mediated through the forces, Zoonotic diseases, Core competencies environment. The policy focus needs to be widened to include social policy, consumption, Session: TUE1.1 Education and Capacity Build- ing within One Health services and spatial planning, implying a need Tue 06.10.2015 • 08:30-10:00 • Location: forresource a multidisciplinary efficiency, natural and capital,multi-stakeholder ecosystem Jakobshorn dialogue to take account of values and attitudes. The EEA works with its network (Eio- net) and external partners to contribute to de-

65 GRF Davos One Health Summit 2015 veloping knowledge-base on a broad framing their political elites using a survey of Austral- of the environment, health and well-being, in ian MPs and analyses of social media commu- support to the long-term transitions to more - sustainable society. ing food security concerns in Australia. The MPnications survey on will Facebook contain both and Twittermultiple regardchoice Keywords: environment, health, well-being, and free responses which differentiate their Europe, integration framings of food security concerns while the Session: TUE4.1 The One Health Approach in social media communications will be analysed Action - Tools and Projects using a series of machine learning techniques. Tue 06.10.2015 • 13:15-14:15 • Location: - Jakobshorn cation of political possibilities and constraints forThe addressing contribution food of securitythe paper concerns is the identifi in Aus- tralia. Mass and Elite Framing of Food Secu- rity Concerns in Australia Keywords: food security, social media, public policy, globalization Session: MON4.2 Food Security and Food InstituteJENSEN, Michaelfor Governance J; HAUSMANN, and Policy Roger; Analysis, SI, Safety UniversityWei of Canberra, Australia Mon 05.10.2015 • 14:10-15:40 • Location: Pischa

Presenting author: JENSEN, Michael J Conceptualising WASH System Resil- [email protected] the perspective of elite and mass politi- ience in the Context of Natural Haz- calThis drivers Paper inlooks the atAustralian the topic Economy. of Food Security In Aus- ards population as Australia has traditionally been atralia food Food exporter Security and is eventaken in for drought granted condiby the- 1:JOHANNESSEN, Stockholm Environment Åse (1); HAN, Institute, Guoyi (1); tions Australia has been able to cope due to Stockholm,THOMALLA, Sweden; Frank (2);2: Stockholm JOHNSSON, Environment Karlee (2) its size and scale of food production. The fact Institute, Bangkok, Thailand Presenting author: HAN, Guoyi food is based on price not production capacity [email protected] andthat hereAustralia food importsquality standards a significant are partof central of its The need to build the resilience of societies to importance. multiple complex and interacting socio-eco- The globalization of food production and pro- nomic and environmental risks is increasingly being acknowledged by donors, researchers, Australian consumers as food may be grown in policymakers and practitioners. A multitude onecessing country have under raised one significant set of regulations concerns and for of resilience frameworks has recently been packaged in another representing a potential developed in the context of natural hazards, unknown threat to Australian consumers. climate change, and sustainable development. There are competing preferences among Aus- These frameworks aim to identify and char- tralian consumers and political elites. These acterize elements of resilience at different tensions include preferences for food grown scales (e.g., individual, community, city) and in Australia; preferences for fresh over canned to provide entry points for decision-makers produce; and price considerations which may and practitioners for interventions aimed at favour imported food and canned produce building resilience. Most frameworks focus at- over fresh. The lack of supermarket compe- tention to either the community scale or the tition in Australia exacerbates this tendency city scale. with their home brands. The aim of this research is to enhance under- This paper examines the extent to which these tendencies prevail among Australians and - standing of how resilience can be defined and 66 conceptualised in the context of Water, Sanita GRF Davos One Health Summit 2015

roles of various political and social institutions. Government has enacted various leg- Particulartion and Hygiene attention (WASH) is paid systems to the linkages that are be at- islations, formulated plans, policies and pro- risk from natural hazards (flood and drought).- grammes for the child welfare. The child health es, ecosystem management in the surrounding indicators all over the country have generated watershed,tween WASH wider system city componentsplanning processes, and servic and the urgent interventions in the policy matters the experience of the individual user. Insights concerning child health. The Government in particular adopted synergistic approach by from a systematic review of existing published relating health to determinants of good health resilienceon WASH frameworks system resilience and empirical will be research derived viz segments of Nutrition, sanitation, hygiene conducted in six case studies (Durban, South and safe drinking water. National Rural Health Africa; Beira/Maputo, Mozambique; Cebu, Mission was launched on 12th April 2005 Philippines; Yueyang City, China; Gorakhpur, throughout the country. India; Kristianstad, Sweden; and Cali, Colom- 1. The NRHM (2005-12) seeks to provide effective health care to rural population Hygiene in Resilient Cities and Urban Areas

throughout the country with special focus on Presentations Oral bia) under the project ’ Water, Sanitation and- 18 states, which have weak public health indi- cue) funded by the Swedish Civil Contingency cators and weak infrastructure. AgencyAdapting (MSB) to Extreme between Waters’ 2011 and (Wash 2014. & ResThe 2. The mission is an articulation of the com- outcome of this project will be a new resil- mitment of the government to raise public spending from 0.9% of GPP-2.3% of GDP. managersience framework with an for improved WASH system understanding resilience. of 3. It was it’s key components provision of The framework will provide WASH system a female health activist in each village, a vil- its various components to natural hazards; the lage health plan prepared through local team, causesWASH systemof potential dynamics; system the failures; vulnerabilities and specif of- strengthing of the rural house hold. ic entry points for disaster management inter- Objectives of the study:1. To examine the syn- ventions aimed at strengthening the resilience ergistic approach of NRHM by relating health to segments of nutrition, sanitation, hygiene and safe drinking water. ofKeywords: the WASH water, system. sanitation, hygiene, resilience, natural hazards 2. To examine the infrastructure availability and human resources at sub centres (SC) and Session: MON1.3 Water and Health Primary Health Centres (PHC).3. To evaluate Mon 05.10.2015 • 08:30-10:00 • Location: the role of Accredited Social Health Activitists. Parsenn Hypothesis:1.The infrastructure available (Laboratories, equipment) at the sub centres An Assessment of Access to Health Ser- and Primary Health Centres is not appropri- vices for Children and Inter Sectoral ate.2. The existing human resources (Doctors, Nurses, ANM’s,ASHA) are not adequate to Coordination in National Rural Health meet the targets of NRHM. Mission in State of Punjab (India) KAUR, Navreet; KAUR, Ravneet; SITLHOU, 3. The roles and responsibilities of ASHA Lhoukhokai Panjab University,Chandigarh The research paper is written by using both Workers are well defined. Presenting author: KAUR, Ravneet primary and secondary sources. [email protected] Keywords: synergistic, child health, rural Children are most important asset of a nation. health, decentralization, ASHA worker The growth of civilization ultimately depends Session: upon the human resources capability . Child development issue need attention and inte- • Location:

67 grated approach and well defined respective GRF Davos One Health Summit 2015

Fighting Zoonoses in Afghanistan, initiate the awareness raising campaign in the Bangladesh and Nepal: Concept and communities. Progress of the One Health Asia Pro- Keywords: One Health, Zoonoses, Public Health, gramme Surveillance Session: MON5.3 Surveillance and Early Warn- Relief International ing - The Basis for Prevention PresentingKHAN, Javed; author: ACHARYA, ACHARYA, Resham Resham Prasad Prasad [email protected] Mon 05.10.2015 • 15:50-17:20 • Location: Parsenn Relief International’s One Health Asia programme works to alleviate the impact of zoonoses on fragile rural populations. The three Working Towards ‘One Health’ – The year project (2014-2016) is funded by the Hidden Politics of Breaking Down Bar- European Union under their One Health Pro- riers gramme in Asia. The project was designed to KINGSLEY, Pete tackle the spread of infectious diseases at the University of Edinburgh, United Kingdom interface between animals, humans and their Presenting author: KINGSLEY, Pete various environments. [email protected] This intervention targets are the most vulner- One Health proposes refashioning research able populations including women and girls and interventions to address problems that in rural communities and the main focus is on spill across traditionally separate areas of awareness raising and capacity building ac- knowledge and policy. Much of what is pro- tivities. To ensure sustainability and to insti- posed under the auspices of One Health is wel- tutionalize one health concepts at the commu- come, straightforward and sensible. However, nity level in the target countries, formation of project support committees, youth clubs and complications. school health clubs are planned. The project collaboration and unification are not without plans to create district, provincial/regional/ Uganda and Nigeria, as well as recent litera- divisional and national level Zoonotic Control ture,This paperconsiders – reflecting three central on empirical aspects work to One in Associations (ZCAs) as well as an Asia Re- Health. That is, widespread calls to 1) pursue gional Zoonoses Network. These committees/ a global One Health strategy at national and associations are the forums/structures and local levels, 2) conduct more interdisciplinary the corner stones of this project to advocate research, and 3) to embrace complexity theo- zoonotic diseases awareness and concrete ac- ry as an analytical strategy. Pushing a global tions at policy level. The aim of these advocacy strategy into national and local programmes efforts is to generate wider support in govern- risks - in its crudest form at least - replicat- ment circles for the integration of zoonoses into the public health agenda. The associa- global health have often faced. Interdiscipli- tions will also help oversee the integration of narying the research issues thatcan broaden‘one-size understandingsfits all’ projects inof grassroots level surveillance with the district, real-world problems, but also risks subsum- provincial and national systems. ing smaller, critical disciplines and perspec- Through an intensive inception phase, the complexity theory offers an intriguing way of A series of visits, meetings and consultations conceptualisingtives into a homogenised unpredictable, discourse. multifaceted Finally, withproject key initiated personnel on thefrom 1st the of relevant January, Minis2014.- systems, but its implications for policy are far - from clear, and need to be thought through ized to educate and ensure buy in of project carefully. tries, Departments and Offices were organ activities for sustainability and to explore op- In short, these approaches all have promise, portunities for collaboration. 270 Community yet each is leaden with intellectual and politi- groups and clubs are being created, and 916 cal risks that may not be immediately appar- meetings have been held among members to 68 GRF Davos One Health Summit 2015 ent. This paper explores these issues, which have thus far often been neglected in a largely - technocratic, apolitical One Health discourse. esing in additional Contracts 3, income 5, and for6. Higher the farmers. market Farmprice bonusprofits alsoare mainlyindicates obtained that contract from these companies bonus Keywords: research, interdisciplinarity, com- pass on a greater proportion of the Healthy plexity, neglected tropical diseases, trypanosomiasis Contracts 2, 4, and 6 provide farmers with Session: MON4.1 The One Health Approach in higherFarm price performance premium bonuses, to farmers. indicating Meanwhile, that Action - Programmes and Initiatives companies encourage farmers to improve Mon 05.10.2015 • 14:10-15:40 • Location: - Jakobshorn ter the initial year of biosecurity investment showproduction improvements efficiency. in Overall returns estimates for farmers. af

Contract Bonus Systems to Encourage to contract companies and other stakeholders Biosecurity Adoption on Small-Scale inFindings considering from supports this research for biosecurity are informative imple- Broiler Farms in Bali, Indonesia mentation for small-scale farmers in Bali. KOMALADARA, Anak Agung Sagung Putri (1); Presentations Oral PATRICK, Ian (2); HOANG, Nam (2) Keywords: Contract bonus systems, biosecurity, 1: Udayana University; 2: University of New small-scale farmers, Bali England Session: MON1.1 A Focus on Behaviours Nec- Presenting author: KOMALADARA, Anak essary for Food Security in Animal Protein Value Agung Sagung Putri Chains [email protected] Mon 05.10.2015 • 08:30-10:00 • Location: Jakobshorn industry, due to the recent Highly Pathogenic The significant economic loss in the poultry Preparation of Hearing Conservation biosecurity adoption on small-scale poultry Avian Influenza (HPAI) outbreak, ensures that Program for Stone Crushing Industry farms remains a priority for Indonesia. How- LIMMONGKON, Yuparat (1); ever, given their economic constraints, small- scale poultry growers require a form of incen- tive to be motivated to adopt biosecurity. Since 1:SITTITOON, School of Occupational Nalin (2); EKA, Health Wasana and (3);Safety, the majority of poultry farmers manage their InstituteHONGRATHANAKORN, of Medicine, Suranaree Jirathon University(3) of birds under a contract, there is an increased Technology, Nakhon Ratchasima, Thailand; 2: responsibility for contract companies to en- School of Environmental Health, Institute of courage better on-farm biosecurity practices. Medicine, Suranaree University of Technology, In this regard, contract bonus systems that Nakhon Ratchasima, Thailand; 3: SilaSakol stimulate productivity and farm management Pattana Co. Ltd, Nakhon Ratchasima,Thailand improvements are considered as a potential Presenting author: LIMMONGKON, Yuparat means to provide incentives for farmers to in- [email protected] vest in biosecurity. Exposure to high levels of excessive noise This study evaluates contract bonus systems causes early noise-induced hearing loss. Most and its capacity to encourage investment in stone crushing industry workers could expose biosecurity. Employing a gross margin ap- noise in their workplaces. This study aimed to proach, data obtained from six major contrac- evaluate noise exposure among stone crush- tor companies in Bali were used to assess the ing industry workers using personal noise contract bonus system that best reward bios- dosimeters at the workers and sound level ecurity implementation. Bonuses rewarded by meter at the workplace areas. There were the contract companies were categorised into seven sampling points at the crushed stone two groups, namely market price bonus and operations for monitoring noise using a sound performance bonuses. Results show that the level meter. Also, workers in those operations - 69 price bonus plays a significant role in provid GRF Davos One Health Summit 2015 were evaluated using personal noise dosim- jectives include: eters. The results revealed that the average 1) Basic mental health training for Imams and noise levels were 96.1 - 96.3 dB (A)Leq at hop- community leaders to help Imams better un- per area, 100.5 -105.7 dB (A)Leq at vibrating derstand the way psychiatric and behavioral feeder and jaw crusher area, 87.7 - 95.0 dB (A) disorders present and to give them basic in- Leq at vibrating screen area. In addition, the tervention and referral strategies. Sensitizing leaders in communities will help improve rec- dosimeter for the workers in the operations ognition and access to treatment especially for weretime-weighted 70.0 -75.3 average dB (A) (TWA)for hopper of theworkers, noise the important group of young adults who have 88.2 - 95.0 dB (A) for vibrating feeder and jaw both psychiatric disorders and substance use crusher workers, and 76.1 – 79.3 dB (A) for a - vibrating screen worker. These indicated that grating into the community and culture. These the noise exposure in the vibrating feeder and youngdisorders adults and are who at arerisk having for continued difficulty aliena inte- jaw crusher areas exceeded the Thailand occu- tion, poor achievement and radicalization. pational health safety and environment stand- 2) Public lectures to sensitize other communi- ards at 90 dB (A) for eight working hours. This ty members and those of other faiths to issues industry has already applied the selection and in the Muslim community use of hearing protection devices and periodic audiometric evaluation for the workers. 3) A research day with posters and presenta- Therefore, the hearing conservation program tions to create a forum for researchers to dis- including engineering and administrative con- cuss and to improve the quality and quantity trols such as using sound absorption materi- of research on Muslim Mental Health issues. als, modifying work rotation system should Keywords: mental health, prevention, commu- be conducted in the vibrating feeder and jaw nity intervention crusher area Session: TUE4.3 Poverty and Health - One Keywords: stone crushing industry, hearing Health Approaches for Sustainable Development conservation program, personal noise dosim- Tue 06.10.2015 • 13:15-14:15 • Location: eter Parsenn Session: MON5.2 Case Studies of Integrative Health Risk Management Improving Community Health through Mon 05.10.2015 • 15:50-17:20 • Location: Pischa Mobilizing Formal Systems and Infor- mal Networks: A Social Organizational A Muslim Mental Health Conference: Approach Community Approaches to Dealing with Disaffection and Extremism The University of Georgia, United States of AmericaMANCINI, Jay A.; BOWEN, Gary L. College of Osteopathic Medicine Michigan StateMAGEN, University, Jed Gary; United ABBASI, States Farha of America [email protected] BuildingPresenting communities author: MANCINI, from the Jay insideA. out is [email protected] a powerful, effective, and sustainable preven- MuslimPresenting Immigrant author: MAGEN, Communities Jed Gary appear to tive strategy for enhancing community health, have higher rates of a variety of psychiatric and for mobilizing diverse assets to address disorders as related to immigrant status and global challenges (Mancini & Bowen, 2013). to exposure to traumatic events in the home These challenges include health disparities country. In Muslim cultures, psychiatric dis- and under-served populations, natural disas- orders tend to not be well recognized and are ter preparedness and recovery, and integra- often highly stigmatized. The Department of tion of immigrants in new environments. Each Psychiatry at Michigan State University holds of these challenges pivots on health, broadly a Muslim Mental Health conference yearly. Ob- considered, and calls for multi-dimensional 70 GRF Davos One Health Summit 2015 a social organizational theory of action and 1: FAO, Dakar, Subregional office for changesocial action (TAC) as for a theirstrategy solutions. for mobilizing We present com- Emergency,(2,3); FEARNLEY, Rehabilitation Lyle (4); andWILCOX, Resilience Bruce in (5) munity assets that accounts for vulnerabilities West Africa (REOWA); 2: Center for Mountain while elevating processes of resilience. The Ecosystem Studies, Kunming Institute of approach has been integrated with key global Botany, Chinese Academy of Sciences; 3: World Agroforestry Centre (ICRAF), East and way (Bowen, Martin, Mancini & Nelson, 2000), Central Asia Region; 4: School of Humanities naturalissues concerning disasters (Keifer, first responders et al, 2008), in intimate harm’s and Social Science Nanyang Technological partner violence in communities (Mancini, et University; 5: Global Health Asia, Faculty of al 2006), community gardens, violence against Public Health, Mahidol University older adults (Roberto, et al, 2013), and com- Presenting author: RICHTER, Carsten munity physical and mental health (Mancini, [email protected] Arnold, Martin, & Bowen, 2014). The outbreak of Ebola virus disease (EVD) The global health example we use in this dis- -

cussion are health conditions of diabetes, Presentations Oral heart disease, and obesity, though, numerous reportedin West Africain March represented 2014, the aEbola crisis outbreak of mas severelysive scope affected and cross-sectoralGuinea, Liberia nature. and Sierra First could be used. The orientation is one of pre- Leone, and threatened to impact neighbour- vention,other health though situations equally of applicable global significance to inter- ing countries. EVD caused tragic loss of life, vention. There are four major framework ele- adversely impacted agriculture and gravely ments (see Mancini & Bowen, 2013 for a full threatened food and nutrition security in the region. Governments, institutions and infra- of social and physical infrastructures (called structures struggled to cope with the enor- communityelaboration), antecedents), the first centered the second on contextsfocused mous challenge while the way of life of affect- on network structures, social capital and com- ed populations hung in the balance. Now that munity capacity (called social organizational the number of cases is declining and the situ- processes), the third on sense of community ation is slowly returning to normal, questions are emerging on the incapacity of the interna- element is individual/family/community re- tional community and national public health (called intermediate results), and the final systems to react timely and prevent the dra- examples in the course of analyzing commu- matic spread of the disease across 6 countries nitysults. situations We provide through four globalthis theoretical health real-life lens. in Africa and beyond in Europe and the United for social action, including how to mobilize in- lessons we have not learned from One Health formalWe conclude networks our discussionin communities with implicationsthrough the experimentsStates. What havethat took we missed place in and various what parts are the of actions of formal systems that support com- the world, more particularly in Asia? Here we munities. explore the social and ecological determinants Keywords: Community, resilience, informal of emerging infectious diseases, with the hope networks, formal systems they may help lay a foundation for a preven- Session: TUE1.1 Education and Capacity Build- from this and other EIDs (H5N1, SARS, NIPAH) ing within One Health istive the approach need to focus to EIDs. on understanding What can be the learned tem- Tue 06.10.2015 • 08:30-10:00 • Location: poral and spatial coalescence of social and Jakobshorn transmission. This must include considering ecological factors promoting intensification of Ebola Virus Disease Outbreak in West how emergence processes operating on different scales interact, and how loss of system re- Africa: The Lessons We Have Not silience sets the stage for disease emergence. Learned This should include how the dynamics of criti- MARTIN, Vincent (1); RICHTER, Carsten cal factors lead to potential epidemic foci, lo- 71 GRF Davos One Health Summit 2015 cally. It should also include how these dynam- toralists. Additionally a leapfrogging interven- ics coincide with critical processes occurring tion is planned in Kagera Region of Tanzania. on a regional scale, such as increasing move- An advanced modern health facility will be ment of pathogens via humans or other “vehi- - cles” for inter-foci pathogen transmission. creasing cases of cancers and related diseases. created to serve five countries to contain in- Keywords: EVD, Food and Nutrition Security, tion of needs to the existing health services. At- Livelihood, social-ecological systems, Interdis- tentionThis requires has to apaid cost to efficient capacity, way infrastructure for integra ciplinary collaboration, West Africa, Regional - approach ers. Collaboration between professionals from Session: TUE1.3 Vulnerabilities and Resilience - andcountries listening of emerging to beneficiaries/service economies opens provid new One Health Approaches for Sustainable Devel- vistas. In this digital age of the possibility of opment instant information, valuable lessons can be Tue 06.10.2015 • 08:30-10:00 • Location: incorporated. Parsenn gains have been made in malaria control, HIV/ Integrating Knowledge Systems: Be- AIDPreliminary and maternal Findings: deaths. Based Nevertheless, on MDG a somepub- yond the Triple Health of The Maasai lic health crisis exists because of governance And Leapfrogging Into A Modern issues, inadequate policies, casual implementation etc . Health is not a “standalone” sector. Health Facility In Kagera/Central It is critically intertwined with the culture, Africa MASCARENHAS, Adolfo Caridade (1); PAIS, large and very diverse country like Tanzania, Anthony Victor (2) well being and livelihood of citizens. For a 1: Local & Indigenous Knowledge System, exclusive health for the few privileged while Tanzania (LInKS),Commission of Science & thea “one-size-fits-all” masses both in the approach urban and will rural lead toareas an Technology (COSTECH) Researchon Poverty wallow in poverty. Alleviation(REPOA); 2: Mazumdar Shaw Medical Center, Prof. Head of General Surgery Keywords: Research Value, Integrating Local/ Academic Affairs Modern Knowledge Presenting author: MASCARENHAS, Adolfo Session: MON5.1 One Health Approaches for Caridade Sustainable Development [email protected] Mon 05.10.2015 • 15:50-17:20 • Location: The goals of this paper are contextualized by Jakobshorn recognizing a serious crisis in health at global, national and community levels. Understand- ing the prevailing situational chasm, the op- Shifting the Diagnostic Paradigm for portunities, constraints at the two extremi- Undiagnosed Illnesses – Low-tech Les- ties are required if meaningful and affordable sons Emerging from the Wild improvements are to be put in place. Building

Maasai concept of “triple health” the main goal MAZET, Jonna AK (1); SMITH, Woutrina ison toa presentationdemonstrate madehow researchat GRF 2014, and knowlon the- (1); ANTHONY, Simon J (2,4); KREUDER- - DASZAK,JOHNSON, Peter Christine (2); GOLDSTEIN, (1); JOLY, Damien Tracey (3); (1) cant participation of people, professionals etc 1:WOLFE, One Health Nathan Institute, (3); KARESH, University William of B. (2); Methodologically,edge based approaches a pragmatic could leadapproach to signifi has California, Davis, United States of America; 2: EcoHealth Alliance, New York, United States of health concept of the Maasai in Mwanga Dis- America; 3: Metabiota, San Francisco, United trictbeen of taken. Tanzania, Without there romanticizing has been a subsequent the triple States of America; 4: Center for Infection and reassessment of changing circumstances for Immunity, Columbia University, New York, adaptation and coping mechanism of the pas- United States of America 72 GRF Davos One Health Summit 2015

Multisectorial Scheme Proposed for [email protected] Resilience in Guatemala due to Disas- Presenting author: SMITH, Woutrina ters Caused by Water recently become more feasible due to imple- mentationRapid identification of One Health of pandemic approaches. threats In just has San Carlos University of Guatemala, four years, the PREDICT Project of USAID’s GuatemalaMEJIA, Monica Pamela Emerging Pandemic Threats Program has detected more than 250 novel viruses from wild- [email protected] life that are related to those that cause illness, GuatemalanPresenting author: panorama MEJIA, due Monica to disasters Pamela caused epidemics, and pandemics in people. Most by water, instead of being dark, could be im- genomic approaches for viral discovery are proved using the proposed scheme to work as extremely expensive and still available only a stage to perceive opportunities using the tal- in sophisticated laboratories with teams of ent and national capacity, cultural and ethnic diagnosticians and bioinformaticians. There- fore, more economical, portable, and tech- through investment, transparent regulations, nologically simple approaches were sorely hazarddiversity recognition to actively as influence key players in the changing, subject, Presentations Oral needed to detect and forecast novel pathogen resource protection, power-sharing, strategic emergence. Because the PREDICT Project has alliances, anticipation of risks that cannot be focused on viral emergence from wildlife in reduced. remote areas in some of the most resource- constrained countries, we have by necessity Important is that a paradigm shift is gener- developed a more sustainable approach to ated: disaster to resilience. Instead of think- viral discovery and diagnosis of mystery ill- ing, speaking, innovate and create solutions nesses that we have implemented across to reduce disaster; it is better to discuss, in- broad socioeconomic contexts. Employing si- novate and create alternatives or proposals to multaneous multiple-genus and family level, overcome post-disaster properly (because so- consensus PCR, we have been able to quickly cial, structural and environmental debt is still and accurately identify novel viruses, previ- high), being able to be prepared, updated and ously undiagnosed as potential pathogens, versatile to the occurrence of various events for further characterization. This approach in the future, making visible the risks with the does not eliminate the need for careful clini- ability to see beyond what is customary. cal interpretation of patients, but does pre- There are contexts, frameworks, laws and reg- vent severe intervention delays due to missed ulations, international experience, research methodologies to protect life when water availability for emerging and re-emerging becomes a hazard. However, there must be a pathogens.differential diagnosesCombining and cutting-edge deficiencies surveil in test- synergy, active participation and multisecto- lance techniques with practical implementa- - tion of holistic, One Health approaches, the sponsibilities and obligations are intended to global health community has now contributed eachral dynamic. one according Is the benefit to their will skills be greater or whether if re - institutions (public, private or individuals) in- provement for the individual, while realizing terested in the subject work hard on their own thesignificantly original goal to of inexpensive step-wise improvement diagnostic im of to achieve the same goal? pandemic prevention. It is logical and intelligent to consider that intervention and collaboration according to the Keywords: zoonoses, emerging infectious dis- capabilities, economic, intellectual and hu- ease, pandemics, diagnostics, wildlife manitarian efforts well distributed and used Session: MON5.3 Surveillance and Early Warn- ing - The Basis for Prevention and proper way to serve the population and for the same purpose, create a powerful, fit Mon 05.10.2015 • 15:50-17:20 • Location: its environment ensuring a secure develop- Parsenn ment.

73 GRF Davos One Health Summit 2015

Keywords: water, resilience, disasters, multi- As a key element of the management cycle, sectorial participation education is of critical importance. Changes Session: MON1.3 Water and Health in perception, attitude and behaviour are - Mon 05.10.2015 • 08:30-10:00 • Location: mal Protection therefore invests in curricula Parsenn mainstreamingfundamental to andlong ‘Training term success. of Trainers’ World proAni- grammes, often for local authorities and mu- Dog Population Management: Integrat- nicipal councils. ed Solutions for Animals and People - ports a holistic approach which sees animal andIn conclusion, human health World as Animalinextricably Protection connected, sup (1);MUTONONO-WATKISS, KC, Pankaj (1); MUDOGA, Beryl (1);Emily (2) and works through cooperation between 1:FOGELBERG, World Animal Emelie Protection, (1); PARRAVANI, United Kingdom; Ellie municipalities, public health and veterinary 2: World Animal Protection, Africa sectors. By coupling humane dog population management with responsible dog ownership, Beryl Presenting author: MUTONONO-WATKISS, mitigated, creating harmonious co-existence. conflicts between humans and dogs can be Keywords: dog, population, management, [email protected] and welfare. In some instances, in efforts to rabies, partnerships protectPublic healthhumans, is influencedanimal welfare by animal suffers. health Stray Session: MON4.3 Wildlife, Livestock and Pets - dog populations are considered a problem The Human Animal Interface in many developing countries and are sometimes dealt with by mass inhumane culling. Mon 05.10.2015 • 14:10-15:40 • Location: The misconception that culling is the most Parsenn effective method of reducing dog populations often results in severe animal suffering. Appli- Snoozes Risk Assessment and Preven- cation of a full cycle of dog population man- tion in Georgia agement methodology (for example, as set NADIRADZE, Kakha; PHIROSMANASHVILI, out in the International Companion Animal Nana Management Coalition guidelines), or steps Association for Farmers Rights Defense, AFRD, towards this, can help tackle the spectrum of Georgia problems associated with roaming dogs, such Presenting author: NADIRADZE, Kakha as disease transmission, nuisance, injury and [email protected] fear, dog bites and livestock predation more As the world population grows, particularly in humanely and effectively . urban areas, and incomes increase, diets and consumption patterns change, and demand works with global governments, IGOs, NGOs for food and non-food agricultural products To achieve this, the World Animal Protection and communities to ensure sustainable solu- expand. In Georgia Agriculture has to face the tions for animals and people alike are put in progressive erosion of the natural resource place. base it depends on, in addition to the threats - that originate from climate change. The de- ners with the Zanzibar Department of Live- sired impact on the Risk assessment in food stockFor example, Development World (via Animal the Veterinary Protection Depart part- security and nutrition and sustainable devel- ment), who are implementing a humane dog opment can only be achieved if the actors in- - volved are accountable for their actions and ing the initial success of the project, the De- for the impact they have on the livelihoods of partmentpopulation have management expanded objectivesprogramme. to Followinclude others and on the environment. It is common rabies elimination, which is an achievable goal knowledge in climate change particularly af- and which will help reduce the animal welfare fects developing countries like Georgia, but and public health burden of the disease. its effects on health, nature and environment 74 GRF Davos One Health Summit 2015 are still very hard to predict. In a joint effort to 200 Bq/m3.), high( 200 -400 Bq/m3) and very bridge this gap, we worked on research project to assist risk management and health decision-makers in allocating resources and im- measureshigh (> 400 to Bq/m3) reduce their radon risk concentrations; of of lung cancer for plementing preventative measures ahead of (basedtheir willingness-to-pay on exposure-response (WTP) functions, for mitigating and disease epidemics. The Projects was focused assumed or measured indoor radon concen- on risk management and disease control in trations) from the current level to below 100 Animals, aiming giving to decision-makers Bq/m3. Econometric analyses were conducted the necessary recommendations to deploy to identify the socioeconomic determinants of intervention methods and help prevent large- scale spread of zoonotic diseases and dif- - ferent pollutants affecting food and feed for ducedtheir WTP lung and cancer their is willingnesscompared to to the undertake costs of human ad animals. The overall objective of mitigatingradon measurements. measures. Social benefits of re our research project was to combine climate Keywords: Radon, lung cancer, Stated prefer- models, weather-dependent infection-control ence, willingness-to-pay, health economics data for key diseases, and local knowledge - Session: MON1.2 Integrative Health Risk Man- Presentations Oral agement of Farmers about population behavior, dis learned by these researches that there was a Mon 05.10.2015 • 08:30-10:00 • Location: Pischa clearease lack control of use and of transmissionclimate-model patterns. data sets Wefor impact studies, assessments and evaluations. Comparison of Science-Based Frame- diseases like: brucellosis, bovine tuberculosis, works for Risk-Informed Decision Sup- echinococcosis,We investigate theleishmaniosis, conditions oflisterias the animals and port Across Life-Science and Engineer- zoonotic trypanosomes. These diseases pose ing Disciplines a direct risk to human health’s in Georgia, and can also have a serious impact on livestock productivity – and hence the livelihoods of 1:NIELSEN, Technical Linda University (1); SCHLUNDT, of Denmark, Jørgen Denmark; (2); 2:FABER, Technical Michael University Havbro of (3) Denmark, Denmark; 3: Technical University of Denmark, Denmark Keywords: zoonozes, climate change, preven- Farmers and their families. Presenting author: NIELSEN, Linda tion, food safety [email protected] Session: MON5.2 Case Studies of Integrative Health Risk Management Most risk management strategies, regardless of the types of hazards considered, have been Mon 05.10.2015 • 15:50-17:20 • Location: Pischa designed for individual hazards and risks as well as individual organizations responsible Social Benefits of Reducing the Risk of for managing them. In an increasingly interconnected society, compartmentalizing the Lung Cancer from Radon Exposure management of risk – and therefore also the NAVRUD, Stale underlying risk assessment - will result in ma- Norwegian University of Life Sciences, Norway jor missed opportunities in relation to synergy Presenting author: NAVRUD, Stale in solutions as well as prioritization of risks. [email protected] . Our study is in direct response to the chal- The geology of Norway makes a large part of lenge of building a holistic, cross-disciplinary the population exposed to radon levels above risk assessment capability that can enable the the level of 100 Bq/m3 indoor concentration synchronization of efforts of multiple stake- recommended as the maximum level by Nor- holders within one or multiple management frameworks. conducted a Stated Preference survey asking awegian representative Radiation sample Protection of 700 Authority.households We in Norwegian municipalities with medium (100- We have conducted a study of six academic fields, which aim to provide risk-informed,75 GRF Davos One Health Summit 2015 evidence-based decision support with respect results of the water control analyses during to risk and sustainability assessment: human storm rains, there is a bacterial pollution of and environmental health, civil engineering, the rivers prick an index can reach numerous transportation, management science and sci- amounts of intestine sticks in 1 liter of water (Varzob River – 3800 intestine sticks in 1 liter in the area of risk assessment and manage- of water). The basic importance of a water- mententific and computing. their drivers We describe and discuss major the trends im- way of infection transfer is especially evident at study of dynamic of disease by a typhoid, compare procedural risk frameworks and which always characterized as very high plications for the above academic fields. We level. The underground waters take appreci- frameworks, together with underlying princi- able place in supplement of the population of associated terminologies as well as scientific - several theoretical principles as particularly cal components of the ecosystems possesses suitableples, methodologies in the context and of metrics. risk-informed We highlight deci- abilityTajikistan promptly by potable to transfer water. Watervarious as pollution dynami sion making, which are applicable across aca- and infectious diseases on greater territories. demic domains: Bayesian decision analysis, Value of Information, Bayesian Probabilistic not exception is also underground waters. Nets, Multi-Criteria Decision Analysis, and a However, it concerns to superficial waters but- number of socio-economic models and indi- ground waters constantly are in dynamic in- cators for risk acceptance criteria, including teractionFirst, it caused and takes by that thus superficial a place penetrationand under DALYs, HALYs and the Life Quality Index (LQI). and diffusion of pollution to the reservoirs of - underground waters. Earlier it was observed fort , whose novel contribution is building a - genericWe propose framework, a cross-disciplinary which will enable scientific a com ef- tion of nitrates in underground waters: during mon development of metrics and models with thethat droughty significant periods seasonal concentration change of concentra of nitrates respect to sustainability and risk assessment did not exceed unit and during rains reached in a number of presently separately managed 18 mg/dm3. Tajikistan is the agrarian country areas. and basic agricultural production is cotton.

Keywords: Risk frameworks, comparative stud- breaking the established norms apply enough ies, life safety lotsFor receivermineral of fertilizers the good harvestand pesticides. many farmers It is Session: MON1.2 Integrative Health Risk Man- necessary to note that the majority of sources agement of mass water delivery of rural population are near to the irrigated grounds. At rains the min- Mon 05.10.2015 • 08:30-10:00 • Location: Pischa eral fertilizers and pesticides hit to the underground water reservoirs Monitoring of Emergency Water Fac- Keywords: bacterial pollution, intestine stick, tors and Anthropogenous Loading of infection, typhoid Industrial Facilities on Quality of a Wa- terway of Transboundary Rivers Session: MON1.3 Water and Health NORMATOV, Parviz Mon 05.10.2015 • 08:30-10:00 • Location: Tajik National University, Tajikistan Parsenn Presenting author: NORMATOV, Parviz [email protected] Intergrated One Health Zoonoses Risk Tajikistan is a mountainous country that one Assessments of Cross Border Pork posed in an interval of altitudes from 300 up to Value Chains in Lao PDR 7000 m above the sea level, cities, settlements OKELLO, Anna (1); TIEMANN, Tassilo (2); and kishlak (villages) are located in valleys of the rivers, which anthropogenesis loading on (1); PHENGVILAYSOUK, Ammaly (4); KEONOUCHANH,INTHAVONG, Phouth Soukanh (3); OKELLO, (4); KHAMLOME, Walter

76superficial reaches maximum. According to GRF Davos One Health Summit 2015

Session: MON5.2 Case Studies of Integrative Health Risk Management 1:Boualam CSIRO, Australian(5); NEWBY, Animal Jonathan Health (2); laboratory, BLASZAK, Mon 05.10.2015 • 15:50-17:20 • Location: Pischa GeelongKate (1,6); Australia; ALLEN, 2: John International (1) Center for Tropical Agriculture (CIAT) Vientiane Lao PDR; 3: Department of Livestock and A Conceptual Framework for Con- Fisheries, Vientiane Lao PDR; 4: National ducting and Integrated Vulnerability Agriculture and Forestry Institute, Vientiane Assessment in Climate Change and Lao PDR; 5: National Centre for Laboratory Malaria Transmission and Epidemiology, Ministry of Health, ONYANGO, Esther Achieng Vientiane Lao PDR; 6: Independent Consultant, Griffith University School of Environment: Melbourne Australia Centre for Environment and Population Health and Environmental Research Futures Institute, [email protected] Brisbane, Australia ThePresenting increasing author: demand ALLEN, for John pork in Southeast Presenting author: ONYANGO, Esther Achieng

- Presentations Oral cant opportunities for smallholder producers. Climate change will impact on ecosystem ItAsia is andimportant Southern to Chinaunderstand is presenting the economic signifi [email protected] of climate-sensitive diseases such parameters and the public health risks of as malaria. Also, other important ecological, these pig production systems in the Greater socioeconomic and sociodemographic factors, Mekong sub-region. Lao PDR is strategically such as land use change, gender, age, human placed geographically between the larger immunity, population growth, migration and markets of China, Thailand and Vietnam. Lao’s transportation and levels of economic devel- - understanding of the patterns of livestock productionrecent accession and associatedto the WTO zoonoses requires risksgreater in ofopment risk must have include an influence the relative on malaria contribution trans the country - including pork products - in or- mission. A sufficiently accurate determination- der to align national policy with agreement on cluding those operating at the local level, as the Application of Sanitary and Phytosanitary thesethis array factors of caninfluences either mitigate at multiple or exacerbate scales in (SPS) Measures. A greater understanding and the projected risk from climate impacts alone. It is also important to understand the extent SPS recommendations are proportional to the to which affected communities are vulner- risk,quantification thus avoiding of the unnecessary risk will help penalties to ensure or able to this risk and their adaptive capacity. transit times for pig producers and traders in Integrated vulnerability assessments involve the country. This study describes the integra- the consideration of climate and other bio- tion of market chain analysis in two strategic physical and social determinants of malaria cross border chains in Lao PDR. Integrating transmission in a holistic framework for risk qualitative and quantitative research process- evaluation. A review of research on malaria es has lead to a greater understanding of the transmission in the East African region, which current knowledge, attitudes and practices of is a high-risk area for malaria transmission, stakeholders along the pork value chain and revealed only one integrated vulnerability as- of the associated economic and public health sessment of climate change and malaria. This risks of this activity. lack of integrated vulnerability assessments Evidence based recommendations can be - made for setting policies and implementing minants involved, the lack of appropriate data, government programs that address both the thelargely need reflects for a the multi-disciplinary multiple interacting approach, deter smallholder pig production needs and the public health risks. analyses at multiple temporal and spatial and the difficulty in conducting the required Keywords: market chain analysis, zoonotic and although there are general guidelines on risks scales. Vulnerability is also context specific 77 GRF Davos One Health Summit 2015 such assessments, there is not one universal ing group to manage zoonotic outbreaks and method for such studies. Based on the theo- workshops to deliberate on mechanisms of retical concepts of climate change, malaria maintaining OH practices. These efforts cul- transmission and vulnerability, this paper will minated in the establishment of an OH coor- present a conceptual framework developed dinating unit, referred to as the Zoonotic Dis- to conduct an integrated vulnerability assess- ease Unit (ZDU) in 2011. ment of climate change impact on malaria The ZDU bridges between the ministries of livestock and human health, with an epide- The framework utilises a systems approach, miologist deployed from each ministry aimed transmission in Western Kenya, East Africa. at establishing and maintaining collaboration at the animal and human health interface to- ofidentifies climate critical change, stakeholders land use change at regional and other and wards better prevention and control of zoon- community level, and considers the influence oses. As a guide for the ZDU, the country has a 5-year national strategic plan for the imple- socialKeywords: influences Integrated in transmission. vulnerability assessments, climate change, malaria transmission, western Kenya this newly enhanced collaboration are already becomingmentation apparent;of an OH approach. recent outbreaks The benefits of zo of- Session: TUE4.3 Poverty and Health - One onotic diseases, including Rift Valley fever Health Approaches for Sustainable Development

Tue 06.10.2015 • 13:15-14:15 • Location: detected more rapidly, effectively responded Parsenn to,(RVF) better of 2006-07,documented rabies and and the anthrax understand were- ing of animal-human linkage of the diseases Zoonotic Disease Unit of Kenya: Blue- improved. This OH approach has enhanced print for National One Health Action compliance with the International Health Reg- OSORO, Eric (1,2); MBABU, Murithi (3); ulations (2005) on public health threats. The ZDU has also coordinated the development a Maurice (5); RESCH, Kristin (5); KAIRU- national rabies elimination strategy that in- NJERU, Ian (1); BODAL, Huzeifa (4); KIBOYE, corporates the OH approach and whose imple- BITEK, Austine (2,3); MUTURI, Mathew (2,3) mentation is based on the Stepwise Approach to Rabies Elimination. 1:WANYOIKE, Ministry of Salome Health, (3); Kenya; KIAMBI, 2: Zoonotic Stella (3); Disease Unit, Government of Kenya, Nairobi, The ZDU is a successful model for coordina- Kenya; 3: Ministry of Agriculture, Livestock tion between human and animal health sec- and Fisheries, Nairobi, Kenya; 4: GIZ Health tors that can be adopted in other settings. Programme, Nairobi, Kenya; 5: Veterinaires Keywords: One Health (OH), Kenya, collabora- Sans Frontieres-Germany tion Presenting author: MUTURI, Mathew [email protected] Session: MON5.1 One Health Approaches for Sustainable Development A One Health (OH) approach that integrates human, animal and environmental approach- Mon 05.10.2015 • 15:50-17:20 • Location: es to management of zoonotic diseases has Jakobshorn gained momentum in the last decade as part of a strategy to prevent and control emerging To Provide Millions Of Gallons Of infectious diseases. However, there are limited Fresh Water To All Eco System In Sa- examples of institutionalized OH approaches. hara Desert Without Using Single Watt - Of Energy. lishment of a sustainable OH system at nation- PATIL, Manish Dattatray We describe Kenya’s roadmap towards estab al and sub-national levels. Simple Ideas & Solutions, India Since 2006, the Government of Kenya has Presenting author: PATIL, Manish Dattatray worked to institutionalize OH approaches [email protected] through creation of a multi-sectoral work- 78 GRF Davos One Health Summit 2015

To multiply nature`s own system of evapora- Ambient Air Quality Surveillance: tion of sea water by creating of “water vapor Environmental Impact of Brick Kiln farm” above sea water and dew/fog collecting Emission methods by creating dew farms in desert. To design 3x3 feet cotton cloth hangings with NARKHEDE, Raju Kashinath MaharashtraPATWARI, Jayprakash Udayagiri Manoharrao; Mahavidyalaya, India edgerigid floatingof cloth justsupports. dipping To in keep water. cloth Due hangings to cap- Manoharrao illaryfloating action, vertically water onwill sea rise water in the with cloth lower to 3 [email protected] author: PATWARI, Jayprakash feet. Due to this Air Pollution due to small scale industries 1) Increases air–sea water interaction. have been found to cause serious occupational 2) Reduces cohesive force between water mol- health hazards and adverse effects on vegeta- tion and potential impact on the environmental conditions. The study for air pollution im- loadecules water creating vapor thin in airfilm. to highest possible hu- pact assessment for brick kiln industries was midity.Wind will Each brush cloth vertical hanging cloth evaporates hangings about and undertaken. Although industrialization is very Presentations Oral 20 liters water/day. important for the development of a country, this is a bitter fact that it speeds up the pro- Considering wind speed 15 kilometers/hour, cess of environmental degradation as was ob- in 8 hours the vapor will travel deep in desert. served at the Udgir of district Latur in Maha- This will eliminate transportation cost. rashtra State (India). The monitoring of brick During night, temperature drops to about +7°c kiln emissions was carried out on monthly basis to estimate the pollution level of gaseous pollutants like oxides of sulphur (SOX), Oxides Thisin the will desert. eliminate With highercondensation relative cost. humidity, Dew of nitrogen (NOX) particulate pollutants (Res- collectorsair will offload will beabout put 27ml/m3at strategic water locations as dew. as pirable particulate matter –RSPM) and (Non per wind directions to maximize water extrac- respirable particulate matter –NRSPM) during tion form air. the Non operational and Operational phases Most water will percolate in soil, some will of brick kilns in the year 2012-2013. Survey of public health and brick kiln worker was further deep in desert. This dew–vapor hop- carried out for the health disorders like bron- pingagain patternevaporate. will Winds eventually will carry increase these vaporswater chitis and skin related problems. The results quantity in the whole desert eco-system, air, revealed that all the pollutants (SOX), (NOX), soil and watersheds. New aquifers, streams, RSPM and NRSPM were crossing the limits rivers will form, present one will be replen- prescribed by National Ambient Air Quality ished. These water bodies will store naturally Standards (NAAQS) during the operational desalinated water eliminating storage cost. - Negligible capital cost and no manmade en- dex (AQI) were calculated and the study sites ergy is required to run whole system. werephase categorized of brick kilns. from Further severe the to highAir quality pollution in including residential areas which is of most Keywords: Water to desert ecosystem; poverty concern in respect to health conditions of lo- migration reduction, global warming reduc- cal people. To minimize the emission of level tion. of air pollutants from brick kilns, possible air Session: MON1.3 Water and Health pollution mitigation measures are suggested.

Mon 05.10.2015 • 08:30-10:00 • Location: Keywords: air pollution, brick kiln ambient air Parsenn quality, public health Session: MON5.1 One Health Approaches for Sustainable Development

Mon 05.10.2015 • 15:50-17:20 • Location: Jakobshorn 79 GRF Davos One Health Summit 2015

Borrelia in Brazil – Fact or Fiction? A various wildlife from the states of Minas Ger- Collaborative Study with a One Health ais and Bahia, Brazil were collected for DNA Approach sequencing and multi-locus sequence typing. Utilizing the One Health concept, results from RODRIGUES, Patricia (3); BANDEIRA, Antonio this study will shed light on the importance CarlosPETTAN-BREWER, (4); NERO, Luis Klaisy Augusto Christina (2); R(1,2); DE of wildlife as reservoirs of emergent diseases, PAULA, Tarcizio Antonio (2); SCATAMBURLO and are expected to allow phylogenetic analy- MOREIRA, Maria Aparecida (2); BANKHEAD, sis of the putative pathogenic microorganism Troy (5) in order to identify as either a Lyme borrelio- 1: School of Medicine, University of sis- or relapsing fever-type agent. This in turn Washington, Seattle USA; 2: School of will be instrumental in laying the foundation Veterinary Medicine and One Health, One for further laboratory studies into the biology World Brazil-Latin America, University Federal and pathogenesis of the causative agent, and of Viçosa, Minas Gerais Brazil; 3: Animal allow for the development of tests to effective- Hospital and PR Agropecuaria Ltda, Porto Seguro, Brazil; 4: Hospital Aliança, Infectious animals and patients. ly diagnose the disease in afflicted domestic Diseases Sector, Salvador Bahia, Brazil,; 5: Keywords: Borrelia, Lyme disease, emerging Paul Allen Global Animal Health, Washington infectious diseases, One Health, Medicine State University, Pullman, USA Session: TUE4.3 Poverty and Health - One Health Approaches for Sustainable Development Christina [email protected] author: PETTAN-BREWER, Klaisy Tue 06.10.2015 • 13:15-14:15 • Location: Members of the Borrelia genus are responsible Parsenn for two important diseases of animals and humans, namely Lyme borreliosis and relapsing One Health Perspective and Assess- fever. Lyme borreliosis is currently the most ment of Giardia and Cryptosporidium common vector-borne disease in both North Infections Related to Wastewater and America and Europe, and causative agents of Excreta Use in Agriculture in Vietnam both diseases are now known to exist in the PHAM-DUC, Phuc (1); NGUYEN-VIET, Hung Middle East, Africa and Asia. Despite reports of (1,2,4); ODERMATT, Peter (2,3); ZINSSTAG, similar clinical entities in South America over 1: Hanoi School of Public Health, Vietnam; - 2:Jakob Swiss (2,3) Tropical and Public Health cult,the last presumably 20 years, due laboratory to differences confirmation from other of Institute, Switzerland; 3: University of Basel, knownthe putative Borrelia. etiological In Brazil, agent a Lyme-like has proven disease diffi Switzerland; 4: International Livestock has been described as an emerging zoono- Research Institute sis, with clinical symptoms progressing from Presenting author: PHAM-DUC, Phuc skin rash and fever to arthritis, carditis and [email protected] neurological complications. Although these A quantitative microbial risk assessment of symptoms are similar to those associated with Giardia sp. and Cryptosporidium sp. infection Lyme borreliosis in North America, the clinical was conducted using multi-trial Monte Carlo picture in Brazil is also associated with recur- simulations to predict the risk of diarrhea re- ring febrile episodes that are more closely related to the use of human and animal waste- lated to relapsing fever. Identifying the causa- water and excreta in an agricultural commu- tive agent has also been problematic due to nity in northern Vietnam. The Nhue River and the fact that current diagnostic tests for Lyme irrigation systems received untreated waste- borreliosis have routinely failed. To gain a bet- water from households and upstream urban ter understanding of the etiological agent in- settlements. A total of 173 wastewater and ducing Lyme-like disease in Brazil, blood and excreta samples were collected from 5 criti- tissue samples from symptomatic patients and cal sampling points. The protozoan parasites 80 GRF Davos One Health Summit 2015

- sistance by service dogs for those with dis- rescent antibodies and microscopy. A survey abilities, physical rehabilitation and behav- withGiardia 235 and households Cryptosporidium was conducted by immunofluo using a ioral/mental health interventions through structured-questionnaire to assess people’s exposure to wastewater and excreta. The most hazardous exposures included direct contact animal interactions assisted therapy were primarily (AAT). While anecdotal, initial with the Nhue River and pond water and com- areports growing of numberthe therapeutic of studies benefits are contributing of human- to a body of knowledge supporting the physi- arithmetic mean concentration of diarrhe- - genicposted Cryptosporidium excreta during field (6 work.oocysts/100 The highest ml) acting with animals in a variety of settings. All was in household sewage; whereas Giardia medicalcal and emotionalprofessionals benefits play fora centralhumans role inter in was highest in composted excreta (120 cysts/ public health. By educating patients and their gram). Estimated annual infection risks in - all the exposures were much higher than the imal bond (impact on health, preserving the commonly proposed thresholds of 10-4 (< 1 bond,families enhancing on the significance its positive of impact) the Human-An and im- infection per 10,000 individuals); and the es- plementing whole-family wellness practices, timated annual diarrhea risks values were at providers can positively impact health, quality Presentations Oral least 10-fold greater than maximal risk of 10-3 of life and healthcare costs. - The number of clients and patients seeking sessment indicated exceeded risks for Giardia these services has grown exponentially in andset by Cryptosporidium the World Health infections Organization. among The peo as- the last decade, and healthcare practitioners ple exposed to wastewater and excreta. Study are increasingly asked for resources, letters results are useful in developing an integrated strategy for pathogen management and pub- opinions on animal assisted interventions. lic health control in the agricultural settings Considerableof justification confusion for housing exists exceptions, about the andle- where human and animal wastewater and ex- galities of public access of therapeutic vs. ser- creta are intensively used as irrigation water vice animals, and some individuals choose to sources and fertilizers. misrepresent service animals, thereby poten- Keywords: one health, wastewater, excreta, tially endangering the public and the rights agriculture, risk assessment of those truly disabled individuals requiring - Session: MON5.1 One Health Approaches for titioners are often unfamiliar with the theory, Sustainable Development applicationthe protection and of evaluation the law. Furthermore, of animal assisted prac Mon 05.10.2015 • 15:50-17:20 • Location: interventions, and subsequently unintention- Jakobshorn ally neglect an opportunity to enrich the lives of their patients. Despite the primary role of Implementing Animal Based Thera- the animal in AAI, veterinary and animal care pies in the Health Care Setting: A Team professionals may also be unfamiliar with the health needs of both the animals involved in Approach interventions and the human participants. Center for Animal Human Relationships, This session will provide an overview for Virginia-MarylandPIERCE, Bess Janine College of Veterinary healthcare practitioners of the key areas of Medicine, United States of America animal based therapies and will stress an Presenting author: evidence-based approach to the application of animal assisted interventions. Topics The positive effects of the human animal covered will include an introduction to AAI, bond enable the broad application of animal evidence-based applications of AAI, and risk assisted interventions (AAI) to achieve posi- management for potential disease and haz- tive therapeutic outcomes in human patients. ards of AAI. The overall goal is for the partici- Examples include social visitations through pants to acquire an introductory knowledge animal assisted activities (AAA), physical as-

81 GRF Davos One Health Summit 2015 hazards and appropriate applications of ani- by distinct co-evolution patterns, namely in malof definitions, assisted interventions. available resources, Successful potential AAI thetime. development This intimate of coexistencesimilar diseases. is confirmed Genetic requires participation of professionals across the spectrum of animal and human health. The environmental circumstances are regarded presenters represent this broad range of ex- aspredisposition main variables and for the comparative presence of specificdisease etiology. In this context, our research intends nursing, public health and infectious disease. to challenge the knowledge on spontaneous Descriptionpertise from of the session: fields ofPanel veterinary Discussion medicine, tumors development through the study and comparison of tumor incidence and geograph- 1. Introduction to animal assisted therapies ic distribution in dogs, cats and humans. differences between between AAA, AAI, ther- apywith vs. focus service on canine dogs, interactionsADA guidelines, (define canine the data about tumors in dogs and cats, which capabilities, other animal applications, train- haveWe benefit been collectedfrom the betweenavailability 1955 of diagnosticand 2008 at the two Swiss university institutes of veterinary pathology based in Berne and Zurich and 2. Evidence-Based Therapeutic Applications foring andAnimal certification Assisted entities,Interventions etc) PIERCE, (AAA/AAI NG data by coding tumor location and morpho- for nursing home visits, school visits, coun- at a private laboratory. We consolidated the seling applications, service dog capabilities) research standards and by computing mean- DAVIS ingfullogic diagnosticspatial references. terms to Then fulfil we comparative conducted 3. Risk Management for Disease Transmission an epidemiological study, using a regression (zoonoses, reverse zoonoses, immunocom- model, to describe dog and cat tumors distri- promised individuals) GRAY, BERTKE - Keywords: animal assisted programs, AAA, mor geographic distribution by assessing the AAT, human-animal bond presencebution and of malignancy. tumor clusters We also and tackledwe compared the tu the results against explanatory environmental Session: TUE1.2 Implementing Animal Based factors through spatial statistic methods. Therapies in the Health Care Setting: A Team Approach Our research allowed creating an animal tumor registry, composed by 121,963 dog and Tue 06.10.2015 • 08:30-10:00 • Location: Pischa 51,322 cat patient data, which provides continuous information for over 50 years. The One Medicine - One Oncology – Inci- epidemiologic study linked dog and cat tumor dence and Geographical Distribution distribution to factors like breed, age and sex. of Tumors in Dogs and Cats in Switzer- - land 1955-2008 ally consistent with existing literature. The With some exceptions, results were gener POSPISCHIL, Andreas (1); GRÜNTZIG, Katrin geographic distribution of incidence cases showed that tumor risk is not homogeneously distributed across Switzerland. The analysis (1); GRAF, Ramona (1); BOO, Gianluca (1,2); of the environmental causes for this phenom- 1:FOLKERS, Collegium Gerd Helveticum, (1); OTTO, University Vivianne of (3); Zurich enon is currently in progress. These results /FABRIKANT, ETH Zurich, Sara Switzerland; Irina (2) 2: Department of will be followed by the comparison with hu- Geography, University of Zurich, Switzerland; man tumor incidence and its geographical dis- 3: Institute of Pharmaceutical Sciences, ETH tribution. Zurich, Switzerland Keywords: One Health, Cancer, Animal Regis- Presenting author: POSPISCHIL, Andreas try, Epidemiology, Spatial Epidemiology [email protected] Session: MON4.3 Wildlife, Livestock and Pets - Dogs and cats have been sharing their habitat The Human Animal Interface with humans for millennia by being exposed to similar environmental conditions over Mon 05.10.2015 • 14:10-15:40 • Location: Parsenn 82 GRF Davos One Health Summit 2015

Healthy Farms for Healthy People and Session: MON4.2 Food Security and Food a Healthy Planet Safety Mon 05.10.2015 • 14:10-15:40 • Location: Pischa Sustainable Harvest International, United StatesREED, ofFlorence America Leanne A Matter of Life and Death: Repro- ductive Health Should be Part of One Health NaturePresenting produces author: food REED, for all Florence its species Leanne includ- ROGERS, Barbara [email protected] humans, yet humans try to destroy natural Independent author, United Kingdom ecosystems and replace them with chemicals, Presenting author: ROGERS, Barbara those making money from the chemicals, [email protected] GMOs &and machines machines to claim grow that our food.their Whileprod- As child deaths are driven down by a global ucts are necessary to feed the growing human campaign on health, there is a tragic failure population, more and more world leaders are to offer women the means to match births to saying that the only way to sustainably feed deaths. The death and injury toll to women Presentations Oral ourselves is with agro-ecological systems that and children from unwanted or unintended embrace nature rather than destroy it. births and abortions is unacceptably high, and The presentation will provide an overview of parents - especially mothers - are being left how common farming practices are contrib- literally “holding the baby” or rather many ba- uting to environmental and social decay in- bies. Their struggle to feed, house and clothe cluding poverty, hunger, malnutrition, illness, these children - with nothing left for education deforestation, loss of biodiversity and climate - is dragging families down. The same applies change. This will be followed by a look at the to many developing countries with their enor- results of research showing the importance mous dependency ratios, low levels of educa- of a global shift to sustainable farming prac- tion and internal investment, and high levels of unemployment especially among young amongst the 2,000 Central American farms people. thattices haveand finallyparticipated a success in Sustainable story or two Harvest from International’s sustainable farming extension campaigns, to provide a better life for many program. The focus will be on the long-term, poorerWe have families a unique through opportunity, death through control health and integrative approach that links ecosystem birth control. Contraceptive methods, and in- health, human health, societal health and a novative programmes for delivery, are better healthy planet. than they ever were. Some poor countries are Innovative organizations such as Sustainable showing that contraception is rapidly taken Harvest International have for decades stead- fastly refused to take the quick and simple ap- have to confront the failure of the interna- up if offered in an appropriate way. We now proach to rural development of handing out chemicals that may increase farm production programmes, and the diversion of funds to tional community to finance contraceptive in the short-term but will impede production HIV/AIDS work which should have its own in the longer-term, while also causing envi- - ronmental and health problems. Instead, SHI cies and many international aid organisations funding. We should also challenge UN agen along with other organizations and business- for their failure to offer contraceptive services es are promoting the idea that it is worth the with health care. I suggest that the best way extra effort to provide farmers with the kind forward to cut through international bureau- of technical assistance that will allow them to cracy is a resolution at the General Assembly. produce more by using nature’s systems. Keywords: agroecology, organic, ecosystem, nutrition, biodiversity

83 GRF Davos One Health Summit 2015

Keywords: Contraception, Childbirth, Women, including psychological, socio-economic, and Children, Population biomedical parameters. Consequently, contra- Session: TUE1.3 Vulnerabilities and Resilience - dictions between curative medicine, popula- One Health Approaches for Sustainable Devel- tion (herd) health management, public health opment and environmental policies are inevitable. Thus, for one health to be effective, it is imper- Tue 06.10.2015 • 08:30-10:00 • Location: ative that clinical decisions include considera- Parsenn tions across the whole scale of the hierarchy, and tools for weighing these interests must be One Health Impacts on Clinical Deci- developed. sions Keywords: clinical decision making, resilience RUEGG, Simon University of Zürich, Switzerland Session: MON1.2 Integrative Health Risk Man- Presenting author: RUEGG, Simon agement [email protected] Mon 05.10.2015 • 08:30-10:00 • Location: Pischa One health as a framework for human, animal and environmental health should provide a Sustainable Development: Where Are theoretical concept and standardised terms We Heading? for transparent communication. System and RÜEGG, Simon chaos theory provide some grounding upon University of Zürich, Switzerland which a one health theory can build and have Presenting author: RÜEGG, Simon - [email protected] damentally, there is no clear delimitation of been applied in a variety of disciplines. Fun- Complex system theory suggests that life con- ergy and information, and all systems need to sists of hierarchically nested open systems. besystems considered in regard as open. to the It flowis up ofto material,the observer en Thus, global ecology is the largest hierarchi- - cal level and regional ecosystems, species, populations, individuals, organs and cells are biologicalto define the and limits socio-economical of the system under systems, obser is its subsystems and components. Theoretical embeddedvation. Furthermore, in a hierarchy every ofsystem, systems including which physics provides evidence that open station- ary complex systems converge to a state of such complex adaptive systems, resilience is minimal entropy. States away from this mini- suggesteddetermines as its a functionuseful proxy in space for andhealth. time. Resil For- mum (dissipative states) require supplemen- ience is an emerging system property and is tary energy to be maintained. It can thus be argued, that since mankind has begun herd- term resilience may paradoxically reduce a ing animals, it invests energy to maintain a system’sscale and long time term specific. resilience, This implies but apparent that short in- stability today might build greater resilience thermodynamics, energy cannot be destroyed for the future. Ideally, objectives of systems at nordissipative generated, state. and According the resources to the first necessary law of different scales are synergistic, however, con- to maintain that dissipative state must come from what is available in the environment. an individual are opposing those of society. Thus, any cultural and technical development Thisflicts emphasises emerge when, what for we example, already interests know: (1) of results inevitably in a loss of resources (en- human health has inextricable links to animal ergy) for the environment. It is noteworthy and ecosystem health and requires integrative that a number of proxies for human wellbe- thinking, (2) living organisms are complex ing, namely economic activity and burden of adaptive systems characterized by hierarchies disease are relative to the distance from the of interacting systems where small changes global minimum. Maximising and minimizing in any one element can alter the context of all respectively, is increasing the distance from other elements, (3) medical and public health the global minimum. If it is consensus that decisions are made in complex environments some parts of the environment are to be con- 84 GRF Davos One Health Summit 2015 served, this process must be constrained, and (or pandemic), and the interrelated physical the current surrogates replaced by metrics and psychological consequences, for the pur- that assess wellbeing without driving the de- pose of providing timely, actionable guidance pletion of environmental resources. Aspects for effective mental health and psychosocial such as diversity, connectedness and adaptability are candidates that could be applied to human and animal wellbeing, and research analysissupport consisted tailored to of thethe definingcreation of features a hazard of into such surrogates is a key element of a sus- the event. For the Ebola outbreak, the TSIG disaster phase, and a “trauma signature” sum- theoretical aim of freedom from disease re- maryprofile, for a matrixthe outbreak-affected of psychological populations.stressors by quirestainable a onethermodynamic health strategy. isolation Furthermore, of human the - activity from its environment and should thus be questioned as a point of reference. TheFear TSIG behaviors, analysis and highlights fear-riddled how media fear reac por- trayals, were specifically examined. Keywords: thermodynamics, integrative strat- tions have elevated risks for both EVD prop- egy, metrics, endpoints agation and untoward psychological conse-

quences, yet evidence-based mental health Presentations Oral Session: TUE1.3 Vulnerabilities and Resilience - and psychosocial support (MHPSS) and policy One Health Approaches for Sustainable Devel- opment planning have been the missing links in the response to this outbreak. EVD is a dread dis- Tue 06.10.2015 • 08:30-10:00 • Location: - Parsenn nent, pervasive, and likely to continue to ex- acerbateease. Fear disease reactions spread are in expectable,current and promifuture Trauma Signature Analysis of the West outbreaks. MHPSS approaches must comple- Africa Ebola Outbreak: The Prominent ment the medical response to diminish pre- Role of Fear Behaviors ventable EVD transmission and to support the psychological needs of civilians, patients, University of Miami Miller School of Medicine, health care workers and other responders, UnitedSHULTZ, States James of MichaelAmerica and family members. Keywords: Ebola outbreak, mental health and [email protected] psychosocial support, fear behaviors, disease ThePresenting ongoing author: Ebola SHULTZ, virus disease James (EVD)Michael pan- transmission, trauma signature analysis demic dwarfs all previous outbreaks. Earlier Session: TUE1.3 Vulnerabilities and Resilience - episodes were rural, short-lived, and sputter- One Health Approaches for Sustainable Devel- opment has surged through dense-packed urban pop- ing, but the current West Africa EVD outbreak Tue 06.10.2015 • 08:30-10:00 • Location: ulations in Guinea, Sierra Leone, and Liberia, Parsenn these three nations, approximately 24,000 personsintensifying have into become a firestorm ill andof disease. 10,000 Among have Complex Systems Analysis of Disas- ters: Enhancing the One Health Con- nection describeddied in the how first fear 16 behaviors months of have the propelled outbreak. The World Health Organization has vividly University of Miami Miller School of Medicine, SHULTZ, James Michael Trauma signature (TSIG) analysis was ap- United States of America pliedvirus transmissionto examine the in Westpsychological Africa. stressors in relation to exposure to the unique con- [email protected] Presenting author: SHULTZ, James Michael Outbreak. TSIG analysis is an evidence-based for stimulating the integration of complex methodstellation that of hazards examines in thethe Westinterrelationship Africa Ebola systemsThe Global analysis Risk Forum and disaster provides risk the reduction platform between population exposure to a disaster (DRR). This integration, in the areas of science

85 GRF Davos One Health Summit 2015 and policy, is evolving with accelerating pace. The 2013 Lac-Mégantic Runaway Train - Derailment: A Complex Systems Analy- plex systems thinking is particularly notable sis of the Event from a One Health Forward progress in the incorporation of com in these areas: disaster prediction, exploration Perspective of “unexpected interdependent risks”, analysis of complex webs of disaster emergence, de- Mélissa (2); ROY, Mathieu (3); MALTAIS, scription of cascading consequences, and elu- DanielleSHULTZ, (4);James MAZURIK, Michael (1);Laurie GENEREUX, (5) cidation of the concept of “general resilience” 1: University of Miami Miller School of in the context of DRR and disaster risk man- Medicine, United States of America; 2: MOH agement (DRM). of Estrie Public Health Department, Faculty The time is now for amplifying the One Health of Medicine and Health Sciences, University focus, directing attention to blending the of Sherbrooke, Québec, Canada; 3: University health and environmental consequences into Institute of Geriatrics of Sherbrooke, Faculty the complex systems analysis with focus on of Medicine and Health Sciences, University promoting the nexus of DRR, general resil- of Sherbrooke, Québec, Canada; 4: Université ience, and prevention of negative health ef- du Québec à Chicoutimi, Québec, Canada; - 5: CBRNE Collaborative for Health Care, ty is to elevate mental health and psychosocial Canadian Safety and Security Program, supportfects. Within in disasters the health to arena, co-equal a critical status priori with Sunnybrook Research Academy, Toronto, medical/physical health intervention. Ontario, Canada This presentation is built on illustrative disaster case studies that present the pre-impact [email protected] landscape of health and environmental risks/ Presenting author: SHULTZ, James Michael vulnerabilities, the cascading sequence of train with 5 locomotives and 72 oil tank cars, impacts when disaster strikes, and the com- descendedOn July 6, 2013, 11 km an onunmanned a downhill runaway grade, freight accel- pounding consequences and adversities that erating to 101 kph as it entered the town of occur post-impact – from a One Health per- Lac-Mégantic, Quebec, Canada. Encountering spective. Disaster case studies will identify a sharp curve, 63 tank cars derailed, ruptured, the community assets and adaptive capacities deformed, exploded, and burned in a 2-day that undergird resilience. Each case study will examine the potential to intervene in a pre- 2,000 persons were displaced, and 47 citizens ventive manner at various points along the conflagration. Dozens of buildings were razed, pre-event, event, and post-event “cascades” to contamination affected air and water quality limit disaster consequences. andwere created killed in an the ecological fires. Hazardous catastrophe. materials The public health, medical, and psychological con- are exposed to a variety of hazards during im- sequences, as well as community strengths pact.When Post-impact, disasters strike, in the humanaftermath, populations disaster and indicators of resilience are being actively survivors and their affected communities ex- monitored. perience a multiplicity of hazards, losses, and A complex systems analysis of the derail- changes, often of prolonged duration. Health ment was conducted drawing upon multidis- and environmental consequences are at the ciplinary expertise in the areas of train crash forefront. Now is the optimal time to merge engineering, public health, medical crash the frameworks of complexity sciences with trauma, mental health and psychosocial sup- One Health. port, disaster health, and complexity sciences. Keywords: One Health, complexity sciences, A synthesis of key components of the event resilience, disaster cascades was developed by blending direct on-scene response experience with in-depth review of Session: MON4.1 The One Health Approach in investigative reports, news stories, and web- Action - Programmes and Initiatives sites of agencies involved in disaster response Mon 05.10.2015 • 14:10-15:40 • Location: and railway safety. A One Health “lens” was Jakobshorn 86 GRF Davos One Health Summit 2015 applied to the analysis to connect the causal ment high on the decision-makers’ agendas sequence to the public health and environ- through local strategies for health promotion mental consequences. and protection which is sustainable, friendly to all ages and conducive to local weather con- (anthropogenic), technological / transporta- ditions and involves community participation, tionFor disaster, this non-intentional, distinguishing human-generatedfeatures included empowerment, inter-sectoral partnerships, a complex web of causation revealing failures stakeholder involvement and equity of access. of governance and management on the part of The methodology involves a situational analy- Transport Canada and the MMA Railway, un- sis and sanitary survey which list the natural repaired mechanical defects, a compounding terrain, existing facilities and utilities; number - and types of vehicles and pedestrians using gerous train securement, leading to a prevent- the street; reports of snatch-thefts from the ablesequence runaway of human derailment errors, with and lossflagrantly of life dan and property, and massive ecological harm. Data authorities; the number and characteristics will be presented from ongoing studies of the oflocal apparent police jay-walkers; and reports air of and fire surface from the water fire pollution studies; study of litter and pests.

environmental, behavioral, and psychological Presentations Oral impacts, and community resilience. Prelimi- The bustling wet market with its maze of stalls offering the city’s freshest, most diverse food Lac-Mégantic area population sustained hu- selection is neither hygienic nor healthy. In ad- mannary and/or findings material indicate losses. that two-thirds of the dition, the plight of pedestrians facing numerous snatch-thefts, inhaling noxious vehicular Keywords: One Health, Anthropogenic Disaster, smoke, erratic drivers is a nuisance for the Technological Disaster, Resilience, Complexity Sciences and vagabonds are unsavoury characteristics Session: TUE4.1 The One Health Approach in ofyoung, the street. the old Industrious and the sick.efforts Waste should disposal be set Action - Tools and Projects in place as a sustaining activity. Public health Tue 06.10.2015 • 13:15-14:15 • Location: advocacy, health education and promotion of Jakobshorn hygienic practices must be enhanced without threatening the livelihood of users. Law enforcement must be provided to make the The TranSAge Project street safer. SITHAMPARAM, Sumitra (1); GUNASAGARAN, In tandem with infrastructure development, (3) these parameters are addressed to make a city 1:Vinomarlini Malaysian (2);Medical G.VARATHARAJA, Association; 2: Puspa Institute Rani liveable and conducive to activities for daily for Medical Research, Malaysia; 3: KPJ living. Healthcare University College Nilai, Malaysia Keywords: Transform, Street, Society, All Ages Presenting author: SITHAMPARAM, Sumitra Session: TUE1.1 Education and Capacity Build- [email protected] ing within One Health This project aims to transform a street to en- Tue 06.10.2015 • 08:30-10:00 • Location: Jakobshorn is a vital street in Kuala Lumpur which is a centrallycompass located a society and for it connects all ages. Jalanfacilities Pahang that provide essential services. This one-year integrative project employs a risk management - corporated into the developmental processes, suchtool which as: safety identifies and security, features smoke-free which may beand in a sanitised environment, green with aesthetic utilities to promote environmental health consciousness. It places health and environ-

87 GRF Davos One Health Summit 2015

A Street Conducive to All Ages SITHAMPARAM, Sumitra (1); GUNASAGARAN, enhance the civic-conscious mindset of the public,This study and willreduce benefit the theincidence local community, of snatch- RaniI (3) thefts. There will be an atmosphere of helpful- 1:Vinomarlini Malaysian (2);Medical G.VARATHARAJA, Association, Malaysia; Puspa 2: ness in that the community will communicate Institute for Medical Research, Malaysia; 3: KPJ in a friendly manner and a well-cultured soci- Healthcare University College Nilai, Malaysia ety will slowly but surely emerge. Keywords: Street, All Ages, Risk Assessment, RaniI KAP [email protected] author: G.VARATHARAJA, Puspa Session: TUE4.3 Poverty and Health - One - Health Approaches for Sustainable Development hang in Kuala Lumpur, Malaysia conducive to allThis ages. one-year This historical study aims locality to makehas undergone Jalan Pa Tue 06.10.2015 • 13:15-14:15 • Location: tremendous developmental processes since Parsenn independence in 1958 and today, there are many commercial centres and condominiums. Socio-Economic Determinants of Hep- This street is within the strategic zone of the atitis B & C in Rural Poor of Pakistan Kuala Lumpur city centre and is part of the KL SOHAIL, Kamran Organization for Social Development Initiative, is being built, the necessary maintenance and Pakistan Structure Plan 2020. While the infrastructure softer components appear to be side-lined in Presenting author: SOHAIL, Kamran that the street is unsafe, unaesthetic, unap- [email protected] pealing and unhealthy from the daily user and for the older or physically-challenged individ- common diseases in Matyari, Khairpur and ual. ShikarpurHepatitis B districts & C have of been Sind identified and Mardan the mostKPK, - Pakistan. Down the road more than 7000 indi- ization Healthy City model based on: health- viduals have been catered effectively in a num- The aims incorporate the World Health Organ supportive environment; good quality of life; ber of screening and vaccination campaigns, basic sanitation and hygiene needs; and access to health care. and periodic workshops by involving all stake- The methodology involved a risk assessment holders.supported Data by collected the disease over specific the period awareness of last approach through a questionnaire survey on 4 years suggests moderate to high prevalence Knowledge, Attitude and Practice of 300 indi- of hepatitis B & C in these districts that ac- viduals from among the local community. The counts for 4-6 % of all health complaints. Less parameters looked at safety and security con- income opportunities, out of pocket expenses cerns, smoke-free, clean and green environ- (67% of total expenditure on health care) ment, and the aesthetic aspects of the street. and illiteracy has dragged the importance of The outcome produced evidence to be pre- health care to the bottom line on their priority sented to the local authority for them to work list. Unsafe blood transfusions soiled drink- on deliverable such as to install adequate fa- ing water and poor sanitation has turned the cilities such as streetlights, railings, ramps, situation worse. Social behaviors are complex benches, CCTVs, escalators for the overhead in rural communities and being a male domi- pedestrian bridge, lifts; wash-basins and toi- nating society men are supposed to be the lets near the market-place; green and handi- bread earner and almost all the decisions are cap-disabled buses to ply the route; notices to declare the areas in front of the hospitals, in domestic works and not freely allowed to institutes and hotel to be smoke-free zones; gomade out byto the them. health Females facilities are for mostly their involved routine ample waste disposal facilities; greening of checkups and can’t take active participation in the environment; and increase in enforcement immunization campaigns. Mothers have less with police patrolling the street.

88 awareness regarding first line prevention of GRF Davos One Health Summit 2015 their children through common health and hy- screen mobile phone with 614 person. The giene measures whereas general false believes researcher screen sample by questionnaire and insecurities about the effects of different and and control illumination 600 Lux. They vaccines and medicines for secondary preven- the main source of livelihood in rural commu- Strengthtest eye strainDynamometer by Critical before Fusion and Frequency after use nitiestion made and demandsthe situation more vulnerable. work. Due Farming to old and is mobileand wrist phone and with fingers social strength network test continue by Grip 2 traditional agricultural approaches farmers hour. The data were analyzed by SPSS. have to work from dawn to dusk to earn their The result compared between touch screen livelihood that causes less interest of villagers and keypad mobile phones fatigue. The ana- in community development activities includ- lyzed data showed that eye strain increased ing health care prevention and practices and expose them to the vicious circle of health and poverty. with significant P-Value 0.05. The hand Keywords: socio economic determinants, hepa- strength and the figure pressure decreases with significance P-Value 0.05. Moreover the titis B & C, Rural areas of Pakistan strength showed that the results with keypad Presentations Oral mobilecompared phone result are of increase the hand more and than the fingertouch Session: MON5.1 One Health Approaches for Sustainable Development Value 0.05. Mon 05.10.2015 • 15:50-17:20 • Location: Thisscreen research mobile focus phone to with study significant social network at the byP- Jakobshorn mobile phone fatigue with 3 parameter such - The Study of Fatigue Compared Be- sure test and next research should be consider tween Touch Screen and Keypad Mo- otheras eye parameter. strain, hand strength and fingers pres bile Phones When Social Networking Keywords: social network, mobile phone, SUMALEE, Buensanteai; SUPATTRA, fatigue Ruangram; RATREE, Khongpolpan; Session: MON5.2 Case Studies of Integrative Health Risk Management Sompan SuranareeSUPASINEE, University Petburi; ofKWANCHANOKE, Technology, Thailand Mon 05.10.2015 • 15:50-17:20 • Location: Pischa Presenting author: SUMALEE, Buensanteai [email protected] Risk of Mosquito-Borne Diseases in The data from Economic newspaper No. 17 Relation to Rubber Plantation Devel- opment in South-East Asia user and there will be 3G network covers 85% on June 20, 2012 that show 6.2 billion mobile of the worldwide. The teenagers they use mo- THAMMAVONG, Phoutmany (1); LINDSAY, bile phone for social networking and many TANGENA, Julie-Anne Akiko (1,2); 1: Institut Pasteur du Laos, Lao People’s Medicine in Thailand (Volume 337) said that if DemocraticSteve William Republic; (2); BREY, 2: Durham Paul (1) University, purpose, otherwise the data from Journal of they use mobile phone are frequent and long Stockton Rd, Durham, United Kingdom time that may be cause of eye fatigue, thumb, Akiko This aims of study to investigate and survey [email protected] author: TANGENA, Julie-Anne fatiguewrist inflammation, from use of shouldersocial network and neck between pain. touch screen and keypad mobile phone with South-East Asia is experiencing unprecedent- Public Health student Suranaree University of ed economic growth that is transforming land- Technology total 614 person. use, a major driver of emerging infectious diseases. The expansion of rubber plantations is - one of the leading causes of land-use change. gers strength and eye strain before and after Here we assessed the exposure risk of rubber useThis social study network is a Quasi between experiment keypad the andwrist, touch fin 89 GRF Davos One Health Summit 2015 workers to mosquito-borne diseases with a The HHALTER Project: An Interdisci- - plinary One Health Collaboration In to diversity and density in the mature rubber Action plantationscase-study in (i.e. Laos. tapped We compared for latex) thewith mosqui imma- TAYLOR, Melanie Rose (1); SCHREMBI, Nicole ture rubber plantation, secondary forests and workers was related to the host seeking be- (1); WIETHOELTER, Anke (1); TORIBIO, haviorvillages. of Furthermore, vector mosquitoes. the behavior Molecular of rubber analy- Jenny-Ann (2); DHAND, Navneet (2); KUNG, sis is currently conducted on Aedes species for 1:Nina University (3); MOLONEY, of Western Barbara Sydney, (4); Australia; WRIGHT, viral detection. 2:Therese The University (4); FIELD, of Sydney, Hume (5) Australia; 3: Queensland Department of Agriculture and which protects participants from mosquito Fisheries, Australia; 4: New South Wales bites,We used for thecollecting ‘human-baited host seeking double mosquitoes. net’ trap, Department of Primary Industries, Australia; In 2013 the four habitats were sampled eve- 5: EcoHealth Alliance, New York ry hour for two days and two nights in three Presenting author: TAYLOR, Melanie Rose - [email protected] ber. In 2014 this was done every two months The HHALTER project (Horse owners and Hen- study areas every month from July to Novem dra virus: A Longitudinal study To Evaluate A total of 24,917 mosquitoes were collected Risk) is a three-year research project focussed from January to July. during our study. In the mature rubber plan- on the changing risk perception, knowledge, tation 3,649 mosquitoes (68 different species) attitudes, and risk mitigation practices of were collected, including vectors of malaria, horse owners to Hendra virus (HeV) in Aus- - tralia. The project aims to understand horse litis. Statistical results and molecular analysis owner risk mitigation attitudes and practices aredengue, currently chikungunya in process. and Japanese encepha A major concern highlighted by our prelimi- horse owner views of current and possible fu- nary results, is that the schedule of the rubber tureand thepolicy factors in this that area, influence e.g. state these, government as well as workers increases the exposure risk to vector mosquitoes. The workers may be at consider- management policy, vaccine policy, industry- able risk of dengue transmission when collect- drivendisease mandatory response, localvaccination, government and veterinary flying fox ing latex during the day and of malaria when policy towards unvaccinated animals. tapping for latex at night. Additionally the risk HeV provides an excellent One Health case of dengue and malaria is further increased by study. It is a zoonotic disease that spills over the high numbers of seasonal workers in the - industry that can spread diseases (including mitted from horses to horses and horses to artemisinin-resistant malaria strains) by trav- humans.from flying It has foxes a high to horses, case fatality and then rate is(75% trans in elling to or from disease-endemic areas. Prior- equines, 57% in humans) making it a zoonosis ity should be on improving access to effective health care and providing plantation workers with protection from biting mosquitoes. of veterinary and public health significance. Since its identification in 1994 there have Keywords: rubber plantation, mosquito-borne human cases. A sudden upsurge in cases of been 71 confirmed equine cases and seven diseases, malaria, dengue, Lao PDR HeV in 2011 triggered a public outcry, media Session: MON5.2 Case Studies of Integrative made available through the National Hendra Health Risk Management Virusfrenzy, Research and a political Program response. (NHeVRP) Funding to priori was- Mon 05.10.2015 • 15:50-17:20 • Location: Pischa tise and fast-track HeV research, including the development of a novel vaccine. The HHALTER project team is the most interdisciplinary of the NHeVRP-funded projects; including researchers in social science, public

90 GRF Davos One Health Summit 2015 health, veterinary science, epidemiology, and (NZDs). Although sharing characteristics with bat ecology. This presentation will outline the the neglected tropical diseases (NTDs), many One Health context of HeV in Australia, review NZDs present unique control challenges as they involve issues at the animal-human-eco- team working, and discuss the outcomes of - the HHALTER benefits andproject. challenges of One Health den on communities, compromising livestock healthsystem whileinterface causing where human they inflict morbidity a dual burand Keywords: Hendra virus, risk mitigation, risk mortality. management, vaccination, policy To face these complex control issues, the “One Session: MON4.1 The One Health Approach in Health” perspective emphasises the need for Action - Programmes and Initiatives inter-sectoral collaborations between actors Mon 05.10.2015 • 14:10-15:40 • Location: in agriculture, medicine, animal health, con- Jakobshorn servation and others in the social sciences, including anthropologists, sociologists and Added Value of Anthropological Stud- ies in Neglected Zoonotic Diseases recognises the importance of social and cul- Presentations Oral turaleconomists. factors inWhile disease the transmission‘One Health’ paradigmdynamics Control. Report of Three Case Studies and the planning of control interventions, the THYS, Séverine (1); SAHIBI, Hamid (2); - thropology for NZD control remains unclear. RAHALI, Tarik (2); GABRIEL, Sarah (5); significance and potential role of applied an MWAPE, Evans K. (3); KNOBEL, Darryn (4); Through three anthropological case studies, respectively assessing local knowledge and RHALEM,PHIRI, Andrew Abdelkbir (3); VAN (2); ROOYEN,MARCOTTY, Jacques Tanguy perception of rabies in the Mnisi community (5);(4); DORNY,SIMPSON, Greg (6); LEFEVRE, Pierre (1); (Mpumulanga, South Africa), echinococcosis 1: Unit of Epidemiology and Tropical disease in the Amazigh population (High Atlas, Moroc- control, Department of Public Health, Institute co) and cysticercosis – taeniasis in the Nsenga of Tropical Medicine Antwerp, Belgium; 2: ethnic group (East Province, Zambia), the au- Agro-Veterinary Institute (IAV) of Rabat, thor attempts to reveal the complex relation- Morocco; 3: School of Veterinary Medicine, ships between different aspects of the social University of Zambia; 4: Department of and biological world at the transmission dy- Veterinary Tropical Diseases, Faculty of namics level and therefore the potential con- Veterinary, University of Pretoria; 5: Unit of tribution of applied anthropology for a more Veterinary Helminthology, Department of adapted and effective control of NZDs. Biomedical Sciences, Institute of Tropical Keywords: Anthropology, Africa, Disease con- Medicine, Antwerp, Belgium; 6: Hluvukani trol, Neglected Tropical zoonoses, Animal Health Clinic, Onderstepoort Veterinary Academic Hospital, Faculty of Session: TUE4.2 The One Health Approach for Communicable Diseases Veterinary Science, University of Pretoria Presenting author: THYS, Séverine Tue 06.10.2015 • 13:15-14:15 • Location: Pischa [email protected] Preparedness, Prediction and Preven- marginalised communities, widespread un- tion of Emerging Zoonotic Viruses For calling attention to their effect on poor, der-reporting and low prioritisation by na- with Pandemic Potential Using Multi- tional and international agencies, a number disciplinary Approaches of endemic zoonoses in developing countries (anthrax, bovine tuberculosis, brucellosis, Institut Pasteur, France, on behalf of the cysticercosis, echinococcosis, leishmaniasis, PREDEMICSVAN DER WERF, consortium Sylvie rabies, zoonotic trypanosomiasis and food- borne trematode infections) have recently [email protected] been termed ‘neglected zoonotic diseases’ Presenting author: VAN DER WERF, Sylvie 91 GRF Davos One Health Summit 2015

Most emerging infectious diseases of hu- strategies to control and mitigate the burden mans are zoonotic and represent a persistent of those diseases. global threat. In a One Health approach, the Keywords: zoonosis, emergence, pandemic, preparedness, cross-species transmisson biomedtrain.eu) aims to unravel the complex interactionsFP7 PREDEMICS between project factors (http://predemics. involved in the Session: TUE4.2 The One Health Approach for various stages of emergence of zoonotic RNA Communicable Diseases viruses (lyssaviruses, Ebola disease virus, Tue 06.10.2015 • 13:15-14:15 • Location: Pischa coronavirus) representing key transmission routes.HEV, arboviruses, Environmental, influenza ecological A virus and and anthro MERS- Institut Pasteur: An International pological factors involved in species-barrier Partner to Implement One Health crossover, virus detection and/or serological VAN KERKHOVE, Maria; VICTOIR, Kathleen; data, were collected for LYSV and HEV from the environment, wild and domestic hosts and Arnaud; BRECHOT, Christian; GLOBAL compared to data from humans thus shedding HEALTH,PITROU, Isabelle; Center for; JOUAN, INTERNATIONAL Marc; FONTANET, light on virus circulation over time, geographic spread and transmission. Molecular phy- Pasteur lodynamics studies provided information on InstitutDIRECTION, Pasteur, Pasteur; France EBOLA TASK FORCE, the conditions of dispersal and contribution Presenting author: VAN KERKHOVE, Maria of multiple introductions to epidemiologic [email protected] waves and establishment of endemic circula- Human and animal health and the viability of tion. Phylodynamic investigations applied to ecosystems are inextricably linked; 75% of emerging infections are zoonotic. The emer- or the recently emerged MERS-CoV.and EBOV, gence and re-emergence of SARS, H5N1, providedthe HIN1pdm09 real-time or estimates H7N9 influenza of the virusesevolu- MERS-CoV, and Ebola have repeatedly remind- tionary rate, date of emergence and intrinsic ed us that multi-sectorial collaboration for in- growth rate (R0). vestigations and research of zoonotic viruses - are necessary to improve the rapid detection missibility in natural hosts were studied for - theReplication different efficiency, viruses pointingpathogenesis for instance and trans to voirs/intermediaries, provide information on molecular determinants involved in IAV cross- transmissionof pathogens, between identification species, of animaland provide reser species transmission and adaptation from knowledge to develop appropriate mitigation avian to mammalian hosts. Mechanisms of options. Much effort to achieve this has taken evasion of the host innate immunity by the dif- - ered. Mapping methods for animal (reservoir place at the global level between FAO, OIE and andferent vector) viruses distribution, (IAV, WNV, behaviour- LYSV) were and uncov mod- considerationWHO. However, and this implementation high level of commitment at national els were developed that were used to study anddoes local not levels. necessarily translate into sufficient - - enza virus and the newly emerging MERS-CoV, tion based in Paris, is a key partner of the CHIKVthe dynamics and EBOV. of lyssavirus, flavivirus, influ Institut Pasteur, a not-for-profit organiza Through its cross-disciplinary expertise in network of 33 Institutes in 26 countries, its veterinary and human medicine, PREDEMICS newlyOne Health established Initiative. Center With for its Global international Health thus provides a platform for global analysis of with a special focus on outbreak investiga- the factors involved, causal mechanisms, po- tion, and numerous collaborations with inter- tential risk, and conditions favoured for emer- national organizations, Pasteur is well placed gence, maintenance, epidemic and potentially to implement the One Health Initiative. Here pandemic expansion of diseases in humans we present examples our multidisciplinary due to zoonotic viruses and also to describe strengths: from rabies to H5N1, Pasteur has conducted coordinated and multi-sectorial in- 92 GRF Davos One Health Summit 2015 vestigations of human cases in collaboration tion and allocation, is seen in the body’s abil- with the Ministries of Agriculture and the Min- ity to shunt blood to core internal organs and the staff support the epidemiologic interpre- to hypothermic conditions. Similarly com- tationistries ofof available Health; For data, MERS-CoV, design human/animal members of munitiesrestrict flow can toutilize arms effective and legs resource when exposed prior- study investigations for affected countries and itization and allocation to direct resources to provide laboratory training in the Middle East; critical infrastructure and sustainment that - tion with the Guinean Ministry of Health were Applying these biological characteristics to for Ebola in West Africa, Pasteur, in collabora resilienceprovide for building the highest and disaster community response benefit. will enhance the capacity of the resilience pro- workingthe first toon identifythe development the virus, haveof diagnostic provided gram and insulate individuals and communi- tests,field laboratoryvirus sequencing support for in Macenta,mutations and track are- ties from disaster events. ing, and vaccine development. Together with Keywords: modeling, disaster, resilience, risk our international, national and local partners, reduction Pasteur is working to translate knowledge learned through joint investigations and ro- Session: TUE1.1 Education and Capacity Build- Presentations Oral bust science into public health policy recom- ing within One Health mendations and one health actions. Tue 06.10.2015 • 08:30-10:00 • Location: Keywords: zoonoses, rapid detection, joint Jakobshorn investigations, multisectorial Session: MON5.3 Surveillance and Early Warn- The World Organisation for Animal ing - The Basis for Prevention Health (OIE) One Health Role in Resil- ience and Disaster Management Mon 05.10.2015 • 15:50-17:20 • Location: Parsenn World Organization for Animal Health United StatesVROEGINDEWEY, of America Gary A One Health and Resilience: A New Bio- logical Modelling Framework [email protected] NaturalPresenting and author: man-made VROEGINDEWEY, disasters require Gary A a World Organization for Animal Health, United multidisciplinary engagement to achieve op- StatesVROEGINDEWEY, of America Gary A mitigation, response and recovery. The One [email protected] Healthtimal efficiency framework and is effectiveness the concept in that planning, there Presenting author: VROEGINDEWEY, Gary A - is a nexus and inextricable link between human health, animal health and environmental forThe buildingUnited Nations resilience Hyogo and Framework multiple authors for Ac havetion (HFA developed 2005-2015) elements outlined and characteristics five priorities Health (OIE) has an initiative to examine the of resilience. Biological systems provide an ex- currenthealth. Thestate World of risk Organisation reduction and for disaster Animal cellent new model for resilience demonstrat- management for animals in disasters and de- ing resilience characteristics and establishing velop guidelines and standards with the goal a framework for capacity building planning of enhancing resilience and strengthening dis- and action. These characteristics include: aster management capacity within Member unity of purpose, unity of effort, sensing capa- Countries. Recent events such as the global bility, multiple protective layers, redundancy, resource prioritization and allocation, self- re- - pairing, automatic and hierarchical responses, Influenza Pandemic, Gulf of Mexico Oil Spill,- reserve capacity, agile learning, anticipatory pan’spost conflictearthquake/tsunami/radiological reconstruction, the Haiti earthdisas- capability, and adaptability. An example of one terquake and with global subsequent warming highlightcholera outbreak, the need Jato of these characteristics, resource prioritiza- bring all components of disaster management

93 GRF Davos One Health Summit 2015 together in a cohesive response. Veterinarians diseases, human-animal bond, environmental and animal experts play a critical role in mul- focus, and sustainable agriculture. This En- tiple aspects of disaster management and re- hanced Model takes a holistic approach to One sponse. A survey of 53 European and Eurasian Health to include the political, social, cultural, countries veterinary authorities and capabili- economic, geographic, and religious aspects of ties revealed that there current capacities to One Health and the impacts they have on cre- - - cant gaps within Veterinary Services that can proach to global issues. bedeal partially with animal addressed related through disasters, OIE butstandards. signifi ating an effective and efficient One Health ap Keywords: One Health, Modeling, Culture, Eco- By developing guidance and standards the nomics, Political enhances the integration of animal disaster Session: MON1.2 Integrative Health Risk Man- managementWorld Organisation into broader for Animal resilience Health and (OIE) dis- agement aster management and response networks, Mon 05.10.2015 • 08:30-10:00 • Location: Pischa promotes the health and welfare of animals, safeguards human health, and helps Member Countries restore economic and societal con- Planning for Rabies Incursions in Re- ditions when a disaster strikes. mote, Northern Australian Indigenous Communities Keywords: Standards, Survey, Guidelines, Dis- aster, Resilience The University of Sydney, Australia Session: TUE1.1 Education and Capacity Build- WARD, Michael P; DURR, Salome ing within One Health [email protected] Presenting author: WARD, Michael P Tue 06.10.2015 • 08:30-10:00 • Location: Rabies has high impact on human and animal Jakobshorn health globally. The coastal border of northern Australia is a remote area with a credible Beyond Three Rings: An Enhanced One risk of rabies incursion and large populations Health Model of domestic dogs, mostly in Indigenous communities. The relationship between these In- digenous people and their dogs is complex; World Organization for Animal Health, United thus research informing response and control StatesVROEGINDEWEY, of America Gary A plans for rabies is critical to minimize adverse impact in the event of an incursion [email protected] - OnePresenting Health author: and One VROEGINDEWEY, Medicine as Garyconcept A poral model. It is based on individual dogs models have traditionally been characterized informedWe developed by dog a novel census stochastic data and spatio-tem incorpo- by three intersecting rings of a Venn diagram rates three types of rabies spread (within representing Human, Animal, and Environ- household, between households and between - communities; where the second is based on life. These intersections create a framework forment addressing or Human, One Domestic Health Animal issues and such Wild as data on the roaming behaviour of dogs). Three emerging and zoonotic diseases at the hu- typesa distance of control kernel strategy fitted to are field implemented collected GPS in man, animal, and environment interface, but the model: a) vaccination (50 and 70% cover- fail to address broader concepts of One Health age); b) culling (30, 50 and 70% level); and in a real world setting. An enhanced model of c) movement restrictions between communi- One Health would encompass the traditional three rings and also include the larger context or both, with dog owner compliance of 50 or in which the take place. The Enhanced One 80%.ties, within communities (dog confinement) Health Model encompasses multiple lenses of One Health including: zoonosis, transla- Outcomes suggest that vaccination would sig- tional and comparative medicine, emerging

94 nificantly reduce the outbreak size (number GRF Davos One Health Summit 2015 of dead dogs) while the other strategies only A cross-sectional survey was conducted: se- show a slightly positive effect when applied at rum samples from 2113 humans and 983 cat- high levels (70% culling and 80% compliance tle in 416 homesteads were analysed for C. with movement bans). Importantly in these burnetii antibodies. Questionnaires covering Indigenous communities, culling of dogs is un- demographic, socio-economic and husbandry likely to be successful. Also, movement bans information were also administered. These - data were linked to environmental datasets ment) would have minor impact unless there based on geographical locations (e.g. land cov- was(which high culturally compliance. would be difficult to imple er). Multilevel regression analysis was used to assess the relationships between a range time a rabies model has been applied to com- of socio-economic, demographic and environ- pareThis is,control to the strategies best of our for knowledge, an epidemic the situa first- mental factors and sero-positivity in both hu- tion with absence of rabies prior to the simu- mans and animals. lated incursion. It provides evidence on which The overall sero-prevalence of C. burnetii was to base preparedness plans, and to manage re- 2.5% in humans and 10.5% in cattle. Multi-

cent incursions in a culturally-sensitive man- level modelling indicated the importance of Presentations Oral ner. several factors for exposure to the organism. Cattle obtained from market (as opposed to Keywords: rabies, indigenous communities, those bred in their homestead) and those re- Australia, disease modelling siding in areas with lower precipitation levels Session: MON4.3 Wildlife, Livestock and Pets - The Human Animal Interface the youngest age group had the highest odds had the highest sero-prevalence. For humans, Mon 05.10.2015 • 14:10-15:40 • Location: of seroprevalence, variations were observed Parsenn between ethnic groups, and frequent livestock

abortion material) was also a risk factor. The Epidemiology of Q Fever in West- contact (specifically grazing and dealing with ern Kenya. These results illustrate endemnicity of C. burnetii in western Kenya, although prevalence is relatively low. The analysis indicates that WARDROP, Nicola A (1); COOK, Elizabeth A while environmental factors may play a role (2); DE GLANVILLE, William A (2); THOMAS, in cattle exposure patterns, human exposure patterns are likely to be driven more strongly 1:Lian University (2); ATKINSON, of Southampton, Peter M (1);United WAMAE, Kingdom; by livestock contacts. The implication of live- 2:Claire University N (3); FEVRE,of Edinburgh, Eric M United (4) Kingdom; stock markets in cattle exposure risks sug- 3: Kenya Medical Research Institute, Kenya; 4: gests these may be a suitable target for inter- University of Liverpool, United Kingdom ventions. Keywords: Coxiella burnetii, epidemiology, risk EvidencePresenting suggests author: WARDROP,that the intracellular Nicola A bac- factors, Q Fever [email protected] terial pathogen Coxiella burnetii (which Session: TUE4.2 The One Health Approach for causes Q fever) is widespread, with a near Communicable Diseases - creasing attention to Q fever epidemiology Tue 06.10.2015 • 13:15-14:15 • Location: Pischa inglobal high-income distribution. settings, While a thererecent has systematic been in Landscape Heterogeneity and Taenia understanding of the prevalence, spatial dis- spp. Distributions in Humans and Pigs: tributionreview highlighted and risk factors significant for Q fever gaps infection in our Evidence of Environmental Influences across Africa. This research aims to provide a on Disease Transmission One Health assessment of Q fever epidemiology in western Kenya in cattle and humans. ATKINSON, Peter M (1); COOK, Elizabeth A WARDROP, Nicola A (1); THOMAS, Lian (2); 95 GRF Davos One Health Summit 2015

These results indicate a complex interaction between socio-economic, behavioural and en- 1:(2); University DE GLANVILLE, of Southampton, Will (2); WAMAE,United Kingdom; Claire vironmental factors in Taenia spp. transmis- 2:N (3);University FEVRE, of Eric Edinburgh, M (4) United Kingdom; sion patterns. Environmental contamination 3: Kenya Medical Research Institute, Kenya; 4: with Taenia spp. eggs is a key issue and these University of Liverpool, United Kingdom - ence patterns of taeniasis and cysticercosis occurrenceresults indicate in pigs that and landscape humans. factors influ Presenting author: WARDROP, Nicola A Landscape factors have been demonstrated to Keywords: Taenia spp., environment, cysticer- [email protected] cosis, epidemiology, risk factors of infectious diseases, including schistosomia- influence the observed distribution of a range Session: MON4.3 Wildlife, Livestock and Pets - sis and soil transmitted helminths. Despite The Human Animal Interface previous evidence of spatial clustering in Tae- nia spp. infections (human taeniasis, human Mon 05.10.2015 • 14:10-15:40 • Location: cysticercosis and porcine cysticercosis) and Parsenn the role of environmental factors (e.g. temperature and humidity) in the survival of eggs in the environment, little research has thus far explored the potential role of environmental factors on the observed distribution of Taenia spp. infections. This research aimed to examine the epidemiology of Taenia spp. infections in humans and pigs and to assess the role of environmental factors in observed disease distributions, while accounting for socio-economic and behavioural risk factors. A cross-sectional survey for human taeniasis, human cysticercosis and pig cysticercosis in 416 households in western Kenya was carried out. These data were linked to questionnaire responses and additional datasets to provide information on socio-economic, behavioural and environmental factors. Multi-level logistic regression was used to examine the relationships between socio-economic, behavioural and environmental factors and disease occurrence (for human taeniasis, human cysticercosis and porcine cysticercosis). The prevalence was 19.5% for taeniasis (95% CI 17.8%–21.3%), 6.6% for human cysticercosis (95% CI 5.6%–7.7%), and 17.2% for porcine cysticercosis (95% CI 10.2%–26.4%). with a range of factors, including positive cor- relationsThe outcomes with land were cover: significantly vegetated associated land was correlated with human taeniasis; agricultural and grassland was correlated with human and grassland was correlated with porcine cysticercosis.cysticercosis; and flooding agricultural land

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Poster Presentations Poster Presentations Prevalence and Etiology of Microcyto- Allergic Rhinitis sis in Sickle Cell Anemia Patients Jaime calderon Abdulmalik Marwan CALDERON, Jaime de Jesus KingALMATRAFI, Saud bin Mohammed Abdulaziz University Hamoud; for ISMAIL, Health sciences, Saudi Arabia [email protected] author: CALDERON, Jaime de ThereJesus is a high incidence of chronic respira- Hamoud - [email protected] author: ALMATRAFI, Mohammed reditary predisposition, which generates in Sickle cell disease, a common condition in patientstory inflammatory complicated disease conditions triggered affecting by a thehe Saudi Arabia, can have many complications & airways. devastating outcomes. Some conditions can Based research in patients, using a simple, re- co-exist with this disease that can add more liable, reproducible and safe study, statistics problems to the patient’s health. In this study as well as a model of integrated management we will be looking for the presence of some of of this condition, frequently attended on the services of otolaryngology in Mexico in com- prevalence of microcytosis & some of it’s caus- plicated conditions, emphasizes the need to these conditions. We will be checking for the increase global training of physicians in the thalassemias. care of this pathological condition and need to es like iron deficiency anemia & alpha or beta Keywords: Microcytosis, sickle, Saudi, iron, control pollution sources, and analysis as an thalassemia additional negative phenomenon to mundial catastrophes. Session: MON3.1 Poster Session

Mon 05.10.2015 • 12:30-13:30 • Location: Foyer population making emphasis on the hygienic Aspen andWe nutritional should optimize guidance. orientation to general

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were collected and tested for the presence of systems worldwide, and demand political IgG antibodies to T. solium using an indirect changesIt is proposed with thereflect system on the to natureapproach of healthunder enzyme linked immunosorbent assay (Ab-ELI- an accessible universal health care system, in SA) technique. A structured self-administered questionnaire was used to identify socio- test, effective and safe with complementary demographic and risk factors in the popula- managementa model supported including by economicaloral sublingual simplified immu- tion. A total of 43 sera tested positive to IgG notherapy. antibodies giving a cysticercosis prevalence of 14.3%. Bivariate analysis revealed that Keywords: Atopy, Allergic rhinitis, Health risks, Hereditary predisposition, Environmental fac- between seroprevalence and age, gender, oc- tors, Pollution, Etiological research, Otolaryn- cupation,there was and no location. significant Method difference of pork (p>0.05) prepa- gologic management complications, Evalua- ration and history of epilepsy, were however tion systems health care found to be associated with seropositivity (p< Session: MON3.1 Poster Session 0.05) and epileptics in the study were two times more likely to be seropositive than non Mon 05.10.2015 • 12:30-13:30 • Location: Foyer epileptics (OR= 2.2, 95% CI= 1.023-3.580, p= Aspen 0.04). A large proportion (74.0%) of the population had very poor knowledge and under- Seroprevalence of Taenia Solium- standing of cysticercosis, and knowledge of Cysticercosis among Humans Living human cysticercosis was strongly associated in Pig Farming Settlements of Kaduna (p< 0.01) with method of pork preparation Metropolis, Nigeria (p=0.001) and occupation (p=0.007). This EDIA-ASUKE, Uregwu Agnes (1,2); INABO, survey reports prevalence of human cysticercosis in southern parts of Kaduna metropolis; there is therefore need for further studies on ASUKE,Helen (1); Sunday UMOH, (3); Veronica ELLA, Elijah (1); WHONG, Ekah (1) impact of disease burden in the area, and in 1:Clement Ahmadu (1); Bello MUKARATIRWA, University, Zaria, Samson Kaduna, (2); Kaduna State in general. Nigeria; 2: Biological sciences, University Keywords: Prevalence, cysticercosis, Antibody- of Kwazulu Natal, Westville, Durban, South ELISA, Kaduna, Taenia solium AFrica; 3: Ahmadu Bello University Teaching Hospital, Zaria, Kaaduna, Nigeria. Session: MON3.1 Poster Session Presenting author: EDIA-ASUKE, Uregwu Mon 05.10.2015 • 12:30-13:30 • Location: Foyer Agnes Aspen [email protected] Taenia solium cysticercosis is considered an Extremely Low Exclusive Breast Feed- emerging parasitic zoonosis of global impor- ing (EBF) Rate among the Syrian Refu- tance due to its impact on both agriculture gee Communities in Jordan and public health in developing countries. Epidemiological information on human cysticercosis is limited in Nigeria. This study was NamseonFÄNDER, Gabriele; STAMHUIS, Ellen; HOEVE, therefore conducted to determine the preva- Medair,Johan B. Switzerland ten; DYMENT, Wendy; BECK, lence of human cysticercosis in selected areas of Kaduna metropolis, Nigeria, where smallholder pig farming is embraced as a source of [email protected] Presenting author: FÄNDER, Gabriele living. A cross sectional survey was conducted Medair has been implementing nutrition pro- in Kaduna South and Chikun Local Govern- grams in Syrian urban refugee communities in ment Areas of Kaduna metropolis which are widely involved in backyard pig farming and screening and promoting Infant and Young pork consumption. A total of 300 human sera Jordan since July of 2013 by offering nutrition- ing on management of acute malnutrition for Child Feeding practices (IYCF) as well as train 98 GRF Davos One Health Summit 2015 children under 5 and pregnant and lactating PERRY, Kathryn women. As of April 8, a total of 31,485 refugee International Medical Corps households have been reached by the Medair Presenting author: ARABASADI, Ashley nutrition programme covering about 35% of [email protected] the estimated number of refugees in urban International Medical Corps began responding areas outside of camps. In April of 2014, a household survey was conducted to estimate Africa in the summer of 2014. This poster will examineto the Ebola how Virus International Disease (EVD) Medical crisis Corps in West re- those households reached by Medair with sponded to the EVD outbreak and addressed exclusive breastfeeding (EBF) rates among cultural challenges in prevention, treatment were selected by systematic random sampling and reintegration of individuals into com- IYCF messages. 990 out of 31,485 households for a telephone survey. Among those sam- munities within Liberia. International Medi- pled, 12.9%(128 households) had children cal Corps staff incorporated behavior change less than 6 months of age; 24.2±7.7% of these communication strategies and information on reported practicing exclusive breastfeed- cultural practices to effectively reach popula- ing within the previous 24 hours. This value tions affected by Ebola. Syria prior to the crisis (42.6%) despite effec- Keywords: Ebola Virus Disease, Liberia, is much lower than levels of EBF reported in Culture, Emergency Response, International fact that 71.3% (±6.4%) of lactating mothers Medical Corps surveyedtive IYCF promotionwere able to activity state reflectedmore than by two the Session: MON3.1 Poster Session one of the most effective way to save the lives Mon 05.10.2015 • 12:30-13:30 • Location: Foyer benefits of EBF covered. Considering EBF is Aspen among refugees placing young children at Poster Presentations anof youngincreased children, risk of this death deterioration should serve in as EBF a Determining the Risk of Occupational warning to the humanitarian community that Exposure to Benzene, Toluene, Ethyl - benzene and Xylene (BTEX) among ately. Additionally the survey implies other Gasoline Stations Workers measures to improve EBF is needed immedi interventions are needed to address the other GHAZI, Iran (1); GHAZANCHAEI, Elham (2); cultural and social barriers. Group sessions to MAHMOUDZADEH, Amir (4) potential obstacles to EBF practices such as 1:JEBELLI, professor Beheshteh in university (2); NASRI,of Isfahan Athareh and (3); well as developing a self-supporting system Research Institute of Shakhes Pajouh, monitor the barriers and promoters of IYCF as Isfahan,Iran; 2: PhD student at Research - Institute of Shakhes Pajouh, Isfahan,Iran, among caregivers influencing the social and tate dissemination of lessons learned among trends Health in Disaster and Emergency; cultural aspects of EBF may be helpful to facili the refugee communities 3: University of Tehran Aras International Keywords: malnutrition refugees Campus, Aras, Iran; 4: Shakhes Pajouh Engineering and Research Institute of Natural Session: MON3.1 Poster Session Hazards Isfahan, Iran Mon 05.10.2015 • 12:30-13:30 • Location: Foyer Presenting author: MAHMOUDZADEH, Amir Aspen [email protected] Introduction: The Importance of Culture in a Health Benzene, Toluene, Ethyl Benzene and Xylene Emergency: International Medical (BTEX) are existing in gasoline releases to the Corps’ Experience from the Ebola air in result of the gasoline evaporation and Response the workers are exposure to it at gasoline stations. The main as a goal of this research is to ARABASADI, Ashley; BLACKMAN, Camille; determine the risk of occupational exposure FEUCHTE, Friederike; CASEY, Sean; 99 GRF Davos One Health Summit 2015 to BTEX compounds among workers in select- Manufacturing ed gasoline stations in the city of Kerman in southern Iran. (2); GHAZANCHAEI, Elham (2); Methodology: MAHMOUDZADEH,GHAZI, Iran (1); JEBELLI, Amir (3)Beheshteh To achieve the goal of the research, the air 1: professor of the university of Isfahan sample of 54 workers in 6 gasoline stations and Research Institute of Shakhes Pajouh, (the suburbs and downtown of Kerman) were Isfahan,Iran; 2: PhD student at Research collected in three times; morning, noon and at Institute of Shakhes Pajouh, Isfahan,Iran, night (at the time that the fuel is discharged trends Health in Disaster and Emergency; 3: from the fuel tanker to the gasoline tank, in professor Assistant at Research Institute of one of these times) by sampling pumps. The Shakhes Pajouh, Isfahan,Iran - Presenting author: MAHMOUDZADEH, Amir ratory and analyzed by Gas Chromatography [email protected] identified were then transferred to the labo Introduction: Result: Back pain is a common and costly musculo- with a Flame Ionization Detector. - skeletal disorder mainly occurs in working age centration of BTEX during discharging the fuel population. Although there are many physical fromThe findings the tanker represent to the gasoline that the tank average is higher con activities involved in the complex etiology of than the average concentration of BTEX in the the disease, it still seems rather challenging to rest of sample. The Cancer risk for workers determine the cause and requires an accurate exposed to benzene and Ethyl benzene is es- approach. Chronic back pain is a complex dis- timated in the range of 1.11×10- 2 – 8.22×10- order associated with extended adverse con- 4 to 1.30×10- 3 - 2.79×10- 5 . A quantitative sequences which may affect people’s life style non-cancer risk values for benzene, Toluene, and self-awareness. There exists a substantial Ethyl Benzene and Xylene is also calculated heterogeneity in back pain epidemiological and it was in the range of 134-9.83, 0.699- studies which limits the possibility of collect- 0.217, 1.45-0.0312 to 33.7-0.981, respectively. ing and comparing data. Many individual and environmental factors affect the onset and Conclusions: course of back pain. Additional risk factors The results show that the average concen- including stress, depression, job dissatisfac- trations of benzene in the air is higher than tion, low social support at work, ... are likely to standard limit proposed by Technical Commit- cause back pain. Therefore, this study aims at tee of Occupational Hygiene in Iran 0.5 ppm or investigating the level of back pain prevalence among auto workers emphasizing on their oc- And Xylene concentrations are less than the cupational and non-occupational dysfunction. standard1,600 μg/m limit. 3, ItWhile is shown Toluene, that theEthyl cancer Benzene risk Methodology: of Ethyl Benzene and Benzene is high among workers in studied gasoline stations as well. The survey was conducted on 3830 participants working in Irankhodro car manufac- Keywords: BTEX Compounds, Occupational turing plant. MUSIC questionnaire, a com- Exposure, Cancer Risk, Non-cancer Risk prehensive questionnaire on musculoskeletal Session: MON3.1 Poster Session disorders investigating their different aspects, were used. The data collected were analyzed Mon 05.10.2015 • 12:30-13:30 • Location: Foyer by using SPSS technique. Aspen Result:

Investigating the Relationship be- that 25.6% back pain prevalence was among tween Occupational and Non-Occu- participants.Findings obtained The functionalvia statistical disorders tests showed asso- pational Function and Low Back Pain - of Iranian Workers of Irankhodro Car cantly related to the severity of back pain and ciated with factors studied were also signifi 100 GRF Davos One Health Summit 2015 the occupational background of individuals (p<0.05). decreased in university clinics. Recommendation: specialist’s office increased but these recipes Higher focus on prevention of back pain in - isFinding because indicates of unwillingness that decreasing of patients the recipes and ciency and prevent human capital wastage. lackin doctors’ of satiable office services. and independent The reason state of recipes’ clinic auto workers may help to improve the effi increasing in private clinic is for the willing- Keywords: Low Back Pain, Functional Disor- ness of patient and better services. Suitable ders, Car Factory service is the reason for increasing in univer- Session: MON3.1 Poster Session - formance of health system, and increased the Mon 05.10.2015 • 12:30-13:30 • Location: Foyer referralssity clinics of thanpatients private to these offices clinics. after the per Aspen Keywords: Outpatient‘s Recipes, Social Security Comparative Study: Costs of Outpa- Services, Health System, Cost tient’s Recipes in the First Months of Session: MON3.1 Poster Session (2014-2015) with Emphasis on Trans- Mon 05.10.2015 • 12:30-13:30 • Location: Foyer formation of Health System in Isfahan Aspen

Beheshteh (3); GHAZANCHAEI, Elham (3); Relationship between Multiple Scle- MAHMOUDZADEH,GHAZI, Iran (1); KIANI, Amir Reza (4) (2); JEBELLI, 1: professor in university of Isfahan and rosis with Plumb Spatial Dispersion Research Institute of Shakhes Pajouh, (Case Study in Iran) GHAZI, Iran; KHOSRAVI, Elham;

Isfahan,Iran; 2: Supervisor of Inspection and Poster Presentations Supervision Department, Medical Records’ MAHMOUDZADEH, Amir Center, Social Security Organization, Isfahan; Shakhes Pajouh Engineering and Research 3: PhD student at Research Institute of Institute of Natural Hazards Isfahan, Iran ShakhesPajouh, Isfahan,Iran, trends Health in Presenting author: MAHMOUDZADEH, Amir Disaster and Emergency; 4: Shakhes Pajouh [email protected] Engineering and Research Institute of Natural The present study sets out to investigate the Hazards Isfahan, Iran correlation between multiple sclerosis and Presenting author: MAHMOUDZADEH, Amir the concentration of plumb in Mobarakeh, [email protected] Lenjan, Najafabad city’s Iran. All cases of Mul- There are meaningful differences in recipes tiple Sclerosis recorded between 2009 and and outpatients’ costs with the implement of 2011 were included. In order to calculate the the transformation of health system in May, plumb concentrations associated with the poll 2014.This study aims to analyze these chang- frequency of Multiple Sclerosis, the concentrations of plumb in (case study) were examined. the same period in the previous year. Materials and Methods: In this research, we Thises in is6 afirst descriptive months andstudy compare based onthem statisti with- applied target detection algorithms on MODIS cal dates in indirect treatment part of social images to detect plumb. In the next step, decision fusion method was used to combine the the same period in previous year. Participants results. In this combination, each pixel is con- ofsecurity this study organization are all insures in 6 who first cared months in non- than taminated if 5 of 6 algorithms detect it as con- property treatment centers. taminated and the software Geographic Infor- mation System (GIS) was used to analyze the data; multiple sclerosis spatial distribution doctors and independent clinic recipes of sate was mapped and the distribution of plumb in partFinding decreased indicates but thatthis number increased of dentists, in the case studies was determined. private clinics. Also, recipes’ cost and mean of them in independent university clinics and Results: The results indicated a significantly101 GRF Davos One Health Summit 2015 positive correlation between multiple sclero- ment, and the aesthetic aspects of the street. sis and the distribution of plumb. The outcome produced evidence to be presented to the local authority for them to work underscore not only the importance of pre- on deliverables such as to install adequate ventingConclusions: exposure The findingsto plumb of but the also current the impor study- facilities such as streetlights, railings, ramps, tance of controlling plumb-producing indus- benches, CCTVs, escalators for the overhead tries. pedestrian bridge, lifts; wash-basins and toi- lets near the market-place; green and handi- Keywords: Correlation, Multiple Sclerosis, cap-disabled buses to ply the route; notices Plumb, Spatial Distribution, Iran. to declare the areas in front of the hospitals, Session: MON3.1 Poster Session institutes and hotel to be smoke-free zones; ample waste disposal facilities; greening of Mon 05.10.2015 • 12:30-13:30 • Location: Foyer Aspen the environment; and increase in enforcement with police patrolling the street. A Street Conducive To All Ages enhance the civic-conscious mindset of the GUNASAGARAN, VIinomarliniI public,This study and willreduce benefit the theincidence local community, of snatch- (2); SITHAMPARAM, Sumitra (1); thefts. There will be an atmosphere of helpful- ness in that the community will communicate 1: Malaysian Medical Association; 2: Institute in a friendly manner and a well-cultured soci- forG.VARATHARAJA, Medical Research, Puspa Malaysia; Rani (3) 3: KPJ ety will slowly but surely emerge. Healthcare University College Nilai, Malaysia Presenting author: SITHAMPARAM, Sumitra Keywords: Street, All Ages, Risk Assessment, [email protected] KAP - Session: MON3.1 Poster Session hang in Kuala Lumpur, Malaysia conducive to allThis ages. one-year This historical study aims locality to makehas undergone Jalan Pa Mon 05.10.2015 • 12:30-13:30 • Location: Foyer Aspen tremendous developmental processes since independence in 1958 and today, there are many commercial centres and condominiums. Contrasting Patterns of Hot Spell Ef- This street is within the strategic zone of the fects on Morbidity and Mortality for Kuala Lumpur city centre and is part of the KL Cardiovascular Diseases in the Czech Republic is being built, the necessary maintenance and HANZLIKOVA, Hana (1,2); PLAVCOVA, Eva (1); softerStructure components Plan 2020. appear While tothe be infrastructure side-lined in that the street is unsafe, unaesthetic, unap- pealing and unhealthy from the daily user and 1:KYNCL, Institute Jan of (3); Atmospheric KRIZ, Bohumir Physics (3); CAS, KYSELY, for the older or physically-challenged individ- CzechJan (1) Republic; 2: Faculty of Science, Charles ual. University, Prague, Czech Republic; 3: National - Institute of Public Health, Prague, Czech ization Healthy City model based on: health- Republic supportiveThe aims incorporate environment; the Worldgood qualityHealth Organof life; basic sanitation and hygiene needs; and ac- [email protected] cess to health care. ThePresenting study author:examines KYSELY, effects Jan of hot spells on The methodology involved a risk assessment cardiovascular disease (CVD) morbidity and approach through a questionnaire survey on mortality in the population of the Czech Re- Knowledge, Attitude and Practice of 300 indi- public, with emphasis on differences between viduals from among the local community. The ischaemic heart disease (IHD) and cerebro- parameters looked at safety and security con- vascular disease (CD) and between morbid- cerns, smoke-free, clean and green environ- ity and mortality. Daily data on CVD morbid-

102 GRF Davos One Health Summit 2015 ity (hospital admissions) and mortality over infectious diseases continue to remain a ma- 1994–2009 were obtained from national hos- jor public health concern, with new epidem- pitalization and mortality registers and stand- ics and outbreaks of new and re-emerging ardized to account for long-term changes as infectious diseases. Doctors thus need to be well as seasonal and weekly cycles. Hot spells equipped not only with knowledge, but also - the skills to deal with such diseases in a con- utive days with average daily air temperature tinuously changing society. Recognizing the were defined as periods of at least two consec needs, Hanoi Medical University has taken the to August. Relative deviations of mortality and lead in developing a training curriculum and morbidityanomalies fromabove the the baseline 95% quantile were evaluated.during June training program in One Health (OH) for Pre- Hot spells were associated with excess mor- ventive Medicine (PM) students in all medical tality for all examined cardiovascular causes universities in Vietnam. (CVD, IHD and CD). The increases were more A multidisciplinary team from selected medi- pronounced for CD than IHD mortality in most cal universities, Public Health and Agriculture population groups, mainly in males. In the Universities were involved in the curriculum younger population (0–64 years), however, development process. A program of training modules with 3 credits for 6th year PM doctor for IHD while there was no excess mortality students in Vietnam was developed based on forsignificant CD. A short-term excess mortality displacement was effect observed was the OH core competencies and a OH modular found to be much larger for mortality due to curriculum designed by the South East Asia CD than IHD. Excess CVD mortality was not One Health University Network. accompanied by increases in hospital admis- The course using participatory approach sions and below-expected-levels of morbidity teaching skill will be used for future PM prac- prevailed during hot spells, particularly for titioners in order to help them to understand Poster Presentations IHD in the elderly. This suggests that out-of- the basic concepts of OH, human health, animal hospital deaths represent a major part of ex- health and ecohealth, explain the relevance of cess CVD mortality during heat and that for OH to Preventive Medicine, identify some core in-hospital excess deaths CVD is a masked health problems related to OH and have ability comorbid condition rather than the primary to propose transdisciplinary solutions to solve diagnosis responsible for hospitalization. the disease problems in Vietnam. Keywords: mortality, morbidity, cardiovascular One Health Training Curriculum for Preven- diseases, climate, hot spells tive Medicine Doctors is highly relevant for Session: MON3.1 Poster Session future PM practitioners, addressing the needs of One Health workforces in Vietnam, thus will Mon 05.10.2015 • 12:30-13:30 • Location: Foyer strengthen the health workers’ capacities in Aspen diseases prevention and control. Keywords: One Health training Preventive A New One Health Training –Adressing Medicine the Needs of Preventive Medicine Doc- Session: MON3.1 Poster Session tors in Vietnam LE, Huong Thi (1); LE, Xuan Thi Thanh (1); Mon 05.10.2015 • 12:30-13:30 • Location: Foyer Aspen (2); KIM, Oanh Thuy (3) 1:NGUYEN, Hanoi Medical Hinh Duc University, (1); FENWICK, Vietnam; Stanley 2: Tufts University; 3: USAID Presenting author: LE, Huong Thi [email protected] Although communicable diseases have shown a downward trend in Vietnam in past decades,

103 GRF Davos One Health Summit 2015

Impact of Livestock Intensification on are collected in 1,000 people and 70 pig and Community Health in Vietnam poultry farms in each village to detect the circulation of Salmonella, Campylobacter, Lepto- 1: National Institute of Hygiene and Epidemiology,LE, Thi Phuong Vietnam; Mai (1); 2:FROEHLICH, Institut Pasteur, Yves (2) spirosis,Keywords: Hepatitis economic E anddevelopment, Avian Influenza. ecosystem Paris modifications, emerging infectious diseases, Presenting author: LE, Thi Phuong Mai risk evaluation [email protected] Session: MON3.1 Poster Session The frenzied economic development of South East Asia has brought damaging changes to Mon 05.10.2015 • 12:30-13:30 • Location: Foyer ecosystems that are only beginning to become Aspen evident. It is essential that these changes are studied, measured and documented so that A One Health Approach for Studying strategies can be devised to minimize health on Emerging Infectious Diseases, in risks for residentpopulations caught up in this Guangdong rapid expansion. The core of the ECOMORE project is to better Lanlan understand the anthropogenic and ecologi- SenLU, JiaHai;Yat-sen GUO, University Xiaoqin; LIU, Kangkang; LIU, cal changes responsible for the emergence of infectious diseases and to measure the health [email protected] risks for local communities. It is a one health Recently,Presenting the author: emerging LU, JiaHai infectious diseases, project being implemented in four South East such as SARS, H5N1, H7N9, H1H1 and dengue Asian countries: Cambodia, Lao PDR, Myan- fever, occurred in China, and most of these dis- mar and Vietnam. In each the Institut Pas- teur has linked with the appropriate national where is located at the southeast of China and health authority to design an anthropogenic eases first emerged in Guangdong Province, project devised by that country. 1978. Guangzhou is the capital of Guangdong In 2008 the government of Vietnam intro- was the first province opened to the world in duced a twelve year livestock development transportation and trade center of South China,Province. and The has city large is thedemographic financial, industrial,exchange sector to match the increase in demand for coupled with business, tourism and labor ser- livestockstrategy which products promotes but the intensification potential health of imthe- vice. The following examples demonstrate this pacts had not been studied and are only now beginning to be unearthed by the ECOMORE project. insituation. Guangdong Firstly, Province. in November Then 2002, the infection the first In Vietnam ECOMORE is describing health spreadcases of rapidlySARS were within retrospectively Guangdong identifiedProvince events and diseases in human and animal and to other provinces and municipalities of populations living in areas with intensive live- China, which led to the largest local SARS epi- stock farming by comparing populations that demic of the world. The disease also spread have adopted the new strategy with those rapidly from Hong Kong to other areas of that are continuing with the traditional system. The survey that forms the basis of the continents. It is reported that 5327 cases with research is coupled with two cross-sectional 349world, deaths up to occurred 29 countries in mainland and regions China on dur five- studies being implemented six months apart ing the 2003 worldwide SARS epidemic. SARS in humans, animals and in the environment. The environmental survey in 60 gardens to economy. It is estimated that SARS epidemic assess contamination by E.Coli of natural fer- resultedhad significantly in a total lossnegative of US$25.3 impacts billion on China’s to Chi- tilizer, irrigation water and vegetables uses an na’s economy and a 1-2%drop in the growth innovative technique of biological markers to rate of China’s gross domestic product(GDP) identify the origin of the pollution. Specimens in 2003. One Health is an emerging concept 104 GRF Davos One Health Summit 2015 aims to establish collaborations, and to cut people suffering from allergies. across the boundaries of human, animal and aha! Swiss Allergy Centre offers patient edu- environmental health, then achieve harmo- cation programs for anaphylaxis or atopic ec- nized approaches for disease detection and zema for parents as well as holiday camps for prevention. One Health approach has great children with interdisciplinary teams regard- potential for reducing threats to public health ing to professional background. Before and/ from emerging infectious diseases. or after the programs, parents were asked to Keywords: One Health Approach; Emerging Infectious Diseases; Guangdong an improved feeling of safety for parents and fill out a questionnaire. The results showed Session: MON3.1 Poster Session These positive conclusions support the impor- more self-confident behaviour of children. Mon 05.10.2015 • 12:30-13:30 • Location: Foyer tance of individual empowerment in relation Aspen to an interdisciplinary approach of therapy of atopic diseases. Atopic Diseases – An Increasingly Im- Keywords: atopic disease, patient education, portant Issue of One Health? interdisciplinary MAIBACH, Sereina; LUETHI, Hannes; Session: MON3.1 Poster Session SCHAEPPI, Georg aha! Swiss Allergy Centre, Switzerland Mon 05.10.2015 • 12:30-13:30 • Location: Foyer Presenting author: MAIBACH, Sereina Aspen [email protected] Atopic diseases like allergies, asthma and at- One Welfare - Aligning Animal Welfare opic eczema are major health problems in And The Human Condition most industrialised countries. In Switzerland, RUSK, Richard Craig (1); DOUMA, Dale Peter Poster Presentations around 35 percent of the population are sen- (2) sitized to allergens, mainly aeroallergens like 1: Manitoba Health and Healthy Living and proteins from pollen, house dust mite dander, Seniors, Canada; 2: Manitoba Agriculture, Food moulds or animal saliva. A fourth of the Swiss and Rural Development population suffer from clinically manifest al- Presenting author: DOUMA, Dale Peter lergic symptoms which are closely correlated [email protected] to medication use, emergency visits and pre- scription of medical therapies. There are several hypotheses for the increase The One Welfare (OW) concept builds on the in prevalence of atopic diseases over the last takesinternational the next Onestep recognizing World One the Health connection Expert decades. Genetic susceptibility, decreased thatConsultation exists between held in the Winnipeg welfare of in animals 2009. and OW stimulation of the immune system («hygiene the humans that they coexist with. This will hypothesis»), as well as air pollution, climate expand previous One health accomplishments

- animal welfare and related disparities of hu- edchanges people. and Western lifestyle are important maninto thehealth. OW sphere, engaging issues such as influencing factors on the incidence of affect - tion, detection and response and focuses on thisWith major regard public to these health complex issue must interactions be fo- theOW problem is based of on hoarding. the core These pillars pillars of preven each cussed.influencing Neither the prevalencethe causes ofnor atopic the discussed diseases, house additional jurisdictional sections that solutions are monocausal. Public health all should be considered when developing awareness and close partnerships between policy for each pillar. The sectors for preven- multidisciplinary experts, supported by up to tion include government standards and codes date communication management technolo- of practice, industry proactive interest, profes- gies are needed to improve the situation of sional association interest and ongoing aca-

105 GRF Davos One Health Summit 2015 demic research; for detection – government - leadership in surveillance, social networks ment and the arts. As witnessed by the HIV and support systems, public education and pandemicand politics, and engineering, the 2014 Ebola finance, Virus entertain Disease professional reporting systems; for response (EVD) outbreak, initial response efforts expe- – animal welfare enforcement regulations, rienced many missed opportunities resulting clinical mental health management capacity, from authorities siloed within individual dis- inter-jurisdictional collaborative policy and multisource funding. Underlying all these pil- the past”. In a rapidly changing and dynamical- lars are the cultural considerations that should ciplinesly interconnected and influenced world, modern by “what solutions worked re in- be included in different settings. Each pillar quire innovation and out-of-the-box thinking would therefore engage in multiple stakehold- which can prove challenging when relegated ers and without a universal framework, this to the traditional experts; experiences of what worked in the past can tint the paradigm of what will work in the future. describeleads to this inefficiencies framework and for potentiala cohesive failures policy To compliment the creative process of innovat- toin outcomes.manage the OW emerging intends burdento fully developof rural and ing better solutions for prevention, detection, urban hoarding. and response of infectious disease, Interna- tional Medical Corps advocates harnessing the and concept as it relates to hoarding and other complexThis poster welfare will describesituations. the This OW will framework offer ad- be injected into the conversation by the “best ditional opportunity, in conjunction with the andpower brightest” of youth. young We proposeemerging that leaders fresh from ideas a conference presentation, to engage in con- range of professions including human health, versation and debate about this issue and animal health, and environment health, law, increase awareness of the options for devel- communication and social marketing, com- - munity mobilization and politics, engineering, tional community to engage in this initiative throughoping successful engagement policy. in theWe presentation,invite the interna with of 15-25 handpicked individuals should be representatives at the poster and through at- organizedfinance, entertainment into Councils and representing the arts. Groups their tendance at the upcoming conference. respective home region (North Africa, Sub- Saharan Africa, Central Asia, Southeast Asia, Keywords: Animal welfare, mental health, etc.) and be assigned to freely discuss, debate, hoarding and generate novel approaches to One Health Session: MON3.1 Poster Session behind closed doors in a retreat-like setting. The ideas generated by each Emerging Lead- Mon 05.10.2015 • 12:30-13:30 • Location: Foyer Aspen ers Council are collective and attributed to the group as a whole to prevent any political or personal agendas. The best new ideas or Emerging Innovators Councils for One innovations can be presented to government, Health business, and civil society stakeholders in the respective region, as well as delivered at the International Medical Corps, United States of AmericaSCHAFER, Jacob 4thKeywords: GRF One One Health Health, Summit. Leaders, Youth, Innova- [email protected] tion OnePresenting Health author: approaches SCHAFER, to current,Jacob emerg- Session: MON3.1 Poster Session ing, and future threats require the interdis- Mon 05.10.2015 • 12:30-13:30 • Location: Foyer ciplinary collaboration and brainpower of Aspen individuals rooted in human health, animal health, and environment health, but also those in disciplines such as law, communication and social marketing, community mobilization 106 GRF Davos One Health Summit 2015

Dust Mitigation Measures and Health lance would be good practice for other plants Surveillance in Stone Crushing Plant in the future. SITTITOON, Nalin (1); HONGRATHANAKORN, Keywords: Dust mitigation measures, Health surveillance, Stone crushing plant 1: Suranaree University of Technology, Thailand;Jirathon (2); 2: Sila EKA, Sakol Wasana Pattana (2) Co. Ltd, Pak Session: MON3.1 Poster Session Chong, Nakhon Ratchasima, Thailand Mon 05.10.2015 • 12:30-13:30 • Location: Foyer Presenting author: SITTITOON, Nalin Aspen [email protected] One of the most common particles in air pol- One World-One Health and neglected lution from processes of stone crushing plant zoonotic disease: Elimination, emer- is particle that size less than 10 micrometers gence and emergency in Uganda (PM10). The size of particle is directly potential cause of health problems. The objectives KINGSLEY, Pete of this study are; to investigate the concentra- UniversitySMITH, James; of Edinburgh, TAYLOR, EmmaUnited Michelle;Kingdom tion of ambient total suspended particulate Presenting author: KINGSLEY, Pete (TSP) and PM10 at sensitive areas around the [email protected] site from EIA, to investigate dust mitigation measures and to observe health impacts on This paper traces the emergence and ten- worker. TSP and PM10 samples were collect- sions of an internationally constructed and ed from four sites of sensitive areas during the - rainy season, August to September and during proach to control and attempt to eliminate - Africanframed Trypanosomiasis One World- One Healthin Uganda. (OWOH) In many ap respects Trypanosomiasis is a disease that an Poster Presentations concentrationthe winter, January levels to of March TSP in (2005-2013) the rainy season us anding highthe winter volume varied air samplers. from 20 - We252 found and 35.8 that - requiring an integrated approach built on ef- fectiveOWOH approachsurveillance is perfectly in animals designed and humans, to treat, in the rainy season and the winter varied from quick diagnosis and targeting of the vector. 302 μg/m3, respectively. Whilst levels of PM10- The reality appears to be that the translation sults showed that all samples of 24-hour av- erage3-66 andconcentrations 3-117 μg/m3, of TSP respectively. and PM10 The lower re and district levels generates problems, pri- than Thailand’s ambient air quality standards. marilyof global due notions to interactions of OWOH between: down to a) national inter- In dust mitigation we measured by using hood national, external actors not engaging with the for screening and crusher, water spray sys- Ugandan state; b) actors setting up structures tem, covered conveyor belts and plantation and activities parallel to those of the state; c) around the site. Moreover, collected dust from actors deciding when emergencies begin and - end without consultation; d) weak Ugandan ity in increasing cassava productivity and old state capacity to coordinate its own integrated conveyorbag filter was was used brought for covering to improve dust soilemission qual response to disease; e) limited collaboration sources. Health effects on 154 workers were between core Ugandan planning activities and also observed through pulmonary function a weak, increasingly devolved district health system. These interrelated dynamics result in the global, international interventionalist test such as, forced vital capacity (FVC), forced- - tion.expiratory Eight workersvolume in who one had second pulmonary (FEV1) andfunc a- ratio of FEV1 to FVC, and chest X-ray examina- Ugandamode of (COCTU), OWOH undermining the body within the Coordinatthe Ugan- ercise regularly whereas a worker abnormal daning Officestate mandated for Control expressly of Trypanosomiasis with managing in chesttion with X-ray low was FVC further were checkedrecommended with doctor. to ex a sustainable One Health response to trypa- Taken together, continuous improvement of nosomiasis outbreaks in Uganda. This does dust mitigation measures and health surveil- two things, firstly it suggests we need a more grounded, national perspective of OWOH,107 GRF Davos One Health Summit 2015 where states and health systems are acknowl- that the average noise levels at quarry point edged and engaged with by international ac- (near drilling area) was 87.7 dB(A) Leq that tors and initiatives. Secondly, it suggests that exceeded the Thailand occupational health more support needs to be given to core coor- safety and environment standards at 85 dB dinating capacity in resource-poor contexts. (A) for eight working hours. The other were Supporting national coordinating bodies, fo- 77.7 dB(A) Leq at resting point while hydrau- cused around One Health, and ensuring that lic rock drill was working, 76.2 dB(A) Leq at external actors engage with and through those resting point while backhoe was working and bodies can help develop a sustained, effective 73.7 dB(A) Leq at quarry point (far from drilling area). The hearing impairment among 28 where after all most zoonotic disease burden quarry and related work workers was evalu- remains.OWOH presence in resource-poor countries, ated by audiometer. The audiometric data revealed that there were 71.43 % of all noise Keywords: Uganda, Trypanosomiasis, Health exposure workers suffered from hearing loss. governance, Neglected Tropical Diseases - Session: MON3.1 Poster Session fered from hearing loss are workers in drill- ingThe work two first (28.57%) order ofand worker maintenance groups whoworkers suf Mon 05.10.2015 • 12:30-13:30 • Location: Foyer Aspen (14.29%). Although this industry already has the criteria for a selection and use of hearing protection devices and a periodic audiometric Noise-induced Hearing Loss Among evaluation program for workers, less number Quarry Workers in Nakhon Ratchasi- of workers used the hearing protective devic- ma, Thailand es. Therefore, the hearing conservation pro- THEPPITAK, Calermsiri (1); LIMMONGKON, gram including training and encouragement Yuparat (1); SITTITOON, Nalin (2); workers for using the hearing protective devices are still needs to be promoted. Moreover engineering and administrative controls such 1:CHAUCHOT, School of Occupational Pilunthana (1); Health E-KA, and Wasana Safety, as using sound absorption materials, modify- Institute(3); HONGRATHANAKORN, of Medicine, Suranaree Jirathon University (3) of ing work rotation system should be conduct- Technology, Nakhon Ratchasima,Thailand; ed. 2: School of Environmental Health, Institute of Medicine, Suranaree University of Keywords: Noise effect, Hearing loss, Quarry, Technology, Nakhon Ratchasima, Thailand; 3: Hearing impairment, Audiometry SilaSakol Pattana Co. Ltd, Pak Chong, Nakhon Session: MON3.1 Poster Session Ratchasima, Thailand Mon 05.10.2015 • 12:30-13:30 • Location: Foyer Presenting author: THEPPITAK, Calermsiri Aspen [email protected] Noise is one of the most important occupation and environmental hazard, causing hearing loss, annoyance, sleep disturbance, fatigue, and hypertension. Quarry workers have a high risk of hearing loss due to excessive noise levels in the workplace environment. The purposes of this study were to evaluate noise exposure and its effects on the hearing ability of exposed workers in quarry workers. Noise exposure among quarry workers was measured by using a sound level meter in the workplace areas. There were four sampling points in the quarry operation areas for monitoring noises using a sound level meter. The results showed 108 GRF Davos One Health Summit 2013

Authors index Authors Index Authors ABBASI, Farha ...... 70 BLASZAK, Kate...... 77 ACHARYA, Resham Prasad ...... 68 BODAL, Huzeifa ...... 78 ALDERS, Robyn ...... 48, 55, 61 BOMBARA, Courtenay ...... 58 ALLEN, John ...... 77 BOO, Gianluca ...... 82 ALMATRAFI, Mohammed Hamoud . . . 97 BORIANI, Elena...... 50 AMMANN, Walter ...... 63 BOWEN, Gary L...... 70 ANTHONY, Simon J ...... 72 BRECHOT, Christian ...... 92 ARABASADI, Ashley ...... 99 BREY, Paul...... 89 ARAGRANDE, Maurizio ...... 47 BURDAKOV, Alexey...... 50, 59 ASUKE, Sunday ...... 98 CALDERON, Jaime de Jesus ...... 97 ATKINSON, Peter M ...... 95 CANALI, Massimo ...... 47, 51 BAGNOL, Brigitte ...... 48, 55, 61 CASEY, Sean ...... 99 BANDEIRA, Antonio Carlos ...... 80 CHAUCHOT, Pilunthana ...... 108 BANKHEAD, Troy...... 80 CHERBLANC, Fanny ...... 58 BARDOSH, Kevin ...... 48-49 COLSTON, Angie ...... 53 BECK, Namseon...... 98 CONN, David Bruce ...... 52 BITEK, Austine ...... 78 COOK, Elizabeth A ...... 95 BLACKMAN, Camille ...... 99 CORDEL, Claudia ...... 53

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DANIELS, Peter Wallace ...... 54 HALL, David C...... 62 DASZAK, Peter ...... 72 HAMEDI, Mohadeseh ...... 60 DE BRUYN, Julia ...... 55 HAN, Guoyi ...... 66 DECLICH, Silvia ...... 58 HANZLIKOVA, Hana ...... 102 DE GLANVILLE, Will ...... 96 HASANZADEH, Samira ...... 60 DE GLANVILLE, William A ...... 95 HAUSMANN, Roger ...... 66 DENTE, Maria Grazia ...... 58 HEFFERNAN, Claire ...... 62 DE QUINCEY, Ed ...... 52 HEROLD, Annika ...... 63 DHAND, Navneet ...... 58, 90 HOANG, Nam ...... 69 DOMINEY-HOWES, Dale...... 56 HOEVE, Johan B. ten ...... 98 DOUMA, Dale Peter ...... 56, 105 HONGRATHANAKORN, Jirathon 69, 107-108 DREISEITL, Herbert ...... 57 HOOGEVEEN, Ybele ...... 65 DREISEITL-WANSCHURA, Bettina . . 57 INABO, Helen ...... 98 DURR, Salome ...... 94 INTERNATIONAL DIRECTION, Pasteur 92 DÜRR, Salome ...... 58 INTHAVONG, Phouth . . . . . 48-49, 76 DYMENT, Wendy ...... 98 ISLAM, Khaleda...... 63 EBOLA TASK FORCE, Pasteur. . . . . 92 ISMAIL, Abdulmalik Marwan . . . . . 97 EDIA-ASUKE, Uregwu Agnes . . . . . 98 JAROSINSKA, Dorota ...... 65 EKA, Wasana ...... 69, 107,108 JEBELLI, Beheshteh ...... 99-101 ELLA, Elijah Ekah ...... 98 JIMENEZ CLAVERO, Miguel Angel . . 58 ESCADAFAL, Camille ...... 58 JOHANNESSEN, Åse ...... 66 ESMAGAMBETOVA, Aizhan . . . . 50, 59 JOHNSSON, Karlee ...... 66 FABER, Michael Havbro ...... 75 JOLY, Damien ...... 72 FABRIKANT, Sara Irina ...... 82 JOUAN, Marc ...... 92 FÄNDER, Gabriele ...... 98 KAIRU-WANYOIKE, Salome . . . . . 78 FEARNLEY, Lyle ...... 71 KARESH, William B...... 72 FENWICK, Stanley ...... 103 KAZAKOV, Stanislav...... 50, 59 FEUCHTE, Friederike ...... 99 KC, Pankaj ...... 74 FEVRE, Eric M ...... 95-96 KEONOUCHANH, Soukanh ...... 76 FIELD, Hume ...... 90 KHAMLOME, Boualam ...... 76 FOGELBERG, Emelie ...... 74 KHAN, Javed ...... 68 FOLKERS, Gerd...... 82 KHOSRAVI, Elham ...... 101 FONTANET, Arnaud ...... 92 KIAMBI, Stella ...... 78 FOSTER, John ...... 52 KIANI, Reza ...... 101 FROEHLICH, Yves ...... 104 KIBOYE, Maurice ...... 78 GABRIEL, Sarah ...... 91 KIM, Oanh Thuy...... 103 GANZLEBEN, Catherine ...... 65 KINGSLEY, Pete ...... 68, 107 GARDIN, Yannick, Charles ...... 60 KNOBEL, Darryn ...... 91 GENEREUX, Mélissa...... 86 KOPZHASAROV, Damir ...... 50 GHAZANCHAEI, Elham . . . . . 99-101 KREUDER-JOHNSON, Christine . . . . 72 GHAZI, Iran ...... 60, 99-101 KRIZ, Bohumir ...... 102 GLOBAL HEALTH, Center for . . . . . 92 KUNG, Nina ...... 90 GOLDSTEIN, Tracey ...... 72 KWANCHANOKE, Sompan ...... 89 GONGORA, Jaime ...... 58 KYNCL, Jan ...... 102 GRAF, Ramona ...... 82 LABBATE, Maurizio ...... 56 GRÜNTZIG, Katrin ...... 82 LALOUSCHEK, Wolfgang ...... 57 GUNASAGARAN, VIinomarliniI . . . . 102 LEFEVRE, Pierre ...... 91 GUO, Xiaoqin ...... 104 LE, Quynh Ba ...... 62 GUYONNET, Vincent ...... 55 LE, Thi Phuong Mai ...... 104 G.VARATHARAJA, Puspa Rani . . 87, 102 LE, Xuan Thi Thanh ...... 103 HALD, Tine ...... 50 LIMMONGKON, Yuparat . . . . . 69, 108

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LINDSAY, Steve William ...... 89 PERRY, Kathryn...... 99 LIU, Kangkang ...... 104 PETTAN-BREWER, Klaisy Christina . . 80 LIU, Lanlan...... 104 PHAM-DUC, Phuc ...... 80 LUETHI, Hannes ...... 105 PHENGVILAYSOUK, Ammaly . . . . 76 LU, JiaHai ...... 104 PHIRI, Andrew ...... 91 MAGEN, Jed Gary ...... 70 PHIROSMANASHVILI, Nana . . . . . 74 MAHMOUDZADEH, Amir . . . 60, 99-101 PICARD, Marie ...... 58 MAIBACH, Sereina ...... 105 PIERCE, Bess Janine ...... 81 MALTAIS, Danielle ...... 86 PITROU, Isabelle ...... 92 MANCINI, Jay A...... 70 PLAVCOVA, Eva ...... 102 MANUGUERRA, Jean-Claude . . . . . 58 POSPISCHIL, Andreas ...... 82 MARCOTTY, Tanguy...... 91 RAHALI, Tarik ...... 91 MARTIN, Vincent ...... 71 RATREE, Khongpolpan ...... 89 MAZET, Jonna AK ...... 72 R DE PAULA, Tarcizio Antonio. . . . . 80 MAZURIK, Laurie ...... 86 REED, Florence Leanne ...... 83 MBABU, Murithi ...... 78 RESCH, Kristin ...... 78 MCCONCHIE, Robyn ...... 48 RHALEM, Abdelkbir ...... 91 MCGREGOR, Ombelline ...... 55 RICCARDO, Flavia ...... 58 MEJIA, Monica Pamela ...... 73 RICHTER, Carsten ...... 71 MIRAGLIA, Simona ...... 50 RIVAS MORALES, Stefano ...... 51 MOLONEY, Barbara ...... 90 ROBERT, Vincent ...... 58 MOSEDALE, Jan ...... 63 RODRIGUES, Patricia ...... 80 MUDOGA, Emily ...... 74 ROGERS, Barbara ...... 83 MUKARATIRWA, Samson ...... 98 ROY, Mathieu ...... 86 MUTONONO-WATKISS, Beryl . . . . 74 RUEGG, Simon ...... 84 MUTURI, Mathew ...... 78 RUSK, Richard Craig ...... 56, 105 MWAPE, Evans K...... 91 SAHIBI, Hamid ...... 91 NADIRADZE, Kakha...... 74 SCATAMBURLO MOREIRA, Maria Aparecida NARKHEDE, Raju Kashinath . . . . . 79 80 NASRI, Athareh ...... 99 SCHAEPPI, Georg ...... 105 NAVRUD, Stale ...... 75 SCHLUNDT, Jørgen ...... 75 NERO, Luis Augusto ...... 80 SCHREMBI, Nicole ...... 90

NEWBY, Jonathan ...... 77 SHULTZ, James Michael ...... 85-86 Index Authors NGUYEN, Hinh Duc ...... 103 SIMPSON, Greg ...... 91 NGUYEN-VIET, Hung ...... 80 SITHAMPARAM, Sumitra. . . . 87-88, 102 NIELSEN, Linda...... 75 SITLHOU, Lhoukhokai ...... 67 NJERU, Ian...... 78 SITTITOON, Nalin ...... 69, 107-108 NORMATOV, Parviz ...... 76 SI, Wei...... 66 ODERMATT, Peter ...... 80 SMITH, James ...... 107 OKELLO, Anna ...... 48-49, 76 SMITH, Woutrina ...... 72 OKELLO, Walter ...... 76 SOHAIL, Kamran ...... 88 ONYANGO, Esther Achieng ...... 77 STAMHUIS, Ellen ...... 98 OSORO, Eric ...... 78 SUMALEE, Buensanteai ...... 89 OSPANOV, Kenes ...... 59 SUPASINEE, Petburi ...... 89 OTTO, Vivianne ...... 82 TANGENA, Julie-Anne Akiko . . . . . 89 PAIS, Anthony Victor ...... 72 TAYLOR, Emma Michelle ...... 107 PARRAVANI, Ellie ...... 74 TAYLOR, Melanie Rose ...... 90 PATIL, Manish Dattatray ...... 78 THAMMAVONG, Phoutmany . . . . . 89 PATRICK, Ian ...... 69 THEPPITAK, Calermsiri ...... 108 PATWARI, Jayprakash Manoharrao . . . 79 THIEME, Olaf ...... 55, 61 PEREZ RAMIREZ, Elisa ...... 58 THOMALLA, Frank ...... 66

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THOMAS, Lian ...... 95 THYS, Séverine ...... 91 TIEMANN, Tassilo ...... 76 TORIBIO, Jenny-Ann...... 90 UKHAROV, Andrey ...... 50, 59 UMOH, Veronica ...... 98 VAN DER WERF, Sylvie ...... 91 VAN KERKHOVE, Maria ...... 92 VAN ROOYEN, Jacques ...... 91 VICTOIR, Kathleen ...... 92 VROEGINDEWEY, Gary A . . . . . 93-94 WAMAE, Claire N ...... 95-96 WARD, Michael P ...... 58, 94 WARDROP, Nicola A ...... 95 WHONG, Clement ...... 98 WIETHOELTER, Anke ...... 90 WILCOX, Bruce...... 71 WOLFE, Nathan ...... 72 WRIGHT, Therese ...... 90 XAYAHEUANG, Sivilai ...... 48, 49 ZINSSTAG, Jakob ...... 80

112 GRF Davos One Health Summit 2015 Notes

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