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An Eco-system Approach to Address Emerging Infectious Diseases in

REPORT ON THE UN CHINA ONE HEALTH EVENT Convened by the UN Theme Group on Health Sub-working group on Diseases at the human-animal-interface

29-30 June 2011 Beijing China An Eco-system Health Approach to Address Emerging Infectious Diseases in China

REPORT ON THE UN CHINA ONE HEALTH EVENT

Convened by the UN Theme Group on Health

Sub-working group on Diseases at the human-animal-interface

29-30 June 2011 Beijing China CONTENTS

ExecuƟve Summary 03

IntroducƟon 04

An Integrated Approach to Agricultural Health: Linking Natural Resource 06 Management, Wildlife, Livestock ProducƟon and Food Security (Summary of PresentaƟon and Discussion of Day 1)

Disease Emergence at the Wildlife Livestock Interface 08 (Summary of PresentaƟon and Discussion of Day 2)

Possible Ways Forward to InsƟtuƟonalizing One Health Principles in China 10

Annexes Annex 1: Glossary 13 Annex 2: Agenda 14 Annex 3: List of ParƟcipants 16

Acknowledgement 21

Authors Lyle Fearnley, University of California, Berkeley, USA

Bruce A. Wilcox, Mahidol University,

Leslie David Sims, Asia Pacific Veterinary InformaƟon Service, Australia

Vincent MarƟn, Food and Agriculture OrganizaƟon of the United NaƟons (FAO) China An Eco-system Health Approach to Address Emerging Infectious Diseases in China

REPORT ON THE UN CHINA ONE HEALTH EVENT 03 cers from the Ministry fi new pathogens. During the United During the United new pathogens. countries landscape favours where the ecological of the genesis Animal and on System Workshop Nations Thailand held in Bangkok Pandemic it was suggested that a in 3-4 February 2011, in order to promote the be developed ‘road show’ practical application of a One understanding and the country level. Health approach at decade of experience in the China has over a control and The challenges HPAI. of H5N1 for HPAI control efforts of epidemic successes benefits of strongly demonstrate the potential emergence and The a One Health approach. is known to involve complex persistence of HPAI chickens, ecological relationships among domestic market free-ranging ducks, wild birds, and human and systems which can be best understood Although managed through One Health principles. control today (and despite is largely under HPAI in several the fact infection remains entrenched of parts of the country), the recent emergence Fever new diseases in China (e.g. the Severe (SFTS) virus Thrombocytopenia Syndrome with as well responsible for hemorrhagic fever in people causing egg-drop Flavivirus Tembusu-related as a the need to syndrome in ducks) are reminders of approach move towards a holistic and preventive to disease emergence. On June 29, the first Chinese national meeting on One Health was hosted in Beijing, with the support Theme Group on Health, of the sub-working group on diseases at the human- animal Emergency coordinated by the FAO interface Animal Diseases (ECTAD) Transboundary Centre for unit in China. Experts and of of Health, Ministry of Agriculture, and State Agriculture, and State of Health, Ministry of meeting. Administration participated in the Forestry The meeting took stock of the lessons learned in China through the control of emerging infectious H5N1; related these diseases, particularly HPAI lessons to the concept of One Health; and developed a roadmap for instituting One Health concepts in China. aging a move towards the practical ve Summary ve Ɵ Execu More recently, the One Health concept was concept was the One Health More recently, endorsed by several international organizations OIE, WHO, UNICEF and the (including the FAO, Bank, among others) seeking to follow World up on the achievements attained in the fight Today, against the avian influenza panzootic. there is an increasing demand for greater collaboration between international and national agencies, encour implementation of the One Health concept in Similarly, the Manhattan Principles that came Principles that came the Manhattan Similarly, conference One Health’ out of the ‘One World, Society organized by the Wildlife Conservation in 2004, through a list of 12 recommendations, approach to set the foundation for a more holistic maintaining preventing epidemic disease and for The application of this ecosystem integrity. epidemics approach aims to minimize the impact of to provide and pandemics due to EIDs. It sets out preventive action on the root causes and drivers of EIDs, build more robust public and animal health systems, better address the concerns of the poor, promote cross-sectoral and multi-disciplinary approaches, and conduct strategic research. The H5N1 HPAI worldwide crisis makes evident makes evident worldwide crisis HPAI The H5N1 perspective to address the need for a broader Infectious Diseases the challenges of Emerging causes of disease emergence (EIDs) and the root landscape lens that offers through a wide-angle, perspectives (Leighton, both clinical and ecological not new and was first This perspective is 2007). in applied ecology such as raised by pioneers who believed that it Aldo Leopold (1887-1948), the function and stability of is possible to restore “think like a damaged ecosystems if only we can complexity mountain”, that is, understand the full in ecological processes and of cause and effect and to plan and act on time scales of decades formed the centuries. One health approaches also backbone of the ideas promoted by epidemiologists such as Calvin Schwabe in the late 1960s. 04 An Eco-system Health Approach to Address Emerging Infectious Diseases in China REPORT ON THE UN CHINA ONE HEALTH EVENT Representation of Ecological Health Approach, Source: Source: Approach, Health Ecological of Representation and strongpartnerships”. food securitythroughmulti-sectoral cooperation zoonoses andanimaldiseases withanimpacton to animalandpublichealth risksattributableto detecting, containing,eliminatingandresponding vision tobuilding“A worldcapableofpreventing, that amongre-af future jointactivitiesbydeliveringaconceptnote adopted theOneHealthconceptasaguidefor with theOIE(World Organizationfor Animal Health) Nations amongwhichtheFAO andWHO along In responsetotheHPAI epizootic,theUnited ecological healthparadigm. pathogens emergeandpersistaccordingtoa the completeecosystems-environmentinwhich Health approachaimstoincreaseknowledgeof into separate'stovepipes'ofresponsibility, aOne microbiologists). Ratherthandividingexpertise wildlife specialists,socialscientists,ecologistsand (including, butnotlimitedto,veterinary, medical, that combinestheexpertiseofmanydisciplines institutional andscientificapproachtodiseases concept ofOneHealthdescribestheneedforan expertise overtheseseparatepopulations. The disciplines divideuptheresponsibilityand However, governmentinstitutionsandscientific human, domesticanimalandwildlifepopulations. increasingly emergeandspreadattheinterfaceof 2007). Today's epidemicsofinfectiousdisease the moleculartoecologicalscale(Leighton, disease emergence,spreadandpersistencefrom (EIDs), aperspectiveexaminingtherootcausesof the challengesofemerginginfectiousdiseases that abroaderperspectiveisneededtoaddress avian influenza(HPAI) globalcrisismakesclear The experiencesfromthehighlypathogenic Conservation Medicine, Oxford University Press, 2002 Press, University Oxford Medicine, Conservation Introduc Ɵ on fi rming theirworktogetherhasthe Opening Ceremony of UN China One Health Event, Event, Health One China UN of Ceremony Opening rely oncomplexinteractions betweendomestic its persistenceandtransmission, isknownto approach. The emergenceofHPAI, aswell demonstrate thepotentialbene of epidemiccontrolefforts forHPAI strongly of HPAI H5N1. The challengesandsuccesses China hasoveradecadeofexperienceinthecontrol conduct strategicresearch. sectoral andmulti-disciplinaryapproaches, address theconcernsofpoor, promotecross- robust publicandanimalhealthsystems,better on therootcausesanddriversofEIDs,buildmore safety planningItaimstoprovidepreventiveaction essential componentoffoodsecurityand on livestockpopulations,OneHealthisalsoan issues). Byaimingtoreducetheimpactofdisease (in thisregard,italsoencompassesfoodsafety approaches forsolvinghealth-relatedproblems infectious diseasesbutalsotolookatmoreholistic of epidemicsandpandemicscausedbyemerging not onlytominimizethelocalandglobalimpact The applicationofaOneHealthapproachaims further developandapplythisconceptinChina. Health; andmadesomerecommendationsto H5N1; relatedtheselessonstotheconceptofOne of emerginginfectiousdiseases,particularlyHPAI of thelessonslearnedinChinathroughcontrol participated inthemeeting. The meetingtookstock Agriculture, andStateForestry Administration officers fromtheMinistryofHealth, ECTAD unitinChinaandtheUNDP. Expertsand human-animal interfacecoordinatedbytheFAO on Health,sub-workinggroupdiseasesatthe the supportofUnitedNations Theme Group Chinese nationalmeetingonOneHealth,with On June292011, FAO ECTAD Chinahostedthe Beijing, June 2011 June Beijing, fi ts ofaOneHealth fi rst An Eco-system Health Approach to Address Emerging Infectious Diseases in China

REPORT ON THE UN CHINA ONE HEALTH EVENT 05 rmed by RT- fi The province ed a novel bunyavirus. fi March 2011, Volume 6, Issue 3. PCR/sequencing are labeled with triangles. Source: PLoS ONE, Regions from which viruses were isolated and con or autonomous cities (regions) affected are indicated in gray. Regions of BYDV infection outbreaks in China. uorescence assay from a serum sample obtained fl The New England Journal of Medicine, 2010 Thrombocytopenia Associated with a Novel Bunyavirus in China, from a patient with SFTSV infection. Source: Fever with immuno Right: SFTS Virus grown in Vero cells and detected on Source: www.modernemedicine.com By looking forward towards the possible emergence of new viruses, the importance of developing a One Health approach to disease prevention and strong capacity for sharing, A control is clear. integrating and understanding information about domestic animals, wildlife, human biology and human societies is essential not only to minimize the risk of emergence and spread of emerging and known infectious diseases but also to answer to The ecology of these viruses is being explored explored The ecology of these viruses is being hosts including the role of possible domestic animal discovered and competent vectors for the newly fever and bunyavirus responsible for hemorrhagic for the death in people or as yet unknown vectors responsible for Flavivirus Tembusu-related new duck egg-drop syndrome. Syndrome (SFTS) virus) responsible for hemorrhagic for hemorrhagic (SFTS) virus) responsible Syndrome Tembusu-related a as well as fever in people by Chinese scientists recently discovered Flavivirus drop syndrome. for duck-egg and responsible Left: Chinese researchers have identi ed bunyavirus (now referred fi as the Severe Fever with Thrombocytopenia Thrombocytopenia as the Severe Fever with During the past decade, China's disease control During the past decade, China's disease control H5N1 successfully mitigated HPAI have efforts from an urgent crisis outbreaks, transforming HPAI the success of these However, to relative stability. as risks not lead to complacency, should efforts The persistence and, constant and fast still remain. evolution of the virus lead to remaining questions about its ecology and the need to adapt control H5N1 is HPAI Moreover, measures accordingly. not an exceptional event, but is exemplary of an emerging infection and transboundary animal disease with a potentially high impact. Other viruses continue to emerge at the interface of human, domestic animal, and wildlife populations, including a newly identi A specific challenge faced during the control of faced during the control of specific challenge A a useful example. One of the main provides HPAI the epizootic has been questions throughout transmission between flocks, the mechanism of over long distances and particularly transmission as well as the question across territorial borders ecosystem of disease persistence in specific to understand the configurations. However, going dynamics impacting transmission required of beyond the traditional disciplinary boundaries Among other veterinary or medical . importance things, experts debated the relative hand, or of wild bird migrations, on the one To on the other. commercial trade in poultry, of HPAI, uncover evidence on the transmission wild birds wildlife specialists conducted tests in various bird and studied the migratory pathways of ecological species; epidemiologists uncovered the and risk factors associated with the emergence scientists spread of the disease while social chains of investigated the networks and market the commercial poultry trade. Only by combining true risks of expertise of many disciplines could the transmission be assessed and mitigated. poultry (both ducks and chickens, from 'backyard' from 'backyard' ducks and chickens, poultry (both human social and to industrial), to commercial and animals also systems; wild birds economic and in some role in the initial introduction playing a long distance transmission of places, in short and H5 viruses. 06 An Eco-system Health Approach to Address Emerging Infectious Diseases in China REPORT ON THE UN CHINA ONE HEALTH EVENT Source: Bruce Wilcox’s Presentation, June 2011 June Presentation, Wilcox’s Bruce Source: provide suf rarely identifiedandsurveillancesystemsdonot source ofvirusinmostH5N1HPAI outbreaksisonly and investigations. As anexample,atpresentthe need tobestrengthenedarediseasesurveillance diseases. Inaddition,amongthemanyaspectsthat the challengeofreducingburdenendemic • Transport ofbiologicalagents • Mixingoflivingsystemsandbiologicalagents • Intensificationofhumanandbiologicalactivity emergence, especially: and naturallandscapelargelyexplainsdisease interplay thatexistsbetweenurban,agricultural and spreadwithinecosystems.Inthisregard, of viewingecosystemsandhowdiseasesemerge ecosystem health(seeglossaryin Annex 1),ways the discipline,includingnewlanguageof to diseaseandhavebeenexploringbuilding groups havebeenpromot work presentedbyProfessorWilcox. A number of of academicgroupsandagencies,includingthe past 20yearsthroughtheworkdonebyanumber discipline of forums thathavebeenheldsince2007. The donor communitiesinthevariousinternational Health approachesbyinternationalagenciesand Much hasbeenwrittenanddiscussedaboutOne disease controlandpreventivemeasures. this informationcanbeusedtoimplementbetter result indiseaseemergenceandtransmission approach. They examinethecomplexissuesthat that gobeyondthetraditionalpathogen-centric about, approachingandinvestigatingdisease ‘One Health’ andEcohealtharewaysofthinking (mainly drivenbyhumanactivity) Security Livestock Produc Resource Management, Wildlife, Agricultural Health:LinkingNatural An Integrated Approach to (Summary ofPresenta fi cient informationonthelevelofthreat. Ecohealth has been growing over the growing been Ecohealth has Ɵ on andDiscussionofDay 1) Ɵ ing Ecohealth on andFood approaches approaches

part ofOneHealthapproaches. Better engagementofthose affected isacrucial motivate behavioralchange to preventdiseases. and tradersordonothave appropriate waysto poor understandingofthemotivationsfarmers were understood.Insomeareaswestillhavea structure oftheindustryandmovementspoultry players inthepoultrysectorandoverall only gainedoncethemotivationsofvarious be implemented.However, thisknowledgewas and spreadsothatappropriatemeasurescould important tounderstandhowthediseaseemerged For highlypathogenicavianin approach isthereforeessential. The needforanintegratedandtransdisciplinary related problemsisspreadoverdifferent agencies. country likeChinawhereresponsibilityforhealth- disciplines alsorepresentsapotentialproblemin long crosseddisciplines.Howeverthecrossingof the by theworkdoneindifferent areasincludingin One Healthapproachesarenotnew, asshown measures forhighlypathogenicavianinfluenza. the developmentofothercontrolandpreventive retail marketstallsinafewprovincesChinaand The examplesincludedtheimprovedlivepoultry appropriate controlandpreventivemeasures. are involvedindeterminingandimplementing have beenassessedandallactorsintheprocess that resultindiseaseemergenceandpersistence adopted. Intheseexamplesthemanyelements Health-type, multidisciplinaryapproachhasbeen Examples weregivenofdiseaseswhereaOne these issues. development. Moreattentionshouldbefocusedon account ofthepositiveandnegativeeffects of been discussedorexaminedinawaythattakes effects ofchangestoecosystemshavenotalways rapid developmentin Asia meansthatthecomplex determining issuessuchaslanduseplanning. The Proponents recommendthatitshouldbeusedin can driveoraredrivingdiseaseemergence. approach toexaminehowchangesecosystems Ecohealth practitionersuseatransdiciplinary fi eld offoodsafety, whichhasforalongtime fl uenza ithasbeen An Eco-system Health Approach to Address Emerging Infectious Diseases in China

REPORT ON THE UN CHINA ONE HEALTH EVENT 07 nancial compensation fi December 2010 ECTAD China Experts during FMD Evaluation Mission, When outbreaks of zoonotic diseases occur When outbreaks of zoonotic diseases occur (including when it can potentially involve wildlife species), forming transdiciplinary teams is essential but not just a matter of having members in a team They have to be working disciplines. from different should be strengthening our capacity to detect capacity to detect strengthening our should be and production changes in ecosystems factors or disease emergence that might result in methods research and appropriate applied and undertake in these places using One active surveillance Health approaches. discussed at the meeting The two new diseases new diseases. Other diseases are just examples of strains of PRRS and such as highly pathogenic are not considered zoonotic) FMD (diseases that of concern for the swine also represent causes An Ecohealth approach should and cattle industry. of be adopted to better understand the dynamics these diseases and improve their controls. existing The meeting highlighted the many gaps the human- in the knowledge about diseases at the need animal-ecosystem interface as well as at global, for strengthening surveillance systems we also have regional and national levels. However, (ensuring to recognize the costs of surveillance are we ask the right questions and the objectives of clear) and have to understand the implications allow their doing surveillance so that farmers who by the animals to be tested are not disadvantaged herd has consequences of doing so (e.g. when the to be slaughtered while no system is in place). Two Mongolian Farmers Visited by CMC-AH/FAO eld epidemiologists who can meet critical needs including conduct effective and fi . 1 uenza A (H1N1) pandemic strain. It is therefore (H1N1) pandemic strain. A uenza fl timely outbreak investigation and surveillance for existing and emerging infectious diseases. The China FETPV (Field Epidemiology Training Programme for Veterinarians) was launched in November 2010 and aims to provide government agencies with veterinary The animal health implications of the novel the novel The animal health implications of of bunyavirus and the human health implications The known. the novel flavivirus are also not yet experience with related viruses and the ecological Fever – a predictive modeling done for Rift Valley related bunyavirus may have potential for adoption to assist in disease control and prevention. Already it is evident that there are aspects of these diseases that warrant a strong cross disciplinary/ transdisciplinary approach. Diseases today cross borders easily and quickly, as demonstrated by the rapid spread of the in essential that, even when the cause is unknown, information on these diseases is shared with the global community as soon as it is evident that a new syndrome is occurring. In this regard, we The two recently emerged diseases described described The two recently emerged diseases of during the meeting demonstrate the importance emergence understanding the factors that drive the known and of disease. So far these factors are not they represent ideal candidates for investigations using a One Health/Ecohealth approach. At the simplest level in government, One Health One Health level in government, At the simplest responsible the various Departments starts with in the areas control and prevention for disease health having animal and ecological of human, communication so that good cross departmental and emerging diseases is information on new in this direction have been shared. Positive steps of how one health An example made recently. applied was described in the approaches are being control and prevention training exercise on for the FETPV program 1 Source: Bruce Wilcox’s Presentation, June 2011 08 An Eco-system Health Approach to Address Emerging Infectious Diseases in China REPORT ON THE UN CHINA ONE HEALTH EVENT widely blamedforthespread ofH5N1influenza. in QinghaiLakeChina 2005, wildbirdswere diseases. After themassivedie-off of wildbirds to undertakeOneHealthapproach toemerging of HPAI H5N1isacentralexampleofearlyefforts Investigation intotheroleofwildbirdsinspread control strategy. science intoaOneHealthdiseasepreventionand ecologies, andthenecessityofintegratingwildlife on theimportanceofwildlifeinemergingdisease The seconddayoftheOneHealtheventfocused to settherightquestionsandaddressthem. These approachesaremeantfordecisionmakers not anendinthemselvesbutameanstoend. control andpreventionofdisease. The toolsare use toassisttheminmakingdecisionsaboutthe are toolsthatdiseasemanagerscanandshould Ultimately OneHealthandEcohealthapproaches strains ofin antimicrobial resistanceortheemergenceofnew emergence ofnewproblemssuchasincreasesin prevent therisks.Studiescanbedonetomonitor measures canbeimplementedtominimizeor the potentialproblemsareidentified,appropriate effects ofchangebeforethechangesare made.If health approachessoastounderstandthelikely effects providefertilegroundforapplication ofone reared asaresponsetoHPAI. These negative as aresultofchangestothewaylivestockare the positiveandnegativeeffects thatcanarise used Livestockintensificationasacasestudyof body ofacademicworkinthisarea.LeslieSims and therearemanyrealworldexamplesa for diseasescanhaveadverseconsequences The introductionofcontrolandpreventivemeasures and allowingvariouspartnerstofullycontribute. towards acommongoal,ledbycleardirection (Summary ofPresenta Livestock Interface Disease Emergence at theWildlife fl uenza virus. Ɵ on andDiscussionofDay 2)

Wild Birds at Qinghai Lake, May 2006, FAO ECTAD China ECTAD FAO 2006, May Lake, Qinghai at Birds Wild Spread of H5N1 HPAI 2.3.3 virus towards Europe in in Europe towards virus 2.3.3 HPAI H5N1 of Spread has accumulatedduringthelasttwoyearswith virus fromoneareatoanother(strongevidence birds mayplayasignificantroleinspreadingthe and epidemiologicalevidencealsosuggestswild through thepoultrysector. Neverthelessmolecular is establishedinpoultryandtransmissionoccurs not neededtoperpetuatetransmissiononcevirus for anextendedperiod).Wildbirdpopulationsare suggests thatthesevirusesarenotmaintained disappearance ofClade2.2virusesfromwildbirds reservoirs ofH5N1HPAI viruses(Forinstance, bird populationsareunlikelytobelongterm are an“intermittenttransmissionhost.”Wild studies supportthehypothesisthatwildbirds clades. The conclusionsofalargenumber geographic distributionofparticularvirus of themolecularepidemiology, includingthe Pivotal forthesuccessofthesestudiesisknowledge factors suchaspoultrydensity. with outbreakinformation,aswellotherrisk routes. Studiesaimedtocomparewildlifemigration pathogen movementthroughfollowingmigration ecology, wecanlearnaboutpathogensand mechanisms oftransmission.Usingmigration Yet verylittlewasknownabouttheactual 2010-2011, Source: EMPRES-i Source: 2010-2011, An Eco-system Health Approach to Address Emerging Infectious Diseases in China

REPORT ON THE UN CHINA ONE HEALTH EVENT 09 ned as hunting of any fi Major Shipping Routes of Wildlife Trade, Source: TRAFFIC the movement of wildlife populations, including including of wildlife populations, the movement borders. across political must also address approaches One Health movement of animals e.g. the human-directed The global illegal trade in wildlife, wildlife trade. and animal derivatives, including both live animals its annual value estimated at is enormous, with cause in wildlife can Trade US $10 billion dollars. through species extinction or ecological damage and can also cause damage population reduction, through introduction to the destination ecosystem of invasive species. key risk of In addition, wildlife trade represents a diseased disease emergence, potentially bringing animals in contact with human populations, naïve including distant and immunologically populations. Bushmeat - de The day ended with a presentation and discussion of a document outlining the way forward to institutionalizing One Health in China. wildlife as sources of food poses a particular risk risk wildlife as sources of food poses a particular and food because of the manner in which slaughter farming of wildlife preparation take place. Finally, through the presents a risk of disease emergence species. mixing of wildlife species with domestic and Farming of wildlife can be a lucrative industry, of native may be a way of preventing exploitation in farms populations provided breeding occurs Much more and animal welfare concerns are met. wildlife in research into proper management of farms is needed. c Task Force on Wildlife Disease is a Force on Wildlife Task c fi Max-Plank Insitute The Scienti collaboration between the FAO and the Convention collaboration between the FAO on Migratory Species (CMS), and was launched in The Convention on Migratory Species June 2011. is a convention of the United Nations that governs conservation of migratory species across their The convention calls on attention that entire range. beyond the often-cited statement that “diseases know no borders”; similarly migratory species do As these migratory not recognize country borders. species may be hosts, carriers or vectors of disease, One Health approach must account for An exemplary study investigating the migration and An exemplary study investigating the migration African fruit bat discovered that movement of the behavior, they engaged in stereotypical foraging mainly on used predominantly urban areas and fed cultivated and introduced crops. A number of new technologies are enabling enabling number of new technologies are A of wildlife movements. enhanced understanding the primary technique Bird banding, historically bird migrations, would only for studying wild and end points of migration; provide the beginning information on e.g. where Additional and detailed bird dies can be provided by or why a migratory positioning, remote sensing continuous global such technologies or recording of body indicators as heart rate and body temperature. the dissemination of the clade 2.3.2 and the likely 2.3.2 and the likely of the clade the dissemination long-distance spread of wild birds in its involvement towards Europe). Using GPS to Track Bats Movement, Martin Wikelski, 10 An Eco-system Health Approach to Address Emerging Infectious Diseases in China REPORT ON THE UN CHINA ONE HEALTH EVENT Develop capacity for spa for capacity Develop Predicted Distribution of HPAI H5N1 Risk Based on on Based Risk H5N1 HPAI of Distribution Predicted approach inChina. proposals thatcouldhelpdevelopaOneHealth One Healthinstitutions.Followingareconcrete that formsanexcellentfoundationforbuilding control HPAI, Chinahasaccumulatedexperience Through adecadeofimplementingmeasuresto Develop researchcapacityintheareas • applied inthecontextofdevelopment. enhanced capacityforEIDriskanalysis/assessment epidemiology, thesespatialapproachesprovide and spatialpatterns. As asupplementtobasic prevalence withenvironmentaldeterminants technologies thatenablethecorrelationofdisease and arangeofrelatedfieldsprovideskills as landscapeepidemiology, medicalgeography environments andecosystems.Disciplinessuch significant transformationsofhumanandnatural of diseaseemergence. All ofthesedriversinvolve trade/transport areknowntobethemaindrivers loss alongwithincreasinghumanpopulationand expansion/expansion/encroachment andhabitat urbanization, agricultureintensificationand Development intheformofaccelerating Virological Surveillance Data (Using Bootstrapped Bootstrapped (Using Data Surveillance Virological and EID risk assessment risk EID and Logistic Regression Model), Vincent Martin, Martin, Vincent Model), Regression Logistic of spatialepidemiology. FAO ECTAD China ECTAD FAO Principles inChina Ins Possible Ways Forward to Ɵ tu Ɵ onalizing OneHealth Ɵ al epidemiology epidemiology al Develop capacity for integra for capacity Develop • Facilitate participationofresearchersand Facilitate • Conducttheaboveresearchwithspecialattention • Conductstudiesaddressingemerginginfectious • Developcollaborative researchprojectson • Conductjoint'OneHealth'ResearchProjects(e.g. • ProvideNationalaswellinternationalleadership • biodiversityconservationintheapproach Include • Achievetheaboveobjectivesatalevelthatmeets • Developmentofhumanresourcecapacityaligned • Disciplinaryintegration,cross-sectoralcollaboration, • research. Speci participation willformthebasisofthisOneHealth research; andincorporationofpublicorstakeholder emergence; problem-basedratherthandisciplinary approach totheproblemofzoonoticdisease and practice,includinganecosystem-based research design.Principlesfromsystemstheory training intransdisciplinaryteam-buildingand the necessaryinstitutionalarrangementstoprovide international le One Healthresearchatthenationaland integrative, and skillsnecessarytoprovideleadershipin Facilitate thedevelopmentofknowledge program. organized inassociationwiththeUSAIDEPT in theregion,includingworkinggroupscurrently students intrainingandskill-buildingactivities factors asdeterminantsofdiseaseemergence. land usechange;associatesocialandecological to policydevelopmentinrelationlanduseand assessment. disease andemergingpandemicthreatrisk particular disease-causingpathogens, involving zoonoses). in OneHealthresearch. the healthofallhumanbeings and ensurethatOneHealthresearchaimstoenhance research onemerginginfectiousdiseases. international standardsofintegrative,OneHealth to buildcollaborativeprojects. with theappropriateknowledgeandskillsrequired and communityparticipation. vels. vels. establishing willinclude This fi c fociinclude: Ɵ ve research ve An Eco-system Health Approach to Address Emerging Infectious Diseases in China

REPORT ON THE UN CHINA ONE HEALTH EVENT 11 ons Ɵ tu Ɵ on across sectors and ins Ɵ uenza viruses. fl between the Ministries of Health, Agriculture and Agriculture and between the Ministries of Health, surveillance and Existing disease Forestry. to reporting systems could be supplemented include a function for sharing and integrating reports in order to perform joint analysis. committee activities through newly formed steering meetings or existing coordination mechanisms. Indeed research and practice with policymakers. policy makers represent one of the main users of the results of research program that should be translated into concrete actions and policies. in Yulin, Guangxi, September 2011, FAO ECTAD China • for sharing disease information Develop a mechanism • Find mechanisms to operationalize One Health • connecting One Health Develop mechanisms for monitoring. In addition, access to data on ecology monitoring. In addition, available to and animal movement should be made landscape further understand the epidemiological of in One Health China in Action-Rabies Awareness Campaign Coordina uenza uenza fl ed as high fi uenza virus fl FAO ECTAD China Ducks at Poyang Lake, Jiangxi, January 2010, experts from disciplines including veterinary veterinary disciplines including experts from conservation, wildlife epidemiology, and medical candidates include science. Possible and social or flavivirus, for bunyavirus recently discovered remain about the which numerous questions hosts, reservoirs, vectors, and interaction of wildlife domestic animals. Projects commercially-raised on detection and should also be developed systems that could lead to analysis of factors and pathogens, examining and the emergence of new and appropriate ways to recommending practical reduce the risks. surveillance The Poyang Lake Ecosystem located in Jiangxi The Poyang Lake Ecosystem located in Jiangxi province which combines all these dimensions would be an excellent system to study in the spirit All disease outbreaks of the One Health approach. with signs suggestive of influenza should be thoroughly investigated and systems should be in place to detect sub-clinical infection in poultry. Given the global importance of the information all including results should be released internationally, gene sequences and geolocation of outbreaks, as soon as data are validated (including geolocation for tracking purposes and analysis). Projects coordinated in Egypt, Indonesia and Vietnam, by the OFFLU network are already addressing these issues of utmost importance for influenza risk of influenza virus emergence such as live as live risk of influenza virus emergence such farmed wild poultry markets, wildlife breeding sites, livestock bird production areas, trading centres and slaughterhouses. surveillance of poultry, pigs, horses and wild pigs, horses and wild surveillance of poultry, changes animals/birds aimed at monitoring viral still be and emergence of new strains should integrate further strengthened. Studies should in surveillance of high-risk human populations animals. contact with farmed domestic and wild The studies could focus on sites identi While influenza viruses should not be the only be the only While influenza viruses should not in focus of One Health initiatives in China, Further strengthen in 12 An Eco-system Health Approach to Address Emerging Infectious Diseases in China REPORT ON THE UN CHINA ONE HEALTH EVENT Establish a na a Establish and curricula university Health One Develop The 3rd Training Module of China FETPV, Beijing, June June Beijing, FETPV, China of Module Training 3rd The coordination andharmonization ofthevarious Health wouldprovideleadership anddirectthe meeting focusingontheimplementation ofOne the samelevel,asimilar steering committee of foodsafety. Although not necessarily at bureaus involvedinthesuccessfuladministration coordinate andharmonizethemanyMinistries Food Safety. The objectiveoftheCommitteeisto onState CouncilcreatedaspecialCommittee the Central 2010, In authority. and expertise of area of manyministriesandbureaus,eachwithitsown Food safety, likeOneHealth,istheresponsibility theframeworkofexistingtrainingcoursesfor In • Develop courseworkonOneHealthforstudentsin • 2011, FAO ECTAD China ECTAD FAO 2011, steering commi steering professional trainings professional effectiveness ofsuchtrainingcourses. Agriculture provideexamplesofthefeasibilityand Program forVeterinarians (FETPV)ofMinistry China CDCandtheFieldEpidemiology Training Field Epidemiology Training Program(FETP)of Health andbuildbridgesbetweendisciplines. The by theMinistries,promoteconceptofOne professionals andadministratorsalreadyemployed between futureexpertsinthevarious to fosterfamiliarityandpersonalconnections various schoolsincommoncoursework,order environment/wildlife. Integratestudentsfrom schools ofmedicine,animalhealth,andforestry/ Ɵ onal technical One Health Health One technical onal Ʃ ee mee ee Ɵ ng fi elds. Par repor Promote Providingincentivesandremovedisincentivesfor • Employingsocialscientificapproachestobetter • the UNTGHinimplementationofitsactivities. priorities aretakenintoconsiderationwhileguiding UN Theme GrouponHealth,makingsurenational meeting wouldalsointeractextensivelywiththe of emergingdiseases. This steeringcommittee ministries involvedinthepreventionandcontrol • Participate in upcoming meetings in Chiang Rai, Chiang in meetings upcoming in Participate • Ensure participationofresearchersandstudents • researchersandstudentsfacilitate Identify • practice. research andtrainingforOneHealth and others)aimtofacilitateregionalcollaborative programs (WHO TDR, IDRC,USAIDRESPOND associated withvariousinternationalagency Network for Asia’, and‘communities ofpractice’- networks-a ‘OneHealthNetwork”,‘Ecohealth which alreadyincludeChineseresearchers. These sector OneHealthresearchersandpractitioners, consisting ofuniversity, government,andprivate Several regionalnetworksarebeingestablished and develop leadership develop and popula human and livestock, disease reporting. populations andstakeholders. understand theneedsanddemandsofvarious and meetings. developed inassociationwith the aboveprograms short coursesandworkshops currentlybeing Kunming (EcoHealth2012).Participateinregional Populations, Vulnerable Ecosystems)and Health ResearchSymposium-Vulnerable Thailand (MaeFahLuangUniversity, Integrative conferences onOneHealthanongoingbasis. in regionalandinternationalmeetings including developingleadershiproles. their participatinginthesenewregionalactivities, Ɵ cipate in regional One Health networks networks Health One regional in cipate Ɵ ng of disease in wildlife, wildlife, in disease of ng Ɵ ons by: ons An Eco-system Health Approach to Address Emerging Infectious Diseases in China

REPORT ON THE UN CHINA ONE HEALTH EVENT 13 – A field of study that merges concepts and methods from classical of study that merges concepts and methods from classical field A – eld of study that considers how changes in the Earth’s ecosystems affect ecosystems affect in the Earth’s eld of study that considers how changes fi – The application of science of ecology to a conservation or public health or public health of science of ecology to a conservation The application – – A form of integrative research that is integrative, employs a holistic and/or systems A – – A holistic approach to focused on the control of infectious disease. It requires collaboration holistic approach to focused on A – – An emerging – – The boundary or transition zone between two adjacent ecological systems. They are known They are ecological systems. two adjacent or transition zone between The boundary – Landscape Epidemiology Ecosystem Approach Ecohealth Ecotone Transdisciplinary One Health and participatory approach, combines knowledge from outside as well as with academia to address a ‘real and participatory approach, combines knowledge from outside as well as with problem. world’ • among professionals from across different disciplines have an understanding and appreciation of the links disciplines among professionals from across different health, and the importance of and commitment to working together among human, animal, and ecosystem to address health challenges • epidemiology and landscape ecology to attempt to determine the factors that influence the frequency to attempt to determine the factors that influence the frequency epidemiology and landscape ecology geographic information systems, remote sensing, and statistical and distribution of disease. It employs It has been applied analytically to a theories of landscape ecology. methods including spatial statistics and disease and Chagas' disease. including , hantavirus, Lyme variety of emerging zoonotic diseases, • human health. An interdisciplinary approach to research that brings together multiple disciplines (e.g., disciplines (e.g., An interdisciplinary approach to research that brings together multiple human health. economists, social scientists, and policy analysts) to study and physicians, veterinarians, ecologists, A physical, social, and economic systems impact human health. understand how changes in biological, participatory methods, often incorporating elements of community form of integrative science that includes participatory action research (COPAR). • problem including prevention and control of an emerging infectious disease. It includes using a holistic holistic infectious disease. It includes using a and control of an emerging problem including prevention ecology, and methods from systems thinking, as well as specific principles perspective and systems and population ecology. community ecology, landscape ecology, • Annex 1: Glossary 1: Annex • events pathogen transmission concentrated, including biological activity is where ‘hotspots’ to act as local and types of The extent disease emergence. an “accidental host” that can lead to such as infection of habitat to increase exponentially with natural contributing to disease emergence tend ecotones potentially and regional planning. in the absence of sound urban loss and economic development Poyang Lake National Nature Reserve, Jiangxi, June 2008, FAO ECTAD China 14 An Eco-system Health Approach to Address Emerging Infectious Diseases in China REPORT ON THE UN CHINA ONE HEALTH EVENT Theme 1: Theme Theme 2: Theme Annex 2:Agenda LiangMifang,ChinaCDC) globalchallenges.(KathrynCampbell, ConventiononBiologicalDiversity) SevereFeverwith Thrombocytopenia Syndrome(SFTS)andanewBunyaviridae(Prof. 16:00 –16:40 Coffee break 15:45 –16:00 Dealingwith EmergingInfectiousDiseasethreatsinChina(ProfZengGuang,CFETP) 15:20 –15:45 One Healthapproachestonaturalresourcemanagement,speciesconservationand 15:00 –15:20 TheimpactofEID on FoodSecurity(S.Morzaria,FAO RegionalOf 14:30 –15:00 Controlandprevention,Veterinary Bureau,ChinaMoA) Discussion 14:00 –14:30 Lightlunch 13:10 –14:00 Thein DiseasePreventionandControl Of 12:50 –13:10 LessonslearnedfromH5N1HPAI inChina(Chen Guosheng,DivisionanimalDisease (speaker:LeslieSims,consultant, Australia) 12:10 –12:50 China H1N1pandemicin 11:40 – 12:10 Taking StockofexperiencesgainedandlessonslearnedfromH5N1HPAI crisisin Asia 11:10 – 11:40 CDC) (speaker:BruceWilcox,UniversityofHawaii) Coffee break -Introductionoftheworkshopprocess 10:40 –11:10 Groupphotograph -Openingremarks,UNTGH,DGVBChina,MoH,SFA, EU,WHO,FAO, USAID 10:30 –10:40 Keynotespeech: Agriculture, EnvironmentandEmerginginfectiousdiseasesofhumans 09:45 -10:30 Welcome andintroductions 09:00 –09:45 Registration 08:30 –09:00 Day 1 Livestock Production and Food Security (Chair: China MoA) China (Chair: Security Food and Production Livestock An Eco-systemHealth Approach to Address EmergingInfectiousDiseasesinChina Lessons Learned from HPAI H5N1 and H1N1 Pandemic In Pandemic H1N1 and H5N1 HPAI from Learned Lessons Integrated Approach to Agricultural Health: Linking Natural Resource Management, Wildlife, Wildlife, Management, Resource Natural Linking Health: Agricultural to Approach Integrated Sub-working grouponDiseasesatthehuman-animal-interface fl uenza genepool:planningthenextpandemic?(LeslieSims) Convened bytheUNThemeGrouponHealth UN CHINA ONEHEALTH EVENT fl 29-30 June2011, BeijingChina uenza: lessonslearned(Dr. XuZhen,Chief,BranchofRespiratory fi ce forDiseaseControlandEmergencyResponse, fl uenza (Chair: China MoH) China (Chair: uenza fi ce) An Eco-system Health Approach to Address Emerging Infectious Diseases in China

REPORT ON THE UN CHINA ONE HEALTH EVENT 15 yway- fl uenza along the central Asian uenza along the central fl c Task Force on Wildlife Disease and how CMS is addressing wildlife wildlife Force on Wildlife Disease and how CMS is addressing Task c fi Disease Emergence at the Wildlife Livestock Interface (Chair: SFA) McCrickard, FAO) – 11:40 11:15 and disease transmission (Lindsey Wildlife trade: implication for conservation McCrickard, – 12:00 11:40 Key take-home messages from Day 1 and 2 12:00 – 12:45 management. Borja Heredia (UNEP-CMS) disease as part of conservation roadmap for One Health in China: Discussion A 12:45 – 13:00 Next steps and wrap up 13:00 – 14:00 Light lunch 10:00 – 10:20 this can be applied to disease New technologies to understand wildlife migration - how 10:20 – 10:45 Break Coffee 10:45 – 11:15 Scott Newman (FAO) taking an eco-virological approach. The Scienti (Max Planck Institute) management and conservation. Martin Wikelski 09:00 – 09:20 home message from Day 1 Take 09:20 – 10:00 In Avian The Role of Wild Birds in the Spread of Day 2 ECTAD China) 16:40 – 17:00 Laboratory (Prof. Su Jingliang, Flavivirus in Ducks Tembusu-Related Discovery of a new 17:00 – 17:15 (Jia Beibei, FAO Rabies Case Study of FETPV through education – Presentation OH ECTAD 17:15 – 17:40 Ben Food safety challenges in China (Peter multidisciplinary approach to answer A University) Agriculture of MoA, China of 17:40 – 18:10 Discussion and closure of day 1 18:10 – 19:00 Dinner at the UN compound WHO China) Embarek, Theme 3: 16 An Eco-system Health Approach to Address Emerging Infectious Diseases in China REPORT ON THE UN CHINA ONE HEALTH EVENT Annex 3:List ofPar oNm il edrOgnzto ContactInformation Organization Gender Title Name No 2 uZe euyDrco F DeputyDirector XuZhen 12. 13. 10. 11. .DanielSchar 8. 7. Vincent Martin 6. .PryMsk A ersnaieMFAO China M FAO Representative 5. PercyMisika 4. JiaJiansheng 3. .XuMin 2. 1. .BruceWilcox 9. Morzaria Subhash BENASSI Marie-Paule O'Leary Michael Zhongqiu Zhang Sims Leslie David Guosheng Chen Ɵ cipants einlMngrM Regional Manager First Counsellor F EU Delegation EU Advisor Infectious Diseases F Regional Emerging First Counsellor Advisor Senior Technical H ersnaieMWHOChina M WHO Representative General Deputy Director Director Deputy Division ietrGnrlM Director General and Health Professor ofEcology Control Manager Consultant, Disease ietrM Director Opening Speech M M M M M F Speakers Response, ChinaCDC Control andEmergency Department ofDisease for Asia andthePaci ECTAD, FAO Regional Of (USAID), Bangkok International Development Agency for (RDMA), Mission Asia Regional Development Diseases (ECTAD) Of Transboundary Animal Emergency Centerfor FAO China (SFA),China State Forestry Administration (MOH), China Of Health EmergencyResponse Agriculture (MoA),China Veterinary Bureau,Ministryof Biology Conservation andPathogen Integrating Ecology, Traineeship (IGERT) Education andResearch Integrative Graduate University ofHawaii Information Service Asia Paci China Ministry of Agriculture (MoA), Control, Veterinary Bureau, Department ofDisease fi ce, MinistryofHealth fi c Veterinary fi c (RAP) fi ce fi ce cn Email: web@chinacdc. [email protected] Email: subhash. europa.eu BENASSI@eeas. Email: Marie-Paule. gov Email: dschar@usaid. fao.org Email: Vincent.Martin@ who.int Email: olearym@wpro. forestry.gov.cn Email: webmaster@ gov.cn Email: manage@moh. fao.org Email: percy.misika@ gov.cn Email: xmjwjch@agri. gmail.com Email: wilcox.bruce@ yahoo.com.au Email: vetpath00@ gov.cn Email: xmjwjch@agri. An Eco-system Health Approach to Address Emerging Infectious Diseases in China

REPORT ON THE UN CHINA ONE HEALTH EVENT 17 ce606@ fi Email: zhangxia@wpro. who.int Email: amelie.darras@ ambafrance-cn.org Email: niuxuejiao@ euctp.org Email: dongji@wpro. who.int Email: bheredia@cms. int Email: Tomas.pavie@ dgtresor.gouv.fr Email: martin.wikelski@ uni-konstanz.de Email: yangtingting@ euctp.org Email: benembarekp@ wpro.who.int Email: scott.newman@ fao.org Email: javierburchard@ euctp.org Email: [email protected] Email: [email protected] Email: Jia.Beibei@fao. org Email: [email protected] Email: kathryn. [email protected] Email: zeng4605@vip. sina.com Email: of chinaaids.cn ce fi CMS Secretariat/ASCOBANS Senior Advisor EMPRES Wildlife Health & Ecology Unit, FAO Headquarters Laboratory of Zoonosis Laboratory of Zoonosis Agriculture of MoA, China University Harbin Veterinary Research Harbin Veterinary Academy of Institute, Chinese Agricultural Sciences (CAAS) Convention on Biological Convention Diversity-Canada China Field Epidemiology Program, China CDC Training Director of Institute for Director of Institute Control and Disease Viral Prevention, China CDC F China French Embassy, F WHO China F Of China/ECTAD FAO F M China French Embassy, M M WHO China M M Project EU-China Trade M Participants cer M WHO China cer fi fi cer/ cer fi fi cer F Project EU-China Trade cer F EU-China Trade Project Trade cer F EU-China c, fi fi fi c and fi Programme Of Veterinarian Public Veterinarian Health Consultant National Programme National Programme Assistant Deputy Agricultural Attaché DirectorScienti Of Technical Senior Advisor M Max Planck Institute-Germany Food Safety Of Technical EMPRES Wildlife Health and Ecology Unit Coordinator Expert in Agriculture, Agriculture, Expert in Agro-food and Sanitary and Phytosanitary (SPS) National Veterinary National Veterinary Epidemiologist Programme Of Programme for Scienti and Technical Technological Matters Senior Epidemiology Senior Epidemiology Expert Director of China Institute CDC's Virus Zhang Xiaodong Amelie Martin- Darras Martin Wikelski Peter Ben Embarek Javier Burchard Kathryn Campbell 29. Dong Jie 30. 23. Thomas Pavie 24. 22. Borja Heredia 28. Niu Xuejiao Project Of 20. Scott Newman 21. 27.Tingting Yang Project Of 18. Jia Beibei 19. 26. 15. Zeng Guang 16. Liang Minfang 17. Su Jingliang Professor 25. Shi Jianzhou M 14. 18 An Eco-system Health Approach to Address Emerging Infectious Diseases in China REPORT ON THE UN CHINA ONE HEALTH EVENT 31. Sirenda Vong Team Leader M WHO China WHO M Yu Hailun Of Programme 33. QianYingjun 32. Team Leader SirendaVong 31. 34. 5 in a FNetherland Embassy, China F M SeniorVeterinarian MaShichun 36. Liang Yan 35. 7 agLn eirVtrnra F Senior Veterinarian Yang Lin 37. 8 h iun eeiainF Veterinarian ChiLijuan 38. 9 e e Vtrnra M Veterinarian Wei Wei 39. 0 JiaYouling 40. 41. 3 egY F LiaisonDepartment,CVMA F FengYe 43. Coordinator Wei Ying 42. 4 Lyle Fearnley 44. 5 egDxnPoesr M Professor Peng Daxin 45. 47. Zhang Tingting F Peking University, Peking China F University, Peking China F MaiTran 48. Zhang Tingting Professor 47. Luo Shujin 46. 49. Fleischer Ruuragch Sodnomdarjaa Xangyang Huang Gerd Of Public Information on Foodsafety Sino-German Project Programme Director AvsrM Advisor CVMA President ofthe Secretary Vice General Anthropologist Medical President Executive Vice fi cer fi cer F WHO WHO cer F China M M M F WHO China WHO F CVMA F F (GIZ) International Cooperation for German Agency Ulaanbaatar, Mongolia StateCentralVeterinary Lab., Centre China Animal DiseaseControl Centre China Animal DiseaseControl Centre China Animal DiseaseControl Centre China Animal DiseaseControl (CVMA) Association Institution Chinese Veterinary Medical Sciences (CAAS) Academy of Agricultural Research Institute,Chinese Changchun Veterinary Berkeley, USA University ofCalifornia, University, China Medicine, Yangzhou College ofVeterinary Ruder FinnPublicRelations Asia, Health&Wellness, who.int Email: qiany@wpro. who.int Email: vongs@wpr. int Email: [email protected]. giz.de Email: Gard.

minbuza.nl Email: Pek-vws@ yahoo.com.cn Email: shichunma16@

mail: [email protected] com Email: hxy823@126. [email protected] org.cn Email: cvma@cvma. com.cn Email: ye722@yahoo. gmail.com Email: lyle.fearnley@ edu.cn Email: pengdx@yzu. yahoo.com.cn Email: ztt1715113@ edu.cn Email: luo.shujin@pku. ruder Email: mtran@ fi nnasia.com fl eischer@ An Eco-system Health Approach to Address Emerging Infectious Diseases in China

REPORT ON THE UN CHINA ONE HEALTH EVENT 19

Email: xu_tiangang@ hotmail.com Email: cranenw@caf. ac.cn Email: xmjwjch@agri. gov.cn Email: xdruan@163. com Email: webmaster@ forestry.gov.cn Email: [email protected] Email: [email protected]. cn Email: meenakshi_ [email protected] Email: Baba.soumare@ au-ibar.com Email:zlwang222@ yahoo.com.cn Email: rosesnowlinda@ hotmail.com Email: naqi@epizoo. org Email: web@chinacdc. cn Email: web@chinacdc. cn Centers for Disease Control (CDC) Veterinary Bureau, Ministry of Bureau, Veterinary Agriculture (MoA), China Veterinary Bureau, Ministry of Bureau, Veterinary Agriculture (MoA), China National Bird Banding Center, National Bird Banding Center, China Chinese Academy of Sciences (CAS) State Forestry Administration State Forestry China (SFA), Wildlife Surveillance Station- Shenyang China Academy of Social Academy China Sciences Asian Elephant Conservation Fund U.S. Fish and Wildlife (USFWS-USA) African Union Inter African African Union Inter Animal Resources Bureau for (AU-IBAR), Kenya National Diagnostic Center National Diagnostic Animal Diseases, for Exotic Animal Health and China Epidemiology Center (CAHEC) F CAHEC M M SFAM Email: [email protected] M M M CAHEC cer F fi cer Mcer GIZ [email protected] Email: fi cer fi National Project Director Director of Wildlife Protection Division Executive Deputy Director Deputy Director of Wildlife Protection Division Program Of Chief Animal Health Of Principal of International Affairs Veterinary Head of Zoonotic Disease surveillance Laboratory Center Ruan Xiangdong Meenakshi Nagendran Baba Soumare 65. Qing Tang Rabies Expert F 63. Sun Yan 64. Xu Tiangang M 59. Luo Ying 61. He Hongxuan 62. Qian Fawen Deputy Director M 60. Sun Heting M 58. 57. Xun Lili Assistant Professor F 56. 53. Xiangyan Teng 54. Fan Weixing 55. 52. Zhiliang Wang Director F 66. Sun Hui M China CDC 67. Ni Daxin M China CDC 50. Guo Nan51. Jin Lei Project Manager Of Project F GIZ Email: [email protected] 20 An Eco-system Health Approach to Address Emerging Infectious Diseases in China REPORT ON THE UN CHINA ONE HEALTH EVENT 9 hnJcun FChina CDC CDC China F F 70. ShenJichuan 69. PeiYingxin 68. 1 EdgarKaeslin 71. 2 QinXinyan 72. 3 CaiYing 73. 4 u o M XueBo 74. 5 GuoFusheng 75. 6 MaYuanyuan 76. 7 agHoFTVCodntrMFAO China/ECTAD Of M FETPVCoordinator Tang Hao 77. 7 hn io CrepnetMXnu esAec XinhuaNews Agency News Xinhua Agency Xinhua News Agency M XinhuaNews Agency XinhuaNews Agency Photographer News Center, ChinaDaily News Xinhua Agency Wang Shen Correspondent Correspondent 88. M Zhang Qiao Correspondent 87. Tong Lan Email: [email protected] Correspondent Bloomberg 86. Zhang Yang Correspondent 85. M The Hu Hao Associated Press Reporter Nature PublishingGroup 84. Lv Nuo F F 83. Correspondent Li Yao FAO China/ECTAD Of 82. DarylLoo Correspondent F writer Freelance 81. HuangJingling 80. JaneQiu Project Assistant 79. LuFeng 78. McCirckard Lindsey specialist Livestock/veterinary Management Protected Area Wildlifeand Forestry Of Management and Emergency Of Coordination Programme Of Associate Advisor National Technical Assistant Program/Operation fi cer ofIn fi fl cer uenza fi cer FAO Headquarters M M FAO China/ECTAD Of M F UNDP China F FAO China/ECTAD Of F Media FAO Headquarters Forestry Department, Management, UNDP China In China Ministry ofHealth(MoH), fl uenza andEmergency fi fi fi fi ce ce ce ce cn Email: web@chinacdc. cn Email: web@chinacdc. mccrickard.fao.org Email: lindsey. fao.org Email: edgar.kaeslin@ undp.org Email: Xinyan.qin@ org Email: Ying.cai@undp. gov.cn Email: manage@moh. fao.org Email: Fusheng.Guo@ fao.org Email: Yuanyuan.Ma@ org Email: tang.hao@fao. gmail.com Email: mrshenwang@ xinhuanet.com Email: haohu@ chinadaily.com.cn Email: liyao@ com Email: jane@janeqiu. org Email: Feng.Lu@fao. An Eco-system Health Approach to Address Emerging Infectious Diseases in China

REPORT ON THE UN CHINA ONE HEALTH EVENT 21 ce, fi uenza Pandemic fl ght against current as well as fi nal report, as well as Mr. Guo Fusheng nal report, as well as Mr. fi c task force on wildlife diseases for their excellent presentations and contributions to the and contributions to the diseases for their excellent presentations c task force on wildlife fi nancial contribution to this event and continued support to China in the nancial contribution to this event and continued A special thank also goes to the United States Agency for International Development (USAID) for its Agency for International Development (USAID) for its special thank also goes to the United States A fi They would like to thank the international experts who participated in the meeting, including the members in the meeting, including the members the international experts who participated They would like to thank of the scienti discussion. The organizers of the meeting and authors of this report would like to express their gratitude to the gratitude to the to express their this report would like and authors of of the meeting The organizers as well as to the national Administration, State Forestry Agriculture and Ministry of Ministry of Health, insights presentations and provided invaluable and partners who delivered high level research institutions on the One Health topic. Acknowledgement the United Nations Development Programme (UNDP) and The organizers also would like to acknowledge and Human In Avian and Preparedness for its “Capacity Building for National Prevention Organization (WHO Health World Sirenda Vong, this report would like to thank Dr. the authors of Finally, to improve the China), for his thorough revision and suggestions new infectious diseases. the smooth organization of this event, including the provision of in China” program for its contribution to and printing of this report. simultaneous translation, the translation Of Animal Diseases (ECTAD) Transboundary Emergency Center for Ning Haiqiang, the FAO and Mr. for their revision of the Chinese version. An Eco-system Health Approach to Address Emerging Infectious Diseases in China

REPORT ON THE UN CHINA ONE HEALTH EVENT Convened by the UN Theme Group on Health Sub-working group on Diseases at the human-animal-interface

29-30 June 2011, Beijing China