4th National One Health Conference Report of the Conference Paro, Bhutan, 19-21 December 2018 Fund supported provided by WHO Conference organized by Department of Livestock, Ministry of Agriculture and Forests and Department of Public Health, Ministry of Health Table of Contents 1 Introduction .................................................................................................................................................................. 1 2 Objectives of the One Health Conference ................................................................................................................... 3 3 Session 1: Opening session ........................................................................................................................................... 3 4 Session 2: Updates on One Health activities................................................................................................................ 5 4.1 Follow up of 3rd National One Health Workshop resolutions: Mr Rinzin Kinga Jamtsho, MoH ...................... 5 4.2 Update on One Health Activities from Public health sector: Dr Sonam Wangchuk, Royal Centre for Disease Control, Ministry of Health ............................................................................................................................................. 8 4.3 Update on One Health Activities from Animal health sector: Dr Tenzin, National Centre for Animal Health, Department of Livestock .................................................................................................................................................. 9 4.4 Update on One Health Activities from Wildlife sector: Dr Kinley Choden, Nature Conservation Division, Department of Forests and Park Services ...................................................................................................................... 10 4.5 Update on One Health Activities from Food safety sector: Dr Kinley Penjore, BAFRA ................................... 11 4.6 Emerging and Re-emerging Infectious Diseases Scenario and Threat to BHUTAN: Dr Sonam Wangchuk, Royal Centre for Disease Control, Ministry of Health ................................................................................................. 11 4.7 South Asia One Health Disease Surveillance Network: Dr Sithar Dorjee, Khesar Gyalpo University of Medical Sciences of Bhutan, Thimphu, Bhutan ............................................................................................................ 12 5 Session 3: Performance Evaluation of human and animal health services ................................................................ 14 5.1 Joint External Evaluations for IHR Core Capacities: Mrs Jamyang Chodon, Ministry of Health .................... 14 5.2 Findings and recommendations of the OIE-PVS Evaluation: Dr Karma Rinzin, Department of Livestock .... 15 5.3 Findings and Recommendations of National IHR-PVS Bridging Workshop: Dr Sithar Dorjee, Khesar Gyalpo University of Medical Sciences of Bhutan, Thimphu, Bhutan ..................................................................................... 16 6 Session 4: Projects ....................................................................................................................................................... 17 6.1 One health approach to determine antimicrobial resistance profile in Salmonella isolates collected from human, animal and food samples: Dr RB Gurung, National Centre for Animal Health, Serbithang ....................... 17 6.2 An overview of Fleming Fund AMR project: Dr. Karma Rinzin, Department of Livestock ............................. 18 7 Session 5: AMR and Food safety ................................................................................................................................ 20 7.1 AMR surveillance in children under 5 years of age with diarrhoeal cases: Mr Tshering Dorji, Royal Centre for Disease Control............................................................................................................................................................... 20 ii 7.2 Foodborne Disease Outbreak Investigation: A case study of One Health Approach: Dr Sithar Dorjee, Khesar Gyalpo University of Medical Sciences of Bhutan ........................................................................................................ 20 7.3 Microbial load and prevalence of Salmonella in imported fresh beef at different points of meat handling: Mr Kaling Dorji, Bhutan Agriculture and Food Regulatory Authority, Thimphu ............................................................ 21 7.4 Antibiotic resistance of Escherichia coli causing diarrhea; practices and factors influencing use of antibiotics in swine farms in central region of Thailand: Dr Narayan Pokhrel, Dzongkhag Veterinary Hospital, Pemagatshel 22 8 Session 6: Zoonotic diseases ....................................................................................................................................... 23 8.1 Emergence of Brucellosis in Bhutan: animal Brucellosis and human case report: Dr RB Gurung, National Centre for Animal Health, Serbithang .......................................................................................................................... 23 8.2 Status of Multi-drug resistant tuberculosis in the country (2014 – 2018): Mr Karchung Tshering, Royal Center for Disease Control ............................................................................................................................................ 24 8.3 A Case-Control Study to Identify Risk Factors of Multi-Drug Resistance Tuberculosis (MDR-TB) among New Pulmonary TB Patients in Bhutan, 2018: Dr Tandin Zangpo & group, Dechencholing BHU-I, Ministry of Health, Thimphu ............................................................................................................................................................ 25 8.4 Acute Undifferentiated Febrile Illness surveillance: Preliminary finding of causing agents: Dr Sonam Wangchuk, Royal Center for Disease Control .............................................................................................................. 25 8.5 Chronology of HPAI-H5N1 outbreak in Bhutan and genetic characterization of virus involved: Dr RB Gurung, National Centre for Animal Health, Serbithang ............................................................................................ 26 9 Session 7: Diseases at human-animal-wildlife interface ............................................................................................. 27 9.1 Synantrophic rodents as reservoir of zoonotic pathogens in Bhutan: Dr Yoenten Phuentshok, National Centre for Animal Health ........................................................................................................................................................... 27 9.2 Bat diversity in Bhutan – implications for emerging infectious disease control: Mr Sangay Tshering and Tshering Gyelpo, College of Natural Resources, Royal University of Bhutan, Lobeysa ............................................. 28 9.3 Ecology of Lyle’s Flying Fox (Pteropus lylei) at the bat-human interface in Cambodia: Dr Kinley Choden, Nature Conservation Division ....................................................................................................................................... 29 10 Session 8: Community Perceptions and Practices ...................................................................................................... 31 10.1 Determinants of Rabies PEP seeking and compliance behaviour – Hospital and commmuniy-based contact tracing survey: Dr Kinley Penjor and group, Dewthang Military Hospital, Ministry of Health ................................ 31 10.2 One Health profile of local communities living within a protected area in Bhutan: Dr Kinley Choden, NCAD 32 10.3 Knowledge, Attitude, and Practice survey rabies among cattle owners in two districts of Bhutan: Dr Sangay Rinchen and group, Regional Livestock Development Centre, Tsimasham ................................................................ 33 iii 11 Session 9: Disease Prevention and control Strategies ................................................................................................ 34 11.1 Strategic framework for elimination of dog mediated rabies in Bhutan: Dr Tenzin, National Centre for Animal Health, Department of Livestock, Serbithang .................................................................................................. 34 11.2 Strategy for prevention and control of zoonoses: Mr Rinzin Kinga Jamtsho, DoPH, MoH ........................ 36 11.3 Bhutan Wildlife Health Strategy: 2019 – 2028: Dr Kinley Choden, NCD ................................................... 37 11.4 Animal welfare with focus on dog population management in Bhutan: Dr Karma Rinzin, Department of Livestock. ......................................................................................................................................................................... 39 12 Session 10: Group work and plenary presentation .................................................................................................... 41 13 Session 11: Closing session ......................................................................................................................................... 47 13.1 Conference Resolutions: Dr. Sangay Rinchen, Chief Rapporteur .................................................................. 48