ONE HEALTH APPROACH: THE PHILIPPINE EXPERIENCE

SIMEON S. AMURAO, JR., DVM, MBA, CESO IVDIRECTOR III

July 26, 2016Philippines

Workshop on Management and Control of Important Transboundary Animal Diseases in the Asian Pacific Region

One Health • A unifying concept that brought together

human and animal health care practitioners and environmental professionals with a goal that this partnership will help and develop sustainable and effective interventions in solving human, animal and environmental health challenges.

Primary ApplicationOf all the animal health programs in the

Philippines, the One Health approach is very much evident in the implementation of the National Rabies Prevention and Control Program through the enactment of Republic Act 9482 or the “Anti Rabies Act of 2007.”

NRPCCNational Rabies Prevention and Control Committee

• Department of Agriculture –BAI• Department of Health• Department of Interior Local

Government• Department of Environment and

Natural Resources• Department of Education

Department of Agriculture

• Laboratory facilities• Vaccine• Surveillance• Establish rabies free zones• Conduct researches

ROLES

Department of Health

• Human Anti Rabies vaccine in Animal Bite Centers

• Post exposure treatment • Human surveillance system• Pre exposure treatment

ROLES

Local Government Units

• Dog registration and vaccination• Impounding of stray dogs• Prohibit the trade of dogs for

meat• Appoint a veterinarian

ROLES

LGU

Avian Influenza

Developed at the height of the outbreak of HPAI in South East Asia.

This is the primary references for information on the government AI prevention program and preparedness plan.

Implemented in April 2005 through joint Department Order No. 1 which also established the national AI TASK FORCE together with the poultry raisers.

4 Stages of AIPPDepartment of Agriculture

Stage 1 Keeping the Phil. Bird flu freeStage 2 Control and eradication of AI in

domestic fowl

Department of HealthStage 3 Prevention and control in humanStage 4 Mitigation of Public Health and

Socio Economic Impact ofPandemic Influenza

Four stages of the avian influenza threat:

Stage 1 Prevention Programs(Manual of Procedures)

1. Ban on importation of poultry from AI affected countries.

2. Minimum Biosecurity Measures for all poultry holding facilities

3. Surveillance and Prevention Programs in Airports and Seaports.

4. Surveillance of Poultry in Critical Areas in the Philippines (20 areas).

AI

Stage 1 Prevention Programs(Manual of Procedures)

5. Enforcement of the 2001 Wildlife Act.

6. Preventive Measures in Humans. 7. IEC or communication,

education, participation and awareness (CEPA).

8. Establishment of compartmentalized AI-free poultry production zones.

AI Lab Tests used in the Philippines

1. Real Time Reverse Transcriptase Polymerase Chain Reaction (RRT-PCR)

2. ELISA test3. HA-HI test4. AGID test and 5. virus isolation.

Upgrading of Regional AI Diagnostic Laboratories (RAIDLs)

• Regions 2 and 12 - AusAID Project, • Region 3 -New Zealand International

Aid and Development Agency Project • Regions 7, 9 and 10 - Japan Special Trust

Fund Project.

Samples collected yearly for Avian Influenza surveillance, 2005-2015.

YEAR No. of Samples2005 5,9762006 21,2852007 16,1232008 16,4212009 5,4232010 3,3182011 6,4612012 6,2922013 10,9472014 12,0092015 13,353Total 117,608

AS of this date, Philippines is AI-FREE

Philippine Inter-agency Committee on Zoonoses

• To establish animal and human health sector collaboration between the DA, DOH and DENR for the prevention, control and elimination of zoonoses.– Rabies – Avian Influenza– Ebola reston virus in pigs and

monkeys

Department of Health

• Serves as the lead agency on the prevention and control of zoonotic diseases of human

a. Conduct pro-active response to public health concerns on matters pertaining to food safety, sanitation and vector controlb. Adopt appropriate measures upon the recommendation of the PhilCZ to be undertaken in the health facilities for the prevention and control of zoonotic diseases

ROLES

Department of Agriculture

Serves as the lead agency on the prevention and control of zoonotic disease in livestock, poultry and other domestic animals

a. Conduct pro-active response to public health concerns on matters pertaining to food safety, sanitation, vector control and proper disposal of animalsb. Adopt appropriate measures to be undertaken in animal facilities for the control and prevention of zoonotic diseases

ROLES

Department of Environment and Natural Resources

• Shall serve as the lead agency on zoonotic diseases in wild fauna.

• It shall adopt appropriate measures upon the recommendation to be undertaken of the PhilCZ to be undertaken in protected areas, in wildlife facilities such as, but not limited to, zoological parks, wildlife rescue centers an in indentified risk areas for the control and prevention of zoonotic diseases.

ROLES

Other Collaboration and Cooperation

• Henipa Virus• Ebola Reston Virus• Neglected Tropical Diseases -

Schistosomiasis

Conclusion• The One Health approach requires building

relationships with and respect for professionals in various sectors

• One Health is synergism: When we cooperate with one another we produce a combined effect greater than the sum of our independent effects.

Thank you very much!