“one health” and climate change

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“One Health” and Climate Change www.swisstph.ch [email protected] Jakob Zinnstag

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“One Health” and Climate Change

[email protected]

Jakob Zinnstag

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• One Health theoretical foundation I- Example of rabies control

• One Health theoretical foundations II - Transdisciplinarity

• Application of One Health to mitigate the effects of Climate Change- Integrated environmental, animal and human disease surveillance –

response systems

Overview

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One Health Text Book

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Theoretical foundation I

Necessary (but not sufficient) requirements:Recognition of inextricable linkage of human, livestock, companion animal and wildlife health and the environment.

Sufficient requirements:Added value of health and wellbeing of humans and animals and/or financial savings, social resilience and environmental sustainability* from closer cooperation of human and animal health and other sectors.

„One Health“ requirements

*Simon Rüegg, 11.9.2018

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Is it profitable to control rabies by dog mass vaccination in African city?

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”6

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PEP alone

Dog vaccination and PEP

Comparative cost analysis

Cumulative Cost(animal+humans) <<Cumulative cost(humans) > 10 years

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• Considering academic and non-academic

• knowledge in the research process

• Value contributions of all stakeholders in the

• generation of knowledge

What is Transdisciplinarity?

Theoretical foundation II

MedicineHumanities

Society

Science

interdisciplinary

tran

sdis

cipl

inar

y

Emerging career profile

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Decision makers Concerned populationScientists

www.trandisciplinarity.ch

Non-academic actors become research partners

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Exposure in domestic animals

inci

denc

e / c

umul

ativ

e co

stClinical signsin domesticanimals

Presence ofpathogens in wildlifevectors, riverbanksediments, wastewaterdrinking water, …..

Exposure in humans

Clinical signsin humans

Humans seekmedical care

Cumulative societalcost of an outbreak

Environment-Ecosystem Social System

Social-Ecological System (SES)

time

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3. Juni 202112

Emerging diseases andRe-emerging diseases becauseof climate change Rift Valley Fever, West Nile Virus, MERS, Q-Fever, Covid-19 …

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Integrated human-animal-environmental surveillance-response systems

“research for [… ] vaccines should urgently be complemented by modifications to smallholder livestock systems and live-animal markets to prevent or reduce interactions between [wildlife] and [livestock], which might be reservoirs for future human [ …] pandemics”. “However, these implementations should be handled carefully to avoid impeding poverty …”

Zinsstag J, Schelling E, Wyss K, Bechir M. Potential of cooperation between human and animal health to strengthen health systems. Lancet. 2005 2005;Sect. 2142-5.

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Urgently needed improvements of biosecurity and animalwelfare in livestock production, transport and marketing.

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Exposure in animals

inci

denc

e/ c

ost

Clinical signsin animals

Presence ofpathogens in vectors, riverbanksediments, wastewaterdrinking water, …..

Exposure in humans

Clinical signsin humans

Humans seekmedical care

Cumulativesocietal costof an outbreak

1a) World Organization for Animal HealthPVS IHR

World Health Organization

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Exposure in animals

inci

denc

e / c

ost

Clinical signsin animals

Presence ofpathogens in vectors, riverbanksediments, wastewaterdrinking water, …..

Exposure in humans

Clinical signsin humans

Humans seekmedical care

Cumulative costof an outbreak

1b) Operationalization of One Health Governance (OHG)

PVS OHG IHR

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Exposure in animals

inci

denc

e/ c

ost

Clinical signsin animals

Presence ofpathogens in vectors, riverbanksediments, wastewaterdrinking water, …..

Exposure in humans

Clinical signsin humans

Humans seekmedical care

Cumulative costof an outbreak

1c)PVS OHG IHR

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Jijiga University One Health Initiative (JOHI) Initiative

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Integrated Surveillance-Response System in the Somali Regional State of Ethiopia (SDC funding)

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Conclusion

Integrated approaches like One Health have an important role to play in the mitigation of health effects of climate change and pandemic prevention

Thank you for your attentionJakob [email protected]