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Emerging Pandemic Threats ProgramPREDICT • RESPOND • PREVENT • IDENTIFY
Partnerships in Action:
EcoHealthNet and University
Network Faculty Exchange 2013
Katey Pelican DVM, PhD
Emerging Pandemic Threats ProgramPREDICT • RESPOND • PREVENT • IDENTIFY
Introduction• USAID Pandemic Threats Program “RESPOND” funded
third annual One Health University Network faculty
exchange-June 2013.
• Objectives:
– Sharing and developing models of One Health training and
education
– Participating and co-delivering courses at the UMN Public Health
Institute
– Participating in a variety of cross-sectoral, cross-disciplinary
teaching/training activities
– Implementing a workshop/active learning short course as part of
the NSF funded EcoHealthNet research network
Emerging Pandemic Threats ProgramPREDICT • RESPOND • PREVENT • IDENTIFY
One Health University Networks
Emerging Pandemic Threats ProgramPREDICT • RESPOND • PREVENT • IDENTIFY
Introduction
• 17 faculty members from 10
countries representing
vetmed, medicine, public
health and nursing
• One Health (OH) University
Networks in Central and East
Africa (OHCEA) and
Southeast Asia (SEAOHUN)
Emerging Pandemic Threats ProgramPREDICT • RESPOND • PREVENT • IDENTIFY
Summary of Activities
• Variety of teaching platforms involving active
learning, and field-based exercises for
implementing One Health approaches in the
regions.
• Highlights included:
– Developing cases and teaching using those cases.
– Participating in a wide variety of field- and
experience-based training experiences
– Learning about One Health approaches in state
government agencies and academic teaching
– Participation in EcoHealthNet Workshop
Emerging Pandemic Threats ProgramPREDICT • RESPOND • PREVENT • IDENTIFY
I. One Health Case Development
Workshop• UMN Center for Teaching and
Learning
• Active learning, the
scholarship of teaching and
learning, and case study
development
• Ultimate outcome was to
develop a One Health disease
outbreak case study using
cross-disciplinary,
international teams
Example Case Study Template - RABIES CASE IN BALI
Case description
Brief description of case This case is about rabies outbreak taken place in Bali, Indonesia. Initial investigation lead to the case of Made, 27 year old father who had been bitten by a neighbor’s dog but refused to get help which eventually resulting in his death. The dog attacked other victims from the nearby village. Those victims seek or got medical treatments and the authorities were notified upon receiving the case by the sub-district health centre. This case described actions that have been taken by the authorities that lead to the substantially reduced rabies incidence in Bali.
Background for the case
Disease Rabies
Goal for this case; The purpose of this case is to initiate students’ critical thinking
about rabies and using One Health approach to resolve an outbreak
in a rural village in Bali, Indonesia.
One Health Domains: 1. Communication The ability to foster effective communication and information
sharing across disciplines and sectors to improve planning for and
response to One Health challenges.
2. Collaboration and Partnership The ability to identify, recruit, work with, and sustain the capacities of stakeholders to effectively meet One Health challenges. 3. Culture and Beliefs The ability to understand, analyzes, and appreciates social, religious, and historical diversity across different cultures within individuals and societies. 4. Management The ability to foster shared visions through critical and strategic decision-making for inter-disciplinary One Health approach.
One Health Competencies The One Health Competencies implicated in this case are: Domain 1: Communication
i. Communicate the risks of a zoonotic outbreak at multiple levels.
ii. Foster open communication to support and enable a One Health response.
iii. Disseminate and customize information, education, and communication to various levels.
Domain 2: Collaboration and Partnership i. Identify the potential stakeholders and their roles in
coordinating a One Health response.
Emerging Pandemic Threats ProgramPREDICT • RESPOND • PREVENT • IDENTIFY
II. Public Health Institute: International
Approaches to Zoonotic Disease Outbreaks
The four teams of interdisciplinary faculty representing mixed nationalities
presented their case studies to graduate students and working professionals at the
Public Health Institute course
Emerging Pandemic Threats ProgramPREDICT • RESPOND • PREVENT • IDENTIFY
III. Public Health Institute: Aquaculture
and Processed Foods
• Faculty guests participated
in two Public Health
Institute classes looking at
global food systems
– Processed foods and
aquaculture.
– The format of courses
revolved around site visits to
major facilities representing
these highly complex food
systems.
Emerging Pandemic Threats ProgramPREDICT • RESPOND • PREVENT • IDENTIFY
IV. Disaster Management Camp
• The faculty role-played as “important officials” during
a public health disaster of unknown origin.
Emerging Pandemic Threats ProgramPREDICT • RESPOND • PREVENT • IDENTIFY
V. One Health Field Trips
Field trips to some of Minnesota’s notable agencies and institutions addressing
the state’s One Health problems-Minnesota Department of Health, Department
of Agriculture, Board of Animal Health, Department of Natural Resources,
Minneapolis Farmer’s Market, Minnesota Zoo and Deer Farm.
Emerging Pandemic Threats ProgramPREDICT • RESPOND • PREVENT • IDENTIFY
VI. EcoHealth/One Health
Approaches to Prevention and
Control of Zoonotic Disease
• 22 participants, 8 disciplines, 7 countries - One Health collaboration at its
best!
– veterinary, ecology, public health, economics, and wildlife biology graduate students.
• National Science Foundation (NSF) funded research network workshop:
EcoHealthNet.
• Exchange faculty helped facilitate this annual training workshop
– Theme was EcoHealth/One Health Approaches to Prevention and Control of Zoonotic
Disease.
• Faculty participated in this field-based and experiential workshop
– Students trained in practical research skills and immersed them in real-world field
locations.
Emerging Pandemic Threats ProgramPREDICT • RESPOND • PREVENT • IDENTIFY
Develop Response plan based on observation made and information shared by subject matter expert-Then communicate plan to mock
Legislature
Outbreak determination (scenario discussion/didactic discussion of
outbreak scenario and tools needed for outbreak investigation)
Understand Risk mitigation
(Visit and understand culture roles and responsibilities of USDA
APHIS, FSIS, MDA, MDH, BAH
Communication/collaboration Structure
Assessing Risk on Farm (On farm, at wildlife reserve area and deer
farm)
OH Approach to Zoonotic Disease
Control
Emerging Pandemic Threats ProgramPREDICT • RESPOND • PREVENT • IDENTIFY
Didactic /Outbreak Scenario
Livestock group
Visit to a Dairy
Farm/Assess Risk MDH/MDA /USDA/BAH
visit.(comm./collaboration-roles and responsibilities)
FSIS-Plant visit
Contribute The livestock perspective to the Development of Response Plan
Visit Deer Farm/Assess
Risk at the Interface
Wildlife group
Visit Carlos Avery/assess Risk in Wildlife Ecosystem
DNR Roles & responsibilities
FSIS-Custom S/Plant
Contribute the wildlife perspective to the RESPONSE plan
Visit Deer Farm/ Assess Risk at Interface of livestock or
farmed animals and wildlife
Emerging Pandemic Threats ProgramPREDICT • RESPOND • PREVENT • IDENTIFY
One Health
Approaches
to Dse’ Cntrl
Leadership
Culture
CommunicationSystems thinking
Values and Ethics
Management
Collaboration
Emerging Pandemic Threats ProgramPREDICT • RESPOND • PREVENT • IDENTIFY
EvaluationsExchange:
• Overall impressions:
– 100% of participants rated the overall event as “good” or “excellent.” 100%
strongly agree that the event met its stated objectives and 100% “agree” or
“strongly agree” that the event met their personal expectations.
• One Health understanding:
– 100% “agree” or “strongly agree” that this event helped clarify or expand their
understanding of One Health.
EcoHealthNet
• Overall impressions:
– 81.3% felt workshop met its objectives very well or extremely well. While 67.7% felt that
the workshop met their personal goals very well or extremely well. 81.8 % of the
respondents felt like all their personal predetermined goals were met.
• Future applications:
– 100% of participants indicated that the information shared was going to be
useful in their professions;
Acknowledgments• Southeast Asia One Health
University Network
• One Health Central and East Africa
• U.S. Agency for International Development
• Minnesota Department of Health
• Minnesota Board of Animal Health
• Minnesota Department of Agriculture
• Ecohealth Alliance