ONE HEALTH LEADERSHIP EXPERIENCE
Dr. Mark Raizenne
Director General, Centre for Food-Borne, Environmental and Zoonotic
Infectious Diseases, Public Health Agency of Canada
ONE HEALTH LEADERSHIP EXPERIENCE
Play One Health Video
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ONE HEALTH LEADERSHIP EXPERIENCE
One Health Activities
• PHAC’s One Health activities
» One Health approach being applied to:
• AMR policy development
• Canadian Integrated Program for Antimicrobial Resistance
Surveillance (CIPARS)
• National Enteric surveillance - C-EnterNet
• Vectorborne disease surveillance - West Nile, Lyme disease
» Science-Policy Integration Projects - One Health approach to
food safety (led by PHAC) and One Health approach to
emerging infectious diseases (led by CFIA)
• Provinces and Territories
» Manitoba, Ontario, Alberta, Saskatchewan, Quebec
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ONE HEALTH LEADERSHIP EXPERIENCE
International One Health Activities
• United States:
» CDC – One Health Office
» USDA-APHIS
» Multiple Universities
• European Union:
» Animal Health Strategy (2007 – 2013)
• Australia
• World Health Organization (WHO), World Organization for
Animal Health (OIE), Food and Agriculture Organization
(FAO), the World Bank
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ONE HEALTH LEADERSHIP EXPERIENCE
One Health Education
• One Health curriculum needs to address the effects of climate
on ecosystem health, wildlife, and the movement of plant,
animal, and human diseases
• There is an opportunity for veterinary medicine to leverage its
expertise in One Health and lead advances in food-animal
husbandry and welfare, water safety and security, and the
health of wildlife and ecosystems
• Need to integrate the key disciplines of human medicine,
veterinary medicine, conservation biology, public health, basic
sciences, agriculture, economics, social sciences and
environmental sciences
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ONE HEALTH LEADERSHIP EXPERIENCE
Education Recommendations
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One Health is an “… opportunity to connect and educate health
professionals at an early stage, when they are naturally learning together.
As undergraduates, these students are excited about integrating new ideas,
and their academic schedule may be more accommodating to a variety of
classes. Presenting One Health concepts to students at this stage of their
education could have a positive impact on their awareness of and attitudes
toward public health.”
» Farone TS. Incorporating the one-health concept into undergraduate education.J
Am Vet Med Assoc. 2011 Dec 1;239(11):1406-7.
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“Introducing this concept to students early in their academic careers is
important to ensure that they are still open to broad-based, interdisciplinary
ways of thinking.
» Kahn LH. Educating undergraduates on one health. J Am Vet Med Assoc. 2012
Jan 15;240(2):144.
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ONE HEALTH LEADERSHIP EXPERIENCE
Challenges for One Health Leaders
• Labelled as a non-expert
• Issues with common language when mixing disciplines
• Lack of funding – public, private and industry, competing
priorities
• Small number of One Health mentors and senior faculty
• No unifying vision for One Health in Canada and abroad poor coordination among Canadian health actors, “siloes”
• Career paths in One Health are often unclear and few wellpaying job opportunities are advertised for graduates
• Limited opportunities to mobilize interest in One Health
outside of academia in Canada
• Will require changing behaviours and mindsets
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ONE HEALTH LEADERSHIP EXPERIENCE
An Uphill Battle
• “…a shortage of collaborative student programs, insufficient
environmental training for health professionals, and a lack of
institutional support impede progress”
» Meredith A Barrett, Timothy A Bouley, Aaron H Stoertz, and
Rosemary W Stoertz. 2010. Integrating a One Health approach
in education to address global health and sustainability
challenges. Frontiers in Ecology and the Environment (e-View)
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ONE HEALTH LEADERSHIP EXPERIENCE
“If you always do what you've always
done, you'll always get what you've
always got.”
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ONE HEALTH LEADERSHIP EXPERIENCE
The Benefits of One Health (AVMA 2008)
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Improving animal and human health globally through collaboration among
all the health sciences, especially between the veterinary and human
medical professions to address critical needs
Meeting new global challenges head-on through collaboration among
multiple professions—veterinary medicine, human medicine, environmental,
wildlife and public health
Developing centers of excellence for education and training in specific areas
through enhanced collaboration among colleges and schools of veterinary
medicine, human medicine, and public health
Increasing professional opportunities for veterinarians
Adding to our scientific knowledge to create innovative programs to improve
health
ONE HEALTH LEADERSHIP EXPERIENCE
Advantages for One Health Leaders
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Marketable
Nimble, adaptable
Responsive to disease outbreaks, challenges
Broader perspective, see the commonalities
Chance to show leadership nationally and globally
Canada has recognized leaders in One Health – available for
mentoring and support
• Help to bridge the educational and research gap between the
human, veterinary and environmental science fields
• Potential employers – government, educational institutions,
NGOs
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ONE HEALTH LEADERSHIP EXPERIENCE
The Next Generation of One Health Practitioners
Governance
Psychological
Public and Population Health
Physical
Environments
Sociological
Veterinary Medical
Historical
Public Population Health
Anthropological
Humans
Animals
Animal Science
Economic
Political
Public Policy
Social
Environments
Communication Studies
Biomedical
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Evolutionary and
Comparative
Environmental and
Ecological
Medical
Source: Rock et al., 2009
…leading in public health challenges
• Competencies in Public Health Leadership
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Leading Transformation
Legislation and Politics
Transorganization
Team and Group Dynamics
Determinants of Health
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Income and Social Status
Social support networks
Education and Literacy
Employment – Work Conditions
Social Environments
Physical Environments
Personal Health Practices – Coping Skills
Healthy Child Development
Biology – Genetic endowment
Gender
Culture
Health Services