EXCHANGE AND COORDINATION: �CHALLENGES FOR THE �GLOBAL ONE HEALTH MOVEMENT

Ulrich Laaser, Prof. Dr. med., DTM&H, MPH

Vesna Bjegovic-Mikanovic, MD, MSc., PhD

Helmut Wenzel, Prof. Dipl. Ing. Dr.

Richard Seifman, JD, MBA

Cheryl Stroud, DVM, PhD (presenting)

Carter Craig, DVM, PhD

Bruce Kaplan, DVM

Laura Kahn, MD, MPH, MPP

Rohini Roopnarine, DVM, M.PHIL. EdD, MRCVS(UK)

Exchange and Coordination: Deficits (Challenges) of the Global One Health Movement

1

9 Nov 2022

Exploring options to increase cooperation and systemic strategies to improve the impact on people and politics.

2

11/15/2022

One Health Initiative (OHI)

WHO One Health Initiative

https://onehealthinitiative.com/

https://www.who.int/teams/one-health-initiative

EXCHANGE AND COORDINATION: �CHALLENGES FOR THE �GLOBAL ONE HEALTH MOVEMENT

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3

11/15/2022

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One Health Commission (OHC)

Lancet One Health Commission

https://www.onehealthcommission.org/

https://www.med.uio.no/helsam/english/research/centres/global-health/global-health-in-action/lancet-commision-one-health/

>

Global One Health Community

Closed

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4

11/15/2022

One Health Tripartite-Plus UNEP

>>> One Health Quadrapartite

https://tinyurl.com/3b4pdmzr https://tinyurl.com/y49mdh77

Recent (2022) Updated Definition Created by the One Health High Level Expert Panel (OHHLP) with support of FAO, OIE, WHO and UNEP (now referred to as the One Health Quadripartite) https://tinyurl.com/yeub8m6t

OHHLEP

Reason for this Study:

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Since 2010 there have been multiple calls for permanent systems of sustained One Health implementation on many fronts, (especially for disease surveillance and response) instead of the current status of temporary arrangements and uncoordinated duplication of efforts.

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Yet, the One Health movement appears as a conglomeration with many different players and often uncoordinated actions.

Image by dawnydawny from Pixabay

Study Methods

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• Starting from the websites of the

- One Health Commission (OHC)

- One Health Initiative (OHI)

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• We identified (as of 29 July 2022)

289 organizations working to promote and implement One Health:

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- 126 non-profit Civil Society orgs

(CSOs)

- 133 academic organizations

- 30 governmental.

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https://www.onehealthcommission.org/

https://onehealthinitiative.com/

Study Methods (cont’d)

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Stratified sampling was used to account for the different sizes of the three categories.

​

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Organizations were selected using random numbers per sample stratum resulting in:

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- 22 Non-Profit / Civil Society Organizations (CSOs)

- 23 Academic Institutions

- 5 Governmental organizations

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N = 50

https://www.onehealthcommission.org/en/resources__services/whos_who_in_one_health/

��

10 Questions were

posed for

each organization

Summary of Findings

Percentage of yes-classifications by question (Q) and categories.

Q4 - Governing structure described

Q5 – Board Members listed

Q6 – Projects indicated/described

When examining the 50 organizations’ websites, we found:

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• 63.2% refer to One Health in the organization’s name
• Almost all list work objectives / a task profile
• 46.2 % publish the kind and number of members / participants
• < 40% reveal a governance structure
• Concrete projects for the years 2020/21

are rare or not reported, including publications

• Inclusion of budgetary information was rare
• There was a dominance of US-based organizations
• There was a dominance of veterinarians and

physicians among the individuals named in leadership

• The social sciences - sociology and economics in particular - are underrepresented across organizations

Image credit - Use at your Ease from Pixabay

��

Conclusions:

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• The One Health movement ‘is’ a conglomeration

with many different players and uncoordinated actions.

• Yet full implementation of One Health requires

‘Bottom-Up and Top-Down’ support.

• Coordinated action from both sides is essential to secure long-term success.

- Innovative ideas are often conceptualized bottom-up;

- And supportive leadership from the top is

mandatory to stabilize and carry initiatives

forward for secure, permanent, sustainable

progress.

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• However, we can’t seem to get these

functions working from either direction

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Image by Gerd Altmann from Pixabay

�����Exploring options to increase cooperation and systemic strategies to improve the impact of the One Health movement on people and politics, Let’s focus for now on the Bottom-Up actions. �.� What the One Health Community needs…..

Ways to ‘connect and coordinate’ the global One Health Community:

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• so organizations working for One Health can find each other, discover their commonalities, overlaps, synergies, to join hands and work ‘together’
• to share news from all global regions, all professions – so the right hand of the One Health movement knows what the left is doing – so we can ‘support’ each other’s efforts and become ‘force multipliers’!!!!!
• to share educational, job, and volunteer opportunities
• to speak in a unified voice to the public, to governments, lawmakers and policy makers urging focus on ways to ‘prevent’ infectious disease outbreaks and environmental contamination and degradation.
• to engage more social scientists and other disciplines

���������We actually HAVE a lot of �What we need…..

March, 2022 - One Health Tripartite-Plus (FAO, WHO, OIE/WOAH) adds UNEP

>>> One Health Quadrapartite

https://tinyurl.com/3b4pdmzr https://tinyurl.com/y49mdh77

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One Health is an integrated, unifying approach that aims to sustainably balance and optimize the health of people, animals and ecosystems. It recognizes the health of humans, domestic and wild animals, plants, and the wider environment (including ecosystems) are closely linked and interdependent.

One Health mobilizes multiple sectors, disciplines and commu-nities at varying levels of society to work together to foster well-being and tackle threats to health and ecosystems, while addressing the collective need for clean water, energy and air, safe and nutritious food, taking action on climate change, and contributing to sustainable development.

New unifying definition for One Health?

Recent (2022) Updated Definition Created by the One Health High Level Expert Panel (OHHLP) with support of FAO, OIE, WHO and UNEP (now referred to as the One Health Quadripartite) https://tinyurl.com/yeub8m6t

https://www.onehealthcommission.org/en/resources__services/whos_who_in_one_health/

Academic Institutions working for One Health

Government Agencies Implementing One Health

Non-Profit Orgs/Coalitions working for One Health

Private / For Profit Corporations embracing One Health

We have the grassroots networks for

Bottom-Up actions – they are just not ‘coordinated’

2016

2017

2018

2019

2020

2021

https://www.onehealthcommission.org/en/resources__services/one_health_tools__toolkits/

We have the needed

One Health

Tools &

Toolkits

https://tinyurl.com/OHC-OH-Happenings

https://conta.cc/3xGreRf

We have the communications platforms for sharing

One Health knowledge and best practices

Global One Health Stakeholders Listserv > 17,200

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https://tinyurl.com/OHC-OH-CommListserv

���������All we need is the collective, grassroots �‘will’ to ‘be’ a more coordinated to provide the needed�Bottom-Up collaborative leadership

Therefore, we call for an informal

global One Health Alliance.

Not another non-profit; but a better connected global One Health ‘Community of Practice’ to enhance synergy and assist in the ‘Bottom Up’ actions.

‘Ultimately, the survival, not only of other life forms on this planet but also of our own, will depend upon humanity’s ability to recognize the oneness of all that exists and the importance and deeper significance of compassion for all life’.

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Wiebers & Feigin, 2020

The One Health Commission stands ready to do its parts…….

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But it really is, collectively, up to Us…..

the whole Global One Health Community