One Health Meeting in the African Region, Libreville, Gabon, November 2012 MULTI-SECTORAL COLLABORATION FOR EARLY DETECTION AND RESPONSE TO ZOONOSES IN UGANDA Presenter Dr. Winyi Kaboyo, MOH

One Health Meeting in the African Region, Libreville, Gabon, November 2012 Background Key sectors mandated in prevention, control & management of zoonoses: – Ministry of Health (MOH); ESD, Vet.Public Health – Ministry of Agric, Animal Industry & Fisheries (MAAIF) – COCTU for Trypanosomiasis (HAT/SS, Nagana & Tseste) – Uganda Wildlife Authority (UWA) – Local Govt. Authorities; Districts, KCCA – Other Partners: UN agencies, NGO’s, Red Cross, UPDF, etc

One Health Meeting in the African Region, Libreville, Gabon, November 2012 Mechanisms for collaboration 1. Joint technical committees 2. National Task Forces 3. Field disease investigations & management 4. Simulation exercises 5. Project design, appraisal & implementation

One Health Meeting in the African Region, Libreville, Gabon, November 2012 How do these mechanisms work? Technical committees (TCs) In the early 1990’s, MOH and MAAIF formed TC for rabies, RVF, lab network for early detection & response to the zoonoses. Regular meetings & sharing information, strategies, lab results and resources, holding joint workshops.

One Health Meeting in the African Region, Libreville, Gabon, November 2012 TECOR: EDUCATION & COMMUNICATION (IEC) ON RABIES 5

One Health Meeting in the African Region, Libreville, Gabon, November 2012 TECOR: Vaccination of pets at as a One Health activity 6

One Health Meeting in the African Region, Libreville, Gabon, November 2012 Mechanisms contd.. National Task Forces Due to emerging zoonoses, Anthrax, BSE, VHF, (ebola, marburg), HPAI, pandemic influenza H1N1, National Task Forces were formed. Regular meetings, situation reports, resource mobilization & sharing, joint rapid response teams (RRTs), community mobilization & sensitization, advise policy & training.

One Health Meeting in the African Region, Libreville, Gabon, November 2012 One Health training on PPEs Mbarara district

One Health Meeting in the African Region, Libreville, Gabon, November 2012 Mobilization against anthrax The Republic of Uganda ANTHRAX ALERT!!! GUIDELINES ON HOW TO PROTECT YOURSELF FROM ANTRHAX 1. What is anthrax? Anthrax is a dangerous disease that affects human beings, domestic and wild animals and can cause death. 2. How can I tell that an animal has got anthrax? An animal suffering from anthrax or a carcass can be easily recognized by seeing unclotted blood coming out of the natural openings like the mouth, nose, ears and anus. 3. What should I do to avoid getting infected? In case of an outbreak or suspected cases of anthrax in any animal including wild animals, the following measures must be taken immediately: Avoid skinning any animal suspected to be sick or to have died from anthrax. 4. Do not eat meat from such an animal. 5. Do not remove teeth, horns, hooves or any other body part of that animal. 6. Report any suspicious case to the authorities (Local Councils, Park Rangers, Veterinary or Health staff nearest you) 7. Seek immediate medical attention if you have been exposed to a suspected case of anthrax. Published by: Veterinary Public Health Unit and Health Promotion Education Division Ministry of Health Uganda

One Health Meeting in the African Region, Libreville, Gabon, November 2012 Mechanisms contd…. Field disease investigations & management i) Rabies outbreak investigations and mass vaccination of dogs and cats. ii) Anthrax, iii) Plague, iv) Yellow fever v) HPAI, pandemic H1N1 vi) Ebola & marburg

One Health Meeting in the African Region, Libreville, Gabon, November 2012 Joint rabies vaccination campaign- Rakai district

One Health Meeting in the African Region, Libreville, Gabon, November 2012 Animals captured & sampled (L) Vervet monkey & Bat (R)

One Health Meeting in the African Region, Libreville, Gabon, November 2012 Ebola ecological studies

One Health Meeting in the African Region, Libreville, Gabon, November 2012 Joint communication & outbreak reporting strategies Avian Influenza Communication Strategy Uganda National Disease Outbreaks Portal ( Sharing of field disease investigation Reports & Sitreps

One Health Meeting in the African Region, Libreville, Gabon, November 2012 Joint simulations on HPAI Table top simulation exercises held for districts. One national field simulation exercise in Mukono District, May/June Regional field crossborder simulation exercises for at Busia at Uganda and Kenya border under EAC.

One Health Meeting in the African Region, Libreville, Gabon, November 2012 Zoonotic dss projects Trypanosomiasis under MOH/MAAIF /COCTU SPINAP under AU/IBAR funded by EU. 2008/2010 Avian & Human Influenza Preparedness & Response project (AHIP) Multi sectoral (MOH, MAAIF, OPM & Local Govt/districts) Funded by World Bank & GOU. 3 yr project (training, logistics, lab diagnostic, surveillance & civil works)

One Health Meeting in the African Region, Libreville, Gabon, November 2012 Challenges to One Health Inadequate funding for the key sectors Political will yet to be fully mobilised Lack of enough technical expertise especially at district level among the DRRTs to repond to emerging zoonoses. One Health concept yet to be explained and appreciated at district level & below: (DHO,DVO, Med Supt, Wildlife/Game Warder, i/c Health Unit).

One Health Meeting in the African Region, Libreville, Gabon, November 2012 Way forward for One Health Formalise structures; joint MoU, policies, guidelines, strategies between key players at implementation level. Improved funding for zoonoses; training, disease outbreak response, lab capacity/ infrastructure, Prompt zoonotic dss outbreak communication and management in human, domestic and wildlife.

One Health Meeting in the African Region, Libreville, Gabon, November 2012 Acknowledgement: Dr. D.K.W. Lwamafa, DHS, MOH Dr. C. Rutebarika, AC, MAAIF Dr.P.Atimnedi, Head VU, UWA Mr. Eric Enyel, WO, UWA Thank you Merci Obrigado