Continuing education,the incorporation of the One Health concept with a focus on the OIE Region Middle East « Continuing education,the incorporation of the One Health concept with a focus on the OIE Region Middle East « Dr. William Hueston Dr. MacDonald Farnham University of Minnesota

Outline and objectives Review OIE emphasis on continuing education (CE) and One Health Overview of continuing education in the OIE Region of Middle East Opportunities for greater incorporation of One Health approaches in CE

While not a new concept, the OIE endorses the “One Health” approach as a collaborative and all-encompassing way to address, when relevant, animal and public health globally. This collaboration should not be limited to only the international level, but must be translated as a new and fundamental paradigm at national levels. From the OIE Website

Upstream paradigm shift using One Health approach Manage diseases and infections in humans Prevent transmission and prevent emergence Control measures in animal population Pathogen circulating in animals Disease Emergence Disease impact in human population One Health paradigm shift One Health paradigm shift Down stream reactive approach to upstream proactive approach Downstream approach in disciplinary silos Graphic credit: Prof Robinson Mdgela Sokoine University, Tanzania

Survey of CE and incorporation of One Health in the Middle East 1)Gather data related to continuing education / in-service training by Veterinary Services of the Region 2)Make a rapid analysis of incorporation of One Health concepts into continuing education efforts

Initial Veterinary Education and access to the profession 13 of 16 (81%) aware of ‘Day One Graduate Competencies’ for veterinary training programmes ‘Veterinary Education Core Curriculum’ –12 of 13 indicate compliance with guidelines Nine Members (56%) – veterinary profession regulated by a veterinary statutory body

Continuing education for veterinarians

Accessibility of continuing education –10 Members both public and private sector –5 only to public (government) sector Methodologies used –Lectures – 15 (94%) –Wet laboratories – 14 (88%) –Field trips – 13 (81%) –Panel discussions – 13 (81%) –Simulation exercises – 8 (50%)

One Health concept 11 / 16 (69%) have working definition of “One Health” Most indicate contribution to public health outcome One Health action plan –7 currently implemented –5 planned for future Most common words –Public health –Zoonotic –Collaboration –Diseases

One Health collaboration areas Most respondents (94%) have programme areas working with other health disciplines Most common multi- disciplinary collaborations 1)Brucellosis 2)Rabies 3)Food Safety 4)Tuberculosis

Integration of One Health concepts into continuing education programmes

From OIE-cosponsore workshop at PMAC - actions to move forward OH approaches

1)National One Health Strategic Plans 2)“How to…” guides to advance OH 3)Demand-driven research goals and outcome-based funding 4)OH skill-building and education 5)Engage communities for bottom-up efforts

Barriers to implementing One Health concept From international One Health case study development workshop at UMN Key Barriers -Communication (within and between disciplines) -(Lack of) Resources -Collaboration / Willingness to collaborate -Leadership

Conclusions Strong recognition of One Health Active implementation of One Health collaborations OH approaches only moderately integrated into CE for veterinarians

Thank you