{"id":4024,"date":"2017-01-20T14:58:00","date_gmt":"2017-01-20T14:58:00","guid":{"rendered":"https:\/\/www.wma.net\/wp-content\/uploads\/2017\/01\/015-GCOH-REPORT-MAY-2015.pdf"},"modified":"2017-01-20T14:58:00","modified_gmt":"2017-01-20T14:58:00","slug":"015-gcoh-report-may-2015-2","status":"inherit","type":"attachment","link":"https:\/\/www.wma.net\/es\/015-gcoh-report-may-2015-2\/","title":{"rendered":"015-GCOH-REPORT-MAY-2015"},"author":2,"comment_status":"open","ping_status":"closed","template":"","meta":[],"acf":[],"description":{"rendered":"<p class=\"attachment\"><a href='https:\/\/www.wma.net\/wp-content\/uploads\/2017\/01\/015-GCOH-REPORT-MAY-2015.pdf'>015-GCOH-REPORT-MAY-2015<\/a><\/p>\n<p>WVA\/WMA GLOBAL<br \/>\nCONFERENCE ON ONE HEALTH<br \/>\nDrivers towards One Health<br \/>\n\u201cStrengthening collaboration between<br \/>\nPhysicians and Veterinarians\u201d<br \/>\n21-22nd<br \/>\nMay 2015, Madrid, Spain<br \/>\nREPORT<br \/>\nSponsored by A.M.A. CE Accreditation by<br \/>\nIntroduction<br \/>\nOn 21 and 22nd<br \/>\nof May 2015, The World Veterinary Association (WVA) and the World<br \/>\nMedical Association (WMA) in collaboration with the Spanish<br \/>\nMedical (SMA) and Veterinary (SVA) Associations organized the<br \/>\nGlobal Conference on &#8216;One Health&#8217; Concept with the theme: Drivers<br \/>\ntowards One Health &#8211; \u201cStrengthening collaboration between<br \/>\nPhysicians and Veterinarians\u201d.<br \/>\nThe Global Conference brought together 330 delegates from 40 countries around the world.<br \/>\nVeterinarians, Physicians, Students, Public Health Officials, and NGOs representatives<br \/>\nreceived presentations from high level speakers and had the opportunity to learn, discuss<br \/>\nand address critical aspects of the One Health Concept. During the conference breaks,<br \/>\nposter sessions took place where delegates could view and discuss different One Health<br \/>\ntopics with the authors.<br \/>\nThe main objectives of the conference were to strengthen the links and communications and<br \/>\nto achieve closer collaboration between Physicians, Veterinarians and all relevant<br \/>\nstakeholders to improve the different aspects of<br \/>\nhealth and welfare of humans, animals and the<br \/>\nenvironment. After short welcome speeches<br \/>\nsession by the Presidents of WVA, WMA, AMA,<br \/>\nSVA, SMA, the Spanish Ministry representative<br \/>\nand the FAO\/OIE\/WHO Tripartite representative,<br \/>\nthe conference started with different sessions on:<br \/>\n\u2022 Zoonotic diseases.<br \/>\n\u2022 Antimicrobial resistance.<br \/>\n\u2022 Natural disaster management \u2013 Preparedness and vet-med collaboration.<br \/>\n\u2022 One Health in food production.<br \/>\n\uf0b7 Veterinary Education of One Health Concept.<br \/>\nIn summary:<br \/>\nIn the introduction session, the speakers reviewed the historic evolution of medicine and<br \/>\nveterinary medicine which had developed closely together for centuries, and even much<br \/>\nearlier, until the two professions diverged due to specialization and consumer priorities.<br \/>\nHowever, now in the 21st<br \/>\ncentury, the risks have changed due to increasing population,<br \/>\nincreasing population density in urban centres, larger numbers of animals kept in close<br \/>\nproximity, wildlife environment encroachment putting people in closer proximity to wildlife<br \/>\netc. which requires an integrated approach by physicians and veterinarians to combat<br \/>\ndifferent types of health threats.<br \/>\nWith regards to Zoonotic diseases (e.g. Ebola, rabies), speakers underlined the need to<br \/>\nmove toward prevention, better surveillance, early detection and information sharing. There<br \/>\nis also a need to understand the conditions which allow diseases to emerge and spread,<br \/>\nsuch as areas of increased population density in cities, increased intensive farming, and<br \/>\nincreased travel globally. The economic costs of response (in money and loss of lives) vs.<br \/>\ninvestment in prevention are the reason to invest in preventive systems and improved<br \/>\nhealth care infrastructure; \u201cRemember, vaccines don\u2019t protect, vaccination does.\u201d (Ab<br \/>\nOsterhaus). There is a need to learn from recent experiences, and move from a crisis-<br \/>\ndriven society to one of prevention and preparedness.<br \/>\nWith regards to Antimicrobial Resistance (AMR), speakers highlighted the lack of data,<br \/>\nthe politics involved, and the over and under use of antibiotics in various situations. The<br \/>\nfinding which suggests that the precursor (CC17) for Vancomycin Resistant Enterococcus<br \/>\n(VRE) is found in dogs rather than other species, calls for an urgent need to gather much<br \/>\nmore data on the use of antimicrobials in companion animals as much as in food producing<br \/>\nanimals.<br \/>\nWith regards to Other Aspects of One Health session, speakers mentioned:<br \/>\n\u2022 Invasive species such as the giant African land snail (GALS);<br \/>\n\u2022 Medications leading to toxicity in wildlife and other environmental concerns;<br \/>\n\u2022 Human interactions with animals, drivers of human behaviours and human health<br \/>\npriorities, such as obesity and mental health, all of which may see benefits from<br \/>\nanimal ownership for exercise, comfort, and companionship;<br \/>\n\u2022 Disaster preparedness, response, and recovery with both medical and veterinary<br \/>\nresponses in the East Japan great earthquake and tsunami of 2011;<br \/>\n\u2022 Our roles in controlling rumours and misinformation; and<br \/>\n\u2022 Our roles in education on One Health in our educational institutions about zoonotic<br \/>\ndiseases and pharmaceutical stewardship.<br \/>\nConference conclusions, recommendations and future initiatives<br \/>\nA show of hands for medical vs. veterinary<br \/>\nprofessionals, and medical vs. veterinary<br \/>\nstudents, still reveals a strongly veterinary<br \/>\naudience. How do we get more physicians in the<br \/>\naudience? Yet, there was a strong presence of<br \/>\nyoung professionals (students) which is very<br \/>\nencouraging at this meeting.<br \/>\nWhat made this meeting unique was that it was<br \/>\norganized by the WVA and WMA, along with the Spanish Veterinary and Medical<br \/>\nAssociations, with strong support from the Spanish insurance industry for health<br \/>\nprofessionals. This occurred because of trusted relationships built over time. Two unique<br \/>\nstrengths are:<br \/>\n\u2022 The WVA and WMA have a powerful voice with potential for increased impact when<br \/>\nthey speak collaboratively as both human and animal health care professionals.<br \/>\n\u2022 The WVA and the WMA have close relationships with the high-level<br \/>\nintergovernmental organizations of OIE, WHO, and the FAO of the United Nations.<br \/>\nThe FAO\/OIE\/WHO Tripartite representative stated that influence comes from Leadership,<br \/>\nNetworking, Cooperation, Facilitation, Building trust at the highest levels and<br \/>\nCommunication. Trust is built many times with teamwork in groups on projects. Effective<br \/>\ncommunication depends on who is in the audience, and learning how to communicate our<br \/>\ntechnical scientific knowledge in an emotional and impactful way to specific audiences.<br \/>\nThe overall conclusion:<br \/>\n\u2022 Human health, animal health, and the ecosystems are<br \/>\ninterlinked and there is a need for a coordinated,<br \/>\ninterdisciplinary approach to address risks that emerge at the<br \/>\nanimal-human-ecosystems interface.<br \/>\n\u2022 There is a commonly shared concern that as the cross-border<br \/>\nhuman, animal, food and seeds mobility increases, so does<br \/>\nthe threat for the spread of dangerous pathogens and<br \/>\ninfectious diseases.<br \/>\n\u2022 More education and more training for the next generation of experts are required.<br \/>\n\u2022 There is a need for an information-sharing framework in order to detect and fill<br \/>\nknowledge gaps, and to strengthen inter-disciplinary cooperation.<br \/>\nRecommendations<br \/>\nThe key objectives should be to promote a cross-disciplinary and collaborative approach in<br \/>\norder to improve human health and animal well-being. There is a need to foster scientific<br \/>\nresearch on zoonosis and vector-borne infectious disease and it is important that new<br \/>\nscientific findings will be disseminated and translated to anyone who might benefit from<br \/>\nthem. To achieve the above mentioned, there is a need to invest in relationships at three<br \/>\nlevels:<br \/>\nA. Students<br \/>\n\u2022 The Global One Health Challenge sponsored by Global Alliance on Rabies Control and<br \/>\nWorld Animal Protection inspired the medical and veterinary students to work on One<br \/>\nHealth projects, building new relationships and cooperation.<br \/>\n\u2022 There is a need to inspire more activities of this nature for students and even<br \/>\nprofessional association members.<br \/>\nB. Professional Associations (local, national and on regional levels)<br \/>\n\u2022 This meeting is a great model for future meetings in other countries with co-<br \/>\nsponsorship from both the WMA and WVA with national associations e.g. Japan<br \/>\nwhere collaboration between the JAMA and JAVA has been well-established. More<br \/>\ncountries should be encouraged to apply such a collaborative model.<br \/>\n\u2022 There is a need to initiate stronger support for education on human health factors<br \/>\nrelated to pet ownership such as obesity and mental health, as well as more<br \/>\neducation on responsible use and disposal of medicines and drug availability, with<br \/>\nemphasis on decreasing antimicrobial resistance.<br \/>\n\u2022 There is a need to support and strengthen national associations in communities to be<br \/>\neffective advocates on issues of education, policy, legislation, enforcement, and<br \/>\neffective statutory bodies.<br \/>\nC. Intergovernmental Organizations<br \/>\n\u2022 WVA and WMA need to continue building relationships with Intergovernmental<br \/>\nOrganizations through in-person visits and activities to build trust and to raise our<br \/>\ncombined voices for improved health care infrastructure.<br \/>\n\u2022 Together with Intergovernmental Organizations, WVA and WMA need to express the<br \/>\nimportance of governments to invest in the protection of their own citizens with<br \/>\neffective preventive human and veterinary health care infrastructure, surveillance,<br \/>\nearly detection, and a well-trained health care workforce with effective protection.<br \/>\n\u2022 WMA and WVA shall continue their cooperation on these educational forums for both<br \/>\npublic and private sectors and to have more frequent and appropriate<br \/>\ncommunication between policy makers and scientists.<br \/>\nFuture initiatives<br \/>\nThe WVA\/WMA Global Conference on One Health exceeded the attendance expectations<br \/>\nwith full capacity. Many attendees were highly impressed with the<br \/>\nprogram and organization. This was a huge success, lending credit<br \/>\nto the importance of the speakers, poster presentations, and good<br \/>\nlogistical organization of the meeting. WVA and WMA agreed that<br \/>\nmore conferences like this one shall follow to also include<br \/>\neducational webinars online for wider audiences.<br \/>\nConference material and presentations<br \/>\nClick on the following for the:<br \/>\n\u2022 Program of the Conference (including the links to the presentations. Click on the<br \/>\npresentation title)<br \/>\n\u2022 Speaker abstracts booklet<br \/>\n\u2022 Poster abstracts booklet<br \/>\n\u2022 Pictures from the conference<\/p>\n"},"caption":{"rendered":"<p>015-GCOH-REPORT-MAY-2015 WVA\/WMA GLOBAL CONFERENCE ON ONE HEALTH Drivers towards One Health \u201cStrengthening collaboration between Physicians and Veterinarians\u201d 21-22nd May 2015, Madrid, Spain REPORT Sponsored by A.M.A. CE Accreditation by Introduction On 21 and 22nd of May 2015, The World Veterinary Association (WVA) and the World Medical Association (WMA) in collaboration with the Spanish Medical (SMA) [&hellip;]<\/p>\n"},"alt_text":"","media_type":"file","mime_type":"application\/pdf","media_details":{},"post":null,"source_url":"https:\/\/www.wma.net\/wp-content\/uploads\/2017\/01\/015-GCOH-REPORT-MAY-2015.pdf","_links":{"self":[{"href":"https:\/\/www.wma.net\/es\/wp-json\/wp\/v2\/media\/4024"}],"collection":[{"href":"https:\/\/www.wma.net\/es\/wp-json\/wp\/v2\/media"}],"about":[{"href":"https:\/\/www.wma.net\/es\/wp-json\/wp\/v2\/types\/attachment"}],"author":[{"embeddable":true,"href":"https:\/\/www.wma.net\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.wma.net\/es\/wp-json\/wp\/v2\/comments?post=4024"}]}}