Dr. William Hueston Dr . MacDonald Farnham University of Minnesota

1. 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

2. 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

9. 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

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

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

13. 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

14. Continuing education for veterinarians

15. 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%)

16. 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

17. One Health collaboration areas • Most respondents (94%) have programme areas working with other health disciplines • Most common multi-disciplinary collaborations • Brucellosis • Rabies • Food Safety • Tuberculosis

18. Integration of One Health concepts into continuing education programmes

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

20. National One Health Strategic Plans • “How to…” guides to advance OH • Demand-driven research goals and outcome-based funding • OH skill-building and education • Engage communities for bottom-up efforts

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

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

23. Thank you