Preparing society to create the world we need through“One Health”education

A previous concept paperpublished in this journal and a Press Release in June 2016 focused on the importance of raising awareness about the UN-2030 Sustainable Development Goals (SDGs) and, in particular, developing a better understanding about the critical need to ensure the sustainability of people and the planet in this decade and beyond. A recurring theme that weaves through the literature and practical realities is that education presents the best option for ensuring a sustainable future– one that encompasses the health and well-being of humans, animals and the environment (One Health!). To this end, the One Health Education Task Force (OHETF), led by the One Health Commission in association with the One Health Initiative, agreed to conduct an online survey and conference in the fall of 2016to engage interested colleagues in a discussion about the possible application of One Health in K-12 (or equivalent) educational settings. Seventy-six people from around the world participated in the survey which focused on basic concepts, values and principles associated with One Health and Well-Being.  Input was sought on the various ways that One Health intersects with the UN Sustainable Development Goals and how they might work together toward common objectives.Questions also explored the why, how, and where One Health could be incorporated into K-12 curricula, and who should be involved in creating this new curriculum.  The survey also addressed the challenges that might be encountered in gaining support, funding and implementing a One Health and Well-Being curriculum globally. Overall, there was a great deal of agreement among participants as to the priorities and major challenges that would be encountered in moving this initiative forward and, most importantly, that this type of initiative is greatly needed. The online conference involved twenty-five participants, including ten who had also participatedin the survey, and others who had shown interest in previous publications and presentations on this topic.  The conference was designed to present the results of the survey and conduct a more in depth discussion about potential curriculum development designs, funding sources, and implementation challenges.  Five strategies were presented for K-12 One Health curriculum innovation, from teacher training programs and grants, to the development of a digital sharing network and knowledgebase.  Funding options were discussed and included multi-national organizations such as the United Nations and World Bank as well as large foundations that have funded major change initiatives in the past.  Critical points were made regarding the scope of this initiative and the need to integrate any curriculum with the diverse needs of local people, their cultures, and the particular One Health challenges facing their region. Importantly, a “Community of Practice” model was put forward as a means to support and promote the goals of One Health teaching and learning in a meaningful and supportive way for the benefit of all involved. This survey and conference provided valuable external input and support for the OHETF’s proposal to develop a global K-12 One Health -themed educational initiative. The perspectives reported here are also a useful account of the progress we have made as a One Health community in consolidating our values and principles so that they can drive meaningful change initiatives such as that being proposed. &nbsp

Preparing society to create the world we need through“One Health”education

A previous concept paperpublished in this journal and a Press Release in June 2016 focused on the importance of raising awareness about the UN-2030 Sustainable Development Goals (SDGs) and, in particular, developing a better understanding about the critical need to ensure the sustainability of people and the planet in this decade and beyond. A recurring theme that weaves through the literature and practical realities is that education presents the best option for ensuring a sustainable future– one that encompasses the health and well-being of humans, animals and the environment (One Health!). To this end, the One Health Education Task Force (OHETF), led by the One Health Commission in association with the One Health Initiative, agreed to conduct an online survey and conference in the fall of 2016to engage interested colleagues in a discussion about the possible application of One Health in K-12 (or equivalent) educational settings.Seventy-six people from around the world participated in the survey which focused on basic concepts, values and principles associated with One Health and Well-Being.  Input was sought on the various ways that One Health intersects with the UN Sustainable Development Goals and how they might work together toward common objectives.Questions also explored the why, how, and where One Health could be incorporated into K-12 curricula, and who should be involved in creating this new curriculum.  The survey also addressed the challenges that might be encountered in gaining support, funding and implementing a One Health and Well-Being curriculum globally. Overall, there was a great deal of agreement among participants as to the priorities and major challenges that would be encountered in moving this initiative forward and, most importantly, that this type of initiative is greatly needed.The online conference involved twenty-five participants, including ten who had also participatedin the survey, and others who had shown interest in previous publications and presentations on this topic.  The conference was designed to present the results of the survey and conduct a more in depth discussion about potential curriculum development designs, funding sources, and implementation challenges.  Five strategies were presented for K-12 One Health curriculum innovation, from teacher training programs and grants, to the development of a digital sharing network and knowledgebase.  Funding options were discussed and included multi-national organizations such as the United Nations and World Bank as well as large foundations that have funded major change initiatives in the past.  Critical points were made regarding the scope of this initiative and the need to integrate any curriculum with the diverse needs of local people, their cultures, and the particular One Health challenges facing their region. Importantly, a “Community of Practice” model was put forward as a means to support and promote the goals of One Health teaching and learning in a meaningful and supportive way for the benefit of all involved.This survey and conference provided valuable external input and support for the OHETF’s proposal to develop a global K-12 One Health -themed educational initiative. The perspectives reported here are also a useful account of the progress we have made as a One Health community in consolidating our values and principles so that they can drive meaningful change initiatives such as that being proposed. 

The Role of Dog Population Management in Rabies Elimination—A Review of Current Approaches and Future Opportunities

Free-roaming dogs and rabies transmission are integrally linked across many low income countries, and large unmanaged dog populations can be daunting to rabies control program planners. Dog population management (DPM) is a multifaceted concept that aims to improve the health and well-being of free-roaming dogs, reduce problems they may cause, and may also aim to reduce dog population size. In theory, DPM can facilitate more effective rabies control. Community engagement focused on promoting responsible dog ownership and better veterinary care could improve the health of individual animals and dog vaccination coverage, thus reducing rabies transmission. Humane DPM tools, such as sterilization, could theoretically reduce dog population turnover and size, allowing rabies vaccination coverage to be maintained more easily. However, it is important to understand local dog populations and community attitudes toward them in order to determine whether and how DPM might contribute to rabies control and which DPM tools would be most successful. In practice, there is very limited evidence of DPM tools achieving reductions in the size or turnover of dog populations in canine rabies-endemic areas. Different DPM tools are frequently used together and combined with rabies vaccinations, but full impact assessments of DPM programs are not usually available, and therefore, evaluation of tools is difficult. Surgical sterilization is the most frequently documented tool and has successfully reduced dog population size and turnover in a few low-income settings. However, DPM programs are mostly conducted in urban settings and are usually not government funded, raising concerns about their applicability in rural settings and sustainability over time. Technical demands, costs, and the time necessary to achieve population-level impacts are major barriers. Given their potential value, we urgently need more evidence of the effectiveness of DPM tools in the context of canine rabies control. Cheaper, less labor-intensive tools for dog sterilization will be extremely valuable in realizing the potential benefits of reduced population turnover and size. No one DPM tool will fit all situations, but if DPM objectives are achieved dog populations may be stabilized or even reduced, facilitating higher dog vaccination coverages that will benefit rabies elimination efforts

The role of dog population management in rabies elimination a review of current approaches and future opportunities

Free-roaming dogs and rabies transmission are integrally linked across many low-income countries, and large unmanaged dog populations can be daunting to rabies control program planners. Dog population management (DPM) is a multifaceted concept that aims to improve the health and well-being of free-roaming dogs, reduce problems they may cause, and may also aim to reduce dog population size. In theory, DPM can facilitate more effective rabies control. Community engagement focused on promoting responsible dog ownership and better veterinary care could improve the health of individual animals and dog vaccination coverage, thus reducing rabies transmission. Humane DPM tools, such as sterilization, could theoretically reduce dog population turnover and size, allowing rabies vaccination coverage to be maintained more easily. However, it is important to understand local dog populations and community attitudes toward them in order to determine whether and how DPM might contribute to rabies control and which DPM tools would be most successful. In practice, there is very limited evidence of DPM tools achieving reductions in the size or turnover of dog populations in canine rabies-endemic areas. Different DPM tools are frequently used together and combined with rabies vaccinations, but full impact assessments of DPM programs are not usually available, and therefore, evaluation of tools is difficult. Surgical sterilization is the most frequently documented tool and has successfully reduced dog population size and turnover in a few low-income settings. However, DPM programs are mostly conducted in urban settings and are usually not government funded, raising concerns about their applicability in rural settings and sustainability over time. Technical demands, costs, and the time necessary to achieve population-level impacts are major barriers. Given their potential value, we urgently need more evidence of the effectiveness of DPM tools in the context of canine rabies control. Cheaper, less labor-intensive tools for dog sterilization will be extremely valuable in realizing the potential benefits of reduced population turnover and size. No one DPM tool will fit all situations, but if DPM objectives are achieved dog populations may be stabilized or even reduced, facilitating higher dog vaccination coverages that will benefit rabies elimination efforts.LT and DB were supported by UBS Optimus Foundation through a grant to the Global Alliance for Rabies Control.https://www.frontiersin.org/journals/veterinary-science#am2018Microbiology and Plant Patholog

Animals as key promoters of human resilience

No Abstract African Health Sciences Vol. 8 Special Edition 2008: pp. S4

Identifying need for spay and neuter services: A GIS-based analysis

Abstract This study provides a method for assessing the need for spay and neuter services in Massachusetts by creating a composite index that accounts for spatial accessibility and social vulnerability. An accessibility index (AI) of existing low-cost spay/neuter (S/N) facilities was created using the two-step floating catchment area (2SFCA) method which was then combined with the social vulnerability index (SVI) from the Centers for Disease Control and Prevention to create a need index (NI). Two methods for selecting the final target areas from the NI results were examined and used to make recommendations for S/N funding allocation. The construction of the NI (i.e. factors included or weights applied to factors) had a significant impact on the results. The NI displayed statistically significant spatial autocorrelation, and hot spot analysis revealed statistically significant clusters of comparatively high- and low-need regions in the state. The target areas identified were strongly influenced by high levels of social vulnerability in urban areas and low spatial accessibility of low-cost S/N facilities in more rural western Massachusetts. The results of this project demonstrate the utility of geographic information systems (GIS)-based analysis in veterinary and shelter medicine, as well as the potential for the use of non-veterinary specific data, such as the CDC SVI, when planning the equitable distribution of limited resources. One Health impact statement Providing spay and neuter (S/N) services to owned and free-roaming cats, dogs and other companion animal species is integral to the health and well-being of the animals themselves. Their human companions also reap the physical and mental health benefits of the human–animal bond, in addition to the environmental and public health impact of limiting free-roaming dog and cat populations. By recognizing the relationships between human and animal populations, existing gaps in need can be addressed through the use of human data to inform decisions on animal health when relevant animal health service data are lacking. A composite index of factors accounting for the social vulnerability was combined with the spatial accessibility of existing S/N resources to create a final index of need for S/N resources. This transdisciplinary approach takes methodologies from public health, acknowledges the impact of the vulnerability of human populations on surrounding companion animal populations, and applies a practical method of identifying the need for specific veterinary medical services

The Role of Dog Population Management in Rabies Elimination—A Review of Current Approaches and Future Opportunities

Free-roaming dogs and rabies transmission are integrally linked across many low income countries, and large unmanaged dog populations can be daunting to rabies control program planners. Dog population management (DPM) is a multifaceted concept that aims to improve the health and well-being of free-roaming dogs, reduce problems they may cause, and may also aim to reduce dog population size. In theory, DPM can facilitate more effective rabies control. Community engagement focused on promoting responsible dog ownership and better veterinary care could improve the health of individual animals and dog vaccination coverage, thus reducing rabies transmission. Humane DPM tools, such as sterilization, could theoretically reduce dog population turnover and size, allowing rabies vaccination coverage to be maintained more easily. However, it is important to understand local dog populations and community attitudes toward them in order to determine whether and how DPM might contribute to rabies control and which DPM tools would be most successful. In practice, there is very limited evidence of DPM tools achieving reductions in the size or turnover of dog populations in canine rabies-endemic areas. Different DPM tools are frequently used together and combined with rabies vaccinations, but full impact assessments of DPM programs are not usually available, and therefore, evaluation of tools is difficult. Surgical sterilization is the most frequently documented tool and has successfully reduced dog population size and turnover in a few low-income settings. However, DPM programs are mostly conducted in urban settings and are usually not government funded, raising concerns about their applicability in rural settings and sustainability over time. Technical demands, costs, and the time necessary to achieve population-level impacts are major barriers. Given their potential value, we urgently need more evidence of the effectiveness of DPM tools in the context of canine rabies control. Cheaper, less labor-intensive tools for dog sterilization will be extremely valuable in realizing the potential benefits of reduced population turnover and size. No one DPM tool will fit all situations, but if DPM objectives are achieved dog populations may be stabilized or even reduced, facilitating higher dog vaccination coverages that will benefit rabies elimination efforts

Curriculum Asset Mapping for One Health Education

The major premise of One Health is engagement of multiple disciplines to address shared problems spanning human, animal, and ecosystem health. The current model of academic specialization encourages development of isolated disciplines within the university setting, thereby creating barriers to resource sharing and academic collaboration. The aim of this project was to develop a systematic approach to mapping university assets that could be harnessed to advance One Health education. Asset in this context was defined as a course, program, or faculty expertise relevant to a particular One Health problem. The approach adopted comprised the following steps: (1) identify a current problem that would benefit from an integrated, interdisciplinary perspective (e.g., EIDs [emerging infectious diseases]); (2) identify individual disciplinary teaching areas pertinent to the problem (e.g., health communication, wildlife ecology); (3) identify competencies expected to be attained by graduates who will address the problem (e.g., respond to outbreaks); (4) survey faculty members on their teaching areas and curricular offerings that address these competencies; and (5) compile responses in a database that is searchable by teaching area and competency. We discuss our recent experiences mapping the assets at Tufts University that are relevant to the problem of EIDs with emphasis on zoonotic-disease surveillance, outbreak investigation, and outbreak response. Using 13 teaching areas and 16 competencies relevant to applied epidemiology, we identified and characterized previously untapped resources across the university. Asset mapping is thus a useful tool for identifying university resources and opportunities that can be leveraged to support interdisciplinary education for One Health. </jats:p

One health ethics: “What then must we do?"

One Health, as proclaimed by the United Nations Quadripartite, is “an integrated, unifying approach that aims to sustainably balance and optimize the health of people, animals, and ecosystems.” As such, it recognizes that the health of people, other animals, and nature is closely linked and interdependent. A great deal of One Health education, research, and practice is grounded in science, while ethical considerations are addressed infrequently. Yet ethical issues are inherent to each stage of One Health. They include which aspects of interdependencies to study, how to extend health and well-being beyond humans, and what tradeoffs to consider when optimizing the health of people, other animals, and nature. In this article, we call for an active debate on the ethical considerations that should underpin every stage of One Health. We propose four tenets for discussion that, if adopted, could serve as springboards from which to consider how we “ought” to teach, investigate, and practice One Health