One Health in the Philippines: A Review and Situational Analysis

The Philippines faces a complex and interconnected web of human, animal, and environmental health issues, including zoonotic and reverse zoonotic diseases, antimicrobial resistance, food insecurity and contamination, and threats from environmental degradation. This paper examines these issues, existing interventions, and their implementation challenges. The overall framework used to analyze the level of operationalization of the One Health approach is the Multi-sectoral One Health Coordination Framework developed by the World Health Organization, Food and Agriculture Organization, and the World Organization for Animal Health. A two-step process was conducted: literature review, followed by consultations with government and non-government stakeholders across national, subnational, and local levels. There has been significant progress in laying the foundation for collaboration between the human, animal, and environmental sectors. These are demonstrated by the presence of structures and systems, including inter-agency task forces, emergency response plans and mechanisms, and a network for health human resources. However, these are eclipsed by challenges, including the limited governance mechanisms within inter-agency committees, fragmented risk assessment and surveillance, untapped opportunities for joint investigation and response, insufficient resources for capacity-building, and absence of comprehensive risk communication and community engagement initiatives. These challenges highlight the importance of promoting multi-sectoral governance and ensuring resource allocation and sharing. Joint activities across risk assessment, surveillance, investigation, and response are critical in ensuring a proactive and holistic approach to addressing threats. A well-capacitated interdisciplinary workforce, not only capable of managing these hazards but also empowering communities to protect themselves, is necessary in ensuring innovation and collaboration on health risks at the human-animal-environment interface. In light of the multifaceted challenges faced by the Philippines, the One Health approach emerges as a vital strategy. By addressing governance issues, enhancing coordination, and bolstering resource allocation, the country can better protect the health and well-being of its people, animals, and ecosystems

Dangerous intimacy: the untold story of Mark Twain's final years

The last phase of Mark Twain's life is sadly familiar: Crippled by losses and tragedies, America's greatest humorist sank into a deep and bitter depression. It is also wrong. This book recovers Twain's final years as they really were - lived in the shadow of deception and prejudice, but also in the light of the author's unflagging energy and enthusiasm. Dangerous Intimacy relates the story of how, shortly after his wife's death in 1904, Twain basked in the attentions of Isabel Lyon, his flirtatious - and calculating - secretary. Lyon desperately wanted to marry her boss, who was almost thirty years her senior. She managed to exile Twain's youngest daughter, Jean, who had epilepsy. With the help of Twain's assistant, Ralph Ashcroft, who fraudulently acquired power of attorney over the author's finances, Lyon nearly succeeded in assuming complete control over Twain's life and estate. Fortunately, Twain recognized the plot being woven around him just in time. So rife with twists and turns as to defy belief, the story nonetheless comes to undeniable, vibrant life in the letters and diaries of those who witnessed it firsthand: Katy the housekeeper, Jean, Lyon, and others whose own distinctive, perceptive, often amusing voices take us straight into the heart of the Clemens household. Just as Twain extricated himself from the lies, prejudice, and self-delusion that almost turned him into an American Lear, so Karen Lystra liberates the author's last decade from a century of popular misunderstanding. In this gripping book we at last see how, late in life, this American icon discovered a deep kinship with his youngest child and continued to explore the precarious balance of love and pain that is one of the trademarks of his work

One health in the Philippines: A review and situational analysis

The Philippines faces a complex and interconnected web of human, animal, and environmental health issues, including zoonotic and reverse zoonotic diseases, antimicrobial resistance, food insecurity and contamination, and threats from environmental degradation. This paper examines these issues, existing interventions, and their implementation challenges.The overall framework used to analyze the level of operationalization of the One Health approach is the Multi-sectoral One Health Coordination Framework developed by the World Health Organization, Food and Agriculture Organization, and the World Organization for Animal Health. A two-step process was conducted: literature review, followed by consultations with government and non-government stakeholders across national, subnational, and local levels.There has been significant progress in laying the foundation for collaboration between the human, animal, and environmental sectors. These are demonstrated by the presence of structures and systems, including inter-agency task forces, emergency response plans and mechanisms, and a network for health human resources. However, these are eclipsed by challenges, including the limited governance mechanisms within inter-agency committees, fragmented risk assessment and surveillance, untapped opportunities for joint investigation and response, insufficient resources for capacity-building, and absence of comprehensive risk communication and community engagement initiatives.These challenges highlight the importance of promoting multi-sectoral governance and ensuring resource allocation and sharing. Joint activities across risk assessment, surveillance, investigation, and response are critical in ensuring a proactive and holistic approach to addressing threats. A well-capacitated interdisciplinary workforce, not only capable of managing these hazards but also empowering communities to protect themselves, is necessary in ensuring innovation and collaboration on health risks at the human-animal-environment interface.In light of the multifaceted challenges faced by the Philippines, the One Health approach emerges as a vital strategy. By addressing governance issues, enhancing coordination, and bolstering resource allocation, the country can better protect the health and well-being of its people, animals, and ecosystems