SYSTEMATIZING THE ONE HEALTH
APPROACH IN PREPAREDNESS
AND RESPONSE EFFORTS FOR
INFECTIOUS DISEASE OUTBREAKS
PROCEEDINGS OF A WORKSHOP
Claire Biffl, Julie Liao, Charles Minicucci, and Anna Nicholson,
Rapporteurs
Forum on Microbial Threats
Board on Global Health
Health and Medicine Division
THE NATIONAL ACADEMIES PRESS
Washington, DC
www.nap.edu
THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001
This activity was supported by contracts between the National Academy of Sciences and the Burroughs Wellcome Fund (#1021631), the New Venture Fund (#NVF-NGDF-NAT10-Subgrant-013445-2021-01-01), the U.S. Agency for International Development (#7200AA18GR00003), the U.S. Department of Defense (#HU0012110002), the U.S. Department of Health and Human Services (#75A50119C00031, #75D301-20-Q-71879, #R13FD006897, #HHSN263201800029I/HHSN26300011), the U.S. Department of Homeland Security (#70RSAT21G00000003), and the U.S. Department of Veterans Affairs (#VA250-16-C-0012/36C2501P2314). Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.
International Standard Book Number-13: 978-0-309-09337-8
International Standard Book Number-10: 0-309-09337-6
Digital Object Identifier: https://doi.org/10.17226/26301
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Copyright 2022 by the National Academy of Sciences. All rights reserved.
Printed in the United States of America
Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2022. Systematizing the One Health approach in preparedness and response efforts for infectious disease outbreaks: Proceedings of a workshop. Washington, DC: The National Academies Press. https://doi.org/10.17226/26301.
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PLANNING COMMITTEE ON SYSTEMATIZING THE ONE HEALTH APPROACH IN PREPAREDNESS AND RESPONSE EFFORTS FOR INFECTIOUS DISEASE OUTBREAKS1
CASEY BARTON-BEHRAVESH (Co-Chair), Director, One Health Office, U.S. Centers for Disease Control
JONNA A. K. MAZET (Co-Chair), Professor of Epidemiology and Disease Ecology, School of Veterinary Medicine; Executive Director, One Health Institute, University of California, Davis
KEVIN ANDERSON, Senior Program Manager, Science and Technology Directorate, U.S. Department of Homeland Security
ANDREW CLEMENTS, Deputy Director, Pandemic Influenza and Other Emerging Threats Unit, U.S. Agency for International Development
PETER DASZAK, President, EcoHealth Alliance
EVA HARRIS, Professor, Division of Infectious Diseases and Vaccinology; Director, Center for Global Public Health, University of California, Berkeley
KENT KESTER, Vice President and Head, Translational Science and Biomarkers, Sanofi Pasteur
MAUREEN LICHTVELD, Dean, Graduate School of Public Health, Jonas Salk Professor of Population Health, Professor of Environmental and Occupational Health, University of Pittsburgh
SALLY A. MILLER, Distinguished Professor of Food, Agricultural and Environmental Sciences, Department of Plant Pathology, The Ohio State University
BRIANNA SKINNER, Senior Regulatory Veterinarian, Office of Counterterrorism and Emerging Threats, Office of the Chief Scientist, U.S. Food and Drug Administration
MARK S. SMOLINSKI, President, Ending Pandemics
MARY E. WILSON, Clinical Professor of Epidemiology & Biostatistics, School of Medicine, University of California, San Francisco
___________________
1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.
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FORUM ON MICROBIAL THREATS1
PETER DASZAK (Chair), President, EcoHealth Alliance
KENT E. KESTER (Vice Chair), Vice President and Head, Translational Science and Biomarkers, Sanofi Pasteur
RIMA F. KHABBAZ (Vice Chair), Director, National Center for Emerging Zoonotic Infectious Diseases, U.S. Centers for Disease Control and Prevention
EMILY ABRAHAM, Director, External Affairs and Policy, Johnson & Johnson Global Public Health
KEVIN ANDERSON, Senior Program Manager, Science and Technology Directorate, U.S. Department of Homeland Security
CRISTINA CASSETTI, Deputy Division Director, Division of Microbiology and Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health
ANDREW CLEMENTS, Senior Technical Advisor, Emerging Threats Division, U.S. Agency for International Development
SCOTT F. DOWELL, Deputy Director, Surveillance and Epidemiology, Bill & Melinda Gates Foundation
MARCOS A. ESPINAL, Director, Communicable Diseases and Health Analysis, Pan American Health Organization
EVA HARRIS, Professor, Division of Infectious Diseases and Vaccinology; Director, Center for Global Public Health, University of California, Berkeley
ELIZABETH D. HERMSEN, Head, Global Antimicrobial Stewardship and Health Equity in Infectious Disease, Merck & Co., Inc.
CHRISTOPHER HOUCHENS, Director, Division of Chemical, Biological, Radiological and Nuclear Countermeasures, Biomedical Advanced Research and Development Authority, U.S. Department of Health and Human Services
CHANDY C. JOHN, Director, Ryan White Center for Pediatric Infectious Disease and Global Health, Indiana University School of Medicine
MARK G. KORTEPETER, Vice President for Research, Uniformed Services University of the Health Sciences
MICHAEL MAIR, Acting Director, Office of Counterterrorism and Emerging Threats, U.S. Food and Drug Administration
___________________
1 The National Academies of Sciences, Engineering, and Medicine’s forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteurs and the institution.
JONNA A. K. MAZET, Distinguished Professor of Epidemiology and Disease Ecology; Founding Executive Director, One Health Institute, University of California, Davis
VICTORIA McGOVERN, Senior Program Officer, Burroughs Wellcome Fund
SALLY A. MILLER, Distinguished Professor of Food, Agricultural and Environmental Sciences, The Ohio State University
SUERIE MOON, Director of Research, Global Health Centre; Visiting Lecturer, Graduate Institute of International and Development Studies, Geneva; Adjunct Lecturer, Harvard T.H. Chan School of Public Health
RAFAEL OBREGON, Chief of Communication for Development, United Nations Children’s Fund
KUMANAN RASANATHAN, Health Systems Coordinator, Office of the WHO Representative in Cambodia, World Health Organization
GARY A. ROSELLE, Chief of Medical Service, Veterans Affairs Medical Center; Director, National Infectious Disease Services, Veterans Health Administration; U.S. Department of Veterans Affairs
PETER A. SANDS, Executive Director, The Global Fund to Fight AIDS, Tuberculosis and Malaria
THOMAS W. SCOTT, Distinguished Professor of Entomology and Nematology, University of California, Davis
MATTHEW ZAHN, Medical Director, Division of Epidemiology and Assessment, Orange County Health Care Agency
National Academies of Sciences, Engineering, and Medicine Staff
JULIE LIAO, Associate Program Officer (from August 2020)
CHARLES MINICUCCI, Research Assistant (from July 2020)
CLAIRE BIFFL, Senior Program Assistant (from March 2021)
JULIE PAVLIN, Director, Forum on Microbial Threats; Senior Director, Board on Global Health
Reviewers
This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process.
We thank the following individuals for their review of this proceedings:
A. ALONSO AGUIRRE, George Mason University
LINDA A. McMAULEY, Emory University
ELIZABETH MUMFORD, World Health Organization
Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings nor did they see the final draft before its release. The review of this proceedings was overseen by M. KARIUKI NJENGA, Washington State University. He was responsible for making certain that an independent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteurs and the National Academies.
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Contents
Organization of the Proceedings of the Workshop
2 KEYNOTE: ONE HEALTH AND PREVENTING PANDEMICS
One Health Pandemic Response Framework
Operationalizing One Health at a Local Level
Multi-Sectoral Engagement in the COVID-19 Outbreak Response in Thailand
COVID-19 Response: Lessons Learned to Reinforce the Relevance of One Health Principles
5 BUILDING THE FUTURE ONE HEALTH WORKFORCE
The One Health Workforce: Reconciling Competencies with Opportunities
University Networks on the Front Lines for Community Engagement and One Health Innovation
6 LEARNING FROM THE PAST AND PLANNING FOR THE FUTURE OF ONE HEALTH
Precision Epidemiology, Human Behavior, and the Future of One Health
Collaborative Effort in Outbreak Preparedness: FDA’s Approach to ASF
Paradox of Global Policies for Pandemic Prediction and Prevention
Taking Pandemic Threats Off the Table
7 BUILDING A BETTER SYSTEM FOR OUTBREAK RESPONSE, SURVEILLANCE, DETECTION, AND FORECASTING
Boxes and Figures
BOXES
3-1 Fast-Tracked COVID-19 Emergency Management Efforts in Rwanda
3-2 Lessons Learned from Rwanda’s COVID-19 Response
4-1 Data to Support the One Health Approach
5-1 Uganda Students One Health Innovations Club
7-1 Highlights from Discussion on Response Capacities
7-2 Highlights from Discussion on Surveillance and Detection Mechanisms
7-3 Highlights from Discussion on Forecasting and Predictive Innovations
FIGURES
6-1 Critical actions and response actors involved in outbreak containment
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Acronyms and Abbreviations
ACE-2 | angiotensin converting enzyme-2 |
Africa CDC | Africa Centres for Disease Control and Prevention |
AFROHUN | Africa One Health University Network |
ALERRT | African coaLition for Epidemic Research, Response, and Training |
AMR | antimicrobial resistance |
ASF | African swine fever |
BARDA | U.S. Biomedical Advanced Research and Development Authority |
CDC | U.S. Centers for Disease Control and Prevention |
CEPI | Coalition for Epidemic Preparedness Innovations |
COVID-19 | coronavirus disease 2019 |
CVM | Center for Veterinary Medicine |
DART | during-action review and tabletop |
DCCP | Disease Control and Clinical Prevention |
DDC | Department of Disease Control |
DMSc | Department of Medical Science |
DNP | Department of National Parks, Wildlife, and Plant Conservation |
DOD | U.S. Department of Defense |
EPH | Environmental Public Health |
EPI | epidemiology |
FAO | Food and Agriculture Organization of the United Nations |
FDA | U.S. Food and Drug Administration |
GDP | gross domestic product |
GHSA | Global Health Security Agenda |
HCPH | Harris County Public Health |
HIV | human immunodeficiency virus |
IAR | intra-action review |
IFTF | Institute for the Future |
IHR | International Health Regulations |
IMF | International Monetary Fund |
IPBES | Intergovernmental Science-Policy Platform on Biodiversity and Ecosystem Services |
IPE | interprofessional practice and education |
MERS | Middle East respiratory syndrome |
MOH | Ministry of Health |
mRNA | messenger ribonucleic acid |
MVCD | Mosquito and Vector Control Division |
NIEHS | National Institute of Environmental Health Sciences |
OHW-NG | One Health Workforce—Next Generation |
OIE | World Organisation for Animal Health |
PCR | polymerase chain reaction |
PREP | Portal for Readiness Exercises and Planning |
ProMED | Program for Monitoring Emerging Diseases |
PVS | Performance of Veterinary Services Pathway |
RBD | receptor binding domain |
RT-PCR | reverse transcription polymerase chain reaction |
SARS | severe acute respiratory syndrome |
SARS-CoV-2 | severe acute respiratory syndrome coronavirus 2 |
SEAOHUN | Southeast Asia One Health University Network |
SOHIC | Students One Health Innovations Club |
TB | tuberculosis |
TRC-EID | Thai Red Cross Emerging Infectious Diseases Health Science Centre |
UC Davis | University of California, Davis |
UHC | universal health coverage |
UN | United Nations |
USAID | U.S. Agency for International Development |
USDA | U.S. Department of Agriculture |
VPH | Veterinary Public Health |
WHO | World Health Organization |
WTO | World Trade Organization |
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