One Health Approach

  • The term ‘One Health’ was first used in 2003–2004, and was associated with the emergence of severe acute respiratory disease (SARS) in early 2003 and subsequently by the spread of highly pathogenic avian influenza H5N1, and by the series of strategic goals known as the ‘Manhattan Principles’ derived at a meeting of the Wildlife Conservation Society in 2004, which clearly recognised the link between human and animal health and the threats that diseases pose to food supplies and economies.
  • Definition: ‘One Health’ is an approach to designing and implementing programs, policies, legislation and research in which multiple sectors communicate and work together to achieve better public health outcomes. The areas of work in which a One Health approach is particularly relevant include food safety, the control of zoonoses, and combatting antibiotic resistance. (WHO)
  • India’s ‘One Health’ vision derives its blueprint from the agreement between the tripartite-plus alliance comprising the Food and Agriculture Organization of the United Nations (FAO), the World Organisation for Animal Health (OIE), the World Health Organization (WHO) and the United Nations Environment Program (UNEP) — a global initiative supported by the United Nations Children’s Fund (UNICEF) and the World Bank under the overarching goal of contributing to ‘One World, One Health’.

Need for ‘One Health’ Approach in India

  • Many of the same microbes infect animals and humans, as they share the ecosystems, they live in.
  • Efforts by just one sector cannot prevent or eliminate the problem. For instance, rabies in humans is effectively prevented only by targeting the animal source of the virus (for example, by vaccinating dogs).
  • Information on influenza viruses circulating in animals is crucial to the selection of viruses for human vaccines for potential influenza pandemics.
  • Drug-resistant microbes can be transmitted between animals and humans through various sources, so a well-coordinated approach in humans and in animals is required to effectively contain it.
  • Scientists have observed that there are more than 1.7 million viruses circulating in wildlife, and many of them are likely to be zoonotic, which implies that unless there is timely detection, India risks facing many more pandemics in times to come.

To achieve targets under the ‘One Health’ vision, efforts are ongoing to address challenges pertaining to:

  • Veterinary manpower shortages
  • Lack of information sharing between human and animal health institutions
  • Inadequate coordination on food safety at slaughter, distribution, and retail facilities.

India’s Initiatives

  • In keeping with the long-term objectives, India established a National Standing Committee on Zoonoses as far back as the 1980s.
  • This year, funds were sanctioned for setting up a ‘Centre for One Health’ at Nagpur.
  • The Department of Animal Husbandry and Dairying (DAHD) has launched several schemes to mitigate the prevalence of animal diseases since 2015.
  • DAHD will soon establish a ‘One Health’ unit within the Ministry.
  • The government is working to revamp programs that focus on capacity building for veterinarians and upgrading the animal health diagnostic system such as Assistance to States for Control of Animal Diseases (ASCAD).
  • In the revised component of assistance to States/Union Territories, there is an increased focus on vaccination against livestock diseases and backyard poultry.
  • DAHD has partnered with the Ministry of Health and Family Welfare in the National Action Plan for Eliminating Dog-Mediated Rabies.

Way Forward

  • Consolidating existing animal health and disease surveillance systems — e.g., the Information Network for Animal Productivity and Health, and the National Animal Disease Reporting System
  • Developing best-practice guidelines for informal market and slaughterhouse operation (e.g., inspections, disease prevalence assessments)
  • Creating mechanisms to operationalise ‘One Health’ at every stage down to the village level.
  • Awareness generation
  • Increased investments toward meeting ‘One Health’ targets

Conclusion

Today’s health problems are frequently complex, transboundary, multifactorial, and across species, and if approached from a purely medical, veterinary, or ecological standpoint, it is unlikely that sustainable mitigation strategies will be produced. ‘One Health’ is ever more salient as the world grapples with the COVID-19 pandemic.

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