November 18, 2013
National Agricultural Research Center (NARC), Islamabad, Pakistan
Whereas, health experts from around the world met in New York City in September 2004 at a meeting entitled “One World, One Health: Building Interdisciplinary Bridges to Health in a Globalized World,” to formally constitute 12 recommendations referred to as the Manhattan Principles which provided a framework for establishment of a more holistic approach to preventing epidemic and epizootic diseases and maintaining ecosystem integrity;
Whereas, in 2010 the U.S. Centers for Disease Control and Prevention (CDC) in close collaboration with the World Organisation for Animal Health (OIE), the Food and Agriculture Organization of the United Nations (FAO) and the World Health Organization (WHO) at a meeting entitled “Operationalizing One Health: A Policy Perspective—Taking Stock and Shaping an Implementation Roadmap” in Stone Mountain, Georgia identified seven specific activities critical to the successful management of zoonotic diseases including formalized training programs, establishment of a One Health Global Network (OHGN), creation of an Information Clearing House, development of national and regional needs assessments, commitment to capacity building within government institutions, implementation of One Health Proof of Concept projects, and the use and articulation of business plans within governments to ensure that the one health philosophy is embedded across the public and private sectors;
Whereas, development of national zoonotic disease programs in Pakistan that are aligned with principles outlined in the World Bank Millennium Goal Number 6 “Combat HIV/AIDS, Malaria, and Other Diseases by 2015” is desirable;
Whereas, since 2010 substantial investments of time, energy, and resources in Pakistan have been devoted toward the establishment of a national and regional One Health Network through epidemiology and biosecurity training activities, collaborative disease investigation projects, and cross-sectoral and cross-border collaboration between experts in zoonotic disease control as part of the World Bank and Avian and Human Influenza Trust project entitled “Regional Training in Animal and Human Health Epidemiology in South Asia” that has been implemented by Massey University; along with additional support received from the Field Epidemiology Laboratory Training Program (FELTP) funded by CDC-Atlanta, USA both to public health and animal health groups in Pakistan.
Whereas, zoonotic diseases in Pakistan exist as important causes of human poverty and diminished welfare of affected people and animals.
NOW, THEREFORE, the participants of the National Symposium on One Health Pakistan, at their November-2013 meeting recommend the following actions be addressed accordingly by the appropriate institutions:
- Encourage the continued active engagement and collaboration between zoonotic disease experts in Pakistan working in public and private sector institutions in the areas of disease research, surveillance, diagnosis and control.
- Support launching a national zoonoses control programme for selected diseases at the federal level with involvement of all provincial governments.
- Advocate induction of the ONE HEALTH concept in medical and veterinary education.
- Set up a joint forum of experts working at national institutions, universities, policy makers and NGOs involved in undertaking activities towards the ONE HEALTH concept.
- Pursue regional and international organizations for participation in ONE HEALTH related activities
- Set up Federal Epi-Node regarding Zoonoses surveillance and data management in collaboration with provincial public health and animal health departments.
- Establish formal standing working groups that include representation of animal, human, wildlife, and environmental health sectors and that are able to be activated in response to zoonotic disease emergencies and ensure sustainable funding for such activities.