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ONE HEALTH APPROACH:
THE PHILIPPINE EXPERIENCE
SIMEON S. AMURAO, JR., DVM, MBA, CESO IV
DIRECTOR III
July 26, 2016
Philippines
Workshop on Management and Control of Important Transboundary Animal
Diseases in the Asian Pacific Region
One Health
• A unifying concept that brought together
human and animal health care practitioners
and environmental professionals with a goal
that this partnership will help and develop
sustainable and effective interventions in
solving human, animal and environmental
health challenges.
Primary Application
Of all the animal health programs in the
Philippines, the One Health approach is very
much evident in the implementation of the
National Rabies Prevention and Control
Program through the enactment of Republic
Act 9482 or the “Anti Rabies Act of 2007.”
NRPCC
National Rabies Prevention and Control Committee
• Department of Agriculture –BAI
• Department of Health
• Department of Interior Local
Government
• Department of Environment and
Natural Resources
• Department of Education
Department of Agriculture
• Laboratory facilities
• Vaccine
• Surveillance
• Establish rabies free zones
• Conduct researches
Department of Health
• Human Anti Rabies vaccine in
Animal Bite Centers
• Post exposure treatment
• Human surveillance system
• Pre exposure treatment
Local Government Units
• Dog registration and vaccination
• Impounding of stray dogs
• Prohibit the trade of dogs for
meat
• Appoint a veterinarian
L
G
U
Avian Influenza
Developed at the height of the
outbreak of HPAI in
South East Asia.
This is the primary references for
information on the government
AI prevention program and
preparedness plan.
Implemented in April 2005 through joint
Department Order No. 1 which also
established the national AI TASK FORCE
together with the poultry raisers.
4 Stages of AIPP
Department of Agriculture
Stage 1 Keeping the Phil. Bird flu free
Stage 2 Control and eradication of AI in
domestic fowl
Department of Health
Stage 3 Prevention and control in human
Stage 4 Mitigation of Public Health and
Socio Economic Impact of
Pandemic Influenza
Four stages of the avian influenza threat:
Stage 1 Prevention Programs
(Manual of Procedures)
1. Ban on importation of poultry
from AI affected countries.
2. Minimum Biosecurity Measures
for all poultry holding facilities
3. Surveillance and Prevention
Programs in Airports and
Seaports.
4. Surveillance of Poultry in Critical
Areas in the Philippines (20
areas).
Stage 1 Prevention Programs
(Manual of Procedures)
5. Enforcement of the 2001
Wildlife Act.
6. Preventive Measures in
Humans.
7. IEC or communication,
education, participation and
awareness (CEPA).
8. Establishment of
compartmentalized AI-free
poultry production zones.
AI Lab Tests used in the Philippines
1. Real Time Reverse Transcriptase
Polymerase Chain Reaction (RRT-
PCR)
2. ELISA test
3. HA-HI test
4. AGID test and
5. virus isolation.
Upgrading of Regional AI
Diagnostic Laboratories (RAIDLs)
• Regions 2 and 12 - AusAID Project,
• Region 3 -New Zealand International
Aid and Development Agency Project
• Regions 7, 9 and 10 - Japan Special Trust
Fund Project.
Samples collected yearly for Avian
Influenza surveillance, 2005-2015.
YEAR No. of Samples
2005 5,976
2006 21,285
2007 16,123
2008 16,421
2009 5,423
2010 3,318
2011 6,461
2012 6,292
2013 10,947
2014 12,009
2015 13,353
Total 117,608
Philippine Inter-agency
Committee on Zoonoses
• To establish animal and human
health sector collaboration
between the DA, DOH and DENR
for the prevention, control and
elimination of zoonoses.
– Rabies
– Avian Influenza
– Ebola reston virus in pigs and
monkeys
Department of Health
• Serves as the lead agency on the
prevention and control of zoonotic
diseases of human
a. Conduct pro-active response to public
health concerns on matters pertaining to
food safety, sanitation and vector control
b. Adopt appropriate measures upon the
recommendation of the PhilCZ to be
undertaken in the health facilities for the
prevention and control of zoonotic
diseases
Department of
Agriculture
Serves as the lead agency on the
prevention and control of zoonotic
disease in livestock, poultry and other
domestic animals
a. Conduct pro-active response to public
health concerns on matters pertaining to
food safety, sanitation, vector control and
proper disposal of animals
b. Adopt appropriate measures to be
undertaken in animal facilities for the
control and prevention of zoonotic
diseases
Department of Environment
and Natural Resources
• Shall serve as the lead agency on
zoonotic diseases in wild fauna.
• It shall adopt appropriate measures
upon the recommendation to be
undertaken of the PhilCZ to be
undertaken in protected areas, in
wildlife facilities such as, but not
limited to, zoological parks, wildlife
rescue centers an in indentified risk
areas for the control and prevention
of zoonotic diseases.
Other Collaboration and
Cooperation
• Henipa Virus
• Ebola Reston Virus
• Neglected Tropical Diseases -
Schistosomiasis
Conclusion
• The One Health approach requires building
relationships with and respect for
professionals in various sectors
• One Health is synergism: When we
cooperate with one another we produce a
combined effect greater than the sum of
our independent effects.
Thank you very much!

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Amurao, 1 health approach: The Phils Experience

  • 1. ONE HEALTH APPROACH: THE PHILIPPINE EXPERIENCE SIMEON S. AMURAO, JR., DVM, MBA, CESO IV DIRECTOR III July 26, 2016 Philippines Workshop on Management and Control of Important Transboundary Animal Diseases in the Asian Pacific Region
  • 2. One Health • A unifying concept that brought together human and animal health care practitioners and environmental professionals with a goal that this partnership will help and develop sustainable and effective interventions in solving human, animal and environmental health challenges.
  • 3. Primary Application Of all the animal health programs in the Philippines, the One Health approach is very much evident in the implementation of the National Rabies Prevention and Control Program through the enactment of Republic Act 9482 or the “Anti Rabies Act of 2007.”
  • 4. NRPCC National Rabies Prevention and Control Committee • Department of Agriculture –BAI • Department of Health • Department of Interior Local Government • Department of Environment and Natural Resources • Department of Education
  • 5. Department of Agriculture • Laboratory facilities • Vaccine • Surveillance • Establish rabies free zones • Conduct researches
  • 6. Department of Health • Human Anti Rabies vaccine in Animal Bite Centers • Post exposure treatment • Human surveillance system • Pre exposure treatment
  • 7. Local Government Units • Dog registration and vaccination • Impounding of stray dogs • Prohibit the trade of dogs for meat • Appoint a veterinarian L G U
  • 9. Developed at the height of the outbreak of HPAI in South East Asia. This is the primary references for information on the government AI prevention program and preparedness plan. Implemented in April 2005 through joint Department Order No. 1 which also established the national AI TASK FORCE together with the poultry raisers.
  • 10. 4 Stages of AIPP Department of Agriculture Stage 1 Keeping the Phil. Bird flu free Stage 2 Control and eradication of AI in domestic fowl Department of Health Stage 3 Prevention and control in human Stage 4 Mitigation of Public Health and Socio Economic Impact of Pandemic Influenza
  • 11. Four stages of the avian influenza threat:
  • 12. Stage 1 Prevention Programs (Manual of Procedures) 1. Ban on importation of poultry from AI affected countries. 2. Minimum Biosecurity Measures for all poultry holding facilities 3. Surveillance and Prevention Programs in Airports and Seaports. 4. Surveillance of Poultry in Critical Areas in the Philippines (20 areas).
  • 13. Stage 1 Prevention Programs (Manual of Procedures) 5. Enforcement of the 2001 Wildlife Act. 6. Preventive Measures in Humans. 7. IEC or communication, education, participation and awareness (CEPA). 8. Establishment of compartmentalized AI-free poultry production zones.
  • 14. AI Lab Tests used in the Philippines 1. Real Time Reverse Transcriptase Polymerase Chain Reaction (RRT- PCR) 2. ELISA test 3. HA-HI test 4. AGID test and 5. virus isolation.
  • 15. Upgrading of Regional AI Diagnostic Laboratories (RAIDLs) • Regions 2 and 12 - AusAID Project, • Region 3 -New Zealand International Aid and Development Agency Project • Regions 7, 9 and 10 - Japan Special Trust Fund Project.
  • 16. Samples collected yearly for Avian Influenza surveillance, 2005-2015. YEAR No. of Samples 2005 5,976 2006 21,285 2007 16,123 2008 16,421 2009 5,423 2010 3,318 2011 6,461 2012 6,292 2013 10,947 2014 12,009 2015 13,353 Total 117,608
  • 17. Philippine Inter-agency Committee on Zoonoses • To establish animal and human health sector collaboration between the DA, DOH and DENR for the prevention, control and elimination of zoonoses. – Rabies – Avian Influenza – Ebola reston virus in pigs and monkeys
  • 18. Department of Health • Serves as the lead agency on the prevention and control of zoonotic diseases of human a. Conduct pro-active response to public health concerns on matters pertaining to food safety, sanitation and vector control b. Adopt appropriate measures upon the recommendation of the PhilCZ to be undertaken in the health facilities for the prevention and control of zoonotic diseases
  • 19. Department of Agriculture Serves as the lead agency on the prevention and control of zoonotic disease in livestock, poultry and other domestic animals a. Conduct pro-active response to public health concerns on matters pertaining to food safety, sanitation, vector control and proper disposal of animals b. Adopt appropriate measures to be undertaken in animal facilities for the control and prevention of zoonotic diseases
  • 20. Department of Environment and Natural Resources • Shall serve as the lead agency on zoonotic diseases in wild fauna. • It shall adopt appropriate measures upon the recommendation to be undertaken of the PhilCZ to be undertaken in protected areas, in wildlife facilities such as, but not limited to, zoological parks, wildlife rescue centers an in indentified risk areas for the control and prevention of zoonotic diseases.
  • 21. Other Collaboration and Cooperation • Henipa Virus • Ebola Reston Virus • Neglected Tropical Diseases - Schistosomiasis
  • 22. Conclusion • The One Health approach requires building relationships with and respect for professionals in various sectors • One Health is synergism: When we cooperate with one another we produce a combined effect greater than the sum of our independent effects.
  • 23. Thank you very much!

Editor's Notes

  1. Stage 1 when the country status is Avian influenza-free; Stage 2 when Avian influenza is detected in domestic fowls in the Philippines; Stage 3 when there is confirmation of avian influenza transmission from poultry to humans in the Philippines; and Stage 4 when human-to-human transmission of Avian Influenza has occurred in the country.
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