Village women and livestock in Niger (photo credit: ILRI/Stevie Mann).

A special issue (Aug 2021) of the Scientific and Technical Review journal of the World Organisation for Animal Health (OIE) turns the spotlight on the operation of veterinary services in a world affected by various external factors such as climate change and emerging zoonotic diseases.

The COVID-19 pandemic has drawn the world’s attention to the threat of emerging zoonotic diseases and the importance of a One Health approach in preventing and responding to these and other global health challenges.

Veterinary services are a global public good underpinning animal agriculture. Therefore, governments need to ensure the sustained performance and resilience of veterinary services in the face of external factors.

The special issue was edited by three scientists from the International Livestock Research Institute (ILRI): Delia Grace (also affiliated with the Natural Resources Institute, University of Greenwich), Hu Suk Lee and Jimmy Smith.

The 18 open access articles in the special issue—10 of which were co-authored by ILRI scientists—take an in-depth look at the implications of key external factors on veterinary services; these factors include animal welfare, antimicrobial resistance, climate change, digital technologies, planetary boundaries and zoonotic disease risks.

Future-facing initiatives relevant to veterinary services, such as global nutrition security, animal health and food safety risk assessments, and sustainable development, are also discussed.

Access the special issue: Veterinary services in a changing world: climate change and other external factors, Scientific and Technical Review 40(2).

Photo credit: Village women and livestock in Niger (ILRI/Stevie Mann)

Locally made beef stew sold in Bagnon market at Yopougon, Abidjan, Côte d’Ivoire (photo credit: ILRI/Valentin Bognan Koné).

The world’s largest publicly-funded agricultural research partnership, CGIAR, is currently developing a series of initiatives to implement its 2030 research and innovation strategy that was launched in early 2021.

The research initiatives are designed to create lasting impact in five key areas:

  • nutrition, health and food security;
  • poverty reduction, livelihoods and jobs;
  • gender equality, youth and social inclusion;
  • climate adaptation and mitigation; and
  • environmental health and biodiversity.

One of these research initiatives, Protecting human health through a One Health approach, aims to improve the prevention and control of antimicrobial resistance, foodborne diseases and zoonoses in seven target countries: Bangladesh, Côte d’Ivoire, Ethiopia, India, Kenya, Uganda and Vietnam.

The development of the One Health initiative is being led by a team of scientists from four CGIAR research centres — the International Food Policy Research Institute (IFPRI), the International Livestock Research Institute (ILRI), the International Water Management Institute (IWMI) and WorldFish — in collaboration with external research partners from Centre Suisse de Recherches Scientifiques en Côte d’Ivoire, EcoHealth Alliance and the University of Liverpool.

To ensure alignment of the proposed initiative with national priorities, the team convened a series of online consultative meetings with research collaborators to gain insights on the main One Health priorities, challenges, interventions and partner organizations in the respective countries.

The Côte d’Ivoire meeting, hosted by ILRI, took place on Thursday 12 August 2021, bringing together some 35 participants from government ministries, universities as well as national and international research organizations.

Dieter Schillinger, ILRI’s deputy director general for biosciences research and development, opened the meeting with a word of welcome and an overview of CGIAR’s 2030 research and innovation strategy that will guide the implementation of the 33 new research initiatives, including that on One Health—the focus of the online consultation.

He mentioned that the development of the One Health research initiative is a collaborative process and ILRI is working closely with other CGIAR research centres as well as external partners from research and academia, including those represented at the meeting. He therefore welcomed feedback and suggestions from the participants to ensure the research of the One Health initiative is relevant and impactful.

Hung Nguyen, co-leader of ILRI’s Animal and Human Health program, followed with an overview of the rationale of the One Health initiative, citing the need for a One Health approach to tackle the complexity of the global public health challenges posed by the rising incidence of antimicrobial resistance, foodborne diseases and zoonoses.

He then outlined the three main objectives of the One Health initiative, namely, to generate evidence for decision-making; evaluate impacts of One Health approaches; and scale up innovations into national policies and programs.

He further highlighted the initiative’s Theory of Change, explaining how the research outputs are expected to lead to specific development outcomes and impact by 2030, in line with the United Nations Sustainable Development Goals. The team estimates that between 4 million and 41 million cases of disease will be averted annually through the initiative’s efforts.

The initiative’s research activities will take place through five work packages:

  • zoonoses;
  • food safety;
  • antimicrobial resistance;
  • environment (water and wildlife interfaces); and
  • economics, governance and behaviour.

The zoonoses work package aims to pre-empt the spread of zoonoses at the wildlife–livestock interface and reduce the incidence of zoonotic pathogens associated with poverty. Innovations include risk mapping of key endemic zoonoses and developing diagnostic kits for surveillance of zoonoses.

The food safety work package aims to reduce the burden of foodborne disease in traditional (informal) food value chains, with a focus on animal-source foods and other perishables such as fruits and vegetables. Innovations include training and certification of food handlers and traders, promotion of consumer demand for safe food, and behavioural nudges to encourage safe food handling practices.

The antimicrobial resistance work package will focus on reducing the burden of antimicrobial resistance by promoting the prudent use of antimicrobials in crop, fish and livestock production systems. Innovations include surveillance of antimicrobial resistance and communication of evidence on the costs and benefits of rational use of antimicrobials

The environment work package will focus on improving land use and water management to reduce health risks such as antimicrobial residues and zoonotic pathogens. Approaches will include recovery and reuse of animal waste to prevent water pollution and promotion of good practices to ensure the safe use of marginal quality water.

The economics, governance and behaviour work package aims to understand the drivers of people’s behaviour within food systems and the impact of policies and governance approaches on this behaviour. An example of an innovation under this work package is a performance management system for government officials responsible for implementing surveillance and enforcing regulations on antimicrobial use or food safety. Another innovation is a system to ensure inclusion of small-scale farmers, traders, food vendors and vulnerable groups so that they benefit from One Health outcomes.

During parallel group discussions on the work packages, the participants gave feedback on the main One Health challenges, priority interventions, actions to ensure inclusion and partner institutions in Côte d’Ivoire.

Among the main food safety challenges identified were the informal food sector (street foods) and low awareness on food safety. Priority interventions include risk analysis, consumer education and strengthening of capacity to assess risks.

With regard to control of zoonoses, some of the key challenges identified were non-compliance with disease control measures and non-adaptation of laws to current challenges. Priority interventions include improved communication among actors involved in control of zoonoses and an effective monitoring network.

Regarding antimicrobial resistance, some of the key challenges identified were environmental contamination through hospital and slaughterhouse waste, misuse of antimicrobials in livestock and aquaculture production systems and lack of surveillance of antimicrobial use. Priority interventions include strengthening of regulation and control of antimicrobial use and increasing awareness on rational use of antimicrobials and the dangers of self-medication with antibiotics.

To ensure inclusion, all important actors in the value chain need to be identified and invited for meetings where they can participate in exchange of information. In this regard, stakeholder mapping and the use of gender-focused approaches will be important.

The identified partner groups to work with included government ministries, universities, hospitals, public health institutes, pastoralists, the private sector, pharmaceutical companies and food manufacturers.

As the meeting ended, Vessaly Kallo, deputy director of animal health at the Directorate of Veterinary Services, lauded the proposed CGIAR One Health initiative. He noted that the initiative’s activities would support the implementation of a One Health multisectoral platform in Côte d’Ivoire.

Once approved, the CGIAR One Health initiative will start in January 2022 and run for an initial three years.

For more information, please contact Hung Nguyen (h.nguyen@cgiar.org) or Vivian Hoffmann (v.hoffmann@cgiar.org).

Access the meeting notes and presentation slides

Citation

ILRI, IFPRI, IWMI and WorldFish. 2021. Côte d’Ivoire stakeholder consultation on a proposed CGIAR One Health initiative. Nairobi, Kenya: ILRI. https://hdl.handle.net/10568/114915

Photo credit: Locally made beef stew sold in Bagnon market at Yopougon, Abidjan, Côte d’Ivoire (ILRI/Valentin Bognan Koné)

A local cattle owner walks his cattle on a rainy day in Hung Yen province, Vietnam (photo credit: ILRI/Nguyen Ngoc Huyen).

Action for Animal Health is a coalition of multilateral organizations, non-governmental organizations and research institutes with expertise in animal, human and environmental health. The coalition advocates for increased investment in strong and resilient animal health systems that protect people, animals and the planet. The International Livestock Research Institute (ILRI), one of 15 CGIAR research centres, is a member of the coalition.

Ahead of this year’s G20 Health Ministers’ Meeting, scheduled for 5–6 September 2021, the Action for Animal Health coalition urges G20 countries to support four transformative actions for stronger animal health systems:

  1. Ensure communities have access to animal health services
  2. Increase and upskill the animal health workforce globally
  3. Improve access to safe medicines and vaccines for animals
  4. Strengthen early warning disease surveillance systems that are effective from the community level upwards

With 75% of new diseases emerging from animals, the G20 must fund and implement a One Health approach to prevent future pandemics. A One Health approach recognizes that the health of people is closely linked to the health of animals and their shared environment. It involves the collaborative efforts of multiple disciplines and sectors to prevent and control diseases. It is especially useful for managing zoonoses, diseases transmitted between animals and people.

Zoonoses, like COVID-19, and antimicrobial resistance are among the major global public health threats facing humanity. The G20 urgently needs to invest in animal health to strengthen and secure global health systems and build resilience to future health challenges.

Photo credit: A local cattle owner walks his cattle on a rainy day in Hung Yen province, Vietnam (ILRI/Nguyen Ngoc Huyen)

The world’s largest publicly-funded agricultural research partnership, CGIAR, is currently developing a series of initiatives to implement its 2030 research and innovation strategy that was launched in early 2021.

The research initiatives are designed to create lasting impact in five key areas:

  • nutrition, health and food security;
  • poverty reduction, livelihoods and jobs;
  • gender equality, youth and social inclusion;
  • climate adaptation and mitigation; and
  • environmental health and biodiversity.

One of these research initiatives, Protecting human health through a One Health approach, aims to improve the prevention and control of antimicrobial resistance, foodborne diseases and zoonoses in seven target countries: Bangladesh, Côte d’Ivoire, Ethiopia, India, Kenya, Uganda and Vietnam.

The development of the One Health initiative is being led by a team of scientists from four CGIAR research centres — the International Food Policy Research Institute (IFPRI), the International Livestock Research Institute (ILRI), the International Water Management Institute (IWMI) and WorldFish — in collaboration with external research partners from Centre Suisse de Recherches Scientifiques en Côte d’Ivoire, EcoHealth Alliance and the University of Liverpool.

To ensure alignment of the proposed initiative with national priorities, the team convened a series of online consultative meetings with research collaborators to gain insights on the main One Health priorities, challenges, interventions and partner organizations in the respective countries.

The Ethiopia meeting, hosted by ILRI, took place on Wednesday 11 August 2021, bringing together some 40 participants from government ministries, universities as well as national and international research organizations.

Dieter Schillinger, ILRI’s deputy director general for biosciences research and development, opened the meeting with a word of welcome and an overview of CGIAR’s 2030 research and innovation strategy that will guide the implementation of the 33 new research initiatives, including that on One Health—the focus of the online consultation.

He mentioned that the development of the One Health research initiative is a collaborative process and ILRI is working closely with other CGIAR research centres as well as external partners from research and academia, including those represented at the meeting. He therefore welcomed feedback and suggestions from the participants to ensure the research of the One Health initiative is relevant and impactful.

Hung Nguyen, co-leader of ILRI’s Animal and Human Health program, followed with an overview of the rationale of the One Health initiative, citing the need for a One Health approach to tackle the complexity of the global public health challenges posed by the rising incidence of antimicrobial resistance, foodborne diseases and zoonoses.

He then outlined the three main objectives of the One Health initiative, namely, to generate evidence for decision-making; evaluate impacts of One Health approaches; and scale up innovations into national policies and programs.

He further highlighted the initiative’s Theory of Change, explaining how the research outputs are expected to lead to specific development outcomes and impact by 2030, in line with the United Nations Sustainable Development Goals. The team estimates that between 4 million and 41 million cases of disease will be averted annually through the initiative’s efforts.

The initiative’s research activities will take place through five work packages:

  • zoonoses;
  • food safety;
  • antimicrobial resistance;
  • environment (water and wildlife interfaces); and
  • economics, governance and behaviour.

The work package leaders presented briefly on the goals of their respective work packages, giving examples of planned innovations under each.

Bernard Bett, ILRI senior scientist and head of the ILRI-hosted One Health Centre in Africa, outlined the two main objectives of the zoonoses work package: pre-empting the spread of zoonoses at the wildlife–livestock interface and reducing the incidence of zoonotic pathogens associated with poverty. Among other innovations, the work package plans to map the risk of key endemic zoonoses and develop diagnostic kits for surveillance of zoonoses.

Hung Nguyen explained that the food safety work package aims to reduce the burden of foodborne disease in traditional (informal) food value chains, with a focus on animal-source foods and other perishables such as fruits and vegetables. Planned innovations include training and certification of food handlers and traders, promotion of consumer demand for safe food, and behavioural nudges to encourage safe food handling practices.

Arshnee Moodley, who heads the ILRI-hosted CGIAR Antimicrobial Resistance Hub, noted that antimicrobial resistance is a silent pandemic and many low- and middle-income countries do not have effective surveillance programs, resulting in lack of data on the burden of antimicrobial resistance. She however noted that Ethiopia has a national action plan on antimicrobial resistance. The work package on antimicrobial resistance will focus on reducing antimicrobial use in crop, fish and livestock production systems and reducing antimicrobial transmission from animals to people through food. Planned innovations include the generation of evidence on the economic impact of interventions to reduce antimicrobial use and the development of tools to help farmers use antimicrobials more prudently.

In his overview of the environment work package, Javier Mateo-Sagasta, senior researcher at IWMI, noted that water is a key connector between people, livestock and ecosystems and so the focus will be on improving land use and water management to reduce health risks such as antimicrobial residues and zoonotic pathogens. Approaches will include recovery and reuse of animal waste to prevent water pollution and promotion of good practices to ensure the safe use of marginal quality water.

Vivian Hoffmann, senior research fellow at IFPRI, explained that the goal of the economics, governance and behaviour work package is to understand the drivers of people’s behaviour within food systems and the impact of policies and governance approaches on this behaviour. An example of an innovation under this work package is a performance management system for government officials responsible for implementing surveillance and enforcing regulations on antimicrobial use or food safety. Another innovation is a system to ensure inclusion of small-scale farmers, traders, food vendors and vulnerable groups so that they benefit from One Health outcomes.

During parallel group discussions on the zoonoses, food safety and antimicrobial resistance work packages, the participants gave feedback on the main One Health challenges, priority interventions, actions to ensure inclusion and partner institutions in Ethiopia.

With regard to control of zoonoses, some of the key challenges identified were weak surveillance systems, shortages of drugs and vaccines, budgetary constraints and lack of laboratory infrastructure. Priority interventions include generation of data on the burden of zoonoses, strengthening of institutions involved in One Health, and capacity building to improve the prevention and control of zoonoses within the framework of One Health.

Among the main food safety challenges identified were food adulteration, low laboratory capacity, poor law enforcement and weak food safety systems. Priority interventions include strengthening of food safety surveillance systems, development of a national food safety strategy and strengthening of legal frameworks.

Regarding antimicrobial resistance, some of the key challenges identified were inadequate surveillance in livestock production systems, high burden of infectious diseases and irrational use of antimicrobial drugs. To address these challenges, there is a need to develop antimicrobial resistance surveillance plans for human health, animal health and food safety. In addition, public awareness on antimicrobial resistance is needed to ensure prudent use of antimicrobials.

Among the suggested actions to ensure inclusion were stakeholder mapping, group-based community approaches, addressing gender in community conversations, and increased advocacy to engage policymakers.

The identified partner groups to work with included government ministries, national and international research organizations, universities, bureau of standards, farmer groups, women’s groups, consumer associations and the media.

As the meeting ended, Feyesa Regassa, lead researcher at the Ethiopian Public Health Institute and chair of Ethiopia’s National One Health Committee, expressed his appreciation to the initiative design team for their support on One Health, specifically food safety, zoonoses and antimicrobial resistance. He also expressed gratitude to all the participants.

‘This is a valuable opportunity for Ethiopia to collaborate,’ he noted.

In her closing remarks, Siboniso Moyo, the ILRI director general’s representative in Ethiopia, thanked everyone for their participation towards achieving the objective of helping the One Health initiative design team as it formulates key interventions and work packages. She expressed her appreciation to the organizing team, facilitators and all who worked behind the scenes to plan for the meeting. She looked forward to working together in this and other initiatives with partners in Ethiopia towards improved human, animal and environment health.

Once approved, the CGIAR One Health initiative will start in January 2022 and run for an initial three years.

For more information, please contact Hung Nguyen (h.nguyen@cgiar.org) or Vivian Hoffmann (v.hoffmann@cgiar.org).

Access the meeting notes and presentation slides

Citation

ILRI, IFPRI, IWMI and WorldFish. 2021. Ethiopia stakeholder consultation on a proposed CGIAR One Health initiative. Nairobi, Kenya: ILRI. https://hdl.handle.net/10568/114649

Photo credit: A family leads goats out for grazing in Borana, Ethiopia. (ILRI/Zerihun Sewunet)

A typical mixed crop-livestock farming household, western Kenya (ILRI/Charlie Pye-Smith)

The world’s largest publicly-funded agricultural research partnership, CGIAR, is currently developing a series of initiatives to implement its 2030 research and innovation strategy that was launched in early 2021.

The research initiatives are designed to create lasting impact in five key areas:

  • nutrition, health and food security;
  • poverty reduction, livelihoods and jobs;
  • gender equality, youth and social inclusion;
  • climate adaptation and mitigation; and
  • environmental health and biodiversity.

One of these research initiatives, Protecting human health through a One Health approach, aims to improve the prevention and control of antimicrobial resistance, foodborne diseases and zoonoses in seven target countries: Bangladesh, Côte d’Ivoire, Ethiopia, India, Kenya, Uganda and Vietnam.

The development of the One Health initiative is being led by a team of scientists from four CGIAR research centres — the International Food Policy Research Institute (IFPRI), the International Livestock Research Institute (ILRI), the International Water Management Institute (IWMI) and WorldFish — in collaboration with external research partners from Centre Suisse de Recherches Scientifiques en Côte d’Ivoire, EcoHealth Alliance and the University of Liverpool.

To ensure alignment of the proposed initiative with national priorities, the team convened a series of online consultative meetings with research collaborators to gain insights on the main One Health priorities, challenges, interventions and partner organizations in the respective countries.

The Kenya meeting, hosted by ILRI, took place on Wednesday 28 July 2021, bringing together some 30 participants from government ministries, universities as well as national and international research organizations.

Dieter Schillinger, ILRI’s deputy director general for biosciences research and development, opened the meeting with a word of welcome and an overview of CGIAR’s 2030 research and innovation strategy that will guide the implementation of the 33 new research initiatives, including that on One Health—the focus of the online consultation.

He mentioned that the development of the One Health research initiative is a collaborative process and ILRI is working closely with other CGIAR research centres as well as external partners from research and academia, including those represented at the meeting. He therefore welcomed feedback and suggestions from the participants to ensure the research of the One Health initiative is relevant and impactful.

Hung Nguyen, co-leader of ILRI’s Animal and Human Health program, followed with an overview of the rationale of the One Health initiative, citing the need for a One Health approach to tackle the complexity of the global public health challenges posed by the rising incidence of antimicrobial resistance, foodborne diseases and zoonoses.

He then outlined the three main objectives of the One Health initiative, namely, to generate evidence for decision-making; evaluate impacts of One Health approaches; and scale up innovations into national policies and programs.

He further highlighted the initiative’s Theory of Change, explaining how the research outputs are expected to lead to specific development outcomes and impact by 2030, in line with the United Nations Sustainable Development Goals. The team estimates that between 4 million and 41 million cases of disease will be averted annually through the initiative’s efforts.

The initiative’s research activities will take place through five work packages:

  • zoonoses;
  • food safety;
  • antimicrobial resistance;
  • environment (water and wildlife interfaces); and
  • economics, governance and behaviour.

The work package leaders presented briefly on the goals of their respective work packages, giving examples of planned innovations under each.

Hung Nguyen explained that the food safety work package aims to reduce the burden of foodborne disease in traditional (informal) food value chains, with a focus on animal-source foods and other perishables such as fruits and vegetables. Planned innovations include training and certification of food handlers and traders, promotion of consumer demand for safe food, and behavioural nudges to encourage safe food handling practices.

Bernard Bett, ILRI senior scientist and head of the ILRI-hosted One Health Centre in Africa, outlined the two main objectives of the zoonoses work package: pre-empting the spread of zoonoses at the wildlife–livestock interface and reducing the incidence of zoonotic pathogens associated with poverty. Among other innovations, the work package plans to map the risk of key endemic zoonoses and develop diagnostic kits for surveillance of zoonoses.

Arshnee Moodley, who heads the ILRI-hosted CGIAR Antimicrobial Resistance Hub, said that the antimicrobial resistance work package will focus on reducing the burden of antimicrobial resistance by promoting the prudent use of antimicrobials in crop, fish and livestock production systems. In this regard, surveillance of antimicrobial use and antimicrobial resistance in animals and animal-source foods is important. Additionally, there is a need to generate and communicate evidence on the costs and benefits of rational use of antimicrobials to support uptake of interventions by farmers and policymakers.

In his overview of the environment work package, Javier Mateo-Sagasta, senior researcher at IWMI, noted that water is a key connector between people, livestock and ecosystems and so the focus will be on improving land use and water management to reduce health risks such as antimicrobial residues and zoonotic pathogens. Approaches will include recovery and reuse of animal waste to prevent water pollution and promotion of good practices to ensure the safe use of marginal quality water.

Vivian Hoffmann, senior research fellow at IFPRI, explained that the goal of the economics, governance and behaviour work package is to understand the drivers of people’s behaviour within food systems and the impact of policies and governance approaches on this behaviour. An example of an innovation under this work package is a performance management system for government officials responsible for implementing surveillance and enforcing regulations on antimicrobial use or food safety. Another innovation is a system to ensure inclusion of small-scale farmers, traders, food vendors and vulnerable groups so that they benefit from One Health outcomes.

During parallel group discussions on the zoonoses, food safety and antimicrobial resistance work packages, the participants gave feedback on the main One Health challenges, priority interventions, actions to ensure inclusion and partner institutions in Kenya.

With regard to control of zoonoses, among the key challenges identified were cross-sectoral coordination among government bodies and lack of adequate funding. Capacity development was noted as an area that needs to be strengthened at all levels. There is also a need to better understand the risks of zoonoses spillover from wildlife to livestock in boundary areas.

The main food safety challenges identified included aflatoxins, chemical contamination and inadequate capacity for effective food inspection. Capacity development was identified as a priority food safety intervention, in addition to strengthening of food safety legal frameworks at national and county levels, increasing consumer awareness and improving water quality and infrastructure.

The discussion on antimicrobial resistance identified the need for evidence on the costs and benefits of reducing antimicrobial use in order to get buy-in from policymakers. Regulation of veterinary drugs is another challenge, as is the enforcement of proper use of antimicrobials. There is a need for consumer education and strengthening of extension and veterinary services.

The use of participatory approaches and tailoring of communication to suit specific target audiences were suggested as some of the ways of ensuring inclusion of small-scale farmers, traders, vendors, women and youth at all levels of the value chain.

The identified partner groups to work with included government ministries of agriculture, health and environment (at national and county levels); national and international research organizations; universities; bureau of standards; farmer/producer groups; women’s groups; consumer organizations and civil-society organizations.

As the meeting ended, Sam Kariuki, acting director general of the Kenya Medical Research Institute, summed up the discussions as having been very engaging and fruitful. He urged the team to focus on practical approaches and leverage on low-cost, effective technologies to ensure that the planned interventions achieve positive impact among farmers on the ground.

‘Think big, but act local,’ he advised.

In his closing remarks, Dieter Schillinger thanked the participants for their contributions and said that the team would build on the ideas discussed and use them to fine-tune the development of the research initiative. He further assured the participants of CGIAR’s continued collaboration with and support of One Health partners in Kenya towards improved human, animal and environment health.

Once approved, the CGIAR One Health initiative will start in January 2022 and run for an initial three years.

For more information, please contact Hung Nguyen (h.nguyen@cgiar.org) or Vivian Hoffmann (v.hoffmann@cgiar.org).

Access the meeting notes and presentation slides

Citation

ILRI, IFPRI, IWMI and WorldFish. 2021. Kenya stakeholder consultation on a proposed CGIAR One Health initiative. Nairobi, Kenya: ILRI. https://hdl.handle.net/10568/114650

Photo credit: A typical mixed crop-livestock farming household, western Kenya (ILRI/Charlie Pye-Smith)

The world’s largest publicly-funded agricultural research partnership, CGIAR, is currently developing a series of initiatives to implement its 2030 research and innovation strategy that was launched in early 2021.

The research initiatives are designed to create lasting impact in five key areas:

  • nutrition, health and food security;
  • poverty reduction, livelihoods and jobs;
  • gender equality, youth and social inclusion;
  • climate adaptation and mitigation; and
  • environmental health and biodiversity.

One of these research initiatives, Protecting human health through a One Health approach, aims to improve the prevention and control of antimicrobial resistance, foodborne diseases and zoonoses in seven target countries: Bangladesh, Côte d’Ivoire, Ethiopia, India, Kenya, Uganda and Vietnam.

The development of the One Health initiative is being led by a team of scientists from four CGIAR research centres — the International Food Policy Research Institute (IFPRI), the International Livestock Research Institute (ILRI), the International Water Management Institute (IWMI) and WorldFish — in collaboration with external research partners from Centre Suisse de Recherches Scientifiques en Côte d’Ivoire, EcoHealth Alliance and the University of Liverpool.

To ensure alignment of the proposed initiative with national priorities, the team convened a series of online consultative meetings with research collaborators to gain insights on the main One Health priorities, challenges, interventions and partner organizations in the respective countries.

The Uganda meeting, hosted by ILRI, took place on Wednesday 4 August 2021, bringing together some 20 participants from the Ministry of Agriculture, Animal Industry and Fisheries as well as research organizations.

Dieter Schillinger, ILRI’s deputy director general for biosciences research and development, opened the meeting with a word of welcome and an overview of CGIAR’s 2030 research and innovation strategy that will guide the implementation of the 33 new research initiatives, including that on One Health—the focus of the online consultation.

He mentioned that the development of the One Health research initiative is a collaborative process and ILRI is working closely with other CGIAR research centres as well as external partners from research and academia, including those represented at the meeting. He highlighted the ongoing Boosting Uganda’s Investment in Livestock Development (BUILD) project as an example of ILRI’s research collaboration with partners in Uganda. He therefore welcomed feedback and suggestions from the participants to ensure the research of the One Health initiative is relevant and impactful.

Hung Nguyen, co-leader of ILRI’s Animal and Human Health program, followed with an overview of the rationale of the One Health initiative, citing the need for a One Health approach to tackle the complexity of the global public health challenges posed by the rising incidence of antimicrobial resistance, foodborne diseases and zoonoses.

He then outlined the three main objectives of the One Health initiative, namely, to generate evidence for decision-making; evaluate impacts of One Health approaches; and scale up innovations into national policies and programs.

He further highlighted the initiative’s Theory of Change, explaining how the research outputs are expected to lead to specific development outcomes and impact by 2030, in line with the United Nations Sustainable Development Goals. The team estimates that between 4 million and 41 million cases of disease will be averted annually through the initiative’s efforts.

The initiative’s research activities will take place through five work packages:

  • zoonoses;
  • food safety;
  • antimicrobial resistance;
  • environment (water and wildlife interfaces); and
  • economics, governance and behaviour.

The work package leaders presented briefly on the goals of their respective work packages, giving examples of planned innovations under each.

Bernard Bett, ILRI senior scientist and head of the ILRI-hosted One Health Centre in Africa, outlined the two main objectives of the zoonoses work package: pre-empting the spread of zoonoses at the wildlife–livestock interface and reducing the incidence of zoonotic pathogens associated with poverty. Among other innovations, the work package plans to map the risk of key endemic zoonoses and develop diagnostic kits for surveillance of zoonoses.

Hung Nguyen explained that the food safety work package aims to reduce the burden of foodborne disease in traditional (informal) food value chains, with a focus on animal-source foods and other perishables such as fruits and vegetables. Planned innovations include training and certification of food handlers and traders, promotion of consumer demand for safe food, and behavioural nudges to encourage safe food handling practices.

He further gave an overview of the antimicrobial resistance work package which will focus on reducing the burden of antimicrobial resistance by promoting the prudent use of antimicrobials in crop, fish and livestock production systems. In this regard, surveillance of antimicrobial use and antimicrobial resistance in animals and animal-source foods is important. Additionally, there is a need to generate and communicate evidence on the costs and benefits of rational use of antimicrobials to support uptake of interventions by farmers and policymakers.

In his overview of the environment work package, Javier Mateo-Sagasta, senior researcher at IWMI, noted that water is a key connector between people, livestock and ecosystems and so the focus will be on improving land use and water management to reduce health risks such as antimicrobial residues and zoonotic pathogens. Approaches will include recovery and reuse of animal waste to prevent water pollution and promotion of good practices to ensure the safe use of marginal quality water.

Vivian Hoffmann, senior research fellow at IFPRI, explained that the goal of the economics, governance and behaviour work package is to understand the drivers of people’s behaviour within food systems and the impact of policies and governance approaches on this behaviour. An example of an innovation under this work package is a performance management system for government officials responsible for implementing surveillance and enforcing regulations on antimicrobial use or food safety. Another innovation is a system to ensure inclusion of small-scale farmers, traders, food vendors and vulnerable groups so that they benefit from One Health outcomes.

During parallel group discussions on the zoonoses, food safety and antimicrobial resistance work packages, the participants gave feedback on the main One Health challenges, priority interventions, actions to ensure inclusion and partner institutions in Uganda.

With regard to control of zoonoses, the implementation of policies and regulations was identified as a key challenge. Outdated legislation and lack of adequate funding were also mentioned as important constraints. Community sensitization and increased awareness of zoonotic diseases are among the priority interventions that were identified.

The lack of adequate capacity for sampling, surveillance and laboratory testing was identified as a key challenge to effective management of food safety in the country. There is also low enforcement of existing food safety policies and regulations. There is a need for evidence on the burden of foodborne disease in the country. In addition, the food safety regulatory framework should be reviewed.

The lack of data on the risks of antimicrobial resistance in the country was identified as a major gap. In addition, there is weak enforcement of regulations to tackle antimicrobial resistance.

Gender value chain analysis and policy support for disadvantaged groups were suggested as some of the ways of ensuring inclusion of farmers, traders, women and youth. In addition, training modules should be gender-sensitive and appropriately packaged according to the literacy levels of the target audiences.

The identified partner groups to work with included government ministries of agriculture, health, water and environment; national and international research organizations; bureau of standards; government and private food safety laboratories; farmer groups; women’s groups and veterinary pharmaceutical companies.

As the meeting ended, Juliet Sentumbwe, director of animal resources at the Ministry of Agriculture, Animal Industry and Fisheries, thanked the participants for their active contributions. She observed that the focal areas of the One Health initiative are very pertinent for Uganda and well aligned with the country’s national action plan for health security through which various One Health activities are being implemented.

She also noted the importance of multi-stakeholder approaches to ensure inclusion of all groups. A One Health coordinating office will be useful in this regard.

‘We need to put in place structures that will bring all the stakeholders together,’ she advised.

She welcomed the opportunity to partner with CGIAR in the development and implementation of the One Health initiative and assured the team of the continued support of partners in Uganda.

In his closing remarks, Ben Lukuyu, ILRI’s country representative in Uganda, thanked everyone for attending and participating actively in the discussions. He particularly acknowledged the support of the Ministry of Agriculture and looked forward to further collaboration with One Health partners in Uganda towards improved human, animal and environment health.

Once approved, the CGIAR One Health initiative will start in January 2022 and run for an initial three years.

For more information, please contact Hung Nguyen (h.nguyen@cgiar.org) or Vivian Hoffmann (v.hoffmann@cgiar.org).

Access the meeting notes and presentation slides

Citation

ILRI, IFPRI, IWMI and WorldFish. 2021. Uganda stakeholder consultation on a proposed CGIAR One Health initiative. Nairobi, Kenya: ILRI. https://hdl.handle.net/10568/114651

Photo credit: Feeding fish at Shalom Fish Farm, Kampala, Uganda (WorldFish/Jens Peter Tang Dalsgaard)

Sheep market in Doyogena, Ethiopia

The intensification of livestock production calls for the development of contextually relevant policy frameworks that mitigate potential human health risks such as antimicrobial resistance and zoonotic diseases, a new expert review paper says.

The review by scientists from the University of Liverpool and the International Livestock Research Institute also calls for better data on the burden of antimicrobial resistance and zoonoses arising from intensive livestock production. This would improve evidence-based approaches and resource allocation towards managing these global health challenges.

The paper, published in the journal Animal (Feb 2021), reviews the drivers of livestock intensification and the negative externalities that may arise from it in terms of antimicrobial resistance and zoonoses.

The authors highlight the need for livestock development plans to incorporate risk mitigation measures, including supportive national policies and development of professional capacity in the veterinary and public health sectors.

Quantifying the burden of animal diseases stemming from livestock intensification, establishing surveillance for antimicrobial resistance and recording the use of antimicrobial products are required to enable governments to appropriately allocate resources to mitigate the twin health risks of antimicrobial resistance and zoonoses, the authors say.

Citation
Gilbert, W., Thomas, L., Coyne, L. and Rushton, J. 2021. Review: Mitigating the risks posed by intensification in livestock production: The examples of antimicrobial resistance and zoonoses. Animal 15(2): 100123.

Photo credit: Sheep market in Doyogena, Ethiopia (ILRI/Zerihun Sewunet)

Landscape in Hoa Binh province, northwest of Vietnam

The World Health Organization has declared that antimicrobial resistance is one of the top 10 global public health threats facing humanity. It requires urgent multisectoral action in order to achieve the Sustainable Development Goals.

Improving evidence for action is crucial to tackle this global challenge. The number of interventions for antimicrobial resistance is increasing but current research has major limitations in terms of efforts, methods, scope, quality and reporting.

Moving the agenda forward requires an improved understanding of the diversity and feasibility of interventions, the factors that influence their effectiveness, and the ways in which individual interventions might interact to affect actions against antimicrobial resistance in different contexts.

As part of efforts to strengthen the global governance of antimicrobial resistance, a group of international research experts is advocating for an evidence-based approach to the challenge through the creation of an international One Health platform for online learning that will synthesize the evidence for actions on antimicrobial resistance into a fully accessible database.

The researchers discuss this One Health learning approach to antimicrobial resistance in an article published in Lancet Infectious Diseases (1 Dec 2020), noting that there are currently significant limitations in terms of availability of context-specific evidence on appropriate actions to tackle antimicrobial resistance.

The proposed platform will also offer new scientific insights into the design, implementation, evaluation and reporting of the range of interventions relevant to addressing antimicrobial resistance.

“Fundamental gaps in knowledge hinder action against antimicrobial resistance, but the limitations of research into interventions for antimicrobial resistance serve as even bigger obstacles,” the authors say.

The range of interventions to tackle antimicrobial resistance is wide: from simple actions to complex ones, from regulatory to behavioural approaches, and from those focusing on prevention of infection to those focusing on responsible use of antimicrobials. Therefore, it is crucial to consolidate an evidence-based approach to the challenge.

The authors also note that the open access One Health learning platform will be useful to health-care professionals, public health practitioners, policymakers, industries and consumer groups.

“Ultimately, this will contribute to building societal resilience to this central challenge of the 21st century.”

Citation

Wernli, D., Jørgensen, P.S., Parmley, E.J., Troell, M., Majowicz, S., Harbarth, S., Léger, A., Lambraki, I., Graells, T., Henriksson, P.J.G., Carson, C., Cousins, M., Ståhlgren, G.S., Mohan, C.V., Simpson, A.J.H., Wieland, B., Pedersen, K., Schneider, A., Chandy, S.J., Wijayathilaka, T.P., Delamare-Deboutteville, J., Vila, J., Lundborg, C.S. and Pittet, D. 2020. Evidence for action: A One Health learning platform on interventions to tackle antimicrobial resistance. Lancet Infectious Diseases 20(12): e307–e311.

Photo credit: Landscape in Hoa Binh province, northwest of Vietnam (photo credit: ILRI/Vu Ngoc Dung).

Cattle coming in from the fields in the evening in Lhate Village, Chokwe, Mozambique (photo credit: ILRI/Stevie Mann).

The current coronavirus disease (COVID-19) pandemic has brought into sharp focus the interconnectedness of people, animals and the environment and how this can contribute to the spread of disease.

One Health is a concept that recognizes that the health and well-being of people is intricately linked to the health of animals and the environment. For this reason, disease outbreaks are best tackled through a One Health approach that harnesses the collaborative efforts of multiple disciplines and sectors. This is especially so for zoonotic diseases that are spread between animals and people. One Health is also useful for addressing other public health issues such as antimicrobial resistance and food safety. 

One Health is not a new concept, but it has become more important in recent years. This is because many factors have changed interactions between people, animals and the environment. These changes have led to the emergence and re-emergence of zoonotic diseases.

The International Livestock Research Institute (ILRI) has an established record of collaborative One Health research in Africa and Southeast Asia. To mark One Health Day coming up next week on 3 November, we bring you highlights of some One Health research initiatives by ILRI and partners.

Ecosystem approaches to the better management of zoonotic emerging infectious diseases in Southeast Asia

This project worked directly with over 100 actors involved in managing zoonotic emerging infectious diseases across eight multi-disciplinary teams in Cambodia, China, Indonesia, Laos, Thailand and Vietnam. The project increased the capacity of researchers and policy implementers to use One Health approaches for better control of zoonotic diseases. The project also produced various research outputs and increased understanding of the teams’ knowledge, attitudes and practice in relation to One Health and how this approach could lead to better health outcomes for people, animals and the environment.

One Health Regional Network for the Horn of Africa

This project aims to improve the health and wealth of the people of the Horn of Africa by developing a regional network of individuals and organizations that can undertake high quality research into the link between people’s health and that of livestock and the environment. The project builds capacity to undertake basic and applied research in One Health through training programs and research placements for both research and non-research staff from participating institutions.

One Health Research, Education and Outreach Centre in Africa

The One Health Research, Education and Outreach Centre in Africa was launched barely a week ago (on 22 October 2020) and is hosted at ILRI’s Nairobi campus. Its goal is to improve the health of humans, animals and ecosystems through capacity building, strengthening of local, regional and global networks and provision of evidence-based policy advice on One Health in sub-Saharan Africa. It has four research themes: control of neglected tropical zoonotic diseases; emerging infectious diseases; food safety and informal markets; and prevention and control of antimicrobial resistance. The centre is currently supporting the Government of Kenya’s national response to the COVID-19 pandemic through COVID-19 testing in ILRI’s bioscience laboratories.

One Health Units for Humans, Environment, Animals and Livelihoods

This project applies a One Health approach to enhance the well-being and resilience of vulnerable communities in pastoralist and agro-pastoralist areas of Ethiopia, Kenya and Somalia. The project brings together professionals in human and animal health and the environment to achieve better access to human and veterinary health services and sustainable natural resource management.

Photo credit: Cattle coming in from the fields in the evening in Lhate Village, Chokwe, Mozambique (ILRI/Stevie Mann)

Open Access Week 2020 banner. Open with purpose: Taking action to build structural equity and inclusion. October 19-25.

International Open Access Week is an opportunity to raise awareness about open access publishing of research outputs to enable their universal online accessibility. Research outputs are wide-ranging and include articles in peer-reviewed journals, books, book chapters, conference proceedings, infographics, presentations, posters, reports, theses and videos.

The theme of this year’s Open Access Week (19–25 October) is ‘Open with purpose: taking action to build structural equity and inclusion’.

The Animal and Human Health program of the International Livestock Research Institute (ILRI) seeks to effectively manage or eliminate livestock, zoonotic and foodborne diseases that matter to the poor through the generation and use of knowledge, technologies and products, leading to higher farmer incomes and better health and nutrition for consumers and livestock.

To celebrate Open Access Week 2020, we bring you a curated selection of recently published open access outputs authored and co-authored by scientists from ILRI’s Animal and Human Health program from across our research portfolio on antimicrobial resistance, food safety, One Health and zoonotic diseases.

Book chapters

  • Bett, B., Randolph, D. and McDermott, J. 2020. Africa’s growing risk of diseases that spread from animals to people. In: Swinnen, J. and McDermott, J. (eds), COVID-19 and global food security. Washington, D.C.: IFPRI. pp. 124–128. https://hdl.handle.net/10568/108990
  • Kang’ethe, E., Grace, D., Alonso, S., Lindahl, J., Mutua, F. and Haggblade, S. 2020. Food safety and public health implications of growing urban food markets. In: AGRA, Africa Agriculture Status Report. Feeding Africa’s cities: Opportunities, challenges, and policies for linking African farmers with growing urban food markets. Issue 8. Nairobi, Kenya: Alliance for a Green Revolution in Africa (AGRA): 101–119. https://hdl.handle.net/10568/109386

Peer-reviewed journal articles

  • Ferguson, A.W., Muloi, D., Ngatia, D.K., Kiongo, W., Kimuyu, D.M., Webala, P.W., Olum, M.O., Muturi, M., Thumbi, S.M., Woodroffe, R., Murugi, L., Fèvre, E.M., Murray, S. and Martins, D.J. 2020. Volunteer based approach to dog vaccination campaigns to eliminate human rabies: Lessons from Laikipia County, Kenya. PLOS Neglected Tropical Diseases 14(7): e0008260. https://hdl.handle.net/10568/108692
  • Hu Suk Lee, Vuong Nghia Bui, Huyen Xuan Nguyen, Anh Ngoc Bui, Trung Duc Hoang, Hung Nguyen-Viet, Randolph, D.G. and Wieland, B. 2020. Seroprevalences of multi-pathogen and description of farm movement in pigs in two provinces in Vietnam. BMC Veterinary Research 16: 15. https://hdl.handle.net/10568/106618 
  • Kemboi, D.C., Antonissen, G., Ochieng, P.E., Croubels, S., Okoth, S., Kang’ethe, E.K., Faas, J., Lindahl, J.F. and Gathumbi, J.K. 2020. A review of the impact of mycotoxins on dairy cattle health: Challenges for food safety and dairy production in sub-Saharan Africa. Toxins 12(4): 222. https://hdl.handle.net/10568/108030
  • Kivali, V., Kiyong’a, A.N., Fyfe, J., Toye, P., Fèvre, E.M. and Cook, E.A.J. 2020. Spatial distribution of trypanosomes in cattle from western Kenya. Frontiers in Veterinary Science 7: 554. https://hdl.handle.net/10568/109133
  • Kiyong’a, A.N., Cook, E.A.J., Okba, N.M.A., Kivali, V., Reuksen, C., Haagmans, B.L. and Fèvre, E.M. 2020. Middle East respiratory syndrome coronavirus (MERS-CoV) seropositive camel handlers in Kenya. Viruses 12(4): 396. https://hdl.handle.net/10568/107946
  • Long Pham-Thanh, Magnusson, U., Minh Can-Xuan, Hung Nguyen-Viet, Lundkvist, Å. and Lindahl, J. 2020. Livestock development in Hanoi city, Vietnam—Challenges and policies. Frontiers in Veterinary Science 7: 566. https://hdl.handle.net/10568/109404
  • Mitchell, M.E.V., Alders, R., Unger, F., Hung Nguyen-Viet, Trang Thi Huyen Le and Toribio, J.-A. 2020. The challenges of investigating antimicrobial resistance in Vietnam – what benefits does a One Health approach offer the animal and human health sectors? BMC Public Health 20: 213. https://hdl.handle.net/10568/107087 
  • Mutua, F., Sharma, G., Grace, D., Bandyopadhyay, S., Shome, B. and Lindahl, J. 2020. A review of animal health and drug use practices in India, and their possible link to antimicrobial resistance. Antimicrobial Resistance and Infection Control 9: 103. https://hdl.handle.net/10568/108734
  • Njenga, M.K., Ogolla, E., Thumbi, S.M., Ngere, I., Omulo, S., Muturi, M., Marwanga, D., Bitek, A., Bett, B., Widdowson, M.-A., Munyua, P. and Osoro, E.M. 2020. Comparison of knowledge, attitude, and practices of animal and human brucellosis between nomadic pastoralists and non-pastoralists in Kenya. BMC Public Health 20: 269. https://hdl.handle.net/10568/107419
  • Wernli, D., Jørgensen, P.S., Parmley, E.J., Troell, M., Majowicz, S., Harbarth, S., Léger, A., Lambraki, I., Graells, T., Henriksson, P.J.G., Carson, C., Cousins, M., Ståhlgren, G.S., Mohan, C.V., Simpson, A.J.H., Wieland, B., Pedersen, K., Schneider, A., Chandy, S.J., Wijayathilaka, T.P., Delamare-Deboutteville, J., Vila, J., Lundborg, C.S. and Pittet, D. 2020. Evidence for action: A One Health learning platform on interventions to tackle antimicrobial resistance. Lancet Infectious Diseases. https://hdl.handle.net/10568/109151

Infographic

  • Grace, D., Alonso, S., Mutua, F., Hoffmann, V., Lore, T. and Karugia, J. 2020. Food safety in Kenya: Focus on dairy. Infographic. Nairobi, Kenya: ILRI. https://hdl.handle.net/10568/109143

Presentations and posters

  • Diarra, S., Dione, M., Konkobo-Yameogo, C., Ilboudo, G., Roesel, K., Lallogo, V.R., Ouattara, L. and Knight-Jones, T. 2020. Value chain assessment of animal source foods and vegetables in Ouagadougou, Burkina Faso: Food safety, quality and hygiene perceptions and practices. Presentation at a project webinar, 20 May 2020. https://hdl.handle.net/10568/108633
  • Hung Nguyen-Viet, Unger, F., Hu Suk Lee, Lindahl, J., Thang Nguyen, Bett, B., Fèvre, E., Tum, S., Sinh Dang Xuan, Moodley, A. and Grace, D. 2020. One Health research at the International Livestock Research Institute to address neglected tropical diseases, zoonoses and emerging infectious diseases in Southeast Asia. Presentation at a webinar by the One Health Collaborating Center Universitas Gadjah Mada, ‘World Zoonoses Day 2020: Lessons learned and future directions’, 7 July 2020. https://hdl.handle.net/10568/108791
  • Lindahl, J., Mutua, F. and Grace, D. 2020. Livestock interventions in low-income countries: A theory of change for improved nutrition. Poster presentation at the virtual 2020 Agriculture, Nutrition and Health (ANH) Academy Week research conference, 30 June–2 July 2020. https://hdl.handle.net/10568/108715
  • Wieland, B., Moodley, A., Mbatidde, I., Ndoboli, D., Tenhagen, B.-A., Roesler, U., Erechu, R., Litta-Mulondo, A., Kakooza, S., Waiswa, J. and Kankya, C. 2020. Mitigating agriculture-associated antimicrobial resistance in poultry value chains in Uganda. Poster presented at the virtual annual planning meeting of the Boosting Uganda’s Investment in Livestock Development (BUILD) project, 10–12 June 2020. https://hdl.handle.net/10568/108689

Project report

  • Blackmore, E., Guarín, A., Alonso, S., Grace, D. and Vorley, B. 2020. Informal milk markets in Kenya, Tanzania and Assam (India): An overview of their status, policy context, and opportunities for policy innovation to improve health and safety. ILRI Research Report. Nairobi, Kenya: ILRI. https://hdl.handle.net/10568/109797

Research briefs

  • Lam, S., Huyen Thi Thu Nguyen, Hung Nguyen-Viet and Unger, F. 2020. Mapping pathways toward safer pork in Vietnam. ILRI Research Brief 95. Nairobi, Kenya: ILRI. https://hdl.handle.net/10568/108768
  • Nguyen Thi Thinh, Grace, D., Pham Van Hung, Le Thi Thanh Huyen, Hung Nguyen Viet, Sinh Dang-Xuan, Nguyen Thi Duong Nga, Nguyen Thanh Luong, Nguyen Thi Thu Huyen, Tran Thi Bich Ngoc, Pham Duc Phuc and Unger, F. 2020. Food safety performance in key pork value chains in Vietnam. ILRI Research Brief 94. Nairobi, Kenya: ILRI. https://hdl.handle.net/10568/108320
  • Pham Duc Phuc, Toribio, J.-A., Ngo Hoang Tuan Hai, Sinh Dang-Xuan, Nguyen Thanh Luong, Langley, S.J., Dunham, J.G., Dinh Thanh Thuy, Dang Vu Hoa, Hung Nguyen-Viet, Grace, D. and Unger, F. 2020. Food safety risk communication and training need of stakeholders and consumers regarding pork value chain in Vietnam. ILRI Research Brief 96. Nairobi, Kenya: ILRI. https://hdl.handle.net/10568/108769

Videos

Photo credit: International Open Access Week website