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Report of the 2nd WVA/WMA Global Conference on One Health


Kitakyushu City, Fukuoka Prefecture, Japan

10-11 November, 2016


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1. Outline

At the World Medical Association (WMA) meeting in October 2012, veterinarians and doctors agreed to cooperate with one another under the philosophy of "One Health" and work together to improve international health under this philosophy, following the 1st international conference in Spain 2015. 2nd World Veterinary Association (WVA) - WMA Global Conference on One Health was held in Kitakyushu, Fukuoka, Japan, from November 10 (Thu) to 11 (Fri). About 600 participants took part in this meeting. Dr. Kaoru TOKUTSU attended as a representative of the chairman of ICMM.

This meeting was held mainly with doctors, veterinarians, researchers and others involved in zoonosis. Since the chairman of the technical commission for the veterinary science of International Committee on Military Medicine (ICMM) attended this conference, ICMM requested the Ministry of Defense to participate in the conference. Thus, Dr. TOKUTSU and Dr. HORIKOSHI (medical officer of Japan Maritime Self-Defense Force) joined this conference.

The main theme of this meeting was "One Health" From concept to practice", therefore there were discussed that not only the concept of "One Health" but also the cooperation of doctors and veterinarians on zoonosis, Japan International Cooperation Agency (JICA) projects associated with zoonosis, counterplan for drug resistance, discussion of the concept of "One Health" in the future, and so on.

At the conference, in addition to the cooperation of doctors and veterinarians in the field of infectious diseases, the advance for environmental protection together was emphasized due to the importance of counterplan against the influence of antibiotics released into the environment. In addition, because the efforts to "One Health" have just begun, the contents of future education in medicine and veterinary medicine and what kind of people needs to participate in were also discussed.

2. Schedules

November 10 (Thu)
- Opening Plenary Session of the Council,
- Message from His Royal Highness Prince AKISHINO,
- Keynote Speech, One Health Concept, Zoonotic Disease,

November 11 (Fri)
- Antimicrobial Resistance, Fukuoka Prefecture Session on One Health,
- Other Aspects of One Health, Considerations for the Future of One Health,
- Concept, Summarization,
- Conclusion of Council Session,

3. WVA - WMA Officers

WVA President-Elect
Dr. Chiang JOHNSON (Taiwan)
(Representative of René Carlson)

WMA Past-President
Dr. Xavier DEAU (France)

Japan Medical Association President
Dr. Yoshitake YOKOKURA (Japan)
(President-Elect, WMA)

Secretary General of WMA

WVA Councillor for international Discipline-centered organizations
Dr. Patricia TURNER (Canada)

Veterinary Policy Officer of WVA
Dr. Zeev NOGA

4. Discussions in such committees

As for the points I particularly interested in, there are the following two articles. First, the infectious disease control in Africa is dependent on developed countries, and it is a problem that scientists in Africa are less likely to be responsible persons. Despite these facts, the importance to work out countermeasures in their own area in Africa was expressed. In the sessions from the University of Zambia and the Kenya National Health Research Consortium, Zambia is adjacent to the hot zone of Ebola hemorrhagic fever, therefore, the diagnostic kit tool "Quick Navi - Ebola” for detecting the pathogen of Ebola hemorrhagic fever and the biosafety level-3 institution to investigate for the pathogens were prepared with the support of Hokkaido University. In addition, from the Kenya National Health Research Consortium, Nagasaki University’s support introduced the maintenance of outbreak warning system including Ebola hemorrhagic fever. In African countries, a certain level of countermeasures are being taken through the support of developed countries, so even for countermeasures against infectious diseases, which poses a threat to the international community, it is necessary to grasp information on such situations and use it for some kind of support activities. Second, Leander BUCHNER of chairman of the technical commission for the veterinary science of ICMM announced Veterinary Contribution in the Military, entitled "One Health approach - Veterinary Contribution in Forces", emphasizing the importance of measures against infectious diseases including veterinarian section in the military. He introduced as scenes of many veterinarian section’s activities such as epidemic prevention, disinfection, response to animals for battle, removal of landmines by horses and dogs, management of horses for cavalry, measures against pests (eg, measures against lice).

As an international military mission, there was a concrete introduction about the Q fever epidemic and countermeasures in NATO’s camp site of KFOR (Kosovo Force), and examples of food poisoning by Salmonella in KFOR camp. For the former, He presented the rapid measures were important, and in the short term, decontamination in the vicinity of camping sites, elimination of feces of animals, animal surveillance near the camping site, treatment of sheep, etc. In addition, He also introduced the case studies carried out more advanced surveillance and vaccination using Utilization of Seeds in the medium term. Regarding the latter, responding to food poisoning cases in the camp, 30 NATO soldiers had symptoms of severe gastrointestinal disorders, fever, nausea, viscidity, and the veterinarians detected the bacterium from food samples stored at -20 °C. He highlighted the role of veterinarians in the military once again as it was introduced as identifying Salmonella by examining samples from patients and taking measures.

In conclusion, during the Closing Ceremony of the 2nd Global Conference on One Health, WVA, WMA, Japanese Medical Association and Japanese Veterinary Medical Association signed on the Memorandum of Fukuoka. These 4 associations agreed to move from the validation and recognition stage of the “One Health Concept”, to the implementation stage:
1. Physicians and veterinarians shall promote the exchange of information aimed at preventing zoonotic diseases and strengthening cooperative relationships, as well as to undertake further collaboration and cooperation aimed at creating a system for zoonosis research.

2. Physicians and veterinarians shall strengthen their cooperative relationships to ensure the responsible use of important antimicrobials in human and animal healthcare.

3. Physicians and veterinarians shall support activities for developing and improving human and veterinary medical education, including understanding the One Health concept and approach to One Health challenges.

4. Physicians and veterinarians shall promote mutual exchange and strengthen their cooperative relationships in order to resolve all issues related to the creation of a healthy and safe society.

5. Appendixes.

- Program
- Summary from WMA

(Written by Hideyuki HORIKOSHI, JAPAN MoD)