Safeguards the health

of animals, people, and

the environment

1

One Health Disease Outbreak

Training Scenario

Alicia Humlicek, DVM, MPH, DACVPM

Pima Medical Institute

Tracey Lynn, DVM, MS, DACVPM and Barbara Bischoff, DVM, MA, APR

One Health Coordination Center

U.S. Department of Agriculture

Association of American Veterinary Medical Colleges

Annual Conference

March 2014

Safeguards the health

of animals, people, and

the environment

One Health…

• Promotes optimal health for people,

animals, and the environment (AVMA, 2014)

• Requires integrative effort across multiple

disciplines

• Is part of Veterinary Services’ (VS)

Strategic Direction

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Safeguards the health

of animals, people, and

the environment

VS’ Role in One Health

• Mission: Safeguarding the health of

animals, people and the

environment

• One Health is integral to VS’ operations

• Strong emphasis on education:

– Expanding in-service training in OH

– Contributing to veterinary education – 5-10 externs and graduate students/yr

3

Safeguards the health

of animals, people, and

the environment

Mutual Benefits• Meet requirements for a Master’s of Public

Health (MPH) degree

• Gain One Health (OH) knowledge and expertise

• Develop training materials for VS epidemiologists focused on OH principles and competencies

• Strengthen VS OH Training and Education Framework

4

Methods

• Defined shared epidemiologic and OH training objectives:• Recognize indicators of a potential disease outbreak

• Apply knowledge of steps involved in a disease outbreak investigation to effectively control the outbreak and prevent further disease spread.

• Identified key epidemiologic and OH core competencies met by training

Safeguards the health

of animals, people, and

the environment

Core Competencies Targeted

• Fostering effective communication and

information sharing

• Collaboration

• Conflict resolution

• Leadership and Systems Thinking to identify

issues and formulate solutions to OH

problems

• Planning and management of OH responses

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Safeguards the health

of animals, people, and

the environment

Scenario Development• Based on Epidemic Intelligence Service training

• Defined disease agent selection criteria

• Disease agent selection: Brucella suis

– Biologic Plausibility

– One Health Impact

– Public Health concern with need for multidisciplinary response

• Literature review and consultation with subject matter experts

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Safeguards the health

of animals, people, and

the environment

Scenario Training Delivery

• Table-top disease outbreak scenario

• 14 Participants: 4 table groups

• Facilitators led the group through disease

outbreak investigation

• Scenario designed for first day of a 3 day

Outbreak Investigation Course

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Safeguards the health

of animals, people, and

the environment

One Health Disease

Outbreak Scenario

• Problem: Human outbreak of brucellosis

• Request: Assistance in identifying risk factors

• Data analysis: Epidemiologic analyses

• Control of disease: Trace-back, disease

surveillance, risk assessment

• Key message mapping: Communication to

stakeholders

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Safeguards the health

of animals, people, and

the environment

Results: Training Delivery

• Overall satisfaction = 4.68 out of 5

• Participants identified “things that went

well” as:

– time allocation

– structure of course

– “everyone in class was engaged in

discussions and shared varied viewpoints,

information, and thoughts”

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Safeguards the health

of animals, people, and

the environment

Results: Knowledge Gained

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Level of understanding

Before

After

Safeguards the health

of animals, people, and

the environment

Discussion

• Successful method for building OH

competencies

• Great potential collaborations with other

universities, agencies and stakeholders

– Additional student projects

– Built a library of outbreak scenarios

– Explore additional collaboration with CDC to

incorporate OH competencies into EIS

training scenarios

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Safeguards the health

of animals, people, and

the environment

Thank You

Questions?Tracey Lynn, DVM, MS, DACVPM

tracey.v.lynn@aphis.usda.gov

• Brian McCluskey, DVM, MS, PhD, DACVPM

• Mary Foley, CEAH librarian

• Jason Baldwin, DVM

• Cris Young, DVM, MPH, DACVPM

• Beth Harris, MS, PhD

• John Belfrage, DVM, MPH. DACVPM

• CDC EIS Program Office

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