Leading the way On One Health

Transcription

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2 The Third Regional Workshop on Multi-Sectoral Collaboration on Zoonoses Prevention and Control The Patra Bali Resort, Bali, Indonesia November 2012 Leading the way On One Health

3 Table of Contents Section 1 Concept Note Section 2 Agenda Section 3 Session 1: Updates on One Health Initiatives Section 4 Session 2: Learning from Others Experience Section 5 Session 3: Key Elements of One Health Strategy Section 6 Session 4: Emerging Issues Section 7 Participant List Section 8 Annexes

4 Concept Note Multiple predisposing factors are well recognised as increasing the risk of the Rationale of the workshop transmission of zoonotic disease globally, major examples of which include: rapid growth of human population, intensification of farming systems, greater interaction between humans and wildlife, climate change, and globalisation of trade. Emerging and re-emerging zoonotic infections pose significant threats to health security, affect livelihoods, and may cause significant economic impact with trade disruptions. To effectively address the risks and hence the negative impacts associated with zoonotic diseases, a One Health approach, emphasising a multi- sectoral and multi- disciplinary approach at various levels is increasingly being adopted. In order to ensure a multi-disciplinary approach, both human and animal health sectors need to strengthen their own capacities as well as cross-sectoral coordination mechanisms. FAO, OIE and WHO are well placed with global perspectives, in collaboration with regional bodies such as ASEAN and SAARC, to play a significant role in the coordination and consolidation of these efforts under their collaborative framework. As part of these on-going efforts, a Regional Workshop on Collaboration between Human and Animal Health Sectors on Zoonoses Prevention and Control was initiated in 2010 in Sapporo, Japan. A follow-up on this initial workshop, the Second Regional Workshop was held in Chiang Mai, Thailand in January Having noted the progress achieved in country approaches to One Health, three major recommendations emerged from the Second Workshop: (i) FAO, OIE and WHO including their collaborating centres, regional organisations (ASEAN and SAARC) and other international partners will continue to collaborate closely to provide support to member states; (ii) Animal and human health sectors of member states will continue to collaborate on zoonoses prevention and control, taking into consideration the coordination mechanism and collaborative frameworks agreed previously or proposed at the Second Regional Workshop; and (iii) The Third Regional Workshop on Collaboration between Animal and Human Health Sectors on Zoonoses Prevention and Control is to be jointly organised by FAO, OIE and WHO within the next 12 months. Thus, the Third Regional Workshop, now renamed Multi-Sectoral Collaboration on Zoonoses Prevention and Control, will convene in Bali, Indonesia this November, Its theme, structure, objectives and workshop design will be guided by the following background documents relevant to multi-sectoral collaboration: The FAO-OIE-WHO Collaboration Tripartite Concept Note (April, 2010), Proceedings from the High-Level Technical Meeting (HLTM) to Address Health Risks at the Human-Animal-Ecosystems held in Mexico (November, 2011) and the Report from the FAO-OIE-WHO Second Human-Animal Health Collaboration on Zoonoses Prevention and Control (January, 2012). An emphasis on rabies, zoonotic influenza and antimicrobial resistance will be taken as highlighted in HLTM, but the workshop will also cover the need to identify other priority human-animal health issues unique to the region. In this workshop, the progress on collaboration made by participating countries and FAO, OIE and WHO will be reviewed; special topics and emerging issues related to emerging One Health issues will be discussed and key elements of a One Health Strategy will be elaborated. As recommended in the last workshop, the Third Regional Workshop on Multi-Sectoral Collaboration on Zoonoses Prevention and Control now includes the participation and representation of other relevant sectors.

5 Objectives of the workshop I. Review and update the progress and experiences in coordination and collaboration mechanisms between various relevant sectors at the international, regional and national levels; and the drafted framework for collaborative activities to strengthen zoonoses prevention and control among international and regional organisations and member countries. II. Identify weaknesses and gaps that need to be addressed to further advance the progress thus far made in multi-sectoral collaboration and coordination relevant to zoonoses prevention and control. III. Update the group on various initiatives and activities in the region pertaining to One Health IV. Identify human-animal health issues that are a priority to the region, which will benefit with strengthened multi-sectoral collaboration V. Determine key actions required to advance the key elements of a One Health Strategy for both region and country levels, in accordance with the 2008 Strategic Framework for Reducing Risks at the Animal-Human- Ecosystems Interface, the 2010 Tripartite Concept Note, and the 2011 High Level Technical Meeting in Mexico. And lastly, outline the steps required using these key elements, to develop a One Health Strategy for the region. Expected Outputs I. Agreement on the key actions required to advance the key elements for a Regional One Health Strategy that lays down the progressive coordinated direction in all identified focal areas relative to zoonoses prevention and control; II. A workshop report outlining: a. progress in establishing and implementing the coordination and collaboration mechanism between human and animal health sector on zoonoses prevention and control at international, regional and national levels; b. identified problems and challenges encountered; c. a draft list of currently existing One Health activities, initiatives, and contact points in the region; d. recommendations on the ways to improve collaboration and coordination between human and animal health sector on zoonoses prevention and control at international, regional and national levels.

6 Agenda 26 November 2012 DATES/TIME SESSION/ACTIVITIES MODERATOR / PRESENTER 08:00 08:30 Registration DGLAHS, Indonesia 08:30 09:00 OPENING SESSION (MC: Miss Titik) Opening Program Welcome remarks Dr Putu Sumantra, Head of Livestock and Animal Health Services, Bali Dr Subhash Morzaria, FAO Dr Gardner Murray, OIE Dr Khanchit Limpakarnjanarat, WHO Dr Pudjiatmoko, Director of Animal Health, DGLAHS, Indonesia SESSION 1A: UPDATES ON INITIATIVES ON ONE HEALTH IN THE ASIA-PACIFIC REGION (Chair: Dr. Bagoes Poermadjaja, DGLAHS, Indonesia ) 09:00 09:20 Association of Southeast Asian Nations (ASEAN) ASEAN Secretariat 09:20 09:40 South Asian Association for Regional Cooperation (SAARC) 09:40 10:10 Regional Zoonotic Disease 10:10 10:40 Group Photo and coffee break 10:40 11:00 11:00 12:30 Dr Muhammad Tareque Dr Ibrahim Zuhuree Dr Gyanendra Gongal Dr Carolyn Benigno Dr Tomoko Ishibashi SESSION 1B: UPDATES ON COUNTRY INITIATIVES ON ONE HEALTH (Chair: Dr Mary Joy Gordoncillo) Situation Review of the Recommendations from the 2 nd Regional Workshop in Chiang Mai, Thailand and Introduction to the 3 rd Regional Dr Andrew Davis Workshop Poster session: Partners and Country Progress in multi-sectoral collaboration advancing One Health approaches 12:30 13:30 Lunch 13:30 15:00 Poster session: Partners and Country Progress in multi-sectoral collaboration advancing One Health approaches 15:00 15:30 Coffee Break 15:30 16:30 Discussion and synthesis of country progress, gaps, and needs Dr Gardner Murray 16:30 17:00 Day 1 Conclusions Dinner hosted by OIE (Tamblingan Pool Side, Hotel Patra Jasa Bali Resort and Villas)

7 27 November 2012 SESSION 2: LEARNING FROM OTHERS EXPERIENCE (Chair: Member Country) Moderator: Dr Subhash Morzaria 08:30 09:00 Overarching framework: One Health Country Initiatives Member Country 09:00 09:30 Wildlife and Environment Member Country 09:30 10:00 Socio-Economic Aspect Member Country 10:00 10:30 Communication and Advocacy Member Country 10:30 11:00 Break 11:00 11:30 Selected Partner experiences Partners 11:00 12:00 Panel Group Discussion 12:00 13:00 Lunch 13:00 13:20 SESSION 3: KEY ELEMENTS OF A ONE HEALTH STRATEGY (Chair: Member Country) Introduction and review of One World One Health, Egypt 2008; Tripartite Concept Note, Hanoi 2010; HLTM, Mexico 2011; and Review of Key Elements 13:20 14:30 Parallel Group discussion: Members and Partners (Part I) 14:30 15:00 Working Coffee Break 15:00 15:30 Parallel Group discussion: Members and Partners (Part II) 15:30 16:00 Group presentations 16:00 16:30 Synthesis and Recommendations Dinner hosted by DGLAHS,MoA Member Countries and Partners Moderator: Dr Ronello Abila Dr Ronello Abila 28 November :00 08:30 Rabies SESSION 4: EMERGING ISSUES (Chair: WHO) Dr Pudjiatmoko Dr Rita Kusriastuti 08:30 09:00 Nipah Virus Dr Mushtuq Husain 09:00 09:30 Antimicrobial Resistance 09:30 10:00 Break Dr Rajesh Bhatia Dr Mary Joy Gordoncillo 10:00 10:30 Operationalising One Health: 4-way linking initiative Dr Filip Claes 10:30 11:00 Hendra virus Dr Peter Daniels 11:00 12:00 Recommendations, conclusion and close 12:00 13:00 Lunch 13:00 20:30 FIELD TRIP

8 Session 1 Updates on Country Initiatives on One Health To maintain the enthusiasm and momentum generated during the First Regional Workshop between the Human and Animal Health Sectors on Zoonoses Prevention and Control in Sapporo, Japan in December 2010, the second Zoonoses Workshop was held in Chiang Mai, Thailand from January This second workshop reviewed and noted the considerable progress made by several countries in the implementation of the first three recommendations of the First Workshop i.e. (i) Countries should establish a functional coordination mechanism between animal and health sectors by 2011; (ii) One Health should be advocated by countries and regional partners to raise awareness and obtain support from policy-maker; and (iii) Countries should identify and implement activities that will use and ensure sustainability of coordination mechanism. Seventy-five percent of the participating countries identified good examples of collaboration between animal and human health sectors on zoonotic disease prevention and control. The collaborative framework at the regional and country levels was also drafted during this workshop through a facilitated group discussion following the set of instructions provided by the organisers. In this facilitated group discussion session, the participants were made to identify possible areas of collaboration at country and regional levels, possible emerging zoonotic diseases for each country, time line with expected outputs, common framework for collaboration with activities, potential partners and their responsibilities. To continue updating and highlighting the progress made by countries with multi-sectoral collaboration for zoonoses control and prevention, each participating country in this Third Workshop were requested to prepare a joint poster briefly summarizing their current zoonoses situation, initiatives, progress and challenges encountered on zoonoses control and prevention. They were also asked to include key elements they consider important in improving zoonoses control and prevention, based on their own experiences. Additionally, to take stock of the existing initiatives in the region, attending partners were also asked to prepare their respective posters. Partners were also requested to share their future plans, discuss opportunities available from their end and those which they seek from the region, and provide insight as to how they envision One Health mechanisms in the region in the next ten years and what their organization can contribute and commit to in the process of achieving this.

9 Session I Worksheet Part I Objective: Review and update the progress and experiences in coordination and collaboration mechanisms between various relevant sectors at the international, regional and national levels. After carefully reviewing each country poster on display, for each particular sector as indicated (animal health, human health, wildlife/environment, socio-economics, communication/advocacy) please identify a country who you think demonstrated the most outstanding activity/initiative that addressed and/or supported the One Health concept in their country. Briefly describe your basis for this selection. Sector Animal Health Name of Country This particular sector in this particular country demonstrated the following good example/s. Human Health Wildlife/Environment Socio-economics Communication/Advocacy Please also identify PARTNER initiatives and/or programs that you think will help in advancing One Health in your country. Name of Partner Comments

10 Session I Worksheet Part II Objective: Review and update the previously drafted framework for collaborative activities to strengthen zoonoses prevention and control and identify strengths that supported achieving targets as well as challenges that need to be addressed to further advance the progress made thus far in multi-sectoral collaboration and coordination relevant to zoonoses prevention and control. Please make sure you get a copy of your country s coordination framework and collaborative mechanisms as drafted by you or your attending colleagues during the 2 nd Regional Workshop (handout). Kindly review the flow chart and the collaborative framework and answer the following: 1. Are there major changes in the collaboration flow chart on the draft presented? YES, there were changes in the coordination framework. (Please indicate on the diagram as to which part of the chart was the change/s introduced. What do you think is the impact of this change on the multisectoral collaboration in your country?) NO, there were no changes. 2. Were the identified proposed collaboration and joint activities progressed as targeted? YES. Please indicate (on the diagram) which among those identified proposed collaboration took place. Follow-up: What elements do you think contributed to making this possible? NO. None of those planned activities materialised. Follow-up: What do you think were the barriers in making this happen? Session 1: Relevant to this session, please identify points which you would like to be considered as part of the recommendations from the FAO/OIE/WHO 3 rd Multi-Sectoral Zoonoses Workshop:

11 Session 2 Learning from Each Other s Experience The previous workshop duly noted that approaches to implementing OH have moved forward among countries in the region. Having recognised the need to involve other sectors to further progress in zoonoses prevention and control, the inclusion of other relevant sectors such as wildlife, environmental health, agriculture and others, was recommended in the second zoonoses workshop in Chiang Mai. Other disciplines, including socio-economics and communication, were also seen as important in ensuring progress and were thus recommended to be covered in this 3 rd workshop. While Member Countries continue to progress and mature in their multi-sectoral collaboration, over time, experience is gained and lessons are learnt. This experience may serve as invaluable guidance for others with similar concerns, and sharing of experiences may be a powerful tool for the Region. Other than recognising each other s strengths, participating Member Countries will be able to appreciate respective gaps and needs and how this may be best addressed in their own context given the directions that others have taken. Session 2 of this workshop will cover the overarching framework of country initiatives on One Health, and highlight the lessons learned from the experiences of countries as they move forward with multi-sectoral collaboration. Member Countries will also be provided the opportunity to learn about the experiences of partner organisations working in the region, and determine how these institutions may best support their plans in further advancing One Health in their respective countries.

12 Session 2 Worksheet Objective: Identify challenges that need to be addressed to further advance the progress thus far made in multisectoral collaboration and coordination relevant to zoonoses prevention and control. To open the discussion, countries identified to have good example for each sector/discipline (from Session 1) will be asked to briefly discuss some of their key experiences in making this happen. All Member Countries are encouraged to share their own experiences and contribute to a broader understanding of the challenges and constraints faced by the region with regards to multi-sectoral collaboration. 1. In the context of multi-sectoral collaboration for advancing One Health, what do you think are your country s strengths and challenges? Sector Strength Current Challenges Animal Health Human Health Wildlife/Environment Socio-economics Communication/Advocacy 2. From the country experiences shared, which do you consider as most practical and applicable to your own country? Session 2: Relevant to this session, please identify points which you would like to be considered as part of the recommendations from the FAO/OIE/WHO 3 rd Multi-Sectoral Zoonoses Workshop:

13 Session 3 Key Elements of a One Health Strategy KEY SUPPORTING ELEMENTS 1. Political will and high-level commitment 2. Trust 3. Common objectives and priorities 4. Shared benefits 5. Strong governance structures, aligned legal frameworks, and recognition of existing international standards 6. Adequate and equitably distributed resources 7. Identification and involvement of all relevant partners 8. Coordinated planning of activities 9. Guidance on implementation of crosssectoral collaborations 10. Capacity development 11. Strong and effective health systems within the individual sectors The Food and Agriculture Organization of the United Nations, the World Organisation for Animal Health, and the World Health Organization, with the support of the United Nations System Influenza Coordination sought to conduct a High-Level Technical Meeting to Address Health Risks at the Human Animal Ecosystem Interface (HLTM) hosted by Mexico in 2011 to advance the implementation of One Health approaches in countries and complement the other meetings that have taken place on this subject. A main outcome was identification of key supportive and operational elements of effective cross- sectoral collaboration to address health risks at the human animal ecosystem interface. The identified key supporting elements of effective crosssectoral collaboration are inherently and inextricably interconnected and interdependent. The key elements overlap and impact many of the other elements. The existence of one element often directly influences the ability to implement another. These elements are applicable within and among all sectors undertaking crosssectoral work, irrespective of administrative level. In addition to this, key operational elements were also identified in this meeting. These are the activities that, when in place or undertaken, particularly at the national level, most commonly characterize successful efforts, once the key supporting elements are in place to allow and facilitate effective cross-sectoral collaboration overall. Session 3 of this workshop will introduce and describe in further detail the Key Supporting and Operational Elements of effective multi-sectoral collaboration as identified from the High-Level Technical Meeting. Participants will be asked to review and identify actions to strengthen each country s key supporting and operational elements for effective multisectoral collaboration. Their contributions will also be sought to comment on the regional relevance of these elements and utilise as appropriate to develop a foundation for Regionspecific One Health Strategy. Consideration should be given to existing One Health documents in addition to the HLTM (2008 A strategic Framework for Reducing Risks at the Animal- Human-Ecosystems Interface and the 2010 Tripartite Concept Note) as well as well-recognised country experiences in the region on multi-sectoral collaboration. KEY OPERATIONAL ELEMENTS A. Joint cross-sectoral coordination mechanisms B. Routine communication C. Joint simulation exercises D. Data sharing E. Joint risk assessment F. Active cooperation on disease control programmes

14 Session 3 Worksheet Part I, Member Countries Objective: Review key supporting elements and key operational elements of effective cross-sectoral collaboration as identified in the HLTM. Given the background on the 2011 HLTM, please indicate the current status of the multi-sectoral (animal-humanenvironmental health) collaboration in your country according to each of the identified key supporting elements. Key Supporting Elements Not existing Weak Moderate Strong 1. Political will and high-level commitment 2. Trust 3. Common objectives and priorities 4. Recognition of shared benefits 5. Strong governance structures, aligned legal frameworks, and recognition of existing international standards 6. Adequate and equitably distributed resources 7. Identification and involvement of all relevant partners 8. Coordinated planning of activities 9. Guidance on implementation of cross-sectoral collaborations 10. Capacity development 11. Strong and effective health systems within the individual sectors With regards to multi-sectoral collaboration, are the following currently operational in your country? Key Operational Elements Yes No I am not aware 1. Joint cross-sectoral coordination mechanisms 2. Routine communication (between A-H-E sectors) 3. Joint simulation exercises 4. Data sharing 5. Joint risk assessment 6. Active cooperation on disease control programmes (If yes, please identify which disease) 7. Other relevant initiatives not listed

15 Session 3 Worksheet Part I, Partners Objective: Review key supporting elements and key operational elements of effective cross-sectoral collaboration as identified in the HLTM. Given the background on the 2011 HLTM, please indicate whether your present initiatives and current priorities include actual (measurable) support to the following key elements, and identify which initiative aims to foster this. Key Supporting Elements 1. Political will and high-level commitment 2. Trust 3. Common objectives and priorities 4. Recognition of shared benefits 5. Strong governance structures, aligned legal frameworks, and recognition of existing international standards 6. Adequate and equitably distributed resources 7. Identification and involvement of all relevant partners 8. Coordinated planning of activities 9. Guidance on implementation of cross-sectoral collaborations 10. Capacity development 11. Strong and effective health systems within the individual sectors Not supported Supported by the following initiative: Similarly with regards to multi-sectoral collaboration, do you have an existing project/s that supports or may support the following operational elements in a country? Key Operational Elements No Yes, through the following initiative/s 1. Joint cross-sectoral coordination mechanisms 2. Routine communication (between A-H-E sectors) 3. Joint simulation exercises 4. Data sharing 5. Joint risk assessment 6. Active cooperation on disease control programmes (If yes, please identify which disease) 7. Other relevant initiatives not listed

16 Session 3 Worksheet Part II, Member Countries Objective: Comment on the regional relevance of the identified elements and utilise each as necessary to develop a foundation for Region-specific One Health Strategy using existing One Health documents as well as well-recognised country experiences in the region on multi-sectoral collaboration. Participants from Member Countries will be initially divided into 11 groups (2 countries each group) to deliberate and identify steps to foster each of the identified key supporting elements of multi-sectoral collaboration (15 minutes). All Member Countries will then reconvene and each team s output posted for further review of the plenary. Elements not covered, but considered important given the prevailing conditions and concerns in the region, may also be suggested. Key Supporting Elements Member country actions to advance this element 1. Political will and high-level commitment 2. Trust 3. Common objectives and priorities 4. Recognition of shared benefits 5. Strong governance structures, aligned legal frameworks, and recognition of existing international standards 6. Adequate and equitably distributed resources 7. Identification and involvement of all relevant partners 8. Coordinated planning of activities 9. Guidance on implementation of cross-sectoral collaborations 10. Capacity development 11. Strong and effective health systems within the individual sectors

17 Session 3 Worksheet Part II, Partners Objective: Contribute to the development of a foundation for a Region-specific One Health Strategy by identifying partner actions and commitment that will be in support of advancing each of the identified key elements. As with the member countries, partners will be initially divided into 4 groups (approximately 5 persons per group) to deliberate and identify steps to foster three of the 11 identified key supporting elements of multi-sectoral collaboration, in the context of partner organisations in the region (15 minutes). Output will then be posted for review, further deliberation and improvement of all the participating member countries. Partners can also identify existing specific projects/initiatives that can support these. The table below can serve as initial point for discussion: Key Supporting Elements Partner actions to advance this element in the region 1. Political will and high-level commitment 2. Trust 3. Common objectives and priorities 4. Recognition of shared benefits 5. Strong governance structures, aligned legal frameworks, and recognition of existing international standards 6. Adequate and equitably distributed resources 7. Identification and involvement of all relevant partners 8. Coordinated planning of activities 9. Guidance on implementation of cross-sectoral collaborations 10. Capacity development 11. Strong and effective health systems within the individual sectors Session 3: Relevant to this session, please identify points which you would like to be considered as part of the recommendations from the FAO/OIE/WHO 3 rd Multi-Sectoral Zoonoses Workshop:

18 Session 4 Emerging Issues As highlighted in the introduction of the concept note for this workshop, multiple predisposing factors increase the risk of the transmission of zoonotic disease globally including: rapid growth of human population, intensification of farming systems, greater interaction between humans and wildlife, climate change, and globalisation of trade. As these factors continue to expand and the dynamic animal-human interphase continues to evolve, health challenges consequently continue to arise. Countries in Asia physically share a unique geographic location, and for the most part also share common socio-cultural practices, traditions, ecology and political structure among many other things. As such, the region also shares similar disease threats and concerns that do not recognise national boundaries or jurisdictions. This underpins the value and utility of conjoined vigilance and shared preparedness to emerging and re-emerging health issues by countries within the region. This session will focus on country experiences on zoonoses which is relatively widespread (rabies), recently emerged (Nipah virus), and that which is still considered exotic to the region (Hendra). Discussions on emerging global concerns will also be covered (antimicrobial resistance) along with examples of activities operationalising One Health at the regional level. Additionally, to ensure a well-tailored Region-specific One Health Strategy, other human-animal health issues not covered here but are considered important by Member Countries will be identified in this session for future consideration.

19 Session 4 Worksheet Objective: Identify human-animal health issues that are a priority to the region, which will benefit with strengthened multi-sectoral collaboration 1. Do you think all of those discussed reflect the concerns of the region? Why or why not? 2. Are there other One Health concerns that you think should be recognised as equivalent or as more important priority in the region? Please list them below, and include a brief reason/justification why this should be considered as a priority. Session 4: Relevant to this session, please identify points which you would like to be considered as part of the recommendations from the FAO/OIE/WHO 3 rd Multi-Sectoral Zoonoses Workshop:

20 Appendix 1 RECOMMENDATIONS from the 2 nd Regional Workshop on Collaboration Between Animal and Human Health Sectors on Zoonoses Prevention and Control January 2012, Chiang Mai, Thailand 1. FAO, OIE and WHO including their collaborating/reference centers, regional organizations (ASEAN and SAARC) and other international partners will continue to coordinate and collaborate closely to: a. Provide support to member states on building capacity including training on laboratory diagnosis, epidemiology, surveillance and response as well as risk and prevention communication, advocacy and research for zoonoses prevention and control; b. Support the coordination of the animal, human, environmental and other relevant sectors at the country and regional levels; c. Jointly advocate for adoption of One Health (OH) at regional and country levels to notably address zoonotic and other emerging and re-emerging diseases; d. Support member states to develop strategic action plans for zoonotic disease prevention and control under the umbrella of OH. This includes provision of guidance and compilation of examples of good practices of OH operationalization. 2. Animal and human health sectors of the member states will continue to collaborate in zoonoses prevention and control, taking into consideration the coordination mechanisms and collaborative frameworks agreed previously or proposed at the Second Regional Workshop. Member states are encouraged to document activities of this nature and to report said progress in the next meeting. NOTE Progress has been made in country approaches to implementing OH. 3. The Third Regional Workshop on Collaboration between the Animal and Human Health Sectors on Zoonoses Prevention and Control will be jointly organized by FAO, OIE and WHO within the next 12 months. a. Other relevant sectors such as wildlife, environmental health, agriculture, etc. should be invited to attend the workshop; b. Other disciplines including socio-economics and communication should be included in the themes for the next workshop; c. Progress on recommendations from the Second Regional Workshop should be followed up by member states and FAO, OIE and WHO in the next 12 months and reviewed in the next workshop. d. The workshop title is to be changed to The Third Regional Workshop on Multi-Sectoral Collaboration on Zoonoses Prevention and Control.