One Health Disease Outbreak Training Scenario Association of American Veterinary Medical Colleges Annual Conference March 2014 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 1
One Health Promotes optimal health for people, animals, and (AVMA, 2014) Requires integrative effort across multiple disciplines Is part of Veterinary Services (VS) Strategic Direction 2
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
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
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 6
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 7
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 8
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 9
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 10
Number of people Results: Knowledge Gained 5 4 3 Before 2 After 1 0 1 2 3 4 5 6 7 8 9 10 Level of understanding 11
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 12
Thank You 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 Questions? Tracey Lynn, DVM, MS, DACVPM tracey.v.lynn@aphis.usda.gov 13