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The SGU One Health
One Medicine Initiative
The SGU One Health
One Medicine Initiative
St. George’s University is deeply committed
to the health of communities and, in the
framework of One Health One Medicine, it is
uniquely situated to seek solutions that further
global community health with the inclusion
of a School of Medicine, a School of Veterinary
Medicine, a Masters of Public Health Program,
and a Regional Collaborating Center of
the United Nations Framework Convention
on Climate Change (UNFCCC)
all on a single campus.
AN SGU ONE HEALTH ONE MEDICINE
BEGINNING
Massive Open Online Courses in One Health One Medicine
eptember 2014
S
One Health, One Medicine: A Global Health Approach
J une 2016
One Health, One Medicine: An Ecosystem Approach
ovember 2016
N
One Health, One Medicine: A Sustainable Approach
One Health One Medicine Scholarship
$320,000 was awarded in scholarships in the 2017 academic year to 15 veterinary
students to allow their enhanced training to lead to new awareness and advances
in the totality of health for humans, animals, and the environment.
One Health One Medicine Student
Organizations at SGU
One Health One Medicine Movement
(OHOMM)
Uniting students from the Schools of
Medicine, Veterinary Medicine, Public Health,
and Arts and Sciences and the Department
of Public Health and Preventive Medicine in
one cohort, increasing interest, awareness,
and education on the interconnected nature
of the health of humans, animals, and the
environment
One Health One Medicine Clinics
Several times per year, the American Medical
Students Association and the Student
Chapter of the American Veterinary Medical
Association set up a tent and treat human
patients with blood pressure and diabetes
testing, eye exams, hearing exams, etc. and
animals with deworming, blood and urine tests,
grooming hints, etc.
2
Center for One Health, One Medicine
Education, Conservation and Outreach (ECO)
ECO’s mission is to facilitate environmental awareness through research and
education.
Public Health Students Association (PHSA)
promotes aspects of public health and preventive medicine through education
and various activities within the school and broader community.
International Federation of Medical Students Associations (IFMSA)
Medical students in Grenada join more than 1 million IFMSA medical students
under the auspices of to the United Nations and the World Health Organization
to seek out public health solutions for communities.
International Veterinary Students Association (IVSA)
Benefitting animals and people by harnessing the potential and dedication of
veterinary students to promote the international application of veterinary skills,
education and knowledge.
Global One Health Explorers Club (GOHEC)
Established to provide a forum for the SGU community to come together to
share international experiences that embrace OHOM and capture the unique
aspects of how humans, animals, and the environment are inextricably linked.
SGU ONE HEALTH ONE MEDICINE
INITIATIVE PARTNERS
he Windward Island Research and
T
Education Foundation (WINDREF)
he World Health Organziation (WHO)
T
Collaborating Center on Environmental and
Occupational Health
he Regional Collaborating Center (RCC) of
T
the United Nations Framework Convention
on Climate Change (UNFCCC)
St. George’s University
3
SGU ONE HEALTH ONE MEDICINE
INITIATIVE ACADEMIC EXPERIENCES
One Health One Medicine Caribbean Conference
This was a three-day conference held at SGU in March 2014 with keynote speakers
and workshops with academics involved with OHOM throughout the Caribbean
region and the world. The keynote speakers were Donald D. Simeon, the Director
of the Caribbean Health Research Council, and Dennis Trent, Professor of
Microbiology and Immunology at the University Texas Medical Branch.
School of Medicine Selective Courses
ulture and the Practice of Medicine—designed for both human and veterinary
C
medical students to enable them to identify cultural beliefs and practices
that impact disease in human and animal populations and the practice of
human and veterinary medicine. Students incorporate cultural aspects and
interdisciplinary approaches to health care problem solving.
I nternational Health and Human Rights
in Honduras—designed to give students a
fuller comprehension of the global aspects
surrounding health and human rights and to
promote a better understanding of the broad
determinants of individual and population
health, which can be applied to issues in
Honduras and regionally to other developed
countries.
A
Practical Experience in Tropical Medicine
in Kenya—provides a practical field-based
introduction to tropical medicine in an East
African cultural context. Time is spent in
remote rural areas with the nomadic pastoral
Masai people where One Health comes into
sharp focus. The people live on the milk and
blood from their livestock, which are heavily
dependent on the environment. All aspects
of medical and veterinary medicine, public
health, and climate change can be debated in
this fast disappearing and unique way of life.
4
Center for One Health, One Medicine
SGU ONE HEALTH ONE MEDICINE
INITIATIVE VISITING LECTURERS
1994
Sir Richard Doll, FRS, DM, MD
The Prevention of Cancer
1995
Sir Walter Bodmer, PhD, FRS
Cancer Genetics and the Human Genome Project
1996
Lord Walton of Detchant, MBBS, MD, DSc, MA (Oxon), FRCP
The Dilemmas of Life and Death
1998
Anthony S. Fauci, MD
AIDS: Considerations for the 21st Century
2000
Russ Zajtchuk, MD, FACS
Humanitarian Assistance and Telehealth in Central America
2001
William H. Foege, MD, MPH
Public Health in the 21st Century
2002
Lord Soulsby of Swaffham Prior, DVSM, DSc
Veterinary Medicine—A Comparative Science
2006
Charles Weissmann, MD, PhD, FRS
Of Mad Cows, Mice and Men
2007
Professor Ian McConnell, BVMS, FRSE
One Medicine: A Continuum of Medicine, Veterinary Medicine and
Biomedical Science
2008
Fred M. Jacobs, MD, JD, FACP, FCCP, FCLM
John J. Mitchell Jr., PhD
Cultural Competency and Its Effect on the Delivery of Healthcare
2009
Professor Sir Ian Gilmore, MBBS, FRCP
Professionalism and the Duties of the Medical Educator
2011
Baron Peter Piot, MD, PhD
Emerging Infectious Diseases
2014
Robert Gallo, MD, PhD
Challenges of Viruses
2015
Desirae LeBeaud, PhD
Vector Borne Diseases
2016
Professor Ian McConnell, FRSE FMedSci
One Health: Past, Present, and Future
St. George’s University
5
SGU ONE HEALTH ONE MEDICINE
INITIATIVE PUBLICATIONS
A sample of published works:
de Tyrell, MSc
E
School of Medicine
Studies on the Socio-Economic Factors of Lymphatic Filariasis in Guyana
evin G. Neill, MSc
K
School of Medicine
The Public Health Importance of Dogs, Grand Anse, Grenada
ian Doble, MSc
L
School of Veterinary Medicine
Prioritization of production constraints within the Kampala urban and per urban
pig production system—a baseline study.
arah Scott, MSc
S
School of Veterinary Medicine
Deterrent Methods used against Crop Raiding Elephants in Uganda, East Africa
lla K. Cameron, MSc
E
School of Medicine
Cystic Echinococcosis in Morocco: A Regional Comparative Analysis
J ames M. Tsai, MSc
School of Medicine
Studies on Schistosoma mansoni in St. Lucia, West Indies
ichard Kabuusu, PhD
R
School of Veterinary Medicine
Epidemiological and diagnostic investigations into outbreaks of syncytial
hepatitis associated with Orthomyxovirus-like viruses in tilapia
6
Center for One Health, One Medicine
ONE HEALTH, ONE MEDICINE:
A BRIEF OVERVIEW
The World Health Organization reports that 61 percent of all human pathogens
are zoonotic and have represented 75 percent of all emerging pathogens
during the past decade. The interdependence of human, animals, and
environment health requires a team-based, collaborative approach to solutions
that stretch across multiple disciplines—the very foundation of the One Health
One Medicine movement.
One Health One Medicine (OHOM) has
been advocated by the American Medical
Association, American Veterinary Medical
Association, Centers for Disease Control,
and numerous other affiliated professional
organizations. Bringing medical, veterinary,
and public health professionals together to
focus on the development of new science,
medicine and technology, some of the key
areas of OHOM interest include:
Food Chain Safety
Management of food handling to minimize
food borne diseases like taeniasis,
campylobacteriosis, and salmonellosis and
studying chronic disease burdens from
processed food (obesity, heart disease,
cancers) and contamination exposures.
Climate Change and Population
Health Challenges
Studying the impact of climate change in
conjunction with the expansion of vector
borne emerging or re-emerging diseases
such as dengue, malaria, chikungunya, and zika in temperate regions. Planning
for rising sea levels which will adversely affect major population centers in
developed and developing countries and their current geographical existence.
Migration of Populations
Creating public health initiatives to handle the realities of increasing local and
international movement of humans, animals and disease (SARS, influenza, zika)—
inclusive of movement due to to wars and conflict, refugees, mass migration and
Xenophobic/political issues.
St. George’s University
7
Economic Disparity/Poverty
Developing healthcare systems for the care for those living in poverty—and
often disproportionately affected by zoonotic and non-communicable diseases,
lack of access to health care, and higher disability adjusted life years. Financial
downturns in global economies and managing decreasing financial resources
while providing a standard quality of health care.
Water Quality/Security
Managing access to water as a result of conflicts between nations, construction
of dams leading to increased disease transmission, diversion of water sources
and desertification (former Aral Sea region, Lake Chad).
Increased Virulence of Diseases
Limiting antimicrobial resistance (drug use in animals) and selection for resistant
Infections (eg MRSA) and stemming the spread of disease like influenzas and
dengue
Climate Change and Natural Disasters
Management of public health issues related to natural disasters occurring
as a result of climate change—from severe weather systems such as floods,
droughts, unpredictable rainfall and seasonal temperatures, snow and hailstorms,
hurricanes, tornadoes, monsoons, typhoons and cyclones. These events can
lead to mass migration, food and water and insecurity, increased vector breeding
sites and increasing co-circulation of vector-borne diseases.
Pressure on the Food Chain
Safeguarding wildlife habitats against deforestation, management of limited
environmental resources, depletion of wildlife and marine populations/
ecosystem damage
Survivability of Species
Focusing on the global survivability of animals/plants—limiting the loss of
biodiversity, food, resources, and environmental services for humans.
Zoonotic Disease
Management of zoonotic diseases due to changing animal populations and
increasing human exposure to companion animal populations worldwide as well
as infectious diseases crossing into human populations from wildlife species
Public Health and Policy
Working to bridge the policy and practice gap which requires for a human health
and environment consideration from agriculture to entrepreneurship to finance
to housing to innovation to research to technology.
8
Center for One Health, One Medicine
ONE HEALTH ONE MEDICINE
SYMPOSIUM
One Health One Medicine (OHOM) is the convergence of human, animal, and
ecosystem health. All animal species including man are interrelated—veterinary
or medical knowledge gained in one species benefits the others. This symposium
assembled a network of physicians, public health professionals, veterinarians,
and researchers to focus on One Health One Medicine and the impact it is
having on the health of populations around the world.
Keynote Speakers
R. GUY PALMER, DVM, PHD
D
Regents Professor of Pathology and
Infectious Diseases, The Jan and Jack
Creighton Endowed Chair & Senior Director
of Global Health, Director of the Paul
G. Allen School for Global Animal Health,
Washington State University
Washington, United States
FITZROY HENRY, PHD
College of Health Sciences, University of
Technology
Jamaica, West Indies
ARAH CLEAVELAND, BVSC, PHD, FRS
S
Professor of Comparative Epidemiology,
Institute of Biodiversity, Animal Health and
Comparative Medicine, College of Medical,
Veterinary and Life Sciences, Glasgow
University
Scotland, United Kingdom
CHULATHIDA CHOMCHAI, MD
Associate Professor of Pediatrics, Mahidol University International College
Bangkok, Thailand
UMMON CHOMCHAI, MD
S
Faculty of Medicine Siriraj Hospital, Mahidol University
Bangkok, Thailand
St. George’s University
University Centre, Grenada, West Indies
c/o University Support Services, LLC
The North American Correspondent
3500 Sunrise Highway, Building 300
Great River, NY 11739 USA
US/Canada Toll-Free: 1 (800) 899-6337
UK Freephone: 0800 1699061
Worldwide: +1 (631) 665-8500
Fax: +1 (631) 665-5590
Website: sgu.edu/ohom
© St. George’s University 2017
06/2017/16-179