Network for Evaluation of One Health

Workshops

NEOH workshops bring together NEOH members, interested researchers, and policy makers to report on network activities, disseminate products, and foster knowledge exchange and collaboration.


Transdisciplinary Research Evaluation: from Methodological Challenges to Indicator Definition
Zurich, Switzerland 22nd June (full day), 23rd June (until mid afternoon)

One Health (OH) initiatives are, by their nature, transcending disciplines, sectors, institutions and cultures. Facilitating knowledge integration is thus one of their core challenges. This core challenge is what OH has in common with transdisciplinary research in climate change and adaptation, energy transitions, and international development. NEOH’s approach to advance consensus on evaluation standards by networking among key professionals and emphasis on case studies has likewise been adopted among several semi-public German think tanks in these quickly evolving fields, and several large projects are currently being funded. Therefore, there is arguably much to learn from each other.

We therefore invite you to a joint 2-day workshop with key representatives from these fields and institutions to exchange approaches and experiences. This workshop aims at bringing these initiatives together. Its objectives are mutual networking, an exchange of experiences, and in-depth discussion of the different methodological approaches, their underlying assumptions and the derived indicator systems.

The workshop will take place on June 22nd – 23rd at ETH Zurich’s Transdisciplinarity Lab. If you have any questions, please do not hesitate to contact Dr. Martin Hitziger (martin.hitziger2@uzh.ch).

If you are interested to participate, we ask you save the date and to fill in this form.

Total number of participants is restricted to 20, with approximately half of them from the NEOH network. Reimbursement will follow regular COST procedures.

 

PROGRAM:

Thursday, June 22nd: Presentations by all participants.
Suggested topics to be covered:

  • Your field, background and network.
  • Core challenges that you see in evaluating transdisciplinary initiatives.
  • Methodological approaches and indicator systems you suggest to tackle these challenges.

 

Friday, June 23rd: Integration Workshop.

  • Introduction of workshop method (1 hour): Facilitated group modelling for interactive knowledge integration.
  • Application of workshop method (5 hours): Synthesizing similarities and differences between approaches.

 

 


University of Malta, Valletta, Malta
16-17thth January 2017

Hands up in lecture theatre

In the morning of the 16th of January, the management committee met to discuss the progress of the Action and to plan the next activities and the budget.

At lunch, other NEOH members joined for the plenary session, which was opened with warm welcoming words from Prof Sandra Buttigieg, local organiser and management committee member for Malta and Head of Department of Health Services Management, Faculty of Health Sciences at the University of Malta. The Hon Christopher Fearne, Minister of Health for Malta then formally opened the meeting. He pointed out that since Malta currently has the presidency of the European Council, he has the privilege of also being president of the European Health Council. This presidency provides an opportunity to inform the health agenda in the short and long term. The Hon Christopher Fearne pointed out three health priorities: 1) Obesity, 2) European reference networks, and 3) Exchange system for post graduate medical training across Europe.

The next speaker was Prof Sandra Buttigieg who talked about the benefits of a One Health approach using case studies as examples, where the complexity of the cases required transdisciplinarity and interdisciplinarity. Afterwards, the audience was welcomed by Angela Xuereb Anastasi, Dean of the Faculty of Health Sciences. She gave a brief overview of the Faculty and its research interests. The Faculty aims to improve partnerships with international universities and is keen to pursue more interdisciplinary research. Congratulations were expressed to NEOH members, particularly those from Malta who are promoting involvement of Maltese researchers in the network. Finally, Barbara Haesler, the NEOH chair, also welcomed everyone and thanked the conference organisers, particularly Sandra Buttigieg for their great support. She described NEOH as a dynamic network – coming up with new ideas and trying things out, whilst growing through interacting with more and more people from different backgrounds and bringing people together.

Following the introduction two keynote speakers talked about the potential of using One Health as an approach to addressing European public health priorities and the understanding and developing of information infrastructure.

1) Dr Natasha Azzopardi Muscat – President of European Public Health Association (EUPHA) in her talk One Health: an approach to address European public health priorities provided a short summary of the EUPHA highlighting its over 20-year history in promoting multidisciplinary working, professional exchange and collaboration between its members and beyond. The EUPHA has become a leading voice in public health. The One Health approach was recognised as providing a paradigm for mounting an effective PH response and in that light, the EUPHA expressed a willingness to work with veterinarians and people from other disciplines.

2) Prof Ole Hanseth, Professor in the Research Group for Information Systems at University of Oslo, in his talk Information Infrastructures and Infrastructure Studies showed about how information infrastructures and how infrastructure studies could assist in sharing of data between different sectors. The presentation demonstrated the network effects of a self-reinforcing installed base (e.g. iPhone/ Android platform) where the mechanism drives the large scale development, and the implications and side-effects thereof (e.g. dependency, competition tipping point, lock-in etc.). Strategies were presented of how to start when there is no base.

The next session focused on evaluation of One Health. The first speaker was Catherine Machalaba, from the Ecohealth Alliance – PREDICT, who had worked with other NEOH members on One Health governance. She pointed out that there is now increasing support for One Health, e.g. UN Convention on Biological Diversity: (2014, 2016), the FAO-OIE-WHO tripartite agreement, the UN Ggeneral Assembly’s approach to AMR and the Global Health Security Agenda. She then talked about the PREDICT project and One Health indicators in PREDICT.

Dr Sara Savic, management committee member for Serbia, then outlined the WG2 activities over the last year. Highlights included the Training School in Novi Sad, seven completed short term scientific missions by WG2 members, 9 completed case study evaluations and 3 case study evaluations in progress. She also explained next steps and planned activities, with the view of publication of the case studies in the NEOH special issue in Frontiers. Her presentation provided the backdrop for the evening session with presentations by case study leaders. Each case study leader provided an explanation of the rationale for the case study, the background, evaluation question, methodology used, results obtained and an interpretation/discussion (presentations are accessible on Alfresco for NEOH members). Following the presentations, a discussion took place on the evaluation questions and the NEOH protocols including the evaluation process, how to assess One Health in terms of outcomes, what to change in the methodology, and how to simplify something that becomes increasingly complex the deeper you go.

The day was rounded off with participants taking a bus for a networking dinner at the beautiful Verdala Palace situated in surrounding woodland. Built originally in 1555 as a hunting lodge it was expanded into a palace in 1586 but has also been used over the centuries as a military prison and a silk factory falling into disrepair in the early 1800’s. It was fully restored in the 1850’s and served as the official summer residence of the then British governors and the now President of Malta. It boasts an ornate interior with several frescoed walls and ceilings.

 

P1040434 (1)-min IMG_0070

On the 2nd day, Daniele de Meneghi and Sara Savic gave a presentation on the initial findings from the NEOH and EURNEGVEC international survey to explore the collaboration between human, animal and environmental health sectors.

Following that, Asta Tvarijonaviciute chaired a session on “Obesity and One Health”. Dr Charmaine Gauci spoke first about obesity in Malta with reference to behaviours in families and links between obese family members and obese pet ownership. She also introduced the TRIO Programme which aims to improve health status of the EU population with a focus on NCDs, co-operation between health systems, communicable diseases and data sharing. Dr Jorge Pinto Ferreira followed this, presenting “Obesity policies: can they benefit from an OH approach?” and talked about this experiences with the non-profit organisation – CAOVIDA (The One Health Club), which provides assistance to families with overweight children; bringing together dogs and children to create a community through monthly activities and offering parental support. Dr Daniel Cauchi spoke third on the Implications of obesogenic environment in Malta (download part 1 and part 2) – a case for adopting One Health strategy and talked about his cross-sectional study on an environmental audit of what influences obesity in Malta and the environmental barriers. Finally, Dr Alberto Muñoz and Dr Asta Tvarijonaviciute presented their NEOH case study on Obesity and One Health. Francesca Contadini talked about the OH-SMART tool which is a practical tool developed by USDA and University of Minnesota to visualize, analyse and identify breakpoints and communication gaps in a network of organisations.

After the presentations, there were break-out sessions used by NEOH members to

  • Collect feedback on the handbook chapters: Overall, the conclusion was that the chapters were appreciated, welcomed and found useful, but that they need considerable improvement. Detailed comments were collected for each chapter which will be shared with the handbook leaders.
  • Reflect on progress to date: WG2 leader reminded members that the case study evaluations and manuscripts for publication need to be finished in June 2017. She underlined the need to evaluate the outcomes of the case studies as soon as possible.
  • Elaborate on a plan for the meta-study (WG3): The group came up with a five step plan: i) to develop a typology and motivation for OH Initiatives in order to classify the OHI for the global analysis, ii) to select additional, well informed case studies in each category, iii) use multivariate/multicomponent analysis, iv) develop a simplified version of the methodology to assess OHness of additional case studies and v) to look at how OHness varies among OH categories. A date and location for a dedicated meeting was agreed.
  • Plan dissemination and engagement activities: WG4 members discussed dissemination plans for the handbook, target audience for the final Action conference, a NEOH leaflet and a NEOH video.

Following a final plenary session with discussion on the break out groups, the event came to an end with closing words by the chair who summarised decisions made and outlined the next steps.

Download Programme

 


Brussels

Small group of people sitting in a circle Man explains to group who are standing beside giant post-it notes on wall Group stand beside note sheet which says "Students, Stakeholders - who can take active part in system. Everyone - Evaluation of 'promise' of OH, Implementors - are we using right tools & implementing to fulfill promise from action.

European One Health / EcoHealth Workshop
Belspo, Brussels, 6th-7th October 2016

Download Report here

NEOH was a co-organiser of the European One Health / EcoHealth Workshop, which took place in Brussels on the 6th and 7th of October 2016. The purpose of this workshop was to explore One Health in practice and to build bridges between different interdisciplinary communities in science, policy and practice by exchanging experiences and views, and discuss opportunities and challenges for integration and practice. The workshop helped to clarify some conceptual definitions/overlaps/specificities of One Health, EcoHealth, Planetary health, Global health, Biodiversity & Health, and related concepts and allowed building connections between concerned participants working on related issues. The workshop had a strong focus on the challenges faced in practice and participants had the opportunity for close exchange and discussion in multiple small break-out groups that were structured around specific topics.

Before the workshop, a survey on the different integrated health concepts was circulated in various communities and the outputs from the survey were used to guide some of the discussions.

The format was a combination of plenary keynotes and parallel interactive topical sessions and posters in order to allow for enough diversity of topical foci and contributions, as well as interactions.

The workshop programme can be found here: http://www.biodiversity.be/health/58.

The abstract book can be downloaded here:  http://www.biodiversity.be/health/134

The official workshop pictures can be found here: https://www.flickr.com/photos/133832076@N07/albums/72157673776252522/page3/

NEOH was an active collaborator in the workshop and provided re-imbursement for 15 NEOH participants for this workshop. They participating NEOH members gave active input into various working groups, acted as rapporteurs and facilitators and gave both oral and poster presentations.

NEOH also coordinated the session “Experiences on One Health practice and integration challenges”, which constituted an ideal platform to discuss first insights from the development of the handbook as well as preliminary results from the case studies.

The following presentations were given:

Name Title (click on title to download PDF of presentation)
Dr Alain Vandersmissen,
European External Action Service
Historical developments of the One Health Movement since 2005 – Drivers, Opportunities and Challenges
Dr Abbas OmarChatham House, UK An overview and evaluation of the Infectious Disease Risk Assessment and Management (IDRAM) project
Dr Simon Rüegg and Dr Sara SavicUniversity of Zürich A blueprint for One Health Evaluation & Preliminary results from a set of case studies evaluating One Health; NEOH evaluation framework, evaluating One Healthness
Barry McMahon The role of biodiversity in the ecology of zoonotic disease transmission
 Tracey Dutcher Strengthening Cross-Sector Emergency Preparedness and Response Using the One Health Systems Mapping and Analysis Resource Toolkit (OH-SMART)

 

After the presentations and some general discussion, participants met in smaller groups to discuss the following questions:

What are the key limitations to evaluation of One Health/similar concepts?;After the presentations and some general discussion, participants met in smaller groups to discuss the following questions:

  1. Who would benefit most from evaluations of One Health/similar concepts and why?;
  2. What activities/steps are needed to create One Health/Ecohealth evaluation capacity?; and
  3. Which form of expertise (scientific and other) do you not have collaborative experience with yet and would consider useful and why?

The rapporteurs then presented some key take home messages to the plenary. The report for this session on Experiences on One Health practice and integration challenges can be downloaded here.

The overall workshop report will be made available shortly.


 

NEOH workshop on evaluation of data and information sharing in One Health initiatives
Faculty of Health and Medical Science, University of Copenhagen, Denmark
20th and 21st April 2016

Attendees at copenhagen workshop

The NEOH consortium met in Copenhagen for a workshop that aimed to contribute to the framework and protocol for evaluation of One Health initiatives by providing:

  • an overview of existing knowledge and methods on opportunities and challenges in data and information use, sharing, and examples of systems in which sharing is already underway
  • an introduction to evaluation methods for data and information sharing mechanisms
  • a discussion forum on how to further develop evaluation methods on data and information sharing methods and mechanisms in One Health research, governance and surveillance settings including quantitative measures describing barriers and accessibility of data within a community.

A fantastic group of speakers experienced in data exchange activities and evaluation kindly shared their expertise with a group of  nearly 40 NEOH members. Hans Houe, building on long-standing experience in using  data from many different sources (laboratory, clinics, registers etc.), talked about the difficulties arising when using primary and secondary data from databases and what attributes and activities to consider to ensure data quality. Birgitte Borck Høg, an expert in zoonosis surveillance, provided interesting insights into the One Health data exchange and sharing mechanisms at national and international levels related to the DANMAP programme. Leonardo V. de Knegt used his first-hand experience as an active member of the study group on the use of Vetstat data for research, to explore in great detail what features need to be considered to make databases sharable, interpretable and relevant. James Thomas, the director of the USAID funded MEASURE evaluation project, shared insightful stories from MEASURE evaluation including challenges faced in the field and evaluation of complex problems and networks. Maria Vang Johansen, Professor in Parasitic Zoonoses, impressed the audience with the presentation of the “ The Vicious Worm”, an electronic health education tool implemented and assessed in Tanzania. Finally, the One Health epidemiologist Marie McIntyre, introduced her ENHanCEd Infectious Diseases (EID2) database and discussed the difficulties accruing from big data merging and sharing.

The new knowledge was used by participants to discuss the relevance of information sharing and learning and to make further progress with the NEOH handbook. The workshop participants expressed their gratitude for this workshop and emphasised that they learned a lot about the practical challenges related to setting up data and information sharing platforms and exchange networks and how these could be evaluated.

Download programme here

Name Title (click on title to download PDF of presentation)
Barbara Häsler, Grant holder, Royal Veterinary College, London, UK Characteristics of One Health defined by NEOH
Hans Houe, Department of Large Animal Sciences, University of Copenhagen Challenges and opportunities in using primary and secondary data from databases
Birgitte Borck Høg, National Food Institute, Technical University of Denmark Methods and challenges in data and information sharing in the Danish Integrated Surveillance for Antimicrobials and Antimicrobial Resistance system (DANMAP)
Leonardo de Knegt,National Food Institute, Technical University of Denmark Improving institutional memory on the use of data from VetSTAT for estimating antimicrobial exposure risks
James Thomas, Director,MEASURE evaluation project, Carolina Population Center, UNC Gillings School of Global Public Health, Chapel Hill, NC, USA Evaluation of learning outcome in Tanzania when using an online learning platform (‘The Vicious Worm’) created for information sharing and learning about cysticercosis in developing countries
K. Marie McIntyre, University of Liverpool, UK Prepare, Predict, Prevent: Creating Objectivity in Infectious Disease Risk Assessment using Big Data Approaches
Maria Vang Johansen, Department of Disease Biology, University of Copenhagen, DK Evaluation of learning outcome in Tanzania when using an online learning platform (‘The Vicious Worm’) created for information sharing and learning about cysticercosis in developing countries

“For any citations, please note that this workshop was organised as part of the work from COST Action TD1404, Network for Evaluation of One Health (NEOH) supported by COST (European Cooperation in Science and Technology)”


NEOH stakeholder workshop
COST office, Brussels, 16th February 2016

Download report here

Delegates post in front of screen  Delegates during brussels meeting

This workshop brought together NEOH consortium members and stakeholders from international institutions with an interest in One Health initiatives and evaluation of One Health or other interdisciplinary health endeavours, with the aim of introducing NEOH to key stakeholders and eliciting stakeholder opinion on the anticipated outcomes of the NEOH COST Action.

Download programme for Brussels here

There were over 38 meeting participants with representatives from 14 stakeholder institutions (download list of participants here). The meeting kicked off with an introduction to NEOH provided by Barbara Häsler followed by a fascinating presentation on European One Heath policy given by Laszlo Kuster of the European Commission (DG Santé). The leaders of Working Groups 1 and 2 then reported on the activities of their respective working groups.

Stakeholder presentations were given by representatives from the European Society of Clinical Microbiology and Infectious Diseases, the Nordic Council, European Public Health Association, the Federation of Veterinarians of Europe, the World Health Organisation and Southeast European Center for Surveillance and Control of Infectious Diseases. It was inspirational to hear how a One Health perspective was being incorporated into the activities of these stakeholder organisations and opportunities for synergy between stakeholders and the NEOH consortium were identified. In the final part of the meeting small group discussions took place to identify stakeholder needs related to One Health evaluation for decision making. Overall the meeting was very successful and enabled links to be forged between NEOH and a variety of stakeholders.

Download the presentations here:

Name Title (click on title to download PDF of presentation)
Laszlo Kuster, Unit Animal health and welfare, DG Health and Food Safety (SANTE), European Commission One Health
Dr Chantal Britt, Communications and Publications Manager, European Society of Clinical Microbiology and Infectious Diseases The European Society of Clinical Microbiology and Infectious Diseases’ perspective on One Health
Prof Peter Panduro Damborg, Scientific Secretary of VetCAST An introduction to the ESGVM study group and the EUCAST subcommittee VetCAST
Dr Jenny Pentler, Nordic Council How the Nordic Council supports One Health
Dr Natasha Azzopardi Muscat, European Public Health Association The European Public Health Association’s vision and strategy for public health in Europe and the One Health concept: Potential for synergy and collaboration
Dr Arne Skjoldager, Federation of Veterinarians of Europe Federation of Veterinarians of Europe activities on One Health
Dr John Berezowski, Veterinary Public Health Institute, Bern, Switzerland International Society for Disease Surveillance One Health Surveillance Working group
Dr Hilde Kruse, World Health Organisation One Health – a WHO perspective
Dr Jonilda Sulo, Southeast European Center for Surveillance and Control of Infectious Diseases The road of the Southeast European Center for Surveillance and Control of Infectious Diseases towards One Health and associated challenges
Dr Barbara Häsler, Royal Veterinary College, UK Introduction to the Network for Evaluation of One Health
Dr Simon Ruegg, University of Zurich, Switzerland NEOH Working Group 1 – The evaluation framework
Dr Sara Savic, Scientific Veterinary Institute, Novi Sad, Serbia NEOH Working Group 2 – Application of evaluation protocol to case studies

 

 

“For any citations, please note that this workshop was organised as part of the work from COST Action TD1404, Network for Evaluation of One Health (NEOH) supported by COST (European Cooperation in Science and Technology)”

 


Management Committee meeting and NEOH workshop
NOVA Medical School, Lisbon, 18th and 19th January 2016

Delegates sit in beautiful ornate hall

Download Lisbon programme here 

The meeting was a great success with 70 participants from 22 European countries attending to discuss the progress of the work and plan further directions.

The morning of the first day was dedicated to the MC meeting and in the afternoon all participants gathered in the prestigious Great Hall of the Medical School and listened to an enthusiastic description of the meaning of the wall paintings. The plenary session started with warm words of welcome by the director of the Medical School (Prof. Jaime Branco), the chair of NEOH (Dr Barbara Häsler) and the local organiser (Prof. Jorge Torgal) followed by presentations by eminent invited speakers (Professor Carla Lopes, University of Oporto; Professor Asa Melhus, University of Uppsala; Professor Bjorn Olsen, University of Uppsala; Professor Luís Sambo, University Nova of Lisbon) who reflected on One Health perspectives and discussed different challenges and potential benefits of “One Health”. The rest of the afternoon was dedicated to updates by members on the “Evaluation of One Health” framework, protocol and handbook – the main activities of Work Group 1. A social event in the evening of the first day took place in a local restaurant and was enjoyed by all.

The second day participants split into four groups to further discuss the questions and potential applications in relation to the different book chapters and also discuss the different One Health initiatives that are going to be used to apply, test and refine the evaluation guidelines developed. Finally, next steps were agreed in a plenary session and the meeting concluded with closing words by the chair.