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One Health concept influences other important health/safety endeavors..Occupational Health and Safety in Aquaculture: Insights on Brazilian Public Policies - Saturday, March 25, 2017

One Health concept influences other important health/safety endeavors...

Occupational Health and Safety in Aquaculture: Insights on Brazilian Public Policies


Pedro Keller de Oliveira, Richard Souto Cavalli, Hiran Castagnino Kunert Filho, Daiane Carvalho, Nadine Benedetti, Marco Aurélio Rotta, Augusto Sávio Peixoto Ramos, Kelly Cristina Tagliari de Brito, Benito Guimarães de Brito, Andréa Ferretto da Rocha, Marcia Regina Stech, and Lissandra Souto Cavalli Journal of Agromedicine Vol. 22 , Iss. 2,2017


Aquaculture has many occupational hazards, including those that are physical, chemical, biological, ergonomic, and mechanical. The risks in aquaculture are inherent, as this activity requires particular practices. The objective of the present study was to show the risks associated with the aquaculture sector and present a critical overview on the Brazilian public policies concerning aquaculture occupational health. Methods include online research involved web searches and electronic databases including Pubmed, Google Scholar, Scielo and government databases. We conducted a careful revision of Brazilian labor laws related to occupational health and safety, rural workers, and aquaculture. The results and conclusion support the idea that aquaculture requires specific and well-established industry programs and policies, especially in developing countries. Aquaculture still lacks scientific research, strategies, laws, and public policies to boost the sector with regard to occupational health and safety. The establishment of a safe workplace in aquaculture in developing countries remains a challenge for all involved in employer-employee relationships.

“...The One Health concept (, when applied to aquaculture, includes aspects of human, animal, and environmental health, such as disease prevention (animal and human), food safety and nutrition, fish escapes, and environmental pollution.36 Gomaz JG, Fry JP, Erazo M, Love DC. Public health perspectives on aquaculture. Curr Environ Health Rep. 2014;1:227–238.[CrossRef], [PubMed][Google Scholar] The proposal to apply the One Health concept in aquaculture36 Gomaz JG, Fry JP, Erazo M, Love DC. Public health perspectives on aquaculture. Curr Environ Health Rep. 2014;1:227–238.[CrossRef], [PubMed][Google Scholar] is appropriate from an occupational health perspective because human health is closely linked to environmental and animal health. Under the One-Health umbrella (Figure 1), occupational health in aquaculture must join multidisciplinary efforts to promote health and safety by adopting and implementing specific practices and policies. The promotion of health among workers includes the adoption of good manufacturing practices, good hygiene practices, and a hazard analysis and critical control point program. The production process must have effective hygiene and sanitation programs.37 Huss HH, Reilly A, Embarek PKB. Prevention and control of hazards in seafood. Food Control. 2000;11:149–156.[CrossRef], [Web of Science ®][Google Scholar] The above three programs and practices are frameworks that guide the identification and assessment of hazards and risks of the aquaculture sector.38 Reilly A, Käferstein F. Food safety hazards and the application of the principles of the hazard analysis and critical control point (HACCP) system for their control in aquaculture production. Aquacult Res. 1997;28:735–752.[CrossRef], [Web of Science ®], [CSA][Google Scholar] Other requirements that should be a priority are occupational risk maps, continuing education and training, and aquaculture waste management, all of which are actions that promote health among workers. Specific polices and health surveillance,39 Cavalli LS, Brito KCT, Brito BG. One health, one aquaculture: aquaculture under One Health umbrella. J Mar Biol Aquacult. 2015;1:1–2.[CrossRef][Google Scholar] work and academic partnerships, scientific studies, laboratory networks,40 Rubin C, Myers T, Stokes W, Dunham B, Harris S, Lautner B, Annelli J. Review of Institute of Medicine and National Research Council recommendations for One Health initiative. Emerg Infect Dis. 2013;19:91–95.[CrossRef], [Web of Science ®][Google Scholar] and guidelines and standards with protocols for emergencies are all necessary. To provide global knowledge regarding occupational accidents, we propose a universal online platform that is frequently updated (i.e., a world occupational aquaculture injuries database) and easily available to report injuries from aquaculture activities.

Figure 1. Occupational aquaculture under the One Health umbrella. The occupational perspective involves human, animal and environmental health, as well as risk assessments and measures for maintaining a safe workplace. PPE, personal protective equipment; GMP, good manufacturing practice; GHP, good hygiene practice; HACCP, hazard analysis and critical control point. (Image based on One Health umbrella from One Health initiative,

Especially in developing countries, a joint effort is necessary to improve and promote safe practices in the daily lives of workers. Regulatory agencies, government, scientists, employers, and workers should work together to control, monitor, and reduce the risks of injuries and fatal accidents on aquaculture farms. Perhaps the most innovative and challenging issue in One Health in relation to aquaculture is to promote a safe workplace. ...”

Provided by:

Dra. Lissandra Souto Cavalli

Pesquisadora IV

Saúde e Biossegurança/Inovação Tecnológica

Departamento de Diagnóstico e Pesquisa Agropecuária - DDPA

Secretaria de Agricultura, Pecuária e Irrigação do Estado do Rio Grande do Sul - Seapi

51-32888021/993800016 BRAZIL

Skype: lis-cavalli

One Health Lecture: Physicians, Farmers, and the Politics of Antimicrobial Resistance (recording) - March 21, 2017 - Iowa State University (USA) - Thursday, March 23, 2017

“Excellent presentation and exciting day for all of us.”

      *Claire B. Andreasen, DVM, PhD, Diplomate ACVP—

Please listen to recorded session now available:

One Health Lecture: Physicians, Farmers, and the Politics of Antimicrobial Resistance

Tuesday, March 21, 2017
5:30 pm  2226 Vet Med

Click link to recorded session

Dr. Laura Kahn

Presented by **Laura H. Kahn, MD, MPH, MPP
Princeton University

Dr. Kahn holds a B.S. degree in nursing from UCLA, an M.D. from the Mount Sinai School of Medicine, an MPH from Columbia University, and a Master of Public Policy from Princeton University.  She is a research scholar with the Program on Science and Global Security at Princeton University. Dr. Kahn is a fellow of the American College of Physicians (ACP) and is a recipient of the New Jersey Chapter’s Laureate Award.  At the 2016 AVMA meeting, Dr. Kahn was awarded the Karl F. Meyer–James H. Steele Gold Headed Cane Award for her lifetime contributions to public health and One Health. She currently teaches, “Hogs, Bats, and Ebola: An Introduction to One Health Policy” to Princeton University freshmen. Her most recent book, One Health and the Politics of Antimicrobial Resistance, was published in June 2016 by Johns Hopkins University Press.

The One Health Lecture Series was established in the College of Veterinary Medicine at Iowa State University in honor of Dr. Roger Mahr, DVM Class of 1971 [see]

Note: *Dr. Andreasen is Professor, Department of Veterinary Pathology and Director of the One Health program at the College of Veterinary Medicine, Iowa State University in Ames, IA (USA).

**Dr. Kahn is a co-founding member of the One Health Initiative team [April 2006] and One Health Initiative website [October 2008].

A Book Review Opinion: “ONE HEALTH From AIDS to Zika” - Wednesday, March 22, 2017

A Book Review Opinion:


A product of Jones & Bartlett Learning, 5 Wall Street, Burlington, MA 01803, 978-443-5000, and SEE and    

By Richard Riegelman, MD, MPH, PhD and Brenda Kirkwood, MPH, DrPH

Dr. Riegelman, a physician, is Professor and Founding Dean of the Milken Institute School of Public Health at The George Washington University, Washington, DC.

Dr. Kirkwood is Director of the Online Master of Public Health program at the University at Albany, SUNY, School of Public Health. She is also a Clinical Associate Professor in the Department of Health Policy, Management and Behavior at the University at Albany, SUNY, School of Public Health.

This concise practicable ‘real world’ One Health booklet should be read by every longstanding One Health supporter/advocate who believes they fully understand the One Health concept.  It is well written and prepared.  As a model, it can help form and/or reform a basic appreciation for the widely recognized five or six journalism guidelines of What, Who, Where, When, Why and How.  Refreshingly, this is an instance where two sophisticated public health/epidemiology co-author educators wrote “in a nutshell”...absent unnecessary esoteric academic pedantries.  Its descriptive language demonstrates a brilliant simplicity suitable for teaching/exposing the concept to undergraduate [and graduate] students—for which it is primarily designed—as well as some visionaries who may have been immersed in the practice of utilizing a One Health approach for many years. 

Having been a student and serious practitioner of One Health (formerly called One Medicine) since 1963-64, it rekindled my enthusiasm for educating the uninitiated along with those who think they know what One Health is all about...but, in fact, do not!  Indeed, to my chagrin, over the last 11 years of reading, writing about, editing vast quantities of One Health literature, and listening to talks by many One Health experts and being in direct contact with U.S. and internationally well known—and not so well known—One Health practitioner VIPs, I have encountered an occasional perception deficit or at least an inability to adequately define (or understand) the true essence of the concept.  This teaching guide book should help eliminate that problem in most (if not all) who read and study it carefully.  This includes knowledgeable laymen and professionals i.e., practicing physicians, veterinarians, nurses, other public health and clinical health research scientists and allied medical personnel.

In particular I direct your attention to page 4, BOX 1 CONTROL OF ZOONOTIC DISEASES’ amusing yet pertinent historical annotation and page 6, Figure 2, the One Health Umbrella graphic  The graphic highlights the “Need for Broad [co-equal, multidisciplinary, interdisciplinary, transdisciplinary] Collaborations to Achieve the Goals of One Health” including more expeditious and efficacious global public health and comparative medicine big picture considerations.  One Health aspects pertaining to comparative medicine/translational medicine are not discussed further in this text. 

Prior to reading this booklet, I asked a well-known highly respected One Health expert and One Health Initiative Team Advisory Board member, Dr. Bernadette Dunham [DVM, PhD], the former director of the Center for Veterinary Medicine, U.S. Food and Drug Administration, for her opinion and description of the text.  Incidentally, Dr. Dunham is acknowledged by the co-authors for being one of the two reviewers requested to help ‘ensure accuracy and clarity of the material.’ 

I cannot improve upon her initial brief response to my inquiry:

It is a very simple, 46 page booklet that provides a "101 for One Health" type of approach for students being introduced to the One Health initiative. It is divided into three topic areas:  

1.  Microbiological Influences on Health and Disease. The top 10 RNA viruses that cause infectious diseases are highlighted, as the title indicates from AIDS to Zika: AIDS, Chikungunya, Dengue, Ebola, Hantavirus, Influenza A, MERS, SARS, West Nile Virus, and Zika.

 2. Ecosystem Health/Physical Environment.  How global movement transmits diseases; migration of people when impacted by droughts, disasters (floods, earthquakes, etc.); moving into previously uninhabited areas (forests, etc.) with increased exposure to new diseases; etc. Changes in agricultural practices (intensive farming; use of antibiotics); poor sanitation (cholera); building dams in certain areas + Schistosomiasis. Climate change impact on health.

 3. Human - Animal Interactions.  Health benefits from our pets. Minimizing zoonotic disease transmission from pets. How to put One Health into Action.

In Summary: Implementing large scale distribution and recognition of this publication can help advance the One Health movement worldwide by articulating the essential usefulness of a paradigm shift for addressing the critical Global Public Health challenges our 21st century society faces in today’s hazardous and uncertain world.

Bruce Kaplan, DVM

Contents Manager/Editor One Health Initiative Website Co-Founder One Health Initiative team/website

4748 Hamlets Grove Drive

Sarasota, Florida 34235


Phone/fax: 941-351-5014

One Health Initiative Autonomous pro bono Team: Laura H. Kahn, MD, MPH, MPP ▪ Bruce Kaplan, DVM ▪ Thomas P. Monath, MD ▪ Lisa A. Conti, DVM, MPH

Outstanding-Extraordinary U.S. One Health Leader Making Significant One Health Contributions - Dr. Cheryl Stroud - Sunday, March 19, 2017

Outstanding-Extraordinary U.S. One Health Leader Making Significant One Health Contributions

Cheryl M. Stroud, DVM, PhD, Executive Director, U.S. One Health Commission is also the Immediate Past Chair, North Carolina One Health Collaborative (NC OHC), Adjunct Assistant Professor, Department of Clinical Sciences, NC State University, College of Veterinary Medicine, and the Immediate Past American Veterinary Medical Association (AVMA) Representative to the One Health Commission. 

Dr. Stroud, a veterinarian, obtained her Doctor of Veterinary Medicine (DVM) degree from Mississippi State University in 1974 and her Masters of Science and PhD from North Carolina State University in 1985 and 1990, respectively.  She received a 2015 honorary Diploma award from the American Veterinary Epidemiology Society (AVES).

She has enjoyed professional experiences in Industry, Academic Research / Teaching, Private Veterinary Practice and One Health. She grew up on a small, hobby farm in central Mississippi where she was surrounded by cows, horses, cats, dogs and open spaces. Before attending the school of veterinary medicine she worked in the poultry industry as manager of a quality control laboratory for a prominent, vertically-integrated, poultry company.

After graduation from the school of veterinary medicine she worked briefly in veterinary practice before going to North Carolina State University College of Veterinary Medicine for a Masters and PhD in endocrine physiology. She then spent 8 years in basic research at Pennsylvania State University studying many topics, ranging from variant molecular forms of prolactin and growth hormone to reproductive cycles of women from populations around the world. When her family moved to Illinois in 1996 for her husband, also a DVM, PhD, to become Director of the Division of Education and Research for the American Veterinary Medical Association, she returned to private veterinary practice where she especially enjoyed practicing internal medicine and educating clients about zoonotic diseases (i.e., diseases transmissible from animals to humans).

Dr. Stroud’s deep passion for the One Health concept emerged in 2008 when she returned to North Carolina. While networking around the Research Triangle Park region of N.C. she identified a need to bring key Veterinary, Human, Public and Environmental health stakeholders in North Carolina together to work across disciplines. As a result of her exploratory efforts, in 2010 she helped create the North Carolina One Health Collaborative (NC OHC and for over three years chaired its Steering Committee which includes veterinarians, physicians and other health scientist professionals and government officials from Duke University, University of North Carolina, NC State University, NC Department of Agriculture and Consumer Services, NC Department of Public Health, to name a few. Since its inception, the NC OHC has sponsored over 80 local One Health topic sessions in a One Health Intellectual Exchange Group discussion series that engages MDs, DVMs/VMDs, PhDs, human and veterinary medical students and public health graduate students. Continuing today, this discussion series evolved to include and is running in parallel, a One Health course that is cross listed at Duke, UNC and NCSU.

Dr. Stroud was selected as AVMA’s representative to the One Health Commission (OHC in spring 2011, was appointed Vice Chair of the OHC Board in 2012 and became Executive Director of the Commission in September, 2013, moving the Commission from Iowa to North Carolina. Until that time she had enjoyed part time clinical veterinary medical practice though her primary focus since 2010 has been educating, both locally and nationally, about One Health. In 2013 she also served on a National Biodefense Science Board working group on Situational Awareness, Strategic Implementation and Bio-Surveillance.

She believes strongly in interdisciplinary collaborations and seeks, via the One Health Commission, to connect One Health stakeholders into active Teams, creating strategic networks / partnerships that will educate about all One Health Issues. Her forte is bringing people together. 

Among her achievements since becoming the OHC director, Dr. Stroud was instrumental in improving, expanding and updating the OHC’s current website In addition she presciently consented to a visionary recommendation to promote a worldwide “One Health Day” from her exceptional Associate Executive Director Peter J. Costa, MPH, MCHES Biography; Mr. Costa was also recognized for his significant One Health contributions in 2016 by receiving an Honorary Diploma award from AVES. 

One of Dr. Stroud’s most significant collaborative achievements was to encourage close engagement between the OHC and the One Health Initiative Autonomous pro bono Team.  This has resulted in a valuable synergistic effort by having joint One Health ventures.   See Notable One Health Commission/One Health Initiative Autonomous pro bono Team Joint Collaborations”

Notably, Dr. Stroud proceeded to form and lead a remarkably successful “One Health Day” coalition-planning committee including the One Health Platform Foundation (OHP)—a  prominent respected, leading international One Health organization and the One Health Initiative Autonomous pro bono team (OHI team)  Financial funding is provided and handled via the OHC and OPH respectively.  The first ever One Health Day was initiated November 3, 2016 fostering over 150 events worldwide in many countries from the Africa, Americas, Asia, Europe, and Oceania regions.  The OHC, OHP and OHI team are currently coordinating efforts for this event to hopefully recur next year (2017) and indefinitely beyond.

Also see previously posted OHI website NEWS item about “U. S. One Health Commission Chair [Dr. Joann Lindenmayer, veterinarian] and notable “One Health” Leader - Monday, April 04, 2016” 

Editor’s Note: Drs. Stroud and Lindenmayer, are recognized and admired for working “hand & glove” together and generously with other national and international One Health leaders/organizations, dealing with a variety of complex One Health issues.


One Health Lecture: Physicians, Farmers, and the Politics of Antimicrobial Resistance - Iowa State University (USA) - March 21, 2017 - Thursday, March 16, 2017

One Health Lecture: Physicians, Farmers, and the Politics of Antimicrobial Resistance

Iowa State University – College of Veterinary Medicine – Ames, Iowa (USA)

March 21, 2017
One Health Lecture

In honor of veterinarian Dr. Roger Mahr [DVM]
Physicians, Farmers, and the Politics of Antimicrobial Resistance

Presented by physician Dr. Laura H. Kahn [MD, MPH, MPP]

5:30 pm; CVM room 2226
Event details and future recorded session page

Note: The recorded lecture will be available at this website post-lecture.
Photo by Joseph L. Murphy, MD

Important “One Health” 21st century History:

June 2007- American Medical Association Meeting during “One Health” resolution
testimony.  Historic resolution subsequently adopted. (see

Left to right: the late Ronald M. Davis, MD, President AMA, Roger K. Mahr, DVM, President, American Veterinary Medical Association and Laura H. Kahn, MD, MPH, MPP of Princeton University.

The AMA “One Health” resolution was originally drafted by Dr. Kahn under Dr. Davis’s guidance. Thomas P. Monath, MD and Bruce Kaplan, DVM assisted.  The historic “One Health” liaison between AVMA and AMA [in effect today] was fostered by collaboration between Drs. Mahr (AVMA) and Davis (AMA).

“One What? Why GI [Gastrointestinal] Researchers Should Know and Care About the One Health Initiative” - Sunday, March 12, 2017

An Outstanding Editorial One Health perspective...


Cellular and Molecular Gastroenterology and Hepatology - Click here to go back to the homepage

 "One What? Why GI [Gastrointestinal] Researchers Should Know and Care About the One Health Initiative”

By Rebecca G. Wells, MD [a physician]

Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania

Please read complete article at:

Open Access DOI:

The One Health Initiative is an international movement that began in 2006 and is supported by, among others, the American Medical Association and the US Centers for Disease Control.1  Available from: Accessed September 14, 2016.

See all References1 Its goal is both laudable and logical: to bring together animal, human, and environmental health practitioners for collaborations that enhance health and well being, broadly and globally. Sadly, although One Health (and the related concept of Zoobiquity2  Available from: Accessed September 14, 2016.

See all References2) are widely appreciated in the veterinary community, they are generally unknown in the human medical community, especially among subspecialists such as gastroenterologists.3   Wolfe, L.A. Why the human side lags behind in One Health. Veterinary Practice News. June 10, 2015;

See all References3 I first heard of One Health from a veterinary collaborator a year ago, and an informal survey of colleagues in gastrointestinal (GI) research suggested that most are similarly unaware of One Health. ...”

One Health Linking Human, Animal, and Ecosystem Health - Ravenswood Media - Tuesday, March 07, 2017

An excellent brief One Health presentation...

One Health Linking Human, Animal, and Ecosystem Health

venswood Media

Ravenswood Media

Published on Mar 6, 2017

One Health links human, animal, and ecosystem health into a model for solving today's health problems.


2016 Student Competition award - Monday, March 06, 2017

International One Health Community Notice:

The One Health Day Planning Committee is pleased to have received numerous outstanding entries for the 2016 Student Competition award. The decision process has been challenging and therefore judging will be extended through March 2017 with an expected winner announcement date of April 1, 2017.

For additional information, please contact:

David De Pooter       
It's all connected 
mobile: +32 479 45 74 46 

March 1, 2017 - "One Health Happenings! [One Health Commission News] - Friday, March 03, 2017


Notable One Health Commission/One Health Initiative Autonomous pro bono Team Joint CollaborationsMch 1, 2017


March 1, 2017 - One Health Happenings! – See complete coverage at


Breaking News!!!

·        Executive Report of the November 18 online One Health Education Conference now available.

The One Health Commission (OHC) established the One Health Education Task Force (OHETF) in 2015. The One Health Initiative (OHI) team was invited to participate and Dr. George Lueddeke, PhD (author and medical education consultant) was asked to serve as Chair of the Task Force. The OHETF published a concept paper (May 2016) and a Press Release (June 2016) calling for a global One Health education platform and exploring global interest. An online OH Education Survey was administered to those who responded to the press release and they were invited to attend an online OH Education Conference on November 18, 2016 that gathered additional input. Now you can read the written OH Education Conference report. 


One Health Initiative Autonomous pro bono Team joins One Health Commission Council of Advisors, provides letter of support for One Health Education grant proposal partnership with the Commonwealth of Nations Secretariat. We're stronger together!

Mycobacterium tuberculosis Infection among Asian Elephants in Captivity - Wednesday, March 01, 2017

“This report [see below] underscores the implications of the One Health worldview.  Only human strains of Mycobacterium tuberculosis have been isolated from Asian elephants.  These strains have been traced to their origin in the Far East (primarily India and Thailand), and the domestication of Asian elephants.  TB disease of elephants has been shown to be an infectious  risk to animal care workers, and to other elephants in congregate settings.  Study of these occurrences has provided insights into TB transmission and pathogenesis in elephants and humans, as well as issues of species preservation of Asian elephants.”

*Gary Simpson, PhD, MD, MSc, MPH – College Master-Paul L. Foster School of Medicine - Texas Tech University Health Science Center, Professor of Infectious Diseases in Medical Education (USA)

Emerging Infectious Diseases Journal (EID) Volume 23, Number 3—March 2017

Please see complete copy at

Mycobacterium tuberculosis Infection among Asian Elephants in Captivity

Gary Simpson, Ralph Zimmerman, Elena Shashkina, Liang Chen, Michael Richard, Carol M. Bradford, Gwen A. Dragoo, Rhonda L. Saiers, Charles A. Peloquin, Charles L. Daley, Paul Planet, Apurva Narachenia, Barun Mathema, and Barry N. KreiswirthComments to Author  


Although awareness of tuberculosis among captive elephants is increasing, antituberculosis therapy for these animals is not standardized. We describe Mycobacterium tuberculosis transmission between captive elephants based on whole genome analysis and report a successful combination treatment. Infection control protocols and careful monitoring of treatment of captive elephants with tuberculosis are warranted.”

*Dr. Simpson is a longstanding physician One Health supporter/advocate/activist who serves on the One Health Initiative Team’s Advisory Board


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