Veterinary Public Health Forum

Veterinary Public Health Forum
The University of Sydney, Camden Tuesday 8th March 2011 In the 21st century, what are the Veterinary Public Health needs of industry, government, academia and the community? Are these needs being met by this country's Veterinary Public Health capacity?
A Forum of stakeholders was held at Camden, 8 March 2011 to discuss these issues and to identify options for developing Veterinary Public Health capacity in Australia to meet local, national and international needs. It was facilitated by Dr. Lisa Adams (Lisa Adams and Associates, Melbourne). Forum objectives were to: 1. Identify the current and future needs of stakeholders in VPH 2. Survey Australia's capacity in VPH 3. Initiate discussion of strategies to address gaps in Australia's VPH capacity The Forum was structured into three sessions:
1. Scene Setting: short presentations covering the scope of veterinary public health, how it is
changing, and what needs to be considered for determining actions for shaping VPH (capacity and outcomes) over the coming decade. Presentations included perspectives from government, industry and academia.
2. Future Needs: group activities to address the issues that we need to confront, the trends
and drivers of change, and what are the unknowns and what questions need answering to enable good decisions about the future. Groups represented the interests and perspectives of governments, industries, universities and communities, and reported back in a combined session for discussion. to from here, using a variety of approaches to address capacity building and veterinary public health.
3. Identifying future scenarios and strategies. Again, groups were used to examine where
The Forum concluded with a panel discussion. The Forum brought together 51 participants in total, representing government (Commonwealth Dept. of Agriculture, Fisheries and Forestry; Australian Quarantine & Inspection Service; Australian Pesticides and Veterinary Medicines Authority; Dept. of Primary Industries Victoria, New South Wales Industry & Investment, New South Wales HealthCommunicable Diseases, Primary Industries South Australia), industry (Australian Health Australia, Australian Veterinary Association, Meat & Livestock Australia, New South Wales Livestock Health and Pest Authority), Schools of Veterinary Science (Sydney, James Cook, Adelaide, Melbourne and Queensland Universities) and several private consultants.
Veterinary Public Health Forum_final.doc
Forum discussions were robust and productive. It was apparent that the definition of veterinary public health was broad and varied greatly according to the perspective of the participant. At one extreme is the view that veterinary public health primarily describes the control and prevention of zoonotic diseases transmitted from animal to humans (anthropozoonoes). Australian examples include anthrax, Hendra virus and Q fever. More broadly, veterinary public health includes food safety and occupational health and safety issues. Even more broadly is the use of animals as sentinels and the human-animal bond. In general it was agreed that in order to promote veterinary public health, we need to define clearly what we mean by this term. A definition that might accommodate what we want to achieve in veterinary public health is: Animal health activities aimed at improving the health of human communities. This definition is centred on the motivation of the activities undertaken. For example, a program to control Q fever with the aim of reducing reproductive loss in sheep flocks would not be considered veterinary public health. If the same program was initiated to control the risk of Q fever in humans as one of its objectives, then this would be veterinary public health. Another example is the control of E.coli O157 contamination of red meat. Since this pathogen has little (if any) affect on livestock health and productivity, research on E.coli O157 and initiation of a control program would be a veterinary public health activity.
Recommendation 1
That veterinary public health is defined from an operational perspective as animal health activities undertaken with the aim of improving the health of human communities. It was clear during the Forum that there is a lack of perception of national leadership in the area of veterinary public health. One reason might be that many different organisations undertake activities broadly within veterinary public health, but that no single organisation undertakes all activities that could be considered part of veterinary public health. The Federal and State Departments of Agriculture have legislative responsibility for the control of animal diseases and the safety of food of animal origin. The Federal and State Departments of Health are responsible for human disease associated with pathogens of animal origin, and for surveillance of both infectious and non-infectious (e.g. sentinels) diseases which may be linked to animals. Industry organisations are responsible for the efficiency and profitability of their industries and as such animal diseases can be an important component of their business survival. Schools of Veterinary Medicine are responsible for training animal health professionals in all aspects of animal health, including veterinary public health. Training in veterinary public health is a school accreditation requirement. Other special interest groups are concerned with veterinary public health. In Australia these include the Public Health University Network, the Australian Veterinary Association, and the Australian College of Veterinary Scientists. A number of consultants within Australia undertake work broadly within the area of veterinary public health.
Veterinary public health is used to maintain the commercial advantage of livestock industries (particularly those with a major export orientation), the health of humans and in some cases the health of the ecosystem. Based on previous activities, Animal Health Australia and the Commonwealth Department of Agriculture, Fisheries and Forestry are obvious leaders in veterinary public health. An alternative approach is to follow the model in the United States where at the Federal level the Centers for Disease Control maintains a zoonoses section that acts as a de facto national leader in veterinary public health. A veterinary public health section within the Commonwealth Department of Health and Aging is an option for providing leadership and focus in Australia.
Recommendation 2
That one or more national organisations or agencies take leadership of strategic planning and capacity in Veterinary Public Health One of the frustrations raised during the Forum is that neither the decision-makers in government nor our local communities value the important functions and outcomes of veterinary public health. Some of the drivers of this lack of appreciation were discussed, including a disconnect between urban and rural communities, increasing ignorance of food production, decreasing profit from the agricultural sector, and the tendency for larger production units controlled by fewer individuals. Surprisingly, the increasing pressure on wildlife populations and ecosystems and the contribution of veterinary public health (perhaps overtaken by the One Health fad) to solve some of these issues has not been recognized by the public in general. One of the barriers to promoting veterinary public health identified at the Forum is the lack of information detailing the economic value of veterinary public health. Another issue is that many of the benefits are social, or intangible. It was felt that documenting and valuing the benefits of veterinary public health would be the first step to promoting veterinary public health and ensuring that it is appropriately funded and resourced. This approach has been used to promote the value of One Health documentation of a series of case studies. Similar to biosecurity, the outcomes of veterinary public health can be thought of as health insurance. That is, veterinary public health ensures stability in the food supply, in human health, and in ecosystem health. At the Forum, some argued that promoting veterinary public health on the basis of preventing major disasters from occurring (e.g. a flu pandemic) is the most effective method of capturing the attention of decision-makers, who are notoriously riskadverse. We need to recognise that rarely is a purely technical argument likely to succeed.
Recommendation 3
That the benefits of veterinary public health be clearly defined, in economic, social and scientific terms.
Once the value of veterinary public health has been defined, then it can be promoted. Solid information of the benefits of veterinary public health whether economic or social will aid this approach. However, the opportunities presented by big events (or near misses) need to be seized to promote veterinary public health as a public good. Some obvious examples are emerging zoonotic disease events and disease outbreaks. The message needs to be simple, timely and on the subject. The message might be most effective if delivered by community advocates, rather than government or industry representatives. Although not appreciated, the short political cycles and sensational short-term media need to be recognised and veterinary public health promoted within this context. In general, Forum participants tended to feel that efforts to increase public support are the most effective method to increase government support for veterinary public health.
Recommendation 4
That veterinary public health is promoted as a public good at all levels of government, industry and academia. The issues of capacity in veterinary public health and training were discussed at the Forum. In general it was felt that instruction at the undergraduate level (both within veterinary and biomedical science programs) was desirable, but that specialist training at the postgraduate level remained critical to meeting societys needs in veterinary public health. It was also acknowledged that veterinary public health needs to be more open rather than a perception (whether real or not) that it is a vet-only subject. There are also challenges in veterinary public health research: attracting interested and eligible candidates for higher degrees is difficult, given the lack of career pathway and remuneration, and there is an ageing academic workforce. One solution suggested is to change selection criteria for undergraduate programs, to encourage those wanting to work in public practice. At the postgraduate level, training in leadership and communication together with technical skills is critical. Investment with industry is needed, and support and twinning with international organisations (FAO, OIE, WHO, AusAID, ACIAR) would be beneficial. Promotion of veterinary public health would also be expected to increase demand for postgraduate training opportunities. The increasing numbers of veterinary and bioscience graduates in Australia might also increase demand for veterinary public health training.
Recommendation 5
That Australias capacity in veterinary public health is strengthened primarily through the development and maintenance of postgraduate education opportunities funded through a joint mechanism of government, industry, academia and user-pays.
Traditionally, the vast majority of expertise in veterinary public health in Australia has been generated with full or partial sponsorship from public agencies. With the general contraction in government support for the agricultural sector these opportunities have waned. Nevertheless, a growing focus on public benefit means that competency in veterinary public health will continue to be a requirement for these organisations. The recruitment environment is difficult because the supply of suitable individuals is decreasing ironically because of the absence of training opportunities that attract good quality graduates. Australia needs to develop training pathways in veterinary public health that satisfy the needs of employers and which meet the career aspirations of young veterinarians and animal health professionals. Without such a strategy the current shortfall in expertise will accelerate, resulting in economic and social consequences.
Appendices
1. Veterinary Public Health Forum invitation 2. Veterinary Public Health Forum plan 3. Scene Setting presentations 4. Breakout session I notes 5. Breakout session II notes 6. Panel discussion 7. Record of outputs from small group discussions, breakout sessions I & II 8. List of participants

The University of Sydney, Camden Tuesday 8th March 2011
Veterinary Public Health (VPH) has been is defined as The contributions to the physical, mental and social well-being of humans through an understanding and application of veterinary science. Human health, animal husbandry and animal health are closely connected and VPH is a fundamental part of public health whereby human health and well-being are the main objectives. VPH is multidisciplinary, relying on skills found in disciplines such as epidemiology, microbiology and pathology. VPH contributes to the health of Australians and to the value of the Australian economy. In the 21st century, what are the VPH needs of industry, government, academia and the community? Are these needs being met by this country's VPH capacity? You are invited to participate in these important discussions. The Veterinary Public Health Forum on Tuesday 8th March at The University of Sydney, Camden will identify options for developing VPH capacity in Australia to meet local, national and international needs. Program, facilitated by Dr. Lisa Adams, Lisa Adams & Associates: 9:00 Welcome and Introduction Profs. Rosanne Taylor, Michael Ward 9:15 9:30 9:45 10:00 10:15 10:30 11:00 12:30 13:30 15:15 15:45 16:15 16:30 18:00 VPH: The Government Perspective VPH: Industry's Perspective The Past: Development of VPH at USyd The Present: How We Teach VPH The Future: Trends in VPH Education Morning tea Breakout session I: What are the needs of industry, government and academia in VPH? Lunch Breakout session II: Where to from here? Developing strategies Afternoon tea Panel discussion Closing Remarks End Forum Dinner, Enzo's Restaurant, 39 John Street, Camden 02 4655 9260
For further information, michael.ward@sydney.edu.au; (02) 9351 1607 Veterinary Public Health Forum_final.doc 7
Dr. Mike Nunn, DAFF Mr. Ian Jenson, MLA Prof. Richard Whittington, USyd Dr. Jenny-Ann Toribio, USyd Prof. Michael Ward, USyd
Prof. Michael Ward, USyd
Forum Objectives 1. Identify the current and future needs of stakeholders in VPH 2. Survey Australia's capacity in VPH 3. Initiate discussion of strategies to address gaps in Australia's VPH capacity
Forum Scope Veterinary Public Health (VPH) can be defined broadly. So that progress can made at this Forum, the scope of VPH will be restricted: direct threats to human health (incl. zoonoses and potential zoonoses) a secure, sustainable food production chain in a changing environment community concerns for the health and wellbeing of livestock, wildlife and pets training and education (incl. undergraduate, postgraduate, specialist and continuing education) key disciplines: epidemiology, pathobiology, medicine
VETERINARY PUBLIC HEALTH FORUM

Draft plan prepared by Lisa Adams for consideration by Michael Ward, Richard Whittington and Jenny-Ann Toribio
SESSION ONE: SCENE SETTING (90 MINUTES)

Short presentations with an allowance for Q&A after each presentation. What is the scope of veterinary public health (VPH)? How is this changing? What do we need to consider for determining actions for shaping VPH (capacity and outcomes) over the coming decade? 1. 2. 3. 4. Mike Nunn: Government perspective (10 + 5) Ian Jensen: Industry perspective (10 + 5) Michael Ward: Global perspective (10 + 5) Richard Whittington: Academic perspective 1 - plus also what have been the outcomes of recent research, education and training (postgraduate focus) initiatives (15+ 5) 5. Jenny-Ann Toribio: Academic perspective 2 - plus also what have been the outcomes of recent education and training (undergraduate focus) initiatives? (10 + 5) 6. Whole group Q&A to clarify the scope of veterinary public health and the workshop (10)
SESSION TWO: CLARIFYING FUTURE NEEDS (90 MINUTES)

Create groups of 6-8 people to represent the interests and perspectives of (i) governments, (ii) industries, (iii) universities and (iv) communities. Allow 50 60 minutes for discussion and 30 - 40 minutes for reporting and whole group discussion. Considering veterinary public health and the earlier presentations and discussions: 1. 2. 3. 4. How does the world look now? What issues do we confront? What is behind the changes we are seeing? What trends and drivers can we identify? What are the unknowns? What questions need answering to enable good decisions about the future? Any additional comments or suggestions that people would like to make?
SESSION THREE: WHERE TO FROM HERE IDENTIFYING FUTURE SCENARIOS AND STRATEGIES (120 MINUTES)
Allow 60 minutes for discussion and 30 minutes for reporting and whole group discussion Three possible approaches are presented below - suggest using all three of these approaches in this session with different groups.
Veterinary Public Health Forum, University of Sydney, March 2011 Instructions for small group discussion
The forum includes interactive sessions that will be mediated through small group discussion and reporting back to the whole group for consideration and comment. At the beginning of each session, the group needs to nominate a: 1. recorder who will record the discussions in dot point form onto a Flip Chart; 2. reporter who will report the findings on the Flip Chart back to the whole group; and a 3. facilitator (see instructions below). The group recorder and reporter may be the same person or different people. These roles need to rotate for each session. For the group discussions to work well, it is important that facilitators and group members are clear about their role and the task. The role of the facilitator is to: 1. 2. 3. 4. 5. 6. 7. ensure the group stays focused on the Task and the Task Rules (see details below); ensure the group sticks to the Time Boundaries (see details below); respect all the ideas put forward by group members and not judge ideas as positive or negative; ensure group members have equal opportunity to contribute (the Task Rules support this); clarify what group members say if necessary to avoid any confusion; encourage communication linkages between group members; and stay neutral - avoid contributing your own ideas.
TASK RULES FOR SMALL GROUP DISCUSSION The following four steps outline the process to be followed for each question listed under the Group Topic and Session Theme. Step One (1-2 minutes) First there is 1-2 minutes silence for group members to think about question one and record their ideas. Group members record between one and three ideas onto the Post It notes. Only one idea should be recorded on each Post It note. Each idea should be expressed as a short statement no more than one sentence. Step Two (4 minutes) Second, people take it in turns to table their ideas. This means that people read out the statements on their Post It notes. There is no discussion until all the ideas are tabled. People can build on other peoples ideas. Step Three (9-10 minutes) Third, there is group discussion to identify between 3-6 key messages that the group can agree on from the ideas tabled. Ideas can be combined to construct the messages. The group Recorder lists the 3-6 messages on the Flip Chart with a heading to indicate which Topic and Question the messages refer to. Step Four Fourth, the group moves onto question two and repeats the First, Second and Third steps again. The ideas put forward should build on the discussion associated with Question 1. The cycle then should be repeated for the remaining questions. The group facilitator needs to collect all the Post It notes for each question there is a separate stack for each question.
Veterinary Public Health Forum_final.doc 10
(i) Capacity building and VPH building on the past to explore future options Whole group to brain storm some examples of capacity building initiatives in VPH. Group members to select one or two examples to work with for exploring future scenarios and strategies. 1. Drawing on the example(s), what key lessons should inform future initiatives? a. What major constraints or gaps need to be overcome? b. What are the pathways forwards? (What is working well that could be further strengthened? What new systems could be created? What cultural or organizational shifts are required?) 2. What goals have been set or could be set for VPH for Australia for the next 5-10 years? 3. How can we (government, industry, university, community) support these goals? a. Consider at a broad and specific level 4. Any additional comments or suggestions that people would like to make? (ii) Capacity building and VPH stepping back to take a global perspective to explore future options 1. What is working for us? 2. What is not working for us? 3. What are the options for future action? (iii) Capacity building and VPH - exploring future scenarios using the futures triangle Whole group to brain storm images that represent a positive, plausible future scenario for VPH. Group members to select an image to work with to explore a future scenario. 1. What is the desired, plausible future? Describe in ways that makes this future compelling? 2. What are the drivers that push us towards this future? 3. What are the barriers or weights that need to be overcome to move towards this future? 4. What actions or options do we need to consider to move towards this future? Panel discussion (30 minutes) Facilitated panel discussion to synthesize some take home messages for the workshop about needs, priority gaps, and where to from here (would need to decide panel members). FORUM WRAP UP (15-20 minutes) Lorna Citer: Closing remarks Michael Ward: Next steps, acknowledgements and close
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Veterinary public health:

a government perspective
Mike Nunn Principal Scientist (Animal Biosecurity) Australian Government Department of Agriculture, Fisheries and Forestry mike.nunn@daff.gov.au
The policy context

Globalisation and trade The quarantine continuum
pre-border, border, post-border
Emergency management
prevention, preparedness, response, recovery
One Medicine
~75% of new diseases are zoonotic
Increased societal demands

food safety, animal welfare, food miles, food security reduced p.c. meat consumption in developed societies
Broad government policy

increasing focus on priorities other than primary industries user/beneficiary pays funding models less is seen as public good requiring government investment
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What does government want?

VPH that contributes to world class animal health services that are:
effective (i.e. meet users requirements) efficient affordable sustainable
Note sense of VPH used/implied wide range of:

specialist -ologies: path-, epi-, virol-, parasit-, toxic- ... roles: field/clinical, diagnostic, research, industry, teaching, policy, development/aid ... species and sectors: terrestrial and aquatic, companion, production, laboratory, zoo, wildlife ...
The users Governments

Commonwealth, State/Territory
Producers Importers Exporters Public(s)

lay/general scientific legal Ministers
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Policy statements and reviews

Many reviews of Australias animal health, quarantine and biosecurity, including:
PM&C (1997) Senate (1979) Joint Parlt. Committee (1979) Lindsay (1988) NAQS (1995) Senate (1996 Nairn (1996) Frawley (2003) Beale (2008)
But little focus on VPH:

even in an underpinning role
A common perspective?
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Frawley Report
Three broad conclusions:
Australias animal health needs are being met on a day-to-day basis, but will need to be enhanced to meet more stringent requirements for international trade in the future there is no current crisis in the availability of veterinarians, but there could be a chronic shortage of production animal veterinarians lasting solutions are offered by policies that build demand for veterinary services rather than artificially induce supply
Only 20% to 30% of individual producers in livestock industries regularly engage private veterinary surgeons
the commercial returns for services typically provided by rural veterinarians to livestock producers are barely sufficient to maintain most rural mixed practices and their viability is generally underpinned by companion animal medicine
Frawley (cont.)
On education and training:
the four Veterinary Schools in Australia provide training that is recognised worldwide for its high standard, but areas of concern identified funding, course content and course entry conditions resourcing constraints may put at risk the capacity of at least some of the Schools to maintain the necessary high standard of training course content is largely determined by accreditation requirements that lead to graduates possessing a broad veterinary science education covering all species. however, the Review is concerned about a declining emphasis on production animal health
On specialist skills:
the rationalisation of government lab. has limited career opportunities for specialists (19.4% fall 1998 to 2001; most 50 years or older)
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Perceived capacity and competence
Has been strong across system

numbers (labs, staff ) training (basic medical/vet disciplines, broad species mix ...) disease investigations and publications research and publications
Has been strong in VPH, but concern declining

particularly in production animals (livestock, aquaculture) and wildlife
Decreased in 10 years time?

total numbers of university entrants (national demographics) numbers prepared to undertake long postgraduate training numbers expecting to spend whole career in VPH number of specialists in VPH in Australia number of experienced specialists as mentors (apprenticeship, on-the-job training) case loads from production animals
for training and scanning surveillance
public good funding for research and infrastructure demand for livestock products in Australia
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Increased in 10 years time?

consumer demands for safety (zoonoses ...) media/societal and international scrutiny of performance number of vet schools (or campuses) in Australia number of vets in Australia number of vet technicians role of private sector in production or food supply vet medicine (FSVM) diagnostic options
more molecular (lab on a chip), more in clinics, more on farm (point of care)
online diagnostic and treatment advice (telepathology) automation (serology, histopathology ...) competition for overseas markets
A paradigm shift?
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Conclusion: shaping the future of VPH

Adapt to trends we cant change
demographics government funding models increasing role of private sector
Influence trends we can

standards/audit: benchmark against the best technology: shape how its used working with vet technicians (as part of team)
Map out possible solutions

supply and demand sides

with humility and realism during this workshop and beyond
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The past:
Development of VPH at USyd
Professor Richard Whittington Chair of Farm Animal Health
Historical perspective the old curriculum
BVSc
- 3rd year
1975-1979
- intense microbiology, parasitology & pathology - mentioned zoonoses - 1 week placement at an abattoir - 5th year - State Veterinary Medicine arguably the worst course in human history - Epidemiology several really great lectures
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Overview of the Faculty of Veterinary Science 2002
Creating a World Class Veterinary School Professor Reuben Rose Dean, Faculty of Veterinary Science
Strategic Planning 2002

Key role of external facilitation Environmental scanning looking at the external and internal issues Competitor analysis Competitive advantage Involvement of the veterinary profession and business community in external ideas and looking for fresh ideas
- Workshops - Working parties
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2001-2002 Investing in the Future 2001University of Sydney Response to Supporting the Animal Industries
New Chairs and academic positions
- Sesqui Chair in Farm Animal Health (support from MLA) - Associate Professor in Sheep Health & Production - Associate Professor in Bovine Clinical Practice - Sesqui Lectureship in Epidemiology
Increased exposure of vet students to rural practice partnerships with RLPBs Post graduate training in epidemiology & production animal disease
Workshop 25th Feb 2002
Genesis of a new degree to benefit the animal industries
- AusVet: Angus Cameron & David Kennedy - DRDC, APL & MLA: J Craven, B Hall, D Skerman & P Rolfe - Sheep Meats Council: David Hudson - Unis of Glasgow & Melb: S Reid, D Mellor, P Mansell - AFFA: Gardner Murray, Peter Black, Mike Nunn - NSW Ag: Ian Denney, David Jordan - AHA: Geoff Neuman - RLPB: Keith Hart - Consultants: Phil Holmes
- Outcome -defined the key elements of a new post graduate program in VPH
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Veterinary Public Health Management Program

Areas of Study
Leadership and Change Management Project Management Veterinary Epidemiology Hazards to Human and Animal Health Animal Health Economics Surveillance, Preparedness & Response Animal Health Data Management Data analysis for Policy development
Food Safety Diagnostic Tests Policy Development Advanced Data Analysis Wildlife Epidemiology Aquatic Animal Epidemiology Risk analysis
Veterinary Public Health Management Program

Contributors - experts from Australian and International Organisations:
Dr Sam Beckett, Australian Department of Agriculture, Fisheries and Forestry (DAFF) Dr Peter Black, DAFF Dr Tracey Bradley, Victorian Dept of Primary Industries Dr Angus Cameron, AusVet Animal Health Services Dr Dale Cooper, Broadleaf Capital International Dr Robert Dixon, University of Sydney Dr Navneet Dhand, University of Sydney Dr Kevin Doyle, Australian Veterinary Association Shashanna Evans, Behavourial Insights Pty Ltd Dr Hume Field, Jeppesen Field P/L Dr Ian Gardner, University of California (Davis) Dr Graeme Garner, DAFF Dr Dorothy Geale Canadian Food Inspection Agency Wendy Grusin, Australian Grad School of Mgt (AGSM) Dr Ashley Hill, Colorado State University Dr Henk Hogeveen, Wageningen University Dr Jenny Hutchison, AusVet Animal Health Services Professor Ali Jafaari, University of Sydney Dr David Jordan, NSW Dept of Primary Industries
Ruth Laxton, RL Learning Designs Dr Monique Mourits, Wageningen University Dr Mike Nunn, DAFF Dr Gary Muscatello, University of Sydney Loretta ODonnell, AGSM Juergen Oschadleus, Act Knowledge Pty Ltd Dr Stephen Page, Advanced Veterinary Therapeutics Dr Edmund Peeler, Massey University Dr Dick Roe, Veterinary Consultant Emeritus Professor Reuben Rose, Chair, VSAAC Dr Gerdien Van Schaik, Animal Health Services Ltd Dr Evan Sergeant, AusVet Animal Health Services Dr Sophie St-Hilaire, Idaho State University Professor Peter Thomson, University of Sydney Gary Timm, Project Management Consultant Dr Meg Thorburn, University of Guelph Dr Jenny-Ann Toribio, University of Sydney Meg Vost, University of Sydney Professor Michael Ward, University of Sydney Professor Richard Whittington, University of Sydney
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VPHMgts progress to world domination 2005
Students in 2003
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2004
2005
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Chair Farm Animal Health - other core business 2002-2010
1. Strategic planning
New positions Chair in Veterinary Public Health and Food Safety 2007 Lecturer in Aquatic Animal Health and Production 2008 Lecturer in Epidemiology and Biostatistics 2009
2. Making research happen
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Strategic plans
2003 to 2005 2006 to 2009 2008 to 2012

THE UNIVERSITY OF SYDNEY
Faculty of Veterinary Science

Farm Animal and Veterinary Public Health
Catering for new ambitions
Strategic Plan 2008-2012

26th March 2008
Leadership and Innovation in Veterinary Science
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FA&VPH academic staff numbers

Academic staff numbers
ignoring maternity leave, sick leave, livestock services including fractional appointments as if full time 25 20 15 10 5 2002 2003 2004 2005 2006 2007 2008 2009 2010 0 Total Continuing
Year end
Species
Total $23.3M
Main species
Avian 0%
Cattle 12% Dog 2%
Sheep 45%
Fisheries 22%
Horse 1% Pig 6% Multiple 12%
Total $23.3M
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Total $23.3M
Main discipline
Production 23%
Epidemiology 17% Microbiology 1%
Multidisciplinary 59%
International research in FA&VPH

Total $23.3M
International projects
Developing country 23%
USA 1%
No 76%
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Post graduate students

No. of PhD students
12 10 8 6 4 2 0 2002 2003 2004 2005 2006 2007 2008 2009 2010 Year end New enrolments Completions
Summary
Well planned activity drawing on community and professional engagement and consultation A very active program in teaching, post graduate coursework and research Not sustainable with present staff profile Urgent need for further community and professional engagement and consultation
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Key question
What is it like for you in another institution and setting?
Undergraduate Training in VPH

Jenny-Ann Toribio Senior Lecturer in Epidemiology
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THE AIM
Is To Inspire and To Inform Them of Essential role of veterinarians in maintaining human and animal health Career directions in VPH.
THE CHALLENGE to demonstrate relevance

of VPH training to students aspiring to clinical careers especially companion animal practice.
APPROACH to VPH training differs across the Aust/NZ Veterinary Schools
BVSc Graduate Attributes - VPH

At USyd on graduation students are able to: Respond to current & emerging problems in animal health & production using best available evidence to support decision making Contribute to maintaining Australias current animal disease status Ensure that animal products are free of chemical residues & other contaminants Apply the principles of animal welfare to the humane management & euthanasia of animals Ensure protection of the health & safety needs of oneself, colleagues, staff, clients & the community.
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Vertical Integration - VPH Training

Year 1 Year 2 Year 3 Year 4 Year 5
Veterinary Public Health Theme
Principles of Disease Microbiology Pathology Parasitology Professional Practice Animal Disease
Pre-clinical
Species Medicine Units Veterinary Public Health Rural Public Practice Mixed & Companion Practice
Clinical
VETS4232 VPH
Epidemiology (16h), Food safety (13h) & Zoonoses (10h) Case-based assignment that requires integration of information from across components to solve a problem In 2010 Introduced 2 case weeks
Biosecurity in practice - Risk assessment & management Hendra virus used as springboard Emergency animal disease preparedness & response based on equine influenza
Abattoir Program Completion compulsory to pass VETS4232

2-day Pre-Abattoir Training - at Camden & online abattoir site developed by Robert Dixon 3-day Abattoir Placement AQIS accredited abattoirs under supervision of OPV
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BVSc atVETS4232 VPH UQ

Vertically integrated: VPH&B modules in 1st, 2nd, 3rd and 5th years - 1st year: Intro to VPH, abattoir orientation visit - 3rd year: Major module applied VPH&B (lectures from Hume Field, Qld Health on actual issues) Horizontally integrated: VPH perspective taken in med, path. etc. courses as relevant. 5th year Capstone course: - Lecture block: - Rotations: - Practicals, tutorials, field trips, case-based exercises - Consolidate theoretical material - Practical and professional skills - Includes 3d Abattoir EMS
VETS4232 DVM at UoM VPH

Introduced a new graduate DVM in 2011 Vertical integration over 5 years with the majority of VPH taught in DVM-2 Pre-DVM: Introduction to the concepts of VPH DVM-1: VPH implications of different animal production systems DVM-2: Key unit Infections, Populations and Public Health Full-year subject integrates microbiology, virology, parasitology, epidemiology and veterinary public health. DVM-3: Specific preparation/revision for abattoir placement DVM-4: Abattoir placement
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BVBiol/BVSc at CSU VETS4232 VPH

4th year : Public Health and Biosecurity 1 - 3 week-long cases Outbreak of reproductive failure in sows [Menangle virus] outbreak investigation & emergency response Outbreak of FMD in a 35,000 head feedlot surveillance & emergency response OJD in a previously non-endemic area focus on control, eradication and prevention 5th year: Public Health and Biosecurity 2 - 3 week-long cases Zoonoses all zoonotic diseases, risk communication & infection control Outbreak of E.coli O157 in community traced to alfalfa sprouts foodborne disease, outbreak investigation, safe food prep & storage, AMR Fictitious senate select enquiry of meat safety and deregulation of the meat inspection process focus on quality assurance, HACCP, gate-toplate, NLIS & trace-back.
Two public health subjects
5-day Abattoir placement
Common Accreditation Issue

Requirement that every student spend several days at an abattoir. Yet student numbers increasing & number of abattoir placements decreasing!
Methodology
Public Health University Network (PHUN)

In 2009 - Australian Abattoir Experience Program to:
Provide equivalence of learning outcomes in abattoir experience for Australian veterinarians Set minimum training standards that balance international requirements with Australian requirements Be practically feasible and sustainable.
Agreed topics presented over Preparatory Training & a Abattoir Experience with exposure to slaughter processes. Accepted by VSAAC however there will be ~700 students needing placements by 2013
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The University of Sydney, Camden Tuesday 8th March 2011
The Future in Veterinary Public Health: Trends, Ideas and Predictions
MICHAEL WARD | Faculty of Veterinary Science
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Veterinary Public Health: The Foundations
Anthropozoonosis Maintenance cycle: animal to animal Zoonotic cycle: animal to human
Source: Supercourse Epidemiology, the Internet and Global Health
Veterinary Public Health c. 1999
the sum of all contributions to the physical, mental and social well-being of humans through an understanding and application of veterinary science
www.who.int/zoonoses/vph/en/
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Veterinary Public Health c. 1999
human population increases supply and safety of food

climate and the environment facilitate globalization of trade
surveillance, control of emerging and re-emerging diseases

www.who.int/zoonoses/vph/en/
Trends in Emerging Infectious Diseases
335 emerging infectious disease (EID) events (19402004) significant over time, peaking in the 1980s dominated by zoonoses (60%), mostly (72%) originating in wildlife
- socio-economic (human population density & growth) - environmental (latitude, rainfall) - ecological (wildlife host richness)
EID hotspots - wildlife zoonotic/vector-borne - lower latitudes
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Modern Concepts in Zoonotic Diseases
human-animal interface interactions transmission

- hunting - trading of animal foods - animal husbandry practices - wet markets - domestication of animals or exotic pets
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Reasons for Emerging Zoonoses
human population food security intensive agriculture: large, concentrated animal populations, mixed species within the same region globalization people, animals, and products moving around the world encroachment / destruction of natural habitats climatic changes conditions suitable for some diseases / vectors
The Future: Five predictions

food security
Bovine Spongiform Encephalopathy
- human population growth
- intensive animal production
globalization
- people, animals, products
ecosystems
- natural habitat encroachment and destruction
climatic changes
- rainfall, temperature, extreme events
human behaviour and society

- pets, biosecurity, recreation
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The Role of Education
develop basic core curriculum incl. new threats and societal demands convince governments, donors that vet education is a public good initial and continuing education programs in public health (zoonoses, food safety, food security), production and trade, and social values twinning programs in education: developed + developing nations assessment, accreditation and harmonisation
The Future in Veterinary Public Health: Trends, Ideas and Predictions
MICHAEL WARD | Faculty of Veterinary Science
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Breakout Session I
Group 1 Industry 1. How does the world look now? What issues do we confront? Trade driving prices, competition, barriers, new markets Food production how safe is food production for covering our own needs How safe re. foreign diseases, antibiotics Consumer attitude higher quality product, confidence, higher safety level, trends in consumer perceptions Constraints from a global perspective can we feed Australia, can the world feed the world and maintain a stable society
2. What is behind the changes we are seeing? What trends and drivers can we identify? Quantity versus Quality Producing enough nutrients to feed the world Desire for quality Production / supply issues resource constraints, distance to market Climate and environment is that stable, can we continue to produce food where we do now Dissemination of information both good and bad fact checking speed and volume too great for deep processing new technologies can be applied very rapidly technology driving how farming and VPH are practiced
3. What are the unknowns? What questions need answering to enable good decisions about the future? Physical resources Leadership from government different levels changes in policy and influences at the farm Consumer attitude changes Production and yield versus quality Welfare issues Is human equity possible can we change human nature? How willing are the rich to change the status quo. how will are we to share what we have How fast will communication and education move what will the next sources be
4. Any additional comments or suggestions that people would like to make? Amount of time spent on micro versus career paths Multidisciplinarity different expertise required Need to be a master of your own discipline first this takes 10-15 years Need to grow and reward specialists that can work across disciplines Solid base required How to effectively communicate the message to society once you have an answer. Advocacy Simon Chapman you have to play the policy game in public health What is the role of farming in our society The ability to farm in the future and the importance of farming in the future. If farming in Australia was driven by what drives farming in the rest of the world what then and vice versa Willingness to share resources fairly / with equality
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Group 2 Community 1. How does the world look now? What issues do we confront? Change and uncertainty Political uncertainty Cultural animal rights Welfare and religious practices (slaughter) Silo attitude need greater interdisciplinary Food production systems Overcrowding / poverty / delivery of health / employment / protein requirements Food safety / community awareness Environmental impacts and wildlife diseases
2. What is behind the changes we are seeing? What trends and drivers can we identify? Awareness / knowledge and concern extension to the public What are the real issues for the public Cultural religious slaughter / polarization Education Fear of change Increasing influence of non-Western culture Changing demographics and wealth Political and economic changes rise of Asia, rise of multinationals, increasing world affluence Availability and sharing of food and resources
3. What are the unknowns? What questions need answering to enable good decisions about the future? How can we reconcile cultural differences to benefit human health Is doing nothing appropriate Improving our response to emergencies What effect will climate change have Awareness is necessary but must be evidence-based
4. Any additional comments or suggestions that people would like to make? Awareness of total environment and monitor it Require development of capacity Require flexibility to respond Public awareness of veterinary public health to influence politicians about what is public good requires the public to know Public awareness good evidence and advocacy Silos Menangle virus example different languages and planets human health is important in the veterinary world as well openness to different perspectives and practices Need to evaluate the problem of a lack of science and scientists in government How do we engage with people who are non-scientists Trend for the higher levels of govt to be general managers, not scientists. Churning cycle of senior management 3 year cycle
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Group 3 Government I 1. How does the world look now? What issues do we confront? Globalisation free trade agreements, EIDs, biosecurity, connectivity Lack of surveillance and prevention funding resourcing Reacting not proactive Urbanisation global growth in population, loss of agricultural land, proximity of humans and animals, socio-cultural impacts, food security and safety Planning and funding there is a looming gap in expertise in VPH between supply and demand a failure to communicate what that gap means advocacy and public perception political representation how do we put these issues on the agenda?
2. What is behind the changes we are seeing? What trends and drivers can we identify? Integration silos we want to fix a system but we work in silos New communication tools Training of new expertise Agriculture is changing in Australia ignorance about rural life and food production Increased welfare group influence Decreased economic resources and role of agriculture decreased influence Increasing rich-poor gap, emerging protein demand and middle-classes Competition between food production and biofuel production
3. What are the unknowns? What questions need answering to enable good decisions about the future? Unknown unknowns - What is the next big disease climate change oil Who will pay for new development of expertise What expertise do we require what are we asking for How can we convince people that public health is public good Convincing people about the need for prevention. Will the public support the politicization of science What is the future role of science in government?
Group 4 Government II 1. How does the world look now? What issues do we confront? Food security / rapid change / connectivity and people movement Risk communication rise of social networks Need the right evidence base to inform good decision making High cost of skilled people in public health and low perceived value Where are the jobs for these people long-term Need for vets to work with paravets and technicians In governments there is adequate infrastructure broadly but it is showing cracks during crises we have responded well
2. What is behind the changes we are seeing? What trends and drivers can we identify? The thin grey line: ageing expertise Lack of competence and capacity Internet and social media media cycle demanding information enemy of getting accurate info needs to be succinct misinformation and lack of evidence-base Lack of understanding of professionals Lack of trust of science Increasing population pressure
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Decreasing priority of agriculture Needs to be some sense of crisis to change attitudes not good in peacetime Scientific arguments dont encourage change - Reaching peoples values and belief are required Need long term visions
3. What are the unknowns? What questions need answering to enable good decisions about the future? Unknowns known unknowns climate change, geopolitical unrest, food supply, mobile populations, increasing disease risk demand for Australian agricultural products pandemics vegetarianism cost of oil and impacts on production systems Why do we departments of industry and investment and agriculture rather than dept of ecosystems How do we train and reward communication skills very complex how to work the social media Why dont we see economies as a subsidiary of the environment and not vice versa How do we manage to keep on top of the rapidly changing situation How do we collect sufficient info to monitor the changing situation
4. Any additional comments or suggestions that people would like to make? Need to address the loss of skill sets specialists and multidisciplinary Need advocacy for govt support Multidisciplinary training One Health concept easy to say not easy to do should be at PG level Critical thinking and problem solving rather than factual learning Communications training VPH training should be seen as a national insurance policy requires cost-benefit analysis advocacy Links with international neighbours requirements of near neighbours may be much more
Group 5 Academic I 1. How does the world look now? What issues do we confront? Food security Sustainability Dwindling resources teaching and research how to teach these complex issues change and multidisc how we deal with public perception overburdened curriculum core versus specialist Complex systems and change
2. What is behind the changes we are seeing? What trends and drivers can we identify? Increasing demand versus supply Poor resource distribution Economic rationalization Decreasing inputs from government cost-sharing arrangements Increasing competition in veterinary workforce and in educational institutions
3. What are the unknowns? What questions need answering to enable good decisions about the future? Known and unknown Unknown unknowns EIDs Known better climate change forecasting and modeling How to increase the relevance and gain more support lobbying and advocacy Changing public perception VPH is for public good How do we change reactionary research and soft money onto long-term strategic targets
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Group 6 Academic II 1. How does the world look now? What issues do we confront? Food security: quality and safety re-emerging diseases transboundaries, emergence response, biosecurity
2. What is behind the changes we are seeing? What trends and drivers can we identify? Globalization / population growth Movement of people, animals, products around the world more effectively Economic development class of people expecting better quality food why shouldnt they have it if we do Climate change
3. What are the unknowns? What questions need answering to enable good decisions about the future? Political uncertainty international and in domestic government How do we attract more students in to VPH? Emerging and re-emerging diseases from where Economic assessment Technology and information misinformation a little bit of info can be dangerous the role of the internet
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Breakout Session II
Group 1 MVPHMgt Should the existing postgraduate course be the model or a new model? Existing topics strengths and weaknesses o Biosecurity Vet and non-Vet interest for animal health programs, plant biosecurity o Strategic foresight future thinking, adapting to change o Diagnostics in veterinary practice rapidly developing are we keeping up o Ethics a gap right now o Compartmentalisation animal disease control sub-zoning and trade o Capacity building Australia a world-leader a lot of funding for this in the region o Other PG training courses livestock food safety Constraints in research environment ageing specialist workforce attracting good people to do a higher degree lower income for a period of study investing with industry (joint appointments) Way forward: Business plan to draw together concepts, gap analysis (use eg of failed CRC bid), draw alliances International alliances (FAO / aid organisations UNICEF, Save the children) alliances with overseas universities alliances with government organisations. Business plan for internal and external purposes (Beale recommendations) push for enhanced biosecurity Gap in FETP FETP vet training in Australia Movements of graduates new jobs after training, movement into PhDs highly desired qualification for government departments internationally Who is not in the tent at the moment interdisciplinary inclusive Masters in biosecurity management NSW public health traineeship program prerequisite is a MPH SEIB multidisciplinary agency could host this conversation requires impetus to be truly crossdisciplinary
Group 2 AVA / VPH SIG Whats working Profile o o o o o of the One Health push maybe has hijacked the objectives One Health is it helpful or a hinderance an impediment to getting information out Veterinary Public Health is narrower than One Health No-one can possess or institutionalize One Health it is a culture, a way of thinking, an approach to working with other disciplines It is controversial because it is uncomfortable Should ecohealth be taught within VPH-Masters?
Food security links improving relevance not just food safety but productivity Day in the life stories / exotic bulletins DAFF & DPI presenting what they do Student electives Leadership of AVA good advocates generally for VPH
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Whats not working AVA is overly represented by small animal clinical sector Strong public health stream but low turn outs few VPH practitioners attend meetings How do we create a brand for ourselves
Moving forward Require tangible spaces for VPH-workers to work in AVA-lite: education and regulators dont need what AVA provides community representational issues Improve profile for bigger issues less reactionary media releases what are the big issues need a structured strategic approach to media on these realignment exercises for typical AVA members Issues presented to media and lobbied for at political level clinical issues balanced by broader societal issues Lobbying and advocacy Better engagement of members representative voice for that Are medicos / microbiologists also stakeholders thus the rebranding need companion animal vets onside but need to also promote VPH for greater good Targeted issues of VPH newsletter of whats going on in VPH / zoonoses targeted promotion
Group 2 Capacity Building Whats working Education postgraduate MVPHMgt Emergency responses Equine Influenza Biosecurity FMD freedom Food supply few major trade issues Demonstrated ability to deal with uncertainty Food trade barriers for our own safety
Not Working Public awareness VPH / production systems / AVA / vet students Still working in Silos within disciplines / internationally Overreliance on border control reactionary funding approach unsustainable Poor VPH career prospects downsizing governments Not learning from experience Inconsistent state legislation / responsibility Antimicrobial resistance monitoring seemingly off the agenda
Future actions Training changes to selection criteria for vet students vet schools for purposes (small animal versus production) Is the veterinary graduate the right target animal scientists might be better Training in communication required Cross-disciplinary experience does the MVPHMgt bring in the other disciplines? Need better data better analysis to drive decision-making process cost benefit analyses Veterinary public health CRC a driver for coordinated approach AHA like body (VPH industry body) Antimicrobial monitoring Need to discuss these issues not just during election times
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Conclusions Need to work more proactively / more cohesion Understand the big picture what can and cant we achieve Health science degrees are mushrooming Broadly some good prospects for vet public health
Group 3 Futures: VPH as a public good and who pays WHO definition of public health Need to communicate to public and government a lot of media aimed at communicating to a child
Barriers poor recognition of the value of prevention Vets not good at broad communication we are reluctant to let go of VPH as ours exposure to VPH is quite late in curriculum a lot of VPH activities are done within government whilst health and industry and community disconnection of urban population from food production titles of VPH and One Health dont hit the mark vets trained with clinical mindset skills in critical analysis and problem solving can be applied, but not trained to apply these outside a clinical setting
Pushes communication requirement for simple messages using media and self-interest for our benefit
Cross-sector training How to make VPH sexy for the media / public Analytical mindsets communication with government Succession planning Recruiting vet candidates specifically to the role How to increase cross-department linkages
Main actions Make a plan for promotion of VPH requires a notion of what VPH actually is (a holistic health view) One Health? Having a plan to deliver the message at an opportune time Election-based opportunities being prepared for opportunities needing an advocate (maybe govt is not the right group increasing distrust require industry, community, university need those perceived as objective / independent Not wanting to be tied to One Health or any particular group not government, not industry some third party Australia-based with connections overseas?
Conclusions What is public good beliefs of values whats important to people with government need to talk about $$$ If the constituency is telling you it requires something who pays depends on how government sees their role Engagement with small animal owners and vets majority of profession is in large and small animal practice need to increase focus on them
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Scope issues Governments not particularly interested in what goes on at companion animal level Antimicrobial resistance shows we have to include small animal practitioners and pharmaceutical industries in this Government spends money on diseases of public health significance Major challenge is how to communicate the scope
Group 4 Futures: US CDC model What would be the shape of a model / almost ended up talking about the Department of One Health
Ideal Vision In Australia, health and food security focus National program with State participation similar to a lot of existing animal health programs Multidisciplinary (Health, public health, universities, animal health, livestock industries) Trust-worthy collaborative government department Sustainable funding model One Health objectives Public buy-in, understands what we are doing and approach and supports it
Drivers towards this reality A big event emerging zoonoses / disease outbreak situation Public desire for governments to have bodies that look after things properly rather than political or compartmentalized A public desire for a trust-worthy authority for the public benefit Complicated nature of health and food issues becoming more apparent changes in food production and consumption unknowns big changes food security Old models no longer appropriate require a bigger better thing Public awareness of issues a public that takes interest in public health and food security media involvement (positive) would help drive this direction Current deficit of the silo approach drives towards developing a multidisc system
Barriers Bad governance and decision-making at government and departmental level government mindsets can become entrenched Complexity of the paradigm shift that is required requires political will Lack of political will because of short political cycles and media disinterest / superficiality / sensationalisation Parochial attitudes silo mentality divisions between agencies
Actions Need advocacy need public / government / media support to drive this requires understanding need to capture peoples imaginations Maybe need to introduce an exotic disease (tongue in cheek) really need to highlight near misses Need a benevolent dictator Does the USYD Veterinary Faculty have a media communicator have a media agency identifies academics and approaches them re issues they feel important
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Group 5 Animal systems / Dept of Ecosystem health and sustainability Barriers There is a language problem sheep lice could be seen by industry as a VPH issue Every department wouldnt want to be morphed into one Institutional silos Soft funding Industry priorities are production and $$$$
Pushes There are people in VPH with a vision There are insurance needs eg rabies Evolving crises will make a difference water management The whole systems problem is the issue for want of a better definition calling it VPH is a problem The VPH group in the AVA has a communication problem Whole system health (animals) Whole system health (plants) Whole system health (humans) Intersection is The Main Game Great advances in specific fields need to venture into multidisciplinary issues and context Society and community demand it will no longer be good enough to have these problems not solving these problems will not be good enough These things are globally driven clear global needs nearby Whole industry cost could become overwhelming
Actions Education advocacy and role-models at all levels Debate about One Medicine and One Health and VPH Whole system health (animals) rebirth of strategy into PG education How is this going to be resourced overseas markets externships (guaranteeing that individuals got to the post-doc stage) Basic training + PG training in systems approaches + experience in team-based environments to complicated global issues
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Panel Discussion
What are the most immediate challenges? Michael Ward, The University of Sydney Faculty of Veterinary Science: To define what we are talking about VPH most are now more confused Scope debate - first Next step is promotion how and who should lead this (AHA, DAFF, AVA, unis-PHUN) how even do we have that discussion? What has it achieved
Mike Nunn, Department of Agriculture, Fisheries and Forestry Some of the language has a baggage One Health etc Who should we include in this process if we are seen as a group of vets advocating for more veterinary jobs then we are doomed Ecologists, environmentalists, microbiologists Need a champion, reputation and name, similar to building a CRC Requires resources and time Need to start small capture some of the energy in the young vets enthusiasm and altruism We have a problem with vets and the grey line How many vet faculties can we support? Need to think about vet undergraduate curriculum streaming into small animals / production / VPH At the moment over-costed and under-valued Need to work with the other members of our team paravets, others
Jenny-Ann Toribio, The University of Sydney Faculty of Veterinary Science: Funding challenge for postgraduate education (coursework) extension into cross-disciplinary perspectives How do we resource it? Masters of Biosecurity (SEIB) one option requires a lot of thought A number of existing courses need to think about people that we want to attract and where we want them to go Need to consider a degree that meets a community need, not for increasing university funds Since the Masters of Applied Epidemiology program (ANU) is no more, there are gaps applied training required are there models from the region (AVET / FETP-Thai (Intl))? Opportunities for training paravets intelligence networks Sad that weve closed our course when the rest of the world is developing theirs What role might Australia have in training paravets (strong SPC program)
Richard Whittington, The University of Sydney Faculty of Veterinary Science: Poor recognition of the value of prevention and the need to pay an insurance premium We havent communicated to government or community the need to pay this premium Need to be more inclusive this is a different message than nine years ago at start of MVPHMgt Opportunity Masters in Biosecurity Management for AQIS and Biosecurity Australia need staff to gain professional qualification equine practice might require this also could be extended into small animal practice Should be internationalized from the outset. Need insurance policy for the region which helps Australia. Aid programs follow this theme. This may have gotten too big.
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Ian Jensen, Meat & Livestock Australia: Interface between animal and human health need that multidisciplinary approach cant look at the profession alone - a few unique skills but many skills that are shared to bridge-build. Advocacy need to build in why insurance premium is worthwhile economic value Need to deal with events economists are not good at dealing with Need to articulate at the appropriate time (when government is listening), that there is public good in it
Emma Rooke, Animal Health Australia Funding is a day-to-day issue Public versus private good government resources declining is a reality beneficiary pays concept Need to quantify the public benefit Communications program, selling biosecurity to producers focused program larger public good message may not be immediately relevant to industry Gap between perceived public good and how to get that funded Requires open and genuine discussion, supported by cost-benefit analysis, to determine where the boundaries of responsibility apply Problem with biosecurity is that there is no tangible outcome, make it difficult to sell It is a big issue, requires multidisciplinary & novel thinking Need to engage other groups to be interested enough AHA member workshop in June discussion of long-term resourcing from research to service-delivery
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VETERINARYPUBLICHEALTHFORUM,8THMARCH2011 RECORDOFOUTPUTSFROMSMALLGROUPDISCUSSIONFLIPCHARTNOTES
BreakOutSessionOne:Whataretheneedsofindustry,governmentandacademiainVPH? FocusQuestions Consideringveterinarypublichealthandtheearlierpresentationsanddiscussions: 1. Howdoestheworldlooknow?Whatissuesdoweconfront? 2. Whatisbehindthechangesweareseeing?Whattrendsanddriverscanweidentify? 3. Whataretheunknowns?Whatquestionsneedansweringtoenablegooddecisionsaboutthefuture? 4. Consideringthediscussions,whatgeneralconclusionsorcommentscanthegroupmakeaboutVPHcapacity,needsandpriorities? Industryperspective Q1 Communityperspective 1Technical Q1Issues VetSupply Change/Uncertainty/PoliticalInstability DiagnosticCapabilities Instabilityandchange Information Disruptionofhumanlifeandsecurity Surveillance Politicallyatthemomentissomewhat 2Trade unstable/unpredictable 3FoodProduction(local) Lotsofchangeswhereareweheaded? Welfare Terrorism SustainableSupply Alertoralarm SupplyandDemand 4FoodProductionSafety Mediadrivenissues+/truth?? 5ConsumerPerceptions Whoisincharge? Marketing Cultural 6ConstraintstoProduction(global) Westernanimalshaverightslikepeople GenYinterestedinfame,not$$ Q2 Interdisciplinarysiloattitudes 1GlobalSupplyofFood(proteinneedsandstarvation)vsLuxuryof PopulationIssuesWealth/Poverty SecureFoodSupply Overcrowding 2ProductionandDeliveryChallenges Povertyandhumandisease Transport Increasingworldaffluencegreaterdemandforqualityfood OilPrices/EnergyCost Health DistancetoMarket Poverty 3Climate/Environment Increasingpressureforprotein/food 4DisseminationofInfo Jobs Diagnostics FoodSafetyCommunityAwareness Consumers Safetyoffoodmediarevelationsonchemicaland Internet microsafety ApplicationofTechnology Animalwelfareoffoodproductionsystems Foodadulterationdeliberate/nondeliberate Q3 Focusfromzoonosestolienel 1SustainabilityofPhysicalResources Ecological/Wildlife 2Leadership Ecologicalpressure(inclextinctionseg.USApuma) Political Environment Government Lackoffundingforwildlifeepidemiology Funding Globalwarming 3PredictingConsumerAttitudes Concernforwildlifehabitat 4SurvivalofProduction Increasingpopulation/increasinghumanwildlifeinteraction Intensification UrbanSprawl Q2Drivers ConflictingIndustry(eg.mining) AwarenessKnowledgeConcern Welfare Urban/ruralseparationfromurbanliving 5IsHumanEqualityPossible? Increasingawarenesshealth/culture/welfare 6CommunicationandEducation Cultural WillScienceorIgnorancePrevail? Culturalissues(eg.religiousslaughter/localslaughter) Increasinginfluenceofnonwesterncultures
Veterinary Public Health Forum_final.doc 52
Science
Religiouspolarizationeducationaldifferences? Fearofchange(affectsthewaychangeoccurs)
GoodevidenceforVPHrole Publichealthadvocacy
Globalwarming Emergingdiseases Scientificadvance Goodwesternhealthepidemicdiseaseissecondarytoother risks Political/Economic/Regional(GovernmentandBusiness) Wealthimbalance Changingwealthlocations/marketsriseofAsia Increasingworlddifference Economichistory(ie.GFC) GrowthanddevelopmentofChinaandIndiaeconomies (Brazil?others??) Trendtoresourcedistributionandtrade(WTO) Politicalpower Leadershipanomalies(personalitydrivencultfiguresetc) Bigphweandfluvaccine Globalbusiness PopulationvsResources Decreasingresources Populationgrowth Increasinghumanpopulation Q3Questions HowToMatchResourcestoPopulationPressure? Whenwillpopulationgrowthplateauout?Andwhy? Howtocontrolhumanpopulation? Populationgrowthhowtoinfluence Whatasyetuntappedresourcesarethere?Sea,spaceetc Futureuncertaintywhowillprovidewithfood,relief? Availabilityoffoodtoall HowCanWeReconcileCulturalDifferencesforBenefitofHuman Health? Howcanpolarizedculturesbereconciled? Cantherebeworldconsensusontheseissues? Whatareourpersonalvaluesmoral? Howflexibleareweinourmaterialexpectationsandwhat dowewantgovernmentstodo? Whatistherelationshipbetweenourvaluesand governmentpolicy? Whataretheboundariesbetweenselfinterestand altrusm? Isdoingnothingacceptablepolicy? HowDoWeImproveOurResponsestoEmergencies? (Disease/Climate) Towhatextentisglobalwarminganthropogenic? Levelofeffectsofclimatechange(eg.arbov/pasnr) Canwecontinuetomovefreelyintheworld,safely? Canwepreventdisasters? HowDoWeImproveEvidenceBaseofAwareness? Howtodetect/reacttoemergingdiseasesbetter? Howtolinkscienceandhumanbehavior(ie.motivating change) Howtokeepupeducationallywithresearchandscientific andITdevelopments? Canpopulationsbeeducatedtoahigheroveralllevel? Q4VPHNeedsPriorities Increasepublicawareness
Governmentperspective(groupone) Q1 1Globalization FTAs Nilfundingforprevention(reactive$) Lackofsurveillance(hlthdeptseesanimalhlthaslackingin syndromicsurveillance) EIDs BiosecurityseesasaTradeRestriction(levelsofsupportof localagriculture) 2Urbanization/IncreasedPopulation Lossoffagriculturallandtohouses Human/animalinterface Social/culturalimpacts(bushmeat) Foodsecurity/safety 3Planning/Funding Currentlackofavailableexperts(vetVPHside) o servicedelivery o veterinaryservices gdemandforexperts(toxicology:pathologyetc) HealthclosedMAE(MartesAppliedEpiinHealth) CommunicationGovernment/Otherseg.edu,VPH o publicperception o advocacy o politicalrepresentation Funding(boom:bust)governmentcycles Q2 1Integration/Communication Workinsilos Newcommunicationtools:internet:areweutilizingthem? andkeepingupourmsgsoutthere(immediacyof response) Trainingofexpertise 2AgriculturePositioninAustralia(?Worldwide) Discontentbetweenurbanandrural Ignorancefoodproduction welfaregroupinfluence LessprofitfromAg(less#sbiggerfarms) AustralianincomeAg%isg 3Global Increasedaffluence(ofsome)rich/poorgap Demandforprotein Competingpressureforbiofuel/cerealcrops Q3 1Whatsthenextbigdisease?Willwepreventorrespond? 2Howmanyexpertsdoweneed/whatkind? 3Whateffectwillclimatechangehaveonfood&disease(wildlife)and humanpopulationdistribution? 4Howwilltheworldcopewiththeendofoil? 5Whowillpayforexpertise? 6IspublichealthapublicgoodthatGovt(throughtaxes)pays? 7Howdoesthepublic(andus)currentlyknowwhatwearedoing? 8WillVetPublicHealthbeafuture(current)luxuryinAustralia? Foodsafetyvsavailabilityofcalories Animalwelfareissues 9WillAustraliabecomeanetfoodimporterinthefuture? Whatwillittakeforfoodsecuritytobecomeanimportant
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issueinAustralia? 10Willpubliccontinuetosupportpoliticizationofpolicydecisions? Whatisfutureroleofscience? Governmentperspective(grouptwo) Q1 Globalization Foodsecurity Rapidchange Trade/peoplemovement(eg.rabies) RiskCommunication Socialnetworks Rightevidencebasedmedicine HighCostLowPerceivedValue Trainingpeoplenojobs Paraprofessionalsandtechniciansinteamworkswithvets CurrentlyAdequateInfrastructure(cracksshowing) Q2WhatisBehinds ThinGreyLine InternetandSocialMedia Mediacycle Misinformation Lackofevidencebasedcommunication LackofUnderstandingofProfessionalsandLackofTrustofScience? PopulationPressure PriorityofAgriculture Senseofcrisistochangeattitude Communication Reachingpeoples Technicalargumentmanynotwork Valuesandbeliefs(eg.vaccination,hormonesinbeef) PoliticalCycle,around Elections Foodsecurity Foodsafety Q3Unknowns?KnownUnknowns! ClimateChangeImpacts Economic Animalhealth/production Intensiveproductionchangetosomethingelse PopulationUnrestGeoPolitical Foodsupply Foodrefugees Mobilepopulation WhatWillBeDemandforAustralianAgricultureProduct? DepartmentofEcosystemHealth? TrainandRewardCommunicationSkillsHowDoWeDevelopThese Skills? Wildcards Pandemic Eattofu Artificialmeat Newlyemergingdisease Costofoil WhyDontWeSeeEconomiesasawhollyOwnedSubsidiaryof Environment? SituationAnalysisDataCollection Q4VPHCapacity,NeedsandPriorities AddressLossofSkillSets ResearchandSurveillanceAdvocacyforGovernmentSupport MultidisciplinaryTraining
Onemedicineconcept Crossfertilization Postgraduate CriticalThinkingandProblemSolvingRatherThanFactsTeaching CommunicationNeedtoTrainforThisSkillSet BaseLevelTrainingSpecializeLater? VPHTraining=NationalInsurancePolicy NeedInternationalLinksWithVPATraining Academicperspective(groupone) Themes:issues Antimicrobialresistanceroleofvets ConfrontingChange(climate,humanpopulationgrowth, environmental,emergingdiseases) FoodSecurity Sustainability Balancingfoodsafetywithfoodproductivity Intensification ensuringsecurityintermsofconsumerhealthandsupply Resources:T+R Poorfundingfordiscoveryornonindustryoutcome ComplexSystemsand Increasedconnectivityandcomplexityofissues Complexissues(diseases)emergingunknowns Environmentpressures Emergingdiseasesbasedonsocialandenvironmental change Morefoodfromdecliningresources Teachingchallenges Urbanizationlessknowledgeorinterestinrural Educational(UGandProf) Dwindlingresources Publicperception Reducedgovernmentfundinglowerpriority Overburdenedcurriculumcompetitionforteachinghours Largenumbersofstudentstoteach Themes:issues2 Inequityandresistancetofairdivisionofresources EconomicRationalisation Financialpressureonuniversitiesgovernmentfunding students Governmentmovingtowardsamarketdrivenapproachto funding InDCsgovernmentlesslikelytocontinuebearingcost;Food industriesunderpressuretoselffund sharingfromgovernment o Educationsector Governmentfundingtouniversities andresearch Universityresponseistorunasa business o Surv.andreg.Sector Competition o Researchcompetitionforfunds:attractivenessto provider Demandvs.supply Overpopulationandpoordistributionofresources Population;pressureonexistingresources Agriculture Socialdemographics Poorresource(food)distribution
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Environmentdegradationandhabitatmodification Globalization Superficialization(time/resourcepoor,consumerpref.) Themes:issues3 Whatfutureissueswillweactuallyface? UnknownUnknowns Needaccuratemodels/predictions Confirmationoftrends Whatskillswillourgraduatesneedtosolvefuture problems? Moreresearchontheemergingissues EIDs Whatnewdiseaseswillemerge? Diseasespread Climate/population/environmentalchangeshowfast? Foodsecuritychangeintraderelationsinfreetradein products/pests Howtoincreaserelevance Todemonstraterelevancetopublic/undergraduates Whatisuseful,helpful? Governmentsupport Howtoinfluenceandbolstergovernmentsupport Publicperceptions Moresocialscientificdata DeriveSustainableFunding Appliedvsfundamental Sourceoffuturefunding Needtoknow Governmentcommitmenttouniversitiesoverlong term Otherfundingcommitments Academicperspective(grouptwo) FoodSecurity Supplyanddemand Quality Safety Environmentalimpacts Consumerperceptions/preferences Trade EmergingandReEmergingDiseases Zoonoticdiseases Biosecuraity Emergencyresponse ControlofTADs Globalization Movementpeople/animals/products Populationgrowth Economicdevelopmentofdevelopingcountries Environment/climatechange Politicsanduncertainty HowcanweattractstudentstoVPH? Originofemergingandreemergingdiseases Economicassessment Technology Integratedpublichealthsystem TraininginVPH Animalscience
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BreakOutSessionTwo:Wheretofromhere?Developingoptionsandstrategies. Approach1:Buildingonthepasttoexplorefutureoptions WholegrouptobrainstormsomeexamplesofcapacitybuildinginitiativesinVPH.Groupmemberstoselectoneortwoexamplestoworkwithfor exploringfuturescenariosandstrategies 1. Drawingontheexample(s),whatkeylessonsshouldinformfutureinitiatives? a. Whatmajorconstraintsorgapsneedtobeovercome? b. Whatarethepathwaysforwards? (Whatisworkingwellthatcouldbefurtherstrengthened?Whatnewsystemscouldbecreated?Whatculturalororganizational shiftsarerequired?) 2. WhatgoalshavebeensetorcouldbesetforVPHforAustraliaforthenext510years? 3. Howcanwe(government,industry,university,community)supportthesegoals? c. Consideratabroadandspecificlevel 4. Anyadditionalcommentsorsuggestionsthatpeoplewouldliketomake? Approach2:Takingaglobalperspectivetoexplorefutureoptions 1. Whatisworkingforus? 2. Whatisnotworkingforus? 3. Whataretheoptionsforfutureaction? a. Exploremorethanonescenarioifpossible.Ascenariocouldbebusinessasusualormaintainingthestatusquo. 4. Canthegroupdrawanyconclusionsfromthesediscussions? Approach3:Exploringfuturescenariosusingthefuturestriangle Wholegrouptobrainstormimagesthatrepresentapositive,plausiblefuturescenarioforVPH.Groupmemberstoselectanimagetoworkwith toexploreafuturescenario. 1. Whatisthedesired,plausiblefuture?Describeinwaysthatmakesthisfuturecompelling? 2. Whatarethedriversthatpushustowardsthisfuture? 3. Whatarethebarriersorweightsthatneedtobeovercometomovetowardsthisfuture? 4. Whatactionsoroptionsdoweneedtoconsidertomovetowardsthisfuture?
56
Group1(Approach1): BuildingonthePasttoExploreFutureOptions PostGraduateTraining 1MVPHMgt
Biosecurity
o o
Foranimalhealth Inpracticesmall/large/other
OneHealth:zoonoses(getmedicosasaudience) Strategicforesight Ecology Diagnosticsinveterinarypractice Ethics Overseascapacitybuilding(Australiaasaregionalleader) Compartmentalisationconceptsvs.regionalshutdown
o o
Political Industry
Nanotech/biotechnology 2OtherPostGradTraining
Livestockfoodsafety.FAO/OIEprojects Biosecurity
o o o
3Research
Animalhealth;planthealth;medical;other(Beale Invetpractice(equine;smallies;rural) Diagnosticcapacity;emergingzoonosesandEIDs
Constraints o Agingacademicworkforce o Attractingpeopleinterestedandeligibletodohigherdegrees
o o o
Needs:
Affluenceofsociety DontneedPhDtoearn$ Deferincome
Capacityofagingworkforcetoprovidesupervision Investmentwithindustry
Jointappointments WayForward 1BusinessPlan Internal External Alliances InternationalorganisationsFAO AIDorganizations Universityoffshore Governmentorganization FAO
FETPVGapandOpportunity MVPHMOutcome Privatepractice
o o o o
Governmentrole PhD Internationalrole Highlydesirablequaln
Limitation
Vetsmainly Group2(Approach2): WhatsWorking?(ForWho?) Education Postgrad EmergencyResponses

Interdisciplinary GoodBiosecurity
EI
NoFMD! SafeFoodSupply Fewmajortradeincidents AbilitytoDealWithUncertainty GoodTradeBarriers WhatsNotWorking? PublicAwareness

VPH Praductionsystems FromAVA
Vetstudents WorkingInIsolation Disciplinary
Internationally OverRelianceOnBorderControl PoorVPHCareerProspects UnclearRolesandResponsibilties/LossofFocusVision Government(fed/state) Industry
Academia NotLearningFromExperience InconsistentStateLegislation AntibioticRes.Monitoring
Offagenda ScenariosForFutureAction Training

Changeselectioncriteria(bydemographic?) SpecificVPHundergraddegree Trainincommunication Crossdisciplineexperience Includeregulatoryskills(eg.TOX)
Data
Costeffectiveanalysistosupportdecisionmaking(national/regional) VPHCRC VPHIndustryBody(LikeAHA) AntimicrobialMonitoring Group3(Approach3): SystemsApproach Image
Bettergatheringandanalysis
Unianimal/vetbiosciences?? Pullfactors
PostgradPostexperience CCRSPIBiophysicalsystem Landuse Environhealth Humanhealth Animal/wildlifehealth Includefoodsafety Wholesystemhealth(animal) Matchingplantequivalent
Society/communitydemand Problemsolvingcomplexity GenZorAsupport Wholecommunitycost
Asiaglobalneeds Pushfactors VPHpeoplevision Insuranceneeds Evolvingdiseases H2Ocrisis Foodcrisis Energycrisis InstitutionalSILOs History/fundingsoftmoney PHislow Medicalpriority Industrypriorities
Weights
Production$$ Actions 1PostGradLevelW.S.H.(FocusAnimals/Human)
Austmarketanalysis? Common/daffemploy
OverseasFOA;OIE;WorldHealth;AUSAID;AciAR;W.H.O.;WTO? Degree Externship Butharnessyouth/idealism DemandDrivenSupply BywhomK/UMK 2Advocacy

Togovernment Toindustry TophilanthropistsBillGates?? ToVPHandMed.P.H.
Ruralandurbanpublic 3RoleModels 4EducationofVision Lowerlevelandpostschoolu/glevel PARAVetsfromPNG/Pacific Practicaldelivery
Communityliaison Butharnessyouth/idealism Group4(Approach2) AVAS(AVPH) Working
o o o o o
QUARoffices MI Stockinspection Communitynursesetc
RecentleadershipofAVA NotWorking
OneHealthprofile(?) Foodsecuritylinks Dayinthelifestories Electivesandpreceptorships
Profile:issuerepresentationrelevance Annualmeeting(resources,etc)
Branding/perception WayForward Linktotangibleopportunities Flexiblemembershipinclusion Profileforbigpictureissues Rebranding/realigning Balanceinternal(clin..)vs.societalissues Lobbying/advocacy/funnellingandfiltering Bottomupdrivers Engagingmembers
Engagenonvetsindisc./inclusion Group5(Approach3) VisionDesiredPlausibleFuture/ExploringFutureScenarios

USCDCstylesystemhealth(andfood)security Aust.systemofCentresforEIDsandAnimalPublicHealth Nationalprogramwithstateparticipation Multidisciplinaryhealth,livestockindustries,unis,vets Honestcollaborationwithsustainablefundingmodel
OneHealthobjectives;publicbuyin DriversthatPush Emergingzoonoses/diseaseoutbreaks(bigevent) Publicawarenessofissuesandmediainvolvement Publicdesirefortrustworthyauthority Complicatednatureofhealthandfoodissues Currentdeficitswithsiloapproach
Changesinfoodproductionandconsumption BarrierstobeOvercome Badgovernanceanddecisionmaking Complexandexpensivetochangestructures Shortpoliticalcycles Sensationalshorttermmedia Governmentmindset Fed/state/parochialtensions Lackpoliticalwill
Publicapathy ActionstoMoveForwards Advocacy
o o
Public Governments
Mediasupport Highlightnearmisses
Benevolentdictator Group6(Approach2) Image/PublicVision
Existence Competent WHOdescriptionofVPH Integrationofologies Integrationofsilos Visibility Publicrecognition
Push
Communication Simplemessages Timely Onthesubjectbroaderunderstanding Mediamessages Selfinterest Crosssectortraining Influentialfocustargetedapproach SellVPH
Recruitcandidatesspecificallyforarole(eg.VPHvs.meatinspection) Barriers/Weights
o o o o o
Makeitsexy Analyticmindset Differentagepeopleinrelevantauthoritiesforsuccessionplans TrainingspecificallyinVPH
TitleVPHWhatdoesitmean? Poorrecognitionofthevalueofprevention Communication
o o o
Selfinterest Exposurelateineducation Howdowecrossdepartmentallinkages
Disconnectionfromfoodsources/production Clinical/mindset
Undergradtrainingnotsuitableformanyroles(eg.meatworks) Actions PlanforpromotionofVPH Topublic Preparednessplandeliveredatopportunistictime o 8yochild o $$ Community/industryadvocates Nongovernment,nonindustry3rdpartyorganizationwithrelevantintereststorepresentVPH Conclusions DevelopacohesiveoverallpolicyforAustralia FirstjobforanewCRC? Understandingthebigpicturebutbeclearwhatwecan/cantdo
List of Participants First Name Stephen Adrian Jill Mike Reg Phillip Emma Emma Michele Kevin Bruce Grahman Trish Kate Navneet Om Simon Peter Marta Tony Helen Rosanne Jenny-Ann Michael Peter Richard Sarah-jane Peter Christopher Lisa Ian Keith Phil Sheena Chris Huub David Diane John Malcolm Andreas Keith Ian Ahmad Leo Michael Jo Rowland John Simon Bob Surname Page Coghill Mortier Nunn Butler Reeves Haslam Rooke Cotton Doyle Twentyman Wilson Holyoake Bosward Dhand Dhungyel Firestone Groves Hernandez-Jover Mogg Scott-Orr Taylor Toribio Ward White Whittington Wilson Windsor Godfrey Adams Jenson Walker Widders Adamson Lowbridge Brouwers Jordan Ryan Seaman Anderson Kiermeier Hart Lean Rabiee Foyle Reichel Devlin Cobbold Alexander Robinson Steel Organisation Advanced Veterinary Therapeutics Agriculture, Fisheries and Forestry - Australia Agriculture, Fisheries and Forestry - Australia Agriculture, Fisheries and Forestry - Australia Agriculture, Fisheries and Forestry - Australia Australian Pesticide & Veterinary Medicines Authority Australian Quarantine Inspection Service Australian Health Australia Australian Veterinary Association Australian Veterinary Association Australian Veterinary Association BioBrokers P/L DPI Victoria Faculty of Veterinary Science USyd Faculty of Veterinary Science USyd Faculty of Veterinary Science USyd Faculty of Veterinary Science USyd Faculty of Veterinary Science USyd Faculty of Veterinary Science USyd Faculty of Veterinary Science USyd Faculty of Veterinary Science USyd Faculty of Veterinary Science USyd Faculty of Veterinary Science USyd Faculty of Veterinary Science USyd Faculty of Veterinary Science USyd Faculty of Veterinary Science USyd Faculty of Veterinary Science USyd Faculty of Veterinary Science USyd Greencross Vets Lisa Adams & Associates Meat & Livestock Australia Ltd. Meat & Livestock Australia Ltd. NSW CQO (Animals), AQIS Central-East Region NSW Department of Health - Communicable Diseases NSW Department of Health - Communicable Diseases NSW I&I Primary Industries NSW I&I Primary Industries NSW I&I Primary Industries NSW I&I Primary Industries Primary Industries and Resources SA South Australian Research & Development Institute Livestock Health and Pest Authority SBScibus SBScibus School of Veterinary Science James Cook University School of Veterinary Science University of Adelaide School of Veterinary Science University of Melbourne School of Veterinary Science University of Queensland Vetmed Australia Wildlife Health and Conservation Centre

Veterinary Public Health Forum - Final

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Veterinary Public Health Forum_final.doc

Veterinary Public Health Forum_final.doc

Veterinary Public Health Forum_final.doc

Veterinary Public Health Forum_final.doc

Veterinary Public Health Forum_final.doc

Veterinary Public Health Forum_final.doc

Veterinary Public Health Forum

Prof. Michael Ward, USyd

Veterinary Public Health Forum_final.doc

VETERINARY PUBLIC HEALTH FORUM

SESSION ONE: SCENE SETTING (90 MINUTES)

SESSION TWO: CLARIFYING FUTURE NEEDS (90 MINUTES)

Veterinary Public Health Forum_final.doc

Veterinary Public Health Forum_final.doc

Veterinary public health:

The policy context

Increased societal demands

Broad government policy

Veterinary Public Health Forum_final.doc

What does government want?

Note sense of VPH used/implied wide range of:

The users Governments

Producers Importers Exporters Public(s)

Veterinary Public Health Forum_final.doc

Policy statements and reviews

But little focus on VPH:

Veterinary Public Health Forum_final.doc

Veterinary Public Health Forum_final.doc

Perceived capacity and competence

Has been strong across system

Has been strong in VPH, but concern declining

Decreased in 10 years time?

Veterinary Public Health Forum_final.doc

Increased in 10 years time?

Veterinary Public Health Forum_final.doc

Conclusion: shaping the future of VPH

Influence trends we can

Map out possible solutions

with humility and realism during this workshop and beyond

Veterinary Public Health Forum_final.doc

Professor Richard Whittington Chair of Farm Animal Health

Historical perspective the old curriculum

Veterinary Public Health Forum_final.doc

Overview of the Faculty of Veterinary Science 2002

Strategic Planning 2002

Veterinary Public Health Forum_final.doc

Workshop 25th Feb 2002

Genesis of a new degree to benefit the animal industries

Veterinary Public Health Forum_final.doc

Veterinary Public Health Management Program

Veterinary Public Health Management Program

Veterinary Public Health Forum_final.doc

VPHMgts progress to world domination 2005

Veterinary Public Health Forum_final.doc

Veterinary Public Health Forum_final.doc

Chair Farm Animal Health - other core business 2002-2010

2. Making research happen

2003 to 2005 2006 to 2009 2008 to 2012

Faculty of Veterinary Science

Strategic Plan 2008-2012

Leadership and Innovation in Veterinary Science