10การระบาดของไข้หวัดใหญ่สายพันธุ์ใหม่ 2009 1st Wave3rd Wave2nd WaveWeek ofSource: Bureau of Epidemiology, Ministry of Public Health, Thailand
11New Tourist Place and Emergence of Leptospirosis, Satun Province, Thailand, Dec 2007
125/41 (12.2%) of tourists diagnosed Leptospirosis New Tourist Place and Emergence of Leptospirosis, Satun Province, Thailand, Dec 20075/41 (12.2%) of tourists diagnosed LeptospirosisSource: Dr.Anek Mungaomklang , FETP-Thailand
13Bat’s Kidneys: 26/36 (72.2%) positive Leptospira by PCR Tourists, Cave and BatsBat’s Kidneys: 26/36 (72.2%) positive Leptospira by PCRSource: Dr.Anek Mungaomklang , FETP-Thailand
19Q Fever Q fever is a zoonotic disease. Caused by Coxiella burnetii Resistant to heat, drying, and many common disinfectantsSurvive for long periods in the environmentUnderdiagnosed and underreported because of limited clinical suspicion and lack of availability of diagnostic laboratories
20Q Fever The primary reservoirs: cattle, sheep, and goats C. burnetii does not usually cause clinical disease in these animalsCommon mode of transmission is airborneIngestion of contaminated milk, regurgitation and inspiration of the contaminated food are a less common.
21Reported Q Fever cases 2010 Case1 Case2 Case3 PlaceKhonkaenLoeiKalasinGenderMaleAge (years)674251OccupationRice farmer, livestockShoes sellerPetsdog-Onset5/20106/20103/2010SymptomFever, myalgia and back painFever and dyspneaFever and dyspnea on exertionStatusimproveSource: IEIP Unpublished data
28A Strategic Framework for Reducing Risks of Infectious Diseases at the Animal–Human–Ecosystems InterfaceA comprehensive, holistic approach required to address high impact EIDsHumans-animal-ecosystems healthMulti-disciplinary, multi-sectoralLong term PREVENTIONBuild on existing structureNot creating new institutions
30Asia Pacific Strategy for Emerging Diseases (APSED) The “One Health” approach has been applied primarily in the APSED zoonoses framework throughestablishment of a functional coordination mechanism between human and animal health sectors to address zoonoses.
31Asia Pacific Strategy for Emerging Diseases (APSED) 1.ENDORSES the Asia Pacific Strategy for Emerging Diseases (2010); 2. URGES Member States: (1) to use the Asia Pacific Strategy for Emerging Diseases (2010) (APSED 2010) as a strategic framework to guide national and local capacity-building programmes for emerging diseases and public health events; (2) to use APSED (2010) as a tool when developing relevant national plans to ensure effective preparedness for emerging diseases and the development and strengthening of the core capacities required under the International Health Regulations (2005), including enhanced surveillance and response;
33ระบบเฝ้าระวังเหตุการณ์ (Event-based surveillance) SRRTอำเภอศูนย์ รับ แจ้ง ข่าวรพ. สต.แหล่งข่าวในชุมชนควบคุมโรคได้เร็วขึ้นสอบสวนตรวจสอบแจ้งข่าวเหตุการณ์ผิดปกติในชุมชนOne Health
34Joint Investigation of H5N1 Outbreak “One Health”
35Multidisciplinary responses to AI (H5N1) epidemic HospitalActive case findingAnimal studyOne HealthWild bird surveillanceLaboratoryPathologicalExamination
36National Committee on AI Response & Pandemic Influenza Preparedness 2nd National Strategic Plan on Avian Influenza and Influenza Pandemic Preparedness ( )1st National Strategic Plan on Avian Influenza and Influenza Pandemic Preparedness ( )Promote collaboration between animal and human health sector