Q Fever Q fever is a zoonotic disease. Caused by Coxiella burnetii Resistant to heat, drying, and many common disinfectants Survive for long periods in the environment Underdiagnosed and underreported because of limited clinical suspicion and lack of availability of diagnostic laboratories
Q Fever The primary reservoirs: cattle, sheep, and goats C. burnetii does not usually cause clinical disease in these animals Common mode of transmission is airborne Ingestion of contaminated milk, regurgitation and inspiration of the contaminated food are a less common.
Case1Case2Case3 PlaceKhonkaenLoeiKalasin GenderMale Age (years) OccupationRice farmer, livestock Shoes sellerRice farmer, livestock Petsdog- Onset5/20106/20103/2010 SymptomFever, myalgia and back pain Fever and dyspnea Fever and dyspnea on exertion Statusimprove Reported Q Fever cases 2010 Source: IEIP Unpublished data
Risk of zoonotic disease transmission from wildlife animals to humans
“One Health” Concept Human Health Ecosystem Health Animal Health Cross-sectoral and multi-disciplinary collaboration
“One Health” Emergency Response Team “One Health” Concept Advanced level Intermediate level Basic level National Provincial Community
“One Health” Concept
A Strategic Framework for Reducing Risks of Infectious Diseases at the Animal–Human–Ecosystems Interface A comprehensive, holistic approach required to address high impact EIDs Humans-animal-ecosystems health Multi-disciplinary, multi-sectoral Long term PREVENTION Build on existing structure Not creating new institutions
Asia Pacific Strategy for Emerging Diseases (APSED) The “One Health” approach has been applied primarily in the APSED zoonoses framework through establishment of a functional coordination mechanism between human and animal health sectors to address zoonoses.
Asia 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;
APSED Focus Areas: Key Components
ระบบเฝ้าระวังเหตุการณ์ ( Event- based surveillance ) เหตุการณ์ผิดปกติในชุมชน สอบสวน ตรวจสอบ แจ้งข่าว ควบคุมโรคได้ เร็วขึ้น One Health
Joint Investigation of H5N1 Outbreak “One Health”
Multidisciplinary responses to AI (H5N1) epidemic Hospital Laboratory Animal study Pathological Examination Active case finding Wild bird surveillance One Health
National Committee on AI Response & Pandemic Influenza Preparedness 1 st National Strategic Plan on Avian Influenza and Influenza Pandemic Preparedness ( ) 2nd National Strategic Plan on Avian Influenza and Influenza Pandemic Preparedness ( ) Promote collaboration between animal and human health sector