Journey towards National Institute of One Health in India

Chaudhari, S. P.; Awandkar, Sudhakar P.; Kurkure, N. V.; Narang, Rahul; Kashyap, Rajpal S.; Rahi, Manju; Barbuddhe, S. B.

doi:10.4103/ijmr.ijmr_636_21

Cited by 12 publications

(5 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In 2017, India prepared a National Action Plan on AMR, taking the OH approach involving human, animal and environmental sectors ( 10 ). Additionally, a national-level OH Consortium led by the Department of Biotechnology -National Institute of Animal Biotechnology, Hyderabad has recently been established, consisting of 27 organizations, including several medical, veterinary, and wildlife agencies ( 57 ), and zoonotic research toward the establishment of a National Institute of OH in India has been jointly supported by the ICMR and the ICAR ( 11 ).…”

Section: Discussionmentioning

confidence: 99%

One Health activities to reinforce intersectoral coordination at local levels in India

Taaffe¹,

Sharma

Parthiban

et al. 2023

Front. Public Health

View full text Add to dashboard Cite

India's dense human and animal populations, agricultural economy, changing environment, and social dynamics support conditions for emergence/re-emergence of zoonotic diseases that necessitate a One Health (OH) approach for control. In addition to OH national level frameworks, effective OH driven strategies that promote local intersectoral coordination and collaboration are needed to truly address zoonotic diseases in India. We conducted a literature review to assess the landscape of OH activities at local levels in India that featured intersectoral coordination and collaboration and supplemented it with our own experience conducting OH related activities with local partners. We identified key themes and examples in local OH activities. Our landscape assessment demonstrated that intersectoral collaboration primarily occurs through specific research activities and during outbreaks, however, there is limited formal coordination among veterinary, medical, and environmental professionals on the day-to-day prevention and detection of zoonotic diseases at district/sub-district levels in India. Examples of local OH driven intersectoral coordination include the essential role of veterinarians in COVID-19 diagnostics, testing of human samples in veterinary labs for Brucella and leptospirosis in Punjab and Tamil Nadu, respectively, and implementation of OH education targeted to school children and farmers in rural communities. There is an opportunity to strengthen local intersectoral coordination between animal, human and environmental health sectors by building on these activities and formalizing the existing collaborative networks. As India moves forward with broad OH initiatives, OH networks and experience at the local level from previous or ongoing activities can support implementation from the ground up.

show abstract

Section: Discussionmentioning

confidence: 99%

One Health activities to reinforce intersectoral coordination at local levels in India

Taaffe¹,

Sharma

Parthiban

et al. 2023

Front. Public Health

View full text Add to dashboard Cite

show abstract

“…Leptospirosis has worldwide distribution[ 10 11 12 13 14 15 16 17 18 19 20 21 22 23 ] and several reports have come out from India as well. [ 1 2 3 4 24 25 26 27 28 29 30 31 32 33 34 35 36 37 37 39 ] Primary infective stage/fever occur in monsoon season; however, ocular manifestation is late immune reaction. Hence, leptospiral uveitis patients come in post monsoon season.…”

Section: Discussionmentioning

confidence: 99%

Leptospiral uveitis- “Transition ‘from epidemic to endemic form” difficulties in laboratory confirmation

Rathinam,

Kohila,

Gowri

et al. 2023

Indian Journal of Ophthalmology

View full text Add to dashboard Cite

Purpose: Leptospirosis is a waterborne zoonotic disease that primarily causes systemic illness, followed by uveitis. After heavy flooding in Madurai district, an epidemic outbreak of systemic and ocular leptospirosis occurred in 1994. Our data shows a transition to endemicity after each epidemic. Aim: The aim of this study is to report the clinical signs, epidemic outbreaks, and persistent endemicity of leptospiral uveitis, as well as the diagnostic dilemmas associated with it. Methods: A retrospective analysis of clinical signs was conducted using medical records of leptospiral uveitis patients over a period of 27 years (1994–2020) in a tertiary care eye hospital. The clinical workup of uveitis included a detailed clinical history, systemic, and ophthalmic examination. Microagglutination tests (MATs) was done at the Centers for Disease Control and Prevention (CDC) in Atlanta and later in our regional laboratory. Serum samples were collected from human systemic leptospirosis cases and a small group of animals in and around Madurai. Results: The first epidemic outbreak resulted in 200 seropositive patients. Subsequent epidemic outbreaks occurred in 1997, 1998, 2001, 2005, and 2012, with Madurai experiencing multiple outbreaks. However, the disease remained endemic, with 25–50 patients being observed per year in between the peaks. Ocular examination revealed acute non-granulomatous uveitis (94.9%), pan uveitis (59.8%), vitreous inflammatory reaction (55.4%), retinal vasculitis (29.5%), disc hyperemia (20.9%), and hypopyon. (16.2%). New serovars emerged every year, resulting in decreased sensitivity of the MAT. Over time, the MAT started to miss diagnoses. Conclusion: The persistent endemicity of leptospiral uveitis emphasizes the need for accessible diagnostic tests. The low performance of the MAT can be attributable to the use of an older panel. The incorporation of new isolates in the MAT by a national laboratory will improve the accuracy of diagnosis.

show abstract

“…However, the auxiliary ministries like the Ministry of Science and Technology, Ministry of AYUSH, Ministry of Commerce and Industry, and independent bodies like the Indian Council for Medical Research (ICMR), Indian Council for Agricultural Research (ICAR), Non-Governmental Organizations, etc., have vital roles in supporting the One Health system in India. [ 10 ] Although India has some flagship movements like formulating One Health Consortium,[ 11 ] and National Institute of One Health[ 12 ] established jointly by ICMR and ICAR, the key focus is toward the clinical aspect in increasing preparedness and laboratory capabilities for the identification of novel and unknown zoonotic agents. A year back, India headed toward implementing an integrated health system called “ One Nation, One Health System ,”[ 13 ] which would integrate modern and traditional systems of medicine like Allopathy, Ayurveda, and Homeopathy in education, medical practice, and research.…”

Section: The One Health System and Its Complexity Indiamentioning

confidence: 99%

One Health System Strengthening in India: Co-creating One Health Workforce to Combat Future Pandemics

Yasobant,

Saxena,

Bhardwaj

et al. 2023

Indian Journal of Community Medicine

View full text Add to dashboard Cite

One Health has been coming of age through the G7 and G20 leadership and explicitly referred to in increasing ministerial declarations. Those leaderships, however, have been slow in knitting the One Health approach into the larger systems approach. by understanding the complexity of resilience and health system resilience is one of the key features of pandemic preparedness. Among others, health system strengthening is another key factor that urgently requires much attention in the theme of pandemic preparedness. Here, how the health system strengthening requires more imperative attention in the One Health gambit is discussed in the Indian context.

show abstract

Journey towards National Institute of One Health in India

Cited by 12 publications

References 31 publications

One Health activities to reinforce intersectoral coordination at local levels in India

One Health activities to reinforce intersectoral coordination at local levels in India

Leptospiral uveitis- “Transition ‘from epidemic to endemic form” difficulties in laboratory confirmation

One Health System Strengthening in India: Co-creating One Health Workforce to Combat Future Pandemics

Contact Info

Product

Resources

About