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Connecting Global Priorities Biodiversity and Human Health

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monkey. If non-human primates are hunted <strong>and</strong><br />

consumed, these activities should be accompanied<br />

by intensive surveillance efforts for early detection<br />

<strong>and</strong> response to disease spill-over events.<br />

• Advances in the identification <strong>and</strong> modelling of<br />

synthetic biological, ecological <strong>and</strong> anthropogenic<br />

parameters that drive the emergence of wildlife<br />

diseases, <strong>and</strong> analysis of risk mitigation strategies.<br />

• Prevention of harvesting for wildlife trade <strong>and</strong>/<br />

or regulation for disease control in addition to<br />

source population sustainability.<br />

• Increased systems research to better<br />

underst<strong>and</strong> the mechanism of pathogen jumping<br />

<strong>and</strong> evolution <strong>and</strong> the effects of community<br />

composition, abundance, <strong>and</strong> other ecosystem<br />

dynamics.<br />

• Careful management of tourism in biodiverse<br />

areas, in order to reduce risk of infection especially<br />

where anthropophilic vectors occur (there<br />

should also be measures in place to reduce the<br />

possibility of introduction of pathogens into these<br />

environments from people <strong>and</strong> domestic animals).<br />

• Development <strong>and</strong> support for the inclusion<br />

of monitoring wildlife pathogens in national<br />

programmes of surveillance in health, agriculture<br />

<strong>and</strong> conservation.<br />

– Surveillance <strong>and</strong> risk prediction systems<br />

can also support risk analysis. For example,<br />

in Brazil, the Information System of Wildlife<br />

of Oswaldo Cruz Foundation is designed<br />

to use mathematical models to build alerts<br />

of the occurrence of pathogens in wildlife<br />

with potential human involvement, with the<br />

participation of society <strong>and</strong> experts in mobile<br />

technology. Additionally, the USAID Emerging<br />

P<strong>and</strong>emic Threats PREDICT programme has<br />

conducted pathogen surveillance in wildlife<br />

in 20 countries that are “hotspots” for disease<br />

emergence <strong>and</strong> worked closely with health,<br />

agriculture <strong>and</strong> environment ministries to<br />

characterize risks <strong>and</strong> interpret findings<br />

through a One <strong>Health</strong> approach (see case study<br />

in Part III of this volume).<br />

These measures <strong>and</strong> policies are largely outside<br />

the competence levels of most human <strong>and</strong><br />

animal health systems, which in any case are<br />

largely reactive. Policy <strong>and</strong> implementation<br />

should involve a One <strong>Health</strong> approach to ensure<br />

a politically, socially <strong>and</strong> economically acceptable<br />

solution to the whole of society, <strong>and</strong> not to the<br />

detriment of the environment.<br />

• More proactive <strong>and</strong> integrated risk assessment<br />

<strong>and</strong> analysis, to be informed <strong>and</strong> refined by<br />

integrated infectious disease surveillance <strong>and</strong><br />

response measures. Analysis, monitoring <strong>and</strong><br />

management of infectious disease risks are<br />

warranted for both potential conversion of natural<br />

areas, as well as changing ecologies in urban areas<br />

(e.g. proposed “greening” of cities, which may<br />

change interactions between humans <strong>and</strong> other<br />

species). Some approaches that can be leveraged<br />

include:<br />

– Risk analysis tools, such as the approaches<br />

set forth in the OIE Guidelines on assessing risk<br />

of non-native animals becoming invasive <strong>and</strong> the<br />

OIE-IUCN Guidelines to disease risk analysis, can<br />

provide qualitative <strong>and</strong> quantitative measures<br />

of risk.<br />

ECOHEALTH ALLIANCE<br />

<strong>Connecting</strong> <strong>Global</strong> <strong>Priorities</strong>: <strong>Biodiversity</strong> <strong>and</strong> <strong>Human</strong> <strong>Health</strong><br />

149

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