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PUBLIC HEALTH
Mogadishu, I 2 - I 9 December I 9 8 3
REPORT ON
THE WORKSHOP ON REGIONAL AND NATIONAL PROGRAMME DEVELOPMENT
IN VETERINARY PUBLIC HEALTH
SOMALIA
Mogadishu,· 12 - 19 December 1983
The vievs expressed in this report do not necessarily reflect the
official policy of the World Health Organization.
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TABLE OF C ONTENTS
.2!S.!.
I INTRODUCTION 1
II CURRENT SITUATION OF VPH SERVIC ES IN THE EMR REGION 2
III GENERAL OBSERVATIONS 6
IV RECOMMENDATIONS 9
C LOSING SESSION 13
I INTRODUCTION
Table 1
The status of t he VPH Services, the number of veterinarians involved
specific fields of activities and the functioning performed in the nine
countries
Egypt 10 000 N. S. + + + +
Somalia 270 15 + + +
Table 2
VPH activities and their ministerial administrative
set-up in the nine represented countries of the EMR
For almost three decades, WHO and several National Governments have been
recommending the establishment of veterinary public h�alth units within the
Government health services in order to further promote the veterinary services
which have repercussions on human health. The experience gained throughout
this time in several countries showed that the impact of the VPH activities
on public health has been greatest in countries where VPH functioning units
were created. VPH units as part of the veterinary services of Ministries of
Agriculture have proved to be very s uccessful and effective, especially if the
veterinary services as a whole are oriented to public health.
The VPH services are usually performed by veterinarians who are trained
to carry out these activities.
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page 6
The training and research institutions can plan a very significant role
in intersectoral planning and management of national programme by working as
a team including specialists from training and research institution, veteri
nary services and the h ealth services. It is reconmtended that a preliminary
study be made in 9-12 months in some of the most immediate problems in the
field of VPH, e.g. food hygiene, rabies, hyd�tidosis, etc. After this EMRO
should arrange a meeting of the representatives to synthesize their findings
and suggestions into a regional and integrated VPH programme.
It is the first time WHO has arranged a Workshop inviting the Deans/
Principals of some veterinary training institutions along with Directors of
Veterinary and Medical Services of the Region to discuss the VPH education
and services. The veterinarians, because of their training experience and
nature of duties are uniquely placed to look after the control of zoonoses
and of related food-borne diseases.
Based on the country's reports presented during the Workshop, the parti
cipants placed particular emphasis on need tQ give special importance to
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page 9
IV RECOMMENDATIONS
(a) investigate 'the need and possibility for a Regional Zoonoses Centre;
(b) identify future collaborating centre with particular reference to
rabies, hydatidosis and food-borne diseases, slaughter-houses;
(c) assess the need function and possible location of a possible col
laborating centre for the surveillance and control of echinococcosis;
(d) assess the activities in VPH and propose an administrative structure
for VPH services in the Region.
identify all resources in the country for the control of zoonoses and related
food-borne diseases. In this respect veterinary services should become res
ponsible for the planning of comprehensive national programmes to mobilize
these resources.
10. The WHO Regional Office and WHO Representatives and Programme Coordinators
in participating countries should strengthen the dissemination of relevant VPH
information to all interested parties within the concerned countries. VPH
is a domain tackl�d by a diversity of bodies and unless all of them are kept
informed, the goal can hardly be reached. I t is thus expected that the
Offices of WHO Representatives and Programme Coordinators be more flexible
and take the initiative and also contact relevant services outside the
Health Ministries wherever appropriate.
The Berlin Centre could collaborate in the earlier mentioned health system
research projects concerning the needs and functions of the envisaged WlD
Collaborating Centres in the Region. This could ensure close cooperation
between experts from this and other Regions which will have a good effect in
national and regional VPH programme development.
13. One or more of the institutions in the Region may be designated as WHJ
Collaborating Centre as this will optimize resource utilization and provide
motivation for greater collaboration and coordination.
15. The initiation of regional conferences and workshops on the various VPH
activities such as the one currently planned and sponsored by EMRO in
Mogadishu should continue.
CLOSING SESSION
ANNEX I
INAUGURAL ADDRESS
BY
It is 'l1I'J sincere personal hope that you will be able, over the course of
the next several days together to find out practical solutions for the reduction
of human health risks, associated with zoonotic and food-borne diseases, in
order to realize the common goal fo r all nations represented here today.
Finally I wish to thank WHO for sponsoring and organizing this important
Workshop and also individuals both national and international who contributed
to make this Workshop successful. My thanks are also due to honourable guests
who spared their valuable time to attend this inaugural ceremony.
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Annex II
page i
ANNEX II
MESSAGE BY:
Dr HUSSEIN A. GEZAIRY
DIRECTOR
WHO EASTERN MEDITERRANEAN REGION
TO THE
The Veterinary Pub lic Health Services in mos t o f the countries of the
R�gion have very little contact with the sections responsible for communicable
d isease services in the Minis try of Health . However, some coordi nation does
�� 1st at the municipali ty level where medical officers of health and veterina
rians appear to be working in closer contact .
Wh i l e the maj ority of the countries have some legislation concerning the
production 1 storage 1 processing and sale of meat and mea t products , the main
p roblem appears to be the i mplementation of such leg islation. The climatic
c ondit ions , along with the scarcit y of refrigeration facilities for storage ,
handl ing and transportation o f meat and meat products are a considerable
c ons traint to mea t hyg iene. Facil ities for bacteriological examination of
mea t and o ther food products are not sufficiently developed to allow a routine
�nd systematic surveillance.
Most of the countries have le gislation concerning examina tion of m ilk and
milk products but s till large quantities of milk and m i lk produc ts escape
Pxamination and pasteurization .
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Annex II
page iii
Some of the major constraints •in developing effective VPH Control Pro
grammes in countries of this Region are the scarcity of veterinarians and
related sub-professional staff to plan and implement adequate surveillance
and control of zoonoses , the lack o f adequate legislation and its implementa-
tion, the lack o f epidemiological information, absence of efficient control
measures on imported food, and the lack of adequate laboratory services.
Among the most encouraging aspects of the present situation are the
growing awareness of the Governments to the need for developing programmes
for the Control of Zoonoses and Food-borne diseases, and the increas ing
interest of countries in development of epidemiological services .
During this Workshop you will discuss the existing situation with regard
to zoonoses control and food production in your countries, and the role of
training and research in intersectoral planning and management of national
programmes . As an outcome of these discussions it i s expected that you
will be able to define the roles , responsib ilities and duties of various
sectors in VPH services . 1 am confident that with the presence of all of
you here. the Senior Directors of VPH Services , and Preventive Medicine
Departments , the Deans of Veterinary Schools from the Region, as well as
the other experts in this field; the meeting will be able to achieve its
objectives.
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Annex II
page iv
In conc lusion, may I once again thank the Government of Somalia for
hosting this Workshop and for p roviding all the necessary facilities.
I wish you a pleasant stay in Mogad ishu, and sincerely hope that you
will find the Workshop very useful and interesting.
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Annex III
page i
ANNE X III
LIST OF PARI'ICIPANT S
OBSERVERS
Ministry of Health
1. Dr M . Ibrahim Deputy Director t PUC
2. Dr A.M. Omer Head of Infect ious
Dis ea se Hosp ital
3. Dr Ahmed Al i Sa id A/Di re ct or , Banadir Region
UN Agencies
1. Mr Kay Wilkes Mid Land Range Development Proj ect
2. Mr K.P. Shristha FAO
WHO SECRETARIAT
ANNEX IV
AGENDA
1. Registration
2. Opening Sess ion
3. Introduction o f the Workshop
4. Present s ituation i n Zoonoses and Food-borne Diseases o n the Region
5. Cotmtry presentations
6. Role of WH O in VPH Services
7. Role of collaborat ing Centres in V PH Services
8. Des ign of Format , and Outline of a Plan of Action for National VPH
Progrmmnes
9. Croup Work: 1. Role of Health Services in the Development of National
VPH Programme
2. Role of Agricultural Services in the Development of
National V PH Programme
3 . Role of Training and Research Instituti on in the
Development of National VPH Progr8Illlle
10. Field vis its to Institutions and units involved in VPH Services and
related Food-borne Diseases
11. Summary Report and Re cc.mnendat ions
ANNEX V
FUNCTIONS AND LIAISCN RELATIONSHIP OF A VPH UNIT
I VPH Unit I
Liaison outside
the country Liaison outside Liaison within
Vet.Clinics
Public Health Services - the Ministry Principle Funct ions the Ministry
Medical Research Units - 1. Zoonoses epidemiology.
-Laboratory services.
Hosp itals - surveillance and control .
.-Research units.
Vet. and Med. Teaching
Inst.
- 2. Food of Animal Origin
Inspection and Control.
i--Animal production
section.
L ivestock producers - 3 . Animal Environment Hygiene -Epidemiology surveil
(Fanns . animal was tes . lance and control
Vet. and Med. Societies- section.
markets, food processing
plants. drugs) .
4. Legislat ion.
5. Health education.
6. Liaison.
with neighbouring countries
�on technical matters
pertaining to the development
and strengthening of VPH
activities in the Region.