Seffren Victoria, Lowther Sara, Guerra Marta, Kinzer Michael H, Turcios-Ruiz Reina, Henderson Alden, Shadomy Sean, Baggett Henry C, Harris Julie R, Njoh Eni, Salyer Stephanie J
PHI/CDC Global Health Fellowship Program, Atlanta, GA, USA.
Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, USA.
One Health. 2022 Mar 28;14:100382. doi: 10.1016/j.onehlt.2022.100382. eCollection 2022 Jun.
Effective prevention, detection, and response to disease threats at the human-animal-environment interface rely on a multisectoral, One Health workforce. Since 2009, the U.S. Centers for Disease Control and Prevention (CDC) has supported Field Epidemiology Training Programs (FETPs) to train veterinarians and veterinary paraprofessionals (VPPs) alongside their human health counterparts in the principles of epidemiology, disease surveillance, and outbreak investigations. We aim to describe and evaluate characteristics of CDC-supported FETPs enrolling veterinarians/VPPs to understand these programs contribution to the strengthening of the global One Health workforce.
We surveyed staff from CDC-supported FETPs that enroll veterinarians and VPPs regarding cohort demographics, graduate retention, and veterinary and One Health relevant curriculum inclusion. Descriptive data was analyzed using R Version 3.5.1.
Forty-seven FETPs reported veterinarian/VPP trainees, 68% responded to our questionnaire, and 64% reported veterinary/VPP graduates in 2017. The veterinary/VPP graduates in 2017 made up 12% of cohorts. Programs reported 74% of graduated veterinarians/VPPs retained employment within national ministries of agriculture. Common veterinary and One Health curriculum topics were specimen collection and submission (93%), zoonotic disease (90%) and biosafety practices (83%); least covered included animal/livestock production and health promotion (23%) and transboundary animal diseases (27%). Less than half (41%) of programs reported the curriculum being sufficient for veterinarians/VPPs to perform animal health specific job functions, despite most programs being linked to the ministry of agriculture (75%) and providing veterinary-specific mentorship (63%).
Our results indicate that FETPs provide valuable training opportunities for animal health sector professionals, strengthening the epidemiology capacity within the ministries retaining them. While veterinary/VPP trainees could benefit from the inclusion of animal-specific curricula needed to fulfill their job functions, at present, FETPs continue to serve as multisectoral, competency-based, in-service training important in strengthening the global One Health workforce by jointly training the animal and human health sectors.
在人类 - 动物 - 环境界面有效预防、检测和应对疾病威胁依赖于多部门的“同一健康”工作队伍。自2009年以来，美国疾病控制与预防中心（CDC）一直支持现场流行病学培训项目（FETP），以便在流行病学原理、疾病监测和疫情调查方面，对兽医和兽医辅助专业人员（VPP）与人类健康领域的同行一起进行培训。我们旨在描述和评估CDC支持的招收兽医/VPP的FETP的特点，以了解这些项目对加强全球“同一健康”工作队伍的贡献。
我们对CDC支持的招收兽医和VPP的FETP的工作人员进行了调查，内容涉及队列人口统计学、毕业生留存情况以及兽医和“同一健康”相关课程设置。使用R 3.5.1版本对描述性数据进行分析。
47个FETP报告有兽医/VPP学员，68%回复了我们的问卷，64%报告了2017年的兽医/VPP毕业生。2017年的兽医/VPP毕业生占各队列的12%。各项目报告称，74%的毕业兽医/VPP在国家农业部内保留了工作。常见的兽医和“同一健康”课程主题有标本采集与送检（93%）、人畜共患病（90%）和生物安全实践（83%）；涵盖最少的包括动物/家畜生产与健康促进（23%）和跨界动物疾病（27%）。尽管大多数项目与农业部有联系（75%）并提供兽医专业指导（63%），但不到一半（41%）的项目报告称课程足以让兽医/VPP履行动物健康方面的特定工作职责。
我们的结果表明，FETP为动物健康部门专业人员提供了宝贵的培训机会，增强了留用他们的部门的流行病学能力。虽然兽医/VPP学员可能会从纳入履行其工作职责所需的特定动物课程中受益，但目前，FETP继续作为多部门、基于能力的在职培训，通过联合培训动物和人类健康部门，在加强全球“同一健康”工作队伍方面发挥重要作用。
