Recommendations for organizational, institutional & political Networking
- (e-Health Standards) Providing centralized database, Definition of Minimal Data Elements MDE for Chronic Kidney Disease of non-traditional causes necessary. A cooperation between AT6FUI and WHO/PAHO is recommended.
- (WHO/PAHO) Improve organisational connectivity to PAHO and WHO according to Spatial Epidemiology and Spatial Ecotoxicology especially sucessful case studies, capacity building material, ... that showed an impact on public health risk mitigation.
- (Embassy) In the past the Embassies played an important role in establishing bilateral relationships (e.g. El Salvador Germany) for Public Health Risk Mitigation. Especially presentations at the AT6FUI 2012 Meeting at the UN-Campus in Bonn supported the integration of the political perspective, requirements and constraints into the development of AT6FUI. Furthermore the Embassy of El Salvador in Vienna gave a statement at the UN COPUOS S&T 2012 in Vienna.
- (WHO/PAHO guided Network of Capacities for Toxicological Analysis) It is recommended to work with PAHO/WHO to establish a network of toxicological laboratories that support UN Member States in the analysis of toxicological Public Health Risks and to facilitate the international cooperation between the research institutions, especially for developing countries where the lab facilities are scarce for identifying Public Health Risks. The connections between labs should not be limited to the provision of toxicological analysis of samples. In line with the Open Community Approach any cooperation in the network should have the long term goal to establish analytic capacities in developing countries as well. As the first step the exchange of knowledge is important. The WHO/PAHO guidance is important to have international recommendations for Public Health Risk mitigation applied for improving the skills of the analysis through the exchange of knowledge. Furthermore an international network could allow getting services that do not exist in some countries. These connections also will improve the reliability of the findings because it will open opportunities for crosschecking results through the analysis of research samples in several labs.
- (Policy Making & International Networks) If an international network for Capacity Building for Toxicological Analysis and Public Health Risk Mitigation is used to analyze samples from one UN Member State in an other UN Member State, Policy Making has to be involved to assure that the international cooperation between institution are in line with national regulations in the cooperating countries and/or institutions. Especially the health related protection of data privacy has top priority. If shipment of samples across several national borders is currently the only option to get a toxicological analysis for determination of Public Health Risk, then Policy Making should be involved for checking an optional temporal modification for national policies. It is important to establish north-south agreements among research institutions (Universities or other research centres, health institutes or Public Health Agencies) for exchanging knowledge and facilitating the movement of researchers through grants and other funding opportunities. On the one hand developing countries have few possibilities for obtaining postgraduate degrees and sometimes it is almost impossible to do a PhD. On the other hand, the possibility of carry out investigations in developing countries could be an important issue to the North research institutions because these countries open a spectrum of opportunities.
- (United Nations University - UNU) In the United Nations University Strategic Plan 2011–2014, five interdependent thematic clusters were mentioned. For AT6FUI the cluster for Global Health, Population and Sustainable Livelihoods is relevant. Because Environmental Health and Human/Public Health need an integrated approach (i.e. One Health). The cluster includes health related major topics of focus, like safe water and sanitation, food and nutrition for human and social development, combating diseases of globlal scale (like HIV/AIDS). Other clusters are touched partially, because some One Health Improvements can be accomplished if and only if security and alleviating poverty and inequalities, improving the access to technology is considered as well. It is recommended that AT6FUI contributes to UNU activities in the cluster where UNU objectives AT6FUI objectives match. Especially Non-UN-Universities can join forces with UNU for capacitiy building in Developing Countries for One-Health Risk Mitigation.
- (UN-SPIDER) According to the OpenCommunity Approach an Open Source IT-Framework using mobile devices (Smartphones with GPS) that deploy tailored information of Risk and tailored access to Resources for Risk Mitigation is nessary. The Objectives of Disaster Management and the Objectives of AT6FUI have joined generic requirements and constraints for an Open Source IT-Framework that considers Smartphones with GPS as mobile decision support clients for Online and Offline usage for Risks, Resources and Crowd Sourcing.
Conclusions
- The United Nations University supports a Twinning Concept that provides a foundation for academic collaboration for Public Health Risk Mitigation.
- The WHO/PAHO connectivity has 3 different layers:
- e-Health Standards for spatial pattern of Risk and spatial optimization of limited resources for public health risk mitigation
- network coordination for Public Health Risk Mitigation for exposure to toxicological risks. The strategies should be in line with the decision making of World Health Assemby.
- Integration of capacity building concepts of WHO/PAHO especially for Chronic Kidney Disease of non-traditional causes and application of WHO/PAHO quality standards for capacity building programmes.
