What do future public health doctors know about the One Health concept in Portugal?

Abstract Background The One Health (OH) approach brings together a transdisciplinary collaboration between human, animal, and environmental health, to tackle emerging zoonotic diseases, antimicrobial resistance, and food safety. Therefore, incorporating of OH principles in the education of health care providers is fundamental. Methods To assess OH knowledge, attitudes and practices (KAP), an anonymous, multiple-choice, online self-administered survey was sent to 1st year Portuguese Public Health Medical Residents (PPHMR), during an online congress targeted to them. A descriptive analysis was performed. Results A 50.0% response rate was obtained out of the 42 PPHMR attendees. Only 33.3% were familiar with OH concept; 57,1% had heard of it but were not aware of its meaning, and 9.5% had never heard of it. Concerningly, 9,5% believed zoonosis were diseases transmitted between animals and 42.9% considered that “antimicrobial resistance” is applied to antibiotics only. Regarding major zoonosis, etiologic agents were not recognized for Cryptosporidiosis (47.6%), Echinococcosis (42.9%), Toxoplasmosis and Leptospirosis (38.1%), Dermatophytosis (33.3%), Rabies (28.6%), Borreliosis/Brucellosis (23.8%). Half (52.4%) were unaware of the transmission route of Brucellosis/Dermatophytosis, followed by Leptospirosis (38.1%), Toxoplasmosis (28.6%) and Borreliosis/Rabies (23.8%). Remarkably, all participants showed willingness to be informed on OH issues and agreed that prevention and speed of intervention would be higher with greater collaboration between health technicians. About education towards OH throughout their medical curricula, 61.9% classified it as low, 23.8% as absent, 14.3% as sufficient and none classified it as adequate or very adequate. Conclusions This is the first study assessing KAP regarding the OH concept among PPHMR. Results highlight the need to bring OH to the Portuguese medical schools’ agenda to better prepare the next generation of PPHMR to the emerging health crisis. Key messages • Despite the interest shown by 1st year Portuguese Public Health Medical Residents concerning One Health, a general lack of knowledge on the topic was found. • The majority qualified as insufficient their training on this subject, highlighting the need for medical schools to improve education and raise awareness regarding this transdisciplinary approach.


Background:
Childcare centres have the potential to promote healthenhancing physical activity (PA) in children.However, institutions with need for action seem to be hard to reach.During the project ''QueB 2 -developing quality with and through physical activity'' different strategies to empower multipliers in spreading awareness for PA were tested.Currently, the aim of the project is to involve teachers at vocational schools for early childhood education in order to sensitize prospective educators and ensure quality in planning interventions.

Methods:
The webinar was developed in three steps: (1) Four workshops were implemented in two vocational schools by participating 80 future educators to train them in planning PA interventions.(2) The collected students' recommendations and sample projects were categorized in eight steps of a theoretical model for project planning.(3) After finalizing the webinar, questionnaires were used to reflect on its application, utilization, and design.

Results:
The results of the second step were summarized in a manual for planning PA interventions in childcare centres.This forms the basis of the webinar to enable teachers to disseminate PA promotion in class.The developed modules were installed at a website and provided for free in order to be used by the interested public.In step three, teachers tested the webinar and filled in the questionnaire.The majority perceived the webinar as useful, appreciated its clear structure and appealing design, and expressed an increased awareness of factors concerning PA in childcare centres.

Conclusions:
Teachers at vocational schools perceived the webinar as useful to integrate parts of planning PA interventions in childcare settings in the curriculum.Transferring developed manuals and training modules to multipliers by providing an appealing,

Background:
The One Health (OH) approach brings together a transdisciplinary collaboration between human, animal, and environmental health, to tackle emerging zoonotic diseases, antimicrobial resistance, and food safety.Therefore, incorporating of OH principles in the education of health care providers is fundamental.

Methods:
To assess OH knowledge, attitudes and practices (KAP), an anonymous, multiple-choice, online self-administered survey was sent to 1st year Portuguese Public Health Medical Residents (PPHMR), during an online congress targeted to them.A descriptive analysis was performed.

Results:
A 50.0% response rate was obtained out of the 42 PPHMR attendees.Only 33.3% were familiar with OH concept; 57,1% had heard of it but were not aware of its meaning, and 9.5% had never heard of it.Concerningly, 9,5% believed zoonosis were diseases transmitted between animals and 42.9% considered that ''antimicrobial resistance'' is applied to antibiotics only.Regarding major zoonosis, etiologic agents were not recognized for Cryptosporidiosis (47.6%),Echinococcosis (42.9%),Toxoplasmosis and Leptospirosis (38.1%),Dermatophytosis (33.3%),Rabies (28.6%),Borreliosis/Brucellosis (23.8%).Half (52.4%) were unaware of the transmission route of Brucellosis/Dermatophytosis, followed by Leptospirosis (38.1%),Toxoplasmosis (28.6%) and Borreliosis/Rabies (23.8%).Remarkably, all participants showed willingness to be informed on OH issues and agreed that prevention and speed of intervention would be higher with greater collaboration between health technicians.The International Network of Health Promoting Hospitals and Health Services (HPH) was initiated by the World Health Organization as a settings approach toward reorienting health services.Over 600 members from 30 countries promote the integration of health promotion into the hospital/ health service setting.The International HPH Network developed the 2020 Standards for Health Promoting Hospitals and Health Services, representing years of experience and expertise reflected in 5 standards, 18 substandards, and 85 standard statements.Complementary self-assessment tools were developed to operationalize the standards and to identify concrete measurable elements against which each standard can be measured.The aim of the tools is to assist hospitals and health services in transforming the setting into a health promoting one.The standards are comprehensive and address topics to encourage the complete refocusing of an organization's strategy and to stimulate a process of continuous internal improvement.Standards address management, patient-centered care, occupational health, health literate organizations, environmental sustainability, and target groups such as the elderly and children and adolescents.Excel and pdf tools may be utilized by institutions to measure and track progress in implementing each of the standards.The tools state measurable elements for each standard that were identified by an expert panel of HPH members and external subject experts to be directly observable and applicable across various regional and institutional contexts.As part of internal and external assessment processes, standards can be rated on a scale from 1 (not implemented) to 10 (fully implemented).The tools store data and generate graphs that allow organizations to assess their level of performance, identify areas for improvement, and devise data-driven action plans.

Key messages:
Progress towards transforming the setting must be tracked and included in an organization's continuous internal improvement processes.The transformation of the hospitals/health service setting into a health promoting environment results in better health outcomes for patients, families, the community, and the environment.
Abstract citation ID: ckac131.324A whole-of-community approach to promote cardiovascular health: Healthy Communities in Moldova Florence Secula F Secula 1,2 , D Berari 3 , A Curteanu 3,4 , S Nicolaescu 5,6 , H Prytherch About education towards OH throughout their medical curricula, 61.9% classified it as low, 23.8% as absent, 14.3% as sufficient and none classified it as adequate or very adequate.Conclusions: This is the first study assessing KAP regarding the OH concept among PPHMR.Results highlight the need to bring OH to the Portuguese medical schools' agenda to better prepare the next generation of PPHMR to the emerging health crisis.Key messages: Despite the interest shown by 1st year Portuguese Public Health Medical Residents concerning One Health, a general lack of knowledge on the topic was found.The majority qualified as insufficient their training on this subject, highlighting the need for medical schools to improve education and raise awareness regarding this transdisciplinary approach.
Using local assets to health problem solving is changing the perspective on the resourcefulness of community actors in health.Progress towards sustainability is achieved by local public authorities and community making a matching contribution to start-up funding to small projects.
Key messages:Our Healthy Communities model proposes a strength-based vision of health promotion which empowers community coalitions to self-organize for the prevention of cardiovascular risk factors.