The Development of a Long Term Roadmap for the Progressive Control of FMD in Eastern Africa - FAO/OIE /AU-IBAR Workshop - March 5-6, Nairobi,

Transcription

1 The Development of a Long Term Roadmap for the Progressive Control of FMD in Eastern Africa - FAO/OIE /AU-IBAR Workshop - March 5-6, Nairobi, Kenya

2 Kenia March 2012

3 Tanzania March 2012

4 Rwanda March 2012 * * * No outbreaks have been reported

5 Uganda March 2012 * * * Missing info

6 Sudan South March 2012 * * * No outbreaks have been reported

7 Sudan North March 2012

8 Ethiopia March 2012

9 Eritrea March 2012 * * * No outbreaks have been reported

10 Somalia March 2012 * * * Missing info

11 Overview of outcomes - required Country Number of started outcomes Number of outcomes completed Kenia 9 8 Tanzania 8 5 Rwanda 4 2 Uganda 8 4 Sudan South 2 1 Sudan North 8 6 Ethiopia 8 5 Eritrea 7 4 Somalia 7 2

12 Observations A number of activities are on-going, thus results of assessment may change quickly Discussions Don t rush through Stage 1: the more you do now, the better effects in later Stages Consider regional approach based on eco-systems Regional approach could be supported through AU-IBAR, FAO-ECTAD Have information shared/available through existing infrastructure AU-IBAR, Lab Network

13 East African Roadmap for FMD control Country Burundi DR Congo eastern zone Rwanda Uganda Tanzania (zone) Kenya (zone) South Sudan zone A South Sudan zone B Sudan South zone C Eritrea central Eritrea western Eritrea eastern Djibouti 1 Somalia Ethiopia Sudan zone A Sudan zone B

14 Considerations and Recommendations Considering: The importance of animal husbandry in the East African region, the high impact that Foot and Mouth disease (FMD) has on animal production through economic losses and trade disruption and the resulting negative impacts on the livelihoods of the animal owners and the economic development possibilities of the countries in the region; The development of a global FMD control strategy by OIE and FAO in consultation with national, regional and international decision makers and official authorities, which will be presented at the second International Conference on Global FMD Control, Bangkok, Thailand June 2012, the need to highlight the importance of regional approaches to control FMD and the major tools of the Global FMD Control Strategy which are key for its implementation and monitoring, namely the PCP, the OIE Terrestrial Code relevant articles and the PVS pathway; The conclusions of the Nairobi FMD Progressive Control Pathway (PCP) Workshop on 5-6 March 2012 and the classification of all East African countries in one of the PCP stages resulting in an updated regional Roadmap for FMD control in East Africa until 2022; The fact that better FMD control will go hand in hand with the further development of capable and effective veterinary services; The need to support the countries in the region with technical expertise, experience and finance to achieve the ambitions formulated in the regional roadmap; The need to convince decision makers and donors of the feasibility of the regional roadmap goals if pursued as an effort of individual countries, involving both the public and private sectors, with strong regional coordination and supported by the international community;

15 Considerations and Recommendations Considering - continued: The success of regional efforts such as in East Africa also determines the feasibility of the Global FMD Control Strategy and the possibilities to roll out the Strategy, thereby improving the FMD situation in hitherto infected countries and regions and lowering the risks for FMD-free countries; The need to work out tailor-made solutions in each region, sub-region or country with respect to combinations of disease control programmes in order to obtain economy of scale and maximum efficiency; The need for strong political support with strong regional coordination, harmonization of strategies and mutual support as the only way to obtain sustainable progress in FMD control and to avoid jeopardizing present and future achievements;

16 Considerations and Recommendations The meeting recommends that: All participants in the meeting undertake to explain to politicians and decision makers at the national and regional levels, including the RECs and the private sector, the context of the Global FMD Control Strategy, its rationale and objectives and if appropriate its major tools PCP, the OIE PVS pathway and OIE Terrestrial Code relevant articles; All participants in the meeting undertake to explain the principles and features of the PCP and the agreed FMD regional roadmap for East Africa to the relevant decision makers in animal disease control, the technical staff and the stakeholders in FMD control at national and regional level to raise awareness, understanding and support; Advocacy to support the efforts to realize the regional roadmap for East Africa emphasizes not only the need to lower the socio-economic impact of FMD and the negative effects on development possibilities, but also the positive effects that will result from improved FMD control, such as strengthening the Veterinary Services and improved control of other regional priority animal diseases including transboundary ones; FAO, OIE, AU-IBAR and EuFMD intensify their support to the countries in the region in order to realize the ambitions laid down in the regional roadmap for East Africa, using existing and new mechanisms such as the Global Framework for the Control of Transboundary Animal Diseases (GF-TADs) and its Steering Committee for Africa, the Regional Animal Health Centers (RAHCs), IRCM, the new Veterinary Governance project, the laboratory and epidemiology networks and specific technical projects at country and regional level; AU-IBAR, the regional African Economic Communities IGAD and EAC and individual countries, consider establishing a (sub)regional group of CVOs at REC level to oversee and coordinate the activities in the field of Transboundary Animal Diseases, in particular FMD;

17 Considerations and Recommendations Recommends - continued: The international organisations FAO and OIE and AU-IBAR, under the umbrella of Alive and the regional GF-TADs Steering Committee for Africa, take the lead in assisting countries and regions to explore ways and means to develop tailor-made solutions to optimize the FMD control activities, for instance by combining activities (such as field and laboratory investigations and vaccination) with activities in support of other animal disease control programmes. The regional GF-TADs Steering Committee for Africa, with the support of AU-IBAR and the international organisations FAO and OIE, take the lead in organizing regular (yearly) meetings to evaluate the country statuses vis-a-vis the regional roadmap, exchange information, share experiences and address constraints, including funding. AU-IBAR, the regional African Economic Communities IGAD, EAC, SADC and individual countries, attend at high technical and political levels the joint FAO/OIE Global Conference on FMD control in Bangkok on June 2012 to support the global FMD Control Strategy and to voice the East African determination to progress with FMD control - as laid down in the regional roadmap and to underline that FMD control in the world is inter-linked and should be seen as a global Public Good requiring international cooperation and support.

18 Considerations and Recommendations And reiterates the recommendations referring to East Africa made during the Workshop on the development of a FMD roadmap in Nairobi in 2009, in particular: REC no 1 regarding the need to collect and validate data on the socio-economic impact of FMD; REC no 6 regarding the need to improve FMD vaccine production, availability and quality assurance; REC no 7 regarding the need to further elucidate the role of wildlife in FMD epidemiology. and confirms the vision laid down for East Africa in the 2009 Nairobi meeting:

19 Summary of required input to finish PCP Stage 1 Outcome Support required Plan to study Training on design of socio-econ.studies Consultancy (in action) 1. Value chain analysis External input consultancy Workshop on how to do? Training on risk mapping 2. FMD hypothesis Workshop on how to do? Investment on provision of water pasture Enforcement of regulations 3. Socio-economic impact Training design, data collection analysis 4. Circulating strains Training and equipment (kits) Sensitization / meetings Logistic support Finances requested

20 Summary of required input to finish PCP Stage 1 Outcome 5. Strengthening VS 6. Regional approach 7. Id of FMD hotspots 8. FMD control strategy Support required Review of vet.legislation, strengthening border posts, cold-chain logistics, training of vets Access to learning and research Centre Training on PVS and PCP by OIE Regional epidemiology center Regional collaboration and coordination CVO workshop on harmonizing regulations Training on risk assessment (in-country, abroad) Training on risk analysis Regional effort needed Defined tools of monitoring and evaluation Finances requested

21 Requirements: Stage 1 Outcome 1: All husbandry systems, the livestock marketing network and associated socio-economic drivers are well described for FMD susceptible species Key stakeholder identified for all production types/species, movements described for all species (incl nomadic)

22 Requirements: Stage 1 Outcome 2: Describe the FMD distribution and develop working hypothesis of how FMD circulates epidemiological unit defined Incidence estimated for at least 1 region Incidence estimated for at least 1 husbandry type Specific transmission pathways between husbandry systems/regions identified

23 Requirements: Stage 1 Outcome 3: Socio-economic impacts of FMD on different stakeholders have been estimated Direct losses to FMD been identified and described Outcome 4: Identification of circulating FMD strains in last 12 months Sampling of reported outbreaks Serotyping and genetically characterization of isolates by regional RL or WRL

24 Requirements: Stage 1 Outcome 5: Development of enabling environment and strengthening vet services FMD is notifiable disease Stakeholder have reported suspect cases to vet services within previous 12 mo Outcome 6: Demonstrate transparency and commitment to FMD control in region Reported to OIE within last 12 mo Shared official information on FMD with other countries in region

25 Requirements: Stage 1 Outcome 7: Identify important risk hotspots for FMD transmisssion Identification of specific practices/areas that are major contributors to FMD spread

26 Workshop on Progressive Control of FMD in Eastern Africa 5-6 March 2012 Feedback EARLN-FMD Lab Meeting Presented by Kees van Maanen

27 Reminder: Network objectives 1. To understand regional FMDV circulation, its patterns and making vaccine recommendations 2. To Improve the quality of laboratory tests regionally 3. To Complement activities of each individual country in fulfilling the objectives of the FMD Progressive Control Pathway (PCP)

28 Network activities, achievements and challenges in 2011 Already reviewed by Dr. Sebenzia Wekesa

29 Discussions EARLN-FMD March 5 pm Group 1: Work-plan, priorities and budget 2012 Based on the previous experiences and activities; Set up a Plan for Meetings, Trainings Is there need for production of own regional diagnostic reagents? Economical? How do we do it? Train people and assign lab/labs? Any other desired activities beyond what has been going on Other sources of funding the activities and sustainability (AU-IBAR, RECs, NGOs, Own governments etc) and how do we go about it?

30 Discussions continued Group 2: Network manual review: progress until now, which way forward, by whom and when Design a way forward to complete the manual Assign duties and Give deadlines

31 Discussions continued Group 3.1: Next round of FMD training courses, which, when, where? Based on evaluation of the last trainings; Is there need for a second PCR training? Kits may still be available in Tanzania How about training on sampling in Burundi? Any other country? When? Is there need for vaccine matching training, for which countries? How? Venue? Group 3.2: Requirements to improve FMD lab capacity + information to assist animal health managers to achieve objectives of PCP Based on current capacity status of each laboratory What areas need improvement? How do we improve this How do we improve our information, experiences and expertise sharing including tests protocols, reagents, kits, vaccines and vaccine production techniques? How about regional proficiency testing?

32 Discussions continued Group 4.1: Network Bulletin/Newsletter Enlist Key issues to be included in the bulletin Appoint a committee and focal persons Group 4.2: Monthly reports, information sharing and communication within Network Way forward What information do we need to share? Latest Research activities and Publications? News? meetings, workshops, conferences, etc How often do we share How do we share it Focal person to collect and collate the information Any other mode of information-sharing?

33 Groups 1 and 3 Group 1: Jacob, David, Sabenzia, Mamadu Group 3: Gelagay, Chris, Lazare, Bushu

34 Results group 1 and 3 Activities/Priorities Budget Workplan Funding (USD) Q1 Q2 Q3 Q4 Source Regional PCR training course (at least two personnel for each country) -Tanzania X AU-IBAR, FAO, OIE, EU- FMD, APHIS/USAID, RECs, National Gvts Training on vaccine matching for each laboratory (Uganda). X AU-IBAR, FAO, OIE, EU- FMD, APHIS/USAID, RECs, National Gvts Basic sample collection and serology course (Rwanda) X AU-IBAR, FAO, OIE, EU- FMD, APHIS/USAID, RECs, National Gvts Real Time FMD Training Courses (Kenya). X X X X EU-FMD Hands-on laboratory training/setup visit (Rwanda, Burundi, and Republic of South Sudan: PCR). X AU-IBAR, FAO, OIE, EU- FMD, APHIS/USAID, RECs, National Gvts

35 Results groups 1and 3 C tnd Support to the labs Support labs source for key reagents, equipment and consumables Information Exchange Exchange visits Website News Letter/bulletin FMD Proficiency Testing (contact BVI/OVI) X X AU-IBAR, FAO, OIE, EU- FMD, APHIS/USAID, RECs, National Gvts X X X X AU-IBAR, FAO, OIE, EU- FMD, APHIS/USAID, RECs, National Gvts

36 Results groups 1 and 3 c tnd Any other thought to achieve PCP objectives? Regional and coordinated research on FMDV in Eastern Africa: start with an inventory of ongoing research per country in the region X X X X AU-IBAR, FAO, OIE, EU- FMD, APHIS/USAID, RECs, National Gvts Regional risk analysis and serotype mapping X X X X AU-IBAR, FAO, OIE, EU- FMD, APHIS/USAID, RECs, National Gvts Joint epi-/lab-meetings X X X X AU-IBAR, FAO, OIE, EU- FMD, APHIS/USAID, RECs, National Gvts Possibility of producing some reagents o AU-PANVAC and/or Embakasi to be supported to produce FMDV reagents X X X X AU-PANVAC, AU-IBAR, FAO, OIE, EU- FMD, APHIS/USAID, RECs, National Gvts

37 3 rd EARLN workshop 5-6 March 2012 Nairobi Working group 2 Mohammed, Chanasa, Abraham, Kees Guidelines for Foot-and-Mouth Disease investigations and diagnosis in Eastern Africa

38 FMD manual:conclusions and recommendations A lot of work has already been done (Mohammed,Tesfaye, Chanasa) Working title manual: Guidelines for Foot-and-Mouth Disease investigations and diagnosis in Eastern Africa Use the document as a training manual. Make a separate quick guide for field use Four chapters: 1. Lesion ageing, sample collection and sample transportation (Mohammed) 2. Biosecurity (Chanasa) 3. Participatory Disease Search and Outbreak investigation (Tesfaye) 4. Laboratory diagnosis (Abraham/Kees) Timelines and actions Chapter 1: Mohammed sends updated version to group 2 within two weeks Chapter 2: Chanasa sends current version to group 2 within 1 week Chapter 3: Kees will update chapter and send to Tesfaye/group 2 within 1 month Chapter 4: Abraham/Kees. Rough outline + division of tasks: one month» Chapter ready for evaluation by group 2: June 1th 2012

39 Checkpoints discussion manual Use also local pictures Check copyright. Probably recognition of source needed Include outbreak investigation questionnaire in chapter 3. Include sample submission forms in chapter 1. Done Include in chapter 3 conventional outbreak investigation, questionnaire, and checklist. Send guidelines - after consent of the EARLN group - to external review panel (6 persons were defined).

40 Quick guidelines for field use 6 pages, laminated Biosecurity input from Chanasa and Abraham Ageing of lesions input from Abraham Sampling scheme - Mohammed Sample submission form - Mohammed Outbreak investigation form input from Kees Packaging and transport - Mohammed Mohammed Habiela takes the lead, June 1st 2012

41 Group 4 Nick, Wais, Mesfin and Sam

42 Network Bulletin/Newsletter Every 6 months) where key issues to be included in the bulletin are Diagnostic capacity in the region Outbreaks and other diseases Investigations Strains and serotypes Control efforts Personnel changes Events (meetings, trainings, workshops and seminars) National plans Research information from institutions of higher learning, research organizations (national, regional, global)

43 Committee Mohamed Habiela (Coordinator or chair) Three other volunteers (focal points) Abraham David Chris

44 Modes of information-sharing Website (periodic summary of wiki space information i.e. like):nick/mohammed Bulletin Meetings/fora

45 Wiki space Based on agreed template Information relayed through the national focal points (coordinated by bulletin editor/chair) Laboratory results (surveillance (active and passive), outbreak investigation (isolations, serotypes and topotypes), vaccine matching Continuous Other relevant information on FMD and TADs