Lisa Quiroz, Senior Emergency Services Coordinator, CDFA Dr. Pam Hullinger, UC Davis, School of Veterinary Medicine

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1 Lisa Quiroz, Senior Emergency Services Coordinator, CDFA Dr. Pam Hullinger, UC Davis, School of Veterinary Medicine

2 2 Presentation Overview FMD Vaccination Strategy Development Pre-event planning Increased awareness Forward momentum

3 3

4 Much has changed since 1929 We must be prepared to respond in new ways 4

5 5 Big Job Small Steps Awareness grew (2003) Outreach to USDA/other states (2004) Inclusive exploration of options USDA collaboration and coordination with complimentary projects

6 Planning Focus: Needles in Cows 6

7

8 Planning Layers CA Vaccination Plan The If and Why?" Reasons vaccination should be part of the response strategy Factors/Decision criteria for consideration in reaching that conclusion Preplan/discuss with industry CA FMD Vaccination Strategy Vaccination Operational Specific to an Plan incident What The "How?" animals? for In what implementing area? the Disposition strategy for of an vaccinates? incident Resource People, forms, priorities with notifications, limited ID, resources record keeping/data Template(s) mgt., repackaging SOPs Checklists "Official Request for Vaccine" CA Vaccination Plan and incident specific strategy feed this request which would be provided to USDA to justify need for manpower, vaccine and supplies FMD CA Vaccination Vaccination Strategy Operational Specific to an Plan incident The What "How?" animals? for In implementing what area? the strategy Disposition for of an incident vaccinates? People, Resource forms, priorities notifications, with limited ID, record resources keeping/data Template(s) mgt., repackaging SOPs Checklists The incident must be prepared to receive, re-package, distribute and deliver the vaccination (ID and data capture required) while maintaining cold chain and chain-of-custody 8

9 Proposed vaccination distribution workflow 9

10 Standard Operating Procedures Requesting and Handling Vaccine Maintaining Cold Chain Validation 10

11 11

12 12 FMD Vaccination Exercise Tulare, California Sept. 6-8, 2011

13 13 Vaccine receipt, handling and repackaging Simulated vaccine

14 Maintain and verify cold chain 14

15 Practice biosecurity and C & D protocols 15

16 Practice biosecurity and C&D protocols NVS Contractors 16

17 Portable corrals 17

18 Work with NVS 3D Contractors to receive, set up and utilize animal handling equipment 18

19 Collect diagnostic samples 19

20 Administer vaccine 20

21 21 Post Exercise Considerations SOPs worked - need minor improvements Consider contracting warehouse management let the professionals do it Ideal delivery team gov. vet or owner s vet? Owner s vet MUCH faster delivery Goal is to be 90% operationally ready to vaccinate millions of dairy cattle in 48 hours Operational bottle neck is documenting animal ID

22 22 Post Exercise Considerations Pressure to resolve vaccine use decision making, strategic planning and request expectation Major planning gap: proving vaccinated animals are truly uninfected, testing and data collection/management What do we do with positive cattle versus the herd? Laboratory capacity - rapid through put for needed testing Data management forms, ID, handheld, lab integration, compiling, analysis

23 23

24 24 What are we doing now? Animal Health Branch Emergency Program Re-Established Monthly Emergency Program Meetings Functional Emergency Planning Teams Review USDA FAD Prep documents and develop new procedures, as necessary Training on and testing procedures through mini-drills Special Projects

25 Planning Teams 25

26 26

27 27

28 28 Addressing After Action Items After Action Issue Consider contracting warehouse management professionals Document Standard Operating Procedures Pressure to resolve vaccine use decision making, strategic planning and request expectation Data management gap Current Project Grassroots Project: Private 3 rd Party Logistics Cold Chain Vendors Emergency planning teams Vaccine Decision Matrix And Vaccinate Prioritization Considerations Project Initial Step: Data Validation Project, Lab integration Bulk Milk Sampling Diagnostics Project (labeling samples with a unique premises ID and electronic results reporting)

29 29 Increased Awareness Train and test field response staff Engage industry Engage other states Engage private practitioners

30 30 Forward Momentum Planning and Preparedness Collaboration is the key Partners

31 31 Conclusion Pre-event planning Progressing Awareness - Continues Forward momentum - Essential

32 32 Lisa Quiroz Animal Health Branch Emergency Programs N Street Sacramento, CA 95814

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