Joint Risk Assessment for Zoonotic Influenza at the Animal and Human Interface. Tripartite Technical Working Group on Joint Risk Assessment

Transcription

1 Joint Risk Assessment for Zoonotic Influenza at the Animal and Human Interface Tripartite Technical Working Group on Joint Risk Assessment 1

2 Why do we need JRA? You will not know what you need, until you realise what is missing Kachen,

3 Joint Risk Assessment Objective: to provide technical tools in conducting joint risk assessment of zoonotic influenza at animal-human interface RA a process to assist countries to design disease management programmes, priotise resources, and inform prevention and surveillance usually carried out uni-sectorally, specific to either AH or PH 3

4 OIE Terrestrial Animal Health Code, Chapter 2.1 4

5 WHO, 2012 (page 12) 5

6 There are Different Approaches to Risk Assessment 6

7 Infected area Poultry Farm Breeding Stock Poultry Farm - For consumption Fomites Farmer buying breeding stock and selling to market Farmer selling self reproduced chicken to market Fomites Uninfected area Fomites Fomites Live Bird Market

8 Breeding stock transport Live Bird markets Poultry farms Finished poultry transport Poultry flow from farms and market in infected area to farms and markets in uninfected area

9 April 2014 countries requested support for JRA 9

10 Sub-regional technical consultation on H7N9, April 2014, Myanmar Animal Health Human Health Moderate to High Low Moderate to High High 10

11 Sub-regional technical consultation on H7N9, April 2014, Myanmar Lack of info sharing Lack of awareness (i.e. some HH colleagues were unaware of what a value chain was) Limited capacity for risk assessment Conducting Joint (animal and human health) risk assessment How? 11

12 May Jul 2014 Concept paper developed TWG and AG formed April 2014 countries requested support for JRA 12

13 JRA TWG Animal Health Experts Dirk Pfeiffer Mary Joy Gordoncillo Hnin Thidar Myint Yooni Oh David Castellan Jan Hinrichs Sophie von Dobschuetz Kachen Wongsathapornchai Human Health Expert Elizabeth Mumford Dilys Morgan Xu Zhen Tony Mounts Angela Merianos Norikazu Isoda 13

14 May Jul 2014 Concept paper developed TWG and AG formed April 2014 countries requested support for JRA June Dec 2014 T/C among TWG JRA process drafted 14

15 JRA Objective To jointly assess risks from avian influenza H7N9 and other zoonotic influenza viruses at the human and animal interface JRA TWG teleconference on 19 August

16 Conceptual Basis for JRA Qualitative assessment can be quickly done, even with few data at hand (importance of expert knowledge from different fields of expertise!) Systematic approach to evaluating currently available knowledge Iterative and needs to be updated regularly Evidence-based Multiple stakeholder involvement Separate uni-sectoral risk assessments should be performed in preparation to joint risk assessments 16

17 JRA at Animal and Human Interface 17

18 Risk Assessment for Action Build Risk Model Define Risk Pathways Complete Risk Pathways Convene Stakeholders Risk Framing Define Risk Questions Review Information Risk Question 1 Risk Question 2 Risk Question 3 Define Objectives/ Scope Assess Risk Risk Question n Manage Risk Provide guidance for risk management Risk Assessment Cycle Evaluate the Risk Document the Assessment Take Action 18

19 May Jul 2014 Concept paper developed TWG and AG formed April 2014 countries requested support for JRA Jan 2015 JRA Orientation WS in Myanmar June Dec 2014 T/C among TWG JRA process drafted Jul 2015 (Myanmar) Workshop on AH RA to support JRA at H-A interface 19

20 Animal health focus Participated by both AH and HH Tool was adjusted to local context Sharing of information between sectors National participation and ownership Photos by Cortney Price; FAO/

21 Future Plan JRA technical consultation workshop Dec 2016 Finalize the draft methodology by end of 2016 Continue piloting JRA in countries of the region: Viet Nam Lao PDR Other interested countries Review and publish the methodology 21