12 th JPC REMESA may 2016 Toledo - Spain

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1 12 th JPC REMESA may 2016 Toledo - Spain

2 Plan FMD Update PPR : Update

3 SESSION on FMD Update situation in Tunisia

4 Introduction FMD Update Species number PPR : Update Ca#le Sheep Goat Bovine density / delega)on Sheep density /delega)on Goats density / delega)on

FMD: History FMD Update 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

5 FMD: History FMD Update Libye O O O S2 A O Tunisie O O O O O Algérie O O O O Maroc O O O O

6 Chronology of events Somaâ

Key indicators Espèce animale sensible Nombre de malades Nombre de sensibles Taux de morbidité Bovins 460 2590 17,8 Gouvernorat Nombre de foyers ARIANA 9 BEJA 19 BEN AROUS 6 FMD Update

7 Bovine 74% KASSERINE 6 LE KEF 4 MAHDIA 4 MANNOUBA 12 MEDENINE 1 MONASTIR 3 NABEUL 18 Entry of animals 69.

7 Key indicators Espèce animale sensible Nombre de malades Nombre de sensibles Taux de morbidité Bovins ,8 Gouvernorat Nombre de foyers ARIANA 9 BEJA 19 BEN AROUS 6 FMD Update Pe)ts ruminants ,9 TOTAL ,1 BIZERTE 5 GAFSA 6 JENDOUBA 6 KAIROUAN 6 Neighberhood Selling Entry of products and transport engines Entry of persons Bovine 74% KASSERINE 6 LE KEF 4 MAHDIA 4 MANNOUBA 12 MEDENINE 1 MONASTIR 3 NABEUL 18 Entry of animals 69.4 SFAX 8 Outgoing of products and transport engines Outgoing of persons Outgoing of animals (new, return) Sheep/ Goat 4% Ovine 13% Goat 2% Bov/ Ovine 7% SIDI BOUZID 23 SILIANA 1 TATAOUINE 5 TUNIS 4 ZAGHOUAN 4 Total général 150

Measures taken Infected gouvernorate Non infected gouvernorate FMD Update Vaccination Cattle, Sheep, Goat ring vaccination Disinfection / Sequestration Slaughter (failling) milk

8 Measures taken Infected gouvernorate Non infected gouvernorate FMD Update Vaccination Cattle, Sheep, Goat ring vaccination Disinfection / Sequestration Slaughter (failling) milk sales prohibing Market ( Vaccination ) Gov neighboring ( disinfection of vehicles, control of movement, BV vaccination) Market: vaccination of sensitive animals Emergency vaccination

9 Vaccination Vaccine requested for 2016 Espèce animale Année Vaccine serotype Période de réalisa)on Effec)f Cacle 2014 ² O manisa, O maghreb99, A22, SAT2 April-August FMD Update O 3039 O manisa, O maghreb99, A 22, SAT 2 Small Ruminants 2014 ² O manisa, O maghreb99, SAT2 April-August Cacle 2014 ² O manisa, O maghreb99, A22, SAT2 Sept-Nov Small Ruminants 2014 ² O manisa, O maghreb99, SAT2 Sept-Nov O 3039 O manisa, O maghreb99, SAT 2 Cacle 2015 ² O BFS, A Iran05, SAT2 Eri Jan-mars Cacle 2015 Small Ruminants 2015 ² O BFS, A Iran05, SAT2 Eri. ² O 3039 Omanisa, O maghreb99, A22, SAT2 ² OBFS, A Iran05, SAT2 Eri. ² O 3039 Omanisa, O maghreb99, SAT2 Sept-nov Sept-nov

10 Projet TCP/3501 Training FMD Update Enhancement of VS capacities Applica)on Analysis Cost benefit Study of Animal mobility Sero-epidemiological survey Improve the fight strategy against FMD through better prevention and rational and early response Improve the knowledge of the disease to manage it Assessment Mission of the FMD control program Special fund for animal health: study review Revision of FMD con)ngency plan Simula)on exercise (indoor ) Communica)on

11 Training FMD Update Training of trainer FMD : 30 Regional training FMD (official vet/private vet) : 153 GEMP Training : training of trainer: 32 GEMP training (district): 8 sessions / 300 vet Communica)on

12 Application Analysis Cost benefit DB to esomate the cost benefits of the FMD FMD Update

13 Study of Animal mobility FMD Update ObjecOve: idenofy the principal axis of movement of SR in the market Before and a[er the EID Preliminary results Great flow Different direcoons Ongoing research (Ca#le)

14 Sero-epidemiological survey FMD Update ObjecOves FMDV CirculaOon Immunity level Target populaoon : Ca#le/Small Ruminant Number of samples: Ca#le: Sheep: Goat: 609 Result: ongoing

Assessment of the FMD control program Mars 2016 FMD Update of the health Durée 2 ans (2016-17) Objec)f: Aucun cas Clinique, éviter l

15 Assessment of the FMD control program Mars 2016 FMD Update of the health Durée 2 ans ( ) Objec)f: Aucun cas Clinique, éviter l endémicité Durée 2 ans ( ) Objec)f : arrêt de la circula)on virale Durée 1 an (2020) Objec)f : confirma)on et main)en du statut

16 Special fund for animal health: study review FMD Update Revision of the study Animal health fund creaoon Strengthening of animal disease fight

scale (0-3), The resultant scores is a good indicaoon of the VS readiness 0 not

17 Revision of FMD contingency plan FMD Update Workshop with chef of regional veterinary services Reference : GEMP guide The naoonal conongency plan three-point scale (0-3), The resultant scores is a good indicaoon of the VS readiness 0 not ready 1 poor 2 moderate 3 fully ready 05 work groups to update the FMD conongency plan (ongoing)

18 Simulation exercise 6-8 April 2016(indoor ) FMD Update Scenario InfecOon enter from the border Diffusion to three zones/ three work group Tow high density zones Western border of the country Observers: Algeria Morocco OIE

Number of par)cipants Sousse 16 Kairouan

19 Communication FMD Update Training of trainers 6 sessions / 86 parocipants (vet and regional focal points) PreparaOon of communicaoon tools Session Number of par)cipants Sousse 16 Kairouan 25 Bizerte 15 Mahdia1 11 Mahdia2 5 Ain Drahem 14 Total 86

20 Communication FMD Update of the health CommunicaOon Tools Vet Breeders Spot TV Spot Radio Last step of finalizaoon

21 12 th JPC REMESA Toledo, Spain May 2016 SESSION ON Avian Influenza

22 12 th JPC REMESA Toledo, Spain May 2016 SESSION on PPR Update situation in Tunisia

23 Stratégie de lutte FMD Update PPR Obligatory nooficaoon of the disease Monotoring /passive surveillance AcOve surveillance : invesogaoons and sero-survey Maladie PPR

128,6. 90 80 70 60 50 40 30 20 10 0 80.3 12.7 7.

24 Étude descriptive (2012) FMD Update Sampling 3619 sera/ 367 Breeders Animal trader :5 Transhumant : 5 Fa#ening unit : 12 Average size of the herd: 38,9 ± 128, <=50 ]50;100] >100 Herd in the majority : < 50 heads Elevages mixtes Elevages Ovins Elevages Caprins

25 Étude descriptive FMD Update INTRODUCTION 13,6 p100 of new introducoon (animals) into the herd CONTACT The number of herd that the animals had a contact with other animals : 113 è 31,3 p100. PATHOLOGIC HISTORY IN THE HERDS 32 herds during the last three mounths.

26 Signes diges)fs, 6 Troubles de la reproduc)on, 2 Larmoiment, 6 Conges)on des muq occulaires, 5 Jetage seromuqueux, 7 Lésions érosives nécro)ques, 4 FMD Update Signes locomoteurs, 7 Ulcère de la langue, 1 Toux, 12 Signes locaux, 10 Dyspnée, 5 Aceinte podale, 7 Ulcère de la gencive, 2 Signes respiratoires, 13 Diarrhée, 6 Avortement, 2 Ulcères au niveau des pieds, 2

27 Étude descriptive Average age = 37,09 ± 45,7 months Sexe FMD Update of the health [4-12] ]12-48] > 48 FEMELLE MALE SPECIES: goats: 10,8 p100, sheep: 89,2 p100 Locale, 95.4 Barbarine, 54.4 QFO, 32.6 Caprine, Damascu s, 1.5 Alpine, 3.1 Ovine, Locale, 0.8 Dmen, 0.3 Bergui, 0.7 NT, 5.2 Croisé, 5.9 Sicilo- Sarde, 0.1

A posi've herd when at least one animal is posi've.

28 Analyse des données FMD Update Résultats bruts Average Prevalence (AP) inter-herds: 46,0 ± 5,1 p100 Average Prevalence (AP) intra-herds : 12,8 ± 1,1 p100. A posi've herd when at least one animal is posi've. Gafsa : AP inter-troupeaux 71,4 p100 AP intra-troupeaux 27,8 p100 Sfax : AP inter-troupeaux : 20,0 p100 AP intra-troupeau: 2,6 p100

29 Analyse des données INTRODUCTION 3 last three mounths (p <0,025) FMD Update Pourcentage Pas d'introduc)on

Analyse des données FMD Update of the health 15.0 10.0 5.0 0.0 Espèce 10.6 CAPRIN 13.1 OVIN 25.0 20.0 15.0 10.0 5.0 0.0 Race (p< 0,005) 19.3 18.8 13.

30 Analyse des données FMD Update of the health Espèce 10.6 CAPRIN 13.1 OVIN Race (p< 0,005) Barbarine QFO NT autres races Sexe Age (p<0,001) FEMELLE MALE 0.0 [4-12] ]12-48] > 48

31 Enquête épidémiologique de la PPR (2012) FMD Update Average prevalence inter-herd : 46,0 ± 5,1 p100 Average prevalence intra-herd : 12,8 ± 1,1 p100. Factors that can have influence on the result are: introduc)on, race Specie, age, Animal movement. The infecoon can be maintain by : introduc)on of new animals Persistance of carreer animals

32 Proposed strategy FMD Update of the health Determine the new seroprevalence and its evoluoon (Kit/FAO) ProposiOon of control and fighong strategy (hole VaccinaOon of small ruminants during 3 years) ImplementaOon of control plan Follow the world strategy Official statueè the traget is the eradicaoon Can be combined with sheeppox disease IdenOficaOon ImplicaOon of the private sector

33 12 th JPC REMESA Toledo, Spain May 2016 SESSION ON RABIES 3. An example of the use of the OIE vaccine bank: delivery of rabies vaccines in Tunisia

34 Organization FMD Update of the health Health Ministry Agriculture Ministry Interior Ministry Support for persons a#acked annual mass vaccinaoon of and management of outbreaks Slaughter of stray dogs

35 Update situation (2015) Species Dogs Camel Equine cats Cacle Vaccinated CN BV EQ FL OV CP souris Chacal FMD Update

FMD Update Press arocles informaoon days and

36 FMD Update Press arocles informaoon days and training Days door open naoonal and regional Annual celebraoon of World Rabies Day Veterinary tent (raising awareness in schools throughout Tunisia 5 consecuove weeks) InformaOon materials: leaflets, posters, TV and radio spots

38 FMD Update

39 12 th JPC REMESA Toledo, Spain May 2016 SESSION ON RABIES 3. An example of the use of the OIE vaccine bank: delivery of rabies vaccines in Tunisia 39

09/09/2015 : Request (DGSV) FMD Update 10/09/2015 : Posi)ve response (OIE) 28/10/2015 : 80 000 doses (PCT)

40 09/09/2015 : Request (DGSV) FMD Update 10/09/2015 : Posi)ve response (OIE) 28/10/2015 : doses (PCT) 05/11/2015 : control test Na)onal laboratory for vaccines control 23/12/2015 : release of the vaccine 05/01/2016 : Distribu)on

42 OIE rabies vaccines in Tunisia FMD Update Avian Influenza : surveillance program Delivery of rabies vaccines to Tunisia October 28, 2015 Tunis ü support of the European Union ü 80,000 doses of rabies vaccines

43 Expédition vers les différents gouvernorats et l Ecole Nationale de Médecine Vétérinaire

44 Réseaux sociaux Site web du ministère de l agriculture Médias Journées de forma)on et informa)ons Awareness Day on Rabies: Preparations

OIE rabies vaccines in Tunisia FMD Update of the

Ministry of Agriculture 22 January 2016 Tunis ü

local and regional authorities ü Regional

Representatives of the Ministry of Health and

46 OIE rabies vaccines in Tunisia FMD Update of the health Awareness Day on Rabies convened by the Ministry of Agriculture 22 January 2016 Tunis ü Minister of Agriculture ü Minister in charge of local and regional authorities ü Regional officers of the Ministry of Agriculture ü Representatives of the Ministry of Health and the Ministry of education ü WHO, FAO and OIE representatives ü Media

48 OIE rabies vaccines in Tunisia FMD Update of the health National vaccination campaign against rabies January-March 2016 ü free vaccination of pet dogs (and cats) ü awareness concerning rabies was reiterated by veterinarians and vet students involved towards dog owners, the general population and children in schools, using posters, radio spots and other communication tools

49 Gouvernorats 13 Déléga)ons 111 Vétérinaires 109 Techniciens 121 Internes et étudiants bénévoles 20

50 Affiches 2000 Posters 950 Dépliants Autocollants 2000

12 th JPC REMESA Toledo, Spain 10-11 May 2016 SESSION ON RABIES 3.

53 12 th JPC REMESA Toledo, Spain May 2016 SESSION ON RABIES 3. An example of the use of the OIE vaccine bank: delivery of rabies vaccines in Tunisia

54 Merci pour votre attention

FMD in Tunisia Update situation Critical review Vaccination programme

FMD in Tunisia Update situation Critical review Vaccination programme Workshop on FMD vaccination strategy in North Africa Tunis, 30 31 March 2016 Direction Générale Des Services Vétérinaires Contents