Mobile Technologies: New tools to improve diseases surveillance and reporting. Julio Pinto Animal Health Officer FAO
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1 Mobile Technologies: New tools to improve diseases surveillance and reporting Julio Pinto Animal Health Officer FAO
2 - Lack of sensitivity of surveillance programs - Lack of timely reporting of disease events - Undereporting THE CONTEXT - Emerging diseases and further spread of endemic - Proliferation of mobile technologies and access in remote places
3 - Syndromic surveillance for poultry diseases - Detection of HPAI in 260/487 subdistricts - FAO project was funded by USAID - SMS messages SMS Gateway-Bangladesh - Since October 2008, 80% of outbreaks detected through SMS Gateway - Linked to action : detection to desinfection (4.8 days v/s 1.5 days)
4 Tells the mobile service provider to redirect the SMS to FAO s server DLS T 4000 D 26 S 34 C T indicates the Total number of birds in the poultry farm D indicates the number of birds reported dead at the time of the SMS S indicates the number of birds still sick in the poultry farm at the time of the SMS In the first SMS, the alphabet here indicates the kind of farm, with B for Backyard and C for Commercial. In the second SMS, it would be either N (No danger) or S (Suspicion of H5N1 HPAI)
5 260 out of 487 sub-districts. 780 Community Animal Health Workers (CAHW) 88 Veterinary Surgeons 260 Upazilla Livestock Officers
6 DPT Pilot Studies SADC countries Namibia, Zambia, Mozambique and Tanzania Livestock Committee SADC recommeneded its application by member states (15) Project supported by African Development Bank to implement the technology.
7 in Southern Africa - Digital pen that transmitt data through blue tooth technology to a central database. - A paper form (disease surveillance form) whit a special dot pattern to capture instructions in prescribed areas - Data is transmitted via GPRS/EDGE/3G - A server which host the data Digital Pen Technology - Data quality ckeck (editing, validation and confirmation) - Priority diseases for SADC/LIMS (FMD, RVF)
8 FAO s Global Disease Information System (EMPRES-i) Public website (English, French, Spanish) Internal website
9 FMD West Eurasia Database Secure website, password protected Armenia, Azerbaijan, Georgia, Turkey: outbreak and vaccination data input monthly
10 West Eurasia Database Automated analysis: charts and maps Summarized data can be seen by all countries (maps) Vaccination Coverage ExCom87
11 EMPRES-i Event Mobile Application (EMA) EMPRES-i EMA allows: To enter epidemiological data from the field,. To visualize on a map the location of previous outbreaks available in the EMPRES-i database which occurred close to the geographical location of the user ( Near me ). To access from the mobile to epidemiological information of an outbreak To generate early warning notifications at national/regional level through notifications.
12 EMPRES-i - workflow
13 EMA-i for Android
14 EMA-i for Android
15 EMA-i for Android To attach one or more photos (clinical signs, lesions etc..), when collecting and sending information for an outbreak. Additional information and Photos
16 EMA-i - Event Near Me function To visualize on a Map geo referenced data (markers) of outbreaks available in the database Selection criteria: time, distance, disease Details of an outbreak are also available under a Report Format
17 How to pilot EMPRES-i EMA Essential requirements: Assessment of national needs for disease surveillance and reporting; Agreement on data property between national authorities and FAO; Set-up a workflow; Equipment: Smartphones, Computers; Internet: Operator; Training User guidelines; Standard Operational Procedures (SOPs); FAO assistance at national level (procurement, logistic );
18 EMPRES-i EMA: a pilot activity in Uganda One Health Project (OSRO/GLO/104/IRE) Background: Follow-up activity of the national workshop on information systems and innovative tools for disease surveillance and reporting held in Entebbe on 25 January Part of the Disease intelligence component of the One Health Project (OSRO/GLO/104/IRE) which consist in developing tools to improve disease surveillance, reporting and risk management at the human/animal/ecosystem interface. Objective: To strengthen the existing disease reporting system in Uganda
19 EMA-i pilot in Uganda Time period: - January July 2013: Preparation of the pilot (Districts, Guidelines, SOPs, Procurement, Training material ) - July 2013 December 2013: Implementation of the pilot in Uganda (Delivery of equipment, Training) Key players: - National Animal Disease Diagnostics and Epidemiology Center (NADDEC) (5). - District Veterinary Officers (10) - Chief Veterinary Officers
20 Workflow Others users Automatic FINAL REPORT Decision Makers (CVO) Automatic DVOs (10) Automatic VALIDATION of REPORTS MAAIF/NADDEC EMPRES-i platform - PC REPORTS (DRAFT) District Veterinary Officers (DVOs) Smartphone -EMA
21 EMPRES-i EMA notifications/report with disease event report generated from EMPRES-i
22 EMPRES-i EMA Mapping/Near me
23 EMA-i: a pilot activity in Uganda EMPRES-i EMA pilot in 10/112 districts: Nakasongola, Mbale, Rakai, Sironko, Busia, Lyantonde, Isingiro, Masaka, Mukono, Mityana, Kibaale.
24 Training In Kampala: NADDEC DVOs CVO In Entebbe: NADDEC
25 Diseases to be reported from the field it is a country selection, the list is flexible!! Foot and Mouth Disease African Swine Fever Contagious Bovine Pleura Pneumonia Peste des Petits Ruminants (PPR) Lumpy Skin Disease New Castle Disease Anthrax Rabies Brucellosis East Coast Fever Anaplasmosis Babesiosis Heartwater Gumboro Trypanosomiasis Black quarter Other...
26 Challenges - Assessment of the tool - Ownership of data, validation and use of the data to support official reporting to regional systems/oie - Sustainability/investment - Purposes/quality of data collected - Linkages with action (Lab.diagnosis) and disease control - Structured v/s unstructured data collection - Analysis of data and epidemiological understanding of disease emergence and spread for action - Incentives for reporting
Which Diseases? Zoonotic diseases Highly Pathogenic Avian Influenza (HPAI) Rabies Rift Valley Fever (RVF) etc...
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