Component 2.3 Support to REMESA

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1 Appendi 11 88th Eecutive Committee meeting of the EuFMD Component 2.3 Support to REMESA Fabrizio Rosso 88ECom-Sofia, October 2014

action plan ORIGINAL WORKPLAN - Epected results 1.

implemented in Libya and Mauritania; 1 30% 5 48% 4 8% 2 13%

Regular information flow on FMD circulation in

2 Component 2.3 Assist national FMD risk management as part of the REMESA action plan ORIGINAL WORKPLAN - Epected results 1. Risk based control programme (PCP Pathway) adopted and implemented in Libya and Mauritania; 1 30% 5 48% 4 8% 2 13% 3 1% 2. Improved regional co-ordination; 3. Regular information flow on FMD circulation in Mauritania/Western Sahel countries available to risk managers; 4. System established in the REMESA high risk area for FMD spread (Libya, Algeria, Tunisia) to provide continuous confidence in FMD freedom; 5. Morocco, Algeria and Tunisia disease freedom dossier submission to OIE.

2013/2014: 15% prev SR 18% prev Cattle Few outbreaks at the end of April and May No new

cattle (May-June) EuFMD workplan Training using PEPc to assist national staff to

3 Libya Country Species Bovine Libya N. animals 150,000 Small ruminants Camelidae 6,300,000 47,000 Serological surveillance 2013/2014: 15% prev SR 18% prev Cattle Few outbreaks at the end of April and May No new outbreaks 2013 Vaccination (cattle and SR): O Manisa O 3039 A Iran In 2014 vacc in cattle (May-June) EuFMD workplan Training using PEPc to assist national staff to complete the Risk Based Strategic Plan (RBSP) Support field FMD outbreak investigation Design surveillance system to be implemented in high risk areas ECom88

Training using PEPc to assist national staff to complete the Risk Based Strategic Plan (RBSP).

understanding of livestock production and FMD occurrence in the country Identification and quantification of key risks and important gaps regarding

Method: -Risk Perception -Value chain analysis -FMD Risk mapping by production system (farm type) -Risk pathways for a selection of risky behaviors

for August and September 2014 have not been implemented with some repercussions on the progression of the programme and effectiveness of the

4 Training using PEPc to assist national staff to complete the Risk Based Strategic Plan (RBSP). Two workshops have been held in January and March 2014 Familiarization of the veterinary services with the principles of PCP-FMD framework Better understanding of livestock production and FMD occurrence in the country Identification and quantification of key risks and important gaps regarding FMD control Recognition of the FMD risk pathways Agreement on activities that are required to develop and implement the RBSP. Method: -Risk Perception -Value chain analysis -FMD Risk mapping by production system (farm type) -Risk pathways for a selection of risky behaviors -Pairwise ranking -Field visits -Actions needed Due to political instability of the country and security issues the 3rd and 4th workshops scheduled for August and September 2014 have not been implemented with some repercussions on the progression of the programme and effectiveness of the activities already implemented. The regular consultation with the National Center of Animal Health (NCAH) of Libya helps to maintain an update on the surveillance programme and control activities ongoing in the country. ECom88

5 Pairwise ranking: risk perception eercise ECom88

Support field FMD outbreak investigation Penside tests (10 boes 200 units) have been delivered to Libya in end March 2014

Response Teams (RRTs) of the National Center of Animal Health (NCAH) and it has been carried out in Tripoli on the 23rd of

Pen-side tests have been distributed to RRTs in areas with the high risk of FMD: Tripoli Branch, Zawia Branch, Benghazi Branch,

Despite the unstable political situation in Libya, the penside tests have been used in Tripoli areas, West mountain areas,

6 Support field FMD outbreak investigation Penside tests (10 boes 200 units) have been delivered to Libya in end March 2014 Following the delivery of these kits a training course on how to use the LFD has been organized by Libyan Authorities for Rapid Response Teams (RRTs) of the National Center of Animal Health (NCAH) and it has been carried out in Tripoli on the 23rd of April Pen-side tests have been distributed to RRTs in areas with the high risk of FMD: Tripoli Branch, Zawia Branch, Benghazi Branch, Green Mountain Branch and West Mountain Branch. Despite the unstable political situation in Libya, the penside tests have been used in Tripoli areas, West mountain areas, Green Mountain areas and Benghazi areas and FMD has been diagnosed using the kits in Tripoli, West Mountain and Green Mountain. Some samples were collected from positive animals, and they have been prepared to be shipped to IZSLER lab in Brescia. As there are no flights from Tripoli, samples are still kept in the Tripoli Lab ECom88

national staff to complete Risk Based Strategic Plan Support laboratory diagnosis Support participation in regional laboratory network Support laboratory diagnosis In April

7 Mauritania Country Species Bovine N. animals 1,700,000 Mauritan Small ruminants 13,000,000 Camelidae 1,600,000 EuFMD workplan Training national taskforce members based in PEPc principles in order to assist national staff to complete Risk Based Strategic Plan Support laboratory diagnosis Support participation in regional laboratory network Support laboratory diagnosis In April NSP ELISA kits (4.000 samples) have been delivered to Mauritania. The kits have been shipped from Morocco, on our request, due to the availability of kits in Morocco (18 kits have been delivered there in January 2014) and the close epiry date of the kits ( then etended by Prionics to ). ECom88

Workshop with representatives from Mauritania Senegal Mali Dakar 3-4 June 2014 Target: to implement a cross-border

Sero-surveillance To get an understanding of FMD controls in the Mauritania To develop a monitoring study to quantify

Capacity building and linkages between laboratories - Improve the capacity of laboratories - Current diagnostic

8 Workshop with representatives from Mauritania Senegal Mali Dakar 3-4 June 2014 Target: to implement a cross-border approach in the fight against FMD and improved networking between laboratories and veterinary services in the region. Sero-surveillance To get an understanding of FMD controls in the Mauritania To develop a monitoring study to quantify the risk for FMD in different areas and production systems in Mauritania. Capacity building and linkages between laboratories - Improve the capacity of laboratories - Current diagnostic techniques for FMD - Harmonize and improve communication between laboratories - Improve collaboration and to gain an understanding of the necessary technical assistance from WRLs

9 1. Start with understanding epidemiology of FMD, and what the impact is (PCP Stage 1) 2. Start developing and implementing risk-based strategic plan to mitigate the risks 3. Ongoing monitoring to demonstrate effectiveness and adjust to improve or address new risks (all PCP Stages)

10 Tunisia Algeria - Morocco Crisis management - support On 25/04/2014 first outbreak has been detected in Tunisia On 23/07/2014 first outbreak has been detected in Algeria Preparedness Awareness Diagnostic Epertise Situation at 01/10/2014

The template has been sent to the countries through FAO representatives in May (17/05/2014).

11 Support to awareness campaigns Morocco/Algeria/Tunisia: a leaflet has been produced in Arabic and French to improve the passive surveillance among veterinarians and farmers. The template has been sent to the countries through FAO representatives in May (17/05/2014). FAO Tunis develop a leaflet with different layout with same message to improve spread of information

control measures against FMD introduction and spread.

12 Support to emergency preparedness. Algeria: a course has been organized in Algiers on June 2014 for 25 participants coming from different areas of the country with the aim of improving the knowledge regarding prevention and control measures against FMD introduction and spread. Morocco: a course has been organized in Rabat on 5-6 June 2014 for 20 participants coming from different areas of the country Aim of the courses : improving the knowledge regarding the prevention and control measures against the FMD introduction and spread Subjects have been covered during the course: - Recognizing lesions and symptoms of FMD; - Determining age of the lesions; - Laboratory diagnosis (rapid delivery, response time); - Epidemiological investigation; - Risk analysis - Monitoring around the outbreaks; - Identification of national, provincial and local priorities for action in case of outbreaks; - Communication during FMD crisis

7) Last outbreak: 8/09/2014 Densité des Bovins par délégation Densité des Ovins par délégation Densité des caprins par délégation Yearly vaccination :

13 Tunisia Country Species Bovine Tunisia Small ruminants Camelidae N. animals 600,000 8,000,000 70,000 Situation: 124 outbreaks. Cattle and small ruminants affected (389 cattle morbidity 18.2; 550 small ruminants morbidity 8.7) Last outbreak: 8/09/2014 Densité des Bovins par délégation Densité des Ovins par délégation Densité des caprins par délégation Yearly vaccination : Cattle - O Manisa, O Magreb, A-22, SAT2 Eritrea Small ruminants - O Manisa, O Magreb, SAT2 Eritrea Vaccination campaign 2013 coverage: 79% bovine 68% small ruminants Time of vaccination: bovine in May-July, small ruminants in Sept-Nov

14 Emergency vaccination programme implemented in Tunisia Vaccination of cattle and small ruminants within 5 km around outbreaks (inside-out). Only cattle are vaccinated if disease detected on cattle. Number of animals vaccinated (10/09): bovine (89%) small ruminants (10%) Tunisia planned an eceptional booster vaccination campaign for all bovine and small ruminants. The yearly vaccination campaign for bovine is supposed to start in January 2015 (previous one carried out in May-July). Tunisia has been supplied by 1 mln doses (O Bfs) by EC which have not been used yet and which are now supposed to be used for the vaccination campaign in ECom88

15 Support emergency preparedness Tunisia: 10 Ag ELISA kits have been delivered to Tunisia on beginning of May. The kits have been retained at customs at the airport until beginning of June. In order to supply Tunisia with ELISA Ag kits, other 4 kits have been ordered to IZSLER and delivered to Tunisia on 20/05/2014 (hand delivery). A joint mission (OIE/EuFMD/FAO) has been held on June 2014 to evaluate and discuss the control measures implemented in Tunisia, their effectiveness, the possibility of improvements and the immediate needs for the country such as vaccine and strategy to be used for conducting an effective vaccination campaign.

16 A joint mission (OIE/EuFMD/FAO) - June 2014 Outcomes: in order to improve effectiveness of control measures Epidemiology Veterinary Services Reinforce epi unit to analyze data of infected farms Increase communication with farmers, markets, dealers Increase passive surveillance Improvement of biosecurity by all vets Develop vaccination plan for high risk animals and premises Better implementation of mandatory movement restrictions Develop surveillance scheme to demonstrate absence of virus circulation Organization of field teams (vaccination, surveillance) Improve the animal identification system Possible support by EuFMD

Algeria Country Species Bovine Algeria N.

vaccination: bovine>6 months in March/April 2014 performed on dairy herds

Situation: 417 outbreaks detected in 26 villages mainly in the North where

17 Algeria Country Species Bovine Algeria N. animals 1,650,000 Small ruminants 23,800,000 Camelidae 290,000 Yearly vaccination: bovine>6 months in March/April 2014 performed on dairy herds ( animals; 40%). Situation: 417 outbreaks detected in 26 villages mainly in the North where there is a high concentration of bovine. Clinical cases detected only in bovine in the outbreaks and in non vaccinated animals Evolution of epidemic

18 Emergency vaccination programme: Vaccination on bovine around outbreaks implemented with the following vaccines: doses from the own stocks OTur/AIran doses from EU (19/8) OBfs doses from Tunisia (23/8) doses emergency procedure (23/8) OTur/AIran doses from France (31/8) Obfs TOTAL: doses The target of the emergency vaccination programme implemented is to protect cattle population and reduce the possibility of occurrence of clinical signs. On end August the annual vaccination programme has covered bovine mainly in the east (55%). The emergency vaccination programme around the outbreaks has covered animals. Algeria requested doses of vaccine to EC immediately after the occurrence of first outbreaks. 2 Mln doses are epected from Merial in November. ECom88

19 Cattle density map Animal production and health division ECom88

20 Sheep density map Animal production and health division ECom88

21 Analisis od FMD risk introduction from Tunisia to the rest of North African countries and into Europe Dr. R.Bouguedour Dr.A.Ripani OIE Tunis

22 Morocco Country Species Bovine N. animals 2,800,000 Morocco Small ruminants 25,200,000 Camelidae 70,000 Situation: after outbreaks in Algeria ban of introduction of animals and products and implementation of an awareness campaign for vets and farmers. Difficulties have been declared for controlling animal movements from Algeria. Vaccine. The request of 1.5 mln doses of vaccine has been delivered to FAO on the 13/8/2014. On the 20/09/2014 vaccine doses will be provided by Merial. Morocco is interested only in monovalent vaccine and from 20/09 Morocco will start to use Merial vaccine. Morocco is looking forward for the result of vaccine matching.

Emergency vaccination programme: 1-1st in border eastern regions (1mln animals). It started on 18/8 with OManisa/O3039 and up to 15/09, 84% already covered.

23 Emergency vaccination programme: 1-1st in border eastern regions (1mln animals). It started on 18/8 with OManisa/O3039 and up to 15/09, 84% already covered. The vaccine used comes from a stock of 1 mln doses (O Manisa/O3039) produced in nd in rest of the country (1.7 mln animals). On 20/9 vaccine should have been provided by Merial. 3- Re- vaccination after 6 months and then on yearly basis Target of the vaccination programme is to protect cattle population and reduce the possibility of occurrence of clinical signs.

24 Outputs Actions New activities proposed in EuFMD workplan - REMESA Morocco, Tunisia, Algeria Develop a regional Risk Based Strategic Plan ECom88 Technical support together with OIE/FAO by creating a regional strategy for risk-based surveillance and vaccination programme

25 Outputs Actions New activities proposed in EuFMD workplan - REMESA Morocco, Tunisia, Algeria Develop a regional Risk Based Strategic Plan Support the development of local/regional vaccine bank ECom88 Technical support together with OIE/FAO by creating a regional strategy for risk-based surveillance and vaccination programme Support with knowledge, eperiences, epertise and tools the establishment of a local/regional vaccinebank

26 Outputs Actions New activities proposed in EuFMD workplan - REMESA Morocco, Tunisia, Algeria Develop a regional Risk Based Strategic Plan Support the development of local/regional vaccine bank Design surveillance system to be implemented in high risk areas and support with software and diagnostic kits the active surveillance ECom88 Technical support together with OIE/FAO by creating a regional strategy for risk-based surveillance and vaccination programme Support with knowledge, eperiences, epertise and tools the establishment of a local/regional vaccinebank Design and implementation of programmes (Thrace model) for disease freedom confidence and for early detection capacity improvement in the border between Morocco/Algeria and other areas

27 Outputs Actions New activities proposed in EuFMD workplan - REMESA Morocco, Tunisia, Algeria Develop a regional Risk Based Strategic Plan Support the development of local/regional vaccine bank Design surveillance system to be implemented in high risk areas and support with software and diagnostic kits the active surveillance Support surveillance system for disease freedom/early detection ECom88 Technical support together with OIE/FAO by creating a regional strategy for risk-based surveillance and vaccination programme Support with knowledge, eperiences, epertise and tools the establishment of a local/regional vaccinebank Design and implementation of programmes (Thrace model) for disease freedom confidence and for early detection capacity improvement in the border between Morocco/Algeria and other areas Procurement diagnostic tests. Technical assistance for design of sero-surveillance.

Outputs Actions New activities proposed in EuFMD workplan - REMESA Morocco, Tunisia, Algeria Develop a regional Risk Based Strategic Plan Support the development of local/regional vaccine bank Design

capacity in clinical disease recognition ECom88 Technical support together with OIE/FAO by creating a regional strategy for risk-based surveillance and vaccination programme Support with knowledge,

28 Outputs Actions New activities proposed in EuFMD workplan - REMESA Morocco, Tunisia, Algeria Develop a regional Risk Based Strategic Plan Support the development of local/regional vaccine bank Design surveillance system to be implemented in high risk areas and support with software and diagnostic kits the active surveillance Support surveillance system for disease freedom/early detection Build capacity in clinical disease recognition ECom88 Technical support together with OIE/FAO by creating a regional strategy for risk-based surveillance and vaccination programme Support with knowledge, eperiences, epertise and tools the establishment of a local/regional vaccinebank Design and implementation of programmes (Thrace model) for disease freedom confidence and for early detection capacity improvement in the border between Morocco/Algeria and other areas Procurement diagnostic tests. Technical assistance for design of sero-surveillance. One francophone/arabic Real Time FMD course with two participants per country. Webinars to share findings online.

29 Outputs Actions New activities proposed in EuFMD workplan - REMESA Morocco, Tunisia, Algeria Develop a regional Risk Based Strategic Plan Support the development of local/regional vaccine bank Design surveillance system to be implemented in high risk areas and support with software and diagnostic kits the active surveillance Support surveillance system for disease freedom/early detection Build capacity in clinical disease recognition Support emergency preparedness planning and test emergency response ECom88 Technical support together with OIE/FAO by creating a regional strategy for risk-based surveillance and vaccination programme Support with knowledge, eperiences, epertise and tools the establishment of a local/regional vaccinebank Design and implementation of programmes (Thrace model) for disease freedom confidence and for early detection capacity improvement in the border between Morocco/Algeria and other areas Procurement diagnostic tests. Technical assistance for design of sero-surveillance. One francophone/arabic Real Time FMD course with two participants per country. Webinars to share findings online. -E-learning courses on emergency preparedness focused on clinical eamination, clinical signs, lesion aging, epi-investigation. -Workshops on real time data collection, data analysis and data management -Support passive surveillance improvements -Simulation eercise in Morocco

30 Timetable YEAR 1 Planning phase Country Activities M J J A S REMESA Planning Training using PEPc to assist national staff to complete RBSP O N D J F Guided Finalisation of RBSP, stakeholder consultations 1.1 Libya A M J Support Epi and Monitoring Unit after RBSP implemented Evaluate RBSP progress Support field FMD outbreak investigation (procurement penside test) YEAR 2 M? O? N D J? F M A? RBSP guided development, finalisation Support laboratory diagnosis; initial supply then on basis of use and monthly reporting Support FMD clinical recognition at field level- develop trainers 1.3 REMESA Region materials in arabic Support REMESA coordination activities pre-jpc meet 2.1 REMESA Region RESEPI-RELABSA network mtg. Timing- TBD Morocco, Tunisia, Algeria S M J A S?? X X X Support participation in regional laboratory network (3) J 1.2. Mauritania Supply diagnostic kits according to agreed surveillance plans. OIE will lead the national dossier development, EuFMD eperts to support design of surveillance if asked (and for justification of supply of diagnostic kits). Initial WS lead by OIE in November A? Training national taskforce members based in PEPc principles in order to assist national staff to complete RBSP 3.1 Mauritania J X Build capacity in clinical disease recognition Real Time Training Places (one francophone/arabic course with 2 trainees per country), mid-2014 Technical support together with OIE/FAO by creating a regional strategy for risk-based surveillance and vaccination programme (workshops) Support with knowledge, eperiences, epertise and tools the establishment of a local/regional vaccine-bank Design surveillance system for confidence on disease freedom and early detection capacity to be implemented in high risk areas and diagnostic kits the active surveillance -E-learning courses on emergency preparedness focused on clinical eamination, clinical signs, lesion aging, epiinvestigation -Workshops on real time data collection, data analysis and data management X -Simulation eercise for Morocco 2013 ECom

31 Budget Output Libya Libya, Tunisia Mauritania Multiple countries REMESA Regional Coord. Morocco, Tunisia, Algeria Activities Training using PEPc to assist national staff to complete RBSP Guided Finalisation of RBSP, stakeholder consultations Original budget 16,000 Spent 15,000 Available 1,000 5,000 5,000 Support Epi and Monitoring Unit after RBSP implemented Evaluate RBSP progress 1,500 3,500 1,500 3,500 Support field FMD outbreak investigation (penside test) Design surveillance system to be implemented in high risk areas (Tunisia, Egypt) (4) Training national taskforce members based in PEPc principles RBSP guided development, finalisation Support laboratory diagnosis Support participation in regional laboratory network (3) Support FMD clinical recognition Support REMESA coordination activities pre-jpc meet 5,000 18,000 5,000 11,500 2,300 9,200 8,000 6,000 5,000 3,000 10,000 0 REPIvet-RELABSA network mtg. 11,500 Supply diagnostic kits according to agreed surv. plans. Build capacity in clinical disease recognition RTT Support emergency preparedness planning and test emergency response 50,000 18,000 5,000 6,000 5,000 3,000 10,000 15, Note 11,000* Re-allocated 23,000 10,000 Re-allocated 11,500 8,000 12,000 30,000 6,000 0 Partially re-all 0 30,000 New activity 0 10,000 New activity 0 10,000 New activity *E-learning on emergency preparedness 0 4,500 New activity Workshop on real time data collection, analysis and management Simulation eercise in Morocco + (Algeria, Tunisia/old plan) 0 8,000 New activity 28,500 6,000 Partially re-all TOTAL 212,500 50, ,200 ECom88 11,500 Re-allocated Development of regional strategy for risk-based surveillance and vaccination programme Design surveillance system to be implemented in high risk areas (Morocco-Algeria borders) Support for establishing of local/regional vaccine bank Note: activities in Tunisia, Algeria, Morocco have been implemented in 2014 after the outbreaks using emergency funds comp. 1.6) *Possible re-allocation for e-learning in Morocco, Algeria, Tunisia AVAILABLE 106,500

32 Priorities for the net 6 months Libya: e-learning courses and support to awareness campaign (no missions allowed at present). Re-allocation of funds (?) Mauritania: PCP development of Risk Based Strategic Plan (follow up workshop - ANSES) Multiples countries: training material and e-learning to improve clinical and epiinvestigation Morocco, Algeria, Tunisia. Development of Risk based regional strategy for surveillance and control and establishment of a regional vaccine-bank. Supporting surveillance systems, + building capacity in clinical recognition, + supporting emergency preparedness and test emergency response : -Design and implementation of programme for disease freedom confidence -E-learning: improving preparedness -Workshops on real time data collection, data analysis and data management. -Support for passive surveillance improvements -Simulation eercise in Morocco ECom88

33 Thank you ECom88

92th Executive committee

92th Executive committee Workplan 2015-2017 Some pictures from activities (Period March-Sept 2017) Workplan 2015-2017 OBJECTIVE Assist national FMD risk management as part of the REMESA action plan Help