FAO Initiatives and Issues for HPAI and EIDs Emergency Center for Transboundary Animal Disease FAO Regional Office for Asia and the Pacific (ECTAD-RAP) Subhash Morzaria Fourth Regional Steering Committee Meeting On GF-TADs for Asia and the Pacific 1-2 July 2010 (Siam City Hotel, Bangkok, Thailand) 1
FAO s dello mandate schema and strategic objectives ECTAD-RAP Secondo livello Ongoing Terzo livello activities Regional HPAI Programme focus on capacity building The ADB funded GMS programme on TADs One Health approach HPED programme EPT - Identify Overview 2
FAO global strategic framework-goals 1. Reduction of the absolute number of people suffering Fare from clic hunger per modificare gli stili del testo progressively ensuring a world in which all people at all times have sufficient safe and nutritious food that meets their dietary needs and food preferences for an active and healthy life 2. Elimination of poverty driving forward of economic and social progress for all with increased food production, enhanced rural development and sustainable livelihoods 3. Sustainable management and utilization of natural resources land, water, air, climate and genetic resources, for the benefit of present and future generations 3
FAO s 11 Strategic Objectives Increased sustainable livestock production Improved quality and safety of foods at all stages of food chain Improved preparedness, and effective response to, food and agriculture threats and emergencies 4
ECTAD-RAP established in December dello 2005 schema in FAORAP, Bangkok Sub-regional ECTAD in September Quarto 2007 livello in FAOR Kathmandu, Nepal Regional ECTAD Initially to address HPAI Now a broader mandate to EIDs 5
Fare Country clic Projects per modificare gli stili del testo Regional Projects (South Asia/GMS) ECTAD-RAP Projects Nepal, India, Bangladesh Cambodia, China, Laos, Myanmar, Vietnam Philippines, Indonesia, Timor Leste Totally 11 countries and 36 projects 6
HPAI 2004 into SEA Source: EMPRES-i 7
Fare clic per modificare lo stile 2005: Out of Asia Source: EMPRES-i 8
Fare clic per 2006 modificare lo stile into Europe and Africa Source: EMPRES-i 9
2007 Source: EMPRES-i 10
2008 Source: EMPRES-i 11
2009 delineation of the disease situation Source: EMPRES-i 12
H5N1 HPAI Since 2003, 62 countries have experienced H5N1 HPAI outbreaks Affected species: http://www.nwhc.usgs.gov/disease_information/avian_influenza /affected_species_chart.jsp No Terzo H5N1 HPAI livello reported in the Americas, Australia, New Zealand, the Pacific Community, Papua New Guinea or the Philippines Control measures have been effective in most countries, but disease still present in several countries: Bangladesh, India (West Bengal) China Indonesia Viet Nam Egypt 13
(Indonesia not included) H5N1 outbreak/cases 14
Fare clic per modificare lo stile Number of countries with H5N1 15
H5N1 outbreak in Southeast Asia (Indonesia and Viet Nam not included) 16
H5N1 outbreaks in South Asia 17
Fare clic per modificare lo stile H5N1 in human (Source: WHO) 18
Fare clic per modificare lo stile Confirmed H5N1 in Asia 2010 19
Some del trends titolo Steady improvement and stabilization of disease situation Fare clic per modificare gli stili del testo Capacity in the region enhanced Grass roots surveillance improved through CAHW Early detection and response capacity Laboratories well equipped, most laboratories can make diagnosis Greater south- south collaboration Greater human capacity in the field of HPAI and other TADs and EIDs Greater awareness of HPAI in the region and countries Best practices identified and being adopted 20
Major challenges/opportunities Different infected countries with different epidemiological situations Indonesia, China, Viet Nam, Bangladesh, West Bengal What strategies for these situations? Risk factors High poultry population density Large duck populations Poor biosecurity of production units in small commercial farms Inadequate regulation of market chains 21
Key Activities of 22
FAO activities related to HPAI control at country and regional levels Provide technical advice to the governments on the formulation of response strategies Contribute to better understanding of HPAI at the country and regional level through specific studies Building capacity to manage the HPAI problems: Activities related to diagnosis, surveillance and responses Improve animal disease information system Provide training, equipment, supplies and services Coordinate regional networks on surveillance and laboratory diagnosis Coordinate with ASEAN and SAARC on regional HPAI control activities Promote partnerships and mobilise resources 23
Regional Strategy A revision and an update Considers evolving disease situation HPAI Terzo Spread livello to South Asia Establishment of endemic zones The need for long term approaches The Quinto need for stronger livello regional approaches Emergence of new diseases 24
Regional Strategy for HPAI May 2006: First strategy The Strategic Framework for HPAI Prevention and Control in Southeast Asia November 2009: Second strategy The FAO Regional Strategy for HPAI and other EIDs of animals in Asia and the Pacific Consultative process 25
Regional Strategy Harmonization with other related documents: The Global Strategy for Prevention and Control of H5N1 HPAI (FAO/OIE, October 2008) ASEAN Regional Strategy for the Progressive Control and Eradication of HPAI (ASEAN, 2008-10) Contributing to OWOH: A strategic framework for reducing risks of infectious diseases in the animal-human-ecosystems interface (FAO, OIE, WHO, UNSIC, UNICEF, WB, 2008) 26
elimination of HPAI in endemic countries Strategies for progressive control and A consultative process with country teams, RAP and HQ Indonesia, Vietnam, China, Bangladesh, West Bengal Proposes a regional, zonal approach Addresses those countries that vaccinate and those that do not Considers socio-economics and farming systems Progressive control 27
Terzo India-Nepal livello Current Regional Activities Cross border project in South Asia India-Bangladesh Bangladesh-Myanmar India-Myanmar Market chain, production system, socio-economics, epidemiology, virus isolation and characterization 28
3 1 2 4 1 3 1 0 1 1 9 Quinto 7 livello Current Regional Activities 1 2 5 6 8 Cross border project in GMS Viet Nam and China Viet Nam and Lao Lao and China Myanmar and China 1 4 Market chain, production system, socio- economics, epidemiology, virus isolation and characterization 29
Molecular Epidemiology Project Structured, longitudinal surveillance in different epidemiological situations Collaboration with leading diagnostic laboratories AAHL and UM Current Regional Activities OIE/FAO OFFLU, USDA Country buy in 30
Diagnosis and Epidemiology network Current Regional Activities Harmonization of protocols Improving quality control systems Collaboration with WRL and regional leading labs Agreement to perform a structured surveillance Characterize viruses and share virus information 31
Regional del HPAI titolo Activities Laboratory Diagnosis and Epidemiology Network: Revision (Dec. 2009) of Guiding Principles for HPAI Surveillance dello and Laboratory schema Diagnosis for Asia (July 2004) to cover animal flu viruses Collaborative Framework for Regional Laboratory Network (OIE, AAHL, endorsed by ASEAN member countries) Regional Quality Control and Assurance Program Common regional training, meeting and country visit Plan for AAHL, FAO, OIE and other partners Epidemiology Consortium Meeting (4-5 March 2010) Develop regional collaborative framework for epidemiology Develop epi capacity, information sharing and knowledge generation and utilization 32
33 Regional Epidemiology Consortium Forum Fare for clic key per international modificare partners gli in stili the consortium del testo to discuss future collaboration on the regional epidemiological activities Partners Government Agency: CIRAD (France), DAFF (Australia) University: CSU (USA), MU (Australia), RVC (UK), ULB (Belgium) International Organization: OIE, ILRI, DAI Regional Framework of Collaboration Veterinary Epidemiology Capacity Building Information Sharing Knowledge Identification and Utilization 33
Regional Epidemiology Capacity Building: Current Regional HPAI Activities - Field dello Epidemiology schema Training Programme for Veterinarians (FETPV) USAID provides seed financial support for programme development Thai Department of Livestock Development hosts the coordination and training centre FAO provide technical inputs Participating countries include GMS countries plus Philippines, Indonesia, Malaysia Partnerships have been developed with Thai Ministry of Public Health and CDC 34
Regional Public Private Partnership Fare USAID clic funded per project modificare gli stili del testo Pilot projects in Bangladesh and Indonesia New projects in China and Vietnam Engaging poultry sector mainly Current Regional Activities Wildlife activities - wild bird surveillance, bat ERV surveiilance Communication and advocacy Regional strategy being finalized Coordination Quality control of key messages Advocacy at the government level for OH approach 35
Some del trends titolo Partnerships enhanced ASEAN, SAARC, SPC (GF-TADs) Strong regional collaboration with OIE Actively engaged in the UNSIC inter-agency coordination Greater engagement with WHO with regular consultation Joint strategies/proposals developed (OWOH, EC) 36
Fare clic per modificare lo stile Major challenges/opportunities Private sector engagement Restructuring to more biosecure systems Secondo livello Greater advocacy at the Government level Terzo for political livellocommitment Quarto More capacity livello Quinto More research livello More investment in prevention 37
TADs and EIDs Responding to broader ECTAD mandate 38
Regional H1N1 surveillance in Southeast Asia FAO TCP funding Developed at the request of ASEAN GMS Secondo countries plus livello Philippines, Indonesia, Malaysia Harmonization of surveillance and laboratory diagnosis Regional Sub-regional and In-country trainings Field activities and analysis of results Current Regional Activities in countries requesting for support Information sharing Partnership with AAHL, UM, OIE/FAO OFFLU 39
Control of TADs in the GMS Phase II Animal movement patterns Laboratory capacity Pilot immunizations against FMD, Secondo CSF in the poor livello farming communities in OIE disease control zones in the GMS Socio-economic impact study Grass-roots capacity in disease recognition and management Public awareness and communication to underpin disease control programmes. 40
ECTAD RAP support to Country missions to address outbreaks of other diseases ERV, FMD, HPAI, PRRS, Rabies, Brucellosis FAO-OIE-WHO 41
ECTAD-RAP FAO Evolution of platforms for TADs and EIDs 1990s FAO/OIE 2003/4 FAO/OIE/WHO 2004 FAO collaboration with OIE 2004 2005 FAO collaboration with OIE/WHO 2007 OIE/FAO 2008 FAO internal mechanism 2009 42
Future Embracing the One Health Concept How to make One Health approach happen? OWOH Strategic Framework FAO/OIE/WHO/UNICEF/UNSIC/WB) Sharing responsibilities and coordinating global activities to address health risks at the animal-human-ecosystems interfaces (FAO/OIE/WHO) Ongoing projects based on One Health approach HPED programme (EU funded) EPT programme (USAID funded) 43
Secondo To strengthen livello Terzo countries livello to Quarto outbreaks livello of Quinto timely livello and sustainable Emerging Pandemic Threat Program (EPT) PREDICT RESPOND IDENTIFY PREVENT PREPARE 5 years Monitor and increase the local capacity in to identify the emergence of new infectious diseases in high-risk wildlife 5 years the human capacity of identify and respond to newly emergent diseases in a manner 5 years Working through existing grants to support the development of laboratory networks and to strengthen diagnostic capacities 5 years To build an effective behavior change communication response to zoonotic diseases 3 years To provide technical support for simulations and field tests of pandemic preparedness plans DELIVER Not specified Task Order 2 (TO2) procures outbreak response commodities on behalf of USAID EPT Line of work 1. Pathogen Detection 2. Institutionalizing One Health 3. Risk Determination 4. Risk Reduction 5. Outbreak Response 44 44
Joint planning 2010 IDENTIFY Work Plan Cover Congo basin and Southeast Asia Coordination (Global and Regional) Technical Capacity Building General Development of guidance, policy and training Laboratory Quality Systems Building laboratory infrastructure Laboratory Networking 2011 Expansion to additional two USAID-identified hotspot regions (Gangetic Plains, Amazon Basin) 45
Partnerships and alliances Governments Regional Organizations Secondo ASEAN, SAARC livello and SPC International agencies OIE, WHO, UNICEF, UNSIC Donor Agencies Australia, Canada, China, Germany, Japan, Netherlands, New Zealand, Sweden, USAID, USDA ADB, EC, WB, 46
Thank you... 47