9 th JPC REMESA. Tunis, 3-4 November Fabrizio Rosso - EuFMD

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1 9 th JPC REMESA Tunis, 3-4 November 2014 Fabrizio Rosso - EuFMD

2 Component 2.3 Assist national FMD risk management as part of the REMESA action plan TPUTS (EXPECTED RESULTS): ORIGINAL WORKPLAN - Expected results 1. Risk based control programme (PCP Pathway) adopted and implemented in Libya and Mauritania; 5 48% 4 8% 1 30% 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. Component 2.2 Improve FMD management and support PCP in the neighborhood of Cyprus and Israel (e.g. EGYPT) Development of a RBSP Improve confidence in disease detection

3 Libya Country Species N. animals Bovine 150,000 Libya Small ruminants 6,300,000 Camelidae 47,000 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

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 -Risk pathways for a selection of risky behaviors -Pairwise ranking -Field visits Pairwise ranking: risk perception exercise

5 Field visits during the workshops Due to political instability of the country and security issues the 3 rd and 4 th 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.

6 Support field FMD outbreak investigation Penside tests (10 boxes 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 23 rd 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 ExCom88

7 Mauritania Country Species N. animals Bovine 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 expiry date of the kits ( then extended by Prionics to ).

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 EuFMD workplan 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 PCP Stage 1 Outcomes, culminating in the development of an FMD control strategy 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

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

12 Real Time Training 1 course has been held in Nakuru, Kenya August 2014, in French language 2 participants from Tunisia 2 participants from Morocco

13 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

14 Préparation d urgence contre la fièvre aphteuse Course covers: FMD aetiology and pathogenesis Clinical diagnosis, lesion ageing Dans l'ensemble le cours est bien fais, j'ai apprécié Epidemiology, ce cours. outbreak On se investigation je remercie toute l'équipe qui s'est sent à l'aise, Biosecurity sans stress, on chargée de nous dispenser ce cours. participe avec internet et C'est un cours très riches bien Course passion. has been translated into all EU languages illustré et permet d'ouvrir plusieurs (courtesy of DG SANCO) First course in French during Summer Algeria, Morocco, Tunisia (75 participants) Je suis heureux de ce cours et j espere que ce n est pas le dernier débats. Je suggère, puisque le contexte épidémiologique ainsi que les conditions de terrain en Afrique sont différentes par rapport à l'europe et ailleurs, de mettre l'accent sur les modes de luttes de la FA en zones saharienne et subsaharienne

15 Tunisia 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 New activities proposed in EuFMD workplan - REMESA Outputs Develop a regional strategy for FMD control Actions Technical support together with OIE/FAO by creating a regional strategy for risk-based surveillance and vaccination programme Morocco, Tunisia, Algeria ExCom88

17 New activities proposed in EuFMD workplan - REMESA Outputs Develop a regional strategy for FMD control Support the development of regional vaccine bank Actions Technical support together with OIE/FAO by creating a regional strategy for risk-based surveillance and control programme Support with knowledge, experiences, expertise and tools the establishment of a regional vaccine-bank Morocco, Tunisia, Algeria ExCom88

18 New activities proposed in EuFMD workplan - REMESA Outputs Develop a regional strategy for FMD control Support the development of regional vaccine bank Actions Technical support together with OIE/FAO by creating a regional strategy for risk-based surveillance and vaccination programme Support with knowledge, experiences, expertise and tools the establishment of a regional vaccine-bank Morocco, Tunisia, Algeria Design surveillance system to be implemented in high risk areas and support with software and diagnostic kits the active surveillance 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 ExCom88

19 Component 1.3 Establish a system which provides continuous confidence in disease freedom and which improves the chances of detecting an out break at an early stage ACTIVE SURVEILLANCE - Clinical surveillance - Serological surveillance - Surveillance at abattoirs PASSIVE SURVEILLANCE - Leaflets and posters WEB DATABASE - Data updated - Data analysis COMMUNICATION - Results shared

20 New activities proposed in EuFMD workplan - REMESA Outputs Develop a regional strategy for FMD control Support the development of regional vaccine bank Actions Technical support together with OIE/FAO by creating a regional strategy for risk-based surveillance and vaccination programme Support with knowledge, experiences, expertise and tools the establishment of a regional vaccine-bank Morocco, Tunisia, Algeria Design surveillance system to be implemented in high risk areas and support with software and diagnostic kits the active surveillance Build capacity in clinical disease recognition and outbreak investigation 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 One francophone Real Time FMD course with two participants per country. Webinars

21 New activities proposed in EuFMD workplan - REMESA Outputs Develop a regional strategy for FMD control Support the development of local/regional vaccine bank Actions Technical support together with OIE/FAO by creating a regional strategy for risk-based surveillance and vaccination programme Support with knowledge, experiences, expertise and tools the establishment of a regional vaccine-bank Morocco, Tunisia, Algeria Design surveillance system to be implemented in high risk areas and support with software and diagnostic kits the active surveillance Build capacity in clinical disease recognition Support emergency preparedness planning and test emergency response 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 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 examination, clinical signs, lesion aging, epi-investigation. -Trainings on real time data collection, data analysis and data management -Support passive surveillance improvements -Simulation exercises reality testing

22 1.1 Libya Country Activities M J J A S O N D J F M A M J J A S O N D J F M A M J J A S REMESA Planning x x x x x 1.2. Mauritania 1.3 REMESA Region Training using PEPc to assist national staff to complete RBSP x x x x Guided Finalisation of RBSP, stakeholder consultations x x x x Support Epi and Monitoring Unit after RBSP implemented x????? Evaluate RBSP progress Support field FMD outbreak investigation (procurement penside test) Training national taskforce members based in PEPc principles in order to assist national staff to complete RBSP x x x x x x x x RBSP guided development, finalisation x x x x x x x Support laboratory diagnosis; initial supply then on basis of x x x use and monthly reporting Support FMD clinical recognition at field level- develop trainers x x x x materials in arabic Support REMESA coordination activities pre-jpc meet X X RESEPI-RELABSA network mtg. Timing- TBD 3.1 Mauritania Support participation in regional laboratory network (3) X x x Morocco, Tunisia, Algeria Timetable 2.1 REMESA Region Supply diagnostic kits according to agreed surveillance plans. OIE will lead the national dossier development, EuFMD experts to support design of surveillance if asked (and for justification of supply of diagnostic kits). Initial WS lead by OIE in November 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, experiences, expertise 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 examination, clinical signs, lesion aging, epiinvestigation -Workshops on real time data collection, data analysis and data management -Simulation exercise for Morocco Planning phase YEAR 1 X X 2013 YEAR 2?? x x x x x x x x x x x x x x x x x x x x 2014 x

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

24 Egypt Most important progress indicators Assessment visit/consultative workshop in Egypt on March 31th Laboratory support mission in Egypt in June 2014 Shipment from Egypt to WRL supported, data of passive and active surveillance analyzed First PCP/RBSP workshop in Egypt in September 2014 Priorities for the next 6 months Continuation of workshops in Egypt to complete RBSP and enhance laboratory capacity

25 Thank you