The role of FAO in providing regional and global support for the Prevention and Control of HP Avian Influenza

J Domenech and J Lubroth Animal Health Service

Animal Production and Health Division

Meeting on Avian Influenza and Human Pandemic Influenza Geneva, 7-9 November 2005

HPAI in Asia in 2003-2004

An unprecedented crisis

10 countries affected, more than 100 million dead or killed birds Human health dimention Hudge socio and economical impacts

HPAI has a Regional Dimension

Avian Influenza

Not just and Asian problem

No poultry producing country is safe from the occurrence of HPAI if there are still pockets of infection in Asia H5N1 has become endemic in some parts of Asia.

HPAI is an International Crisis It has a Global Dimension

New areas affected New areas affected

An alarming spread westwards

Role of Wild birds in HPAI epidemiology

Migratory pattern

Avian Influenza
1918 Army Photo of Victims of the Spanish Flu

( 1957: Asian flu 1968: Hong Kong flu)

Avian Influenza Providing Regional and Global Support

Based on:

the FAOs experience acquired during the past 2 years the partnership with OIE the partnership with the Regional Organizations and the support to the countries

What are we aiming for ?

A strong and working close partnership with Countries and Regional Organizations
Strengthening Veterinary Services

Paradigm shift in disease control by sound epidemiological knowledge

Progressive control of TADs

Avian Influenza Providing Regional and Global Support

The global and long term approach in preventing this type of main devastating crises through the strengthening of the Veterinary Services was addressed by Dr. B. Vallat, OIE

Global Framework for the Progressive Control of Transboundary Animal Diseases GF-TADs

Global Strategy taking lessons from the FMD and GREP experiences Conclusions on the HPAI crisis Regional strategies owned and implemented by Regional Organizations and Countries

CONCEPT
Progressive control of transboundary animal diseases

AT SOURCE
as an International Public Good and within the Millennium Goals.

A win-win scenario
The control of diseases at source is the most effective way to:
Improve animal production in developing countries Protect production systems in developed countries from the introduction of new highly contagious diseases

Objectives
National and Regional capacity building for

diagnosis and surveillance Networks of National Laboratories and Surveillance Teams Surveillance for primary endemic areas Socioeconomic and policy analyses (networks) Pilot disease control programmes Design of National Projects/Advocacy Promotion for the strengthening of Veterinary Services

Key structural aspects of GF-TADs

Joint Global Steering Committee FAO, OIE, donors Management Group and Joint FAO OIE Secretariat Regional Steering Committees hosted by OIE Regional Representations Technical Support Units hosted by Regional Organizations GLEWS

Regional Support Units

ECO/ SAARC
GCC

OIRSA

IICA

PACEAU/IBAR
SADC

ASEAN

PAHO

ZOONOSIS
Coordination at international level FAO, OIE and WHO

Global Early Warning System GLEWS A major component of GF TADs

 Strengthen epidemiological analysis and prediction Improve reporting obligations to OIE Use all kind of informations and data: Land use / Production systems/livestock populations Climatic changes Price differential Refugee movements / migratory workers demographics

Animal Health data

OIE data on Animal health Official information (CVOs, OIE Ref. Labs.) FAO data on Animal Health (projects, NGOs)

Additional information
Other FAO and UN data, eg. Agromet, economics, refugees, etc.

Analysis
FAO/OIE/WHO Global Early Warning System Significant change

Warning / Response

South East Asia

Wetlands

Thailand
Rice production

Duck outbreaks over native chicken density

Chicken outbreaks over free grazing duck density

duck open farming systems

Launching of the Regional Steering Committees

Asia, Tokyo, 7-9 March 2005 Americas, Buenos-Aires, 14-15 April 2005 Europe, Paris, 13-14 October 2005 Middle East, beginning of 2005 Africa, beginning of 2006

A Global Partnership

Progressive Control of Transboundary Animal Diseases at the source is an International Public Good and within the Millennium Development Goals

GREP the campaign concept

PARC
Middle Asia Arabian Peninsula

WAREC

SAREC

GREP PROGRESS

Early 1980s Early 1990s

2001

2004

The Global Rinderpest Eradication Programme OIE Pathway - Accreditation of Rinderpest Freedom
December 2004

GREP: A Global Partnership

Working together to make the world a safer place for food production from livestock and for trade

Global Support for HPAI Prevention and Control

EMERGENCY CENTER FOR TRANSBOUNDARY ANIMAL DISEASES OPERATIONS (ECTAD)

FAO DGs Decision, December 2004

ORGANISATION

ECTAD Central team in Rome under the overall programmatic and operational
responsibility of the Chief AGAH designated

as the Chief Veterinary Officer (CVO) of FAO

ECTAD decentralized teams in the Regions where appropriate (Bangkok for HPAI)

Inform and communicate

OIE Global Information System

A Global Strategy for the Progressive Control of Highly Pathogenic Avian Influenza

Tools to be used exist

FAO OIE Recommendations on the Prevention, Control and Eradication of HPAI in Asia

Targeted riskbased active surveillance Stamping out Biosecurity Movement control

Vaccination
An important tool
Good quality: OIE Standards Inactivated vaccines Post-vaccination monitoring DIVA approach Exit strategy

Disease Intelligence and New Risks GLEWS

Vietnam Outbreak Analysis

outbreaks

Most important clusters

rivers

DAH data:2004

Probability of Outbreaks
based on Logistic Regression Model for 2003/4 AI Epidemic

Data Analysis and Disease Intelligence

FUNDAMENTAL ACTIVITIES FOR:
- Targeted surveillance - Trends analysis and forecasting - Awareness - Focused Response

Temporal spread

Poultry population in Africa and migration flyways

Assessment of the impact of the crisis and Rehabilitation options

-Emergency assessment of the impact on peoples livelihoods, production systems, ad trade - Impact of control programmes and C/B analysis -Identification of the major issues associated with rehabilitation and options available

Other supports at the International Level

Coordinate the subregional networks and other activities Backstopping to the countries and Regional Organizations through the FAO (ECTAD) and OIE Central teams and the experts from the Avian Influenza OIE FAO Network (OFFLU) Elaborate project proposals for donors support

2nd FAO/OIE Regional Meeting on HPAI Control in Asia Ho Chi Minh City, Vietnam 23-25 February 2005 in collaboration with WHO

OIE/FAO International Scientific Conference on Avian Influenza in collaboration with WHO

OIE Paris, France, 78 April 2005

CONFERENCES TO BE ORGANISED IN 2006

Role of Wild birds Veterinary Vaccines Third Regional Conference in Asia (with ASEAN) First Regional Conference in Africa (with IBAR)

Thailand
Department of Livestock Development The Royal Veterinary College

USA

UK

Vit Nam
Department of Animal Health

Animal Health Service

ECTAD EMPRES
+ Regional Offices New Zealand Australia

Universit Libre de Bruxelles

Belgium France

PR China
Ministry of Agriculture

FAO Collaborators: Asian Focus

Support at the Regional Level

Through the ECTAD Decentralized Units and the OIE Regional Representations

SUB-REGIONAL Networking

South-East Asia East Asia South Asia

Network of surveillance teams Network of diagnostic laboratories

Implementation of Six sub-Regional TCPs

East Asia, Southeast Asia, South Asia

Network of surveillance teams Network of diagnostic laboratories Policy and rehabilitation Disease intelligence

Implementation of Five sub-Regional TCPs

Eastern Europe and Caucasus Region

Implementation of Five sub-Regional TCPs

Middle East Region

Implementation of Five sub-Regional TCPs

North Africa Region

Implementation of Five sub-Regional TCPs

West Africa Region

Implementation of Five sub-Regional TCPs

Eastern Africa Region

Support at the Regional Level (cont.)

Support to the Regional Organizations: Coordination-harmonization of strategies... Coordinate the subregional networks and other activities Disease Intelligence, risk analysis Backstopping to countries Project proposals, Advocacy

Support at the National Level

Through the Global and Regional Activities

Examples of the FAO TCPs and other programmes

NATIONAL TCPs:
Disease situation
Support to diagnostic and surveillance Design strategies and contingency planning Training Equipment

Capacity Building

Thank you for your attention