introduction to the progressive control pathway

Outline for this workshop1. Mindmapping PCP

• Principles and key features

2. Overview Global Strategy for FMD control• Three components

• OIE-PVS on strengthening the Veterinary Services

3. PCP Assessment procedure• Role of the Regional Advisory Group & FAO/OIE FMD Working Group

• 7 steps of the assessment procedure

4. PCP-FMD Stage 1:• Activities in Stage 0

• What is required to be eligible to move to Stage 1

• Activities in Stage 1

• What is required to be eligible to move to Stage 2

5. Follow-up from this first roadmap meetings• Support to progress

• Regional networking, webinar series, PCP e=learing

Random (mass) compared to Risk based vaccination :

2nd FMD Congress

V V V

V V

V V V

V V V

V V

V V V

V V V

V V

V V V

V V V

V V

V V V

1st campaign 2nd campaign

Random

application

of vaccine

Risk-based

application

of vaccine- Animal markets

- Borders

- Intensive

production

system

2nd FMD Congress

V V V

V V

V V V

V V V

V V

V V V

V V V

V V

V V V

V V V

V V

V V V

V V V

V V

V V V

V V V

V V

V V V

1st campaign 2nd campaign 3rd campaign

Could be

anywhere

Unlikely in the

vaccinated

epi-units

Where is

the virus?

What are reasons for difference of 164 notifications and (only) 28 confirmed FMD outbreaks?

164 notifications

117 sampled

100 samples accepted

28 positive for FMD

10 Serotype A 16 serotype O

54 negative for FMD

16 NSP positive, only blood collected

17 rejected

47 not sampled

Central VS

Province office

District office

Private vet X X treatment for some time (incentive)

if fewer cases, no need to report (small outbreak)

Farmer X with second case, calls private vet

Time

Central VS X information (too) late and imcomplete

no confirmation, thus no notification

Province office X few resources to investigate

often too late for good fresh samples and investigation

District office X no means to investigate

informs province through monthly report

Private vet X X treatment for some time (incentive)

if fewer cases, no need to report (small outbreak)

Farmer X with second case, calls private vet

Time

Central VS X all have information at same time coordinate outbreak (investigation, mitigation of spread)

all know what to do

Province office X fresh lesions present

plan for control measures

District office X implement control measures locally

inform community

electronic notification of suspicion

Private vet X more (smaller) suspicions reported immediate feedback and support

Farmer X immediate feedback and support

Time

Dairy

Nomadic herds

Beef

Small holdings

IMPACT

PROBABILITY

to become

infected

high

low

low high

Relative Risk of FMD

Dairy

Nomadic herds

BeefSmall holdings

IMPACT

PROBABILITY

to become

infected

high

low

low high

Where to use

limited nr of

vaccines

What other

measures

are possible:

- Raising

awareness

- Biosecurity

- Movement

control

PART 1: Key features (20 min)

Chris Bartels

EuFMD component manager PCP

PCP

1. Mindmapping PCP

If I ask you, what comes to mind when you hear about the

Progressive Control Pathway for FMD control?

PCP

Component 1 of GD for

FMD control

Progressive FMD

control

Regional approach

Risk-based

Results focused

Holistic approach

1. Mindmapping PCP

1. Key features of the PCP

1. Key features of the PCP

1. Key features of the PCP

PART 2: Global Strategy for FMD control (20 min)

…

FAO/OIE FMD Working Group

2. Global Strategy for FMD control

2. Global Strategy for FMD control

Risk-based Strategy Plan

Risk Assessment Plan

National Control Plan

2. Global Strategy for FMD control

Option to apply

for OIE endorsed

FMD control

programme

OIE official

recognition and

endorsement

options

Links between PCP-FMD and OIE health status

2. Global Strategy for FMD control

In South-East Asia and China, a FMD

Roadmap 2020 (SEACFMD) was established

in 1995, before the PCP-FMD and the Global

Strategy for FMD control

In South-Asia, regional roadmap meetings

were conducted in 2011 and 2013

In West Eurasia, regional roadmap meetings

have been conducted annually since 2008

In the Middle East and Northern Africa region,

two Regional roadmap meetings have been

conducted, in 2009 and 2014

In Eastern Africa, Regional roadmap

meetings have been conducted in 2012 and

2014

A single Regional roadmap meeting was held

in 2009 in Southern Africa (need to check

year)

So far, no regional roadmap meetings have

been conducted in Western Africa

And in Latin America, regional FMD control is

coordinated through PANAFTOSA

2. Global Strategy for FMD control

2. Global Strategy for FMD control

Critical competenciesPCP stage

1 2 3 4

I.2.A. Professional competencies of veterinarians 3 3 3 3

I.2.B. Competencies of veterinary para-professionals 1 3 3 3

I.3. Continuing education 3 3 3 3

I.6.A. Internal coordination (chain of command) 1 2 3 3

I.6.B. External coordination 3 3* 3 3

I.11. Management of resources and operations 1 2 3 3

II.3 Risk analysis 3 3* 3* 3*

II.11 Emerging issues 1 2 3 3

III.1 Communications 4 4* 4* 4*

III.2 Consultation with stakeholders 3 3 3 3

III.3 Official representation 2 3 3 3

III.4 Accreditation / authorisation / delegation 1 2 3/4 3/4*

III.5.A. Veterinary Statutory Body authority 1 2 3/4 3/4*

III.5.B. Veterinary Statutory Body capacity 1 2 3 3*

III.6 Participation of producers and stakeholders in joint programs 2 3 3 3*

IV.1 Preparation of legislation and regulations 3 3* 3* 3*

IV.2 Implementation of legislation & stakeholder compliance 1 3 3 3

II.5.A. Passive epidemiological surveillance 1 3 3 3

II.5.B. Active epidemiological surveillance 3 3* 3 ¾

II.6 Early detection and emergency response 1 1 3 3

II.7 Disease prevention, control and eradication 1 2 3 3

II.8 Ante and post mortem inspection 1 2 3 3

II.1 Veterinary laboratory diagnosis 2 2/3 2/3 2/3

II.2. Laboratory quality assurance 2 3 3 3

II.4 Quarantine and border security 1 2 3 ¾

II.13.A. Animal identification and movement control 1 2 3 3

IV.6 Transparency 2 3 3 3

IV.7 Zoning 1 2 2 3

I.1.A. Veterinarians and other professionals 2 3 3 3

I.1.B. Veterinary para-professionals and other technical staff 2 3 3 3

I.7. Physical resources 2 2 3 3

I.8. Operational funding 1 2/3 4/5 4/5

I.9. Emergency funding 1 1 3 4/5

• FMD PCP Stage 1: PVS level

3 required for 7 CCs

• FMD PCP Stage 2: PVS level

3 required for 17 CCs (= 7 +

10)

• FMD PCP Stage 3 (request

for official OIE endorsed

FMD national control

programme): PVS Level 3

for all 33 CCs (= 17 + 16)

• FMD PCP Stage 4 (transition

towards OIE-free status

with or without

vaccination): PVS level 3

for all 33 CCs

Professional competencies

of veterinarians

Continuing education

External coordination

Risk analysis

Consultation with

stakeholders

Preparation of legislation

and regulations

Active surveillance

2. Linking PCP stages to Crticical Competencies of the OIE-PVS tool

2. Global Strategy for FMD control

2. Global Strategy for FMD control

Priority diseases in your country=

What (other) infectious livestock diseases are important?

Can you foresee a way to combine control these with FMD control?

2. Global Strategy for FMD control

Questions

PART 3: PCP assessment procedure (20 min)

…

FAO/OIE FMD Working Group

3. PCP Assessment procedure

3. PCP Assessment procedure

3. PCP Assessment procedure

3. PCP Assessment procedure

3. PCP Assessment procedure

Step 3: Interview

3. PCP Assessment procedure

Country Assessmen

t 2014

Review (SAQ,

Presentation

, Interview)

RAG

assessmen

t

2015

Evolutio

n since

2014

Actions for country

agreed by RAG

Country

A

Prov 2 RBSP

evaluated

positively

2 ↗ Complete

strengthening the

Veterinary Services

and include budget

Step 4: RAG assessment

3. PCP Assessment procedure

Step 4: Regional Advisory Group (RAG) assessment

Based on the feedback from the PCP-FMD experts (involving steps 1-3), the RAG assesses the progressive FMD control of each of the countries in the region

At the end of the regional roadmap meeting, the RAG discusses with each of the countries this assessment.

There are three outcomes possible for a country:1. Remain in the same PCP-FMD stage

2. Evolve one stage on the PCP-FMD

3. Evolve provisionally one stage on the PCP-FMD• This is conditional to submission of

– the most up-to-date version of the strategy plan required to move from one stage to the next (see slide 4)

– additional evidence of impact and implementation of the FMD control strategy in place

3. PCP Assessment procedure

5. Each country (re) assesses its plans for

progressive FMD control and indicates this in a

regional overview (the Regional Roadmap)

Step 5: Regional Roadmap

3. PCP Assessment procedure

3. PCP Assessment procedure

Step 7: Progressive FMD control

3. PCP Assessment procedure

Questions

PART 4: Activities to enter PCP Stage 1 (1 hour)

and Activities in PCP Stage 1 (5 min)

Chris Bartels

EuFMD Component manager PCP

Need for a comprehensive plan to study FMD4. Activities in PCP Stage 1

Comprehensive plan on FMDPlanning to better understand FMD occurrence

(=transmission routes, risks and impact)

• Collection of clinical outbreak investigation reports• Confirmation of FMD virus

• Advanced diagnostics: Serotype and topotype

• Locations, species and husbandry systems involved, morbidity and mortality

• Routes of transmission (direct, indirect, fomites)

• Socio-economic impact on livestock and livelihoods

• Value-chain analysis and stakeholder identification• How does livestock move across the country, by what ‘drivers’, governed

by who?

• NSP-Ab sero-survey • What is the level of infection compared with the level of clinical reporting?

What, when, how, where, who?

4. Activities to enter PCP Stage 1

4. Activities in PCP Stage 1

4. Activities in PCP Stage 1

4. Activities in PCP Stage 1

4. Activities in PCP Stage 1

4. Activities in PCP Stage 1

4. Activities in PCP Stage 1

4. Activities in PCP Stage 1

4. Activities in PCP Stage 1

4. Activities in PCP Stage 1

4. Activities in PCP Stage 1

4. Activities in PCP Stage 1

4. Activities in PCP Stage 1

4. Activities in PCP Stage 1

4. Activities in PCP Stage 1

4. Activities in PCP Stage 1

Why will a Strategic Plan improve FMD control ?

Developing the plan ensures:

– Analysis of risks

– Consideration of best use of limited resources to mitigate the risks

Once written, the plan is a valuable communication tool:

– Within the Veterinary Services

– Private stakeholders

– Regional and international communities

– Donors for technical assistance

Monitoring and Evaluation during implementation:

– continuous improvement in Efficiency of use of resources

– Demonstrate achievements

4. Activities in PCP Stage 1

4. Activities in PCP Stage 1

4. Activities in PCP Stage 1

4. Activities in PCP Stage 1

4. Activities in PCP Stage 1

4. Activities in PCP Stage 1

4. Activities in PCP Stage 1

4. Activities in PCP Stage 1

4. Activities in PCP Stage 1

4. Activities in PCP Stage 1

4. Activities in PCP Stage 1

4. Activities in PCP Stage 1

Comprehensive plan on FMDPlanning to better understand FMD occurrence

(=transmission routes, risks and impact)

• Collection of clinical outbreak investigation reports• Confirmation of FMD virus

• Advanced diagnostics: Serotype and topotype

• Locations, species and husbandry systems involved, morbidity and mortality

• Routes of transmission (direct, indirect, fomites)

• Socio-economic impact on livestock and livelihoods

• Value-chain analysis and stakeholder identification• How does livestock move across the country, by what ‘drivers’, governed

by who?

• NSP-Ab sero-survey • What is the level of infection compared with the level of clinical reporting?

What, when, how, where, who?

4. Activities to enter PCP Stage 1

PART 5: Follow-up from this first roadmap meetings

Regional Network - webinars

PCP online training

PCP Practitioner Network

Email eufmd@fao.org to

subscribe to our networks and

webinars

5. Follow up from this meeting

Questions