cahps & you - osu south centers · 2017. 11. 30. · marketing and branding increase public...
TRANSCRIPT
CAHPS & YouKathleen Hartman, MS, DVM, PhD
Aquaculture Program LeaderUSDA APHIS Veterinary Services
Challenges to Commercial Aquaculture in the U.S.
Unrecognized aquatic animal health plan
No leverage with trading partners
No regions or zones
Complicated interstate movement
Diverse and complex requirements
Different authorities at the State level
Significant costs
Test results are often meaningless
And, hard to interpret
And, hard to compare
Patchwork Landscape of Health RequirementsTop 10
Guidelines and Regulations
OIE Guidelines AFS BB Guidelines State Regulations
Lot or Farm level of inspection? Farm Farm and Lot Lot treated like farm
Biosecurity following inspection? Protected water supply, fish movements, other No recommendation Few address this
Which diseases to test? OIE listed No recommendation OIE based lists, widespread serious diseases, VHS, ???
How many fish to test? 150+ reduce with history Lot: at least 60Farm: at least 60 from every lots (same age, species, water supply and broodstock)
Lot: 60 or 30 or 20Farm: 60 per species or 150 to 170 per farm
Which fish to test? All susceptible species per OIE manual or most susceptible species
Farm: all susceptible species (in BB), most susceptible speciesLot: species shipped if susceptible
Farm: All susceptible, all species, species to be shippedLot: Species to be shipped (if susceptible?)
How often? When? Seasons when likely to be detected – twice a year Farm: Once per year when water temps make detection most likelyLot: no guidance
Once per year typical, even for lot inspectionsNo guidance on temps. VHS at 95 ºF, no problem!
Who collects samples? Accredited veterinarian Accredited Veterinarian, state or federal official, FHS-Inspector, FHS-pathologist
Farmer >> FHS Inspector >veterinarian
Who conducts diagnostic assays? Determined by CA No recommendation Few recommendations, confusion over APHIS approval
Which assay protocols to use? OIE manual Inspection section None specified – BB, OIE or APHIS approved protocols
Certification required? Competent authority (i.e., APHIS) No recommendation Testing labs, FHS Inspector, Veterinarian, Veterinarian with training, State official
USDA NAHMS - Aquaculture 2020
Pre-assessment survey results Top 5 health topics
Infectious diseases in the U.S.
Regulatory requirements
Domestic animal movement
Environmental stewardship/sustainability
Biosecurity and infectious diseases not in the U.S.
Greatest health risks to your aquaculture farm Emerging diseases
Regulatory confusion
Greatest health risks to U.S. aquaculture Inadequate knowledge/training on health issues
Emerging diseases
Regulatory confusion
Commercial Aquaculture
The business of farming aquatic animals for sale or trade, with some sort of intervention in the rearing or farming process.
Approach
Nonregulatory site specific health management plan for livestock
Voluntary participation, mandatory compliance Oversight, auditable documentation
Science-based Flexible and responsive to emerging pathogens, diagnostic
technology, and scalable surveillance strategies
Strengthened through participation, collaboration, partnership and recognition
Principles of Standards
1. Aquatic animal health team
• Knowledge & skills
2. Risk evaluation
• Science & method
3. Specific Pathogen Surveillance
• Strategy
4. Investigation and reporting
• Process & protocols
5. Response & Recovery
Aquatic Animal Health Team
"Dairymen are in business for profit. So are veterinarians. When dairymen and veterinarians work together to manage animal production for profit, their mutually beneficial working relationship is called production medicine.”
- T. Fuhrman1993 Western Large Herd Management Conference
Comprised of: Veterinarians, AFS certified
professionals, laboratorians, extension agents & other subject matter experts
Actively engages with site
Assists with Site-Specific Health Plan Development, implementation and
evaluation
Risk Based Evaluation
Risk Identification
• Pathogens of concern for species being cultured and for species in proximity
• Pathways of introduction or spread
Risk Characterization
• Degree, scope, impact of risk
Risk Management
• Biosecurity practices
Management procedures to mitigate identified risks in area
Biosecurityo Animals
o Incoming, sick, movement, disposal
o Watero Source water, shipping water, receiving
water
o Feedo Source, storage and distribution
o Fomiteso Equipment, shipping materials,
vehicles
o Movement, identification
o Vectorso People and pests
o Movement, exposure
Surveillance Purpose and boundaries of surveillance
Freedom of disease or known disease status
Site, compartment or zone
Strategies – based on goals and diagnostics
Observational
Thresholds
Early disease detection system
Risk based
Enhanced routine moribund sampling
Repeated collections; seasonal
Diagnostics – sensitivity and specificity
At least 85% Se
Morbidity and Mortality Thresholds
Farm mortality Threshold 0.03% is site accepted threshold – over 5
days
69,500 fish on the farm
21 mortalities per day for 5 days
Past 5 Days on The Farm
102 mortalities TOTAL
68 morts justified
August spawn group
Post spawn recovery
Post sorting stress
Investigation & Reporting
Response
Disease investigation Triggered when site specific
thresholds are exceeded Scope depends on pathogen
and impact Diagnostics
Reporting OIE, national and state lists Appropriate officials
Contingency Planning
Pathogen and impact of pathogen
Treat? Vaccinate? Depopulate?
Debrief for lessons learned
What went wrong?
How to fix
Recovery and continuity of business
Standards 4 & 5
SSHP
Health Team
Communication
Record Keeping
Reporting
Training
Risk Evaluation
Identification and Characterization
Site Map
Management
Biosecurity Plan
Animals
Water
Feed
Vectors
Fomites
Surveillance Plan
Morbidity and Mortality Thresholds
Early Disease Detection
Strategy Type
Sampling
Diagnostics
Disease Investigation Plan
Communication
Triggers
Sampling
Testing
Response Plan
DiseaseResponse
Emergency Response
Recovery Plan
Continuity of Business
E, C, and Z
Establishment (E)
Single site with lower risk because of surveillance and biosecurity
Compartment (C)
Single site with higher standard of biosecurity and even lower risk
Claim of disease “free” status
Zone (Z)
Region around site with surveillance partners
Claim disease “free” status
E
C
Zone
E1
E2
E3
Because of Standards…
Assurance of health of farm raised aquatic animals
Lower risk for specific diseases because of biosecurity and surveillance
Claims about population health status
Facilitate animal trade and movement
Leverage international trade
Reduce hurdles for interstate movement
Marketing and branding
Increase public trust, confidence
Demonstrates awareness of standards for consumers, builds a story
Complement to other programs
Food system biosecurity and safety
Certification programs
Animal welfare
CAHPS as a Marketing Tool
Make claims about the health status Value-added animals
CAHPS compliant/certified/approved
Confidence Recognition of participation
Builds the story Care of the production animal
Security
Message
Thank You([email protected])