zoonotic disease - ministry of public health · zoonotic disease questions responses document...
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Zoonotic Disease
4. Zoonotic Disease
Questions Responses Document Required
Contextual Questions:
CQ1. What zoonotic diseases are of greatest public health concern within the country?
- The greatest zoonoses public health concern in the
country are avian influenza, rabies, Leptospirosis,
brucellosis, anthrax and EIDs including MERS and
Nipah. Many workshops/meeting were organized to
prioritize zoonoses in the country the detail is as
attached document CQ101 and ranked list of
zoonoses (attached document CQ102), Later, the
list is updated in the meeting of Working Group on
the International Health Regulations (IHR) on
zoonoses. The ranked zoonoses is attached on
document CQ103. However, country has a plan to
review the priority list of the zoonoses up-to-date.
Criteria for prioritization are disease situation,
severity of disease, risk of outbreak and the socio-
economic impact.
CQ101_zoonoses prioritization workshop Aug28-29, 2014
CQ102_zoonoses-prioritization-list_19NOV2014
CQ103__zoonoses-prioritization-list_23SEP2016
CQ2. Is there a formal policy for “One Health” in the country?
- In Thailand, “One Health” concept is incorporated into the four-year national strategic plan for emerging infectious diseases Preparedness, Prevention and Response during 2013-2016 (B.E. 2556-2559) (attached document CQ201 and CQ202)
CQ201_NSP for EIDs Preparedness, Prevention and Response during 2013-2016 (B.E. 2556-2559) (http://beid.ddc.moph.go.th/beid
Questions Responses Document Required
and also the latest national strategic plan during 2017-2021 (B.E. 2560-2564). The original document of latest NSP is attached (CQ203.1), the translate version is also attached (CQ203.2).
- Furthermore, the Memorandum of Understanding (MOU) at the Department and Ministerial levels were signed by 5 departments to strengthen surveillance and investigation system of emerging infectious diseases and occupational diseases (attached document CQ204.1 for original version and CQ204.2 for translate version).
- Additionally, One Health MOU among 8 ministries (i.e. Ministry of Public Health, Ministry of Agriculture and Cooperatives, Ministry of Natural Resources and Environment, Ministry of Education, Ministry of Interior, Ministry of Labour and Ministry of Social Development and Human Security) were signed by Permanent Secretaries for sharing information on EIDs, zoonotic diseases and public health threats (attached document CQ205.1 for original version and CQ205.2 for translate version).
- The resolution of National Health Assembly on “ Multi-sectoral Collaboration for One Health : Human, Animal and Environment” (attached document CQ206.1 for original version and CQ206.2 for translate version) was adopted to strengthen engagement of all stakeholders especially civil
_2014/sites/default/files/files/other/eidnationplan56_59.pdf)
CQ202_NSP for EIDs Preparedness, Prevention and Response during 2013-2016 (B.E. 2556-2559) English version (http://beid.ddc.moph.go.th/beid_2014/en/content/thailand-national-strategic-plan-emerging-infectious-disease-preparedness-prevention-and)
CQ203.1_NSP for EIDs Preparedness, Prevention and Response during 2017-2021 (B.E. 2560-2564) (http://beid.ddc.moph.go.th/media/document_detail.php?id=161)
CQ203.2_translate_NSP-EID 2017-2021
CQ204.1_original MOU 5 Departments to strengthen surveillance and investigation system of EIDs and occupational diseases
CQ204.2_translate_MOU 5 Departments
CQ205.1_original_MOU 8
Questions Responses Document Required
society organizations. - The background and development of One Health
concept in Thailand is collected and published in a Journal of Health System Research Institute (http://kb.hsri.or.th/dspace/handle/11228/4218?locale-attribute=th) as attached in document CQ207.
organizations on the Implementation of One Health Initiative for National Health Security (http://thaionehealth.org/?p=1381)
CQ205.2_translate_MOU 8 organizations on the Implementation of One Health Initiative for National Health Security
CQ206.1_original_Resolution of National Health Assembly on “ Multi-sectoral collaboration for One Health : Human, Animal and Environment” (http://thaionehealth.org/wp-content/uploads/2016/06/NHA6-res6.7-one-health-1.pdf)
CQ206.2_translate_Resolution of National Health Assembly on “ Multi-sectoral collaboration for One Health : Human, Animal and Environment” (http://thaionehealth.org/wp-content/uploads/2016/06/7_NHA6_Main-1.pdf)
Questions Responses Document Required
CQ207_The background and development of One Health concept in Thailand (http://kb.hsri.or.th/dspace/handle/11228/4218?locale-attribute=th)
CQ3. Within the past two years, has an exercise been conducted or real event occurred, involving Ministries of Health and Agriculture, to practice and test skills of both human and animal public health workers to investigate and respond to a zoonotic event?
Yes.
3a. Please describe the exercise or real event which occurred.
- Joint investigation between public health and animal health sectors was performed when zoonoses outbreak occurred such as rabies, leptospirosis, and brucellosis (attached document CQ3a01, CQ3a02 and CQ3a09). There is an outbreak of Leptospirosis during the flood at Pattalung province at the end of 2016 (CQ3a03). An example of real event that occurred can be found at http://www.osirjournal.net/ and http://www.wesr.moph.go.th/wesr/index.php?page=search.
CQ3a01_One Health epidemiological teams to strengthen emerging infectious diseases surveillance and responses at provincial level; 2015 (https://www.dropbox.com/s/j0shj05vtovwmko/AW%20BOE2016-web.pdf?dl=0)
CQ3a02_One Health epidemiological teams to strengthen emerging infectious diseases surveillance and
Questions Responses Document Required
- There were the simulation exercises for important zoonoses outbreak response such as avian influenza and Middle East Respiratory Syndrome (MERS). The simulation exercises were conducted at ministerial level for avian influenza (http://thaionehealth.org/th/%E0%B8%81%E0%B8%A3%E0%B8%B0%E0%B8%97%E0%B8%A3%E0%B8%A7%E0%B8%87%E0%B8%AA%E0%B8%B2%E0%B8%98%E0%B8%B2%E0%B8%A3%E0%B8%93%E0%B8%AA%E0%B8%B8%E0%B8%82-%E0%B8%8B%E0%B9%89%E0%B8%AD%E0%B8%A1%E0%B9%81%E0%B8%9C/). The guideline for simulation exercise of avian influenza is attached (document CQ3a04). Simulation
exercises for avian influenza were conducted at
the provincial level, particular in border
provinces for examples ; Sa Kaew province in
2015, Nongkai province in 2015, Songkhla
province in 2016 and Tak province in 2016
(document CQ3a05, CQ3a06, CQ3a067 and
CQ3a08). Furthermore, animal health sector
performed the simulation exercise for Avian
Influenza with livestock officials and farmer at
regional level
(http://164.115.129.63/dcontrol/upload/files/pl
responses at provincial level; 2016
(https://www.dropbox.com/s/1t09xdcure5o68x/OH_2559.pdf?dl=0)
CQ3a03_Meeting minutes of Committee on Leptospirosis (Leptospirosis investigation during the flood at Pattalung province)
CQ3a04_Simulation exercises for avian influenza guideline at ministerial level
CQ3a05_ Summary report of simulation exercise at provincial level (Sakaew province)
CQ3a06_ Summary report of simulation exercise at provincial level (Nongkai province)
CQ3a07_ Summary report of simulation exercise at provincial level (Songkhla province)
CQ3a08_ Summary report of simulation exercise at provincial level (Tak province)
CQ3a09_Summary on meeting with regions for rabies control
CQ3a10_Epidemiological reports on animal diseases and zoonoses 2009-2013
Questions Responses Document Required
an60-1.pdf and
http://164.115.129.63/dcontrol/site/?page=por
tal&groupid=17&subId=41).
CQ3a11_Animal health situation analysis/ surveillance data 2016
3b. What were the most significant lessons learned from the exercise/ real event?
Lessons learn for leptospirosis outbreak: Leptospirosis outbreak always occurs after flooding
period. Most of the outbreak occurred by lack of
knowledge and awareness to protect themselves
from infection and public health officers lacked of
experiences to respond for the outbreak. From
these lessons, several training courses were
organized for public health officer to improve
capacity to detect, screen , diagnose and care to
Leptospirosis illness.
Lessons learn for rabies: The most significant from the real event for rabies
infection in human was awareness of people to do
see doctor or health care staffs when they were
bitten by dog/cat. While unvaccination of stray/free
roaming dog/cat was major factor for rabies
transmission in domestic animal.
Lessons learnt for avian influenza simulation exercise at public health ministerial level, 2016 had the significant points as follows; 1) Public health should have mechanism to link
between the center and provincial level that could
CQ3b01_One Health epidemiological teams to strengthen emerging infectious diseases surveillance and responses at provincial level; 2015 (https://www.dropbox.com/s/j0shj05vtovwmko/AW%20BOE2016-web.pdf?dl=0)
CQ3b02_One Health epidemiological teams to strengthen emerging infectious diseases surveillance and responses at provincial level; 2016 (https://www.dropbox.com/s/1t09xdcure5o68x/OH_2559.pdf?dl=0)
CQ3b03 and CQ3b03.2_Meeting minutes of Committee on Leptospirosis (Leptospirosis investigation during the flood at Pattalung province)
CQ3b04_Summary on meeting with regions for rabies control
Questions Responses Document Required
be strengthen by collaborate with WHO through IHR
2005
2) Clearly Provincial reporter and following risk
communication guideline in every level.
3) EOC management should have guideline to
standardize for start or end EOC/ICS. It is important
to have focal point of structure, places and action in
normal situation and review the preparation of EOC
in every level.
Lesson learn from brucellosis outbreak is training the farmer to understanding the mechanism of disease , detecting antibody titer and culling the positive result routinely (reference from Provincial One Health book).
However, in order to strengthen the gaps, there is a plan to implement such as “After action review (AAR) workshop” after disease outbreak or simulation exercise in order to identify and solve the problem including to collect the documents.
4. How are estimates of animal population within the country determined?
- Department of Livestock Development conducted
census survey of livestock population. The
database of livestock population was recorded and
available online at http: //regislives.dld.go.th/ and
The database of livestock population: http: //regislives.dld.go.th/
The farmer database, 2015 :
Questions Responses Document Required
http://ict.dld.go.th/th2/index.php/th/report/447-
report-thailand-livestock/reportservey2558-1. As
for dog population, the estimated population in
2014 is available at
http://dcontrol.dld.go.th/dcontrol/images/nong/1
23.pdf.
Furthermore, Department of National Parks,
Wildlife and Plant Conservation is responsible for
the estimation of wild bird population, particularly
migrate birds and aquatic birds. The summary is
available at
http://www.dnp.go.th/Wildlife/Emerging%20Diseas
e/performance/%E0%B8%A3%E0%B8%B2%E0%B8
%A2%E0%B8%87%E0%B8%B2%E0%B8%99EIDW255
8.pdf.
http://ict.dld.go.th/th2/index.php/th/report/447-report-thailand-livestock/reportservey2558-1
4a. How often are these estimates developed?
Annually
4b. What department or agency is responsible for developing these estimates?
- Department of Livestock Development is responsible
for dog-cat population survey
- Department of National Park, Wildlife and Plant
Conservation is responsible for wildlife population
survey.
Questions Responses Document Required
5. Can you list the zoonotic diseases for which control policies exist with the purpose of reducing spill-over of zoonotic disease into human populations?
- Animal Influenza, Rabies, Brucellosis, Salmonellosis
(animal origin), Tuberculosis – clinical surveillance, active
surveillance, vaccination (for rabies and bovine brucellosis),
improve bio-security, movement control and stamping out
- Anthrax – vaccination (risk area), clinical surveillance
and movement control
- Tuberculosis - active surveillance, improve bio-
security, movement control and stamping out
- Nipah encephalitis - active surveillance, improve bio-
security, movement control and stamping out
- Bovine Spongiform Encephalopathy - active surveillance, prohibit importation on risky animal feed
HRH Princess Chulabhorn’s project on “Disease-free Animals, Safe Humans from Rabies” (http://thaigcd.ddc.moph.go.th/2016/informations/view/984)
5a. Please describe the progress in implementing these policies
The progress are
1. Rabies (CQ5a01 and CQ5a02)
a. Vaccination. Annual vaccination for animal
rabies has been done collaboratively among
Department of Livestock Development (DLD)
and Local Administrative Organization (LAO).
DLD and LAO provide free rabies vaccine for
dog and cat during vaccination campaign.
Free vaccination will also be provided to
CQ5a01_DDC-DLD co-project on rabies 2016
CQ5a02_manual for rabies free zone
CQ5a03_manual of poultry compartmentalization
CQ5a04_action plan according to One Health MOU among 8 ministries for responding to EIDs, zoonotic diseases and public health threats
Questions Responses Document Required
control animal rabies during the outbreak.
b. Dog-cat shelter has been set up. Several
shelters had been established during the
past few years to reduce stray dog-cat
population. Currently, dog-cat shelther is
one of the major measures for rabies
elamination program under Rabies
Elimination strategies under the Resolution
of Her Royal Highness Princess Chulabhorn
Mahidol (2017-2020). The details are
available at
http://thaigcd.ddc.moph.go.th/2016/inform
ations/view/984
c. Rabies free zone project (attached
document 5aRa2)
d. Dog-cat population control by surgical
opertion
e. Dog-cat registration
f. Public communication
2. Avian Influenza
a. Improve farm bio-security by encourage farm to be
GAP and Compartment Farm (CQ5a03)
b. Improve slaughterhouse bio-security
CQ5a05_Order of Order of Steering Working Group on MOU One Health 8 ministries
Questions Responses Document Required
c. Compensation scheme is applied for stamping out
activities
d. Public communication such as campaign during TAD
festival
e. Prepare equipment for emergency situation such as
Personal Protective Equipment, Olsetamivire,
vaccination for high risk group. An example of
official letter to hospital to prepare for Oseltamivir
and guideline associated are as follows
http://beid.ddc.moph.go.th/beid_2014/files/osel_f
orm.pdf and
http://beid.ddc.moph.go.th/beid_2014/sites/defaul
t/files/AI_manual59_291259.pdf.
3. Brucellosis
a. Serosurveillance to detect infected animal
b. Stamping-out with compensation policy for positive
animal
c. Endemic zone declaration for animal movement
restriction (Animal Disease Epidemic Act)
d. Improve farm bio-security
4. Other zoonoses/ EIDs
There is an action plan according to One Health MOU
among 8 ministries (i.e. Ministry of Public Health,
Questions Responses Document Required
Ministry of Agriculture and Cooperatives, Ministry of
Natural Resources and Environment, Ministry of
Education, Ministry of Interior, Ministry of Labour and
Ministry of Social Development and Human Security)
for sharing information and responding to EIDs,
zoonotic diseases and public health threats (action plan
and Order of Steering Working Group are attached in
document CQ5a04 and CQ5a05)
5b. Is there a plan in place to encourage reporting of animal disease (may include indemnities paid)?
Yes, there is a plan to encourage the reporting of animal
diseases.
- According to Animal Epidemics Act 2015, there is a
penalty to owner who does not follow article 11,
paragraph 1 “the owner must report to officer in 12
hours since knowing that animal died or died with
epidemic or animal illness or death in unknown
case” (http://www.vet.cmu.ac.th/web/file/Act-
3.pdf).
- Department of livestock development (DLD)
established the zoonoses alarm system by setting
up a channel to report a disease for ordinary people
to report animal infection or suspect
(http://www.thairabies.net/trn/Default_Main.aspx
and http://esmartsur.net). DLD made public
Animal Epidemics Act, B.E. 2558 (2015) (http://www.vet.cmu.ac.th/web/file/Act-3.pdf)
Online reporting system for rabies (http://www.thairabies.net/trn/Default_Main.aspx)
Online reporting system for poultry disease (http://164.115.129.63/dcontrol/site/?)
Online reporting system for other diseases (http://esmartsur.net/)
Questions Responses Document Required
relation to encourage disease notification including
broadcasting (Resource from Department of
Livestock development).
- Moreover, there are pilot projects to strengthen
engagement of animal owners/ farmers/ locals such
as
1. Participatory One Health Disease Detection
(PODD) to enhance reporting from community. The
project encourages community volunteer to report
the situation that is a possible factor to epidemic in
community by using application in mobile phone.
There has the pilot project in Local Administrative
Organization at Chiang Mai
(http://www.cmonehealth.org/).
2. Pilot project for farmer/ ruminant owner or pig
owner to report information of illness of
themselves or the death or unusual events in farm
associated with diseases i.e. Brucellosis,
Leptospirosis and Rabies etc. by mobile phone
application or website
(http://203.157.15.32/farmer/)
- Department of Livestock Development has the rule
in article of compensation by following assemble
law in controlling important animal diseases
Questions Responses Document Required
(http://aqi.dld.go.th/th/images/stories/document/
document-public/ low54.pdf).
5c. Is there a plan in place to address factors which might prevent farmers/ owners from reporting animal disease (may include lack of familiarity with reporting process, lack of indemnity, social stigma)?
Yes. The factors that made farmer or animal owner do not
report disease occurrence.
- Farmer or people do not aware that it is their duty to report a disease occurrence. Plan to address: public communication to emphasize
on role and responsibility of animal owner to report
any suspect animal diseases. An example could be the
project led by HRH Princess Chulabhorn, “Disease-free
Animals, Safe Humans from Rabies” campaign
(http://thainews.prd.go.th/website_th/news/print_ne
ws/TNROY6005170010011 or
http://englishnews.thaipbs.or.th/thailand-rid-country-
rabies-2020/).
- Their do not aware negative consequence from any zoonoses. Plan to address: training to improve knowledge of
farmer and people.
- Farmer do not know how to report and to whom
Plan to address: Using an online to report and do
public communication. Examples of online disease
reporting system are PODD and FARMER
(http://www.cmonehealth.org/ and
Animal Epidemics Act, B.E. 2558 (2015) (http://www.vet.cmu.ac.th/web/file/Act-3.pdf)
Online reporting system for rabies (http://www.thairabies.net/trn/Default_Main.aspx)
Online reporting system for poultry disease (http://164.115.129.63/dcontrol/site/?)
Online reporting system for other diseases (http://esmartsur.net/)
PODD ; Pacipatory One health Disease Detection (http://www.cmonehealth.org/
Anonymous reporting system for disease
(https://itunes.apple.com/th/app/%E0%B8%94-%E0%B8%94-%E0%B8%94/id1052065042?l=th&mt=8)
Questions Responses Document Required
http://203.157.15.32/farmer/).
- Farmer afraid of culling their animal when making report. Plan to address: compensate when culling animal The
rates for compensation is as follows
http://aqi.dld.go.th/th/images/stories/document/doc
ument-public/low54.pdf.
- - Fear in blemish or complaint from community. - Plan to address: establish the system of anonymous
report to encourage community to report a disease. An example of anonymous reporting system is as following https://itunes.apple.com/th/app/%E0%B8%94-%E0%B8%94-%E0%B8%94/id1052065042?l=th&mt=8.
- Challenges - limited budget for public communication.
Questions Responses Document Required
Technical Question:
P.4.1 Surveillance systems in place for priority zoonotic diseases/pathogens
- In Thailand, there is surveillance system for important zoonoses such as Avian Influenza, Rabies, Brucellosis, Anthrax, Leptospirosis, and Emerging Infectious Diseases such as Nipah, MERS and Ebola. The public health surveillance system, named R 506 (http://www.boe.moph.go.th/boedb/surdata/index.php) is operated in cooperation among provincial public health office, hospital and all health stations to monitor Rabies, Anthrax, Leptospirosis and zoonoses. Moreover, the Situation Awareness Team (SAT) has been set up in MOPH to verify and response any public health emergency situations (http://www.boeeoc.moph.go.th/eventbase/user/login/).
- For zoonoses in animal, surveillance report has been done by online systems. The systems include,
1. e-smart surveillance for general zoonoses such as
Brucellosis, Tuberculosis
(http://www.esmartsur.net).
2. Thai Rabies Net for rabies
(http://www.thairabies.net)
Questions Responses Document Required
3. Poultry diseases reporting system
(http://164.115.129.63/dcontrol/site/)
P.4.1.1. Does the country have a
mechanism in place to identify
priority zoonotic diseases that
pose a national health risk?
- Yes.
- Many workshops/meeting were organized to
prioritize zoonoses in the country the detail is as
attached document P41101 and ranked list of
zoonoses (attached document P41102), zoonotic
prioritization also was presented and discussed
during high level meeting of 4 Directors General
(Department of Disease Control, Department of
Livestock Development, Department of National
Parks, Wildlife and Plant Conservation and
Department of Local Administration) on the
collaboration for zoonoses prevention and control
(P41103). Later, the list is updated in the meeting of
Working Group on the International Health
Regulations (IHR) on zoonoses. The prioritized
zoonotic list is attached on document P41104.
However, country has plan to review the priority list
of the zoonoses up-to-date. Criteria for
prioritization is disease situation, severity of
disease, risk of outbreak and the socio-economic
impact.
P41101_zoonoses prioritization workshop Aug28-29, 2014
P41102_zoonoses-prioritization-list_19NOV2014
P41103_4-DG meeting minute
P41104_zoonoses-prioritization-list_23SEP2016
Questions Responses Document Required
P.4.1.2. Does the country have a surveillance system in place for relevant animal populations?
- Yes. There are several surveillance programs for zoonoses in animal population including rabies, avian influenza, brucellosis, tuberculosis, nipah encephalitis and other contagious zoonoses. The surveillance programs include clinical surveillance (for contagious zoonoses i.e. anthrax, avian influenza, rabies), sero surveillance (for important zoonoses i.e. nipah encephalitis, HPAI, rabies and sub-clinical infection zoonoses i.e. brucellosis, tuberculosis). Detail of surveillance system for some zoonoses was showed below.
Rabies
- Clinical surveillance
- Active surveillance by collecting brain sample from
high risk group such as dog-cat that died from
accident
- Avian Influenza
- Clinical surveillance
- Serological surveillance in specific group of poultry
such as duck, fighting cock, layer
- Virological surveillance by collecting sample from
cloacal swab and tracheal swab
Brucellosis
- Clinical surveillance
Animal Health operation plan 2016 (http://dcontrol.dld.go.th/dcontr
ol/index.php/plan/plan/550-
plan59)
Animal Health operation plan 2017 (http://dcontrol.dld.go.th/dcontr
ol/index.php/plan/plan/794-
2560)
Questions Responses Document Required
- Serological surveillance
Nipah viral encephalitis
- Serological surveillance in pig in high risk area
- Clinical surveillance
- However, as for leptospirosis, there is the cross-sectional survey in animal usually when suspecting outbreaks in human occur. In 2014, there is the collaboration among multi-sectors (DLD, DNP, ZPO and universities) to conduct the surveillance of MERS in camelids in Thailand.
P.4.1.3. Please describe
partnerships between ministry
of health, ministry of agriculture
and wildlife specialists as they
relate to zoonotic disease
detection and response
- National Committee for EID Preparedness,
Prevention and Response, chaired by Deputy Prime
Minister, is a formal forum for approving policy,
national strategy and measures associated with
disease prevention and control of EIDs (document
P41301 and
http://beid.ddc.moph.go.th/beid_2014/th/content/
การประชุมคณะกรรมการอ านวยการเตรียมความพร้อม-ป้องกันและ
แก้ไขปัญหาโรคติดต่ออุบัติใหม่แห่งชาติ). There are 8 sub-
committees under this national EID committee
including the National Sub-Committee on the
Development of Systems for Disease Surveillance,
Prevention, Treatment and Control under One
Health Concept, chaired by PS of MOPH (document
P41301_Order of National Committee for EID Preparedness, Prevention and Response
P41302_ Order of National Sub-Committee on the Development of Systems for Disease Surveillance, Prevention, Treatment and Control under One Health Concept
P41303.1 and P41303.2_Order of Coordinating unit for One Health steering committee
P41304.1 and P41304.2
Questions Responses Document Required
P41302). This sub-committee is the main forum for
member organizations to discuss on emerging and
potential infections between animals and human
and assess the situations. An example of the
agenda and minutes of meetings can be found here
(http://thaionehealth.org/th/agenda-and-minute-
from-the-national-sub-committee-on-the-
development-of-systems-for-disease-surveillance-
prevention-treatment-and-control-under-one-
health-concept/). The Working Groups under this
sub-committee also produce manuals/ guidelines
for disease surveillance, prevention and control i.e.
for avian influenza
(http://beid.ddc.moph.go.th/beid_2014/sites/defau
lt/files/AI_manual59_291259.pdf), MERS
(http://beid.ddc.moph.go.th/beid_2014/sites/defau
lt/files/upload/files/mer_corona30052558.pdf), etc.
Moreover, there is the Coordinating Unit for One
Health Steering Committee, chaired by DDG of DDC
to enhance the coordination between human,
animal and wildlife health, strengthen information
sharing and communication among partners
(document P41303.1, P41303.2 and
http://thaionehealth.org/th/home/).
_Order of Working Group on
coordination for
strengthening the capacity
according to IHR on Zoonosis
P41305_Order of ad hoc
Working Group for rabies
guidelines
P41306_Manual for
intelligent information
sharing among network and
network list
P41307_Order of One Health
Provincial Committee in
Chiangmai Province
P41308_Order of Provincial
Committee on rabies in
eastern regional provinces
P41309_Order of Provincial
Communicable Disease
Committee
P41310_guideline for rabies
responding
P41311_Roles of Monitoring and Surveillance Center for
Questions Responses Document Required
- Besides the national EID committee, there is also
Working Group on coordination for strengthening
the capacity according to IHR: Zoonosis to discuss
on zoonotic disease prioritization and response to
zoonotic event (document P41304.1 and P41304.2).
These two working group will hold the workshop for
Development of information sharing among multi-
sectoral agencies for avian influenza response in
Thailand in June 2017
(http://thaionehealth.org/th/workshop-on-
development-of-information-sharing-among-multi-
sectoral-agencies-for-avian-influenza-response-in-
thailand-by-using-one-health-systems-mapping-
and-analysis-oh-smart/).
- There are also other ad hoc Working Group led by
MOPH to discuss on measures for zoonoses and
produce manuals/ guidelines (document P41305
and http://r36.ddc.moph.go.th/r36/uploads/
document/584adb73e3d0f.pdf ).
- Moreover, regular sharing on zoonotic disease
situation in other countries and intelligence
information related to EIDs are within the network
bi-weekly (document P41306 Manual for intelligent
information and network list).
Zoonotic Diseases in Wildlife and Exotic Animals (MoZWE)
Questions Responses Document Required
- In addition, the partnership between MOPH and
MOAC take place at regional, provincial, district and
sub-district (Tambon) level. Whenever there is any
outbreaks in animal with zoonotic potential, District
Livestock Office or Livestock volunteer in the village
will inform Sub-district Health Promoting Hospital/
Hospitals in the area or/ and coordinate with the
District Public Health Office. They set up the joint
investigation team, which called Surveillance Rapid
and Response Team (SRRT). Later, information
including the report from outbreak investigation will
be shared to Provincial Public Health Office and
Office of Disease Prevention and Control in the
regions and subsequently to the headquarter, which
is BOE of DDC. Mostly, there is the coordination
directly between Provincial Livestock Office and
Provincial Public Health Office. An example of the
collaboration between public health and animal
health is shown in the provincial order on One
Health (document P41307 and P41308).
- Additionally, in every province, there is the Provincial Communicable Disease Committee led by Provincial Governor. This committee is set up according to Communicable Diseases Act B.E. 2558.
Questions Responses Document Required
A template of Provincial Communicable Disease Committee is as follow http://www.ddc.moph.go.th/file/law/007.1.pdf (document P41309).
- Furthermore, Office of Disease Prevention and
Control has collaborated with Provincial Public
Health Office, Provincial Livestock Office, Regional
Livestock Office and others (such as Regional
Veterinary Research and Development Centers,
Regional Medical Science Centers and Conservation
Area Regional Offices) through meeting and
workshop to improve the practice and
implementing the guidelines. An example of
guideline for rabies responding is shown in
document P41310 and the outbreak investigation
and research projects
(https://www.dropbox.com/s/j0shj05vtovwmko/A
W%20BOE2016-web.pdf?dl=0 and
http://www.dropbox.com/s/1t09xdcure5o68x/OH_
2559.pdf?dl=0)
- As for the partnership with wildlife specialist, there
is the Specific surveillance center (ZEIDs) under The
Monitoring and Surveillance Center for Zoonotic
Diseases in Wildlife and Exotic Animals (MoZWE),
Questions Responses Document Required
Faculty of Veterinary Science, Mahidol University,
which is FAO Reference Centre for Zoonotic and
Wildlife Disease to serve as active and passive
surveillance and monitoring unit (document P41311
and http://www.vs.mahidol.ac.th/th/index.php/
mozwe). This is a networking system which share
information among DLD, DNP, and DDC for early
warning of wildlife.
P.4.1.3.a. Are situational
awareness reports or reports of
potential disease outbreaks
shared between the agencies?
- Yes. There are situational awareness reports or reports of potential disease outbreaks shared between the agencies. Bureau of Disease Control and Veterinary Services (BDCVS), DLD. BDCVS will then summarize the situation of diseases and share the analysis report of situation to focal point of Bureau of Epidemiology through electronic mail weekly including the focal point from wildlife sector (DNP). Bureau of Epidemiology (BOE), DDC will later share preliminary investigation report of potential zoonotic events or zoonotic events to focal of BDCVS via electronic mail when the outbreak occurs and BOE will send weekly report of zoonotic situation to the focal point of BDCVS through electronic mail.
- As for wildlife specialist, reports from MoZWE on wildlife diseases including zoonoses such as leptospirosis are regularly shared through website
Report of zoonoses and non-zoonoses from DLD Daily (http://esmartsur.net/Report_Daily.aspx) and weekly (http://dcontrol.dld.go.th/dcontrol/index.php/reportweekly)
Questions Responses Document Required
and newsletter (http://www.vs.mahidol.ac.th/th/index.php/mozwe-weekly-report and Annex 3) while DNP also shared annual report on wildlife disease on website as well http://www.dnp.go.th/Wildlife/Emerging_Disease/Emerging_Diseasepage.htm and http://www.dnp.go.th/Wildlife/Emerging_Disease/3.1/%E0%B8%A3%E0%B8%B2%E0%B8%A2%E0%B8%87%E0%B8%B2%E0%B8%99%E0%B8%99%E0%B8%81%E0%B8%95%E0%B8%B4%E0%B8%94%20Flag%2011%20%E0%B8%A1%E0%B8%B4.%E0%B8%A2.%2057.pdf.
P.4.1.4. Are public health
laboratories and animal health
laboratories linked?
- There are some links personally. The formal link is between Department of Livestock Development and Departments of Ministry of Public Health. Animal Health laboratory is under DLD.
P.4.1.4.a. Is there a process for
sharing specimens between
public health and animal health
laboratories?
- There is no formal process for sharing specimens between public health laboratories and animal health laboratories.
- However, as for university, the specimen from animal/ human case can be shared to university laboratory upon the request.
P.4.1.4.b. Is there a process for
sharing laboratory reports
between public health and
- Yes. - National Institute for Animal Health (NIAH), which is
under Department of Livestock Development, is
P414b01_ sharing laboratory reports from university to DLD
Questions Responses Document Required
animal health laboratories? responsible for laboratory diagnosis in animal. NIAH will send laboratory report to Bureau of Disease Control and Veterinary Services (BDCVS), DLD. BDCVS will then summarize the situation of diseases and share the analysis report of situation to focal point of Bureau of Epidemiology through electronic mail weekly.
- In the meantime, National Institute for Health (NIH), which is under Ministry of Public Health, is responsible for laboratory diagnosis in human will send laboratory report to Bureau of Epidemiology (BOE), DDC. BOE will later share preliminary investigation report of potential zoonotic events or zoonotic events to focal of BDCVS via electronic mail when the outbreak occurs and BOE will send weekly report of zoonotic situation to the focal point of BDCVS through electronic mail.
- As for the university, for example, when The Monitoring and Surveillance Center for Zoonotic Diseases in Wildlife and Exotic Animals (MoZWE), Faculty of Veterinary Science, Mahidol University, which is FAO Reference Centre for Zoonotic and Wildlife Diseases receive samples from the responsible organization i.e. DDC, DLD, or DNP, reports will be delivered to DLD, DNP, and DDC as soon as obtained laboratory results (P414b01 and P414b02).
P414b02_ sharing laboratory reports from university to DDC
Questions Responses Document Required
P.4.1.4.c. Are these reports
shared on a regular basis, or
only when zoonoses are
discovered or suspected?
- Reports are shared on regular basis through the website of DDC and DLD and when potential zoonotic/ zoonoses are discovered. Summary report of disease situation will be shared weekly through focal point among sectors weekly. If there are any potential zoonotic/ zoonotic events, preliminary outbreak investigation reports will be shared as soon as possible.
- As for wildlife specialist, reports from wildlife diseases including zoonoses such as leptospirosis are regularly shared through website and newsletter (http://www.vs.mahidol.ac.th/th/index.php/mozwe-weekly-report and P414c03). Moreover, when MoZWE receive samples from the responsible organization i.e. DDC, DLD, or DNP, reports will be delivered to DLD, DNP, and DDC as soon as obtained laboratory results (P414c01 and P414c02)
P414c01_ sharing laboratory reports from university to DLD
P414c02_ sharing laboratory reports from university to DDC
P414b03_tri monthly newsletter for laboratory report from university of wildlife specialist
Weekly Epidemiology Surveillance Report: WESR: Outbreak verification summary (http://www.wesr.moph.go.th/wesr/index.php?page=searchhttp://www.wesr.moph.go.th/wesr/index.php?page=search)
Online reporting system for rabies (http://www.thairabies.net/trn/Default_Main.aspx)
• Online reporting system for
poultry disease
(http://164.115.129.63/dcont
Questions Responses Document Required
rol/site/?)
• Online reporting system for
other diseases
(http://esmartsur.net/)
Online reporting system for public health surveillance “R 506”(http://www.boe.moph.go.th/boedb/surdata/index.php)
P.4.1.5. Describe reports
produced from animal
surveillance systems for
zoonotic disease
- When Department of Livestock Development receives disease information from laboratories, he will further transfer the information to responsible stakeholders including Ministry of Public Health. The data will be summarized from time to time and also send to responsible organizations.
- The reports are summarized national and international animal disease situation. Stakeholders can access the report online and email will be notified to focal point of each organization.
P41501_Coordination
mechanism between Ministry
of Public Health and Ministry
Of Agriculture and
cooperatives
Report of zoonoses and non-
zoonoses from DLD Daily
(http://esmartsur.net/Report
_Daily.aspx) and weekly
(http://dcontrol.dld.go.th/dc
ontrol/index.php/reportweek
ly)
P.4.1.5.a. What ministries
receive reports produced by the
- Stakeholders can access the report online and email will be notified to focal point of Ministry of Public Health and other organizations.
Questions Responses Document Required
animal surveillance systems on
zoonotic diseases?
P.4.1.5.b. How is animal
surveillance systems linked to
surveillance systems used for
human pathogens?
- Animal disease information is linked to Ministry of
Public Health as described above.
- Situation of animal diseases are analysed and
shared with Ministry of Public Health from time to
time
- There are the Committee to respond zoonoses and
emerging diseases in provincial level and
information will be shared in timely manner.
- Annually meeting among policy make of Ministry of
agriculture and cooperatives, Ministry of Public
Health, Ministry of Natural Resource and
Environment and Zoological Park Organization of
Thailand
- However, the challenge is there is no direct link of
between database systems of public health side and
animal health side for zoonotic disease.
• Online reporting system for
rabies
(http://www.thairabies.net/tr
n/Default_Main.aspx)
• Online reporting system for
poultry disease
(http://164.115.129.63/dcont
rol/site/?)
• Online reporting system for
other diseases
(http://esmartsur.net/)
Online reporting system for public health surveillance “R 506”(http://www.boe.moph.go.th/boedb/surdata/index.php)
Online event-based surveillance system “Outbreak Verification
Questions Responses Document Required
Program” (http://www.boeeoc.moph.go.th/eventbase/user/login/).
P.4.1.5.c. Is there a mechanism
or mechanisms for establishing
interagency response teams in
the event of a suspected
zoonotic outbreak?
- Yes. Through the joint investigation team, which called Surveillance Rapid and Response Team (SRRT) at the sub-district level whenever there is any outbreaks with zoonotic potential, District Livestock Office or Livestock volunteer in the village will inform Sub-district Health Promoting Hospital/ Hospitals in the area or/ and coordinate with the District Public Health Office.
- Furthermore, there is Provincial Communicable Disease Committee meeting led by Provincial Governor. This committee which includes representatives from Provincial Public Health Office and Provincial Livestock Office is set up according to Communicable Diseases Act B.E. 2558. A template of Provincial Communicable Disease Committee is as follow http://www.ddc.moph.go.th/file/law/007.1.pdf and document P415c02. Other provincial committee can be seen in document P415c03 and P415c04.
P415c01_SRRT guideline
P415c02_Order of Provincial
Communicable Disease
Committee
P415c03_Order of One
Health Provincial Committee
in Chiangmai Province
P415c04_Order of Provincial
Committee on rabies in
eastern regional provinces
P.4.1.5.d. Is there a process for
sharing surveillance reports
between public health and
animal health laboratories?
- The surveillance report was made between DLD and Departments under Ministry of Public Health. Animal laboratories are under DLD. Thus, no direct sharing of surveillance report between animal and animal health laboratories.
Questions Responses Document Required
P.4.1.5.e. How do these systems
pick up emerging diseases
versus endemic diseases?
- Sample from suspect animal diseases will be further
submitted for laboratory confirmation. Laboratories
(8 laboratories nationwide) and network laboratory
(university) have their capability to test major
emerging zoonoses such as new straint of AI, MERS,
Ebola virus.
- For major emerging zoonoses, there are active
surveillance system to confirm free (or existence) of
emerging disease such as new straint of AI in birds,
MERS in camel and Nipah Encephalitis in pig
population.
- DDC has co-project with Neuroscience Center for
Research and Development & WHO-CC for Research
and Training on Viral Zoonoses, King Chulalongkorn
Memorial Hospital and AFRIMS to identify the viral
pathogens associated with unspecified encephalitis
during 2014-2016 due to an increasing in number of
unspecified encephalitis cases and also in ILI cases
with the collaboration with National Influenza
Center and NIH.
P415e01_Identification of viral pathogens causing unspecified encephalitis, hand foot mouth diseases and ILI during 2014-2016
P.4.2 Animal Health and Veterinarian Workforce OIE Country PVS report
Questions Responses Document Required
OIE Country PVS Gap Analysis Report
P.4.2.1. Describe public health training offered to animal health veterinary staff within the country.
Field Epidemiology Training Program for
Veterinarian (FETPV) is offered to in-service animal
health/ veterinary staffs of DDC/ DNP/ ZPO,
academic staffs or anyone in animal health field
who are interested (http://www.fao.org/3/a-
i6184e/i6184e04.pdf).
For pre-service staffs, veterinary public health
course is provided for undergraduate students
(Doctor of Veterinary Medicine: DVM) and graduate
student (MSc and MVPH) in university i.e. Faculty of
Veterinary Science. Veterinary Public Health/
zoonoses are included in the curriculum of DVM in
all 9 accredited universities by Thai Veterinary
Council.
Chiangmai University
(http://www.vet.cmu.ac.th/VET_lang=en/file/Acade
mic/Revised2009/Curriculum_Structure.pdf)
Kasetsart University
(http://vph.vet.ku.ac.th/vphvetku/images/educatio
n/coursesyllabus59/Syllabus-VPH41159.pdf,
http://vph.vet.ku.ac.th/vphvetku/)
Mahidol University
P42101_details of Field Epidemiology Training Program for Veterinarian (FETPV)
Questions Responses Document Required
(http://www.vs.mahidol.ac.th/en/index.php?option
=com_content&view=article&id=3&Itemid=4)
Chulalongkorn University
(http://www.vet.chula.ac.th/dept/vph/curliculum.p
hp )
Khonkaen University
(http://vet.kku.ac.th/publich/index.htm )
Prince of Songkla University
(http://iw.vet.psu.ac.th/ge/Docs/002-
curriculum/curriculumvet6y.pdf )
Mahanakorn University of Technology
(http://www.vet.mut.ac.th/main/course/bdcourse/
dvmC2558.pdf )
Mahasarakam University
(http://www.vet.msu.ac.th/eng/index.php/course/)
Rajamangala University of Technology Srivijaya
There are several universities that provide Master
degree (Master of Science: MSc. and Master of
Veterinary Public Health: MVPH) and Doctoral
degree (PhD). List of universities are as follows;
Chiangmai University
(http://vphcap.vet.cmu.ac.th/information.php,
Questions Responses Document Required
http://www.vet.cmu.ac.th/VET_lang=en/file/Acade
mic/Revised2009/Curriculum_Structure.pdf)
Kasetsart University
(http://vph.vet.ku.ac.th/vphvetku/images/educatio
n/coursesyllabus59/Syllabus-VPH41159.pdf,
http://vph.vet.ku.ac.th/vphvetku/)
Mahidol University
(http://www.grad.mahidol.ac.th/en/prospective-
students/view.php?id=6703M01G)
Chulalongkorn University
(http://www.vet.chula.ac.th/dept/vph/curliculum.p
hp)
Khonkaen University
(http://vet.kku.ac.th/vetkkued/course2.php )
P.4.2.1.a. Describe what training in controlling zoonotic disease in animal populations is offered to public health staff within the country.
- There are several curriculums on the controlling of
zoonoses offered to public health staffs for example
FETP (invited speakers are from DLD, universities or
FAO )
(http://www.interfetpthailand.net/course_index.ph
p?1c092a1b53a7a471fe7c04735dad699b=training_f
or_md)
- There is a short course training such as introductory
course to Field Epidemiology and basic
Epidemiology for Surveillance and Rapid Response
• P421a01_SRRT guideline
P421a02_SRRT guideline and standard procedures
P421a03_Course syllabus for Public Health students
Questions Responses Document Required
Team (SRRT) course for public health staffs
(document P421a01 and P421a02)
Zoonoses course for undergraduate and graduate students in universities i.e. Faculty of Public Health/ Faculty of Tropical Medicine etc. An example of Course syllabus for Public Health students is attached (P421a03)
P.4.2.2. Are animal health experts and veterinarians included in country FETP or other equivalent training program?
- Yes. Field Epidemiology Training Program for Veterinarians (FETPV) was established under cooperation between MoPH and DLD. There are 5-6 Thai veterinarians are trained in this program every year.
Field Epidemiology Training Program for Veterinarians (FETPV) http://164.115.23.67/vetepidem/media/curriculum/89.pdf
P.4.2.3. What is the current animal population for the country, including farm and agricultural animals?
Overall livestock owners in 2015 were 3,100,000 owners.
Top three animal owners were
- Chicken owners which is accounted of 2,402,864
owners. Own 418,330,613 heads.
- Beef cattle owners which is accounted of 764,668
owners. Own 4,407,108 heads.
- Duck owners which is accounted of 422,366 owners.
Own 28,762,249 heads.
Information of livestock population (http://ict.dld.go.th/th2/index.php/th/report/447-report-thailand-livestock/reportservey2558-1)
P.4.3 Mechanisms for responding to infectious zoonoses are established and functional
P.4.3.1. Describe the policy, strategy or plan for the response to zoonotic events in the
Questions Responses Document Required
country.
P.4.3.1.a. Is there a joint planning or strategy which exists between animal health, human health and wildlife sectors?
- Yes. - “One Health” concept is incorporated into the four-
year national strategic plan for emerging infectious diseases Preparedness, Prevention and Response during 2013-2016 (B.E. 2556-2559) (attached document P431a01 and P431a02) and also the latest national strategic plan during 2017-2021 (B.E. 2560-2564) (attached document P431a03.1 and P431a03.2) under the strategy 2: Developing the surveillance system, prevention and treatment as well as controlling the emerging infectious disease under One Health concept.
- Furthermore, there is an operation plan according the Communicable Disease Act B.E. 2558 (2015) which is about zoonose and rabies. The details are available at http://thaigcd.ddc.moph.go.th/2016/pages/view/105 and
- The plan according to the project led by HRH Princess Chulabhorn, “Disease-free Animals, Safe Humans from Rabies” campaign which is available at https://drive.google.com/file/d/0B7E7iFEFocNjWmdwNk54Skx4WWc/view.
• P431a01_NSP for EIDs
Preparedness, Prevention and
Response during 2013-2016
(B.E. 2556-2559)
(http://beid.ddc.moph.go.th/b
eid_2014/sites/default/files/fil
es/other/eidnationplan56_59.
pdf)
• P431a02_NSP for EIDs
Preparedness, Prevention and
Response during 2013-2016
(B.E. 2556-2559) English
version
(http://beid.ddc.moph.go.th/b
eid_2014/en/content/thailand
-national-strategic-plan-
emerging-infectious-disease-
preparedness-prevention-and)
• P431a03.1_NSP for EIDs
Preparedness, Prevention and
Response during 2017-2021
Questions Responses Document Required
(B.E. 2560-2564)
(http://beid.ddc.moph.go.th/
media/document_detail.php?i
d=161)
• P431a03.2_translate_NSP-EID
2017-2021
P431a04.1_DDC-DLD co-project on rabies 2016
P431a04.2_manual for rabies free zone
P.4.3.1.b. Is there any memorandum of understanding between sectors for the management of zoonotic events?
- There are several memorandum of understanding
among sectors including MOU among Department
of Livestock Development, Department of Disease
Control, Department of National Parks, Wildlife and
Plant Conservation, Zoological Park Organization
under The Royal Patronage of H.M. The King and
Thailand One Health University Network for
strengthening systems for surveillance,
investigation, prevention and control of emerging
diseases and occupational diseases (document
P431b01 and P431b01.2) and One Health MOU
among 8 ministries (i.e. Ministry of Public Health,
Ministry of Agriculture and Cooperatives, Ministry
P431b01.1_original MOU 5 Departments to strengthen surveillance and investigation system of EIDs and occupational diseases
• P431b01.2_translate_MOU 5
Departments
• P431b02.1_original_MOU 8
organizations on the
Implementation of One Health
Initiative for National Health
Security
(http://thaionehealth.org/?p=
Questions Responses Document Required
of Natural Resources and Environment, Ministry of
Education, Ministry of Interior, Ministry of Labour
and Ministry of Social Development and Human
Security) for sharing information on EIDs, zoonotic
diseases and public health threats (document
P431b02).
1381)
• P431b02.2_translate_MOU 8
organizations on the
Implementation of One Health
Initiative for National Health
Security
P.4.3.2. Describe how the latest zoonotic events were managed, for example:
- Whenever there is any outbreaks in animal with zoonotic potential, District Livestock Office or Livestock volunteer in the village will inform Sub-district Health Promoting Hospital/ Hospitals in the area or/ and coordinate with the District Public Health Office. They set up the joint investigation team, which called Surveillance Rapid and Response Team (SRRT). Later, information including the the report from outbreak investigation will be shared to Provincial Public Health Office and Office of Disease Prevention and Control in the regions and subsequently to the headquarter, which is BOE of DDC. Reports will be collected in Outbreak Verification Program (http://www.boeeoc.moph.go.th/eventbase_prov/). Additionally, the Provincial Livestock Office and Provincial Public Health Office are often communicate with each other and if the outbreak could not be contained, the issues can be brought
P43201_SRRT guideline
P43202_SRRT guideline and standard procedures
Questions Responses Document Required
to Provincial Communicable Disease Committee meeting led by Provincial Governor. This committee is set up according to Communicable Diseases Control Act B.E. 2558 or other provincial committee associated with zoonoses or EIDs.
P.4.3.2.a. How the information is shared between sectors?
- There are electronic systems for prioritized diseases
in both human and animal such as Avian Influenza
Database (http://164.115.129.63/dcontrol/
wsvlogin.php) and rabies (http://www.thairabies
.net/trn/Default_Main.aspx). Department of
Disease Control notifies that a zoonosis surveillance
have to report via R506 and event-based
surveillance. Investigation report, meeting and
other relevant information for zoonotic disease
control and prevention are shared with multi-
sectoral stakeholders including DLD and DNP
regularly. For example DNP shared the information
on the location where specimens from bats were
found positive for Nipah to DLD to identify the area
for managing the buffer zone for pig farm.
- There is also the reporting system for event-based
surveillance which is called “Outbreak Verification”.
BOE can provide the username and password for
other organization focal points to access this
• Online reporting system for
rabies
(http://www.thairabies.net/tr
n/Default_Main.aspx)
• Online reporting system for
poultry disease
(http://164.115.129.63/dcont
rol/site/?)
• Online reporting system for
other diseases
(http://esmartsur.net/)
Online reporting system for public health surveillance “R 506”(http://www.boe.moph.go.th/boedb/surdata/index.php)
Online event-based surveillance system “Outbreak Verification
Questions Responses Document Required
database. Additionally, information sharing
between sectors such as BOE and DLD is through
electronic mail regularly.
- Furthermore, there is the 4 department meeting
among the DG of DLD, DDC, DNP and Department of
Local Administration held almost every year to
share the zoonotic disease situation and find out
the solution to the issues. There will be 4 DG
meeting in 2017.
Program” (http://www.boeeoc.moph.go.th/eventbase/user/login/)
Report of zoonoses and non-zoonoses from DLD Daily (http://esmartsur.net/Report_Daily.aspx) and weekly (http://dcontrol.dld.go.th/dcontrol/index.php/reportweekly)
P.4.3.2.b. How often do the sectors meet at the technical level?
- Depend on the disease: - Leptospirosis: annual leptospirosis conference and
the meeting of committee for Thai Leptospirosis
Society regularly held 1-3 times/ year
- Avian influenza: the simulation exercise for AI
usually held once/ year. However, the One Health
Coordinating Unit Working Group which is under
the National sub-committee for EID prevention
and control and Working Group on IHR: zoonoses
usually held 3-4 times/ year
(http://thaionehealth.org/events/%E0%B8%81%E
0%B8%B2%E0%B8%A3%E0%B8%9B%E0%B8%A3%
E0%B8%B0%E0%B8%8A%E0%B8%B8%E0%B8%A1
%E0%B8%84%E0%B8%93%E0%B8%B0%E0%B8%9
• P432b01.1 and P432b01.2
_Meeting minutes of Thai
Leptospirosis Society
committee meeting 1/2017
Agenda and meeting minutes of National Sub-Committee on the Development of Systems for Disease Surveillance, Prevention, Treatment and Control under One Health Concept (http://thaionehealth.org/th/agenda-and-minute-from-the-national-sub-committee-on-the-development-of-systems-for-disease-surveillance-
Questions Responses Document Required
7%E0%B8%B3%E0%B8%87%E0%B8%B2%E0%B8%
99%E0%B8%A8%E0%B8%B9%E0%B8%99%E0%B8
%A2%E0%B9%8C-2/ and
http://thaionehealth.org/th/%E0%B8%81%E0%B8
%B2%E0%B8%A3%E0%B8%9B%E0%B8%A3%E0%B
8%B0%E0%B8%8A%E0%B8%B8%E0%B8%A1%E0%
B8%84%E0%B8%93%E0%B8%B0%E0%B8%97%E0
%B8%B3%E0%B8%87%E0%B8%B2%E0%B8%99%E
0%B8%9B%E0%B8%A3%E0%B8%B0%E0%B8%AA
%E0%B8%B2/) for other EIDs such as MERS and
Nipah. In addtion, there is the scientific
conference on Price Mahidol Awards and Global
One Health Day
(http://thaionehealth.org/th/%E0%B8%81%E0%B
8%B2%E0%B8%A3%E0%B8%9B%E0%B8%A3%E0%
B8%B0%E0%B8%8A%E0%B8%B8%E0%B8%A1%E0
%B8%A7%E0%B8%B4%E0%B8%8A%E0%B8%B2%E
0%B8%81%E0%B8%B2%E0%B8%A3%E0%B9%80%
E0%B8%8A%E0%B8%B4%E0%B8%87%E0%B8%9B
%E0%B8%8F/). Examples of meeting minutes from
these Working Group are attached (document
P432b02, P432b03 and P432b04)
- Rabies: Scientific symposium for rabies led by
prevention-treatment-and-control-under-one-health-concept/)
P432b02_Meeting minutes of Working Group on IHR: zoonoses
P432b03_Meeting minutes of One Health Coordinating Unit
P432b04_Meeting minutes of One Health Coordinating Unit
Questions Responses Document Required
the Thai Red Cross Society
P.4.3.2.c. Do you have outbreak investigation and response report on the latest zoonotic events?
- Yes. Whenever there is the outbreak occurs there will be the outbreak investigation according to BOE’s criteria for disease responding and investigation. The criteria for disease investigation is different depending on zoonotic diseases. For example, when there is rabies case or suspecting rabies which the information can be from several sources i.e. networks within or outside MOPH or general public. Situation Awareness Team (SAT) is responsible for event verification. Later, the responding unit (SRRT) will have to respond to that event according to guideline. SRRT at sub-district will have to conduct outbreak investigation within 24 hours after have been notified for in every cases. The guideline for outbreak responding is attached. According to the criteria, the outbreak investigation rabies, leptospirosis, anthrax, brucellosis and avian influenza, should be conducted within 24 hours. The criteria for outbreak investigation for each responding unit at each level is different. An example of outbreak investigation report is as follows http://164.115.23.67/vetepidem/?ipage=kno_detail2&id=103 and http://164.115.23.67/vetepidem/?ipage=kno_detail2&id=104 and as attached
P43201_SRRT guideline
P43202_SRRT guideline and standard procedures
Weekly Epidemiology Surveillance Report: WESR: Outbreak verification summary (http://www.wesr.moph.go.th/wesr/index.php?page=searchhttp://www.wesr.moph.go.th/wesr/index.php?page=search)
Folder P432c_Examples of outbreak investigation reports of zoonoses (brucellosis, rabies, etc.)
Questions Responses Document Required
P.4.3.3. Describe the roles and responsibilities of animal health, human health and wildlife sectors on these recent zoonotic events.
Provincial level - Provincial Health Office (Disease Control or
Epidemiology section) is responsible for surveillance of the unusual events and investigation zoonotic diseases in patients which received report from the District Health Office and the hospital and conduct outbreak investigation in human cases.
- Provincial Livestock Office (Animal Health unit) is responsible for monitoring the disease situation, conduct outbreak investigation in animals and resolving issues related to animal health. They are responsible for reporting outbreak and early warning to public health officials and control the disease and summarize the the zoonotic disease situation in province.
- International Communicable Disease Control Port is responsible for disease screening travelers and animals at arrival and departure points coordinate with local medical and veterinary services for support, isolation and treatment.
- The animal quarantine station is responsible for preventing the spread of domestic epidemics caused by the movement of animals - animal carcasses, the spreading of the diseases through livestock import and export. The animal quarantine station prevent the smuggling of animals or animal carcasses before passing the clinical or serological
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quarantine period.
central level - The IHR National Focal Point is responsible for
communicating with WHO focal point for IHR in Thailand, inform the important note associated with the regulation of IHR to agencies in country which are relevant to disease surveillance and reporting of the disease, and distribute the verified information to agencies.
- Bureau of Disease Control and Veterinary Services (BDCVS), Department of Livestock Development (DLD) is responsible for the implementation of Animal Epidemics Act, Rabies Act, and other relevant laws, conduct research studies, provide counseling and technology development on zoonotic diseases, the control, prevention and treatment of animal diseases. BDCVS is also the focal point for the coordination with OIE for veterinary epidemiology and information technology and coordinate with Member States of OIE. BDCVS also responsible for outbreak investigation in the area.
- Wildlife Conservation Office, Department of National Parks, Wildlife and Plant Conservation (DNP) is responsible for the study and research on conservation and restoration of natural resources and support the surveillance and monitoring,
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prevent and control zoonotic in wildlife. - Bureau of Epidemiology, Department of Disease
Control is responsible for coordinating with local and national agencies to monitor disease outbreaks, both inside and outside the country, share information and warnings, and conduct outbreak investigation in severe or critical cases.
- Bureau of General Communicable Diseases (BGCD), Department of Disease Control is responsible for monitoring, following-up assessing the risk and evaluating the prevention and control zoonotic diseases and international communicable diseases.
- Bureau of Emerging Infectious Diseases (BEID), Department of Disease Control is responsible for knowledge management, developing guidelines and mechanism for coordination and networking in order to have efficient prevention and control of emerging infectious diseases, monitoring and analysis disease situation, including collation of intelligence information of emerging infectious diseases and set up an early warning system. BEID also coordinate with international organizations and other countries.
- There is also collaboration with universities i.e. Faculty of Public health, Faculty of Medicine and Faculty of Veterinary Science. For example, for coordinate response when there are rabie
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suspected cases. Specimen from suspected cases will be sent to Chulalongkorn Hospital. Another example is when there is special cases that requires special techniques or higher technology for detection. Representatives from the universities also take part in the working group or committee. Professors from universities are invited to ad hoc meeting to give advice on special case or in the projects.
P.4.3.4. Do you consider that country has capacity to response to more than 80% of zoonotic events on time? What is the timeliness at present?
- According to a criteria for outbreak response of BOE, lists of zoonoses in which outbreak investigation have to be conducted within 24 hours including rabies, leptospirosis, Anthrax, avian influenza and brucellosis (P43401). While the diseases that need to be investigated within 12 hours according to Communicable Disease Act B.E. 2558 (http://www.ddc.moph.go.th/file/law/003.1.pdf) are Nipah virus disease, MERS, SARS, Ebola virus disease and Hendra virus disease. We analyzed the zoonotic events that were reported in the Outbreak Verification Program (http://www.boeeoc.moph.go.th/eventbase/) during the past few years. The responding time was calculated from the date of disease was notified to the date of investigation. Results shows that approximately 67% of events associated with avian
Online event-based surveillance system “Outbreak Verification Program” (http://www.boeeoc.moph.go.th/eventbase/user/login/)
P43202_SRRT guideline and standard procedures
• P43401_SRRT guideline and standard procedures
Questions Responses Document Required
influenza suspected cases was responded in time. While events associated with rabies and leptospirosis that responded in time was 52% and 35%, respectively. However, we notify that not every zoonotic/ suspected event was reported in this program and in some events there are no responding date reported to the website. Therefore, we aim to improve the mechanism for reporting these zoonotic events and improve the program to be able to calculate and compare the timeliness of each event automatically.