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1 FAO Regional Program Progress Cambodia, China, LaoPDR,, Myanmar, Vietnam Emergency Centre for Transboundary Animal Disease FAO Regional Office for Asia and the Pacific On behalf of FAO-RAP ECTAD Dr Lotfi Allal Chief Technical Adviser HPAI Programme, FAO-UN Cambodia Research for Evaluation of AI Surveillance in S.E. Asia (REVASIA) IPC Phnom Penh, 17 June

FAO-RAP ECTAD Dr Lotfi Allal Chief Technical Adviser HPAI Programme, FAO-UN Cambodia

2 Surveillance Existing capabilities Fare Cambodia clic per Village modificare Animal Health gli Workers stili del testo Grass-root level (Community Animal Health Workers CAHW ): dello Lao PDR schema - Village Veterinary Workers Myanmar Bluecross Extension Worker Secondo Viet Nam livello Community Animal Health Worker Selected Terzo and livello trained to conduct passive and active clinical surveillance (mainly to recognize and report on the suspect cases) Quarto livello Central level: Epidemiology units/section exists in all countries to be responsible for surveillance (with various level of capabilities, still need assistance in designing epidemiology activities) Personnel mostly trained under various short-courses provided by various donors 2

active clinical surveillance (mainly to recognize and report on the suspect cases) Quarto livello Central level: Epidemiology units/section exists in all countries to be responsible for

3 Transparency and openness is seen in all countries!!! Passive Surveillance dello farmers schema Secondo reported to authorities livello Rely on awareness of Community Animal Health Worker (CAHW) and Lao PDR and Myanmar CAHW and farmers detected the disease and Hotlines reporting exists in Cambodia and Laos Active surveillance Surveillance Existing Capacity Program exists in all countries: Mass surveillance in project provinces rather than risk-based Myanmar Risk-based program focused in ducks China, Viet Nam Surveillance and monitoring for vaccination National Animal Health Information System: TADinfo has been installed in Cambodia, Laos, Myanmar and Viet Nam Developed at different levels Viet Nam is quite advanced Data analysis mainly thru research project 3

detected the disease and Hotlines reporting exists in Cambodia and Laos Active surveillance Surveillance Existing Capacity Program exists in all countries: Mass surveillance in project

4 Surveillance networks Existing Capacity National Fare networks clic per exist modificare for CAHW gli in all stili countries del testo Regional dello network schema initiative exists and active to some level ASEAN Regional Animal Health Information System Software available at regional level Initiative of ECTAD Asia: Disease tracking system Database & georeference Informal Communication forum Capacity building through Field Epidemiology Training Program for Veterinarian at the regional level 4

System Software available at regional level Initiative of ECTAD Asia: Disease tracking system Database & georeference

5 Risk management at cross-border level Existing Capacity Quarantine and inspection at border points exists in some place with various capacities Initiative to study HPAI risks in context of poultry sectors and value chain Secondo livello Integration of USAID Country and Regional Projects 10 corridors linking among China, Cambodia, Lao PDR, Myanmar, Thailand and Viet Nam Collaboration at bilateral and multilateral levels exists 5

value chain Secondo livello Integration of USAID Country and Regional Projects 10 corridors linking among

6 Secondo Minimal biosafety livello Laboratory Diagnosis Existing capabilities National Fare Laboratories clic per modificare for HPAI exist in gli all countries stili del testo Regional laboratories for HPAI exist in most of the countries with various dello levels schema of capacities Laboratory facilities: Biosafety - National laboratory facilities: Cambodia BSL2 + Moved to new facilities on February/March 2009, under setting up process (specially electricity) China BSL3 and BSL2 + Lao PDR minimal biosafety (construction of the new lab is being supported by World Bank) Myanmar BSL2 + Viet Nam BSL3 and BSL2 + 6

facilities: Biosafety - National laboratory facilities: Cambodia BSL2 + Moved to new facilities on February/March 2009, under setting up process

7 Laboratory Diagnosis Existing capabilities Laboratory equipment and supplies have been provided by various donors Fare clic per modificare gli stili del testo Equipment to conduct virology, serology and molecular dello available schema at National labs of all countries and certain regional labs in China, Myanmar and VN Laboratory Secondo Personnel livello from all countries have been trained on HPAI diagnosis at various levels by various donors Terzo Use of rapid livello test, virology, serology and molecular including PCR and sequencer Quarto Continuing livello on-the job training in VN by an FAO lab expert Actual practices at National Laboratories: Quinto All are capable livello to conduct virus isolation & serology Cambodia, Lao PDR, Myanmar PCR tests based on available ready made reagents China and Viet Nam Capable to conduct all levels of tests including virus characterisation 7

HPAI diagnosis at various levels by various donors Terzo Use of rapid livello test, virology, serology and molecular including PCR and sequencer Quarto Continuing livello on-the job training in VN by

8 Regional laboratory network initiative exists: Fare FAO Guiding clic principle per modificare for HPAI surveillance gli and stili laboratory del diagnosis testo Jointly support by a Japanese funded project Involvement of other international organizations: OIE, AAHL Leading laboratories in the region: Laboratory networks Existing capabilities Veterinary Research Institute (VRI), Ipoh, Malaysia ASEAN Reference Laboratory National Institute of Animal Health, Department of Livestock Development, Thailand Provide assistance to countries upon request: confirmation, sequencing, training, reagents Sample submission to: OFFLU labs taken place under facilitation of FAO sample sharing Other international Laboratories for research purposes 8

Institute (VRI), Ipoh, Malaysia ASEAN Reference Laboratory National Institute of Animal Health, Department of Livestock Development, Thailand Provide assistance to countries upon

9 Sustainability for CAHW system lack of incentive Lack of personnel Number Background and training Cannot apply to new situation Short-term training offered by various donors mainly in-class lecture, not applicable Human sentinel Poor outbreak investigation Surveillance Gaps Active surveillance plan need to be more targeted and attached with response plan Laboratory support/capacity to surveillance program may not be in time Need further analysis human resource not permit Communication system rural area Despite the ARAHIS, not yet linked to National system 9

Active surveillance plan need to be more targeted and attached with response plan Laboratory support/capacity to surveillance program may

10 No formal strategy for HPAI laboratory no direction for development/improvement Lack of personnel Number Minimal for Cambodia and Lao PDR Qualification: Laboratory Diagnosis Gaps Limited laboratory background of personnel - not allow for application Mostly rely on ready made reagents and test kits Various trainings by different donors: Different protocols & reagents Good Laboratory Practices not taken place Ability to maintain sophisticated facilities and equipment 10

for application Mostly rely on ready made reagents and test kits Various trainings by different donors: Different

11 Laboratory networks Gaps Not well coordinated actions among international partners on regional laboratory network Approach by Research Institutes can be incentive to individual but Secondo discentive to livello animal health authorities impact on sample and information sharing 11

Research Institutes can be incentive to individual but Secondo

12 Risk management at cross-border level GAPs Little is known on information about trade at cross-border level and limited source of information Unknown risks No good strategy for intervention 12

13 Sustainability Key Concerns Ability to maintain activities Human resources for all activities Epidemiology & laboratory Maintenance of facilities and equipment 13

14 Capacity building human resource Long-term through post-graduate training But not allowed under USAID scheme except FETPV Regional collaboration What can we do? Regional human resource share expertise lab and epi Regional emergency response team Using concept of Crisis Management Team Establish through Regional collaboration and public-private partnership Joint planning for risk intervention across border Introduce system approach among countries to conduct continuing disease and risk monitoring building experience from one time study Commitment through ASEAN collaboration 14

Regional human resource share expertise lab and epi Regional emergency response team Using concept of Crisis Management Team Establish through

15 Fare clic per modificare lo stile Thank you 15

THE GLOBAL STRATEGY FOR PREVENTION AND CONTROL OF H5N1 HIGHLY PATHOGENIC AVIAN INFLUENZA. Revised March 2007

THE GLOBAL STRATEGY FOR PREVENTION AND CONTROL OF H5N1 HIGHLY PATHOGENIC AVIAN INFLUENZA Revised March 2007 FOOD AND AGRICULTURE ORGANIZATION OF THE UNITED NATIONS Rome, 2007 Acknowledgements The Food