SAIDR Project Activities Quarter 1 Year Two

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SAIDR Project ActivitiesQuarter 1 Year Two

• Quarter Review Meeting, USAID
• February 10, 2009 Cairo

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Main Goal of SAIDR project Prevent H5N1
infections in humans
Sub-Goal 1 Prevent H5N1 infections in birds
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MALR-ECTAD/FAO
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Activities Quarter 1 (Oct-Dec 2008)
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IR 1.1 Improve preparedness and planning to
contain bird-to-bird and bird-to-human
transmission of H5N1

• FAO has developed Monthly ECTAD News Review.
  Future issues will be expanded to Transboundary
  Animal Disease news review in collaboration with
  GOVS, AHRI.
• GOVS has finalized draft of the veterinarian HPAI
  Field manual (SOPs). Arabic translation Received
  from CHL and passed for review to GOVS
  authorities.

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IR1.2 Prevent future outbreaks in poultry

• The project has developed a proposal for KAP
  (Knowledge, Attitude and Practice) survey, focus
  will be on bird to bird transmission.
• Pilot outreach program using the administration
  staff for veterinary clinics as rural leaders
• Start with selection of involved staff in
  Dakahlia
• Pilot outreach program using the Agriculture
  Extension Workers for house to house
  communication
• Identify the pilot governorates with CHL (Menofia
  and Sharkia).
• Develop the detailed implementation actions for
  the activity.

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 IR1.3 Improve detection of H5N1 in poultry
and wild birds

• Hotline Center
• Preparation of the Proposal for hotline center
  and pass it for authorities in GOVS to be
  reviewed
• Telephone Line and site should be provided by
  GOVS and project is responsible for equipments,
  database and training of operators

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 IR1.3 Improve detection of H5N1 in poultry
and wild birds

• Implementation of Surveillance Plan
• Start up the working group for surveillance.
• Training of veterinarians from veterinary clinics
  174 vets. to participate in active surveillance
  of Live Bird Markets (LBM) (funded from year 1
  budget (10 courses))
• Start with the trial period for LBM surveillance
  in 8 governorates for testing the questionnaire
  and quality of data (Oct, Nov, Dec).
• All diagnostic kits and disposables required for
  surveillance purchased and delivered to NLQP.
  This procurement was planned in YEAR ONE

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 IR1.3 Improve detection of H5N1 in poultry
and wild birds

• Epidemiology - information surveillance system,
  TADinfo (epidemiological database)
• TADinfo customization finalized.
• Selection of trainees for expanding the
  establishment of the epidemiology network up to
  the district level in Behera and Sharkia
  governorates.
• Upgrade capacity of central epidemiology unit
• A training on Basic Epidemiology for 8 central
  GOVS staff and 4 from Gharbia and Sharkia
  Governorates. The training was provided by two
  FAO consultants.
• Geographic Information Systems (GIS) training
  course for eight veterinarians from EPI-Unit in
  GOVS.

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IR1.3 Improve detection of H5N1 in poultry and
wild birds

• Participatory Disease Surveillance (PDS)
• An initial introductory PDS course was held
  involving a total of 13 persons from Sharkia,
  Behera and Gharbia Governorates. In addition to 5
  vets from GOVS.
• First phase PDS field mission was implemented by
  the trained teams in 3 governorates, they covered
  24 villages.

MALR-ECTAD/FAO
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IR1.3 Improve detection of H5N1 in poultry and
wild birds

• Participatory Epidemiology (PE)
• Refresh training course on Participatory
  Epidemiology was conducted for 12 persons from
  Dakahlia Governorate.
• Completing PE activities for assessment of the
  national vaccination strategy against HPAI in
  backyard poultry and identifying the factors
  influencing the flock immunity.

MALR-ECTAD/FAO
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IR1.4 Improve containment measures in poultry
populations

• Preparation for AI days in schools, selection of
  target schools.
• Identifying communication focal point in each
  local governorate Vet. Services.

MALR-ECTAD/FAO
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Activity Done in January 2009

• Three successive coordination meeting conducted
  by GOVS and FAO
• Stakeholder meeting, involving GOVS, NLQP,
  international and UN organizations, USDA/APHIS,
  USAID to discuss existing gaps in preparedness
  and response capacities to the new waves of HPAI
  outbreaks.
• Back-to-back meetings to improve coordination on
  HPAI response in Egypt between General
  Organization for Veterinary Services and
  veterinary services in 15 governorates.
• Meeting in Alexandria Governorate for all HPAI
  relevant actors (MOH, MALR, Local Veterinary
  services, Lab, Police, etc..) for harmonizing the
  response activities.

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Activity Done in January 2009

• Start with implementation of active surveillance
  in live bird markets in Egypt
• Finalize Procurement specifications
• Finalize TOR of the project consultants
• Refresh training course for the Participatory
  Disease Surveillance teams to evaluate the first
  phase of the PDS activities and improving the PDS
  methodology based on the field challenges.

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Successes

• Improve coordination between project and NLQP in
  all aspects related to surveillance of HPAI.
• Better coordination of action between GOVS and
  project in implementation of activities.
• Continuous close collaboration and cooperation
  with ECTAD/ FAO Egypt in activity
  implementation.

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Plan Quarter Two Jan-Mar 09
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Improve preparedness, coordination and cooperation

• Start with process of update of HPAI National
  Control Plan.
• Organize two working group meetings to discuss
  appropriate compensation policies and strategies
  for HPAI control and prevention
• Hold seminar involving key decision makers
  (poultry disease, epidemiology, laboratory and
  animal production) and report on previously
  undertaken FAO studies assessment findings.

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Surveillance

• Continue with the implementation of active
  surveillance in live bird markets in Egypt.
• Enhance passive surveillance for HPAI in all
  governorate.
• Analysis of data related to PE study on
  vaccination strategy by an international
  vaccinologist.
• Workshop for decision makers to discuss and
  select an applicable vaccination strategy
  tailored to the Egyptian situation following PE
  study done.

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Surveillance (Cont..)

• Start of second phase of field mission for PDS
  team in 3 governorates (Sharkia, Gharbia and
  Behera)
• Installation of TADinfo as epidemiological
  database in 3 governorates up to the district
  level.
• Training on TADinfo as epidemiological database
  in 5 more governorates.
• Establishment of SMS system for notification of
  HPAI cases with PDS team and epidemiology teams
  in governorates.

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Communication

• Direct interventions to increase biosecurity
  awareness, training for field staff and
  responsible on biosecurity measures in sector 3
  farms.
• Start development of new HPAI information
  materials.
• Increase capacity of veterinary extension
  services in governorates, training of staff on
  strategic communication.
• Development of Rapid Response Communication Team
  for veterinary extensions to conduct community
  outreach in case of outbreaks. (RRCT)
• Implementation of AI days in schools.
• Orientation days for service providers at the
  governorate level.

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Limit exposure of human to HPAI outbreak

• training of field veterinarians involved in
  response to outbreak and vaccinator team in
  proper use and disposal of PPE and self
  protection, cleaning and disinfection.

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Management issues

• Continue in processing the procurements required
  for the project activities to be on time as
  required.
• Finalize Contracts with the appropriate
  consultants to achieve the project activities
  according to scheduled plan.

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Challenges

• Weak coordination between and within the various
  actors involved in disease detection, reporting
  and response.
• Governors political decision interfere with the
  technical decision for control.
• Lack of interest of local veterinary authority at
  governorate level which challenge implementation
  of activities.
• Under reporting for cases due to lack of
  compensation in presence of major economic losses
  due to culling.

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Recommendations

• Regular meetings for decision makers at all level
  should be held to improve awareness and
  coordination.
• Involve private sectors in control of HPAI as
  main partners.
• Communication activities should reach the grass
  root level at village.
• Maintain complementary linkages with new projects
  (decontamination and Public private sector
  coordination).

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Conclusion

• Project activities progressed as planned

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Thank You
MALR-ECTAD/FAO
11/14/2009