Title: Pacific Region Avian Influenza Training Workshop
1Pacific Region Avian Influenza Training Workshop
- August 1-5, 2006
- Honolulu, Hawaii
2Program Goals
- Create an Avian Influenza education program that
blends animal first-responder training, animal
health training, and Global Positioning Systems
(GPS) training. - Keep animal first-responders safe
- Keep island poultry safe
- Build networks that will facilitate
collaboration, co-learning, and the transmission
of accurate information.
3Workshop Participants
- A total of 18 participants came from islands
across the US-Affiliated Pacific Islands
American Samoa (2), Chuuk (2), Kosrae (2), Majuro
(1), Palau (1), Pohnpei (3), Rota (1), Saipan
(2), Tinian (2), and Yap (2). - 15 of the participants worked within a Land Grant
college as either extension personnel or junior
researchers 3 of the participants worked within
health services.
4Workshop Overview
- Day 1 Health and safety
- Day 2 Discussion of Pacific Region
surveillance and response plans - Day 3 Global Positioning Systems and
Geographic Information Systems training - Day 4 Field exercises
- Day 5 Community safety and education strategies
5Day 1 Health and Safety
- Presentation topics include
- Emergency events
- Basic principles and preparedness training for a
biological outbreak or disaster - Hand hygiene to prevent the spread of disease
- Personal protective equipment
6Emergency Eventsby Captain Carter Davis
- Carter Davis, Captain
- Honolulu Fire Department
- CBRNE General Awareness Lecturer/Certified HAZMAT
Instructor
7Basic Principles and Preparedness Training for a
Biological Outbreak or Disasterby Dr. John Casken
John Casken, RN, MPH, PhD Director, Office of
International Affairs School of Nursing and
Dental Hygiene
8Hand Hygiene to Prevent the Spread of Diseaseby
Ms. Lynn Nakamura-Tengan
Lynn Nakamura-Tengan, MS Extension Educator Human
Nutrition, Food and Animal Sciences University of
Hawaii
9Personal Protective Equipmentby Capt. Carter
Davis and Dr. Ed Kalinowski
- Lecture on Personal Protective Equipment and a
demonstration on how to don (put on) and doff
(take off) equipment
Ed Kalinowski, BSN, MEd., DrPH Kapiolani
Community College Emergency Medical Services
10Day 2 Group Discussion of Pacific Regional
Surveillance and Response Plans
- Regional plans for surveillance and response
- Discussion topics
- Status report and work in progress toward
regional goals - Migratory birds of the Pacific Flyways
- Threats to domestic poultry
- Legal and illegal poultry trade
11US Fish Wildlife Services Avian Influenza
Surveillance Plansby Dr. Jeff Burgett
- Jeff Burgett, PhD
- US Fish and Wildlife Service
- Pacific Islands Office
12 Overview of Avian Influenza and Wildlife Disease
Investigations by Dr. Thierry Work
- Thierry Work, MS, DVM, MPVM
- Wildlife Disease Specialist, USGS
- National Wildlife Health Center
13Resources Available at the John A. Burns School
of Medicineby Dr. Duane Gubler
Duane Gubler, ScD, Director, Asia-Pacific
Institute of Tropical Medicine and Infectious
Diseases, Professor Chair, Department of
Tropical Medicine and Medical Microbiology, John
A Burns School of Medicine
14Resources Available at the Secretariat of the
Pacific Community by Dr. Konrad Englberger
15Lessons Learned from the Recent Avian Influenza
Outbreaks by Dr. Steven Ostroff
Steven Ostroff, MD
16Hawaii Pandemic Influenza Plan by Dr. Arlene
Buchholz
Arlene Buchholz, DVM, MPH Veterinary Medical
Officer Hawaii Department of Health
17Guam Pandemic Influenza Plan by Dr. Thomas Poole
Thomas Poole, BS, MPH, DVM, DACVPM Guam
Territorial Veterinarian
18Day 3 Global Positioning Systems (GPS) and
Geographic Information Systems (GIS) Training
- Introduction to GPS and GIS technologies
- Applications for GPS and GIS technologies within
emergency management - Applications for GPS and GIS technologies within
avian influenza surveillance plans and incident
reporting databases
19Global Positioning Systems (GPS) by Mr. Eugene
Dashiell
Eugene P. Dashiell, MA, AICP Environmental
Planning Services
20GPS Field Exercises
Participants have an opportunity for one-on-one
instruction while practicing with GPS units.
21Compatible Geographic Information Systems (GIS)
Program
- During the week of August 1-5, 2006, the Pacific
EMPRINTS project hosted a Geographic Information
Systems workshop focusing on emergency situations
involving an avian influenza outbreak. - 15 participants from the US-Affiliated Pacific
Islands attended the GIS workshop. - The participants from both workshops learned
about the each others role in the event of an
avian influenza emergency.
22Avian Influenza Participants Meet the Geographic
Information Systems (GIS) Participants
Understanding how the GPS data will be used is
critical for understanding the applications for
the technology in emergency management and Avian
Influenza surveillance and reporting.
23Day 4 Avian Influenza Field Exercises
- Participants were given the opportunity for
hands-on response training. - Three Avian Influenza situations were developed
representing the most probable AI encounters. - Response to a single bird death (with site
containment) - Response to a multiple bird death
- Dead bird sampling and shipping
24Response to a Single Bird Death
With proper Personal Protective Equipment,
Jabukja Aikne (Majuro, Marshall Islands)
carefully double-bags the chicken carcass.
Later, he will disinfect the area with a 10
bleach solution and label the carcass.
While Jabukja is collecting the carcass, his
partner, Felix Sengeau (Palau, FSM), in the Cold
Zone, is collecting important information about
the site, including GPS data. This information
is collected on a Sample Submittal form.
25Response to a Multiple Bird Death
Responding to a multiple bird death in a confined
space, the participants don complete Personal
Protective Equipment (PPE). Responders
carefully take throat and cloacae samples from
each bird and relay incident information to Cold
Zone partner. Outer surfaces of sample vials
are cleaned, and then passed to Cold Zone
partner for collection. Later, the carcasses
will be collected for disposal and surfaces will
be sanitized.
26Dead Bird Sampling and Shipping
Wearing proper Personal Protective Equipment,
participants collect throat and cloacae samples,
properly label the sample vial and fill out a
sample submittal form. Then, participants place
the sample in a nitrogen-charged shipping
container.
27Skill/Task Evaluations
- Participants were evaluated on their ability to
perform 12 specific skills or tasks during the
training exercises - Personal Protective Equipment Skills/Tasks
- Task 1 Demonstrated ability to select
appropriate Personal Protective Equipment for
task - Task 2 Demonstrated ability to don correctly
Personal Protective Equipment - Task 3 Demonstrated ability to doff properly
Personal Protective Equipment without
contaminating self, or environment unnecessarily - Task 4 Demonstrated proper hygiene while in
Personal Protective Equipment, (ie. did not touch
face or hair with gloves during exercise) - Dead Bird Sample Collection Skills/Tasks
- Task 1 Demonstrated ability to collect trachea
and cloacae samples - Task 2 Demonstrated knowledge and ability to
properly prepare trachea and cloacae samples for
shipping - Task 3 Demonstrated ability to properly
sanitize work area after collecting samples - Dead Bird Response Skills/Tasks
- Task 1 Single bird death Demonstrated
ability to assess the situation and respond
accordingly - Task 2 Multiple bird death Demonstrated
ability to assess the situation and respond
accordingly - Task 3 Demonstrated knowledge of multiple ways
to dispose of bird carcasses in a sanitary
manner - Global Positioning System (GPS) and Reporting
Skills/Tasks - Task 1 Demonstrate ability to obtain accurate
GPS coordinates during training exercise - Task 2 Demonstrate ability to fill out
mortality investigation (or sample submittal) form
28Day 5 Community Safety and Education Strategies
- Presentation topics include
- Backyard biosecurity
- Community education and extension materials
- Build an Avian Influenza response kit / Personal
Protective Equipment kit - Program graduation
29Backyard Biosecurityby Dr. Thomas Poole
30Community Educational Materialsby Dr. Thomas
Poole
31Build an Avian Influenza response kit / Personal
Protection Equipment kit
- Each kit contains
- 10 tyvek suits
- 10 N95 respirators
- 25 nitrile gloves
- 20 booties
- goggles
- 2 spray bottles
- 30 hand sanitizing wipes
- Global Positioning System unit
- pens, markers, tape, scissors
- air-tight storage container
Kino Ruben (Chuuk, FSM) packs his Avian Influenza
Response kit.
32Program Graduation
- All 18 Avian Influenza Training Program
participants completed the course and each
mastered the 12 items on the Skills Assessment
form, as verified by the program instructors.
33Thank you to our Instructors and Advisers
- Arlene Buchholz, DVM, MPH, Veterinary Medical
Officer, Hawaii Department of Health - Jeff Burgett, PhD, US Fish and Wildlife Service,
Pacific Islands Office - John Casken, RN, MPH, PhD, Director, Office of
International Affairs, School of Nursing and
Dental Hygiene - Eugene P. Dashiell, MA, AICP, Environmental
Planning Services - Carter Davis, Captain, Honolulu Fire Department,
CBRNE General Awareness Lecturer/Certified HAZMAT
Instructor - Jim Foppoli, DMV, State Veterinarian, Hawaii
Department of Agriculture - Duane Gubler, ScD, Director, Asia-Pacific
Institute of Tropical Medicine and Infectious
Diseases, Professor Chair, Department of
Tropical Medicine and Medical Microbiology, John
A Burns School of Medicine - Darcy Hu, PhD, Ecologist, National Park Service,
Pacific West Regional Office - Ed Kalinowski, BSN, MEd, DrPH, Kapiolani
Community College, Emergency Medical Services - Lynn Nakamura-Tengan, MS, Extension Educator,
Human Nutrition, Food and Animal Sciences - Stephen Ostroff, MD, formerly of the Department
of the Interior, Health and Human Services - Thomas Poole, BS, MPH, DVM, DACVPM, Guam
Territorial Veterinarian - Thierry Work, MS, DVM, MPVM, Wildlife Disease
Specialist, USGS, National Wildlife Health Center