Workshop

1
HPAI Activities
FSM, Palau and RMI
Fiji July 24-28 2006
2
Sample Collection for AI testing

• In November 2005, Mr. Engly Ioanis from COM FSM
  Land Grant was trained by the SPC Epidemiologist
  Veterinarian, Mr. Steve Angus in Fiji on how to
  collect samples from poultry for identification.
• In December 2005,Mr Ioanis went to Palau and Yap
  to conduct training on the collection of blood
  and swab samples for identification.

3
Sample Collection for AI testing cont.

• In early January 2006 training on sample
  collection was conducted in RMI, Chuuk, Kosrae
  and Pohnpei.
• In addition to the sample collection Emergency
  Response Planning for Avian Influenza was
  included in the training.

4
Sample collection

• Blood sample collection from the brachial vein

• Swabs sample collection from throat and cloacal.

5
Sample Collection

• Participants practicing on the collection of
  blood samples

• Training in Chuuk on how to collect blood samples.

6
Post Mortem

• Demonstration of equipment needed for sample
  testing and post mortem

• Showing the participants the different body part
  of a poultry

7
General Emergency Response Planning (GERP)

• In 2005 several workshops were organized by SPC
  to draft Generic Emergency Response Planes. In
  the North Pacific one workshop was held in Guam
  for Guam, Palau and Yap and one workshop was held
  in Pohnpei for FSM and RMI.
• Specific ERP, e.g. Avian Influenza, Brown Tree
  Snake or others. can be build onto the Generic
  ERP,

8
AI Emergency Response Planning

• In March 2006 a 3 days workshop was organized in
  Palau.
• In addition to the Palau Pandemic Influenza
  Response Plan for human from the Palau Health
  Department a additional ERP was drafted for
  poultry.
• With the help of the SPC Vet and the SPC PPM
• 9 Standard Operational Procedures were
  drafted during the 3-days workshop.

9
ERP workshop in Palau
10
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11
Working Groups

• Pohnpei Avian Influenza Contingency
  Committee.
• Field Surveillance/Sample Collection Team
• Disinfection Team
• Destruction Team, disposal of Animals
• Sample Preservation and Packaging
• Public Relations Officer

12
Standard Operating Procedures (SOP)

• 1 SOP for Protection of Personal
• This include Safety First
• Which people need to use protective equipment
• People who work with AI suspicious or AI
  confirmed animals in infected areas
• What protective equipment is recommended
• e.g. N95 respirator masks, goggles, heavy duty
  rubber work gloves, coveralls, boots, head cover
  apron

13
Standard Operating Procedures (SOP)

• 2 SOP Suspected Cases
• Commercial farms 5 mortality rate over 24 hrs
  and for individual households, more than 1
  chicken dead over 24 hours shall trigger
  immediate investigation from the response team.
• Investigation procedures, field visit by
  surveillance and sample team

14
Symptoms of AI Infected Birds
Hemorrhages Fever Respiratory distress
Infested birds shed Saliva Nasal secretions Feces
15
Standard Operating Procedures (SOP)

• 3 SOP for Surveillance
• Passive Surveillance, e.g. Public Awareness and
  education (Schools, Communities radio
  announcement leaflets.
• Active Surveillance, e.g. Incident investigation,
  sample collection and reporting including mapping
• Wild birds surveillance and monitoring
• Data collection and mapping GIS mapping

16
Standard Operating Procedures (SOP)

• SOP 4 Sample Collection from Poultry
• Live Birds Blood samples2.5 ml per bird using a
  21-23 g needle and/or swab samples collected from
  throat and cloacal
• Dead Birds Swab or tissue samples

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Standard Operating Procedures (SOP)

• SOP 5 for Packaging, labeling and dispatch
• According to SPC manual http//www.spc.int/rahs/Ma
  nual/SpecimenCollection/Packaging
• Information to be forwarded with the specimens
• Contacts for Import Permit
• List of 6 OIE reference experts and laboratories

18
Standard Operating Procedures (SOP)

• SOP 6 Quarantine Area
• In case of suspected or confirmed outbreak of AI
  put household, farm/village under restriction.
• Movement Restriction (3 km) radius ( no movement
  on free-ranging chicken.
• Heightened Targeted Surveillance Zone (10km)
  active surveillance of all poultry units within
  the 10km radius

19
Standard Operating Procedures (SOP

• SOP 7 for Disinfection
• All units which are physically of functionally
  connected to the establishment must be properly
  disinfected. All vehicle, people working with
  poultry and equipment going out of the infected
  area must be washed and disinfected.
• A list of disinfectants is provided

20
Standard Operating Procedures (SOP

• SOP 8 Procedures for Humane Slaughter of
  Poultry
• Shall be done onsite as humanely and as quickly
  as possible. Manual dislocation of the neck is
  the preferred choice for humane slaughtering of
  small numbers of birds in suspected or infected
  sites

21
Standard Operating Procedures (SOP)

• SOP 9 of Carcass Disposal Infected Material
• Incineration is the technique of choice

22
Standard Operating Procedures (SOP)

• SOP 10 Procedures for Biosecurity
• Ban all imports of poultry, poultry products from
  AI affected countries. These includes transiting
  fishing boats and vessels from AI infected
  countries.
• Increased inspections of conveyances entering
  from infected countries and fully enforced
  quarantine measures.

23
Forms Available

• Avian Influenza Submission Form
• Sample Submission Information Form

24
Public Information

• Palau produced two leaflets
• Avian Influenza or Bird flu general information,
  and
• Food Safety in connection with Avian Influenza

25
Palau has in place

• Pandemic Influenza Response Plan for the Republic
  of Palau, prepared by Health Dept.
• Pandemic Influenza Response Plan for poultry
• Executive Order 236, Establishment of a
  National Avian Influenza (H5N1) Advisory and
  Coordination Team, signed by President

26
Palau has in place cont.

• Declaration of National Quarantine Emergency,
  signed by President
• Activation of Inter-Island Quarantine
• Timetable and contacts of PAIRT members on 24
  hrs. duty
• Avian Influenza 911 Protocol phone phone calls

27
Testing the System

• Palau has sent blood samples to the Australian
  Lab for AI identification.
• Lesson learned was it took several weeks until
  results were available.

28
Material needed

• A list for material needed to have in stockpiles
  was made by participants.

29
THANK YOU
30
SPC Regional Office for Micronesia

• The new SPC building in Pohnpei FSM was completed
  in August 2005.
• The building has a large reception area, 7
  offices, a conference room and a laboratory.
• Presently there are 6 staff members occupying the
  building.

31
Signing of Host Agreement

• The Host Agreement between FSM and SPC was
  signed on January 19, 2006 by the SPC DG Ms.
  Lourdes Pangelinan and the President of the
  Federated States of Micronesia, H.E. Joseph J.
  Urusemal.