GDLN Seminar on HPAI Vaccination , 17 Oct

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REPUBLIC OF TURKEYMINISTRY OF AGRICULTURE AND
RURAL AFFAIRSGENERAL DIRECTORATE PROTECTION AND
CONTROL SITUATION IN TURKEY and LESSONS
LEARNED By H.Haluk ASKAROGLU WB Project
Coordinator

• GDLN Seminar on HPAI Vaccination , 17 Oct
• Ankara-Türkiye

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Vaccination Policy

• At present, vaccination is not being implemented
  against AI in Turkey
• Determination of alternative vaccination
  strategies and programmes for worst case
  scenarios
• A decision has been taken at Ministerial level
  for the stocking of a certain amount of vaccine
  to be used in emergency cases

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MIGRATION ROUTES OF WILD BIRDS
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PREPARATIONS AGAINST AI

• Preparations against possible AI outbreaks in
  Turkey were initiated in 2000.
• Legislative Framework (2000-2005)
• The AI contingency plan was enforced in 2005
• Laboratory activities
• Identified to the Reference laboratories
• Strengthening Diagnostic Capacity
• A surveillance programme and epidemiological
  studies were initiated in 2002.
• 18,669 units of serum from 320 of 7848
  establishments examined,
• No AI agent

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PREPARATIONS AGAINST AI

• Training Activities
• Meetings held with Sector, Universities and the
  persons concerned
• News letter for producers ,
• Published on website ,
• Sent to provinces (2003)
• Data Base established
• Poultry data base updated (2002)
• Coordinates of Poultry establishments determined
  (2004)
• Import restrictions and checks frequencies
  increased

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Latest Outbreaks Information

• Not reported until October 2005
• 2002 sero-survey
• 18,669 units of serum from 320 of 7848
  establishments examined,
• No AI agent
• First reported on 07-Oct-2005, single outbreak in
  free range turkeys in the west on the Aegean
  coast in Kiziksa, Manyas, Balikesir provinces
• Successfully controlled without any local or
  long-distance spread

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Outbreaks Information (2006)
A.I. Backyards and wild bird outbreaks in Turkey
(01.05.2006)

• 200 Backyards outbreaks
• 30 Wild Birds outbreaks

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Outbreaks Information(2007)

• On 05-Feb-07, report of mortality in village in
  Batman
• Further 17 outbreaks to date
• Limited to two provinces in the south east of the
  country
• Outbreak area roughly 60 km north south and 50km
  east west
• Ended of outbreaks 28-Feb-2007

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07001 Bogazkoy
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GENERAL MEASURES IN OUTBREAKS

• Activation of National and Local Disease Centres,
• Coordination with related Ministries and Units,
• Movement restrictions
• Restrictions on poultry dispatch,
• Hunt Ban,
• Road checks frequency increased in outbreak
  regions,
• Prohibiton of sales of live poultry in local
  markets,
• Checks frequency increased at Border gates,

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GENERAL MEASURES IN OUTBREAKS

• Support of Outbreak area
• Personnel,
• Protective clothes,
• Disinfection materials and instruments.
• Strengthening diagnosis capacity of Veterinary
  Laboratories
• Close cooperation with OIE, FAO, WHO and EU
• Dissemination of posters, leaflets and other
  printed material

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GENERAL MEASURES IN OUTBREAKS

• Scientific Committee on AI established,
• Surveillance and Monitoring Activities
• Active clinical surveys conducted on backyard
  poultry,(1-28 March 2006)
• Clinical screenings in commercial poultry
  establishments,
• H5, H7 and H9 antibodies detected in Samsun

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MEASURES IN OUTBREAK AREAS

• Quick arrival in the outbreak/suspect area,
  inspection, observation, collection of samples
• Determination of sick and dead animals
• Sending of collected samples to the laboratory
• Temporary quarantine measures
• Restriction of movements
• Cleaning, disinfection and bio-security measures
• Provision of information
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MEASURES IN OUTBREAK AREAS

• Re-visits to the outbreak/suspect area until
  laboratory results are confirmed
• Regular reporting on the current situation
• Permanent quarantine measures and
  culling-destruction
• Payment of compensation for culled animals
• Strict road controls
• Permit of the transport of live animals only
  after the issuing of a veterinary health
  certificate

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• PROTECTION ZONE
• Declaration of an infected zone of 3 km radius
  from the foci of infection.
• Stamping out of birds within the protection zone
  according to risk assessment.
• Strict quarantine measures.
• SURVEILLANCE ZONE
• Control zone of 7 km radius from the perimeter
  of the infected zone.
• Restriction of movement of poultry, animals and
  livestock product in the
• surveillance zone.
• Conduction of intensive surveys in holdings
  located within the surveillance zone.

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ECONOMIC MEASURES (I)

• Discussion of the issue in the meeting of the
  Evaluation Committee for Economic Problems
• Compensated culling and disposal of spent hens
• Slaughter and rendering of spent hens
• Deferment of tax dues and
  
  Social Security Organisation premiums of the
  sector

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ECONOMIC MEASURES (II)

• Forward sales of raw feed materials
  by the
  Turkish Grain Board
• Provision of low-interest long-term operating
  loans
• Deferment of electricity bills
• Increase of the poultry meat consumption of
  public organisations
• Poultry meat and egg subsidies to owners whose
  poultry have been culled

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MEASURES AFTER OUTBREAK

• Strategic Communication Working Group is
  established
• Posters, brochures and leaflets prepared
• TV spots prepared and revised
• KAP survey carried out
• Intersectorals and interagencies coordination
  provided
• Communication Strategy Implementation Plan
  prepared
• Amendments to Regulations
• Case decriptions changed

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MEASURES AFTER OUTBREAK

• Outbreaks Research Forms updated.
• Measures increased
• Province Governorships
• Regional Veterinary Control and Research
  Institutes Directorates
• Customs and Warehouse Directorates
• International Projects prepared (WB,EU,FAO)

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MEASURES AFTER OUTBREAK (SURVEY STUDIES)

• Passive survey
• Active clinical surveys on backyard poultry
• Active clinical survey on commercial poultry
• Serological survey on backyard poultry
• Wild life survey studies

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MEASURES AFTER OUTBREAK

• Ring test studies between laboratories
• Training and information exchange meetings
• On Avian Influenza and Bio-security in Bolu ve
  Balikesir
• Serologic survey in Sinop, Tokat, Elazig and
  Kütahya
• H3, H5, H6, H7 ve H9 antibodies detected

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What were the strengths?

• Contingency plans existed in MARA and MOH
• Provincial authorities were informed about
  Contingency plans previously
• Initial public awareness campaign was rapid and
  strong which minimised panic
• Collaboration established between MOH and MARA
• Co-operation with NGOs developed and strengthened

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What were the weaknesses?

• Communication not well established at local
  level.
• Different TV spots produced by MARA and MOH some
  messages targeted differently

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EXPERIENCES (I)

• Increase in public awareness has led to increase
  in disease notification
• Decrease has occurred in the consumption of
  poultry meat and eggs
• The flow of samples to laboratories has increased
• The bio-safety of laboratories may be at risk

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EXPERIENCES (II)

• The social status of veterinarians has evolved
• Commercial establishments may take advantage
• Emergency funds must be put in place to
  compensate for the economic loss of the poultry
  sector

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CONCLUSION

• Struggle with disease is also possible without
  vaccination
• Compansation fund should be established
• Cooperation between National and International
  organizations should be strengthened
• More effective monitoring and surveillance should
  be obtained
• Diagnostic services have been strengthened
• Special culling teams should be established
  depending on the culling strategies
• Necessary resources should be provided

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THANK YOU FOR YOUR ATTENTION