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EuFMD Training Programme: Summary and Outlook

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Summary of the real time training courses on foot-and-mouth disease organized by the EuFMD; presentation of the PeP-C: practical epidemiology for progressive control; lab training. PPT presented at …

Summary of the real time training courses on foot-and-mouth disease organized by the EuFMD; presentation of the PeP-C: practical epidemiology for progressive control; lab training. PPT presented at the 84th Executive Committee of the Eufmd, by Eoin Ryan and Vesna Milicevic (both eufmd)


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  • 1. Training Programme:Summary and Outlook Eoin Ryan and Vesna Milicevic EuFMD 84ExCom-Pirbright 4-5 October 2012
  • 2. Summary Training activity Supporting TargetReal-time field training: one Kenya course (NTC10) FMD outbreak FMD freein September, NTC11 planned for November investigation countries and localNew approach piloted: more problem solving, small disease controlgroup learning, use of smart-phone technology actionsPEPc: practical epi training – 2 of 4 weeks FMD Endemiccompleted in Istanbul management countriesModelling (discussed earlier) – Vienna workshop Contingency FMD free planning countriesLab training (discussed earlier) – Cairo, Paris, Accra FMD diagnosis Endemic countriesSurveillance/vaccination strategy training FMD control Endemic(discussed earlier) – Cyprus, Morocco actions countries 84ExCom-Pirbright 4-5 October 2012
  • 3. Real time field FMD training• 168 European vets trained 2009-2012• 48 trained since last General Sesson (May 2011-Sept 2012)• Plan: 24 more trained by next General Session (3 courses)New approach piloted this September (NTC10):• More problem solving exercises• “Advance team” hunting outbreaks days before the course Two separate field investigations, facilitating small group learning, increased trainee responsibility, contrast of disease outcomes on different farms Learning objectives: outbreak investigation, sample collection, lesion ageing, use of probangs, field epi work, construct timelines, use of penside tests• Use of smart phone technology (Epi Collect app) for local investigation and risk factor identification during “transect” walk Learning objectives: rapid assessment of risk factors, mitigation measures, prioritisation of surveillance actions for local disease control centre
  • 4. Issues arising• Gap identified: lack of epidemiology training for FMD - At NTC10, only 2/14 trainees (both Australian) had any basic grasp of risk factor analysis - FMD outbreaks impose epi demands at local level, not just national level• Penside tests: new lateral flow device for NSPs used – could identify animals which have been infected but recovered- Worked well, although not yet verified- Australian DAFF advocating inclusion in contingency plan; useful for EuFMD MS to be familiar with novel diagnostic devices• Crossover between EuFMD program areas: - NTC10 identified large SAT2 outbreaks in areas which had recently been vaccinated - Evaluation of Svanova penside tests (SAT2- LFD failed to detected sample…) - Vaccine matching capacity in Embakasi to clarify vaccine/field match 84ExCom-Pirbright 4-5 October 2012
  • 5. PEPc: Practical Epidemiology for the Progressive Control Pathway4 week practical epidemiology course for endemic countries to teach the skills needed for PCP progressTurkey, Iran, Egypt, Armenia, Georgia, Azerbaijan• Week 1: Outbreak investigation (10-14 September)Including information on prevalence, incidence, diagnostic tests, risk factors• Week 2: Value chain, socio-economic impact assessment (1-5 Oct)Including information about risk, costs and benefits of FMD control, measuring FMD impact• Week 3: Surveys: SP, NSP, questionnaires and monitoring vaccination campaign (12-16 Nov)Including sample size, survey design, data entry, analysis of data• Week 4: Control Strategy development (10-14 December)Putting it all togetherCourse content: based around the PCP, very practical with lecture time minimised and students learning whilst working on problems using case-studies. Prior epidemiology training is not required. 84ExCom-Pirbright 4-5 October 2012
  • 6. Gaps identified• Epi training for free countries: Denmark workshop & NTCs identified a need/request for more epidemiology training relevant to risk-based surveillance & response• PEPc: addresses national epi needs in endemic countries• PCP training also needed for regional experts• Real-time field training: addressed by current program• Decision support tools/modelling to support contingency planning: addressed by Vienna and follow-up workshops• Laboratory training: addressed under WELNET, RESOLAB, EARLN 84ExCom-Pirbright 4-5 October 2012
  • 7. Real time training: trainee perspective
  • 8. Clinical symptoms: cows with salivation
  • 9. Epithelium from tongue
  • 10. Vesicles on teats
  • 11. Lesions aging: 4-5 days lesions
  • 12. SAMPLING • Probang cups • Clotted blood • Epithelium
  • 13. Pan.penside: weak +SAT 2: negNSP Ab: weak +
  • 14. Timeline - large scale farm 84ExCom-Pirbright 4-5 October 2012
  • 15. Transect Walks September 19th 2012 84ExCom-Pirbright 4-5 October 2012
  • 16. Map - detail 84ExCom-Pirbright 4-5 October 2012