http://www.fao.org/ag/AGAInfo//programmes/en/empres/news_160916b.html Introduction to the Progressive Control Pathway presentation by EuFMD ©FAO http://www.fao.org

2. Outline for this workshop
1. Mindmapping PCP
• Principles and key features
2. Overview Global Strategy for FMD control
• Three components
• OIE-PVS on strengthening the Veterinary Services
3. PCP Assessment procedure
• Role of the Regional Advisory Group & FAO/OIE FMD Working Group
• 7 steps of the assessment procedure
4. PCP-FMD Stage 1:
• Activities in Stage 0
• What is required to be eligible to move to Stage 1
• Activities in Stage 1
• What is required to be eligible to move to Stage 2
5. Follow-up from this first roadmap meetings
• Support to progress
• Regional networking, webinar series, PCP e=learing

3. Random (mass) compared to Risk based
vaccination :
2nd FMD Congress
V V V
V V
V V V
V V V
V V
V V V
V V V
V V
V V V
V V V
V V
V V V
1st campaign 2nd campaign
Random
application
of vaccine
Risk-based
application
of vaccine
- Animal markets
- Borders
- Intensive
production
system

4. 2nd FMD Congress
V V V
V V
V V V
V V V
V V
V V V
V V V
V V
V V V
V V V
V V
V V V
V V V
V V
V V V
V V V
V V
V V V
1st campaign 2nd campaign 3rd campaign
Could be
anywhere
Unlikely in the
vaccinated
epi-units
Where is
the virus?

5. What are reasons
for difference of
164 notifications
and (only) 28
confirmed FMD
outbreaks?
164
notifications
117 sampled
100 samples
accepted
28 positive for
FMD
10 Serotype A 16 serotype O
54 negative for
FMD
16 NSP
positive, only
blood collected
17 rejected
47 not sampled

6. Central VS
Province office
District office
Private vet X X treatment for some time (incentive)
if fewer cases, no need to report (small outbreak)
Farmer X with second case, calls private vet
Time
Central VS X information (too) late and imcomplete
no confirmation, thus no notification
Province office X few resources to investigate
often too late for good fresh samples and investigation
District office X no means to investigate
informs province through monthly report
Private vet X X treatment for some time (incentive)
if fewer cases, no need to report (small outbreak)
Farmer X with second case, calls private vet
Time
Central VS X all have information at same time coordinate outbreak (investigation, mitigation
all know what to do
Province office X fresh lesions present
plan for control measures
District office X implement control measures locally
inform community
electronic notification of suspicion
Private vet X more (smaller) suspicions reported immediate feedback and support
Farmer X immediate feedback and support
Time

7. Dairy
Nomadic herds
Beef
Small holdings
IMPACT
PROBABILITY
to become
infected
high
low
low high

8. Relative Risk of FMD
Dairy
Nomadic herds
Beef
Small holdings
IMPACT
PROBABILITY
to become
infected
high
low
low high
Where to use
limited nr of
vaccines
What other
measures
are possible:
- Raising
awareness
- Biosecurity
- Movement
control

10. PART 1: Key features (20 min)
Chris Bartels
EuFMD component manager PCP

11. PCP
1. Mindmapping PCP
If I ask you, what comes to mind when you hear about the
Progressive Control Pathway for FMD control?

12. PCP
Component
1 of GD for
FMD
control
Progressive
FMD
control
Regional
approach
Risk-
based
Results
focused
Holistic
approach
1. Mindmapping PCP

13. 1. Key features of the PCP

14. 1. Key features of the PCP

15. 1. Key features of the PCP

16. PART 2: Global Strategy for FMD control (20 min)
…
FAO/OIE FMD Working Group

17. 2. Global Strategy for FMD control

18. 2. Global Strategy for FMD control

19.  Risk-based Strategy Plan
 Risk Assessment
Plan
 National Control Plan
2. Global Strategy for FMD control

20. Option to apply
for OIE endorsed
FMD control
programme
OIE official
recognition and
endorsement
options
Links between PCP-FMD and OIE health status
2. Global Strategy for FMD control

21. In South-East Asia and China, a FMD
Roadmap 2020 (SEACFMD) was established
in 1995, before the PCP-FMD and the Global
Strategy for FMD control
In South-Asia, regional roadmap meetings
were conducted in 2011 and 2013
In West Eurasia, regional roadmap meetings
have been conducted annually since 2008
In the Middle East and Northern Africa region,
two Regional roadmap meetings have been
conducted, in 2009 and 2014
In Eastern Africa, Regional roadmap
meetings have been conducted in 2012 and
2014
A single Regional roadmap meeting was held
in 2009 in Southern Africa (need to check
year)
So far, no regional roadmap meetings have
been conducted in Western Africa
And in Latin America, regional FMD control is
coordinated through PANAFTOSA
2. Global Strategy for FMD control

22. 2. Global Strategy for FMD control

23. Critical competencies
PCP stage
1 2 3 4
I.2.A. Professional competencies of veterinarians 3 3 3 3
I.2.B. Competencies of veterinary para-professionals 1 3 3 3
I.3. Continuing education 3 3 3 3
I.6.A. Internal coordination (chain of command) 1 2 3 3
I.6.B. External coordination 3 3* 3 3
I.11. Management of resources and operations 1 2 3 3
II.3 Risk analysis 3 3* 3* 3*
II.11 Emerging issues 1 2 3 3
III.1 Communications 4 4* 4* 4*
III.2 Consultation with stakeholders 3 3 3 3
III.3 Official representation 2 3 3 3
III.4 Accreditation / authorisation / delegation 1 2 3/4 3/4*
III.5.A. Veterinary Statutory Body authority 1 2 3/4 3/4*
III.5.B. Veterinary Statutory Body capacity 1 2 3 3*
III.6 Participation of producers and stakeholders in joint programs 2 3 3 3*
IV.1 Preparation of legislation and regulations 3 3* 3* 3*
IV.2 Implementation of legislation & stakeholder compliance 1 3 3 3
II.5.A. Passive epidemiological surveillance 1 3 3 3
II.5.B. Active epidemiological surveillance 3 3* 3 ¾
II.6 Early detection and emergency response 1 1 3 3
II.7 Disease prevention, control and eradication 1 2 3 3
II.8 Ante and post mortem inspection 1 2 3 3
II.1 Veterinary laboratory diagnosis 2 2/3 2/3 2/3
II.2. Laboratory quality assurance 2 3 3 3
II.4 Quarantine and border security 1 2 3 ¾
II.13.A. Animal identification and movement control 1 2 3 3
IV.6 Transparency 2 3 3 3
IV.7 Zoning 1 2 2 3
I.1.A. Veterinarians and other professionals 2 3 3 3
I.1.B. Veterinary para-professionals and other technical staff 2 3 3 3
I.7. Physical resources 2 2 3 3
I.8. Operational funding 1 2/3 4/5 4/5
I.9. Emergency funding 1 1 3 4/5
• FMD PCP Stage 1: PVS level
3 required for 7 CCs
• FMD PCP Stage 2: PVS level
3 required for 17 CCs (= 7 +
10)
• FMD PCP Stage 3 (request
for official OIE endorsed
FMD national control
programme): PVS Level 3
for all 33 CCs (= 17 + 16)
• FMD PCP Stage 4 (transition
towards OIE-free status
with or without
vaccination): PVS level 3
for all 33 CCs
Professional competencies
of veterinarians
Continuing education
External coordination
Risk analysis
Consultation with
stakeholders
Preparation of legislation
and regulations
Active surveillance
2. Linking PCP stages to Crticical Competencies of the OIE-PVS tool

24. 2. Global Strategy for FMD control

25. 2. Global Strategy for FMD control

26. Priority diseases in your country=
What (other) infectious livestock diseases are important?
Can you foresee a way to combine control these with FMD
control?
2. Global Strategy for FMD control

27. Questions

28. PART 3: PCP assessment procedure (20 min)
…
FAO/OIE FMD Working Group

29. 3. PCP Assessment procedure

30. 3. PCP Assessment procedure

31. 3. PCP Assessment procedure

32. 3. PCP Assessment procedure

33. 3. PCP Assessment procedure

34. Step 3: Interview
3. PCP Assessment procedure

35. Country Assessmen
t 2014
Review (SAQ,
Presentation
, Interview)
RAG
assessmen
t
2015
Evolutio
n since
2014
Actions for country
agreed by RAG
Country
A
Prov 2 RBSP
evaluated
positively
2 ↗ Complete
strengthening the
Veterinary Services
and include budget
Step 4: RAG assessment
3. PCP Assessment procedure

36. Step 4: Regional Advisory Group (RAG) assessment
Based on the feedback from the PCP-FMD experts (involving
steps 1-3), the RAG assesses the progressive FMD control of
each of the countries in the region
At the end of the regional roadmap meeting, the RAG discusses
with each of the countries this assessment.
There are three outcomes possible for a country:
1. Remain in the same PCP-FMD stage
2. Evolve one stage on the PCP-FMD
3. Evolve provisionally one stage on the PCP-FMD
• This is conditional to submission of
– the most up-to-date version of the strategy plan required
to move from one stage to the next (see slide 4)
– additional evidence of impact and implementation of
the FMD control strategy in place
3. PCP Assessment procedure

37. 5. Each country (re) assesses its plans for
progressive FMD control and indicates this in a
regional overview (the Regional Roadmap)
Step 5: Regional Roadmap
3. PCP Assessment procedure

38. 3. PCP Assessment procedure

39. Step 7: Progressive FMD control
3. PCP Assessment procedure

40. Questions

41. PART 4: Activities to enter PCP Stage 1 (1 hour)
and Activities in PCP Stage 1 (5 min)
Chris Bartels
EuFMD Component manager PCP

42. Need for a comprehensive plan to study FMD4. Activities in PCP Stage 1

43. Comprehensive plan on FMD
Planning to better understand FMD occurrence
(=transmission routes, risks and impact)
• Collection of clinical outbreak investigation reports
• Confirmation of FMD virus
• Advanced diagnostics: Serotype and topotype
• Locations, species and husbandry systems involved, morbidity and mortality
• Routes of transmission (direct, indirect, fomites)
• Socio-economic impact on livestock and livelihoods
• Value-chain analysis and stakeholder identification
• How does livestock move across the country, by what ‘drivers’, governed
by who?
• NSP-Ab sero-survey
• What is the level of infection compared with the level of clinical reporting?
What, when, how, where, who?
4. Activities to enter PCP Stage 1

44. 4. Activities in PCP Stage 1

45. 4. Activities in PCP Stage 1

46. 4. Activities in PCP Stage 1

47. 4. Activities in PCP Stage 1

48. 4. Activities in PCP Stage 1

49. 4. Activities in PCP Stage 1

50. 4. Activities in PCP Stage 1

51. 4. Activities in PCP Stage 1

52. 4. Activities in PCP Stage 1

53. 4. Activities in PCP Stage 1

54. 4. Activities in PCP Stage 1

55. 4. Activities in PCP Stage 1

56. 4. Activities in PCP Stage 1

57. 4. Activities in PCP Stage 1

58. 4. Activities in PCP Stage 1

59. Why will a Strategic Plan improve FMD control ?
Developing the plan ensures:
– Analysis of risks
– Consideration of best use of limited resources to mitigate the risks
Once written, the plan is a valuable communication tool:
– Within the Veterinary Services
– Private stakeholders
– Regional and international communities
– Donors for technical assistance
Monitoring and Evaluation during implementation:
– continuous improvement in Efficiency of use of resources
– Demonstrate achievements
4. Activities in PCP Stage 1

60. 4. Activities in PCP Stage 1

61. 4. Activities in PCP Stage 1

62. 4. Activities in PCP Stage 1

63. 4. Activities in PCP Stage 1

64. 4. Activities in PCP Stage 1

65. 4. Activities in PCP Stage 1

66. 4. Activities in PCP Stage 1

67. 4. Activities in PCP Stage 1

68. 4. Activities in PCP Stage 1

69. 4. Activities in PCP Stage 1

70. 4. Activities in PCP Stage 1

71. Comprehensive plan on FMD
Planning to better understand FMD occurrence
(=transmission routes, risks and impact)
• Collection of clinical outbreak investigation reports
• Confirmation of FMD virus
• Advanced diagnostics: Serotype and topotype
• Locations, species and husbandry systems involved, morbidity and mortality
• Routes of transmission (direct, indirect, fomites)
• Socio-economic impact on livestock and livelihoods
• Value-chain analysis and stakeholder identification
• How does livestock move across the country, by what ‘drivers’, governed
by who?
• NSP-Ab sero-survey
• What is the level of infection compared with the level of clinical reporting?
What, when, how, where, who?
4. Activities to enter PCP Stage 1

72. PART 5: Follow-up from this first roadmap meetings
Regional Network - webinars
PCP online training
PCP Practitioner Network

73. Email eufmd@fao.org to
subscribe to our networks and
webinars
5. Follow up from this meeting

75. Questions