Introduction into workshop about avian influenza preparedness in EU/EEA countries reviewing preparedness and response activities related to H5N1 and H5N8 outbreaks in Europe

1. Avian influenza preparedness
workshop 2015
Cornelia Adlhoch, European Centre for Disease Prevention and Control
6 October 2015, Stockholm

2. Outline
• Avian influenza situation overview
• Comparison of H5N1 in 2007 and 2015
• ECDC´s work
• Open questions on appropriate protection
• Objective of the workshop
• Outbreak preparedness, control and follow-up

3. Highly pathogenic avian influenza 2014/15

4. Highly pathogenic avian influenza 2014/15

5. Highly pathogenic avian influenza 2014/15

6. Highly pathogenic avian influenza 2014/15

7. Highly pathogenic avian influenza 2014/15

8. Highly pathogenic avian influenza 2014/15

9. Highly pathogenic avian influenza 2014/15
...and human cases of H5N1, H5N6, H6N1, H7N9, H9N2 and H10N8

10. HPAIV H5N1
2005-2007 and 2014-2015

11. HPAIV H5N1 affected regions 2007
http://www.miqel.com/reading_library/archived_stories/virus-pandemic-china-H5N1-bird-flu.html

12. HPAIV H5N1 affected regions 2014/15
10 May 201511 May 2015
28 May 2015

13. ECDC´s work

14. Epidemic Intelligence monitoring
Regular monitoring of the situation
Report every 1st week of the month

15. ECDC Rapid Risk Assessment
• Use of appropriate personal protective equipment
• People exposed should be monitored for ten days
No human infections yet.
Risk of zoonotic transmission to general public in EU/EEA
considered extremely low.

16. Objective of this workshop
 To provide a situation update
 To share experiences on preparedness and
response
 To identify gaps and opportunities for improvement
in responding to the human health risks
 To promote collaboration and information sharing
between animal and human public health
authorities
 To provide a forum for exchanging experiences
from the current outbreaks in the EU

17. Outbreak preparedness
• Preparedness plans and guidelines
• Development of questionnaires
• Evidence for vaccination recommendation
• Evidence for antiviral treatment/post-exposure
prophylaxis recommendation

18. Outbreak management
• Risk assessment:
 Grading of exposure
 Assessment of risk
 Vaccination and/or pre-/postexposure prophylaxis
• Surveillance:
 Active or passive syndromic surveillance
 Target group: occupational exposed persons, persons in proximity,...
 Time frame of follow-up
 Testing guidelines
• Communication
 Information of public/practicioners
 Information of exposed persons

19. Outbreak follow-up
• Serological study (cohort/case-control)
• Evaluation of events
• Modification of preparedness plans

20. Good guidelines - wrong weather conditions
Courtesy of colleagues in Italy

21. Thank you