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Potential Economic Losses of Foot
and Mouth Disease in Indonesia
- A report to OIE
Drh Tri Satya Putri Naipospos MPhil PhD
Stakeholder Meeting on Cost Benefit Analysis
of Maintaining Foot-and-Mouth Disease
(FMD) Freedom in Indonesia
Jakarta, 7 November 2017
1
CHAPTER I
BACKGROUND
2
3
â€ĸ Indonesia is an archipelago, 34 provinces, total area of 1.9 million km2
â€ĸ Total human population of 257.9 million (2016)
â€ĸ Indonesian GDP in 2016 was ranked 16th in the world at US$ 932.2
billion (Rp 12,240 trillion) (World Bank, 2017)
â€ĸ GDP per capita is estimated at US$ 3,605 (Rp 48 million) (Indonesian
Central Bureau of Statistics, 2017)
â€ĸ The agricultural sector contribution to national GDP is 10.2% with a
livestock subsector contribution to national GDP of 1.6% that is 15.8%
to agricultural GDP (Livestock and Animal Health Statistics, 2016)
INDONESIA
Foot and Mouth Disese (FMD)
īĩ FMD is a very contagious viral disease that can infect all species of
cloven-hoofed animals (cattle, sheep, goat, pig, deer, buffalo and camel)
īĩ Rarely fatal to adult animals, but can cause high mortality in young stock
īĩ Clinical symptoms include fever and lesions on the tongue and lips,
inside the mouth, on nipples and between the nails (Buetre et al., 2013)
īĩ Some important points regarding FMD:
ī‚§ FMD does not affect humans, no risk for food safety related to the
consumptions of products originating from animals infected with FMD
ī‚§ The organism that causes FMD is a virus belongs to family Picornaviridae
ī‚§ There are seven strains that has been identified (A, C, O, Asia 1, SAT1,
SAT2 and SAT3)
4
Global susceptible cattle density per km2
īĩ The possibility of FMD entry into FMD-free countries, including Indonesia,
is quite high considering that more than a hundred countries in the world
are still endemically infected with FMD (Jamal and Belsham, 2013)
5
Figure 1: The number of cattle susceptible to FMD per km2
Indonesia is a country free from FMD since 1986,
officially recognized by OIE in 1990
6Albania France New Zealand
Australia Germany Nicaragua
Austria Greece Norway
Belarus Guatemala Panama
Belgium Guyana Philippines
Belize Haiti Poland
Bosnia and Herzegovina Honduras Portugal
Brunei Hungary Romania
Bulgaria Iceland San Marino
Canada Indonesia Serbia (1)
Chile Ireland Singapore
Costa Rica Italy Slovakia
Croatia Japan Slovenia
Cuba Latvia Spain
Cyprus Lesotho Swaziland
Czech Rep. Lithuania Sweden
Denmark Luxembourg Switzerland
Dominican Republic Madagascar The Netherlands
El Salvador Malta Ukraine
Estonia Mexico United Kingdom
Finland Montenegro United States of America
Former Yug. Rep. of
Macedonia
New Caledonia Vanuatu
(1) Excluding Kosovo administered by the United Nations
FMD free where
vaccination is not
practised
Member Countries recognised
as FMD free where vaccination is
not practised, according to the
provisions of Chapter 8.8. of
the Terrestrial Code, Edition 2016:
Resolution No. 22 (85th General Session of World Assembly, May 2017)
Cattle Production in Indonesia
īĩ Cattle are the second most important livestock sector after poultry
īĩ Indonesia is a net importer country of livestock and livestock products
īĩ Still heavily reliant on imports of live cattle and beef
7
2014 2015 2016
Total beef cattle population (head) 14,726,875 15,419,718 16,092,561
Total beef production (tons) 497,670 506,661 524,109
Live cattle import (head) 729,400 604,120 618,323
Value of cattle import (US$) 682,097,525 545,576,172 601,463,233
Beef import (kg) 76,887,337 50,309,023 116,761,381
Value of beef import (US$) 358,101,409 237,157,839 493,726,376
Beef export (kg) 2,069 6,750 14,841
Value of beef export (US$) 4,253 12,700 23,103
Table 1: Cattle industry in Indonesia (2016)
īĩ The largest livestock labour force is in East Java province –
42% of the total employment in livestock sector (Livestock
and Animal Health Statistics, 2016)
īĩ Sumatra is home to most of the cattle population
īĩ Java has the greatest concentration of the slaughter houses
and production sites – 22% in East Java, 11% in West Java
8
Figure 2: Indonesia’s cattle industry concentration
Government program to
increase cattle productivity
īĩ The GoI is currently aiming for self-sufficiency in beef to:
ī‚§ maintain domestic price stability
ī‚§ make beef more affordable to consumers
ī‚§ support the livelihoods of local farmers
īĩ Target for beef self-sufficiency is to be achieved by 2025, but still need
to import around 10% of the country's total demand
īĩ SIWAB (Sapi Indukan Wajib Bunting) – an artificial insemination
program to increase breeding productivity (launched in early 2017)
ī‚§ provide 2 to 3 million frozen semen straws a year for cattle breeding within
a six year period
ī‚§ another three years to make self-sufficient in the downstream sector
9
Why maintaining Indonesia’s FMD
freedom is critically important?
īĩ FMD is the most of important exotic livestock disease internationally
and would be a major obstacle for the Indonesian cattle industry to
achieve its self-sufficiency target (16 million cattle, SIWAB target in
2017 is 3 million pregnant cows)
īĩ The risk of FMD virus entering Indonesia via deboned meat may be
justified on social and economic criteria, Indonesia should be vigilant in
protecting its live cattle and managing beef import policies
10
2016 2017 Total
Volume (tons) 812 65,808 66,620
Value (US$) 2,363,974 229,823,747 232,187,721
Table 22: Volume and value of frozen boneless
buffalo meat import from India
Source: APEDA, 2017
CHAPTER II
METHOD OF
ANALYSIS
11
The Study
īĩ Objective:
ī‚§ to estimate the economic and financial benefits to Indonesia
from maintaining its FMD free status
ī‚§ to support advocacy with the decision makers of the GOI and
relevant stakeholders in the livestock industry
īĩ Outputs:
ī‚§ a Cost Benefit Analysis for an FMD incursion in Indonesia
using multiple scenarios
ī‚§ potential losses from FMD at national level
ī‚§ the estimation of costs of FMD preparedness activities
12
Economic Impact of Animal Diseases
īĩ Direct impacts occur if
the disease directly
affects the economic
value of the product’s
quantity and quality
īĩ Indirect impacts are
caused by human
reactions to the
disease that:
ī‚§ cost of control
disease outbreak
ī‚§ wider impacts of
disease on trade and
the general economy
13
Figure 3: Direct and indirect impact of FMD
Source: Rushton and Knight-Jones, 2013
Method
īĩ Literature search
Literature search includes journal articles and research report using
online browsing by using key word “FMD” or “foot and mouth disease”
and “economic impact” or “financial impact” or “cost-benefit”
īĩ Estimating Economic Impacts of FMD and Preparedness Costs
for Indonesia
PART I: Estimating the economic impacts of FMD outbreak in
Indonesia
PART II: Estimating potential losses from FMD at the national
level
PART III: Estimating FMD Preparedness Costs for Indonesia
14
CHAPTER III
ECONOMIC
IMPACT OF FMD
OUTBREAK IN
INDONESIA
15
Scenario development
īĩ A series of scenarios were developed to estimate the
economic impact due to an FMD outbreak in Indonesia:
ī‚§ most likely cause of the outbreak
ī‚§ species are most likely to be infected
ī‚§ area has the highest risk
ī‚§ how great the outbreak magnitude might be
16
Steps to estimate the economic
impact of the FMD outbreak
17
1. Develop underlying
assumptions
2. Present FMD outbreak
control strategies
3. Develop hypothetical
scenarios
4. Develop FMD
transmission rate model
5. Present epidemiology
and economic data
6. Create worksheet
model in MS Excel
Underlying assumptions
1. FMD virus can be carried into Indonesia through various ways,
outbreak is assumed to most likely be transmitted through the illegal
meat trade
2. From the history of FMD in Indonesia, it has predominantly infected
beef cattle, so it is assumed only beef cattle are affected
3. The outbreak scenario is assumed to be the area that has a high
density of cattle population
4. The epidemiology unit is a village where a group of cattle share a
common environment and management practices within the extensive
animal husbandry system, excluding feedlots and other species
18
FMD Outbreak Control Strategies
1. Culling, including immediate slaughtering of all infected and suspected
animals as well as those exposed to infected animals, compensation
for culled animals, sanitary disposal for culled carcasses and
contaminated animal products, cleaning and disinfection of all barns
2. Quarantine and movement restriction of livestock and livestock
products and other materials in the area defined as the infected zone
3. Tracing and surveillance to determine the source of disease, the level
of disease transmission, and trace forward to new cases
4. Vaccination is applied in some situations, if the disease cannot be
controlled by only culling and the outbreak has become wide spread
5. Risk communication through information, education, and
communication (IEC) activities
19
OIE requirements to regain free
status after FMD outbreak
20
BOX 1: OIE Code Chapter 8.8. (Article 8.8.7.):
1) 3 months after the disposal of the last animal killed where a stamping-
out policy and serologic surveillance are applied; OR
2) 3 months after the disposal of the last animal killed or the slaughter of all
vaccinated animals, where a stamping-out policy, emergency
vaccination, and serologic surveillance are applied; OR
3) 6 months after the disposal of the last animal killed or the last
vaccination where a stamping-out policy, emergency vaccination not
followed by the slaughtering all vaccinated animals, and serologic
surveillance are applied. However, this requires a serological
surveillance based on the detection of antibodies to nonstructural
proteins of FMD virus to demonstrate no evidence of infection in the
remaining vaccinated population
FMD Outbreak Hypothetical Scenarios
īĩ A hypothetical
examples of a district
based FMD outbreak in
East Java province –
Probolinggo district
īĩ East Java province is a
cattle source area with
a cattle population of
4,534,460 heads,
which is the highest
population in Indonesia
(Livestock and Animal
Health Statistics, 2016)
21
Map of East Java Province
Cattle Population Structure
in East Java province
22
Figure 4: Beef cattle population structure in East Java province
Adult females 34.4%
Adult bulls 11.0%
Heifers 18.0%
Steers 14.3%
Female calves 11.2%
Male calves 11.1%
Source: ICARD, 2014
Table 3: FMD outbreak hypothetical scenarios
23
Scenario 1 – Local
‘best case scenario’
ī‚ˇ Requires 2 weeks for detection/confirmation
ī‚ˇ Outbreak is limited to one or more villages within one
district
ī‚ˇ Only a small number of smallholder farmers have
infected cattle
ī‚ˇ Requires 6 months to control the outbreak
Scenario 2 – District
‘most likely scenario’
ī‚ˇ Requires 4 weeks for detection/confirmation
ī‚ˇ Outbreak includes several subdistricts within one or
more district(s)
ī‚ˇ The number of smallholder farmers that have infected
cattle is relatively large
ī‚ˇ Requires 12 months to control the outbreak
Scenario 3 – Province
‘worst case scenario’
ī‚ˇ Requires more than 8 weeks for detection/confirmation
ī‚ˇ Outbreak spreads to several provinces
ī‚ˇ The numbers of medium-scale and smallholder farmers
that have infected cattle are very large
ī‚ˇ Requires 24 months to control the outbreak or if fails it
becomes endemic
Time of detection and time required
to control the outbreak
24
2 years1 year
2 months
1 month
2 weeks 6 months
Scenario 1
Scenario 2
Scenario 3
Endemic
Best case
scenario
Most likely
scenario
Worst case
scenario
Time required to control the outbreakTime of
detection
FMD transmission rate model with
R0 = 2 for scenario 1, 2 and 3
25
1 2 4 7 13
21
33
46
65
78
94
112
135
108
86
69
55
33
20
127 3 1 00
20
40
60
80
100
120
140
160
1 2 3 4 5 6 7 8 9 101112131415161718192021222324
No.infectedcattle
Week
124816295293168269430688
1,101
1,541
2,157
3,020
4,229
5,074
6,089
7,307
5,846
4,677
3,741
2,993
2,394
1,437
862
517310186112674016631000000000000
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47
No.infectedcattle
Week
12481632641282564618291,3272,1232,973
4,1624,9945,993
7,192
8,630
10,356
12,427
14,912
17,895
21,474
17,179
13,743
10,995
8,796
7,037
5,629
4,5033,6032,8822,3061,8451,4761,181944756604484387309248198158127101814929181164211000000000000000000000000000000000000000
5,000
10,000
15,000
20,000
25,000
1 4 7 1013161922252831343740434649525558616467707376798285889194
No.infectedcattle
Week
Figure 5: Scenario 1 (best case scenario) Figure 6: Scenario 2 (most likely scenario)
Figure 7: Scenario 3 (worst case scenario)
Table 5: Components of FMD
direct impacts on cattle
26
īĩ To calculate the increase of abortion rate as FMD direct impact, it is
necessary to get average pregnancy rate in East Java province
īĩ An overview information about of the pregnancy rate is < 60%
(Rosikh, 2015)
Epidemiologic parameter Value Source
Mortality in adult cattle 2% Wildpro (http://www.wildlifeinformation.org/)
Mortality in young cattle 5% Wildpro (http://www.wildlifeinformation.org/)
Increase in abortion rate 10% Doel, 2003; Singh et al., 2013
Decrease in calf growth rate 20% Singh et al., 2013
Table 7: Economic impacts if FMD
outbreak occurs
27
No. DIRECT IMPACT Total Loss (Rp)
Scenario 1 Scenario 2 Scenario 3
1. Loss due to adult cattle deaths 108,841,152 6,003,357.696 21,489,482,592
2. Loss due to young cattle deaths 113,728,300 6,272,918,400 22,830,560,550
3. Loss due to abortion 103,819,200 5,726,361,600 20,841,343,200
4. Loss due to decreased calf growth 224,338,000 12,373.824,000 45,035,073,000
Total direct losses 550,726,652 30,376,461,696 110,556,459,342
No. INDIRECT IMPACT Total Loss (Rp)
Scenario 1 Scenario 2 Scenario 3
1 Culling cost 137,017,200 2,519,155,200 9,168,575,400
2. Compensation cost 3,809,440,320 210,117,519,360 764,731,890,720
3. Vaccination cost 1,908,146,900 99,305,717,332 1,117,168,647,404
4. Cold chain & field officer training cost 325,000,000 550,000,000 850,000,000
5. Surveillance cost 185,000,000 320,000,000 590,000,000
6. Movement restriction cost 2,073,822,500 70,750,835,000 471,994,840,000
7. Outbreak control management cost 195,000,000 517,000,000 9,319,800,000
8. IEC cost 13,000,000 34,520,000 621,320,000
Total indirect losses 8,646,426,920
(US$ 665,100)
384,115,546,89
(US$ 29,547,350)
2,374,445,073,524
(US$ 182,649,621)
Total direct & indirect losses 9,197,153,572
(US$ 707.473)
414,492,008,588
(US$ 31,884,001)
2,485,001,532,866
(US$ 191,153,964)
Sensitivity Analysis
īĩ Sensitivity analysis is used to assess:
ī‚§ whether the assumption or estimation used in a model is
important or not
ī‚§ the impact of an error or inaccuracy of the assumed values
used in the model
īĩ Six parameters of direct impact and indirect impact analyzed to
determine whether or not the assumed values have impact to
the final result (total loss due to the outbreak)
īĩ Those values are estimated values which are less convincing or
less certain
28
Figure 9: Sensitivity analysis of the total
economic loss if an FMD outbreak occurs
29
Rp7,800,000,000
Rp8,000,000,000
Rp8,200,000,000
Rp8,400,000,000
Rp8,600,000,000
Rp8,800,000,000
Rp9,000,000,000
Rp9,200,000,000
Rp9,400,000,000
Rp9,600,000,000
Rp9,800,000,000
Mortality rate in
adult cattle (%)
Mortality rate in
young cattle (%)
Decreased calf
growth rate (%)
Adult male cattle
selling price per head
(Rp)
Young cattle selling
price per head (Rp)
Vaccine cost per head
(Rp)
Minimum Most likely Maximum
Limitation of the CBA results
īĩ The outbreak only occurs in one species and one production
system, it does not provide any calculation if the outbreak has
spread further and infected other species
īĩ By excluding these, the assumption can be made that the
potential economic loss would likely be far greater than has
been estimated using the developed scenarios
īĩ Other limitations such as the assumptions required, especially
in predicting the benefit obtained is only from the direct impact
of the outbreak control measures implemented
īĩ The numbers used are singular and cannot be tested against a
confidence interval to include uncertainty
30
Table 12: Cost benefit analysis study
of FMD control and eradication
31
Country FMD
Endemic
Economic Return C/B Ratio Reference
Philippines No Commercial pig producer is estimated
to obtain 8.4% benefit from eradication
investment, compared to only 4%
smallholder pig producers
1.6-12.0
(depends on
the export
volume)
Randolp et al, 2002
Laos Yes Vaccination program cost runs quite
effectively
5.3 Nampanya et al.,
2015
Thailand Yes If eradication cannot be obtained by
2020, the return remains positive
without export, but on a lower level
3.73-15.0
(depends on
the export
volume)
Perry et al., 1999
Cambodia Yes The successful FMD control program is
expected to prevent estimated loss of
US$ 135 million
1.4 Young et al., 2014
U.S.A. No All strategies including vaccination are
economically efficient and appropriate,
whereas additional strategy such as
culling, is not efficient and inappropriate
(B/C 0.05 to 0.8)
5.0-10.1 Bates et al., 2003
CHAPTER IV
POTENTIAL LOSSES
FROM FMD AT
NATIONAL LEVEL
32
33
Potential losses from FMD
Impacts on Cattle Production
Impacts on Trade
Impacts on Industry
FMD impacts on Indonesia’s farmers,
trade and non-agricultural sector
34
Impacts on cattle
production
Impacts on Trade
Impacts on
Industry
â€ĸ Farmer financial losses
â€ĸ Impact on sugarcane
tops export
â€ĸ Impact on raw leather
exports
â€ĸ Impact on meat and
processed meat exports
â€ĸ Impact on domestic prices
â€ĸ Impact on tourism industry
Some commodities in small quantities exported to various countries, but the
economic impact of trade restrictions of an FMD outbreak incursion in Indonesia is
not too significant
Benefits of an FMD free status
īĩ can be assessed from:
ī‚§ the direct costs that can be saved such as financial benefits borne
by the farmers when their livestock are not affected by FMD, and
ī‚§ indirect costs such as costs due to trade restriction, and costs
incurred due to the impact on the non-agricultural sector (Dillon,
2006)
īĩ Others state that generally in FMD-free countries, the economic
costs that can be saved from active surveillance, increased
biosecurity and awareness during peace time and eradication
costs during an outbreak (Beyi, 2012)
35
Impacts on cattle production
īĩ The most direct economic impact of transboundary animal diseases
such as FMD is the loss or reduced efficiency in production, which
reduces farm income (Otte et al., 2004)
īĩ A study in Cambodia estimated that FMD outbreaks resulted in a
reduction in household income of 4-12% (Shankar et al., 2012)
īĩ In several parts in Laos, it may account for 60% of the annual
household income (Nampanya et al., 2013)
īĩ A study in Laos and Cambodia estimated that affected cattle lose a
quarter to three quarters of its original value (Rast et al., 2009)
īĩ As cattle play an important role as assets that are cashed in at times
of need, this has a severe impact on farmer livelihoods (Knight-Jones,
2014)
36
Financial Analysis
īĩ The difference in mortality,
morbidity, and vaccination rate in
vaccinated and unvaccinated
villages are obtained from study
conducted by Rast et al., 2010 in
Laos and adapted to Indonesian
condition
37
Cost (Rp) Unvaccinated village Vaccinated village
Total (Rp) Cost per
head (Rp)
Total (Rp) Cost per
head (Rp)
Mortality rate (%) 101,400,000 390,000 0 0
Morbidity rate (%) 3,766,750 14,488 61,750 238
Weight loss (kg) 1,084,824,000 4,172,400 17,784,000 64,800
Vaccination rate (%) 0 0 11,700,000 45,000
Total 1,189,990,750 4,576,888 29,545,250 113,638
Parameter Unvaccinated
village
Vaccinated
village
Total population 260 heads 260 heads
Mortality rate 7.8% 0%
Morbidity rate 61% 1%
Vaccination rate 0% 100%
Table 13: Parameters in unvaccinated village and
vaccinated village against FMD
Table 14: Total cost estimation per head with
assumption that sick cattle is sold
Financial losses at national level
īĩ To extrapolate this number into the national level requires an
assumption of the number of infected cattle during the outbreak
īĩ The difference between total financial costs that can be saved between
the unvaccinated and vaccinated village is Rp 4,463,250 per head – Rp
901.4 billion at national level
38
Variable Number Remarks
No. of infected cattle 201,951 The number assumed incurred in
8-weeks onset of the outbreak
(see Chapter III – scenario 3)
Financial costs per head
saved at the village level
Rp 4,463,250 The numbers obtained from the
above calculation
TOTAL Rp 901.357.800.750
(US$ 69.335.215)
Table 15: Estimation of FMD financial costs at national level
Indirect impacts on industry
from infectious animal diseases
īĩ Ripple effects include impacts on livestock and livestock
products price, and upstream and downstream activities
along the cattle value chain
īĩ Spillover effects include impacts other than to the
agricultural sector, such as on tourism and the sectors
related to public services
īĩ Effects on wider society can include exposure to zoonotic
risk, which is a threat to public health
39
Source: Agra CEAS Consulting, 2007
Table 21: Estimation of FMD
economic impacts at national level
īĩ The total annual losses at national leval is Rp 9.9 trillion (US$ 761.3 million)
īĩ This indicates that the indirect impact such as on tourism which is the spill-over
effect incurs 66% or more than half of the total indirect impacts
īĩ If all industries and trade related to agricultural sector are accounted for, then
the proportion is 25%
40
Impacts Costs in Rp Costs in US$
FMD financial impacts at national level 901.4 billion 69.3 million
FMD impacts on sugar cane tops export 622.9 million 47.9 million
FMD impacts on raw leather export 880.8 billion 67.7 million
FMD impacts on meat and processed meat
export
43.6 billion 3.4 million
FMD impacts on domestic prices 942.5 million 72.5 million
FMD impacts on tourism industry 6.5 trillion 500.5 million
Total 9.9 trillion 761.3 million
Table 2: Economic loss of FMD in
a number of countries
41
Country Scope Species Total loss per year Reference
India National,
per year
Cow, buffalo,
sheep, goat and pig
12,000-14,000 crore
(US$ 1.87-2.18 billion)
(Rp 21.9-29.2 trillion)
Singh et al., 2012
Pakistan Village,
6 months
Cow, buffalo Rs. 27,448,000
(US$ 322,918)
(Rp 4.3 billion)
Gorsi et al., 2011
Ethiopia National,
per year
Cow 1.354 billion birr
(US$ 61 million)
(Rp 812.9 billion)
Jemberu, 2016
Laos National,
per year
Cow and buffalo US$ 13,512,291
(Rp 180 billion)
Nampanya, 2015
Laos Village,
per year
Cow and buffalo US$ 30,881
(Rp 411.6 million)
Nampanya, 2015
Australia National,
10 years
All susceptible
livestock
>AUS$ 50 billion
(>US$ 39.7 billion)
(>Rp 529.8 trillion)
Buetre et al.,2013
CHAPTER V
FMD PREPAREDNESS
COST
42
Some assumptions of the likelihood if
an FMD outbreak occurs in Indonesia
1) Outbreak is not detected quickly (within a few days), so it could have
already spread significantly into a wider area
2) The outbreak control actions (e.g. culling and compensation) are delayed
or difficult to perform according to international standard procedures, due
to the weak legal power
3) The capacity of the response is not sufficient to manage such an FMD
outbreak, so the response of the central and local governments as well
as the livestock community tends to be overwhelmed by the emergencies
4) The capacity of the human and physical resources to conduct the
destruction and disposal of livestock on a large scale remains
questionable given Indonesia has limited experience
5) Regaining freedom status is difficult to achieve within 3 or 6 months,
following the appropriate actions for controlling the outbreak as these
may not be effective or not comply with the principles of emergency
response
43
Tabel 23: FMD Preparedness Activities 44
Authority Planning
Surveillance
Simulation
exercise
Communication
and public
awareness
Investigation
(before
outbreak
confirmed)
Vaccination Zoning
Quarantine
and
movement
control
Incident
Command
System
Traceability
ī‚§ Diagnostic capabilities
ī‚§ Laboratory preparedness
KIATVETINDO
ī‚§ Local outbreak control
ī‚§ Rapid Response Unit
ī‚§ National/Regional Agency
for Disaster Management
ī‚§ i-SIKHNAS for syndromic
& passive surveillance
ī‚§ Sero-surveillance for
outbreak and follow-up
ī‚§ Sent field viruses overseas
ī‚§ matching strains, import
permits and registration
ī‚§ OIE vaccine bank
Vaccination during FMD outbreak
īĩ A policy indicating when vaccinations are to be implemented during an
outbreak should already be established considering a range of factors
īĩ Selection of vaccine strains is not only influenced by small cross-
protection capabilities between serotypes, but also genetic and
antigenic variations between serotypes (BrÃŧckner and Saraiva-Vieira,
2010)
īĩ Preparation of specific plans for the supply of vaccine during the
outbreak, including matching strains, import permits and registration
īĩ Preparation of a communication plan to obtain the necessary vaccine
during an outbreak from an OIE vaccine bank
īĩ An alternative is the preparation of a plan to contract an international
manufacturer to provide commercial vaccines
45
Table 25: Estimation of annual cost
required for FMD preparedness
46
Preparedness activities Unit Cost (Rp) Cost Estimation Remarks
Sero-surveillance
(8.000 samples/year)
Rp 400,000 per
sample
Rp 3,200,000,000
(US$ 246,154)
Unit cost including diagnostic
kit, equipment, quality
assurance, and training
Simulation
(100 person/year)
Rp 6,000,000
per pax
Rp 600,000,000
(US$ 46,154)
Unit cost including logistic,
travel, accommodation and
material
Outbreak investigation (conducted
3 times each year with sampling of
approximately 100 samples)
Rp 1,200,000
per sample
Rp 360,000,000
(US$ 27,692)
Contingency cost required to
conduct outbreak investigation
including sending samples to
laboratory
Vaccination
(250,000 heads)
Rp 45,000 per
dose
Rp 11,250,000,000
(US$ 865,385)
Contingency cost to purchase
vaccines if outbreak occurs.
Unit cost includes operational
Communication and public
awareness improvement (1.000
village/year)
Rp 300,000 per
village
Rp 300,000,000
(US$ 23,077)
Table 25: Estimation of annual cost
required for FMD preparedness (cont.)
47
Preparedness activities Unit Cost (Rp) Cost Estimation Remarks
Quarantine and traffic control
(40.000 heads/year)
Rp 25,000
per head
Rp 1,000,000,000
(US$ 76,923)
Outbreak Command Center (25.000
heads)
Rp 15,000
per head
Rp 375,000,000
(US$ 28,846)
Emergency funds if outbreak
occurs to establish Outbreak
Command Center in outbreak
area and the operational of
URC team
Identification and livestock
database (livestock traceability)
(15.000 heads)
Rp 150,000 per
head
Rp 2,250,000,000
(US$ 173,077)
Cost to build database and
electronic devices required for
livestock identification
Total cost Rp 19,335,000,000
(US$ 1.5 million)
Total comtingency cost Rp 11,610,000,000
(US$ 893,077)
Total required cost Rp 7,725,000,000
(US$ 594,231)
Summary
īĩ The result of the CBA shows that if an FMD incursion occurs in
Indonesia:
ī‚§ every effort should be made to restrict the outbreak to a scenario 1 to have
the maximum B/C Ratio of the cost of control measures against the
economic impact
ī‚§ Although scenario 2 is more likely to be occur in a country such as
Indonesia, the result that the benefits are only slightly larger than the costs
ī‚§ Scenario 3 should be avoided as much as possible since the costs outweigh
the benefits and potential losses may be unrecovered, even over an
extended period
īĩ The total estimated losses in a year for Indonesia are estimated to be
Rp 9.9 trillion (US$ 761.3 million), which includes:
ī‚§ the financial loss in cattle production
ī‚§ impacts on trade
ī‚§ impact on industry including declining domestic cattle price and beef sales
as a consequence of the ripple effect, and decrease in tourism expenditures
as the spill-over effect
48
Summary (cont.)
īĩ Indonesia needs to develop its FMD emergency preparedness to a
more higher level to:
ī‚§ prevent the risk of exposing Indonesia’s cattle herd to FMD
ī‚§ protect the livestock sector to achieve its beef self sufficiency target
ī‚§ minimizing the risk from importation of deboned beef from countries or
zones still infected with FMD
īĩ The annual FMD preparedness budget required to protect the
Indonesian livestock assets and economy are Rp 7.7 billion (US$
594,231) plus a contingency cost of Rp 11,6 billion (US$ 893,077)
which include outbreak investigation and vaccination
īĩ The magnitude of the risks of an outbreak and the potential economic
impact of FMD determine the level of investment needed to protect a
country's territory from the FMD threat
49
“
”
Thank you/Terima kasih
50

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Potential Economic Losses of Foot and Mouth Disease in Indonesia - Ditjen PKH-OIE-MLA, Jakarta, 7 November 2018

  • 1. Potential Economic Losses of Foot and Mouth Disease in Indonesia - A report to OIE Drh Tri Satya Putri Naipospos MPhil PhD Stakeholder Meeting on Cost Benefit Analysis of Maintaining Foot-and-Mouth Disease (FMD) Freedom in Indonesia Jakarta, 7 November 2017 1
  • 3. 3 â€ĸ Indonesia is an archipelago, 34 provinces, total area of 1.9 million km2 â€ĸ Total human population of 257.9 million (2016) â€ĸ Indonesian GDP in 2016 was ranked 16th in the world at US$ 932.2 billion (Rp 12,240 trillion) (World Bank, 2017) â€ĸ GDP per capita is estimated at US$ 3,605 (Rp 48 million) (Indonesian Central Bureau of Statistics, 2017) â€ĸ The agricultural sector contribution to national GDP is 10.2% with a livestock subsector contribution to national GDP of 1.6% that is 15.8% to agricultural GDP (Livestock and Animal Health Statistics, 2016) INDONESIA
  • 4. Foot and Mouth Disese (FMD) īĩ FMD is a very contagious viral disease that can infect all species of cloven-hoofed animals (cattle, sheep, goat, pig, deer, buffalo and camel) īĩ Rarely fatal to adult animals, but can cause high mortality in young stock īĩ Clinical symptoms include fever and lesions on the tongue and lips, inside the mouth, on nipples and between the nails (Buetre et al., 2013) īĩ Some important points regarding FMD: ī‚§ FMD does not affect humans, no risk for food safety related to the consumptions of products originating from animals infected with FMD ī‚§ The organism that causes FMD is a virus belongs to family Picornaviridae ī‚§ There are seven strains that has been identified (A, C, O, Asia 1, SAT1, SAT2 and SAT3) 4
  • 5. Global susceptible cattle density per km2 īĩ The possibility of FMD entry into FMD-free countries, including Indonesia, is quite high considering that more than a hundred countries in the world are still endemically infected with FMD (Jamal and Belsham, 2013) 5 Figure 1: The number of cattle susceptible to FMD per km2
  • 6. Indonesia is a country free from FMD since 1986, officially recognized by OIE in 1990 6Albania France New Zealand Australia Germany Nicaragua Austria Greece Norway Belarus Guatemala Panama Belgium Guyana Philippines Belize Haiti Poland Bosnia and Herzegovina Honduras Portugal Brunei Hungary Romania Bulgaria Iceland San Marino Canada Indonesia Serbia (1) Chile Ireland Singapore Costa Rica Italy Slovakia Croatia Japan Slovenia Cuba Latvia Spain Cyprus Lesotho Swaziland Czech Rep. Lithuania Sweden Denmark Luxembourg Switzerland Dominican Republic Madagascar The Netherlands El Salvador Malta Ukraine Estonia Mexico United Kingdom Finland Montenegro United States of America Former Yug. Rep. of Macedonia New Caledonia Vanuatu (1) Excluding Kosovo administered by the United Nations FMD free where vaccination is not practised Member Countries recognised as FMD free where vaccination is not practised, according to the provisions of Chapter 8.8. of the Terrestrial Code, Edition 2016: Resolution No. 22 (85th General Session of World Assembly, May 2017)
  • 7. Cattle Production in Indonesia īĩ Cattle are the second most important livestock sector after poultry īĩ Indonesia is a net importer country of livestock and livestock products īĩ Still heavily reliant on imports of live cattle and beef 7 2014 2015 2016 Total beef cattle population (head) 14,726,875 15,419,718 16,092,561 Total beef production (tons) 497,670 506,661 524,109 Live cattle import (head) 729,400 604,120 618,323 Value of cattle import (US$) 682,097,525 545,576,172 601,463,233 Beef import (kg) 76,887,337 50,309,023 116,761,381 Value of beef import (US$) 358,101,409 237,157,839 493,726,376 Beef export (kg) 2,069 6,750 14,841 Value of beef export (US$) 4,253 12,700 23,103 Table 1: Cattle industry in Indonesia (2016)
  • 8. īĩ The largest livestock labour force is in East Java province – 42% of the total employment in livestock sector (Livestock and Animal Health Statistics, 2016) īĩ Sumatra is home to most of the cattle population īĩ Java has the greatest concentration of the slaughter houses and production sites – 22% in East Java, 11% in West Java 8 Figure 2: Indonesia’s cattle industry concentration
  • 9. Government program to increase cattle productivity īĩ The GoI is currently aiming for self-sufficiency in beef to: ī‚§ maintain domestic price stability ī‚§ make beef more affordable to consumers ī‚§ support the livelihoods of local farmers īĩ Target for beef self-sufficiency is to be achieved by 2025, but still need to import around 10% of the country's total demand īĩ SIWAB (Sapi Indukan Wajib Bunting) – an artificial insemination program to increase breeding productivity (launched in early 2017) ī‚§ provide 2 to 3 million frozen semen straws a year for cattle breeding within a six year period ī‚§ another three years to make self-sufficient in the downstream sector 9
  • 10. Why maintaining Indonesia’s FMD freedom is critically important? īĩ FMD is the most of important exotic livestock disease internationally and would be a major obstacle for the Indonesian cattle industry to achieve its self-sufficiency target (16 million cattle, SIWAB target in 2017 is 3 million pregnant cows) īĩ The risk of FMD virus entering Indonesia via deboned meat may be justified on social and economic criteria, Indonesia should be vigilant in protecting its live cattle and managing beef import policies 10 2016 2017 Total Volume (tons) 812 65,808 66,620 Value (US$) 2,363,974 229,823,747 232,187,721 Table 22: Volume and value of frozen boneless buffalo meat import from India Source: APEDA, 2017
  • 12. The Study īĩ Objective: ī‚§ to estimate the economic and financial benefits to Indonesia from maintaining its FMD free status ī‚§ to support advocacy with the decision makers of the GOI and relevant stakeholders in the livestock industry īĩ Outputs: ī‚§ a Cost Benefit Analysis for an FMD incursion in Indonesia using multiple scenarios ī‚§ potential losses from FMD at national level ī‚§ the estimation of costs of FMD preparedness activities 12
  • 13. Economic Impact of Animal Diseases īĩ Direct impacts occur if the disease directly affects the economic value of the product’s quantity and quality īĩ Indirect impacts are caused by human reactions to the disease that: ī‚§ cost of control disease outbreak ī‚§ wider impacts of disease on trade and the general economy 13 Figure 3: Direct and indirect impact of FMD Source: Rushton and Knight-Jones, 2013
  • 14. Method īĩ Literature search Literature search includes journal articles and research report using online browsing by using key word “FMD” or “foot and mouth disease” and “economic impact” or “financial impact” or “cost-benefit” īĩ Estimating Economic Impacts of FMD and Preparedness Costs for Indonesia PART I: Estimating the economic impacts of FMD outbreak in Indonesia PART II: Estimating potential losses from FMD at the national level PART III: Estimating FMD Preparedness Costs for Indonesia 14
  • 15. CHAPTER III ECONOMIC IMPACT OF FMD OUTBREAK IN INDONESIA 15
  • 16. Scenario development īĩ A series of scenarios were developed to estimate the economic impact due to an FMD outbreak in Indonesia: ī‚§ most likely cause of the outbreak ī‚§ species are most likely to be infected ī‚§ area has the highest risk ī‚§ how great the outbreak magnitude might be 16
  • 17. Steps to estimate the economic impact of the FMD outbreak 17 1. Develop underlying assumptions 2. Present FMD outbreak control strategies 3. Develop hypothetical scenarios 4. Develop FMD transmission rate model 5. Present epidemiology and economic data 6. Create worksheet model in MS Excel
  • 18. Underlying assumptions 1. FMD virus can be carried into Indonesia through various ways, outbreak is assumed to most likely be transmitted through the illegal meat trade 2. From the history of FMD in Indonesia, it has predominantly infected beef cattle, so it is assumed only beef cattle are affected 3. The outbreak scenario is assumed to be the area that has a high density of cattle population 4. The epidemiology unit is a village where a group of cattle share a common environment and management practices within the extensive animal husbandry system, excluding feedlots and other species 18
  • 19. FMD Outbreak Control Strategies 1. Culling, including immediate slaughtering of all infected and suspected animals as well as those exposed to infected animals, compensation for culled animals, sanitary disposal for culled carcasses and contaminated animal products, cleaning and disinfection of all barns 2. Quarantine and movement restriction of livestock and livestock products and other materials in the area defined as the infected zone 3. Tracing and surveillance to determine the source of disease, the level of disease transmission, and trace forward to new cases 4. Vaccination is applied in some situations, if the disease cannot be controlled by only culling and the outbreak has become wide spread 5. Risk communication through information, education, and communication (IEC) activities 19
  • 20. OIE requirements to regain free status after FMD outbreak 20 BOX 1: OIE Code Chapter 8.8. (Article 8.8.7.): 1) 3 months after the disposal of the last animal killed where a stamping- out policy and serologic surveillance are applied; OR 2) 3 months after the disposal of the last animal killed or the slaughter of all vaccinated animals, where a stamping-out policy, emergency vaccination, and serologic surveillance are applied; OR 3) 6 months after the disposal of the last animal killed or the last vaccination where a stamping-out policy, emergency vaccination not followed by the slaughtering all vaccinated animals, and serologic surveillance are applied. However, this requires a serological surveillance based on the detection of antibodies to nonstructural proteins of FMD virus to demonstrate no evidence of infection in the remaining vaccinated population
  • 21. FMD Outbreak Hypothetical Scenarios īĩ A hypothetical examples of a district based FMD outbreak in East Java province – Probolinggo district īĩ East Java province is a cattle source area with a cattle population of 4,534,460 heads, which is the highest population in Indonesia (Livestock and Animal Health Statistics, 2016) 21 Map of East Java Province
  • 22. Cattle Population Structure in East Java province 22 Figure 4: Beef cattle population structure in East Java province Adult females 34.4% Adult bulls 11.0% Heifers 18.0% Steers 14.3% Female calves 11.2% Male calves 11.1% Source: ICARD, 2014
  • 23. Table 3: FMD outbreak hypothetical scenarios 23 Scenario 1 – Local ‘best case scenario’ ī‚ˇ Requires 2 weeks for detection/confirmation ī‚ˇ Outbreak is limited to one or more villages within one district ī‚ˇ Only a small number of smallholder farmers have infected cattle ī‚ˇ Requires 6 months to control the outbreak Scenario 2 – District ‘most likely scenario’ ī‚ˇ Requires 4 weeks for detection/confirmation ī‚ˇ Outbreak includes several subdistricts within one or more district(s) ī‚ˇ The number of smallholder farmers that have infected cattle is relatively large ī‚ˇ Requires 12 months to control the outbreak Scenario 3 – Province ‘worst case scenario’ ī‚ˇ Requires more than 8 weeks for detection/confirmation ī‚ˇ Outbreak spreads to several provinces ī‚ˇ The numbers of medium-scale and smallholder farmers that have infected cattle are very large ī‚ˇ Requires 24 months to control the outbreak or if fails it becomes endemic
  • 24. Time of detection and time required to control the outbreak 24 2 years1 year 2 months 1 month 2 weeks 6 months Scenario 1 Scenario 2 Scenario 3 Endemic Best case scenario Most likely scenario Worst case scenario Time required to control the outbreakTime of detection
  • 25. FMD transmission rate model with R0 = 2 for scenario 1, 2 and 3 25 1 2 4 7 13 21 33 46 65 78 94 112 135 108 86 69 55 33 20 127 3 1 00 20 40 60 80 100 120 140 160 1 2 3 4 5 6 7 8 9 101112131415161718192021222324 No.infectedcattle Week 124816295293168269430688 1,101 1,541 2,157 3,020 4,229 5,074 6,089 7,307 5,846 4,677 3,741 2,993 2,394 1,437 862 517310186112674016631000000000000 1,000 2,000 3,000 4,000 5,000 6,000 7,000 8,000 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 No.infectedcattle Week 12481632641282564618291,3272,1232,973 4,1624,9945,993 7,192 8,630 10,356 12,427 14,912 17,895 21,474 17,179 13,743 10,995 8,796 7,037 5,629 4,5033,6032,8822,3061,8451,4761,181944756604484387309248198158127101814929181164211000000000000000000000000000000000000000 5,000 10,000 15,000 20,000 25,000 1 4 7 1013161922252831343740434649525558616467707376798285889194 No.infectedcattle Week Figure 5: Scenario 1 (best case scenario) Figure 6: Scenario 2 (most likely scenario) Figure 7: Scenario 3 (worst case scenario)
  • 26. Table 5: Components of FMD direct impacts on cattle 26 īĩ To calculate the increase of abortion rate as FMD direct impact, it is necessary to get average pregnancy rate in East Java province īĩ An overview information about of the pregnancy rate is < 60% (Rosikh, 2015) Epidemiologic parameter Value Source Mortality in adult cattle 2% Wildpro (http://www.wildlifeinformation.org/) Mortality in young cattle 5% Wildpro (http://www.wildlifeinformation.org/) Increase in abortion rate 10% Doel, 2003; Singh et al., 2013 Decrease in calf growth rate 20% Singh et al., 2013
  • 27. Table 7: Economic impacts if FMD outbreak occurs 27 No. DIRECT IMPACT Total Loss (Rp) Scenario 1 Scenario 2 Scenario 3 1. Loss due to adult cattle deaths 108,841,152 6,003,357.696 21,489,482,592 2. Loss due to young cattle deaths 113,728,300 6,272,918,400 22,830,560,550 3. Loss due to abortion 103,819,200 5,726,361,600 20,841,343,200 4. Loss due to decreased calf growth 224,338,000 12,373.824,000 45,035,073,000 Total direct losses 550,726,652 30,376,461,696 110,556,459,342 No. INDIRECT IMPACT Total Loss (Rp) Scenario 1 Scenario 2 Scenario 3 1 Culling cost 137,017,200 2,519,155,200 9,168,575,400 2. Compensation cost 3,809,440,320 210,117,519,360 764,731,890,720 3. Vaccination cost 1,908,146,900 99,305,717,332 1,117,168,647,404 4. Cold chain & field officer training cost 325,000,000 550,000,000 850,000,000 5. Surveillance cost 185,000,000 320,000,000 590,000,000 6. Movement restriction cost 2,073,822,500 70,750,835,000 471,994,840,000 7. Outbreak control management cost 195,000,000 517,000,000 9,319,800,000 8. IEC cost 13,000,000 34,520,000 621,320,000 Total indirect losses 8,646,426,920 (US$ 665,100) 384,115,546,89 (US$ 29,547,350) 2,374,445,073,524 (US$ 182,649,621) Total direct & indirect losses 9,197,153,572 (US$ 707.473) 414,492,008,588 (US$ 31,884,001) 2,485,001,532,866 (US$ 191,153,964)
  • 28. Sensitivity Analysis īĩ Sensitivity analysis is used to assess: ī‚§ whether the assumption or estimation used in a model is important or not ī‚§ the impact of an error or inaccuracy of the assumed values used in the model īĩ Six parameters of direct impact and indirect impact analyzed to determine whether or not the assumed values have impact to the final result (total loss due to the outbreak) īĩ Those values are estimated values which are less convincing or less certain 28
  • 29. Figure 9: Sensitivity analysis of the total economic loss if an FMD outbreak occurs 29 Rp7,800,000,000 Rp8,000,000,000 Rp8,200,000,000 Rp8,400,000,000 Rp8,600,000,000 Rp8,800,000,000 Rp9,000,000,000 Rp9,200,000,000 Rp9,400,000,000 Rp9,600,000,000 Rp9,800,000,000 Mortality rate in adult cattle (%) Mortality rate in young cattle (%) Decreased calf growth rate (%) Adult male cattle selling price per head (Rp) Young cattle selling price per head (Rp) Vaccine cost per head (Rp) Minimum Most likely Maximum
  • 30. Limitation of the CBA results īĩ The outbreak only occurs in one species and one production system, it does not provide any calculation if the outbreak has spread further and infected other species īĩ By excluding these, the assumption can be made that the potential economic loss would likely be far greater than has been estimated using the developed scenarios īĩ Other limitations such as the assumptions required, especially in predicting the benefit obtained is only from the direct impact of the outbreak control measures implemented īĩ The numbers used are singular and cannot be tested against a confidence interval to include uncertainty 30
  • 31. Table 12: Cost benefit analysis study of FMD control and eradication 31 Country FMD Endemic Economic Return C/B Ratio Reference Philippines No Commercial pig producer is estimated to obtain 8.4% benefit from eradication investment, compared to only 4% smallholder pig producers 1.6-12.0 (depends on the export volume) Randolp et al, 2002 Laos Yes Vaccination program cost runs quite effectively 5.3 Nampanya et al., 2015 Thailand Yes If eradication cannot be obtained by 2020, the return remains positive without export, but on a lower level 3.73-15.0 (depends on the export volume) Perry et al., 1999 Cambodia Yes The successful FMD control program is expected to prevent estimated loss of US$ 135 million 1.4 Young et al., 2014 U.S.A. No All strategies including vaccination are economically efficient and appropriate, whereas additional strategy such as culling, is not efficient and inappropriate (B/C 0.05 to 0.8) 5.0-10.1 Bates et al., 2003
  • 32. CHAPTER IV POTENTIAL LOSSES FROM FMD AT NATIONAL LEVEL 32
  • 33. 33 Potential losses from FMD Impacts on Cattle Production Impacts on Trade Impacts on Industry
  • 34. FMD impacts on Indonesia’s farmers, trade and non-agricultural sector 34 Impacts on cattle production Impacts on Trade Impacts on Industry â€ĸ Farmer financial losses â€ĸ Impact on sugarcane tops export â€ĸ Impact on raw leather exports â€ĸ Impact on meat and processed meat exports â€ĸ Impact on domestic prices â€ĸ Impact on tourism industry Some commodities in small quantities exported to various countries, but the economic impact of trade restrictions of an FMD outbreak incursion in Indonesia is not too significant
  • 35. Benefits of an FMD free status īĩ can be assessed from: ī‚§ the direct costs that can be saved such as financial benefits borne by the farmers when their livestock are not affected by FMD, and ī‚§ indirect costs such as costs due to trade restriction, and costs incurred due to the impact on the non-agricultural sector (Dillon, 2006) īĩ Others state that generally in FMD-free countries, the economic costs that can be saved from active surveillance, increased biosecurity and awareness during peace time and eradication costs during an outbreak (Beyi, 2012) 35
  • 36. Impacts on cattle production īĩ The most direct economic impact of transboundary animal diseases such as FMD is the loss or reduced efficiency in production, which reduces farm income (Otte et al., 2004) īĩ A study in Cambodia estimated that FMD outbreaks resulted in a reduction in household income of 4-12% (Shankar et al., 2012) īĩ In several parts in Laos, it may account for 60% of the annual household income (Nampanya et al., 2013) īĩ A study in Laos and Cambodia estimated that affected cattle lose a quarter to three quarters of its original value (Rast et al., 2009) īĩ As cattle play an important role as assets that are cashed in at times of need, this has a severe impact on farmer livelihoods (Knight-Jones, 2014) 36
  • 37. Financial Analysis īĩ The difference in mortality, morbidity, and vaccination rate in vaccinated and unvaccinated villages are obtained from study conducted by Rast et al., 2010 in Laos and adapted to Indonesian condition 37 Cost (Rp) Unvaccinated village Vaccinated village Total (Rp) Cost per head (Rp) Total (Rp) Cost per head (Rp) Mortality rate (%) 101,400,000 390,000 0 0 Morbidity rate (%) 3,766,750 14,488 61,750 238 Weight loss (kg) 1,084,824,000 4,172,400 17,784,000 64,800 Vaccination rate (%) 0 0 11,700,000 45,000 Total 1,189,990,750 4,576,888 29,545,250 113,638 Parameter Unvaccinated village Vaccinated village Total population 260 heads 260 heads Mortality rate 7.8% 0% Morbidity rate 61% 1% Vaccination rate 0% 100% Table 13: Parameters in unvaccinated village and vaccinated village against FMD Table 14: Total cost estimation per head with assumption that sick cattle is sold
  • 38. Financial losses at national level īĩ To extrapolate this number into the national level requires an assumption of the number of infected cattle during the outbreak īĩ The difference between total financial costs that can be saved between the unvaccinated and vaccinated village is Rp 4,463,250 per head – Rp 901.4 billion at national level 38 Variable Number Remarks No. of infected cattle 201,951 The number assumed incurred in 8-weeks onset of the outbreak (see Chapter III – scenario 3) Financial costs per head saved at the village level Rp 4,463,250 The numbers obtained from the above calculation TOTAL Rp 901.357.800.750 (US$ 69.335.215) Table 15: Estimation of FMD financial costs at national level
  • 39. Indirect impacts on industry from infectious animal diseases īĩ Ripple effects include impacts on livestock and livestock products price, and upstream and downstream activities along the cattle value chain īĩ Spillover effects include impacts other than to the agricultural sector, such as on tourism and the sectors related to public services īĩ Effects on wider society can include exposure to zoonotic risk, which is a threat to public health 39 Source: Agra CEAS Consulting, 2007
  • 40. Table 21: Estimation of FMD economic impacts at national level īĩ The total annual losses at national leval is Rp 9.9 trillion (US$ 761.3 million) īĩ This indicates that the indirect impact such as on tourism which is the spill-over effect incurs 66% or more than half of the total indirect impacts īĩ If all industries and trade related to agricultural sector are accounted for, then the proportion is 25% 40 Impacts Costs in Rp Costs in US$ FMD financial impacts at national level 901.4 billion 69.3 million FMD impacts on sugar cane tops export 622.9 million 47.9 million FMD impacts on raw leather export 880.8 billion 67.7 million FMD impacts on meat and processed meat export 43.6 billion 3.4 million FMD impacts on domestic prices 942.5 million 72.5 million FMD impacts on tourism industry 6.5 trillion 500.5 million Total 9.9 trillion 761.3 million
  • 41. Table 2: Economic loss of FMD in a number of countries 41 Country Scope Species Total loss per year Reference India National, per year Cow, buffalo, sheep, goat and pig 12,000-14,000 crore (US$ 1.87-2.18 billion) (Rp 21.9-29.2 trillion) Singh et al., 2012 Pakistan Village, 6 months Cow, buffalo Rs. 27,448,000 (US$ 322,918) (Rp 4.3 billion) Gorsi et al., 2011 Ethiopia National, per year Cow 1.354 billion birr (US$ 61 million) (Rp 812.9 billion) Jemberu, 2016 Laos National, per year Cow and buffalo US$ 13,512,291 (Rp 180 billion) Nampanya, 2015 Laos Village, per year Cow and buffalo US$ 30,881 (Rp 411.6 million) Nampanya, 2015 Australia National, 10 years All susceptible livestock >AUS$ 50 billion (>US$ 39.7 billion) (>Rp 529.8 trillion) Buetre et al.,2013
  • 43. Some assumptions of the likelihood if an FMD outbreak occurs in Indonesia 1) Outbreak is not detected quickly (within a few days), so it could have already spread significantly into a wider area 2) The outbreak control actions (e.g. culling and compensation) are delayed or difficult to perform according to international standard procedures, due to the weak legal power 3) The capacity of the response is not sufficient to manage such an FMD outbreak, so the response of the central and local governments as well as the livestock community tends to be overwhelmed by the emergencies 4) The capacity of the human and physical resources to conduct the destruction and disposal of livestock on a large scale remains questionable given Indonesia has limited experience 5) Regaining freedom status is difficult to achieve within 3 or 6 months, following the appropriate actions for controlling the outbreak as these may not be effective or not comply with the principles of emergency response 43
  • 44. Tabel 23: FMD Preparedness Activities 44 Authority Planning Surveillance Simulation exercise Communication and public awareness Investigation (before outbreak confirmed) Vaccination Zoning Quarantine and movement control Incident Command System Traceability ī‚§ Diagnostic capabilities ī‚§ Laboratory preparedness KIATVETINDO ī‚§ Local outbreak control ī‚§ Rapid Response Unit ī‚§ National/Regional Agency for Disaster Management ī‚§ i-SIKHNAS for syndromic & passive surveillance ī‚§ Sero-surveillance for outbreak and follow-up ī‚§ Sent field viruses overseas ī‚§ matching strains, import permits and registration ī‚§ OIE vaccine bank
  • 45. Vaccination during FMD outbreak īĩ A policy indicating when vaccinations are to be implemented during an outbreak should already be established considering a range of factors īĩ Selection of vaccine strains is not only influenced by small cross- protection capabilities between serotypes, but also genetic and antigenic variations between serotypes (BrÃŧckner and Saraiva-Vieira, 2010) īĩ Preparation of specific plans for the supply of vaccine during the outbreak, including matching strains, import permits and registration īĩ Preparation of a communication plan to obtain the necessary vaccine during an outbreak from an OIE vaccine bank īĩ An alternative is the preparation of a plan to contract an international manufacturer to provide commercial vaccines 45
  • 46. Table 25: Estimation of annual cost required for FMD preparedness 46 Preparedness activities Unit Cost (Rp) Cost Estimation Remarks Sero-surveillance (8.000 samples/year) Rp 400,000 per sample Rp 3,200,000,000 (US$ 246,154) Unit cost including diagnostic kit, equipment, quality assurance, and training Simulation (100 person/year) Rp 6,000,000 per pax Rp 600,000,000 (US$ 46,154) Unit cost including logistic, travel, accommodation and material Outbreak investigation (conducted 3 times each year with sampling of approximately 100 samples) Rp 1,200,000 per sample Rp 360,000,000 (US$ 27,692) Contingency cost required to conduct outbreak investigation including sending samples to laboratory Vaccination (250,000 heads) Rp 45,000 per dose Rp 11,250,000,000 (US$ 865,385) Contingency cost to purchase vaccines if outbreak occurs. Unit cost includes operational Communication and public awareness improvement (1.000 village/year) Rp 300,000 per village Rp 300,000,000 (US$ 23,077)
  • 47. Table 25: Estimation of annual cost required for FMD preparedness (cont.) 47 Preparedness activities Unit Cost (Rp) Cost Estimation Remarks Quarantine and traffic control (40.000 heads/year) Rp 25,000 per head Rp 1,000,000,000 (US$ 76,923) Outbreak Command Center (25.000 heads) Rp 15,000 per head Rp 375,000,000 (US$ 28,846) Emergency funds if outbreak occurs to establish Outbreak Command Center in outbreak area and the operational of URC team Identification and livestock database (livestock traceability) (15.000 heads) Rp 150,000 per head Rp 2,250,000,000 (US$ 173,077) Cost to build database and electronic devices required for livestock identification Total cost Rp 19,335,000,000 (US$ 1.5 million) Total comtingency cost Rp 11,610,000,000 (US$ 893,077) Total required cost Rp 7,725,000,000 (US$ 594,231)
  • 48. Summary īĩ The result of the CBA shows that if an FMD incursion occurs in Indonesia: ī‚§ every effort should be made to restrict the outbreak to a scenario 1 to have the maximum B/C Ratio of the cost of control measures against the economic impact ī‚§ Although scenario 2 is more likely to be occur in a country such as Indonesia, the result that the benefits are only slightly larger than the costs ī‚§ Scenario 3 should be avoided as much as possible since the costs outweigh the benefits and potential losses may be unrecovered, even over an extended period īĩ The total estimated losses in a year for Indonesia are estimated to be Rp 9.9 trillion (US$ 761.3 million), which includes: ī‚§ the financial loss in cattle production ī‚§ impacts on trade ī‚§ impact on industry including declining domestic cattle price and beef sales as a consequence of the ripple effect, and decrease in tourism expenditures as the spill-over effect 48
  • 49. Summary (cont.) īĩ Indonesia needs to develop its FMD emergency preparedness to a more higher level to: ī‚§ prevent the risk of exposing Indonesia’s cattle herd to FMD ī‚§ protect the livestock sector to achieve its beef self sufficiency target ī‚§ minimizing the risk from importation of deboned beef from countries or zones still infected with FMD īĩ The annual FMD preparedness budget required to protect the Indonesian livestock assets and economy are Rp 7.7 billion (US$ 594,231) plus a contingency cost of Rp 11,6 billion (US$ 893,077) which include outbreak investigation and vaccination īĩ The magnitude of the risks of an outbreak and the potential economic impact of FMD determine the level of investment needed to protect a country's territory from the FMD threat 49