Harm Kiezebrink
Research Fellow
Faculty of Veterinary Science Queensland University

The 4 principles of outbreak response
1. Protect human health
2. Contain the virus – Don’t let the virus escape
3. Make the outbreak a single event
4. Protect animal health
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© 2014 Applied Veterinary
Technologies Europe AB

3
The principles in practice
 Human safety first
 limit the number of responders
 Use the right technique
 no contact between responders and infected birds
 Focus on processes
 use simple instructions and standard procedures
 Well-prepared organisation
 Use an Incident Command System structure
 Well prepared logistics
 Contract key suppliers in advance
© 2014 Applied Veterinary
Technologies Europe AB

Virus containment
Culling in action in Holland, 2003
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© 2014 Applied Veterinary
Technologies Europe AB

Principle 3: make it to a single event
combine different steps in the process
 Stop virus reproduction
 Reduce the virus load on contaminated
materials
 Prevent contaminated materials from
reintroducing infections
 Dispose and destroy contaminated
materials safely
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© 2014 Applied Veterinary
Technologies Europe AB

Protect animals
Prevent animals to be killed
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 Kill humanly: minimalize unnecessary
stress and pain
 Kill as little numbers as possible
 Prevent and protect by imposing
biosecurity measures
© 2014 Applied Veterinary
Technologies Europe AB

7
Operational management risks
- Main conclusions -
Human involvement
 Reduce the number of
responders during culling
 Prevent contamination by
using full PPE during the entire
process
 Reduce human exposure
during cleaning & disinfection
© 2014 Applied Veterinary
Technologies Europe AB

8
Operational management risks
- Main conclusions -
Use of techniques
 Stop virus reproduction by
culling as soon as possible after
confirmation
 Use detergent on carcasses,
directly after the birds are are
culled to reduce the virus load
© 2014 Applied Veterinary
Technologies Europe AB

Question and Answer
Reflection:
What’s on your mind?
 9
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