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ANIMAL HEALTH INFORMATION
SYSTEM
2/21/2021 1
Animal Information System
An animal information system:-
Is a system for the collection, analysis and reporting
of information related to the health animals.
ļ¶ Every organized society that keeps animals has some
form of animal health information system.
This may range from the system used in
A single village in a developing country in which:
information is gathered by owners
passed by word of mouth
stored in the memory
analyzed mentally, and
further reported by word of mouth`
2/21/2021 2
Contā€¦
The word system implies a collection of many different
components working together for a particular purpose.
The expression information system gets mixed up with
concepts of information technology, and is understood to
refer to a computer system.
Computer certainly play a role in most modern animal
health information systems, but they are merely one
component, a tool for handing the information.
2/21/2021 3
Contā€¦
ļ± Instead, system here refers more to:
ā€¢ A set of operational and administrative procedures for the
collection of data from a range of different sources,
ā€¢ the processing of data to produce useful information a
ā€¢ the application, of that information to improve the well-being of
animals and their owners.
ļ±The animals referred to may be any animals, although it is
much more usual for government run information system
to deal with animals of perceived economic or social
importance, primarily domestic animals.
ā€¢ Information on farmed mammals, fish, crustaceans, and even
insects(for instance bees) may be handled by such an information
system, but the inclusion of data on wild animals is less common.
2/21/2021 4
Contā€¦
In general, the term health used in a very broad sense.
While information on the occurrence of animal diseases
forms a large part of most systems, animal productivity
information is often an important component.
On the population level, health and productivity are
very closely related and sometimes overlapping
concepts.
2/21/2021 5
Contā€¦
Uses of Animal Health Information Systems
ļ±Criteria which any information system should meet
it has been discussed issues in information systems for
human health and summarizes the dangers of
inappropriate data collection in a series of statements
known as "Finagle's Laws": -
the information you have is not what you want
the information you want is not what you need
the information you need is not what you can get
the information you can get costs more than you want
to pay
2/21/2021 6
Contā€¦
Objectives of animal health information systems
The objectives of an animal health information system vary
according to the users of the information and the environment
in which it is working.
The overall objective is usually to provide information which
enables decision makers to help improve or maintain the
health and productivity of animals, and through this the well-
being of their owners and the wider community.
This includes primarily information about the diseases
present and their spatial distribution.
A number of more specific objectives for an optimal system
have been published.
2/21/2021 7
Contā€¦
These can be grouped into four broad areas:
1. To collect basic animal health informations
2. To help assess priorities and develop policies
3. To support the implementation of disease control
programs
4. To meet international disease reporting obligations
2/21/2021 8
Contā€¦
1. To collect basic animal health informations
The first requirement of any animal health information
system is to identify the major animal health and
production problems and their spatial distribution.
what diseases are present?
What is level of the diseases?
the distribution of the diseases?
the impact of the diseases?
2/21/2021 9
Contā€¦
The next task is to obtain valid estimates of incidence and
prevalence of the major disease problems.
Quantitative estimates of disease occurrence are essential for
many of the other objectives.
This basic information allows
the costs of disease to be calculated
the relative importance of different diseases to be compared,
comparison of the occurrence of disease by region
changes in the occurrence over time to be observed.
These estimates must therefore be made on a regular basis
and be referable to spatially defined sub-populations.
To be useful, estimates should be unbiased and of known
precision
2/21/2021 10
Contā€¦
The third task is:
Epidemiological studies to identify the natural history of
the disease and quantify associations with risk factors are
needed in order to formulate disease control strategies.
Finally it is necessary to assess the relative economic
impact of the diseases present:
2/21/2021 11
Contā€¦
Information on losses caused by disease or
decreased production, combined with disease
prevalence estimates can be used to calculate the
economic impact of different diseases.
This information is important for priority setting,
and benefit-cost analysis of proposed disease
control programs.
2/21/2021 12
Contā€¦
Another objective of an animal health information system
is to gather basic ancillary (no-veterinary) information
which may be used to provide a better basis for decision
making
Livestock population figures are one of the most basic pieces
of information needed for the calculation of rates.
Other examples include data on livestock movement patterns
and veterinary in structure.
2/21/2021 13
Contā€¦
2. To help assess priorities and develop policies
Once basic animal health information has been collected, it
must be used to set priorities for the use of resource for
research or disease control programs.
Priority setting is one of the major veterinary services
decision markers.
The information provided by the animal health
information system should be appropriate to enable
decision makers to decide, for instance, which diseases
or problems are significant enough to warrant the
implementation of control programs.
2/21/2021 14
Contā€¦
To assist with these decisions, the reports must present
the information in a readily understandable manner.
Clear priorities and sound information can aid more
rational and informed national policy formulation
and evaluations and international trade.
2/21/2021 15
Contā€¦
3. To support the implementation of disease control programs
To provide continues monitoring of carefully selected
diseases to assist in the development and evaluation of
control program
The system should be able to identify and respond to
emerging diseases.
Both exotic disease incursions and newly emerging
disease need to be identified quickly if effective action to
limit their effects is to be taken
2/21/2021 16
Contā€¦
4. To meet international disease reporting obligations
To provide information necessary to meet international
disease reporting requirements and to justify disease status
claims for the purposes of international trade.
The office internationalizes Epizooties (OIE) was set up
coordinate the international exchange of disease information.
OIE member countries have responsibility to provide reliable
information on the presences or absence of significant
livestock diseases.
2/21/2021 17
Contā€¦
Components of Health Information Systems
ļ±An optimal animal health information system should contain
the following components data of gathering:
ļ±Those suitable for an animal health information system
include:
routine diagnostic data
slaughterhouse records
herd monitoring systems
livestock population censuses
Disease control programe implementation and monitoring
records and special servers
2/21/2021 18
Contā€¦
Data Collation:
ļ±the collation of collected data involves a series of
administrative procedures to get the data from the
animal or livestock owner to the place where it will be
used.
ļ±Most systems are based on the use of forms to record
the data, and to transmit them to region or nation caters
for collation.
2/21/2021 19
Contā€¦
ļ±General requirements of epidemiological data
Methods of data collection
Data are collected in three main ways, by:
1. Observation (Primary)
E. g., clinical examination, diagnostic imaging
and post-mortem examination;
2. Completing questionnaires
Either directly or by interview;
3. Use of documentary sources (Secondary)
E. g., clinical records, and records of diagnostic
laboratory results with an increasing use of data
sets generated by other workers.
2/21/2021 20
Contā€¦
ļ±Sources of data
Data can be primary and secondary in sources.
1. Primary data:
If observations are recorded by the data analyst, then he or
she should ensure that they are carefully documented.
Observation is central to the practice of clinical vet.
Medicine
important in many epidemiological investigations
ļ¶E.g., Outbreak Investigation:
If observations are recorded by another person, or
if the data are recorded on a self completed questionnaire or
by an interview,
then the criteria for assessing the success of a questionnaire,
above, provide the quality-control guidelines.
2/21/2021 21
Contā€¦
Secondary sources:
ļ¶data may be harder to assess.
ļ¶If documentation is recent, then the data may be crosschecked
by issuing a questionnaire, or by interview.
ļ¶Sometimes details were inadequate, and it was also noted that
the data were recorded at a stressful time.
ļ¶Therefore, a postal questionnaire was distributed to owners of
affected farms with deficient data, and remaining deficiencies
corrected by personal interview, followed up by telephone
interview, if necessary
ļ¶Documentary sources dating back many years may be hard or
impossible to validate.
2/21/2021 22
Contā€¦
Use of documentary sources
ļ¶(clinical records, diagnostic lab. results)
ļ¶Additionally, surveillance, surveys and observational studies
may use secondary data.
However, there are occasions when the appropriate
information is not readily available, in which case it must
be collected using questionnaires.
2/21/2021 23
Contā€¦
Questionnaire:
It is a set of written questions.
A data collection tool that can
be used in a wide variety of
clinical and epidemiologic
research settings.
Either directly or by interview;
The person who answers the
questionnaire is termed the
respondent.
Can be two in types as:
Qualitative or
Quantitative
Survey:
is an observational study
designed to generate
descriptive information
about an animal
population.
often use questionnaires
as a data-gathering tool.
2/21/2021 24
Questionnaires
Contā€¦
Structure of a questionnaire
The questionnaire is designed to record information:
in a standard format;
with a means of checking and editing recorded data;
by a standardized method of questioning;
with a means of coding.
2/21/2021 25
Contā€¦
Designing the Question
ļ±Questions may be either open-ended or closed.
1. Open-ended questions
Allow the respondent freedom to answer in his or her
own words
The chief advantage:
ļƒ˜is the freedom of expression that it permits: the
respondent is allowed to comment, pass opinions
and discuss other events that are related to the
question's topic.
2/21/2021 26
Contā€¦
The disadvantages:
ļ¶Can increase the length of time taken to complete a
questionnaire and
ļ¶The answers cannot be coded when the questionnaire is
designed, because the full range of answers is not known.
ļ¶A range of answers may be difficult to categorize and
code.
ļ¶Continuous variables can be grouped into intervals (e.g.,
0.0-1.9 kg, 2.0-2.9 kg) for coding.
2/21/2021 27
Contā€¦
2. Closed Questions
Have a fixed number of options of answers.
The questions may be dichotomous; that is, with two
possible answers, such as ā€˜
Example: Do you use intramammary tube X for dry
cow therapy?
ļ¶Answer: Yes or No
Alternatively, the questions may be multiple choice
Example: When did your dog last have a litter?
ļƒ˜Answer: Within the last 3 months, 4-6 months, 7-11
months, 1-5 years?
Are useful for ascertaining categorical, discrete data,
such as breed and sex.
2/21/2021 28
Contā€¦
The advantages:
Ease of analysis and coding because of the limited, fixed
response that is allowed.
Codes can be allocated
Also quick to answer.
A major disadvantage:
Because the options of answers are fixed, the answers
may not reveal related events that may be significant.
2/21/2021 29
Contā€¦
Criteria for success of questionnaires
The two main criteria are reliability and validity
ļ±Reliability:
A questionnaire is reliable if it produces consistent results
Can be assessed by issuing the same questions to the same
respondents more than once and
Assessing the agreement between the responses.
The method of assessment depends on the scale of
measurement
Reviews measures of reliability for questionnaires.
ļ±Validity:
a measure of the degree to which answers, on average,
reflect the truth
achieved by comparing the results of the questionnaire with
an independent reliable criterion.
2/21/2021 30
Contā€¦
Data Storage and Manipulation:
Effective national animal health information systems
must be able to handle a large amount of information
efficiently.
Paper- based systems exist, but are
ļ¶Methology are severely limited in the volume of
information they can handle and the uses to which the
information can be put.
Computerized systems:
In order to store and manipulate spatially referenced data,
geographical information systems, are required.
Involves: Coding, Data entry and Data storage
2/21/2021 31
Contā€¦
Coding
It is now unthinkable not to store the results of a
questionnaire in a computerized database
Questionnaires are frequently coded to facilitate
transcription to such databases.
Each question and each possible answer is coded
Example: What is the sex of your animal?
ļ¶Enter 1 if male and 2 if female,
Data entry
Two people should be involved in data entry, to reduce the
likelihood of transcription errors.
Data storage
After data have been collected, they should be saved in a
database
2/21/2021 32
Contā€¦
Data Analysis
ļ±Appropriate analysis is required to convert data to
information which can be used to assist animal health
decision making.
ļ±It is usually performed by computer, and can range
from the simple calculation of totals and rates, to the
determination of complicated tactical associations and
the use of epidemiological models to predict the
outcome of interventions.
2/21/2021 33
Contā€¦
Reporting:
once the results have been analyzed they must be made
available to those who need it.
The information has value at many different levels
Potential users include:
livestock owners,
owner groups,
cooperatives, or enterprise industry bodies,
private veterinary services,
agricultural product manufactures,
Local provincial and national government vet. authorities,
legislators, university and research organizations,
trading partners, and international organizations.
2/21/2021 34
Contā€¦
A range of reporting approaches are usually required to
pass on information to the many different users. For
instance,
government extension services may be used to
communicate at the livestock owner level
annual reports and seminars at the government level
standardized periodic report forms for international
organizations.
Animal health information systems for developing
countries
2/21/2021 35
Contā€¦
Distinguishing Features
The animal health information systems of
developing countries serve a slightly different role
and face vastly different challenges to those of
developed countries.
Despite these differences, the principles and
philosophical approach remain the same.
2/21/2021 36
Contā€¦
Disease Situation:
the main disease problems faced by developed countries
are increasingly either chronic disease or production
diseases.
In developing countries, the main disease problems are
often epidemic diseases that cause high morbidity and /or
high mortality.
While developed countries may never have experienced
such diseases, or have eradicated them, many
2/21/2021 37
Contā€¦
Information Focus:
the focus of animal health information systems in
developing countries differs from that in developed
countries, due to differences between the
environments.
In developed countries, the disease of interest is
mainly production diseases,
Eradication programs are targeted at chronic diseases
and diseases of public health significance.
In developing countries the focus of the system is more
on gathering information on what diseases are present,
and the control or eradication major epidemic diseases.
2/21/2021 38
Contā€¦
Integration of Technology:
As a result of limited financial and personnel resources,
many developing countries have been unable to keep with
changes in information technology.
While complex computer-based information systems,
including geographical information systems are commonplace
in the developed world
ļ¶many developing countries continue to use paper-based
information systems.
New technologies require new skills, and pose new problems,
such as the need for different types of data.
Examples of animal health information systems in developing
countries.
2/21/2021 39
Contā€¦
readily available published information on the structure and
function of animal health information systems in
developing countries is rather scare, partly due to the lack
of resources for development and research in this area.
Another difficult is that an animal health information
system is hard to grasp and define, as it comprises a wide
range of different components such as staff, forms,
administrative procedures, information flows, hardware,
software, analytical procedures, reports and publications.
Developing countries suffer high losses from epidemic
disease, and due to poor quarantine and uncontrolled
livestock movement.
New disease continue to spread.
2/21/2021 40
Contā€¦
Dependence on Agriculture:
ļ±the economy of developing countries is often much
more dependent on the agricultural sector and
livestock usually make an important contribution to
this the greater dependence on livestock means that
livestock diseases of any sort have a much greater
depends on the country as a whole.
2/21/2021 41
Contā€¦
Veterinary Infrastructure:
the veterinary infrastructure in many developing countries is
often scant.
The governments do not have the financial resporces to hogh
level.
As a result most trained veterinarians working in government
veterinary services work at policy or administrative levels.
Field services are provided by Para-veterinary staff with
limited technical training or village volunteers with virtually
no training.
2/21/2021 42
Contā€¦
Physical infrastructure:
Communication and transport are difficult in many
developing countries, particularly rural areas, where
most animals are kept, and in remote areas where
diseases problems are often greater
If livestock owners are unable to contact veterinary
staff, and staffs are unable to access the livestock, it is
difficult to provide services or gather information.
2/21/2021 43
Contā€¦
Financial Resources:
ļ±Government funds for animal health are often severely
limited in developing countries.
All governments face problems of inadequate funds to
support programs, but in developing countries these
shortages are often extreme.
Animal health funding naturally has a lower priority than
human health or education schemes.
When allocating what resources are available, the
collection of animal health information is often seen as
less important than the actual provision of health services,
for example through vaccination campaigns.
Development in many developing countries is heavily
dependent on funds from foreign aid donors.
2/21/2021 44
Contā€¦
Personnel Resources:
Due to less developed educational systems, there are fewer
people available with the necessary expertise.
There is not only a shortage of veterinarians, but also
of other skilled staff such as computer systems experts,
programmers, and statisticians.
Due to a lack of training and infrastructure, veterinary
staff may lack even the most basic skills due to lack of
experience.
2/21/2021 45
Contā€¦
It is suggested that any information-gathering activity should be
assessed in advance to decide whether it meets the following
criteria:
There should be a clearly defined purpose for gathering the
data.
This purpose must be agreed upon by all participants before
data collection starts.
The system for analysis and interpretation of the data should
be worked out before data collection begins.
Analysis of the data should be carried out promptly after it is
received.
There should be effective quality control procedures built into
the undertaking to provide adequate assurance of the validity
of the findings.
2/21/2021 46
Contā€¦
There should be prompt feedback of some sort to the
various suppliers of the data so that they know they are
making a useful contribution.
If possible, suppliers should also receive some tangible
or intangible benefit from their involvement.
Each individual data-gathering exercise should either
have a defined endpoint or be subject to periodic critical
review.
ļ¶If all these criteria can be met, the prospects of a
rewarding system are good.
2/21/2021 47
Contā€¦
Generally,
As the problems to be solved and questions to be
answered become more complex, decision-making on
animal health matters becomes more dependent on
specific information
Information is becoming the cornerstone of progress;
Information systems are the essential tools for
constructive action.
2/21/2021 48
Contā€¦
Monitoring and Surveillance
Monitoring
ļ±Describes the ongoing efforts directed at assessing the
health and disease status of a given population
ļ±The making of routine observations on health, productivity,
and environmental factors and the recording and
transmission of these observations
ļ±The routine collection of information on disease,
productivity, and other characteristics possibly related to
them in a population
ļ±refers to a continuous, dynamic process of collecting data
about health and disease and their determinants in a given
population over a defined time period.
2/21/2021 49
Contā€¦
Surveillance
used to describe a more active system and implies that
some form of directed action will be taken if the data
indicate a disease level above a certain threshold
is a more intensive form of data recording than
monitoring
An intensive form of han monitoring.
2/21/2021 50
Contā€¦
action can be taken to improve the health status of a
population
used in disease control campaigns
Refers to a specific extension of monitoring where
obtained information is used and measures are taken if
certain threshold values related to disease status have
been passed
It is part of disease control programs
2/21/2021 51
Contā€¦
Goals of surveillance
ļ±Follow the goals of veterinary medicine in general:
maintenance of high standards of animal health
and welfare, and
the protection of public health (by the control of
zoonoses and food borne infections)
2/21/2021 52
Contā€¦
2/21/2021 53
Contā€¦
Several specific objectives can be identified:
Rapid detection of disease outbreaks;
Early identification of disease problems (endemic and
non-endemic);
Assessment of the health status of a defined population;
Definition of priorities for disease control and
prevention;
Identification of new and emerging diseases;
Evaluation of disease control programmes;
Provision of information to plan and conduct research;
Confirmation of absence of a specific disease.
2/21/2021 54
Contā€¦
Types of surveillance:
ļ¶Disease surveillance:
ļƒ¼addresses aspects of the occurrence and spread of disease
that are pertinent to disease control.
ļ¶Epidemiological surveillance:
ļƒ˜is the ongoing systematic collection, recording, analysis,
interpretation, and dissemination of data reflecting the
current health status
2/21/2021 55
Contā€¦
ļ¶Sentinel surveillance:
include the entire national herd (e.g. testing for bovine
tuberculosis).
A few farms, abattoirs, veterinary practices or
laboratories may be selected; these are then referred to as
'sentinelā€˜units.
ā€˜Sentinel' can refer to either a specific unit of
observation or a species of animal.
2/21/2021 56
Contā€¦
ļ¶Serological surveillance (sero-surveillance):
ļƒ¼using serological tests.
ļ¶Passive surveillance:
ļƒ˜the examination of only clinically affected cases of
specified diseases
ļ¶Active surveillance:
oinvolves the sampling (including post-mortem examination)
of clinically normal animals in the population.
oIt involves the committed effort of veterinary authorities to
collect information, commonly by undertaking surveys of
specific diseases
2/21/2021 57
Contā€¦
Surveillance for the Agent or Disease
ļ±Active surveillance
Sampling plan(s) with type/frequency of sampling
ļ¶Baseline random sampling
ļ¶Targeted risk-based sampling
ļ¶Wildlife surveillance
Surveillance results (3 years)
ļƒ˜Screening and confirmatory testing results
Ā»Serological (+), epidemiological
investigations, ruleouts
ļ±Passive surveillance
ļ¶On-farm morbidity and mortality
ļ¶Veterinary inspection
2/21/2021 58
Contā€¦
ļ¶Targeted surveillance:
collects specific information about a defined disease so that
its level in a defined population can be measured and its
absence monitored.
ļ¶Scanning (global) surveillance:
maintains a continuous watch over endemic disease.
2/21/2021 59
Contā€¦
In conclusion
Animal health Regulation builds upon the good experiences
of the existing legislation
Provides:
ļ¶Solid ground for healthier animals and humans
ļ¶Clearer and better understood framework for operators,
citizens and countries
Provides new elements for more:
Competitive and sustainable livestock sectors
Confident consumers
On movements:
Provides flexibility, where possible to release unnecessary
administrative burdens and costs
2/21/2021 60
Participatory Epidemiology
ā€¢ The use of participatory rural appraisal
techniques to collect epidemiological
knowledge and intelligence
2/21/2021 61
ā€¢ Participatory Rural Appraisal (PRA)
ā€¢ Qualitative data gathering process
ā€¢ Key informants
ā€¢ Problem solving with community
ā€“ Multiple methods
ā€“ Multiple perspectives
ā€“ Triangulation
2/21/2021 62
Quantitative versus Qualitative Epidemiology
ā€¢ Quantitative
ā€¢ Objective
ā€¢ Numerical estimates
ā€¢ Data intensive
ā€¢ Expensive
ā€¢ Logistically complex
ā€¢ Long-time frames
ā€¢ Difficult to sustain
ā€¢ Information gaps
2/21/2021 63
ā€¢ Subjective
ā€¢Flexible
ā€¢Rapid
ā€¢Discovery
ā€¢ Simple
ā€¢ Sensitive
ā€¢Skilled field personnel
ā€¢Analytical challenges
Qualitative data checking
ā€¢ Probing
ā€“ Internal consistency
ā€¢ Triangulation
ā€“ Multiple methods and sources
ā€“ Patterns and coherence
ā€“ Understanding bias
ā€¢ Understanding conflict of interest
ā€¢ On the spot analysis
ā€“ Evolving hypotheses and data collection
ā€“ Weighing of evidence
2/21/2021 64
Scoring of evidence
ā€¢ First hand reports
ā€“ Directly observed
ā€“ Own family
ā€¢ First hand reports
ā€“ Directly observed
ā€“ Community
ā€¢ Reports obtained from inquiry
ā€¢ Second hand reports
ā€“ Hearsay
ā€“ Intelligence but not evidence
2/21/2021 65
Existing Medical & Veterinary Knowledge
ā€¢ Communities know a lot!
ā€“ Traditional terms and case definitions
ā€“ Clinical presentation
ā€“ Pathology
ā€“ Vectors
ā€“ Reservoirs
ā€“ Epidemiologic features
2/21/2021 66
Participatory Epi. applications
ā€¢ Can be used for variety purposes:
ā€“ Needs Assessments
ā€“ Research
ā€“ Disease Reporting
ā€“ Disease Surveillance
ā€“ Impact Assessment
ā€“ It can inform Strategy and Policy Reform
2/21/2021 67
PE tools
ā€¢ Secondary sources
ā€¢ Direct observations
ā€¢ Semi-structured interviews
ā€¢ Participatory mapping
ā€¢ Ranking & Scoring techniques
ā€¢ Diagnostics
2/21/2021 68
Added value of PE
ā€¢ Better understanding of local terminologies,
perceptions, local treatment and health seeking
behavior
ā€¢ Better understanding of the true epidemiological
situation in certain areas since many diseases remain
unreported.
ā€¢ Better understanding of an outbreak situation
thanks to the use of PE tools (mapping, timelineā€¦)
ā€¢ Quick way of understanding of important health
issues within the community and coming up
community sustainable solutions.
2/21/2021 69
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2/21/2021 73
Example 3: HPAI
outbreak in
Indonesian village
PE, animal & human health
ā€¢ Joint Animal and Human Health Services for Remote
Rural/Pastoral Communities
ā€¢ Combine programs, combine means, common strategy for
mobile populations.
ā€“ Example: childhood vaccination was linked to Rinderpest vaccination
in Sudan
ā€¢ Currently with resurgence of polio in some areas
ā€“ combine polio vaccination & PPR or FMD vaccination
2/21/2021 74
PE and One healthā€¦
ā€¢ Ongoing study in Western Kenya with the
following objectives:
ā€¢ Determine the perceived causes of childhood
diarrhea and the perceived relative contribution of
enteric zoonoses in childhood morbidity and
mortality using participatory epidemiology
2/21/2021 75
Participatory Epidemiology Network for Animal
and Public Health (PENAPH)
ā€¢ 9 core partner institutions:
ā€“ AFENET: African Field Epidemiology Network
ā€“ AU-IBAR: African Union ā€“ Inter African Bureau for Animal Resources
ā€“ FAO: UN Food and Agriculture Organization,
ā€“ ILRI: International Livestock Research Institute
ā€“ OIE: World Organization for Animal Health
ā€“ Royal Veterinary College / United Kingdom
ā€“ US-CDC: United States Centres for Disease Prevention & Control
ā€“ 2 VSF (Belgium & Canada)
ā€“ In addition: Universities & individual members
2/21/2021 76
Participatory Epidemiology Network for Animal
and Public Health (PENAPH)
ā€¢ The PENAPH was set up to facilitate capacity building, research
and information sharing among professionals interested in
participatory approaches to epidemiology.
ā€¢ Aims to promote minimum training guidelines, good practice
and continued advancement of methods.
ā€¢ Advocates for inclusion of PE modules into medical &
veterinary schools
ā€“ Already included in Chiang Mai University (Thailand) Veterinary Public
Health MSc
ā€“ In progress: inclusion in AFENETā€™s FELTP program
2/21/2021 77
Conclusion
ā€¢ PE is an approach to epidemiology that is sensitive to and
benefits local communities
ā€“ Conducted by professionals
ā€“ Incorporates diagnostic testing
ā€¢ Itā€™s flexible, semi-structured and adaptable to changing
situations. Data from multiple sources is rapidly analysed for
quick feedback and response.
ā€“ Research and active surveillance applications
ā€¢ PENAPH is a growing network designed to build
communication between those working on PE across the
world in all health related fields.
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Animal health information system 2

  • 2. Animal Information System An animal information system:- Is a system for the collection, analysis and reporting of information related to the health animals. ļ¶ Every organized society that keeps animals has some form of animal health information system. This may range from the system used in A single village in a developing country in which: information is gathered by owners passed by word of mouth stored in the memory analyzed mentally, and further reported by word of mouth` 2/21/2021 2
  • 3. Contā€¦ The word system implies a collection of many different components working together for a particular purpose. The expression information system gets mixed up with concepts of information technology, and is understood to refer to a computer system. Computer certainly play a role in most modern animal health information systems, but they are merely one component, a tool for handing the information. 2/21/2021 3
  • 4. Contā€¦ ļ± Instead, system here refers more to: ā€¢ A set of operational and administrative procedures for the collection of data from a range of different sources, ā€¢ the processing of data to produce useful information a ā€¢ the application, of that information to improve the well-being of animals and their owners. ļ±The animals referred to may be any animals, although it is much more usual for government run information system to deal with animals of perceived economic or social importance, primarily domestic animals. ā€¢ Information on farmed mammals, fish, crustaceans, and even insects(for instance bees) may be handled by such an information system, but the inclusion of data on wild animals is less common. 2/21/2021 4
  • 5. Contā€¦ In general, the term health used in a very broad sense. While information on the occurrence of animal diseases forms a large part of most systems, animal productivity information is often an important component. On the population level, health and productivity are very closely related and sometimes overlapping concepts. 2/21/2021 5
  • 6. Contā€¦ Uses of Animal Health Information Systems ļ±Criteria which any information system should meet it has been discussed issues in information systems for human health and summarizes the dangers of inappropriate data collection in a series of statements known as "Finagle's Laws": - the information you have is not what you want the information you want is not what you need the information you need is not what you can get the information you can get costs more than you want to pay 2/21/2021 6
  • 7. Contā€¦ Objectives of animal health information systems The objectives of an animal health information system vary according to the users of the information and the environment in which it is working. The overall objective is usually to provide information which enables decision makers to help improve or maintain the health and productivity of animals, and through this the well- being of their owners and the wider community. This includes primarily information about the diseases present and their spatial distribution. A number of more specific objectives for an optimal system have been published. 2/21/2021 7
  • 8. Contā€¦ These can be grouped into four broad areas: 1. To collect basic animal health informations 2. To help assess priorities and develop policies 3. To support the implementation of disease control programs 4. To meet international disease reporting obligations 2/21/2021 8
  • 9. Contā€¦ 1. To collect basic animal health informations The first requirement of any animal health information system is to identify the major animal health and production problems and their spatial distribution. what diseases are present? What is level of the diseases? the distribution of the diseases? the impact of the diseases? 2/21/2021 9
  • 10. Contā€¦ The next task is to obtain valid estimates of incidence and prevalence of the major disease problems. Quantitative estimates of disease occurrence are essential for many of the other objectives. This basic information allows the costs of disease to be calculated the relative importance of different diseases to be compared, comparison of the occurrence of disease by region changes in the occurrence over time to be observed. These estimates must therefore be made on a regular basis and be referable to spatially defined sub-populations. To be useful, estimates should be unbiased and of known precision 2/21/2021 10
  • 11. Contā€¦ The third task is: Epidemiological studies to identify the natural history of the disease and quantify associations with risk factors are needed in order to formulate disease control strategies. Finally it is necessary to assess the relative economic impact of the diseases present: 2/21/2021 11
  • 12. Contā€¦ Information on losses caused by disease or decreased production, combined with disease prevalence estimates can be used to calculate the economic impact of different diseases. This information is important for priority setting, and benefit-cost analysis of proposed disease control programs. 2/21/2021 12
  • 13. Contā€¦ Another objective of an animal health information system is to gather basic ancillary (no-veterinary) information which may be used to provide a better basis for decision making Livestock population figures are one of the most basic pieces of information needed for the calculation of rates. Other examples include data on livestock movement patterns and veterinary in structure. 2/21/2021 13
  • 14. Contā€¦ 2. To help assess priorities and develop policies Once basic animal health information has been collected, it must be used to set priorities for the use of resource for research or disease control programs. Priority setting is one of the major veterinary services decision markers. The information provided by the animal health information system should be appropriate to enable decision makers to decide, for instance, which diseases or problems are significant enough to warrant the implementation of control programs. 2/21/2021 14
  • 15. Contā€¦ To assist with these decisions, the reports must present the information in a readily understandable manner. Clear priorities and sound information can aid more rational and informed national policy formulation and evaluations and international trade. 2/21/2021 15
  • 16. Contā€¦ 3. To support the implementation of disease control programs To provide continues monitoring of carefully selected diseases to assist in the development and evaluation of control program The system should be able to identify and respond to emerging diseases. Both exotic disease incursions and newly emerging disease need to be identified quickly if effective action to limit their effects is to be taken 2/21/2021 16
  • 17. Contā€¦ 4. To meet international disease reporting obligations To provide information necessary to meet international disease reporting requirements and to justify disease status claims for the purposes of international trade. The office internationalizes Epizooties (OIE) was set up coordinate the international exchange of disease information. OIE member countries have responsibility to provide reliable information on the presences or absence of significant livestock diseases. 2/21/2021 17
  • 18. Contā€¦ Components of Health Information Systems ļ±An optimal animal health information system should contain the following components data of gathering: ļ±Those suitable for an animal health information system include: routine diagnostic data slaughterhouse records herd monitoring systems livestock population censuses Disease control programe implementation and monitoring records and special servers 2/21/2021 18
  • 19. Contā€¦ Data Collation: ļ±the collation of collected data involves a series of administrative procedures to get the data from the animal or livestock owner to the place where it will be used. ļ±Most systems are based on the use of forms to record the data, and to transmit them to region or nation caters for collation. 2/21/2021 19
  • 20. Contā€¦ ļ±General requirements of epidemiological data Methods of data collection Data are collected in three main ways, by: 1. Observation (Primary) E. g., clinical examination, diagnostic imaging and post-mortem examination; 2. Completing questionnaires Either directly or by interview; 3. Use of documentary sources (Secondary) E. g., clinical records, and records of diagnostic laboratory results with an increasing use of data sets generated by other workers. 2/21/2021 20
  • 21. Contā€¦ ļ±Sources of data Data can be primary and secondary in sources. 1. Primary data: If observations are recorded by the data analyst, then he or she should ensure that they are carefully documented. Observation is central to the practice of clinical vet. Medicine important in many epidemiological investigations ļ¶E.g., Outbreak Investigation: If observations are recorded by another person, or if the data are recorded on a self completed questionnaire or by an interview, then the criteria for assessing the success of a questionnaire, above, provide the quality-control guidelines. 2/21/2021 21
  • 22. Contā€¦ Secondary sources: ļ¶data may be harder to assess. ļ¶If documentation is recent, then the data may be crosschecked by issuing a questionnaire, or by interview. ļ¶Sometimes details were inadequate, and it was also noted that the data were recorded at a stressful time. ļ¶Therefore, a postal questionnaire was distributed to owners of affected farms with deficient data, and remaining deficiencies corrected by personal interview, followed up by telephone interview, if necessary ļ¶Documentary sources dating back many years may be hard or impossible to validate. 2/21/2021 22
  • 23. Contā€¦ Use of documentary sources ļ¶(clinical records, diagnostic lab. results) ļ¶Additionally, surveillance, surveys and observational studies may use secondary data. However, there are occasions when the appropriate information is not readily available, in which case it must be collected using questionnaires. 2/21/2021 23
  • 24. Contā€¦ Questionnaire: It is a set of written questions. A data collection tool that can be used in a wide variety of clinical and epidemiologic research settings. Either directly or by interview; The person who answers the questionnaire is termed the respondent. Can be two in types as: Qualitative or Quantitative Survey: is an observational study designed to generate descriptive information about an animal population. often use questionnaires as a data-gathering tool. 2/21/2021 24 Questionnaires
  • 25. Contā€¦ Structure of a questionnaire The questionnaire is designed to record information: in a standard format; with a means of checking and editing recorded data; by a standardized method of questioning; with a means of coding. 2/21/2021 25
  • 26. Contā€¦ Designing the Question ļ±Questions may be either open-ended or closed. 1. Open-ended questions Allow the respondent freedom to answer in his or her own words The chief advantage: ļƒ˜is the freedom of expression that it permits: the respondent is allowed to comment, pass opinions and discuss other events that are related to the question's topic. 2/21/2021 26
  • 27. Contā€¦ The disadvantages: ļ¶Can increase the length of time taken to complete a questionnaire and ļ¶The answers cannot be coded when the questionnaire is designed, because the full range of answers is not known. ļ¶A range of answers may be difficult to categorize and code. ļ¶Continuous variables can be grouped into intervals (e.g., 0.0-1.9 kg, 2.0-2.9 kg) for coding. 2/21/2021 27
  • 28. Contā€¦ 2. Closed Questions Have a fixed number of options of answers. The questions may be dichotomous; that is, with two possible answers, such as ā€˜ Example: Do you use intramammary tube X for dry cow therapy? ļ¶Answer: Yes or No Alternatively, the questions may be multiple choice Example: When did your dog last have a litter? ļƒ˜Answer: Within the last 3 months, 4-6 months, 7-11 months, 1-5 years? Are useful for ascertaining categorical, discrete data, such as breed and sex. 2/21/2021 28
  • 29. Contā€¦ The advantages: Ease of analysis and coding because of the limited, fixed response that is allowed. Codes can be allocated Also quick to answer. A major disadvantage: Because the options of answers are fixed, the answers may not reveal related events that may be significant. 2/21/2021 29
  • 30. Contā€¦ Criteria for success of questionnaires The two main criteria are reliability and validity ļ±Reliability: A questionnaire is reliable if it produces consistent results Can be assessed by issuing the same questions to the same respondents more than once and Assessing the agreement between the responses. The method of assessment depends on the scale of measurement Reviews measures of reliability for questionnaires. ļ±Validity: a measure of the degree to which answers, on average, reflect the truth achieved by comparing the results of the questionnaire with an independent reliable criterion. 2/21/2021 30
  • 31. Contā€¦ Data Storage and Manipulation: Effective national animal health information systems must be able to handle a large amount of information efficiently. Paper- based systems exist, but are ļ¶Methology are severely limited in the volume of information they can handle and the uses to which the information can be put. Computerized systems: In order to store and manipulate spatially referenced data, geographical information systems, are required. Involves: Coding, Data entry and Data storage 2/21/2021 31
  • 32. Contā€¦ Coding It is now unthinkable not to store the results of a questionnaire in a computerized database Questionnaires are frequently coded to facilitate transcription to such databases. Each question and each possible answer is coded Example: What is the sex of your animal? ļ¶Enter 1 if male and 2 if female, Data entry Two people should be involved in data entry, to reduce the likelihood of transcription errors. Data storage After data have been collected, they should be saved in a database 2/21/2021 32
  • 33. Contā€¦ Data Analysis ļ±Appropriate analysis is required to convert data to information which can be used to assist animal health decision making. ļ±It is usually performed by computer, and can range from the simple calculation of totals and rates, to the determination of complicated tactical associations and the use of epidemiological models to predict the outcome of interventions. 2/21/2021 33
  • 34. Contā€¦ Reporting: once the results have been analyzed they must be made available to those who need it. The information has value at many different levels Potential users include: livestock owners, owner groups, cooperatives, or enterprise industry bodies, private veterinary services, agricultural product manufactures, Local provincial and national government vet. authorities, legislators, university and research organizations, trading partners, and international organizations. 2/21/2021 34
  • 35. Contā€¦ A range of reporting approaches are usually required to pass on information to the many different users. For instance, government extension services may be used to communicate at the livestock owner level annual reports and seminars at the government level standardized periodic report forms for international organizations. Animal health information systems for developing countries 2/21/2021 35
  • 36. Contā€¦ Distinguishing Features The animal health information systems of developing countries serve a slightly different role and face vastly different challenges to those of developed countries. Despite these differences, the principles and philosophical approach remain the same. 2/21/2021 36
  • 37. Contā€¦ Disease Situation: the main disease problems faced by developed countries are increasingly either chronic disease or production diseases. In developing countries, the main disease problems are often epidemic diseases that cause high morbidity and /or high mortality. While developed countries may never have experienced such diseases, or have eradicated them, many 2/21/2021 37
  • 38. Contā€¦ Information Focus: the focus of animal health information systems in developing countries differs from that in developed countries, due to differences between the environments. In developed countries, the disease of interest is mainly production diseases, Eradication programs are targeted at chronic diseases and diseases of public health significance. In developing countries the focus of the system is more on gathering information on what diseases are present, and the control or eradication major epidemic diseases. 2/21/2021 38
  • 39. Contā€¦ Integration of Technology: As a result of limited financial and personnel resources, many developing countries have been unable to keep with changes in information technology. While complex computer-based information systems, including geographical information systems are commonplace in the developed world ļ¶many developing countries continue to use paper-based information systems. New technologies require new skills, and pose new problems, such as the need for different types of data. Examples of animal health information systems in developing countries. 2/21/2021 39
  • 40. Contā€¦ readily available published information on the structure and function of animal health information systems in developing countries is rather scare, partly due to the lack of resources for development and research in this area. Another difficult is that an animal health information system is hard to grasp and define, as it comprises a wide range of different components such as staff, forms, administrative procedures, information flows, hardware, software, analytical procedures, reports and publications. Developing countries suffer high losses from epidemic disease, and due to poor quarantine and uncontrolled livestock movement. New disease continue to spread. 2/21/2021 40
  • 41. Contā€¦ Dependence on Agriculture: ļ±the economy of developing countries is often much more dependent on the agricultural sector and livestock usually make an important contribution to this the greater dependence on livestock means that livestock diseases of any sort have a much greater depends on the country as a whole. 2/21/2021 41
  • 42. Contā€¦ Veterinary Infrastructure: the veterinary infrastructure in many developing countries is often scant. The governments do not have the financial resporces to hogh level. As a result most trained veterinarians working in government veterinary services work at policy or administrative levels. Field services are provided by Para-veterinary staff with limited technical training or village volunteers with virtually no training. 2/21/2021 42
  • 43. Contā€¦ Physical infrastructure: Communication and transport are difficult in many developing countries, particularly rural areas, where most animals are kept, and in remote areas where diseases problems are often greater If livestock owners are unable to contact veterinary staff, and staffs are unable to access the livestock, it is difficult to provide services or gather information. 2/21/2021 43
  • 44. Contā€¦ Financial Resources: ļ±Government funds for animal health are often severely limited in developing countries. All governments face problems of inadequate funds to support programs, but in developing countries these shortages are often extreme. Animal health funding naturally has a lower priority than human health or education schemes. When allocating what resources are available, the collection of animal health information is often seen as less important than the actual provision of health services, for example through vaccination campaigns. Development in many developing countries is heavily dependent on funds from foreign aid donors. 2/21/2021 44
  • 45. Contā€¦ Personnel Resources: Due to less developed educational systems, there are fewer people available with the necessary expertise. There is not only a shortage of veterinarians, but also of other skilled staff such as computer systems experts, programmers, and statisticians. Due to a lack of training and infrastructure, veterinary staff may lack even the most basic skills due to lack of experience. 2/21/2021 45
  • 46. Contā€¦ It is suggested that any information-gathering activity should be assessed in advance to decide whether it meets the following criteria: There should be a clearly defined purpose for gathering the data. This purpose must be agreed upon by all participants before data collection starts. The system for analysis and interpretation of the data should be worked out before data collection begins. Analysis of the data should be carried out promptly after it is received. There should be effective quality control procedures built into the undertaking to provide adequate assurance of the validity of the findings. 2/21/2021 46
  • 47. Contā€¦ There should be prompt feedback of some sort to the various suppliers of the data so that they know they are making a useful contribution. If possible, suppliers should also receive some tangible or intangible benefit from their involvement. Each individual data-gathering exercise should either have a defined endpoint or be subject to periodic critical review. ļ¶If all these criteria can be met, the prospects of a rewarding system are good. 2/21/2021 47
  • 48. Contā€¦ Generally, As the problems to be solved and questions to be answered become more complex, decision-making on animal health matters becomes more dependent on specific information Information is becoming the cornerstone of progress; Information systems are the essential tools for constructive action. 2/21/2021 48
  • 49. Contā€¦ Monitoring and Surveillance Monitoring ļ±Describes the ongoing efforts directed at assessing the health and disease status of a given population ļ±The making of routine observations on health, productivity, and environmental factors and the recording and transmission of these observations ļ±The routine collection of information on disease, productivity, and other characteristics possibly related to them in a population ļ±refers to a continuous, dynamic process of collecting data about health and disease and their determinants in a given population over a defined time period. 2/21/2021 49
  • 50. Contā€¦ Surveillance used to describe a more active system and implies that some form of directed action will be taken if the data indicate a disease level above a certain threshold is a more intensive form of data recording than monitoring An intensive form of han monitoring. 2/21/2021 50
  • 51. Contā€¦ action can be taken to improve the health status of a population used in disease control campaigns Refers to a specific extension of monitoring where obtained information is used and measures are taken if certain threshold values related to disease status have been passed It is part of disease control programs 2/21/2021 51
  • 52. Contā€¦ Goals of surveillance ļ±Follow the goals of veterinary medicine in general: maintenance of high standards of animal health and welfare, and the protection of public health (by the control of zoonoses and food borne infections) 2/21/2021 52
  • 54. Contā€¦ Several specific objectives can be identified: Rapid detection of disease outbreaks; Early identification of disease problems (endemic and non-endemic); Assessment of the health status of a defined population; Definition of priorities for disease control and prevention; Identification of new and emerging diseases; Evaluation of disease control programmes; Provision of information to plan and conduct research; Confirmation of absence of a specific disease. 2/21/2021 54
  • 55. Contā€¦ Types of surveillance: ļ¶Disease surveillance: ļƒ¼addresses aspects of the occurrence and spread of disease that are pertinent to disease control. ļ¶Epidemiological surveillance: ļƒ˜is the ongoing systematic collection, recording, analysis, interpretation, and dissemination of data reflecting the current health status 2/21/2021 55
  • 56. Contā€¦ ļ¶Sentinel surveillance: include the entire national herd (e.g. testing for bovine tuberculosis). A few farms, abattoirs, veterinary practices or laboratories may be selected; these are then referred to as 'sentinelā€˜units. ā€˜Sentinel' can refer to either a specific unit of observation or a species of animal. 2/21/2021 56
  • 57. Contā€¦ ļ¶Serological surveillance (sero-surveillance): ļƒ¼using serological tests. ļ¶Passive surveillance: ļƒ˜the examination of only clinically affected cases of specified diseases ļ¶Active surveillance: oinvolves the sampling (including post-mortem examination) of clinically normal animals in the population. oIt involves the committed effort of veterinary authorities to collect information, commonly by undertaking surveys of specific diseases 2/21/2021 57
  • 58. Contā€¦ Surveillance for the Agent or Disease ļ±Active surveillance Sampling plan(s) with type/frequency of sampling ļ¶Baseline random sampling ļ¶Targeted risk-based sampling ļ¶Wildlife surveillance Surveillance results (3 years) ļƒ˜Screening and confirmatory testing results Ā»Serological (+), epidemiological investigations, ruleouts ļ±Passive surveillance ļ¶On-farm morbidity and mortality ļ¶Veterinary inspection 2/21/2021 58
  • 59. Contā€¦ ļ¶Targeted surveillance: collects specific information about a defined disease so that its level in a defined population can be measured and its absence monitored. ļ¶Scanning (global) surveillance: maintains a continuous watch over endemic disease. 2/21/2021 59
  • 60. Contā€¦ In conclusion Animal health Regulation builds upon the good experiences of the existing legislation Provides: ļ¶Solid ground for healthier animals and humans ļ¶Clearer and better understood framework for operators, citizens and countries Provides new elements for more: Competitive and sustainable livestock sectors Confident consumers On movements: Provides flexibility, where possible to release unnecessary administrative burdens and costs 2/21/2021 60
  • 61. Participatory Epidemiology ā€¢ The use of participatory rural appraisal techniques to collect epidemiological knowledge and intelligence 2/21/2021 61
  • 62. ā€¢ Participatory Rural Appraisal (PRA) ā€¢ Qualitative data gathering process ā€¢ Key informants ā€¢ Problem solving with community ā€“ Multiple methods ā€“ Multiple perspectives ā€“ Triangulation 2/21/2021 62
  • 63. Quantitative versus Qualitative Epidemiology ā€¢ Quantitative ā€¢ Objective ā€¢ Numerical estimates ā€¢ Data intensive ā€¢ Expensive ā€¢ Logistically complex ā€¢ Long-time frames ā€¢ Difficult to sustain ā€¢ Information gaps 2/21/2021 63 ā€¢ Subjective ā€¢Flexible ā€¢Rapid ā€¢Discovery ā€¢ Simple ā€¢ Sensitive ā€¢Skilled field personnel ā€¢Analytical challenges
  • 64. Qualitative data checking ā€¢ Probing ā€“ Internal consistency ā€¢ Triangulation ā€“ Multiple methods and sources ā€“ Patterns and coherence ā€“ Understanding bias ā€¢ Understanding conflict of interest ā€¢ On the spot analysis ā€“ Evolving hypotheses and data collection ā€“ Weighing of evidence 2/21/2021 64
  • 65. Scoring of evidence ā€¢ First hand reports ā€“ Directly observed ā€“ Own family ā€¢ First hand reports ā€“ Directly observed ā€“ Community ā€¢ Reports obtained from inquiry ā€¢ Second hand reports ā€“ Hearsay ā€“ Intelligence but not evidence 2/21/2021 65
  • 66. Existing Medical & Veterinary Knowledge ā€¢ Communities know a lot! ā€“ Traditional terms and case definitions ā€“ Clinical presentation ā€“ Pathology ā€“ Vectors ā€“ Reservoirs ā€“ Epidemiologic features 2/21/2021 66
  • 67. Participatory Epi. applications ā€¢ Can be used for variety purposes: ā€“ Needs Assessments ā€“ Research ā€“ Disease Reporting ā€“ Disease Surveillance ā€“ Impact Assessment ā€“ It can inform Strategy and Policy Reform 2/21/2021 67
  • 68. PE tools ā€¢ Secondary sources ā€¢ Direct observations ā€¢ Semi-structured interviews ā€¢ Participatory mapping ā€¢ Ranking & Scoring techniques ā€¢ Diagnostics 2/21/2021 68
  • 69. Added value of PE ā€¢ Better understanding of local terminologies, perceptions, local treatment and health seeking behavior ā€¢ Better understanding of the true epidemiological situation in certain areas since many diseases remain unreported. ā€¢ Better understanding of an outbreak situation thanks to the use of PE tools (mapping, timelineā€¦) ā€¢ Quick way of understanding of important health issues within the community and coming up community sustainable solutions. 2/21/2021 69
  • 73. 2/21/2021 73 Example 3: HPAI outbreak in Indonesian village
  • 74. PE, animal & human health ā€¢ Joint Animal and Human Health Services for Remote Rural/Pastoral Communities ā€¢ Combine programs, combine means, common strategy for mobile populations. ā€“ Example: childhood vaccination was linked to Rinderpest vaccination in Sudan ā€¢ Currently with resurgence of polio in some areas ā€“ combine polio vaccination & PPR or FMD vaccination 2/21/2021 74
  • 75. PE and One healthā€¦ ā€¢ Ongoing study in Western Kenya with the following objectives: ā€¢ Determine the perceived causes of childhood diarrhea and the perceived relative contribution of enteric zoonoses in childhood morbidity and mortality using participatory epidemiology 2/21/2021 75
  • 76. Participatory Epidemiology Network for Animal and Public Health (PENAPH) ā€¢ 9 core partner institutions: ā€“ AFENET: African Field Epidemiology Network ā€“ AU-IBAR: African Union ā€“ Inter African Bureau for Animal Resources ā€“ FAO: UN Food and Agriculture Organization, ā€“ ILRI: International Livestock Research Institute ā€“ OIE: World Organization for Animal Health ā€“ Royal Veterinary College / United Kingdom ā€“ US-CDC: United States Centres for Disease Prevention & Control ā€“ 2 VSF (Belgium & Canada) ā€“ In addition: Universities & individual members 2/21/2021 76
  • 77. Participatory Epidemiology Network for Animal and Public Health (PENAPH) ā€¢ The PENAPH was set up to facilitate capacity building, research and information sharing among professionals interested in participatory approaches to epidemiology. ā€¢ Aims to promote minimum training guidelines, good practice and continued advancement of methods. ā€¢ Advocates for inclusion of PE modules into medical & veterinary schools ā€“ Already included in Chiang Mai University (Thailand) Veterinary Public Health MSc ā€“ In progress: inclusion in AFENETā€™s FELTP program 2/21/2021 77
  • 78. Conclusion ā€¢ PE is an approach to epidemiology that is sensitive to and benefits local communities ā€“ Conducted by professionals ā€“ Incorporates diagnostic testing ā€¢ Itā€™s flexible, semi-structured and adaptable to changing situations. Data from multiple sources is rapidly analysed for quick feedback and response. ā€“ Research and active surveillance applications ā€¢ PENAPH is a growing network designed to build communication between those working on PE across the world in all health related fields. 2/21/2021 78