1) The proposed strategic plan focuses on improving preparedness for FMD and similar transboundary animal diseases through better training, emergency preparedness tools, and research.
2) It aims to reduce disease risks in Europe and its neighboring regions through coordinated control programs, improved early warning systems, and building veterinary capacity.
3) A third goal is sustaining global progress against FMD through continued support of the Progressive Control Pathway and improving vaccine access and supply.
Mr. Mika Salminen, SHARP JA Coordinator, Director, Department of Health Security, Finnish Institute for Health and Welfare (THL), at One Health Security Conference, 14-15 Oct 2019, THL, Helsinki
Brian Doherty: EU Action for Regional Health SecurityTHL
Mr. Brian Doherty, Policy Officer, Crisis Management and Preparedness in Health, DG SANTE, the European Commission, at One Health Security Conference, 14-15 Oct 2019, THL, Helsinki
Corien Swaan: Preparedness and response planning (SHARP JA WP6)THL
Ms. Corien Swaan, National Institute for Public Health and Environment (RIVM, Netherlands), at One Health Security Conference, 14-15 Oct 2019, THL, Helsinki
GS42 Item 9 Proposed updating to the 4 year strategic plan (2015-2019) and th...FAO
Presentation by K.Sumption and the EuFMD to the 42nd General Session of the EuFMD, 20-21 April 2017
http://www.fao.org/ag/againfo/commissions/eufmd/commissions/eufmd-home/reports/general-sessions/en/
Mr. Mika Salminen, SHARP JA Coordinator, Director, Department of Health Security, Finnish Institute for Health and Welfare (THL), at One Health Security Conference, 14-15 Oct 2019, THL, Helsinki
Brian Doherty: EU Action for Regional Health SecurityTHL
Mr. Brian Doherty, Policy Officer, Crisis Management and Preparedness in Health, DG SANTE, the European Commission, at One Health Security Conference, 14-15 Oct 2019, THL, Helsinki
Corien Swaan: Preparedness and response planning (SHARP JA WP6)THL
Ms. Corien Swaan, National Institute for Public Health and Environment (RIVM, Netherlands), at One Health Security Conference, 14-15 Oct 2019, THL, Helsinki
GS42 Item 9 Proposed updating to the 4 year strategic plan (2015-2019) and th...FAO
Presentation by K.Sumption and the EuFMD to the 42nd General Session of the EuFMD, 20-21 April 2017
http://www.fao.org/ag/againfo/commissions/eufmd/commissions/eufmd-home/reports/general-sessions/en/
Johanna Takkinen: Operational Collaboration on EU-wide Zoonotic and Foodborne...THL
Ms. Johanna Takkinen, Head of Food and Waterborne Diseases and Zoonoses Programme, ECDC, at One Health Security Conference, 14-15 Oct 2019, THL, Helsinki
Francesco Vairo: Case Management and Infection Prevention and Control Prepare...THL
Mr. Francesco Vairo, National Institute for Infectious Diseases L. Spallanzani (INMI, Italy), at One Health Security Conference, 14-15 Oct 2019, THL, Helsinki
Key objective of the South-Eastern Europe (SEE) Management Meeting :
_ Present progress done in the implementation of EuFMD Phase V workplan for the South-Eastern Europe region during the last six months
_ Agree on additional areas of interest where further support is required to improve emergency preparedness and coordination across the region until the end of the current biennium (finalizing in September 2021).
Rebecca Katz: Challenges in Global Health SecurityTHL
Professor Rebecca Katz, Director for Global Health Science and Security, Georgetown University, US, at One Health Security Conference, 14-15 Oct 2019, THL, Helsinki
Aaro Toivonen: National Emergency Supply Agency (Finland)THL
Mr. Aaro Toivonen, Chairman of the Healthcare Pool Committee of the National Emergency Supply Agency, Finland, at One Health Security Conference, 14-15 Oct 2019, THL, Helsinki
Development of a Progressive Management Pathway to assist National and Intern...EuFMD
Step-wise approaches are increasingly used for the reduction, elimination and eradication of a range of major livestock and zoonotic diseases including:, Foot and Mouth Disease (FMD), Peste des Petits Ruminants (PPR)
Rabies, African Animal Trypanosomosis (AAT)
PCPs provide systemic frameworks for planning and evaluating field interventions and enable realistic disease control objectives to be defined and achieved.
Johanna Takkinen: Operational Collaboration on EU-wide Zoonotic and Foodborne...THL
Ms. Johanna Takkinen, Head of Food and Waterborne Diseases and Zoonoses Programme, ECDC, at One Health Security Conference, 14-15 Oct 2019, THL, Helsinki
Francesco Vairo: Case Management and Infection Prevention and Control Prepare...THL
Mr. Francesco Vairo, National Institute for Infectious Diseases L. Spallanzani (INMI, Italy), at One Health Security Conference, 14-15 Oct 2019, THL, Helsinki
Key objective of the South-Eastern Europe (SEE) Management Meeting :
_ Present progress done in the implementation of EuFMD Phase V workplan for the South-Eastern Europe region during the last six months
_ Agree on additional areas of interest where further support is required to improve emergency preparedness and coordination across the region until the end of the current biennium (finalizing in September 2021).
Rebecca Katz: Challenges in Global Health SecurityTHL
Professor Rebecca Katz, Director for Global Health Science and Security, Georgetown University, US, at One Health Security Conference, 14-15 Oct 2019, THL, Helsinki
Aaro Toivonen: National Emergency Supply Agency (Finland)THL
Mr. Aaro Toivonen, Chairman of the Healthcare Pool Committee of the National Emergency Supply Agency, Finland, at One Health Security Conference, 14-15 Oct 2019, THL, Helsinki
Development of a Progressive Management Pathway to assist National and Intern...EuFMD
Step-wise approaches are increasingly used for the reduction, elimination and eradication of a range of major livestock and zoonotic diseases including:, Foot and Mouth Disease (FMD), Peste des Petits Ruminants (PPR)
Rabies, African Animal Trypanosomosis (AAT)
PCPs provide systemic frameworks for planning and evaluating field interventions and enable realistic disease control objectives to be defined and achieved.
FMD-PCP workshop IZSLT - Update on the Implementation of the Global FMD Contr...EuFMD
Update on the Implementation of the Global FMD Control Strategy & 2nd Edition of the PCP Principles - Samia Metwally
On Behalf of GF-TADs FMD Working Group
DRM Webinar I: Governing and managing disaster risk in the agriculture sectorFAO
Over the past decade, economic damages resulting from natural hazards have amounted to USD 1.5 trillion caused by geophysical hazards such as earthquakes, tsunamis and landslides, as well as hydro-meteorological hazards, including storms, floods, droughts and wild fires. Climate-related disasters, in particular, are increasing worldwide and expected to intensify with climate change. They disproportionately affect food insecure, poor people – over 75 percent of whom derive their livelihoods from agriculture. Agricultural livelihoods can only be protected from multiple hazards if adequate disaster risk reduction and management efforts are strengthened within and across sectors, anchored in the context-specific needs of local livelihoods systems.
This series of three webinars on Disaster Risk Reduction and Management (DRR/M) in agriculture is organized to:
1. Discuss the new opportunities and pressing challenges in reducing and managing disaster risk in agriculture;
2. Learn and share experiences about disaster risk reduction and management good practices based on concrete examples from the field; discuss how to create evidence and conditions for upscaling of good practices; and
3. Exchange experiences and knowledge with partners around resilience to natural hazards and climate-related disasters.
The webinar covers:
• Institutional capacity development for DRM for resilience, food security and nutrition
• Mainstreaming DRM in agriculture sector planning
• Linking planning and capacity development for DRM, resilience and climate change adaptation (CCA)
Presented by Nedret Emiroglu, Deputy Director, Division of Communicable Diseases, Health Security and Environment, WHO/Europe, at the 64th session of the WHO Regional Committee for Europe.
Presented by H. Nakatani, Assistant Director-General, HIV, TB, Malaria and Neglected Tropical Diseases, WHO, at the 64th session of the WHO Regional Committee for Europe.
Foot and Mouth Disease: Turkey recent developments in the region and outlooksFAO
Outlook achievement the WestEurasia Roadmap including
Recent Developments in the Region (Practical Epidemiology for Progressive Control (PepC))
Outlook gaps on the control of FMD in the Region (EARLY DETECTION / WELNET FMD)
Dr Nahit Yazıcıoğlu
President, Roadmap Advisory Group
Head of Animal Health and Quarantine Department
GDFC, MoFAL, TURKEY
The EuFMD: An Overview (AGAH Day) (E. Chevanne)EuFMD
This presentation was provided by EuFMD's Foot-and-Mouth Disease Risk Management Specialist, Etienne Chevanne at the FAO Animal Production and Health Division's Annual Event, 'AGAH Day'.
Workshop 2- Centres of expertise & Networks of experts
"Feedback from the 15 National Conferences on Centres of Expertise"
Simona Bellagambi, UNIAMO, Italy
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
3. ANIMAL HEALTH
SECURITY THROUGH
BETTER PREPAREDNESS AND
REDUCED RISK FROM FMD AND
SIMILAR TADS
(‘’HOLD-FAST””)
The proposed 4 year
EuFMD Strategic Plan
(April 2019-2023)
2019
4. Rationale for the Strategy
• FMD remains the #1 disease risk – in the European neighbourhood
• Over 250 million cases annually across the world – daily risk of FMD entry into EU :
must maintain effort
• Capacity, Training and Preparedness tools already developed for FMD are relevant to
similar TADS
• EuFMD already active in areas where PPR, poxviruses, ASF are present
• Adapting spread models (EuFMDis) to similar TADS is straightforward
• Europe (+GF-TADS) needs implementing partners able to work effectively at national
level in the neighbourhood
5. The Strategic Plan in 10 points
Non-negotiable values, commitments and behaviours that you can HOLD us to
• Continuous co-ordination
• Regular review - of the risk situation
• Seek synergy - with the relevant EU institutions
• Sharing of expertise in emergency preparedness and epidemic management
• Continuous engagement with veterinary services
• Effective use of European and neighbourhood reference laboratories and expertise
• Commitment - to provide world-leading training quality and tools
• Continuous improvement- in delivery and impact
• An attitude of always seeking to leverage efforts
1. PRINCIPLES
6. Focus on FMD:
• Every part of the programme to support FMD control
• Many parts of the programme relevant to improved control of Similar Transboundary
Animal Diseases
• Within the Scope
Category 1: FMD, and currently PPR, capripoxviruses
- Similar risk factors to FMD/in directly bordering neighbourhood/Vaccination is an option
Category 2: Rift Valley Fever, Bovine Ephemeral Fever
- In one or more neighbourhood countries/vaccination needed/Ruminants are directly affected with
major losses
Category 3: Not included in the above but kept under review
- Currently cause outbreaks in EU-MS (e.g. ASF) / co-ordination is well established at EU level
- Other TADS, according to risk
2. SCOPE – FOCUSED but fast to adjust
8. Goal Objectives Key Performance Indicators (KPI)
Improved preparedness 1. National capacity development
2. Regional and national capacity in emergency
preparedness
3. Preparedness for use of emergency vaccination
4. South-Eastern Europe
5. Applied research program
6. Proficiency test services (extended EU scheme)
7. FAST disease information gathering and analysis
1. Knowledge Achieved With Training
2. MS satisfaction with CP tools
3. MS satisfaction with EV assessments
4. % countries having tested CP plans for FAST diseases
5. Satisfaction of Technical Committee with completed studies
6. Number of eligible non-EU countries participating
7. MS satisfaction with FAST risk reports
Reduced risk 1. Co-ordinated activities (under GF-TADS/REMESA)
2. FAST disease: Improved Early Warning
3. Integrated capacity development
1. PCP-FMD indicators for progress (14 countries)
2. Regular surveys of satisfaction levels with EW system outputs
3. Knowledge Achieved with Training (tested) and numbers trained
Sustained global progress 1. Sustained and effective PCP-FMD
implementation
2. Improved global laboratory support
3. Better training for progressive control
4. Improved vaccine security
1. Process indicators, completion of Roadmaps and #countries utilising
PSO expertise
2. Surveillance targets met in three of the five Roadmaps; system for
regional vaccine recommendations being used
3. Knowledge Achieved With Training (tested) and numbers trained
4. PPP: satisfaction of stakeholders in rate of progress
Feasible, costed, and achievable
4. OBJECTIVES and KPIs (Fourteen)
9. Europe-wide TADS modelling
capacity serving MS and the
region as a whole (EuFMDis+)
Laboratory proficiency and
capacity for FAST diseases
established across the Balkan
countries supported by a
diagnostic bank
Integrated FAST disease early
warning system
in the REMESA/neighbourhood
region be in place by end of
2020.
Vaccine security platform:
Addresses a gap affecting
contingency planning
5. SIGNIFICANT NEW ELEMENTS to the programme
10. World –leading Training
Programme
GET Prepared
Expertise and support to
guide MS on stress-testing
of their preparedness
resources
Regionally co-ordinated
targeted, national
assistance to
apply the Progressive
Control Pathway (PCP-FMD)
Fund for Applied Research
(FAR Fund)
Studies with generic (multi-
TADS) applicability will be
favoured
Global Intelligence
Regular risk reports: but
with added FORECASTING
6. CORE ELEMENTS of the programme continued from Phase IV
11. Member States govern – through the elected
Officers
Co-ordination, in a changing disease risk
environment
• DAILY
• Periodic review (@6 month intervals)
• With the priorities of GF-TADS Europe
Technical support for decisions on changing
priorities
• Greater role of the Standing Technical
Committee (STC) on decisions upon
changes in priorities or intensities of
efforts on specific TADS
7. GOVERNANCE and CO-ORDINATION with partners
12. The programme will be delivered as per Phase IV:
Through a dedicated, technically and operationally autonomous Secretariat fully applying
the FAO administrative procedures
Operational
units
Senior
Management
team
Executive
Secretariat
Secretary/Budget
Holder
Programme Unit: : Lead
Technical Officer + Chief
Operating Officer (+CFO)
Teams for Pillar
and Component
delivery
Horizontal
Operational
support services
Co-ordination and
Communications Unit
(DOC)
Governance Meetings
STC and Special
Committees
Reporting and
Communications
8. OPERATIONAL MANAGEMENT
13. EuFMD : circa 1m€ p.a
Programme Funds (EC request): 3 m€ p.a
Component Amount Source identified
Programme Budget
(Table 2)
3.0 m€ per annum EC: DG-SANTE (request)
Programme Management & Secretariat 0.6 m€ per annum Member States annual contributions
Scientific Support:
FAST-Network and Fund for Applied
Research (Special Committee
0.2 m€ per annum
Additional voluntary contributions of
MS/others
Ad –hoc funding of programme
elements
0.2 m€ per annum
Additional contributions of donors or resource
partners
Total 4.0 m€ per annum
9. FINANCING: Administrative & Programme Funding
14. Programme Funds (EC request): 3 m€ p.a
Goal (Pillar) Phase V per annum
1. Improved preparedness 1,559,550
2. Reduced risk 760,450
3. Sustained global progress 680, 000
3,000,000
9. Programme budget estimates
10. Environmental sustainability objectives
Programme objectives contribute to reduced global impact (GHG+) of ruminants
and operational procedures apply the 3 R’s
15. 43rd General Session of the EuFMD
• Promoting FMD control which can benefit the global environment by reducing GHG
emissions from livestock through globally increased productivity:
• Applying the 3Rs in our activities through
Reducing: air travel through increasing e-work (webinars, e-learning, skype)
and offsetting the carbon footprint from unavoidable travel
Re-using: promoting BYOB (Bring Your Own (water) Bottle)
Re-cycling: as much as possible in FAO HQ (and at home)
Large ruminants are one of the most important sources of GHG
and over 60% live in countries which have endemic FMD
10. Thinking of the environmental footprint by
16. Strategic Plan 2019-2022
Pillar I
Improved preparedness for management of FMD and
similar TADS (“FAST diseases”) crises by Members and
across Europe as a whole
Proposed updating
43rd EuFMD General Session, 17-18 April 2019
17. OBJECTIVE 1: NATIONAL CAPACITY DEVELOPMENT
EXPECTED OUTPUT
Improved level of training in FAST diseases crisis management at national level
HOW TO DO IT?
Training menu supported by the training credits system
• Design of the training menu based on MS needs
• What the MS see as their needs
• Collaboration with other organizations to identify priorities
• Risk based: Collaboration with Pillar II
• More country-tailored programs
• Incentives to choose the option “assistance with the national training system”
18. OBJECTIVE 1: NATIONAL CAPACITY DEVELOPMENT
HOW TO DO IT?
We have a lot of high quality training material that is useful for all FAST
diseases. To develop new training material,…
• We will focus on the practical problems countries face
• Exit strategy after an outbreak
• What reagents would be needed in the first weeks of an outbreak
• We will prioritize a regional approach
Higher number of open resources (Knowledge Bank /YOUTUBE)
• Link to national education organisations
• To be used within the FAST national training strategy
19. EXPECTED OUTPUT
STATE OF THE ART tools for EP available to MS to assess and improve preparedness for FAST
diseases across Europe
OBJECTIVE 2: REGIONAL CAPACITY IN EMERGENCY PREPAREDNESS (EP)
20. HOW TO DO IT?
Through the collaborative work with other institutions:
EFSA, DG SANTE Dir F, others
• GET Prepared: Comprehensive toolbox to assist MS in the assessment and
improvement of their contingency plans
• EuFMDis+: Pan- European model covering FMD and other FAST diseases, and with
new features included such as the wildlife component and biosecurity considerations
OBJECTIVE 2: REGIONAL CAPACITY IN PLANNING
21. EXPECTED OUTPUTS
• Improved CP considering vaccination as an option against FAST diseases
• Progress to address barriers to the access to effective vaccines against FAST
diseases
HOW TO DO IT?
1. Establishment of a Vaccine security platform
• Public-private platform (PPP): private sector, RL and R&D experts, vaccine
registration and contingency planners to meet on a regular basis
• To discuss about and promote progress to the access to effective vaccines
against FAST diseases
2. Assured Emergency Supply Options (AESOP)
OBJECTIVE 3: PREPAREDNESS FOR USE OF EMERGENCY VACCINATION
22. EXPECTED OUTPUTS
• Improved emergency preparedness
in the region
• Improved surveillance systems
→ Greater confidence in freedom from
FAST diseases and increased likelihood
of early detection of an incursion
OBJECTIVE 4: IMPROVED EP in SOUTH-EASTERN EUROPE
(THRACE and BALKANS)
23. HOW TO DO IT?
OBJECTIVE 4: SOUTH-EASTERN EUROPE
THRACE and BALKANS
24. HOW TO DO IT?
• Thrace +: Possibility to extend the current coordinated regional surveillance
approach
• Simulation exercises, workshops and continuous support to improve emergency
preparedness for FAST diseases
• Improve laboratory proficiency and capacity for FAST diseases across the region
• Diagnostic bank for FAST diseases (initially: Balkans, but may serve wider need)
OBJECTIVE 4: SOUTH-EASTERN EUROPE
THRACE and BALKANS
25. EXPECTED OUTPUT
Tools and new knowledge to improve emergency
preparedness against FAST diseases
HOW TO DO IT?
• Competitive selection of studies to support
through the Fund for Applied Research (FAR)
• Identification of Europe-wide priorities in
emergency preparedness and gaps of tools and
knowledge
• Expert Committee (SCSAR) - prioritization,
guidance on impact of potential studies
OBJECTIVE 5: APPLIED RESEARCH PROGRAMME
26. RELEVANT TO ALL THE PILLARS
HOW TO DO IT?
• Continuity of current system (GMR) for information
gathering and analysis
• Addition of epidemic fore-casting based on
intelligence focal points system
• Greater integration of informatics and analysis (with
OIE/FAO networks)
OBJECTIVE 6: PROFICIENCY of the NRLs (non-EU MS) for FMD
(extension of the PTS operated under the EU-RL)
OBJECTIVE 7: FAST disease intelligence provided for risk
assessment
27. Goal (Pillar) Component Objectives
Subcomponents € Per
annum
Phase V per
annum
Per annum Phase IV
(2017-18)
Phase V
Increase %
1.
Improved
preparedness
1. National capacity development
39 MS @8000
(312,000) 312,000 261,488 19
2. Regional capacity in emergency planning 160,000 71,077 125
3. Preparedness for use of emergency
vaccination incl emergency reserves 300,000 161,890 85
4. South-Eastern Europe incl Diagnostic Bank 369,550 289,555 28
FAST Diagnostic Bank 80,000
THRACE surveillance 188,500
Emergency Preparedness and exercises 101,050
5. Applied research program 250,000 186,194 34
6. PTS 30,000 23,150 30
7. Global informatics for Risk assessment 138,000 42,100 228
TOTAL 1,559,550
28. Strategic Plan 2019-2022
Pillar II
Reduced FMD risk to EUFMD Members from European
neighbourhood
Proposed updating
43rd EuFMD General Session, 17-18 April 2019
29. Priorities and opportunities in the future programme for
integration of efforts for risk reduction of FAST diseases
Priority: early warning and better preparedness for
FMD and Similar TADs in the EU neighbourhood –
integrated cost-efficient approach
Opportunities:
- building on networks established
- making use of the horizontal approach
- adopting flexible programme
- working with partners
43rd EuFMD General Session, 17-18 April 2019
30. Risk and threats change - What is needed ?
Close coordination and clear roles
Flexibility to shift priorities, resources and activities
Efficient use of models for early detection (e.g. Thrace)
Efficient use of acquired expertise
….and ….
• Capacity to work in different setting
• Continual presence in the field
• Capacity and flexibility to deliver quickly
• Combination of experience and innovation
31. To achieve FAST progressive control:
- Coordinated mechanism under GF-TADs with regular
updates of FMD control strategies and definition of priorities
and related workplans
- Coordination with countries to support national
programmes (regional/sub-regional/national activities)
COMPONENT 1: COORDINATED ACTIVITIES
32. - Collection and analysis of risk information
- Definition of hot spot locations
- Design risk based multi-disease surveillance
- Improve collection and delivery of isolates
- Prioritization of vaccines and improve their availability
- Facilitate sharing of risk information
COMPONENT 2: IMPROVED EARLY WARNING
33. - Laboratory capacity
- Vet Services capacity (e.g. clinical investigation, surveillance and control)
- Effectiveness of control measures (e.g. PVM)
- Network among centres of expertise
- Application of Terrestrial Animal Health Code
COMPONENT 3: CAPACITY BUILDING
34. Progressive control (PSO)
Early warning
Capacity building
Trainings
Emergency preparedness:
Cont. Pl. – AESOP - PRAGMATIST
Better use of
expertise and
budget
Horizontal elements of the Pillar II programme
Networks (centres of expertise)
35. Goal
(Pillar)
Component Objectives Subcomponents
€ Per annum Phase V per annum
Per annum Phase IV
(2017-18) Phase V Increase %
2.
Reduced
risk
1. Co-ordinated activities (under GF-
TADS/REMESA)
PCP progress in Turkey/Georgia
neighbourhood
PCP progress in South and Eastern
Mediterranean (REMESA countries)
300,450 297,347 1
150,450
150,000
2. FAST disease: Improved Early
Warning
Continuous Multi-disease surveillance in
three hot-spots
FAST surveillance Network
250,000 173,904 44
200,000
50,000
3. Integrated capacity development
E-learning Course development
Training delivery
210,000 74,000 184
65,000
145,000
Total 760,450
36. Strategic Plan 2019-2022
Pillar III
Sustained progress of the GF-TADs Global Strategy
against FMD and the improved security and supply of
effective vaccines
1. Sustained and effective PCP-FMD
implementation
2. Improved global laboratory support
3. Better training for progressive control
4. Improved vaccine security
43rd EuFMD General Session, 17-18 April 2019
37. 3.1 Sustained Global Progress
• Sustained progress of GF-TADs Global
Strategy for FMD
• Continued support the FMD Working
group including improved PCP
information management
Pillar III – Future workplan
38. How to do it?
Supporting PCP-FMD application:
• PCP-FMD tool-kit
• Regional roadmaps
• PCP Support Officers (“PSOs”)
• Promote risk-based control and management
(PCP principles)
• Extended program - to support all countries
engaging in PCP-FMD
• Training system for “”Certification” PSO under
GF-TADS – with trained expertise from all
roadmap regions
• EuFMD to manage system and support
development
• Leverage additional funds to implement
activities
Pillar III – Future workplan
39. 3.2 Improved Global Laboratory Support
HOW TO DO IT?
• WRL-FMD and OIE/FAO Laboratory Network
• CONTRACTED support - KPI’s are surveillance targets in different regions
• Shift in emphasis towards Post-vaccination monitoring and regional vaccine
selection and performance
• Targeted efforts to improve sampling in address Surveillance gaps
• Associated training for all Roadmap regions
(online programmes)
Pillar III – Future workplan
40. 3.3 Better Training for progressive control
HOW TO DO IT?
• World-leading suite of training courses for national PC programmes:
multiple languages and regions
• Assist countries (+ partners) to deliver national FMD training (online/mobile access)
• Co-ordinated effort with OIE (PPP for progressive control, Safe-Trade,..) and OIE to
develop an integrated overall suite of training for FAST diseases
Pillar III – Future workplan
41. 3.4 Vaccine Security
WHY?
Lack of Global Vaccine Security
affects everyone
The confidence that vaccines are affordable,
available, effective and accessible to stakeholders
HOW TO DO IT?
• Platform for stakeholders to review barriers
affecting access to vaccines for FAST diseases
• bringing together regulators, risk managers,
research and private sector stakeholders
• Supported by Working groups and associated
studies to address information gaps affecting
investment decisions
Pillar III – Future workplan
42. Goal (Pillar) Component Objectives Subcomponents
€ Per annum Phase V per annum Per annum Phase IV (2017-18) Phase V Increase %
3.
Sustained
global
progress
1. Sustained and effective PCP-FMD
implementation
PCP support to GF-TADS countries (PSO
system)
Support PCP Roadmaps
Co-ordination/Support tools for PCP
implementation
170,000 121,424 40
80,000
50,000
40,000
2. Improved global laboratory support
Contract to support OIE/FAO FMD Ref Lab
Network
Surveillance support
320,000 314,386 2
200,000
120,000
3. Better training for progressive control
E-learning Course development
Training delivery
140,000 97,766 43
50,000
90,000
4. Improved vaccine security 50,000 -
Total 680,000