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People, Livestock, Trade and Animal
 Disease: How can we improve the
       management of risk?
Jonathan Rushton, Alma Yrjo-Koskinen, Theo
Knight-Jones, Edie Marshall, Joshua Onono and
                 Ruth Rushton
                               15 June 2011
            jrushton@rvc.ac.uk Dubai, UAE       1
Who was involved?



• With acknowledgments to:
   • SOLICEP
       • FAO – Felix Njeumi, Nawai Gubair
       • AU - IBAR – James Wabacha, Flora Mbithi
       • Terra Nuova – Ricardo Costagli, Mohamed Farah
         Dirie, Paul Rwambo




                                                         2
Who was involved?


• With acknowledgments to:
   • USAID – Andrew Clark
   • ILRI – Derek Baker
   • FAO – Nicoline de Haan, Abdi Farah Abdulkadir,
     Sophycate Njue
   • OIE - Dr. Habiba Sheikh Hassan
   • RVC – Dirk Pfeiffer, Katharina Stärk, Javier Guitian



                                                            3
Who was involved?
• With acknowledgments to:
   • Dr. Mohamed Ali Geereh
   • Dr. Ahmed Deyr Aideed
   • Dr. Elmi Ibrahim Wais
   • Dr. Abdirahman Nur Qeiliye
   • Dr. Abdiwelli Omar Yusuf
   • Mr. Abdi Mire Jama
   • Mr. Abdirizak Noor Ibrahim
   • Mr. Dahir Mohamud Hassan
   • Dr Abrikarim Ahmed Jama
   • Mr. Dahir Mohamed Mohamud
                                  4
Introduction

• Rapidly changing societies generating bigger demands
  for livestock products have historically created health
  problems
• Our current rate of change has thrown up new
  challenges in terms of emerging and re-emerging
  diseases
• Addressing these with adequate investments in health
  education, research and institutional development is a
  major challenge
 This is a societal resource allocation and socio-economic
                           challenge

                                                             5
Introduction

• How do we achieve stable and safe supplies of food?
• It requires interdisciplinarity and intersectorial
  approaches
• It requires a thorough understanding of:
    • Context in which diseases circulate – the value chain
    • Rules in which people in the value chain operate –
       institutional environment
    • Response of the people concerned – human
       behaviour


                                                              6
Introduction

• RVC were contracted by FAO to give an input to SOLICEP
  with a focus on the following:
   • Document current risk reduction measures in the
      export animals from Somalia
   • Identify additional measures that could reduce the
      risks further
   • Determine if the additional measures are
      economically profitable and socially acceptable




                                                           7
Middle East population (FAOSTAT, 2008)

           90
Millions




           80
           70
           60
           50
           40
           30
           20                                       Urban
           10
            0                                       Rural




                                                      8
Horn of Africa population (FAOSTAT, 2008)

           90
Millions




           80
           70
           60
           50
           40
           30
           20
           10
           0
                Eritrea   Ethiopia    Kenya      Somalia   Sudan   Djibouti

                                     Rural    Urban
                                                                              9
Value Chains and Risk




                        10
Basic livestock food system


         Feed            Animals         Animals         Carcass             Meat                 Meat


 Feed           Production                                          Processing
                                  Transport        Abattoir                             Preparation         Consumer
Inputs            System                                            & marketing

    $, €, ¥             $, €, ¥          $, €, ¥              $, €, ¥         $, €, ¥             $, €, ¥




                  • Provides food
                  • Moves money
                  • Generates employment
                  • People in the chains are GEOGRAPHICALLY DISPERSE –
                  great likelihood of moral hazard                     11
Livestock food systems and pathogens

                                    Pathogen




 Feed      Production                           Processing
                        Transport    Abattoir                 Preparation   Consumer
Inputs       System                             & marketing




             In livestock food systems pathogens can:
             • be maintained
             • spread in both directions
             • be introduced from external sources
                                                                               12
Livestock food systems and information

               Government working with the private sector




 Feed      Production                          Processing
                        Transport   Abattoir                 Preparation   Consumer
Inputs       System                            & marketing




             Information in the livestock food systems:
             • can be transferred between people
             • can be hidden by people – MORAL HAZARD
             • can be made available by regulators outside the
             system – government, others??                                    13
Livestock food systems and pathogens
- where to intervene
• Standard questions when examining an intervention:
    • Is the intervention technically feasible?
    • What is the intervention’s cost and effectiveness?
    • Is the intervention socially acceptable?




                                                           14
Livestock food systems and pathogens
- where to intervene
• Questions need to be added for complex food systems:
   • Can implementation of the intervention be verified
     within the food system by people affected?
       • i.e. Can moral hazard be reduced?
   • How will people’s decision making be affected by the
     intervention?
       • i.e. What do we understand of human
         behaviour?
   • What do we know of the rule breakers?


                                                            15
Why should we study livestock value chains for animal
health measures?

• A value chain is no different to a biological organism
• It survives to support the livelihoods of the people who
  work in it and to feed the people who are its consumers
• If a disease is put into a value chain the people within
  will react and modify their behaviour
• In turn the people’s actions will affect how the chain
  functions and operates
• Strong chains will manage and internalise disease risks
Why should we study livestock value chains for animal
health measures?

• Understanding how the livestock value chains modify
  and manage disease allows us to help see how our
  interventions can help a chain to recover as fast as
  possible
• The rapid healing of a chain is vital to ensure that people
  who depend on the chain for income and food are
  affected as little as possible
Value chains and veterinarians

• When working with livestock value chains with disease
  and those at risk of disease we need to think like
  veterinarians treating a sick animal
   • How can we make the chains disease free and
      healthy?
• The outcome of such an approach benefits the people
  who:
   • work and generate an income in the chains
   • eat and use the poultry commodities supplied by the
      chains
http://www.fao.org/docrep/014/i2198e/i2198e00.pdf   19
Conceptual Framework




                       20
Conceptual framework

• The framework adopted is based on risk analysis (see
  OIE risk analysis documents)
• This foundation will be strengthened through:
   • An assessment of the livestock sector
   • Examining the PEOPLE involved in the production,
      movement and trade of the animals produced
• The major distinction is the need to think about people’s
  behaviour




                                                              21
Managing risk along trade routes
                          Market

          Production                  Road Quarantine
            Cluster                        Station



      Through people
                 Movement
                  Corridor
                                                    Shipping

                                                          Abattoir

Borders
                                 SEA

                                              Consumption centre
Disease risk
                                            Assessment phase
reduction points


                                                  Costing and
                                                 assessment of
                                              technical feasibility,
    Risk                     Potential                                    Intervention   Communication


                      All carried out in
                                                 economically
 Assessment                Interventions                               Recommendations      Strategy
                                                sustainability &
                                             social acceptibility of
                                               the interventions


   Which requires an
iteration of the process
                         Partnership
                   (there are no experts)
             Change in                                                       Communication
           disease status                                                    Implementation
                                           Implementation phase


                                    Farm and producer level impact
Risk management with a people centred approach

• People are no longer just the people affected by a
  disease
   • Lost income
   • Health
   • Death
• People’s actions dictate how a disease:
   • Enters a society
   • How it spreads
   • How it is controlled


                                                       24
Risk management with a people centred approach

• With a people centred approach it becomes critical to
  understand people’s behaviour
• Some of this will be dictated by:
   • Economic incentives
   • Institutional environment
       • Rules (official and informal) and their
         enforcement
   • Social, cultural and psychological factors



                                                          25
INDIVIDUAL FACTORS                         SOCIAL/PHYSICAL ENVIRONMENT
      •Physical attributes                       •Family and social network
            Age                                        Rules and enforcement
            Gender                              •Cultural practices
            Size, weight                               Informal/cultural codes/rules of
            Ethnicity                                  behaviour
      •Personal Characteristics                  •Economic drivers (private)
            Personality Variables                      Rules of transactions
            Temperament                                Methods of enforcement
            Self esteem                         •Official rule structures
            General health beliefs                     Methods and willingness to enfoce
            General beliefs about risk-         •Political environment
            taking/offending                     •Availability and type of information
      •Resource base and livelihood options



              INDIVIDUAL ATTITUDES                       GROUP HELD ATTITUDES
               BELIEFS MOTIVATING                         BELIEFS MOTIVATING
                     FACTORS                                    FACTORS


                               INDIVIDUAL/GROUP RISK BEHAVIOUR
                                    FOR SPREAD OF DISEASES

Strong reward motivated – ‘conscious’                   Less ‘conscious’/ignorant rule breaking
   rule breaking e.g. monetary gain                    e.g. culturally driven; lack of information
Results




          27
Summary of model findings

• Somalia is endemic for many transboundary animal
  diseases and exports huge numbers of livestock – thus
  significant risks of exporting infected animals are
  unavoidable
• These risks can be managed by
    • a) controlling diseases in Somalia,
    • b) controlling diseases in exported animals and
    • c) limiting contact between exported livestock and
      domestic animals in the importing countries
• This study focuses on controlling diseases in exported
  animals - IS THIS SENSIBLE?
                                                           28
Summary of model findings

• For infections with limited clinical signs (Brucella spp.,
  RVF, FMD in shoats) health certification based on clinical
  exam alone is of limited use.
• For these diseases laboratory tests will be useful
• For diseases spread by close contact quarantine stations
  may increase the risk (FMD, PPR, CCPP/CBPP)
   • For such diseases certification could be based on
      market and port inspection and laboratory tests
   • With short quarantine (assuming biosecurity is not
      exceptional)

                                                               29
Summary of model findings

    • Due to the scale of the trade exceptional biosecurity
      within the quarantine will be difficult to attain
    • Quarantine standards need verifying by inspections
      by importing countries
    • This is easier to monitor than monitoring standards
      of multiple regional market inspections
• For other diseases, quarantine reduces the risk but at
  high price.
• Quarantine provides a suitable place to conduct
  laboratory tests

                                                              30
Summary of model findings - suggested strategies

• Brucella spp./RVF
   • market inspection + laboratory test (quarantine only
     slightly beneficial as clinical signs are limited)
• FMD/PPR/CBPP/CCPP
   • Market inspection + port inspection + laboratory test
     + (quarantine offers an opportunity for spread)

• Further consideration of laboratory test costs required



                                                             31
Further considerations

• Large model uncertainties exist – models demonstrate
  mechanisms of disease control with livestock exports
  rather than precise estimates of risk.
• Some sort of collecting area/holding ground before
  shipment is required – quarantine provides the most
  biosecure place for this.
• The more restrictive controls are the greater the
  incentive for informal export.
• Animals rejected closer to source may be less likely to be
  exported illegally than those rejected at the port??


                                                               32
Which diseases are most important?

• The presence of some diseases in exported animals can
  lead to market closure - a disaster – RVF
• Given the dependence of the Somali economy on live
  animal exports attention to improving strategies on RVF
  are required
• Whilst the analysis presented is a starting point it will be
  useful to add to this in the final stages of the report
• Key recommendation – RVF presence in export animals
  needs to be avoided



                                                                 33
Which diseases are most important?

• Other diseases may cause ship consignments to be
  turned away from a chosen port of import - FMD
• These animals are not returned to Somalia
• The economic impact of such diseases is insidious
    • no-one costs these impacts properly




                                                      34
Which diseases are most important?

• A risk premium will be taken off each animal export to
  reflect that there is a chance
    • the animal will become infected
    • The animal may die
    • The animal may be turned away
    • There is cost incurred in landing the animal in
      another port
• Key recommendation – calculate the risk
  premiums/costs of these events to use as a basis for
  pressuring for more careful disease policies

                                                           35
Further considerations

• Greater control of disease in the Somali livestock in
  general is required.
• Improved surveillance and early warning will identify
  infected areas from which to block trade (tracing is
  required for this)
• Control of exposure of domestic livestock to imported
  Somali livestock will help (e.g. Slaughter soon after
  arrival).




                                                          36
A way ahead
– a three step process




                         37
A way ahead – existing systems

• Build on the systems you have
• Millions of animals are shipped every year, these have
  systems of animal management
• The world needs to know what these management
  systems are and how they function to ensure animals
  arrive at the importing country safely
• The systems need to be DOCUMENTED




                                                           38
A way ahead – collecting data

• For the livestock movements develop systems of data
   • Collection
   • Storage
   • Analysis
• COMMUNICATE the output to:
   • Producers
   • Traders
   • Importers



                                                        39
A way ahead – sample taking and diagnostics

• Use the livestock flows to develop epidemiological based
  sampling
• Develop diagnostic capacities with an initial focus on the
  main trade issues – RVF and FMD
• Once this is working, develop further protocols for other
  diseases
• Develop CAPACITY and COMMUNICATE results to:
   • Producers
   • Traders
   • Importers

                                                               40
Improving livestock certification

                  Primary          Secondary
Livestock                                             Quarantine           Exports
                  Markets           Markets


                     Reject            Reject

 • Documentation of private standards
 • Samples of reject animals with diagnosis
 • Data recording, database development and dissemination

            • Sample taking and analysis for RVF, FMD possibly PPR
            • Data recording and analysis with dissemination
            • Development of strategies

                              • Sample taking and analysis for other diseases
                              • Data recording and analysis with dissemination
                              • Development of strategies                      41
Key message

• To facilitate a process that allows:
   • Greater stability of market access to key Somali
      products
   • To encourage the development of certification
      systems that build on existing skills and
      management
   • Incorporate where appropriate technologies from
      outside




                                                        42
Protecting livestock to protect people

Through a people centred approach with
      strong technical leadership

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People, livestock, trade and animal disease: How can we improve the management of risk?

  • 1. People, Livestock, Trade and Animal Disease: How can we improve the management of risk? Jonathan Rushton, Alma Yrjo-Koskinen, Theo Knight-Jones, Edie Marshall, Joshua Onono and Ruth Rushton 15 June 2011 jrushton@rvc.ac.uk Dubai, UAE 1
  • 2. Who was involved? • With acknowledgments to: • SOLICEP • FAO – Felix Njeumi, Nawai Gubair • AU - IBAR – James Wabacha, Flora Mbithi • Terra Nuova – Ricardo Costagli, Mohamed Farah Dirie, Paul Rwambo 2
  • 3. Who was involved? • With acknowledgments to: • USAID – Andrew Clark • ILRI – Derek Baker • FAO – Nicoline de Haan, Abdi Farah Abdulkadir, Sophycate Njue • OIE - Dr. Habiba Sheikh Hassan • RVC – Dirk Pfeiffer, Katharina Stärk, Javier Guitian 3
  • 4. Who was involved? • With acknowledgments to: • Dr. Mohamed Ali Geereh • Dr. Ahmed Deyr Aideed • Dr. Elmi Ibrahim Wais • Dr. Abdirahman Nur Qeiliye • Dr. Abdiwelli Omar Yusuf • Mr. Abdi Mire Jama • Mr. Abdirizak Noor Ibrahim • Mr. Dahir Mohamud Hassan • Dr Abrikarim Ahmed Jama • Mr. Dahir Mohamed Mohamud 4
  • 5. Introduction • Rapidly changing societies generating bigger demands for livestock products have historically created health problems • Our current rate of change has thrown up new challenges in terms of emerging and re-emerging diseases • Addressing these with adequate investments in health education, research and institutional development is a major challenge This is a societal resource allocation and socio-economic challenge 5
  • 6. Introduction • How do we achieve stable and safe supplies of food? • It requires interdisciplinarity and intersectorial approaches • It requires a thorough understanding of: • Context in which diseases circulate – the value chain • Rules in which people in the value chain operate – institutional environment • Response of the people concerned – human behaviour 6
  • 7. Introduction • RVC were contracted by FAO to give an input to SOLICEP with a focus on the following: • Document current risk reduction measures in the export animals from Somalia • Identify additional measures that could reduce the risks further • Determine if the additional measures are economically profitable and socially acceptable 7
  • 8. Middle East population (FAOSTAT, 2008) 90 Millions 80 70 60 50 40 30 20 Urban 10 0 Rural 8
  • 9. Horn of Africa population (FAOSTAT, 2008) 90 Millions 80 70 60 50 40 30 20 10 0 Eritrea Ethiopia Kenya Somalia Sudan Djibouti Rural Urban 9
  • 10. Value Chains and Risk 10
  • 11. Basic livestock food system Feed Animals Animals Carcass Meat Meat Feed Production Processing Transport Abattoir Preparation Consumer Inputs System & marketing $, €, ¥ $, €, ¥ $, €, ¥ $, €, ¥ $, €, ¥ $, €, ¥ • Provides food • Moves money • Generates employment • People in the chains are GEOGRAPHICALLY DISPERSE – great likelihood of moral hazard 11
  • 12. Livestock food systems and pathogens Pathogen Feed Production Processing Transport Abattoir Preparation Consumer Inputs System & marketing In livestock food systems pathogens can: • be maintained • spread in both directions • be introduced from external sources 12
  • 13. Livestock food systems and information Government working with the private sector Feed Production Processing Transport Abattoir Preparation Consumer Inputs System & marketing Information in the livestock food systems: • can be transferred between people • can be hidden by people – MORAL HAZARD • can be made available by regulators outside the system – government, others?? 13
  • 14. Livestock food systems and pathogens - where to intervene • Standard questions when examining an intervention: • Is the intervention technically feasible? • What is the intervention’s cost and effectiveness? • Is the intervention socially acceptable? 14
  • 15. Livestock food systems and pathogens - where to intervene • Questions need to be added for complex food systems: • Can implementation of the intervention be verified within the food system by people affected? • i.e. Can moral hazard be reduced? • How will people’s decision making be affected by the intervention? • i.e. What do we understand of human behaviour? • What do we know of the rule breakers? 15
  • 16. Why should we study livestock value chains for animal health measures? • A value chain is no different to a biological organism • It survives to support the livelihoods of the people who work in it and to feed the people who are its consumers • If a disease is put into a value chain the people within will react and modify their behaviour • In turn the people’s actions will affect how the chain functions and operates • Strong chains will manage and internalise disease risks
  • 17. Why should we study livestock value chains for animal health measures? • Understanding how the livestock value chains modify and manage disease allows us to help see how our interventions can help a chain to recover as fast as possible • The rapid healing of a chain is vital to ensure that people who depend on the chain for income and food are affected as little as possible
  • 18. Value chains and veterinarians • When working with livestock value chains with disease and those at risk of disease we need to think like veterinarians treating a sick animal • How can we make the chains disease free and healthy? • The outcome of such an approach benefits the people who: • work and generate an income in the chains • eat and use the poultry commodities supplied by the chains
  • 21. Conceptual framework • The framework adopted is based on risk analysis (see OIE risk analysis documents) • This foundation will be strengthened through: • An assessment of the livestock sector • Examining the PEOPLE involved in the production, movement and trade of the animals produced • The major distinction is the need to think about people’s behaviour 21
  • 22. Managing risk along trade routes Market Production Road Quarantine Cluster Station Through people Movement Corridor Shipping Abattoir Borders SEA Consumption centre
  • 23. Disease risk Assessment phase reduction points Costing and assessment of technical feasibility, Risk Potential Intervention Communication All carried out in economically Assessment Interventions Recommendations Strategy sustainability & social acceptibility of the interventions Which requires an iteration of the process Partnership (there are no experts) Change in Communication disease status Implementation Implementation phase Farm and producer level impact
  • 24. Risk management with a people centred approach • People are no longer just the people affected by a disease • Lost income • Health • Death • People’s actions dictate how a disease: • Enters a society • How it spreads • How it is controlled 24
  • 25. Risk management with a people centred approach • With a people centred approach it becomes critical to understand people’s behaviour • Some of this will be dictated by: • Economic incentives • Institutional environment • Rules (official and informal) and their enforcement • Social, cultural and psychological factors 25
  • 26. INDIVIDUAL FACTORS SOCIAL/PHYSICAL ENVIRONMENT •Physical attributes •Family and social network Age Rules and enforcement Gender •Cultural practices Size, weight Informal/cultural codes/rules of Ethnicity behaviour •Personal Characteristics •Economic drivers (private) Personality Variables Rules of transactions Temperament Methods of enforcement Self esteem •Official rule structures General health beliefs Methods and willingness to enfoce General beliefs about risk- •Political environment taking/offending •Availability and type of information •Resource base and livelihood options INDIVIDUAL ATTITUDES GROUP HELD ATTITUDES BELIEFS MOTIVATING BELIEFS MOTIVATING FACTORS FACTORS INDIVIDUAL/GROUP RISK BEHAVIOUR FOR SPREAD OF DISEASES Strong reward motivated – ‘conscious’ Less ‘conscious’/ignorant rule breaking rule breaking e.g. monetary gain e.g. culturally driven; lack of information
  • 27. Results 27
  • 28. Summary of model findings • Somalia is endemic for many transboundary animal diseases and exports huge numbers of livestock – thus significant risks of exporting infected animals are unavoidable • These risks can be managed by • a) controlling diseases in Somalia, • b) controlling diseases in exported animals and • c) limiting contact between exported livestock and domestic animals in the importing countries • This study focuses on controlling diseases in exported animals - IS THIS SENSIBLE? 28
  • 29. Summary of model findings • For infections with limited clinical signs (Brucella spp., RVF, FMD in shoats) health certification based on clinical exam alone is of limited use. • For these diseases laboratory tests will be useful • For diseases spread by close contact quarantine stations may increase the risk (FMD, PPR, CCPP/CBPP) • For such diseases certification could be based on market and port inspection and laboratory tests • With short quarantine (assuming biosecurity is not exceptional) 29
  • 30. Summary of model findings • Due to the scale of the trade exceptional biosecurity within the quarantine will be difficult to attain • Quarantine standards need verifying by inspections by importing countries • This is easier to monitor than monitoring standards of multiple regional market inspections • For other diseases, quarantine reduces the risk but at high price. • Quarantine provides a suitable place to conduct laboratory tests 30
  • 31. Summary of model findings - suggested strategies • Brucella spp./RVF • market inspection + laboratory test (quarantine only slightly beneficial as clinical signs are limited) • FMD/PPR/CBPP/CCPP • Market inspection + port inspection + laboratory test + (quarantine offers an opportunity for spread) • Further consideration of laboratory test costs required 31
  • 32. Further considerations • Large model uncertainties exist – models demonstrate mechanisms of disease control with livestock exports rather than precise estimates of risk. • Some sort of collecting area/holding ground before shipment is required – quarantine provides the most biosecure place for this. • The more restrictive controls are the greater the incentive for informal export. • Animals rejected closer to source may be less likely to be exported illegally than those rejected at the port?? 32
  • 33. Which diseases are most important? • The presence of some diseases in exported animals can lead to market closure - a disaster – RVF • Given the dependence of the Somali economy on live animal exports attention to improving strategies on RVF are required • Whilst the analysis presented is a starting point it will be useful to add to this in the final stages of the report • Key recommendation – RVF presence in export animals needs to be avoided 33
  • 34. Which diseases are most important? • Other diseases may cause ship consignments to be turned away from a chosen port of import - FMD • These animals are not returned to Somalia • The economic impact of such diseases is insidious • no-one costs these impacts properly 34
  • 35. Which diseases are most important? • A risk premium will be taken off each animal export to reflect that there is a chance • the animal will become infected • The animal may die • The animal may be turned away • There is cost incurred in landing the animal in another port • Key recommendation – calculate the risk premiums/costs of these events to use as a basis for pressuring for more careful disease policies 35
  • 36. Further considerations • Greater control of disease in the Somali livestock in general is required. • Improved surveillance and early warning will identify infected areas from which to block trade (tracing is required for this) • Control of exposure of domestic livestock to imported Somali livestock will help (e.g. Slaughter soon after arrival). 36
  • 37. A way ahead – a three step process 37
  • 38. A way ahead – existing systems • Build on the systems you have • Millions of animals are shipped every year, these have systems of animal management • The world needs to know what these management systems are and how they function to ensure animals arrive at the importing country safely • The systems need to be DOCUMENTED 38
  • 39. A way ahead – collecting data • For the livestock movements develop systems of data • Collection • Storage • Analysis • COMMUNICATE the output to: • Producers • Traders • Importers 39
  • 40. A way ahead – sample taking and diagnostics • Use the livestock flows to develop epidemiological based sampling • Develop diagnostic capacities with an initial focus on the main trade issues – RVF and FMD • Once this is working, develop further protocols for other diseases • Develop CAPACITY and COMMUNICATE results to: • Producers • Traders • Importers 40
  • 41. Improving livestock certification Primary Secondary Livestock Quarantine Exports Markets Markets Reject Reject • Documentation of private standards • Samples of reject animals with diagnosis • Data recording, database development and dissemination • Sample taking and analysis for RVF, FMD possibly PPR • Data recording and analysis with dissemination • Development of strategies • Sample taking and analysis for other diseases • Data recording and analysis with dissemination • Development of strategies 41
  • 42. Key message • To facilitate a process that allows: • Greater stability of market access to key Somali products • To encourage the development of certification systems that build on existing skills and management • Incorporate where appropriate technologies from outside 42
  • 43. Protecting livestock to protect people Through a people centred approach with strong technical leadership