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Tools for better emergency preparedness
and contingency plans: GET Prepared and
EuFMDiS
Maria de la Puente
FMD risk management specialist, EuFMD
Pre-COSALFA Seminar
Cartagena, Colombia
29 & 30 April 2019
Tools for better emergency preparedness
and contingency plans: GET Prepared
How can we help member countries to improve?
o FMD specific tools developed by EuFMD e.g. training, e-learning,
videos, guidelines, EuFMDis
o Wealth of experience in member countries - in particular those
that have experienced outbreaks of various diseases in recent
years
o How do we access this? No single platform for sharing materials
Starting point
• DG SANTE Directorate F - SANTE.F2 identifies gaps in preparedness and
good practices during audits on contingency planning and disease
control, but limited opportunities to share these
Starting point
Discussions with SANTE.F2 have been positive towards a collaboration with
EuFMD to:
o contribute to webinars on gaps in preparedness
o develop criteria for good practice
EuFMD will follow up on examples of good practices identified by SANTE.F2,
through the member country focal points
Visualisation of the concept
o Each component of emergency
preparedness is a brick in a wall
o The wall is to give the idea of
building preparedness
o Bricks are lego-style - indicating
that the building process is
continuous
Visualisation of the concept
o The layers
• Each phase could have multiple layers
• Each layer can include complementary components e.g.
o Alert phase:
• Suspect investigation (personal biosecurity, epidemiological investigation, clinical
examination and sampling)
o Emergency phase:
• Infected premises (valuation, killing, disposal, cleaning and disinfection, and restocking)
• Outbreak management (Central Decision Making Unit, NDCC, LDCC, Expert Groups)
• The 3 Cs (Cooperation, Coordination, Communication)
Visualisation of the concept
43rd General Session of the EuFMD Rome, 17-18 April 2019
43rd General Session of the EuFMD43rd General Session of the EuFMD
Restoration Vaccination exit
strategy
Recovery of free
status
Psychological
support
The 3 Cs Coordination with
operational
partners
Cooperation with
stakeholders
Communication
Support
functions
Legal Financial Purchases, tenders,
contracts
Resources Personnel Equipment Facilities
Emergency
management
Central Decision-
Making Unit
NDCC LDCC Expert groups
Additional
measures
Vaccination Preventive
culling
Welfare
slaughter
Zones Control zones Checkpoints Zone
Surveillance
Movement
controls
Infected
premises
Valuation Killing Disposal Cleaning &
disinfection
Re-stocking
Suspect
investigation
Personal
biosecurity
Clinical
examination
Sampling Epidemiological
investigation
Early
detection
Risk assessment Surveillance Awareness Farm biosecurity
Foundations Training Simulation
exercises
EuFMDis
Foundations Outline
contingency plan
Outline operations
manual
Format for SOPs Self-assessment
tool
Foundations Identification &
registration
Value chain
analysis
Laboratory Prevention
What is/will be in the toolbox?
• For each component there will be 3 categories:
o self-assessment (e.g. questionnaire, checklist)
o assessment of resource requirements (e.g. resource calculator, EuFMDis)
o examples of good practice (e.g. videos, guidelines, templates, SOPs)
• Tools will be mixture of those developed/approved by EuFMD and by
EU Member States
Emergency Preparedness
GET PREPARED
TOOL BOX
A set of existing tools and new tools for
assessing gaps in preparedness and
resource requirements
A collaboration to share good practices
A tool box to assist country contingency
planners
Tools for better
emergency preparedness
and contingency plans:
EuFMDiS
EuFMDiS project
• EuFMD-funded project to develop a modelling tool to enable FMD
outbreaks to be simulated within and between countries
• EuFMDiS is a robust and flexible tool to support FMD planning, training
and response by European countries
• Pilot study with seven central European countries
– Italy, Austria, Croatia, Hungary, Romania, Bulgaria and Slovenia
• Participants have defined
• Common herd classification (n=9 herd types)
• Livestock production regions (n=25) that represent different
livestock production characteristics and disease risk
• Country-level disease spread and control parameter values
EuFMDiS overview
• Based on the Australian FMD model (AADIS)*
o modifications to the software and collection and incorporation of
European farm population and other data to parameterize FMD
transmission and control
• Hybrid model structure:
o Equation-based modelling (within-herd spread)
o Agent-based modelling (between-herd spread)
o Animal movement networks (between regions and countries)
based on data from The European Trade Control and Expert
System (TRACES)
* Bradhurst RA, Roche SE, Kwan P and Garner MG (2015) A hybrid modelling approach to
simulating foot-and-mouth disease outbreaks in Australian livestock. Front. Environ. Sci., 19
March 2015 | http://dx.doi.org/10.3389/fenvs.2015.00017
https://www.youtube.com/watch?v=PeTTs2lOPk4
An example of how we have used EuFMDiS
AIM OF THE WORKSHOP:
To enhance the knowledge and skills of participants on planning the implementation
of FMD emergency vaccination in a previously-free country setting
HOW EuFMDiS WAS USED
To produce two initial outbreak scenarios (Slovenia and Italy)
To run the vaccination strategies proposed by the participants and obtain some
outputs from the model
To compare the different control strategies (vaccination and no vaccination)
EuFMD “Putting Vaccination into practice”
ITALY
• Long silent spread phase (24 days)
• Affected provinces in the South
• Area with Ovine/Caprine > Cattle.
• Not densely populated area;
extensive production systems
Outbreak scenarios
SLOVENIA
• FMDv introduced from Italy
• Affected provinces in the East
• Area with Commercial pig farms>
Cattle (beef/dairy)
• Densely populated area; intensive
and semi-extensive production
systems
ITALY
• Suppressive Vaccination: 3 Km ring
around IP
• All species
OUTPUTS
Vaccination strategies: Outputs from the model
SLOVENIA
• Suppressive Vaccination: 3 Km ring
around IP
• Cattle and pigs
OUTPUTS
Measure Min Median Max
Duration of the
outbreak (days)
74 94 191
Number of infected
holdings
60 146 488
Number of vaccinated
holdings
325 659 1911
Number of total
vaccinated animals
22 255 46 363 115 101
Number of total culled
animals (stamping out
only*)
5281 14 413 78 198
*This number is not considering all the vaccinated animals that would be culled once vaccinated (post-outbreak management)
Measure Min Median Max
Duration of the
outbreak (days)
51 69 112
Number of infected
holdings
16 29 111
Number of vaccinated
holdings
179 319 1146
Number of total
vaccinated animals
9 100 15 883 74 119
Number of total culled
animals (stamping out
only*)
893 1776 8195
Vaccination strategies: Outputs of the model
The outputs of the model (Number of vaccinated animals,
number of vaccinated holdings, etc) helped participants
to:
• Plan their vaccination campaign, and
• draft a letter to the EC Vaccine Bank requesting a
number of vaccine doses.
43rd EuFMD General Session, 2019
Comparing different vaccination strategies
Participants were requested to design a second vaccination
strategy for their scenario
• The two strategies were compared + No vaccination
strategy
43rd EuFMD General Session, 2019
Comparing different vaccination strategies
Light blue: SV 3 km all species
Dark blue: SV 3 km only cattle
White: No vaccination
Italy
Comparing different vaccination strategies
Light blue: SV 3km cattle and pigs
Dark blue: PV 2-5km cattle and pigs
White: No vaccination
Slovenia
THANKS FOR YOUR ATTENTION!

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Pre-COSALFA Seminar - Tools for better emergency preparedness and contingency plans: GET Prepared and EuFMDiS 2/2- Maria de la Puente

  • 1. Tools for better emergency preparedness and contingency plans: GET Prepared and EuFMDiS Maria de la Puente FMD risk management specialist, EuFMD Pre-COSALFA Seminar Cartagena, Colombia 29 & 30 April 2019
  • 2. Tools for better emergency preparedness and contingency plans: GET Prepared
  • 3. How can we help member countries to improve? o FMD specific tools developed by EuFMD e.g. training, e-learning, videos, guidelines, EuFMDis o Wealth of experience in member countries - in particular those that have experienced outbreaks of various diseases in recent years o How do we access this? No single platform for sharing materials Starting point
  • 4. • DG SANTE Directorate F - SANTE.F2 identifies gaps in preparedness and good practices during audits on contingency planning and disease control, but limited opportunities to share these Starting point Discussions with SANTE.F2 have been positive towards a collaboration with EuFMD to: o contribute to webinars on gaps in preparedness o develop criteria for good practice EuFMD will follow up on examples of good practices identified by SANTE.F2, through the member country focal points
  • 5. Visualisation of the concept o Each component of emergency preparedness is a brick in a wall o The wall is to give the idea of building preparedness o Bricks are lego-style - indicating that the building process is continuous
  • 6. Visualisation of the concept o The layers
  • 7. • Each phase could have multiple layers • Each layer can include complementary components e.g. o Alert phase: • Suspect investigation (personal biosecurity, epidemiological investigation, clinical examination and sampling) o Emergency phase: • Infected premises (valuation, killing, disposal, cleaning and disinfection, and restocking) • Outbreak management (Central Decision Making Unit, NDCC, LDCC, Expert Groups) • The 3 Cs (Cooperation, Coordination, Communication) Visualisation of the concept
  • 8. 43rd General Session of the EuFMD Rome, 17-18 April 2019 43rd General Session of the EuFMD43rd General Session of the EuFMD Restoration Vaccination exit strategy Recovery of free status Psychological support The 3 Cs Coordination with operational partners Cooperation with stakeholders Communication Support functions Legal Financial Purchases, tenders, contracts Resources Personnel Equipment Facilities Emergency management Central Decision- Making Unit NDCC LDCC Expert groups Additional measures Vaccination Preventive culling Welfare slaughter Zones Control zones Checkpoints Zone Surveillance Movement controls Infected premises Valuation Killing Disposal Cleaning & disinfection Re-stocking Suspect investigation Personal biosecurity Clinical examination Sampling Epidemiological investigation Early detection Risk assessment Surveillance Awareness Farm biosecurity Foundations Training Simulation exercises EuFMDis Foundations Outline contingency plan Outline operations manual Format for SOPs Self-assessment tool Foundations Identification & registration Value chain analysis Laboratory Prevention
  • 9. What is/will be in the toolbox? • For each component there will be 3 categories: o self-assessment (e.g. questionnaire, checklist) o assessment of resource requirements (e.g. resource calculator, EuFMDis) o examples of good practice (e.g. videos, guidelines, templates, SOPs) • Tools will be mixture of those developed/approved by EuFMD and by EU Member States
  • 10. Emergency Preparedness GET PREPARED TOOL BOX A set of existing tools and new tools for assessing gaps in preparedness and resource requirements A collaboration to share good practices A tool box to assist country contingency planners
  • 11. Tools for better emergency preparedness and contingency plans: EuFMDiS
  • 12. EuFMDiS project • EuFMD-funded project to develop a modelling tool to enable FMD outbreaks to be simulated within and between countries • EuFMDiS is a robust and flexible tool to support FMD planning, training and response by European countries • Pilot study with seven central European countries – Italy, Austria, Croatia, Hungary, Romania, Bulgaria and Slovenia • Participants have defined • Common herd classification (n=9 herd types) • Livestock production regions (n=25) that represent different livestock production characteristics and disease risk • Country-level disease spread and control parameter values
  • 13.
  • 14. EuFMDiS overview • Based on the Australian FMD model (AADIS)* o modifications to the software and collection and incorporation of European farm population and other data to parameterize FMD transmission and control • Hybrid model structure: o Equation-based modelling (within-herd spread) o Agent-based modelling (between-herd spread) o Animal movement networks (between regions and countries) based on data from The European Trade Control and Expert System (TRACES) * Bradhurst RA, Roche SE, Kwan P and Garner MG (2015) A hybrid modelling approach to simulating foot-and-mouth disease outbreaks in Australian livestock. Front. Environ. Sci., 19 March 2015 | http://dx.doi.org/10.3389/fenvs.2015.00017
  • 16. An example of how we have used EuFMDiS
  • 17. AIM OF THE WORKSHOP: To enhance the knowledge and skills of participants on planning the implementation of FMD emergency vaccination in a previously-free country setting HOW EuFMDiS WAS USED To produce two initial outbreak scenarios (Slovenia and Italy) To run the vaccination strategies proposed by the participants and obtain some outputs from the model To compare the different control strategies (vaccination and no vaccination) EuFMD “Putting Vaccination into practice”
  • 18. ITALY • Long silent spread phase (24 days) • Affected provinces in the South • Area with Ovine/Caprine > Cattle. • Not densely populated area; extensive production systems Outbreak scenarios SLOVENIA • FMDv introduced from Italy • Affected provinces in the East • Area with Commercial pig farms> Cattle (beef/dairy) • Densely populated area; intensive and semi-extensive production systems
  • 19. ITALY • Suppressive Vaccination: 3 Km ring around IP • All species OUTPUTS Vaccination strategies: Outputs from the model SLOVENIA • Suppressive Vaccination: 3 Km ring around IP • Cattle and pigs OUTPUTS Measure Min Median Max Duration of the outbreak (days) 74 94 191 Number of infected holdings 60 146 488 Number of vaccinated holdings 325 659 1911 Number of total vaccinated animals 22 255 46 363 115 101 Number of total culled animals (stamping out only*) 5281 14 413 78 198 *This number is not considering all the vaccinated animals that would be culled once vaccinated (post-outbreak management) Measure Min Median Max Duration of the outbreak (days) 51 69 112 Number of infected holdings 16 29 111 Number of vaccinated holdings 179 319 1146 Number of total vaccinated animals 9 100 15 883 74 119 Number of total culled animals (stamping out only*) 893 1776 8195
  • 20. Vaccination strategies: Outputs of the model The outputs of the model (Number of vaccinated animals, number of vaccinated holdings, etc) helped participants to: • Plan their vaccination campaign, and • draft a letter to the EC Vaccine Bank requesting a number of vaccine doses. 43rd EuFMD General Session, 2019
  • 21. Comparing different vaccination strategies Participants were requested to design a second vaccination strategy for their scenario • The two strategies were compared + No vaccination strategy 43rd EuFMD General Session, 2019
  • 22. Comparing different vaccination strategies Light blue: SV 3 km all species Dark blue: SV 3 km only cattle White: No vaccination Italy
  • 23. Comparing different vaccination strategies Light blue: SV 3km cattle and pigs Dark blue: PV 2-5km cattle and pigs White: No vaccination Slovenia
  • 24. THANKS FOR YOUR ATTENTION!