Regional consultation for EPT-2 Strategic

Regional consultation for EPT-2 Strategic Planning in the Congo Basin
Region
Yaoundé, Cameroon: 18 – 20 June 2014
FINAL COMMUNIQUE
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The United States Agency for International Development (USAID) is planning to launch the Pandemic
Influenza and Other Emerging Threats phase 2 (EPT-2) by October 2014, with the following three
objectives: preventing the emergence of new zoonotic diseases, early detection of new threats and
rapid and effective control of public health events. The programme aims to further consolidate their
investment around certain geographic areas within countries and “epidemiologic zones” where the risks
of “spill-over, amplification and spread” are greatestand builds on previous programs (HPAI, EPT1, EPT
Plus).
The new programme will specifically focus on the following countries in Central and East Africa, and
South and Southeast Asia:
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Africa: Cameroun, DR Congo, Republic of Congo, Egypt, Ethiopia, Gabon, Kenya, Rwanda,
Tanzania, Uganda.
Asia: Bangladesh, Cambodia, China, Indonesia, Laos, Malaysia, Myanmar, Nepal, Thailand and
Vietnam.
FAO has been a key player in HPAI and EPT1 programmes. The EPT IDENTIFY project implemented jointly
with the Joint FAO / IAEA Division, OIE and WHO that will end in December 2014has significantly
contributed to improvement of diagnostic capacities of veterinary laboratories in target countries:
Cameroon, Central African Republic, Congo, Democratic Republic of Congo, Equatorial Guinea, Gabon,
Rwanda, South Sudan, Tanzania and Uganda.
From 23 to 25 April 2014, FAO organised in Siem Reap, Cambodia, an internal meeting to discuss FAO’s
proposal to be submitted for USAID funding as part of the EPT 2 programme. For Africa, it was also
agreed to organize a regional consultation for the nine countries from the Congo Basin. Representatives
from Cameroon, Congo, Gabon, Kenya, Rwanda, Tanzania and Uganda attended the meeting. Two nonEPT2 countries (Nigeria and Guinea) as well as representatives from PREDICT, CEBEVIRHA and IGAD also
attended the meeting.
The Yaoundé meeting was officially opened by Dr. Taiga, Minister of Livestock, Fisheries and Animal
Industries of Cameroon following remarks by Mr. Abari Mai Moussa, FAO Representative in Cameroon
and Dr Dennis Carroll, Director of USAID Emerging Pandemic Threat Program.
The objectives of the meeting were to:
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Update country’s representatives on the EPT-2 program and the areas of focus for FAO;
Agree on geographic/epizones focus where the risks of spill over, amplification and spread of
emerging virus are the greatest;
Identify countries’ priority actions, opportunities for collaboration and explore mechanisms of
implementing the programme.
The proceedings of the two and a half day meeting enabled the participants to address the various
topics highlighted in the agenda:
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Update on FAO’s Animal Health activities in Africa;
Key Achievements of FAO IDENTIFY in Africa;
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Main conclusions of the African Livestock Futures study;
USAID’s EPT II Program and Key Elements for FAO;
Country’s status with regard to policies and strategies that impact livestock and animal health;
Country’s experience in One Health implementation;
Views of each country/sub-region on emergence, spill-over, spread and endemicity of key high
impact zoonotic diseases;
Identification of countries’ priority actions;
Opportunities for collaboration and partnership.
Two working groups were dedicated to discuss and identify geographic/epizones focus and country
priority actions to be considered under FAO’s EPT-2 proposal to USAID.
Key highlights from the presentations and discussions are summarized below:
Key achievements of FAO IDENTIFY in Africa
The IDENTIFY the project is one of five components of the EPT-1programme which also includes
PREDICT, PREVENT, RESPOND and DELIVER projects. The five-year programme is being implemented
since October 2009 by FAO, OIE and WHO with the aim to improve human and veterinary laboratory
diagnostic capacities by following laboratory quality management system (QMS) requirements in a bio
secured environment. In Africa, the FAO IDENTIFY project has upgraded veterinary laboratory diagnostic
capacities through the provision of equipment and reagents, training of experts on selected topics
(technical diagnosis of animal diseases, autopsy techniques etc..) and the promotion of the QMS
approach including participation in inter-laboratory tests and onsite audit missions. It has also allowed
access to pathogen sequencing to selected laboratories. The project has developed and disseminated a
laboratory mapping tool to assess laboratory performance in five key areas; (i) the general profile of the
laboratory, (ii) infrastructure, equipment and reagents, (iii) the performance of the laboratory in terms
of workload, technology available, technical level of the laboratory staff, (iv) the status of the
implementation of QMS, level of biosafety and the level of collaboration and networking.
Main conclusions of the Africa Livestock Futures Study and current status on policies
- The study investigates plausible trajectories for African livestock to 2050 using a global partial
equilibrium model (GLOBIOM) and building on the IPCC’s Shared Socio-Economic Pathways (SSP)
scenarios and examines three variants (i) SSP1: Sustainable intensification, high economic & GDP
growth, changing diets and high technological change; (ii) SSP2: Continuation of current trends;
(iii) SSP3: Degradation, low technological change, low economic growth and high population
growth.
- Milk consumption is expected to increase by at least three times in all scenarios. The
consumption of meat and eggs from poultry and pork has the highest projected rates of growth
across Sub-Saharan Africa.
- Business as usual trends would lead to a doubling of imports of milk and monogastric products.
- Investing in sustainable intensification of livestock systems in Africa is an urgent matter.
- Sustainable intensification of livestock production will require expansion of cropland and
grassland.
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There could be increasing threats of disease affecting animals and people under all SSPs.
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Requires policies to (i) minimize the costs of health related externalities, including antibiotic
resistance and (ii) improve funding for public services for livestock sectors where private
veterinarians do not operate.
Promote adherence to food safety standards and address the risks to human health due to
increased livestock production.
Significant on-going initiatives that support policy processes (development and implementation)
in different countries and regions.
All countries have legal frameworks on animal health – many require updating and some
processes are on-going.
Major policy gaps in animal health include compensation policies in case of stamping out which
is normally associated with emerging diseases and credit access policies for livestock keepers
Regional livestock policy frameworks include: IGAD policy framework for animal health and
trade, EAC livestock policy, CEBEVIRHA regional legal framework.
EPT-2 key elements
- EPT-2 aims to consolidate and update HPAI H5N1, EPT1 and EPT+ and will build upon lessons
learned, knowledge gained and partnerships. Heightened focus will be given to places and
practices that enable spill-over of new threats and potentiate amplification and spread.
- EPT-2 includes three overarching purposes: (i) Prevention of new zoonotic disease emergence;
(ii) Early detection of new threats when they emerge and (iii) Timely and effective control.
- The planned programme includes three competitively awarded technical assistance agreements:
(i) One Health Workforce; (ii) Predict 2 and (iii) Preparedness and Response. USAID expects the
winners of the agreements to partner with FAO, WHO, CDC, OHCEA and SEAOHUN.
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EPT-2 has identified seven Strategic Areas of Focus (SAFs):
1. Developing longitudinal data sets for understanding the biological drivers of disease
emergence
2. Understanding the human behaviors and practices that underlie the risk of “spill-over,
amplification and spread” of new viral threats
3. Promoting policies and practices that reduce the risk of disease emergence
4. Supporting national One Health platforms
5. Investing in the "ONE HEALTH WORK FORCE”
6. Strengthening national preparedness to respond to events of public health significance
7. Strengthening global networks for real-time bio-surveillance.
FAO is expected to contribute to five SAFs (1 – 3 – 4 – 6 – 7).
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Specifically in Africa, EPT-2 is expected to contribute to preventing conditions/situations that
create emergence of new zoonotic through efforts in (i) improvement of biosecurity, best
practices in animal and herd health management; and (ii) promoting policies and practices that
reduce the risk of disease emergence. USAID has outlined that they are especially interested in
policies targeting primarily the extractive industry and urban/peri-urban markets that actively
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market wildlife and their products from hot spots to high density population areas, among
others.
Partnership discussion
- The meeting received an update on PREDICT work in the Congo Basin region as well as a
contribution from the representatives of CEBEVIRHA and IGAD.
Implementation modalities
- Country and RECs representatives shared their views on EPT-2 implementation modalities taking
into account lessons learnt from EPT-1.
Following fruitful discussion, the Meeting agreed the following:
1) Potential viruses with high impact in the next 5 years
The meeting discussed and agreed that the following are the potentials zoonotic viruses
with high impact to be considered in the next 5 years:
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Influenza viruses
VHFs: Ebola, Marburg, RVF, Lassa Fever, Dengue, Yellow Fever, Crimean Congo HF,
Chikungunya
West Nile
Bas-Congo Virus (BASV)
Rabies
Coronaviruses (e.g. MERS, SARS)
Pox viruses
2) Factors contributing to re-emergence/ spill-over/ spread/endemicity
The main factors contributing to re-emergence/ spill-over/ spread/ endemicity are listed as follows:
Main factors contribution to re-emergence, spill-over, spread
and endemicity of zoonotic viruses diseases
Uncontrolled animal movement
Climate change
Farming systems/peri-urban livestock
farming/intensive irrigation/ land use
Human traffic
Extractive industries
Population growth/ density
Cultural practices
Bush meat hunt (commercial and noncommercial)Domestication of wildlife
Poverty
Increased need for animal protein
Animal migration
Irrigation
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Conflicts
Live bird/ other animal markets
Insecurity
Water bodies and wetlands
Ignorance of the populations
3) Potential Geographical areas/epizones focus
The meeting discussed and adopted the attached table (Annex 1).
4) Identification of components and sub-components
The meeting discussed and adopted the attached table (Annex 2).
5) Coverage of EPT-2
The meeting participants noted that USAID EPT-2 target countries for Africa are mainly in the Congo
Basin and as such do not capture all the countries at risk of emergence, spill-over, spread and
endemicity of key high impact zoonotic diseases, especially in a context of an epizone approaches.
The meeting participants recommended FAO to explore possibilities to include countries such as
Burundi, Guinea, Sierra Leone, Liberia, Cote d’Ivoire, South Sudan and Nigeria.
Participants recognized that EPT2 does not include many other priority and high impact animal and
zoonotic diseases which are very important to the countries and expressed concern that countries
will continue receive assistance in preventing, controlling and responding to these threats.
6) Collaboration and partnership
Considering the collaboration established during the implementation of EPT-1between FAO
and other EPT projects such as PREDICT, and noting FAO’s efforts to build upon and expand
collaboration and partnership (e.g. countries, regional economic communities [RECs], etc.)
the Meeting participants recommended:
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FAO plan further consultations at the national level when developing activities for the
main components and subcomponents of FAO’s proposal to USAID.
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All EPT-2 implementing partners’ efforts are delivered in a holistic manner at the
country level and also involve all appropriate national authorities.
Acknowledgement
The meeting participants thank the Minister of Livestock, Fisheries and Animal Industries of
Cameroon and the FAO Representative in Cameroon for the support extended during the
preparation and the conduct of the meeting.
Yaoundé, 20 June 2014
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Annexes
Annex 1: Geographical areas/epizones focus
Countries
Cameroon
Congo
Diseases
High risk areas to be considered
H7N9
Ebola disease
Marburg Fever
Rabies
RVF
Lassa Fever
Crimea Congo HF
H1N1, H5N1, H7N9
SRAS
Coronavirus
Extreme north; North; East; South; Centre;
Coasts
Main cities: Yaoundé, Douala
H5N1
Rabies
H7N9
Ebola
RFV
SRAS
North: Likouala, Sangha, Cuvette Ouest
Southwest: Lekoumou, Niari, Kouilou
Main cities: Brazzaville, Pointe Noire, Dolisie,
NKayi
Coronavirus
Monkey Pox
Gabon
H7N9, H5N1
Monkey Pox
Crimea Congo HF
SRAS
Rabies
RFV
Coronavirus
Ebola disease
Border areas
Logging areas
National parks
Main cities
Rabies
Forest Guinea region
Upper Niger Park
Niokolo-Badjar Park
Lower Guinea
Main cities (Conakry)
Ebola disease
Guinea
RVF
Coronavirus
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Lassa Fever
RVF
Kenya
Rwanda
Tanzania
Uganda
Wajir, Garissa, Tana River, Kwale, Kilifi,
Laikipia, Muranga, Meru, Baringo, Nakuru,
Nyeri, Kiambu, Machakos, Nairobi, Trans
Nzioa, UasinGishu
Ebola disease , Crimea
Congo HV, Lassa Fever,
Chikungunya, West Nile,
Bars Congo
Western Kenya, Nyanza Region, Turkana, West
Pokot, Trans Nzoia, Nairobi, Mombasa
Dengue
Coast, North Eastern Regions, Tana River
Yellow fever
Baringo, Southern Turkana, Elgeyo Marakwet
Marakwet
Coronaviruses (MERS,
SARS)
Northern Kenya
Pox viruses
Northern Kenya, Rift valley Region, Maasai
ecosystem
Influenza viruses; RVF
Eastern and North Eastern Province
Watershed & Highlands
Marshlands
Yellow fever
highland areas
Influenza viruses
Lake Victoria basin; Lake Tanganyika; Rift
Valley Zone; Coastal zone; International
airports; Border Entry Points
Viral Haemorrhagic Fevers
Lake Victoria basin, Lake Tanganyika basin
Dengue
Costal zones
West Nile Fever
Kagera Basin
Coronaviruses
International Airports, Border Entry Points,
Hunting Blocks
Monkeypox
Coastal zones, L. Tanganyika Basin, Kagera
Basin
Ebola
Albertine Rift Graben; Greater North and
Buganda regions
Marburg
Albertine Rift Graben and mine areas
Yellow fever
Greater North
CCHF
Greater North: Acholi and Lango
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West Nile Virus
Along R. Nile – mainly West Nile Region
Influenza Viruses
Rice schemes, National Parks, Water bodies
RVF
Rice schemes, National Parks, Water bodies
and Border Districts
Cross-border areas to be considered include: the Karamoja region, the Maasai – Mara
ecosystem, the Turkana region, Along River Nile, the Lake Victoria Basin; the Lake Tanganyika
Basin, Kagera Basin and the Virunga National Park.
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Annex 2 – Consolidated components & Subcomponents
ASF 1 - Understanding biological drivers of disease emergence
Components
Subcomponents
Generation of accurate epidemiological data
Characterization of viruses and geo-reference analysis
Strengthening surveillance systems
Surveillance policy and guidelines
Establish a repository for the biological specimen
Strengthening national epidemiosurveillance networks
Value Chain characterization
Mapping of risk factors/Identifying socio-ecological factors
Better understand practices that
increase the risk of zoonotic viruses
Policy and advocacy briefs
Conduct studies to map and characterize farming and marketing systems
Identifying wildlife farming and trade activities
Characterization and risk assessment of cross- border and intra-regional livestock movements
Predictive model
Identification of data sets and providers
Development of predictive models
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ASF 3 - Promoting policies and practices that reduce the risk of disease
Components
Subcomponents
Biosecurity: production, marketing & processing –incentives and compliance
Generate evidence for policies
Value chain analysis/farming system analysis
Livestock-wildlife-human interactions/land use policies
Assessment logging, mining and petroleum practices impact in at least two selected countries
Biosecurity guidelines, legal frameworks for safe trade, production and processing
Support policies development
Animal movement, Livestock identification and traceability (LITs)
Food safety and identification and traceability of products
Guidelines for biorisk
Cross-border agreements
Support policies implementation
and monitoring
Biosecurity models
LITs
Harmonization of monitoring tools
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ASF 4 – Supporting national One Health platforms
Components
Subcomponents
Institutional analysis and lesson learning
Model development and analysis
Benefit cost tools for OH advocacy
Policy brief and advocacy
Explore suitable models for sharing resources by two health sectors (PH, AH) in particular to improve
early warning and response in remote areas
Guidelines development
Guidelines for OH platforms
Guidelines validation
Policy briefs and advocacy
Development of a user-friendly draft Handbook for understanding OH concept and approaches
Support national platforms
Support establishment and
institutionalization of OH platforms
OH Monitoring & Evaluation framework
Document good practices in OH for wider dissemination
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ASF 6 – Strengthening national preparedness to respond to events of public health significance
Components
Subcomponents
Support implementation of GEMP Principles
Guidelines for preparedness
planning
Develop Framework for AH Events of Unknown etiology
(Adaptation of the WHO AFRO Framework for Public Health Events of Unknown Etiology)
Test the preparedness and response plans through simulations
Develop/ review national plans and SOPs
Joint OH risk analysis
Early reporting, detection and
response
Improve early warning mechanisms.
Develop strategies for early reporting, detection and response
Support joint response mechanisms at national and regional level
Emergency funds
Needs assessment
Strengthening cross sectoral
networking
Support cross sectoral national networking
Institutionalization of national cross-sectoral networking
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ASF 7 – Strengthening global networks for real-time bio-surveillance
Components
Subcomponents
Laboratory policy framework
Audit missions
Proficiency Testing
Support sample handling and shipment
Laboratory biosafety/biosecurity,
QMS
Support referral diagnostic services at national and global levels
Support implementation of Laboratory QMS
Support development and implementation of biorisk SOPs
Support validation of wildlife tests
Support establishment of mobile/satellite wildlife laboratories - sample collection, reagents,
infrastructure & equipment
Laboratory twinning programme
Support institutionalization and strategic planning of national and regional networks
Strengthening Networking
Facilitation linkages between national, regional and global networks
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Cross cutting areas
Components
Capacity building
Subcomponents
Surveillance and risk analysis, lab diagnostic, data management, OH approaches, policy analysis and
formulation
Anchoring to REC’s
Networking
Develop Information Portals and websites
Meetings and Information exchange fora
Public awareness
Strengthening Public Private
Partnership
Communication and Extension Services: Web Portals
Support involvement of private sector in early disease detection and surveillance
Strengthening capacity for supply chain of laboratory and surveillance materials
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Annex 3: List of participants
N°
Nom et Prénoms
Pays
Institution
Email
Telephone
1
Bignoumba Morgan
Gabon
LNV
[email protected]
+24105087877
2
Abdulganiyu B. Abubacar
Nigeria
Fed. Min. of Agric
[email protected]
+234708569939
3
SouleymanAbbakellou
Chad
CEBEVIRHA
[email protected]
+23566287576
4
Michael K. Cheruiyot
Kenya
DVS
[email protected]
+254720306557
5
Djonwe Gaston
Cameroon
MINEPIA
[email protected]
+23777378057
6
Munthi A. M.
Kenya
MALF – OVS CVL
[email protected]
+254722360620
7
VomdouBamba
Cameroun
Direction
nationale
de
production animale - MINEPIA
[email protected]
75532475
8
NdengaMikeng Edmond
Cameroon
MINFOF
[email protected]
96241826
9
Dr Gafarasi
Rwanda
??????
[email protected]
?????
10
Joseph Masambu
Tanzania
. TVLA
[email protected]
11
Peter Z. Njau
Tanzania
Ministry of livestock and fisheries
Development
[email protected]
+255754263013
12
Mme Dibongue M. Elisabeth
Cameroun
Ministry of public health
[email protected]
+23750864264
13
Chris Rutebarika
Uganda
Min. of Agric, animal industry &
fisheries
[email protected]
+256772664721
14
Ayebazibwe Chrisostom
Uganda
Min. of Agric, animal industry &
fisheries
[email protected]
+256772626215
15
Patrick Atimnedi
Uganda
Uganda Wild life authority
[email protected]
+256772607341
la
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16
David Oluoch
Kenya
Ministry of health services
[email protected]
+254721275232
17
MoudihouZobilika Claudine Noëlle
Congo
LDBV
[email protected]
+242055380361
18
Simon Dickmu Jumbo
Cameroun
LANAVET
[email protected]
+23777656478
19
Dr Agol M. Kwai
IGAD
[email protected]
+254718858749
20
Jean Ikolakoumou
Congo
DSV
[email protected]
+242055563861
Projet PREDICT
21
Corina Monagin
22
Amethyst Gillis
USA
Cameroon
[email protected]
[email protected]
[email protected]
[email protected]
23
Gerard Nkuenen
Cameroon
[email protected]
[email protected]
24
Matthew LeBreton
Cameroon
Metabiota PREDICT Coordinator
PREDICT Cameroon Laboratory
Coordinator
PREDICT Cameroon Senior
Laboratory Technician
PREDICT Cameroon
Coordinator/Senior Regional
Technical Advisor
[email protected]
[email protected]
25
Elizabeth Parker
Italy
FAO
[email protected]
+39(06)57055428
26
Charles Bebay
Mali
FAO
Charles. [email protected]
+223 90 50 20 38
27
BounaDiop
Kenya
FAO
[email protected]
28
Youssouf Kaboré
Mali
FAO
[email protected]
29
Tabitha KimanI
Mali
FAO
[email protected]
FAO
00223 78722413
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