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Exotic Disease Response (EDR) TrainingField Team Leader

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During this session we will cover the following processes:

• Organise Surveillance Teams• Prepare for Surveillance Visit• Conduct Surveillance Visit• Evaluate and Record Surveillance Visit• Evaluate and Record lab Results from Surveillance• Stand Down Resources

Training Agenda

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Session Outcomes At the end of this session you should be able to:• deliver briefings / debriefings to surveillance teams• decide whether to escalate as a result of:

• Field Veterinarian report from a farm• exceptions uncovered during a debrief

• complete visit documentation• make a diagnosis after receiving lab results• verify stand down requirements

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Surveillance Process

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The Role of a Field Team Leader in an Exotic Disease Response

• Managing teams (up to 7 people)• Act as Interface with Field Visit Coordinator• Daily briefing / debriefings• Deciding whether to escalate as result of:

– field visits– lab results

• Standing down resources

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SurveillanceManager

Public Report Coordinator

GISCoordinator

Field VisitCoordinator

AdministrationCoordinator

InvestigationsCoordinator

TracingCoordinator

Field TeamLeader

FieldVet

SampleReception

TeamLeader

AdminTeam

Leader

AdminOfficer

GISOfficer

Call CentreTeam

Leader

ReportEvaluation

Team Leader

Call CentreOperator

ReportEvaluation

Officer

TracingTeam

Leader

TracingOfficer

FieldInvestigator

Vet

TracingEvaluation

Officer

Escalation Path…

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Organise Surveillance Field Teams

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Organise Surveillance Field Teams At the end of this topic you should be able to:

• describe some of the key things to be aware of when delivering briefings

• use the SMEAC Checklist to perform the initial briefing of a surveillance team

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Delivering Briefings Briefing should be relaxed and reasonably informal, and• Brief – Only the information that they need

• Clear – Avoid unfamiliar technicalities, acronyms

• Interesting – Use examples that the group will recognise

• In control – Arrange the group so that you are its focus

• Confident – Stick to the information, relax

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Surveillance Briefings – Key Points• Are a method of getting the key information to people

regularly and quickly• Follow a consistent agenda• Highlight Changes – especially policy • Is a two way process – not just about informing people

but listening and responding to questions and concerns• Contain important points from training

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Prepare for Surveillance Visit

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Prepare for Surveillance VisitAt the end of this topic you should be able to:• perform daily briefing to teams on latest disease

information, policy changes and issues of concern

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Conduct Surveillance Visit – 1 of 3

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Conduct Surveillance Visit – 2 of 3

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Conduct Surveillance Visit – 3 of 3

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Conduct Surveillance VisitAt the end of this topic you should be able to:

• take the appropriate action when a Field Veterinarian reports clinical signs from a farm

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Evaluate and Record Surveillance Visit

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Evaluate and Record Surveillance Visit

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At the end of this session you should be able to:

• conduct the surveillance debrief• determine whether to escalate an exception uncovered

during a surveillance visit debriefing• complete the Office Use Only section of the visit

documentation

Evaluate and Record Surveillance Visit

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Evaluate and Record Lab Results

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Evaluate and Record Lab Results

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Evaluate and Record Lab ResultsAt the end of this session you should be able to:• track the status of lab results• review surveillance results recorded in IRS• complete the Lab Diagnosis form

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Lab Submission Screen

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Place Details

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Surveillance Task History Report

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Sensitivity and SpecificitySensitivity (SE) Measures the ability of the test to

correctly identify infected animals

Specificity (SP) Measures the ability of a test to correctly identify disease free

animals Predictive Value (PV) Probability that an animal testing +ve (+ve

and –ve) (or –ve) is actually diseased (or not).Depends on SP, SE and

prevalence

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1000 pigs, 60 sampled

SE 95%, SP 60%

No clinical signs

Prevalence 5%, +ve PV = 11%

Prevalence 10%, +ve PV = 21%

Prevalence 50%, +ve PV = 70%

Example interpretation 1

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1000 sheep, 60 sampled

SE 95%, SP 85%

No clinical signs

Prevalence 5%, +ve PV = 25%

Prevalence 10%, +ve PV = 41%

Prevalence 50%, +ve PV = 86%

Example interpretation 2

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Stand Down Resources

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Stand Down Resources

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Stand Down ResourcesAt the end of this session you should be able to:• confirm:

– which Veterinarians visited an infected place– which other places they have visited, and – if those visits were made during the stand down

period• stand down potentially infectious team members

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Stand Down Resources

Farm declared Infected

Risk Period Stand Down Period

1. Determine At Risk People – who visited the Infected Place?

2. Determine At Risk Places – where have they been before and after?

3. Determine who should be stood down – has stand down period already elapsed?

4. Determine Surveillance Requirements – what risk is associated with these visits?

farm visits farm visits

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Stand Down Report

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Stand Down Report

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SummaryDuring this session we covered:• delivering briefings / debriefings to surveillance teams• deciding whether to escalate as a result of:

• Field Veterinarian report from a farm• exceptions uncovered during a debrief

• completing visit documentation• making a diagnosis after receiving lab results• verifying stand down requirements