Training Programme:

Summary and Outlook

Eoin Ryan and Vesna Milicevic

EuFMD

84ExCom-Pirbright 4-5 October 2012

Summary

84ExCom-Pirbright 4-5 October 2012

Training activity Supporting Target

Real-time field training: one Kenya course (NTC10)

in September, NTC11 planned for November

New approach piloted: more problem solving, small

group learning, use of smart-phone technology

FMD outbreak

investigation

and local

disease control

actions

FMD free

countries

PEPc: practical epi training – 2 of 4 weeks

completed in Istanbul

FMD

management

Endemic

countries

Modelling (discussed earlier) – Vienna workshop Contingency

planning

FMD free

countries

Lab training (discussed earlier) – Cairo, Paris, Accra FMD diagnosis Endemic

countries

Surveillance/vaccination strategy training

(discussed earlier) – Cyprus, Morocco

FMD control

actions

Endemic

countries

Real time field FMD training • 168 European vets trained 2009-2012

• 48 trained since last General Sesson (May 2011-Sept 2012)

• Plan: 24 more trained by next General Session (3 courses)

New approach piloted this September (NTC10):

• More problem solving exercises

• “Advance team” hunting outbreaks days before the course

Two separate field investigations, facilitating small group learning, increased

trainee responsibility, contrast of disease outcomes on different farms

Learning objectives: outbreak investigation, sample collection, lesion ageing,

use of probangs, field epi work, construct timelines, use of penside tests

• Use of smart phone technology (Epi Collect app) for local

investigation and risk factor identification during “transect” walk

Learning objectives: rapid assessment of risk factors, mitigation measures,

prioritisation of surveillance actions for local disease control centre

Issues arising

• Gap identified: lack of epidemiology training for FMD

- At NTC10, only 2/14 trainees (both Australian) had any basic grasp of risk

factor analysis

- FMD outbreaks impose epi demands at local level, not just national level

• Penside tests: new lateral flow device for NSPs used – could identify

animals which have been infected but recovered

- Worked well, although not yet verified

- Australian DAFF advocating inclusion in contingency plan; useful for

EuFMD MS to be familiar with novel diagnostic devices

• Crossover between EuFMD program areas:

- NTC10 identified large SAT2 outbreaks in areas which had recently been

vaccinated

- Evaluation of Svanova penside tests (SAT2- LFD failed to detected

sample…)

- Vaccine matching capacity in Embakasi to clarify vaccine/field match

84ExCom-Pirbright 4-5 October 2012

PEPc: Practical Epidemiology for the

Progressive Control Pathway 4 week practical epidemiology course for endemic countries to teach the skills needed for PCP

progress

Turkey, Iran, Egypt, Armenia, Georgia, Azerbaijan

• Week 1: Outbreak investigation (10-14 September)

Including information on prevalence, incidence, diagnostic tests, risk factors

• Week 2: Value chain, socio-economic impact assessment (1-5 Oct)

Including information about risk, costs and benefits of FMD control, measuring FMD impact

• Week 3: Surveys: SP, NSP, questionnaires and monitoring vaccination campaign (12-16 Nov)

Including sample size, survey design, data entry, analysis of data

• Week 4: Control Strategy development (10-14 December)

Putting it all together

Course content: based around the PCP, very practical with lecture time minimised and students

learning whilst working on problems using case-studies. Prior epidemiology training is not

required.

84ExCom-Pirbright 4-5 October 2012

Gaps identified

• Epi training for free countries: Denmark workshop & NTCs

identified a need/request for more epidemiology training relevant

to risk-based surveillance & response

• PEPc: addresses national epi needs in endemic countries

• PCP training also needed for regional experts

• Real-time field training: addressed by current program

• Decision support tools/modelling to support contingency planning:

addressed by Vienna and follow-up workshops

• Laboratory training: addressed under WELNET, RESOLAB, EARLN

84ExCom-Pirbright 4-5 October 2012

Real time training: trainee perspective

Clinical symptoms: cows with salivation

Epithelium from tongue

Vesicles on teats

Lesions aging: 4-5 days lesions

SAMPLING

• Probang cups

• Clotted blood

• Epithelium

Pan.penside: weak +

SAT 2: neg

NSP Ab: weak +

Timeline - large scale farm

84ExCom-Pirbright 4-5 October

2012

Transect Walks

September 19th 2012

84ExCom-Pirbright 4-5 October

2012

Map - detail

84ExCom-Pirbright 4-5 October

2012