lessons learnt from real time trainingbasic transect studies in nakuru, kenya risk factors for at...

Lessons learnt from Real Time Training

Eoin Ryan

SCRPD –Frascati 12-14 November 2013

What is it?


1. Seeing is believing

• Clinical experience of FMD is extremely valuable

• Example: UK2001 first case – Greek vet with FMD experience was present and supported diagnosis

• Japan 2010: FMD misdiagnosed as BVD initially

• Trainees have seen clinical FMD on every course so far (30/30 successes)


Kid (young goat) with vesicles on tongue

Case in Nepal, Dec 2012


2. Biosecurity is a verb

• Trainees are often aware of the general concept, but not how to apply the principles in a practical way

• “Risk reduction at every step” is a process which is learnt rather than a set of specific instructions

• Principles:

- Segregation of clean & dirty

- Cleansing

- Disinfection


3. Practical skills: what, why and how – and gaps!

• Clinical examination

• Taking diagnostic samples

• Lesion ageing & timelines

• Epidemiological investigations


4. Local risk factors: empowering people to reduce their risk?

• Transect study in FMD-affected area, identify risk factors

• Model for European situation: details different, but principles and methods similar

• Lesson for FMD control in endemic areas: vaccination is not the only tool for reducing risk


Lessons from outbreak investigations: Basic transect studies in Nakuru, Kenya

Risk factors for at least one case of FMD in household:

Results are what might be expected

-> Ways to empower livestock keeper to reduce (not eliminate) the risk of FMD

-> Communicate key messages: biosecurity, awareness


Thanks to Nick, Eunice, Abraham & Sabenzia

Lyons et al, EuFMD Open Session, Jerez 2012

5. Muddy boots, not ivory towers

• Significant benefit to EuFMD Secretariat and our team of experts from regularly seeing FMD in the field

• Talking to people affected by FMD & vets trying to control it

• Practical knowledge and field experience informs many areas of the EuFMD programme:

- Training and contingency planning support

- PCP and RBSP work in countries affected by FMD

- Field missions in response to FMD emergencies (Egypt, Bulgaria, Palestine)

- Trialling new technologies in the field (LFDs, LAMP, EpiCollect, air samplers) SCRPD –Frascati 12-14 November

2013

6. Partnerships with others

• EuFMD requested by Australian DAFF to train 80 Australians over 8 courses (funded by DAFF)

• The funds provided by Australia have contributed to expand EuFMD training services to EuFMD member states, thereby benefitting Europeans as well as Australians and Nepalese

• Vets from USA, NZ, Canada and Libya (self-funded) and Senegal (US-Identify project funded) have attended courses; two vets from FAZD/USA attending Kenya course next week; Russian vet attending the next course in Kenya

• Training in field investigations also needed in endemic regions: skills of outbreak investigation, taking correct samples for diagnosis, etc are of critical importance

• Area of common interest for FMD-free countries


lessons learnt from real time trainingbasic transect studies in nakuru, kenya risk factors for at...

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