Progress of development of regional coordination mechanism for TADs and Zoonotic EIDs Control among

SAARC Member States

Overall objectives of the regional coordination

• Develop a long-term, sustainable sub-regionalcooperation

• Improve and strengthen national and sub-regionalcapacity in diagnosis, epidemiology, diseasesurveillance, reporting and disease informationsystems

• Provide quantitative information on the epidemiologyand socio-economic impacts of the priority TADs

Ultimate goal of regional coordination

• Progressively control three priority TADs (HPAI, FMDand PPR) and Rabies in the region.

• Develop regional disease surveillance programme andemergency preparedness to control and stamp outemerging TADs and EIDs.

4

2004 Technical Committee on Agriculture and Rural Development (TCARD) mechanism- LIVESTOCK ISSUES-YES/ BUT NO TADs ISSUES

2005

Dhaka, 12-13 November 2005 summit) ‘FAO-OIE Global Framework for Progressive Control of Trans-boundary Animal Diseases (GF-TADs) for South Asia- approved

2005 SAARC-FAO Expert-Level Meeting on TADs (SAARC Secretariat, 17-18 February 2005)

2005Programming Committee (Dhaka, 8-9 November 2005) noted that the ‘8.c. Member States- find out how best these could be taken in the SAARC fold”

2010--2017FAO-RSU-SAARC projects supported

RSU-SAARC and the GF-TAD

• Under the GT-TADs framework, ‘Regional Cooperation Programme’addressing the issue of highly pathogenic and emerging diseases(HPEDs) including the SAARC agreed priority TADs

• Establishment of a Regional Support Unit (RSU) and RegionalEpidemiology Centre (REC) in Kathmandu, Nepal

• RSU- effective regional institutional to deal with TADs at sub-regional level

• This regional programme also strengthened Regional LeadingDiagnostic Laboratories (RLDLs) for FMD, PPR and HPAI in India,Bangladesh and Pakistan respectively

• Engagement of SAARC with OIE and WHO at regional level

RSU-SAARC and its Epidemiology and Laboratory Networking

Area of disciplines EPI and LAB

SAARC Priority Diseases

Working platform for animal health

Epi and lab component coordinate through RSU

RSU-SAARC and its Epi and Lab Networking

RSU

REC RDL

EpiNet

Epi Focal Points Forum (8)

LabNet

FMD PPR HPAI

National Laboratories (8)

Intelligence/Data collection, analysis and information sharing

• Epidemiology Networking• Epi trainings – regional FETPV, Epi-networking• TAD-info training• TOT on Risk analysis and management• Practical application of designing risk-based disease surveillance in

livestock value chains• Disease Control

• PCP-FMD• PC-PPR

• Value chains studies• Socio-economic impact of poultry and livestock value chains• Cross border meetings

• Laboratory Networking• Networking of RLDLs• Lab trainings- disease specific diagnosis • Lab assessment• Proficiency testing of labs• Lab Directors meetings

Summary of capacity development initiatives

Regional coordination mechanism

• Before the establishment of formal RSU there was a SAARC secretariat level mechanism of CVOs meeting

• Addressing TADs and other zoonotic diseases issues through its CVOs forum since 2008.

The SAARC mechanism of CVOs meetings started with 1st meeting in 2008 in New Delhi (India) 2nd meeting in 2009 in Dhaka (Bangladesh) 3rd meeting in 2010 in Kandy (Sri Lanka)

4th meeting in 2014 in Kathmandu (Nepal)Special session- 2015 in Bangkok (Thailand)5th meeting in 2016 in Kathmandu (Nepal)

Information Sharing Mechanism

Functional Website of RSU South Asia Animal Disease Weekly E-Information Quarterly Information Bulletin Workshop/meeting Reports Recommendations

RSU SAARC - Home

Regional priorities (FMD) for SAARC Region • Separate session

Regional priorities (PPR) for SAARC Region • SAARC Region PPR Roadmap, Kathmandu, April 2016,

• Alignment of existing regional and national PPR control strategy with the GCES

• Assessment of the PPR situation• SARRC countries present in the meeting are all at provisional stage 1

except Pakistan• PPR Vaccination

– Countries to adopt a risk-based vaccination aiming at reaching at least 70% immunity of the herds in hotspot areas

• Strengthening PPR laboratory diagnostic capacity

• National PPR Strategy developed- Bhutan, Nepal

Regional priorities (PPR) for SAARC Region

• Regional Advisory Group (RAG)- RAG elected votingmembers include the following:– Chair: CVO Pakistan– Vice-chair: CVO Nepal– Vice-chair: CVO Bangladesh.– Two additional voting members: Coordinator of the Regional

Epidemiology Network and Coordinator of the Regional Laboratory Network

– RAG non-voting members include -Regional Organization: SAARC, FAO and OIE

Countries 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

Afghanistan 1 2 3 4 Free status Status free

Bangladesh 1 2 3 4 Freestatus Status free

Bhutan 1 2 3 4 Freestatus Status free

India Status free

Maldives 1 2 3 4 Freestatus Status free

Nepal 1 2 3 4 4 Freestatus

Pakistan 2 3 4 Free status Status free

Sri Lanka 1 4 Freestatus Status free

PPR Stages progression 2016 – 2030 in SAARC Countries

The PPR Stage indicated for 2016 are the one agreed during the Nagarkot meeting (point of departure into the step –wise GCES approach)

Stage 1 minimum 12 months and up to 3 yearsStage 2 3 years (from 2 to 5 years)Stage 3 3 years (from 2 to 5 years)Stage 4 24 months and up to 3 years

Average time for each PPR stage

Year Afghanistan Bangladesh Bhutan India Pakistan Nepal Total outbreaks

2005 02006 13 7 12 322007 9 62 1 38 1102008 220 70 1 2912009 31 2 332010 30 5 5 8 482011 167 4 13 1842012 22 14 12 210 2582013 2 3 52014 7 1 82015 1 5 62016 1 1 12017 1 1 1

Outbreaks 22 535 20 115 51 234 975

Regional Disease Status-HPAI

Country 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025Afghanistan 1 1 1 1 1 1 1 2 2 2 2 3 3 3 4Bangladesh 1 1 1 2 2 2 3 3 3 4Bhutan 1 1 1 1 1 2 2 3 3 3India 3 3 3 3 4 4 4 4 4 4Nepal 1 1 1 1 1 2 2 2 2 3Pakistan 1 1 1 2 2 2 2 2 3 3 3 3 4 4 4Sri Lanka 1 1 1 2 2 2 3 3 4 4

Country 201120122013201420152016201720182019202020212022202320242025Afghanistan 1 1 1 1 1 2* 2 2 2 2 2 3 3 3 4Bangladesh 1 1 1 1 1 1*Bhutan 1 1 1 1 1 1 2 2 2 3 3 3 3 3 3India 3 3 3 3 OIE endorsed NCP Zoning ‘Free with Vx’Nepal 1 1 1 1 1 1 2 2 2 2 2 3 3 4 4Pakistan 1 1 1 2 2 2 2 2 2 2 2 3 3 4 4Sri Lanka 1 1 1 1 1 1

3rd FMD Roadmap for South Asia in Dec 2016

FMD Roadmap for South Asia as in 2013

Year/Country 2012 2013 2014 2015 2016 2017Afghanistan Bangladesh Disease present but without quantitative dataBhutanIndiaMaldivesNepalPakistan Limited to one or more zone Sri Lanka

Legend -2012-2017

Present

Not reported

Legend up to 2011

One Health Initiatives - SAARC Region• SAARC is partnering with OIE, FAO and WHO efforts to strengthen

one health approach for the prevention of emergence of diseases at Animal – Human- Ecosystems interface;

• Member States have varied level of activities on One Health. • Some of the Member States have developed One Health strategy and

some are embarking on one health project; • A good numbers of Veterinarians and Medical Professionals from 7

SAARC countries- Masters Degree on epidemiology and biosecurity in the region

• Animal-Human and wild life professionals (6 in each country-Nepal, Bhutan and Bangladesh) completed with Masters Degree training programme on epidemiology and biosecurity-

• One health approach need more coordination among stakeholders

Rabies status in South Asia good example for OH/ to control in SA

• More than 1.5 billion people are at potential risk of rabies

• SAARC countries contribute 45% of global burden of human rabies

• All countries except Maldives are rabies endemic

• More than 95% of human rabies in the SAARC region is attributed to dog bites

• Economic impact of rabies in livestock production is considered high

Key issues with zoonotic disease

• Priority zoonotic diseases at human and animal sectors varies –not same

• Lack of disease surveillance and laboratory diagnosis facilities

– Inadequate data and information

• Resources scarcity

• Inter - sectoral coordination

• Inadequate management structure

• Lack of awareness/communication

Summary

• SAARC-FAO-OIE through a series of consultations between 2003 to 2005 identified three priority diseases, – FMD– PPR– HPAI

• Three lead countries were also identified to host the regional diagnostic laboratories

• Rabies was added as one of the zoonotic priority disease by public health sector in 2010-11 and owned by SAARC Secretariat

RSU-SAARC platforms

• SAARC Chief Veterinary Officers Forum has been established;

• Laboratory Director's Forum has been created to support the CVOs Forum

• Epidemiology Networking Forum-in place under RSU, endorsed by the CVOs Forum

• Development of disease information sharing platform – under process