Ministry of Agriculture, Forestry and Fisheries General Directorate of Animal Health and Production 3 rd COORDINATION CONFERENCE FOR THE ZOONOTIC DISEASES ACTION PACKAGE (ZDAP), STRENGTHENING COOPERATION AND SHARING EFFECTIVE APPROACHES Activities for Zoonotic Diseases in Cambodia Da Nang, Viet Nam, 28-30 August 2017 Prepared by Dr. Holl Davun, Deputy Director General General Directorate of Animal Health and Production, Ministry of Agriculture, Forestry and Fisheries, Cambodia 1
Overview Structure of General Directorate of Animal Health and Production Collaboration and coordination Achievement of Activities Overview and Process of JEE JEE Recommendation Gap Priorities
Structure of General Directorate of Animal Health and Production Department of Animal Health and Production (DAHP) was upgraded to the General Department of Animal Health and Production (GDAHP) on 28 October 2016 GDAHP is mandated to manage the veterinary services and animal production, animal disease control, zoonosis, sanitary measures and acts as law and regulation enforcement
Ministry of Agriculture, Forestry and Fisheries (MAFF) G D A H P
Law on Animal Health and Production Law on Animal Health and Production is promulgated on January 14, 2016 Provides legal framework to: Support animal health and production, Protect human health, animal health and welfare and the environment, Eradicate, prevent and control the spread of animal diseases, Strengthen the provision of veterinary services, Facilitate domestic and international trade of animals and animal products Promote the safe and effective use of veterinary medicines and animal feed.
Collaborations and Coordination (1) Have good coordination and collaboration with MOH and other relevant institutions A Technical Working Group Meeting for Zoonosis meets regularly (monthly) Regular sharing of outbreak investigation reports between human and animal health sectors Joint disease outbreak investigation for zoonosis (human and animal health sectors)
Collaborations and Coordination (2) Good coordination and collaboration between Cambodian Applied Veterinary Epidemiology Training (CAVET implementing by MAFF/GDAHP) and Applied Epidemiology Training (AET implementing by MOH/CCDC)
Achievements of Activities (1) January 2012: MAFF and MOH signed MOU on Z- TWG 2015: MAFF and MOH Developed National Policy and Strategic Plan to Combat AMR MAFF and MOH Developed National Strategy for Rabies Control and Elimination 2015-2020, and Action Plans 2016: The Inter-Ministerial has been prepared One Health Antimicrobial Resistance Working Group
Achievements of Activities (2) January 2012: MAFF and MOH signed MOU, aiming to: To develop a national strategy to prevent and control of zoonotic diseases To establish a functional and sustainable mechanism to strengthen the animal-human health interface for the effective prevention and control To join zoonotic diseases outbreak response and investigation
Achievements of Activities (3) Developed Joint strategies for Zoonoses and Rabies National Strategic Plan for Zoonotic Diseases National Strategy for Rabies Elimination Developed joint outbreak investigation SOPs and conducted Avian Influenza simulation exercises AET and CAVET ongoing and both covering zoonosis
Overview of JEE (1) Cambodia used the Joint External Evaluation Tool - International Health Regulations (2005) for the self-evaluation of the IHR core capacities in its national review and planning process in 2016 Based on the outcomes of the Cambodia s self-evaluation, the joint external evaluation (JEE) was conducted from 26 August to 2 September 2016 by a multisectoral team of technical specialists from Cambodia, peer Member States and WHO
Overview Process of JEE (2) The primary purpose of this JEE was to assess Cambodia s capacities and capabilities relevant to the 19 technical areas of the JEE tool in order to provide baseline data and recommendations to support efforts to improve national public health security Zoonotic diseases: Surveillance systems in place for priority zoonotic diseases/pathogens Veterinary or animal health workforce Mechanisms for responding to zoonoses and potential zoonoses are established and functional
JEE Recommendations (1) Improve mechanisms for the timely sharing of information and coordination: Risk assessment Response and communication across sectors, including clarifying where ultimate decisionmaking authority for zoonotic disease outbreaks lie; Continue to build veterinary capacity in prevention, detection, risk assessment and response;
JEE Recommendations (2) Consider developing policies for compensation for culling of animals, such as replacement of chicks; Develop and implement SOPs for joint or coordinated surveillance activities for priority zoonosis; and Train Rapid Response Teams (human side), Task Force (animal side) and wildlife-responsible authorities in coordinated response.
Gaps Coordination between human and animal sectors A lack of leadership for coordinated activities at human-animal interface Funding shortage Differences in communication and permissions at different levels in the relevant ministries Low attendance at regular Zoonoses TWG meetings Official focal points for each sector
Priorities 2016-2020 Maintain MOU between MAFF and MOH Finalize National Strategic Plan for Zoonotic Diseases Finalize the National Strategy for Rabies Elimination Finalize SOP for joint outbreak investigation Surveillance systems in place for priority zoonotic diseases/pathogens Strengthen field epidemiology and laboratory capacity building Veterinary or animal health workforce Mechanisms for responding to zoonoses and potential zoonoses are established and functional Strengthen the coordination between human and animal sectors