Global capacity for sustainable surveillance of emerging zoonoses

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IOM, June 2008 Washington, DC Alejandro B Thiermann President, Terrestrial Animal Health Code Commission World Organization for Animal Health Global capacity for sustainable surveillance of emerging zoonoses

Topics for discussion OIE objectives OIE and the WTO SPS Agreement Notification Obligations and Disease Information OIE international standards Reference laboratories and Collaborating Centers Good governance, how to evaluate Key elements for sustainable surveillance

The OIE objectives ANIMAL HEALTH INFORMATION: to ensure transparency in the global animal disease and zoonosis situation Conduct surveillance, collect, analyse and disseminate animal health information according to Member s obligations

OIE reporting obligations OIE Members have international reporting obligations as laid down in the Codes to make available to other members, through the OIE, whatever information is necessary to minimize the spread of important animal diseases and to assist in achieving better worldwide control of these diseases OIE Members have to report the presence of any listed disease, as well as the detection of any epidemiological event of significance

Decision Tree used to determine the list INTERNATIONAL SPREAD Has international spread been proven on 3 or more occasions? OR Are more than 3 countries with populations of susceptible animals free of the disease or facing impending freedom (based on Code provisions, especially Appendix 3.8.1)? OR Do OIE annual reports indicate that at least 3 countries with susceptible populations are reporting absence of the disease? EMERGING DISEASES (A newly recognised pathogen or known pathogen behaving differently) Is there rapid spread or apparent zoonotic properties? NO YES ZOONOTIC Has transmission to humans been proven? (with the exception of artificial circumstances) AND Is human infection associated with severe consequences? (death or prolonged illness) YES NO SIGNIFICANT SPREAD IN NAIVE POPULATIONS Does the disease exhibit significant mortality at level of a country or zone? OR Does the disease exhibit significant morbidity at the level of a country or zone? NO YES EXCLUDE INCLUDE EXCLUDE INCLUDE

World Animal Health Information System (WAHIS) WAHIS, is the new OIE s world animal health information system. An access (login, password) is given to each Delegate. Provides countries with a simpler and quicker method to meet obligations on sanitary information (immediate, follow-ups and 6 mo.) The system uses maps and geocoordinates for event location

WAHID The WAHID Interface provides access to all data held within OIE's new World Animal Health Information System (WAHIS). It replaces and significantly extends the former web interface named Handistatus II System.

texte WAHID: Disease distribution maps

texte WAHID: Disease outbreak maps

The OIE objectives INTERNATIONAL STANDARDS within its WTO mandate, to safeguard world trade by establishing health standards for international trade in animals and animal products to provide a better guarantee of the safety of food of animal origin, and to promote animal welfare, through a science-based approach

Standard-setting organisations food safety CODEX animal health OIE plant health IPPC OIE = World Organisation for Animal Health Codex = Joint FAO/WHO Codex Alimentarius Commission IPPC = International Plant Protection Convention (FAO)

OIE international standards OIE develops and publishes health standards for trade in animals and animal products biological standards for diagnostic tests and vaccines adopted by OIE Members during General Session each May, no other pathway for adoption Veterinary Authorities should base their animal health regulations on OIE standards in order to harmonize the sanitary aspects of international trade

The OIE Codes and Manuals Terrestrial Animal Health Code Aquatic Animal Health Code Manual of Diagnostic Tests and Vaccines for Terrestrial Animals Manual of Diagnostic Tests for Aquatic Animals

Principles in the Codes WTO obligations complied with if Codes used correctly importing country assumed to be free of a specific disease or with a control programme for that disease measures take into account assessment of risk factors in real world situation quality of veterinary services / competent authorities zoning and compartmentalisation disease surveillance and timely notification credible health certification for traded commodities

Approach in the Terrestrial Code approach very similar to that in Aquatic Code generic (horizontal) chapters general definitions obligations and ethics in international trade disease notification general guidelines on surveillance import risk analysis methodology evaluation of veterinary services animal identification and traceability import/export procedures

Approach in the Terrestrial Code specific disease chapters, with recommendations on: live animals genetic material products of animal origin (meat, milk, hides / skins) in each chapter, articles on description of pathogen / disease determining status of a country, zone or compartment safe commodities irrespective of status (when possible) recommendations on unsafe commodities

Approach in the Terrestrial Code appendices collection and processing of semen and embryos/ova disease surveillance - general and disease specific inactivation of pathogens and vectors animal welfare food safety antimicrobial resistance model veterinary certificates for live animals products of animal origin

COMMITTEE, COMMISSIONS, DELEGATES PROBLEM Specialist Commissions Updating international standards Review Advice of experts or other Specialist Commissions DELEGATES Draft text 1 2 COMMITTEE OIE INTERNATIONAL STANDARD Adoption

How to improve compliance Direct inquiries with CVOs OIE editorials Bilateral Equivalency Agreements WTO-SPS Committee: notification of trade concerns Effect of multinationals OIE Mediation mechanism

The OIE objectives ACTIVITIES OF VETERINARY SERVICES to provide expertise and encourage international solidarity in the control of animal diseases to improve the infrastructure, legal framework and resources of the Veterinary Services

Reference Laboratories and Collaborating Centers 160 Reference Laboratories 20 Collaborating Centers in 29 Countries covering 83 diseases or topics 137 experts

Joint network of reference laboratories

OIE PVS TOOL OIE Tool for the Evaluation of Performance of Veterinary Services

Good Governance of Vet. Services requires: Appropriate legislation, adequate resources, and political commitment to implementation allowing for: Early detection, Transparency, Notification Rapid response to animal disease outbreaks to eradicate or to effectively control including: Biosecurity (borders and production sector) Compensation (improved notification) Vaccination when necessary

Surveillance is the key to early detection, transparent notification and rapid response Building and maintaining efficient epidemiological surveillance networks covering the entire national territory are critical Ability to cover all animal diseases, including zoonoses and emerging diseases in domestic animals as well as in wildlife Relevant for natural occurrence and intentional events Good Governance includes public/private partnerships (important to have the understanding and support of livestock producers, animal health workers and industries)

Sustainable surveillance and transparent Technical ability reporting competent veterinary infrastructure laboratory network capable of handling and testing awareness program for veterinarians, farmers, paraprofessionals Political will at decision-making levels local incentives compensation

Organisation Mondiale de la Santé Animale World Organisation for Animal Health Organización Mundial de Sanidad Animal 12 rue de Prony, 75017 Paris, France - www.oie.int oie@oie.int