Training: Data collection and reporting of zoonoses and zoonotic agents, antimicrobial resistance and food-borne outbreaks. Parma, October

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EVENT REPORT APPROVED: 30 November 2016 doi:10.2903/sp.efsa.2016. EN-1139 Training: Data collection and reporting of zoonoses and zoonotic agents, antimicrobial resistance and food-borne outbreaks Parma, 27-28 October European Food Safety Authority Abstract A training was organised under the EFSA Pre-Accession project 2015-2017, financed by the European Commission (EC) through Multi-beneficiary programme Preparatory measures for the participation of IPA beneficiaries in EU Agencies. The overall objective of the programme is to support preparatory measures with Pre-Accession countries in view of their future participation in European Union (EU) Agencies before and upon membership. The support aims as well at knowledge transfer and capacity building in the area of expertise of the EU Agencies. The new EFSA Pre-Accession project runs until the end of November 2017 and one of the main objectives is to facilitate data collection in the Pre-Accession countries and reporting to EFSA. EFSA organised a dedicated training to enable the countries to get familiar with the requirements of the data collection, reporting tools and reporting system for zoonoses, zoonotic agents, animal population, disease status, antimicrobial resistance (AMR) and food-borne outbreaks (FBOs). This event report summarises the background and rational for the training organisation, structure and main outcomes. European Food Safety Authority, 2016 Key words: (data collection, pre-accession, zoonoses) Question number: EFSA-Q-2014-00878 Correspondence: any enquires related to this output should be addressed to afsco.enpa@efsa.europa.eu www.efsa.europa.eu/publications EFSA Supporting publication 2016:EN-1139

Disclaimer: The views or positions expressed in this publication do not necessarily represent in legal terms the official position of the European Food Safety Authority (EFSA). EFSA assumes no responsibility or liability for any errors or inaccuracies that may appear. Suggested citation: EFSA (European Food Safety Authority), 2016. Training: Data collection and reporting of zoonoses and zoonotic agents, antimicrobial resistance and food-borne outbreaks. EFSA Supporting publication 2016:EN-1139. 16 pp. ISSN: 2397-8325 European Food Safety Authority, 2016 Reproduction is authorised provided the source is acknowledged. www.efsa.europa.eu/publications 2 EFSA Supporting publication 2016:EN-1139

Table of contents Abstract... 1 Background, rationale and expected outcomes of the training... 4 Participants and speakers... 5 Structure of the training... 5 Important consideration for EU wide data collection... 8 Key messages raised at the training... 9 Recommendations and next steps... 9 Abbreviations... 11 Appendix A List of participants and speakers... 12 Appendix B Agenda... 13 Appendix C Training evaluation... 15 www.efsa.europa.eu/publications 3 EFSA Supporting publication 2016:EN-1139

Background, rationale and expected outcomes of the training A training was organised under the EFSA Pre-Accession project 2015-2017, financed by the European Commission (EC) through Multi - beneficiary programme Preparatory measures for the participation of IPA beneficiaries in EU Agencies. The overall objective of the programme is to support preparatory measures with Pre-Accession countries in view of their future participation in EU Agencies before and upon membership. The support aims as well at knowledge transfer and capacity building in the area of expertise of the EU Agencies. The new EFSA Pre-Accession project runs until the end of November 2017 and one of the main objectives is to facilitate data collection in the Pre-Accession countries and reporting to EFSA, with a specific interest in the reporting of zoonoses, zoonotic agents, antimicrobial resistance (AMR) and food-borne outbreaks (FBOs). Under the previous Pre-accession project 2011-2014 the countries gained an overall knowledge on the role of EFSA as the risk assessor in the area of data collection and analysis. The workshop on Data Collection and Analysis for the Pre-accession countries was arranged in Parma in 2012. The technical report on data collection activities in the Pre-Accession countries was prepared and shared with the Member States (MSs) through the Information Exchange Platform, as a follow up of the workshop. Pre-accession representatives participated in EFSA Scientific Networks for data collection through the whole duration of the project implementation. The EU system for the monitoring and collection of information on zoonoses is based on the Zoonoses Directive 2003/99/EC 1, which obliges EU MSs to collect relevant and, where applicable, comparable data on zoonoses, zoonotic agents, AMR and FBOs. In addition, MSs are required to assess trends and sources of these agents, as well as outbreaks in their territory, submitting an annual report each year by the end of May. According to Directive 2003/99/EC on the monitoring of zoonoses and zoonotic agents, MSs are obliged to monitor and report AMR in Salmonella and Campylobacter isolates obtained from healthy food-producing animals and from food. Commission Implementing Decision 2013/652/EU 2 of 12 November 2013 sets up priorities for the monitoring of AMR from a public health perspective, establishes a list of combinations of bacterial species, food-producing animal populations and foodstuffs and lays down detailed requirements on the harmonised monitoring and reporting of AMR. In accordance with Article 9 of the Zoonoses Directive 2003/99/EC, EFSA shall examine the submitted national reports of the EU MS and publish a summary report on the trends and sources of zoonoses, zoonotic agents and AMR in the EU. The EU annual Summary Reports presents the results of the monitoring activities carried out in 31 European countries (28 MSs and three non-mss). The national zoonoses reports submitted in accordance with Directive 2003/99/EC are published on the EFSA website. They are available online at http://www.efsa.europa.eu/en/biological-hazards-data/reports. EFSA organised a dedicated training to enable the Pre-Accession countries to get familiar with the requirements of the data collection, reporting tools and reporting system for zoonoses, zoonotic agents, animal population, disease status, AMR and FBOs. For data collection and reporting purposes, EFSA created a simple Microsoft Office Excel-based mapping tool to allow MSs to manage the mapping of their standard terminology to that published by EFSA. For the reporting of the annual data, EFSA provides the Data Collection Framework (DCF) that allows data providers to submit data in extensible mark-up language (XML) format through a web service. The specific objectives of this training were: 1. To increase the knowledge on: the key aspects of implementation of Directive 2003/99/EC, especially on monitoring of zoonoses and zoonotic agents, AMR and FBOs; 1 Directive 2003/99/EC of the European Parliament and of the Council of 17 November 2003 on the monitoring of zoonoses and zoonotic agents, amending Council Decision 90/424/EEC and repealing Council Directive 92/117/EEC. OJ L 325, 12.12.2003 pp. 31 40. 2 Commission Implementing Decision 2013/652/EU of 12 November 2013 on the monitoring and reporting of antimicrobial resistance in zoonotic and commensal bacteria. OJ L 303, 14.11.2013, p. 26 39. www.efsa.europa.eu/publications 4 EFSA Supporting publication 2016:EN-1139

the understanding of the EU-wide monitoring system for trends and sources of zoonoses along the food chain; the importance of zoonoses-specific data collections and related analysis, at EU-level and beyond; the collection and reporting of zoonoses and antimicrobial data using Excel mapping tools provided by EFSA; the importance of competent authorities for the purposes of implementation of Directive 2003/99/EC; the new EU legislation on AMR (Decision 2013/652 on the monitoring and reporting of AMR in zoonotic and commensal bacteria). 2. To harmonise and streamline reporting of microbiological hazards in order to ensure that the data collected in the Pre-Accession countries are relevant and easy to analyse at the EU level. 3. To provide theoretical and practical support to the Pre-Accession countries in data collection and possible reporting to EFSA. Feedback to the questionnaire on zoonoses, zoonotic agents, AMR and FBOs collection and monitoring in the Pre-Accession countries, distributed to the National coordinators in the countries ahead of the training, provided basic insight on the level of countries approximation with the EU requirements and preparedness to take part in EFSA s data collection using the Microsoft Office Excel-based mapping tools. Participants and speakers The audience consisted of representatives from the competent food safety authorities and scientific institutions in the Pre-Accession countries (16 participants from Albania, Bosnia and Herzegovina, the Former Yugoslav Republic of Macedonia, Montenegro, Serbia, and Turkey). They were nominated by the national competent food safety authorities, according to their involvement in the collection, analysis and reporting of zoonoses, zoonotic agents, AMR and FBOs. Apologies were received from the representatives from Kosovo* 3. The speakers at the training were representatives from Croatian Food Agency (HAH), European Centre for Disease Control (ECDC) and EFSA. See Appendix A for the list of participants and speakers. Structure of the training The training was structured as a two-full-day meeting and arranged in theoretical and practical sessions. The opening speech explained and emphasised the training objectives and EFSA s expectation to involve the Pre-Accession countries in the EU system for the monitoring and collection of data on zoonoses, zoonotic agents, AMR and FBOs from 2017. The results of a questionnaire previously distributed to the National coordinators were presented. Feedback was received from five countries, out of seven initially invited. The results have showed that: - all countries collect data on zoonoses, zoonotic agents and FBOs at a national level in accordance with national legislation in place, harmonised or partially harmonised with the EU requirements; - monitoring of AMR is generally not yet harmonised with the EU requirements and these data are not collected at a national level; - countries have good knowledge of EFSA s data collection tools and it would be possible for all respondent countries to report their available data to EFSA; 3 * - This designation is without prejudice to positions on status, and is in line with UNSC 1244 and the ICJ Opinion on the Kosovo declaration of independence www.efsa.europa.eu/publications 5 EFSA Supporting publication 2016:EN-1139

- they identified the need for further capacity building in this area and campaign to increase awareness on AMR. The theoretical part of the training provided the basic knowledge on zoonoses data monitoring and data reporting. Attention was firstly focused on the legal basis for monitoring and reporting data on zoonoses and zoonotic agents, FBOs, diseases status. In accordance with the Zoonoses Directive 2003/99/EC, all MSs have to report on the following zoonoses, zoonotic agents (list A of Annex I of Directive 2003/99/EC) and other subjects: brucellosis and agents thereof, campylobacteriosis and agents thereof, echinococcosis and agents thereof, listeriosis and agents thereof, salmonellosis and agents thereof, trichinellosis and agents thereof, tuberculosis due to Mycobacterium bovis, erotoxigenic Escherichia coli (VTEC), food-borne outbreaks, susceptible animal populations. Other zoonoses need to be monitored and reported according to the epidemiological situation in each MS. This means that, if a certain zoonosis is of public health importance in a given MS, this MS should report on that zoonosis, but the other MSs do not have the same obligation to report on it, if it is of minor importance at their national level. The main findings of the 2014 Summary Report (EUSR) on zoonoses and food-borne outbreaks (FBO) were also presented. Then, the audience was given an overview of the new legislation on harmonised AMR monitoring. Commission Implementing Decision 2013/652/EU entered into force in 2014. In accordance with this Decision, sampling should be performed at the level of domestically produced animal populations, accounting for different production types, and not at the animal species level, with the aim of collecting data that, in the future, could be combined with those on exposure to antimicrobials. The collection and reporting of data should be performed at the isolate level in order to enable more indepth analyses to be conducted on. Monitoring of AMR in E. coli became mandatory, as it is for Salmonella and C. jejuni in the major food-producing animal populations and the meat derived thereof. It also became mandatory the reporting of data on Salmonella spp. and indicator E. coli producing ESBLs/AmpC/Carbapenemase obtained from the harmonised routine monitoring, as that of data on ESBL-/AmpC-/Carbapenemase-producing E. coli derived from the harmonised specific monitoring. 4 Conversely, the specific monitoring of carbapenemase-producers 5 is simply advised according to the legislation, and the corresponding reporting may be performed on a voluntary basis. A summary of the key findings on AMR in Salmonella, indicator E. coli and Campylobacter in humans, food and food-producing animals from the 2014 EU Summary Report (EUSR) on AMR completed the topic. Participants were also introduced with the technical requirements of the reporting system, such as the role of the reporting officer, the data providers and the timelines for data submission. The reporting officer is the coordinator at the national zoonoses of data collected and reported based on the requirements of Directive 2003/99/EC and Decision 2013/652/EU. The data providers are members of the national data collection and reporting team and their activities on data collection and reporting are coordinated by the reporting officer. The hands-on training consisted in filling in the Excel mapping tools with the mandatory information for different data models, creating the XML file, uploading the file in DCF, checking the error messages and the data by using the reports in Microstrategy. The Excel mapping tools for data reporting were presented. The tool was developed in order to help the reporting countries to report electronic data for zoonoses, zoonotic agents, animal populations, antimicrobial resistance, food-borne outbreaks and text forms according to the zoonoses data models. For zoonoses data collection purposes, EFSA has created seven data models for: zoonoses prevalence data (PRV), antimicrobial resistance isolate-based data (AMR), specific monitoring of ESBL-/AmpC-/carbapenemase-producing bacteria, in the absence of isolate detected (ESBL), food-borne outbreak data (FBO), animal population data (POP), disease status data (DST) and text forms data (TXT). The main objective of the mapping tool is to provide a simple and useable platform for reporting countries to map their country-specific standard terminology to that published by EFSA and to enable 4 Isolation of bacteria using selective media containing a third-generation cephalosporin. 5 isolation of bacteria using selective media containing a carbapenem. www.efsa.europa.eu/publications 6 EFSA Supporting publication 2016:EN-1139

the production of an XML file for the submission of sample or aggregated-based zoonoses monitoring data via the DCF. Where the catalogues of each data model (AMR, ESBL, PRV, FBO, POP, DST and TXT) are already inserted into the model data entry worksheet, the mapping tool supports the manual mapping of terms, requiring only the selection of the correct term. Specific Excel mapping tools correspond to each of the seven data models available. The mapping tool is a solution for reporting countries which are currently unable to implement the EFSA data models and standard term mapping in a database and to automatically generate XML. The Excel mapping tool could help reporting countries to: create a comprehensive mapping of MSs standard terms, build a future database, visualise data already coded in a readable text format (known as reverse mapping or decoding) and improve the quality of data submitted to EFSA (no need for Excel, local validation). This mapping tool is useful not only for countries reporting a small number of data, but also in understanding what is needed to report row-level data via the DCF according to Zoonoses data models. The mapping tool is very easy to use as it is essentially an Excel workbook which has four default data processing worksheets. Outside of these four worksheets, each model contains all the catalogues needed for each data model. The practical programme of the training consisted in five sessions for data reporting on: prevalence of zoonoses and zoonotic agents; animal population; disease status; FBOs; AMR. Each session started with an introductory overview of the subject, such as legal basis and results of the monitoring activities carried out in the European countries in the past, followed by hands-on exercises on the use of the respective mapping tools and brief explanations of each data element of the AMR, PRV, FBO, POP, DST data models, highlighting the information to be reported for the mandatory data elements. For the reporting of the annual data, EFSA provides the Data Collection Framework (DCF) that allows data providers to submit data in extensible mark-up language (XML)/Microsoft Office Excel formats through a web service. Data models are provided to the reporting countries describing the format and the content requested for submitting data through the DCF. The practical training consisted also in analysing the error messages from DCF when the files uploaded were not compliant with the specific business rules and in interpreting DCF messages, in order to correct the errors identified. Different reports which can be produced with Microstrategy tool were presented. These reports, including the national report, are used to check and validate the data reported. In order to facilitate the hands-on sessions, participants were asked to bring the data available in their countries, from their respective data collection area. Corresponding excel mapping tools and manuals, providing further clarification on terminology and reporting, were shared in advance with the participants. The national reporting officer from HAH supported EFSA colleagues in hands-on exercises and presented the experience from Croatia in setting up their national system for monitoring and reporting of zoonoses and food-borne outbreaks to EFSA. ECDC representatives presented the role of ECDC in EU-wide zoonoses and AMR data collection and their cooperation with the Pre-accession countries. The last part of the training was a round table discussion about national data that could be reported to EFSA and additional support in this area. Each delegation was asked to identify: www.efsa.europa.eu/publications 7 EFSA Supporting publication 2016:EN-1139

1. National data from 2016 that could be reported to EFSA in the annual reporting cycle in 2017; 2. Further support in the area of zoonoses and zoonotic agents, AMR and FBOs collection at national level and reporting to EFSA. See Appendix B for the agenda. Participants were invited to fill in an anonymous on line survey to evaluate the training. Feedback was received by 11 participants, an around 69% response rate. The results show that the participants have considered this training as excellent or very good. The feedback includes also scores on different aspects of the training, which are summarised in Appendix C. Important consideration for EU wide data collection Collection of accurate and reliable data is a prerequisite for informed risk assessment and risk management. Collected data cover zoonoses important for the public health in the whole European Union, as well as zoonoses relevant for each national epidemiological situation. These data are necessary to evaluate the relevant trends and sources both at country and at European level. Cooperation in data collection across Europe is a key activity aiming at harmonising approaches and facilitating information sharing among countries. EU-wide data can also reflect important differences between reporting countries. The antimicrobial agents used in food-producing animals in Europe are frequently the same, or belong to the same classes, as those used in human medicine. Antimicrobial resistance (AMR) is the main undesirable side effect of antimicrobial use in both humans and animals, and results from the continuous positive selection of resistant bacterial clones, whether these are pathogenic, commensal or even environmental bacteria. This will modify the population structure of microbial communities, leading to accelerated evolutionary trends with unpredictable consequences for human and animal health. Both the route of administration and the administered quantities of antimicrobials may differ between humans and food-producing animals; moreover, there are important variations between and within food-producing animal populations, as well as between countries. Bacterial resistance to antimicrobials occurring in food-producing animals can spread to people not only via food-borne routes, but also by routes such as water or other environmental contamination, as well as through direct animal contact. Campylobacter, Salmonella and some strains of Escherichia coli are examples of zoonotic bacteria which can infect people by the food-borne route. Infections with bacteria which are resistant to antimicrobials may result in treatment failures or necessitate the use of second-line antimicrobials for therapy. The commensal bacterial flora can also form a reservoir of resistance genes, which may be transferred between bacterial species, including organisms capable of causing disease in both humans and animals. The monitoring of AMR in zoonotic and commensal bacteria in food-producing animals and food thereof is a prerequisite for understanding the development and diffusion of resistance, providing relevant risk assessment data, and evaluating targeted interventions. Resistance monitoring entails specific and continuous data collection, analysis and reporting and enables to follow temporal trends in the occurrence and distribution of resistance to antimicrobials. Resistance monitoring should also allow the identification of emerging or specific patterns of resistance. EUSR gives the opportunity to set Pre-accession countries and their national data on the European map and to obtain a broader view of the trends and sources of diseases that are important for the countries. Collected data are used for publishing of annual National zoonoses country reports. National data and national reports are then used as a basis for the publication of joint EFSA and ECDC: The EUSR on trends and sources of zoonoses, zoonotic agents and food-borne outbreaks; The European Union summary report on antimicrobial resistance in zoonotic and indicator bacteria from humans, animals and food. www.efsa.europa.eu/publications 8 EFSA Supporting publication 2016:EN-1139

Key messages raised at the training EFSA invited the Pre-Accession countries to start with the data reporting and take part in EU wide data collection from 2017. Collection of 2016 data will start on 1 April 2017 and finish on 31 May 2017. In the round table discussion, all countries confirmed interest in taking part in EFSA annual reporting cycle from 2017. All delegates agreed that there are no technical obstacles to report data on disease status and animal population by using the EFSA data models. Several countries confirmed possibility also to report data on FBOs, AMR and zoonoses, generated from their national monitoring programmes harmonised with the EU requirements. Delegates asked for additional EFSA support through arrangement of capacity building events (national or regional), software development for data collection and possible translation of the reporting manuals into some Pre-accession languages. Possibility to use TAIEX technical assistance tool to organise expert missions and workshops on this topic was discussed. TAIEX events can be also arranged at regional level. HAH has been identified as potential partner from the MS for the arrangement of TAIEX events. Data submitted by the pre-accession countries will present a broader picture of the prevalence of zoonoses and zoonotic agents, the situation of FBOs and AMR in Europe. Recommendations and next steps A list of recommendations and next steps for taking part in EFSA EU wide data reporting was formulated and summarised below. Recommendations: Pre-Accession countries interested to take part in EFSA EU wide data reporting should: Set up national reporting system based on national data repositories, which have to be customised according to EFSA s data models and catalogues. Identify national data sources (such as national surveys, official controls, slaughterhouse meat inspection, border control, control and eradication programmes for e.g. Brucella, Tuberculosis, Salmonella). Identify all relevant stakeholders (data providers) from national and regional level and define their responsibilities in terms of data collecting and reporting. Appoint adequate national zoonoses contact point/reporting officer with good coordination, communication and networking skills and general knowledge on zoonoses. The zoonoses reporting officer is responsible of collection of data at the national level and for data providers nomination. Establish a good collaboration and communication channels among all experts from relevant national food and feed safety institutions as well as the animal health institutions. The exchange of information within each country is essential for a good data collection and data reporting. Determine in-house IT data collection systems. If different institutions are involved in data collection, try to establish unique IT solution (software) for all data or to upgrade the different software solutions to one unique solution. Participation in the Scientific Network for Zoonoses Monitoring Data and specific meetings operated under this network (FBO, AMR and IT meetings) is important to assure the exchange of information between EFSA and each reporting country. The reporting officer is the most relevant person to attend the zoonoses network meetings; the experts collecting and reporting AMR and FBOs data and IT experts should attend specific meetings on FBOs, AMR and IT respectively); www.efsa.europa.eu/publications 9 EFSA Supporting publication 2016:EN-1139

To support data collection and data reporting, EFSA provides three scientific reporting manuals, two technical guidelines and the Excel mapping tools. There are seven different data models available to report the prevalence on zoonoses and zoonotic agents, disease status, animal population, FBOs and AMR isolate data, ESBL data and text form information. EFSA provides therefor seven different Excel mapping tools, easy to be used for data collection and reporting. Next steps: By the end of 2016, EFSA will approach the national contact points in the countries, the participants in the present training and the appointed observers to the Scientific Network for Zoonoses Monitoring Data and specific meetings operated under this network, to confirm their interest for reporting the 2016 data to EFSA. Countries will be asked about their commitment in 2016 data reporting as EFSA has to update the Excel mapping tool with the respective reporting countries. Countries will be asked to provide information on the appointed reporting officer and data providers in order to allow the creation of user profiles. In the first quarter of 2017, EFSA will offer trainings at national level to the interested countries, whilst help-desk support will be provided through the whole period (April-May) of reporting. EFSA is looking into possibilities to support the EU MSs in order to increase the quality of data submission. EFSA will consider involvement of the Pre-accession countries in this initiative; EFSA will support countries to apply for TAIEX technical assistance tool to organise expert missions/workshops at national/regional level on this subject. Through the Pre-Accession programme, EFSA will fund participation of the Pre-Accession observers to the Scientific Network for Zoonoses Monitoring Data and specific meetings operated under this network. Reporting countries will be asked to revise the list of nominated delegates to the Scientific Network for Zoonoses Monitoring Data and specific meetings operated under this network, in accordance with the information provided on the reporting officer and data providers. www.efsa.europa.eu/publications 10 EFSA Supporting publication 2016:EN-1139

Abbreviations AMR antimicrobial resistance DCF Data Collection Framework HAH Croatian Food Agency EC European Commission ECDC European Centre for Disease Prevention and Control EFSA European Food Safety Authority ESBL extended-spectrum β-lactamases EU European Union EUSR European Union Summary Report FBO food-borne outbreak MS Member State of the European Union TAIEX Technical Assistance and Information Exchange instrument of the European Commission VTEC verotoxigenic Escherichia coli XML extensible mark-up language Abbreviations used in codes of data elements and business rules that refer to a data model: AMR AMR isolate-based data model ESBL specific monitoring of ESBL-/AmpC-/carbapenemase-producing bacteria, in the absence of isolate detected data model POP DST FBO PRV TXF animal population data model disease status data model food-borne outbreaks data model prevalence data model text forms data model www.efsa.europa.eu/publications 11 EFSA Supporting publication 2016:EN-1139

Appendix A Participant (Last name) List of participants and speakers Participant (First name) Country Institution MOLLA Lindita Albania Public Health Institute SPAHIU Meliha Albania National Food Authority MIO Arsonela Albania National Food Authority ZOVKO Ivana Bosnia and Herzegovina Food safety agency of Bosnia and Herzegovina TOMOVIC Dragan Bosnia and Herzegovina Food safety agency of Bosnia and Herzegovina DEMIR Alem Bosnia and Herzegovina Food safety agency of Bosnia and Herzegovina MIKIK Vladimir FYR of Macedonia Institute of Public Health MINOVSKA Svetlana FYR of Macedonia Food and Veterinary Agency MESHTEROVIKJ Srgjan FYR of Macedonia Food and Veterinary Agency VUCINIC Snezana Montenegro Specialist Veterinary Laboratory BOLJEVIC Suncica Montenegro Administration for Food, Veterinary and Phytosanitary affaires HRAPOVIC Mevlida Montenegro Administration for Food, Veterinary and Phytosanitary affaires LABUS Tatjana Serbia Ministry of Agriculture and Environmental Protection ŞAHİN Güzin Turkey Ministry of Food Agriculture and Livestock ERDOĞDU Belgin Turkey Ministry of Food Agriculture and Livestock AKMAN Feyza Berna Turkey Ministry of Food Agriculture and Livestock Speaker (Last name) Speaker (First name) Country Institution KNEZEVIC Drazen Croatia Croatian Food Agency TAKKINEN Johanna Sweden European Centre for Disease Control (ECDC) BAJORINIENE Agne Sweden European Centre for Disease Control (ECDC) STOICESCU Anca Italy EFSA (DATA Unit) BOELAERT Frank Italy EFSA (BIOCONTAM Unit) AMORE Giusi Italy EFSA (BIOCONTAM Unit) VRACAR FILIPOVIC Jelena Italy EFSA (AFSCO Unit) www.efsa.europa.eu/publications 12 EFSA Supporting publication 2016:EN-1139

Appendix B Agenda 27 th October 2016, Chair: Anca STOICESCU, Scientific Officer, Evidence Management (DATA) Unit, EFSA Time Item 09.00 09.20 Introduction and meeting objectives Jelena VRACAR FILIPOVIC, AFSCO Unit, EFSA 09.20 09.40 Legal framework on zoonoses and zoonotic agents and food-borne outbreaks data collection and EU Summary Report on zoonoses and FBO Frank BOELAERT, Scientific Officer, BIOCONTAM Unit, EFSA 09.40-10.00 Monitoring of Antimicrobial Resistance in Food-Producing Animals and Food in the EU based on the New Legislation on harmonised AMR monitoring Anca STOICESCU, Scientific Officer, DATA Unit, EFSA 10.00-10.20 General introduction to the reporting reporting officers, data providers, timelines, reporting system: Data Collection Framework Anca STOICESCU, Scientific Officer, DATA Unit, EFSA 10.20-10.40 Presentation of results of questionnaire previously distributed to the countries Jelena VRACAR FILIPOVIC, AFSCO Unit, EFSA 10.40-11.10 EU-wide monitoring of zoonoses and zoonotic agents Frank BOELAERT, Scientific Officer, BIOCONTAM Unit, EFSA 11.10-11.40 Coffee break 11.40 13.00 Hands - on exercise on zoonoses and zoonotic agents data collection and animal population data reporting Anca STOICESCU, Scientific Officer, DATA Unit, EFSA 13.00 14.00 Lunch break 14.00 16.00 Hands - on exercise on data collection and reporting of zoonoses and zoonotic agents continuation 16.00-16.30 Coffee break 16.30 16.50 Disease status (TBC and Brucella) Frank BOELAERT, Scientific Officer, BIOCONTAM Unit, EFSA 16.50-17.20 Hands - on exercise on disease status collection and reporting Anca STOICESCU, Scientific Officer, DATA Unit, EFSA 17.20 17.40 Q&A 17.40 End of the day www.efsa.europa.eu/publications 13 EFSA Supporting publication 2016:EN-1139

28 th October 2016, Chair: Anca STOICESCU, Scientific Officer, DATA Unit, EFSA Time Item 09.00 09.30 EU-wide monitoring of food-borne outbreaks Giusi AMORE, Scientific Officer, BIOCONTAM Unit, EFSA 09.30 10.30 On-hands exercise on food-borne outbreaks data collection and reporting Anca STOICESCU, Scientific Officer, DATA Unit, EFSA 10.30 11.00 Coffee break 11.00 12.00 Experience from Croatia on zoonoses and food-borne outbreaks monitoring and reporting Drazen KNEZEVIC, Scientific Officer, Croatian Food Agency 12.00-12.30 Overview of the main findings of 2014 EUSR on AMR Anca STOICESCU, Scientific Officer, DATA Unit, EFSA 12.30 13.30 Lunch break 13.30 14.30 Hands - on exercise on AMR data collection and reporting Anca STOICESCU, Scientific Officer, DATA Unit, EFSA 14.30 15.00 ECDC role in EU-wide zoonoses and AMR data collection Johanna TAKKINEN, Head of Disease Programme Food- and Waterborne Diseases and Zoonoses, European Centre for Disease Prevention and Control (ECDC) 15.00-15.30 Coffee break 15.30 16.10 Follow up support to the Pre-accession countries and EFSA s supporting contracts open to PA countries round table discussion 16.10-16.30 Q&A, Conclusions and take-home messages 16.30 End of the training www.efsa.europa.eu/publications 14 EFSA Supporting publication 2016:EN-1139

Appendix C Training evaluation Quantitative evaluation (the results are displayed graphically below): 1. Technical performance 7 General view 3 Ability to meet your expectations 4 6 6 Ability to keep your interest at a high level 7 Ability to meet aim and objectives 4 3 8 Ability to improve your knowelage in data collection methodology Time reserved for 5 presentations 5 2 7 Time reserved for questions and responsivness to questions 6 Time reserved for hands-on sessions 4 2 www.efsa.europa.eu/publications 15 EFSA Supporting publication 2016:EN-1139

2. Content 6 Appropriateness of presentations 6 Appropriateness of documents used 4 3 1 Good 6 Appropriateness of hands - on sessions Relevance to your daily work 7 4 4 Yes Partially Qualitative evaluation: 3. Please indicate the main benefits you received from the training? Increased knowledge and understanding of data collection and reporting methodology, Increased knowledge on the aim of data collection on AMR, Interactive/practical work and exchange of experience and with other colleagues. 4. What additional topics in food safety data collection would you like to see addressed in the future? The methods and procedures for data collection of pesticides, More information and training related to antimicrobial resistance data collection. 5. Please indicate your proposals for EFSA s further support in the area of zoonoses and zoonotic agents, antimicrobial resistance and foodborne outbreaks collection at national level and reporting to EFSA: Training for data providers organised at national level, to be held at the Food Safety Agency of Bosnia and Herzegovina. Submission of updated tools for data entry, Additional training at national level on national reporting system set up. 6. Do you have any other comments you would like to make about this training? Personal thanks to all those involved in the organisation and implementation training, and shown enthusiasm and personal involvement. This meeting has improved knowledge of the subject data collection and reporting of zoonosis and zoonotic agents, antimicrobial resistance and foodborne outbreaks www.efsa.europa.eu/publications 16 EFSA Supporting publication 2016:EN-1139