Preparing North Carolina for HPAI NC EMERGENCY MANAGEMENT ASSOCIATION OCTOBER 12, 2015 All US Cases December 2014-June 2015 Migratory Flyways Current Statistics on HPAI Outbreak (9/22/15) Three HPAI viruses detected in the current U. S. outbreak since December 2014 – H5N8, H5N2, and H5N1. 21 States affected – last case was June 18. 232 Confirmed H5 209 Commercial (211 commercial, 21 backyard) – Minnesota and Iowa include 180 of the premises. Approximately 49.6 million commercial birds died or have been depopulated: Turkeys: approximately 7.5 million Chickens: approximately 42.1 million These depopulation losses represent: 3.16% of U.S. annual turkey production (7.46% of average U.S. turkey inventory) 10.01% of U.S. average layer inventory 6.33% of U.S. average pullet inventory Less than 0.01% of U.S. broiler inventory (broiler infection has been limited). Current Statistics on HPAI Outbreak Restocking (9/22/15) Current Statistics on HPAI Outbreak (9/18/15) On September 4, 2015, the Secretary transferred approximately $291 million in Commodity Credit Corporation (CCC) funds to APHIS for HPAI activities. This is in addition to emergency funding in the amount of $698 million previously made available to respond to HPAI. This is a total of $989 million. $746,178,172 has been paid out for response activities, indemnity, and contractors; $198,630,855 has been committed for indemnity for appraised flocks; of this, $192,503,004 has been paid to date. What Will Happen if HPAI Visits NC? State EOC JIS/JIC Lead by Ag PIO NCDA&CS Policy Group Joe Reardon, Doug Meckes, Dr. Sarah Mason Resources EOC Liaison JRSOI IC Sharron Stewart Depart. Safety Office PIO Industry Liaison Brian Long Kathy Buckley Safety C. Grasty Deputy PSC NCFS/USDA Permitting Plans Ops M. Howell Dr. J Tickel EMRS Dr. B. PorterSpalding EPI/Bio Security Dr. L. Dodds Dr. K. Beck Document Unit Resource Unit NCFS/USDA NCFS Situation Unit D. Madding Check In/Out Disease Management Dr. C. Woodlief DRO USDA Depop Group Decon Group Dr. B. Akers Dr. S. Squires Disposal Group Dr. J. Kittrell Disease Surveillance Dr. M Neault Case Manager Group Dr. J. Quinn Dr. C. Law Appraisal W. Culbreath Lab Security Dr. K. Post J. Keith Commercial Backyard Dr. B. Herring Dr. M. Tolson C. Sample Team 1 BY Survey Team 1 C. Sample Team 2 BY Survey Team 2 SC Sample Team 1 BY Sample Team 1 Wildlife Sample 1 Depop Task Force 1 Decon Team 1 Personnel Disposal Team 1 Depop Task Force 2 Decon Team 2 Farm Disposal Team 2 Case Manager 2 Depop Task Force 3 Decon Team 3 Company Disposal Team 3 Case Manager 3 Depop Task Force 4 Disposal Team 4 Case Manager 4 BY Sample Team 2 Depop Task Force 5 Disposal Team 5 Case Manager 5 BY Sample Team 3 Case Manager 1 (USDA) NCFS/USDA GIS Mapping Field Tech. Specialist J. Collie CM Documentation USDA Environmental Sampling Special Collection Dr. A. Allen Sample Collection Sites D. Jernigan Tech. Specialist Dr. L. Degenres Logistics Finance M. Mayes H. Gilroy Deputy LSC Deputy FSC USDA Logistics Admin Cost Unit Ground Support Unit Claims Unit Supply Unit Leader Procurement Unit Suppy Unit Equpment Assistants Finance Assistants Decon Team Admin Team ISS Compost Tech. Specialist J. Hudyncia IT Unit USDA 4 USDA AHTs 3 USDA VMOs Contracts Steps in Response to HPAI—What if I Have an Infected Farm? Isolate the Farm—Quarantine Appraisal—Electronic forwarding of mortality records to USDA Depopulate—Stamp Out—Foam/CO2 Disposal—Consider availability of Resources and farm plan Clean and Disinfect Houses—Dry Clean? Inspect to verify—State or Federal official Repopulate in Consultation with USDA/State The Control Zone 10 Km Control Zone Contact Premises 3 Km Infected Zone Monitored Premises Suspect Premises Infected Premises Contact Premises Suspect Premises At-Risk Premises Monitored Premises What Does Stop Movement Mean? This will take place at the beginning of an outbreak and will be kept as small and short as possible The purpose of Stop Movement is to prevent relocation of poultry until an assessment can be made of whether the initial case has spread laterally Testing of all commercial flocks within the Infected Zone should be complete within 24 hours Testing of all commercial flocks within the Buffer Zone should be complete within 48 hours Once testing confirms no lateral spread, movement will resume with permitting by the IC What About Movement? Feed trucks, Chicks/Poults, Hatching Eggs, Table Eggs, Birds to Market, Birds to Grow-out If in the Control Zone, movement must be permitted Permitted movement requires “Monitored Premises” status Permits come from USDA database EMRS—National ID required Testing requirements as well as Biosecurity needs are outlined in Secure Egg Supply, Secure Turkey Supply and Secure Broiler Supply Permits can be emailed or FAXed to the company What is a Monitored Premises? Monitored Premises meet a set of defined criteria as determined by IC: No clinical signs (not a suspect) No epidemiological links (not a contact) Biosecurity satisfactory Normal production parameters (mortality and egg production, for example) Negative RRT-PCR tests Once the criteria are met, owner can apply for permit to move. Poultry Farm Density 171 Broiler Houses 4 Broiler Breeder Houses 9 BB Pullet Houses 6 Turkey Brooder Houses 134 Meat Turkey Houses Poultry Farm Density 12 Table Egg Layer Houses 99 Broiler Houses 103 Broiler Breeder Houses 33 BB Pullet Houses 2 Upland Gamebird Houses Permitted Movement Examples Out of Control Zone Hatching Eggs to Hatchery or Processor Movement of Control Zone Birds Movement of Day Old Poults or Chicks Nest Run Eggs Into Control Zone Birds into Control Zone for Slaughter Birds Moved into Control Zone Feed into Control Zone Wood Shavings into Control Zone Some movements require testing, others do not What if we are sending product/birds/eggs out of state? Producer requests permit for movement from NCDA&CS Permit request is reviewed by origin state Origin state notifies destination state of impending movement Destination state approves or rejects movement request—may add requirements before they will receive product or birds Origin state produces permit for requested movement, attaches testing information and distributes to requesting producer Sample Collection and Resupply Materials Sites (SCRMS) 8 areas spread throughout the state—open as needed Each will direct movement through biosecure zones—hot and cold Company rep brings samples to collection station, drops off, picks up new supplies for more samples—does not leave truck Samples will be picked up 1-2 times daily by courier who will transport to Rollins Lab—courier drops off at lab—does not leave truck Samples will be bar-coded at sample collection point for easy accession into lab database How the Collection System Works At beginning of outbreak—pre-printed lab accession sheets are sent to each company in control area for each farm located in control area Industry rep picks up sample supplies in cold zone of Sample Collection Site (SCRMS) nearest to them—collect supplies the day before testing is due Industry rep takes samples from farms (from each house) requiring testing that day Industry rep goes to SCRMS to drop off samples—double bagged—be sure to communicate priority and test result reporting needs (time needed, to whom) Industry rep picks up more sample supplies for the next day Courier picks up samples and delivers to Rollins Lab Samples are collected from courier by lab personnel—driver does not get out of truck Locations of SCRMS Street Address City Zip Distance to Rollins 117 Alphabet Lane Morganton 28655 192 miles 134 Ebenezer Rd Statesville 28625 142 miles 940 N. Bridge Street Elkin 28621 144 miles 200 South Sutherland Ave. Monroe 28112 139 miles 329 Yellowcut Rd. Rose Hill 28458 90 miles 615 N. Madison Ave Goldsboro 27530 75 miles 2024 Glendon Carthage Rd. Carthage 28327 60 miles 1006 Eastern Ave Nashville 27856 52 miles Depopulation Methods Foam CO2 carts Whole house CO2 VSD—last resort USDA Statement On Selecting VSD As A Depopulation Method The decision to implement VSD as the depopulation in an HPAI outbreak requires that: Other depopulation methods are not available, or will not be available in a timely manner; AND The amplification of the virus on the premises poses a significant threat for further transmission and ongoing spread of HPAI; AND The questions in this Ventilation Shutdown Evidence and Policy document have been reviewed and discussed by APHIS officials, State/Tribal officials, and the Incident Management Team (IMT); AND The IMT recommends VSD as the most appropriate method; AND The State Animal Health Official, or designee, concurs with the selection of this method; AND The National Incident Coordinator, or designee, concurs with the selection of this method. When these criteria have been completed, VSD may be implemented. Depending on the premises or State, written or electronic documentation of these criteria may be required. How Well-Prepared is NC for Depopulation? 10 new foam production units + 6 existing units 10 forestry Units refitted for foam depopulation 15 Pro-Pak units for small flocks or young flocks Foam pre-staged in dense poultry areas plus in Raleigh warehouse Monthly Foam trainings—Raleigh and Elkin 8 Depopulation task forces identified (14 people/team) Reaching out to local EM and municipal water sources for supply--lead time of 2-4 hours Location of water hauler tankers—forestry and logistics group Identifying CO2 sources Disposal Methods Composting In-house Composting Outside of house Composting In and Out of house Burial—pre-approved site required Incineration Rendering Landfill How is NC Prepared for Disposal? Location of carbon sources—forestry, DOT, others Meeting with landfill owners—will not accept live virus Discussions and possible agreement with Rendering company Incineration—mobile incinerators may be available through contractors Burial site location—NRCS, DENR, Soil and Water—need preapproved site What happens after Disposal? C and D! Once house is empty of compost/birds, dry clean and/or wet clean, then disinfect (may be chemical or heat), if chemically disinfect, must then allow house to dry Swab house to assure no live virus present—21 day wait Houses not able to be cleaned lie fallow 120 days plus testing How is NC Prepared for C and D? Stockpile of decon agents Identification of decon teams for positive farms—partially complete Purchase of 15 decon units—hi-pressure + heat + foam—10 can wash semi trucks, 10 for other vehicles Identifying teams to assist with environmental sampling of houses Decon protocol developed for vehicles and personnel on positive premises New C&D Method Dry Clean- sweeping or blowing materials off surfaces Add Heating Sources to heat houses to 100-120 degrees 7 Days- 3 consecutive days of heat at those temps – eliminates virus Additional Preparations Finance Section of Incident Command being populated Safety Teams being identified Subject Matter Experts being identified for Disposal—Composting and Burial Case Managers being identified—state personnel for continuity Backyard surveillance teams being identified Fit testing of responders—October 6 Training of responders—foam, decon, case managers, administrative types—October 6 (Current Volunteers – Foam: 27, Decon: 14, Backyard: 15, Sample: 32, Biosecurity: 13, Disposal: 7, Case Manager: 18) Additional Preparations Training of SMEs for composting October 8 Numerous outreach meetings for small flock owners Assistance with Special Avian Collections HPAI Plans Meeting with WRC to develop communication between agencies District meetings- EM, PH, Cooperative Extension, Solid Waster, Water Supply, DOT, Law Enforcement and First Responders Meetings with growers when invited by companies Met with DENR – 54 employees identified within agency – to assist with areas such as Disposal – Composting/Burial; Cleaning and Disinfection- environmental safeguards in sensitive areas; in the Operations Center to project material needs for composting and C&D Additional Preparations Sick bird Hot line functional—will move to fully staffed Hot line with protocols and training if HPAI enters MS flyway or closer: Operators identified Public Health--Poison Control Hot line will handle questions from public HPAI Tabletop Exercise to be held December 8 prior to One Medicine meeting (HPAI focused) Biosecurity Protocol written and approved—employee biosecurity requirements to be sent out soon EMRS trainings have been held and are continuing Continued National ID submission—state personnel completing correction of farms that federal database kicks out Timeline for Restocking? It Depends… Many considerations in the achieving a return to business: Type of operation Method of depopulation Type of disposal Ongoing events on other premises in the Control Area Status of backyard birds Timeline for Disposal & Premises Restocking: IN-HOUSE COMPOSTING Timeline for Disposal & Premises Restocking: OUTDOOR COMPOSTING Timeline for Disposal & Premises Restocking: COMBO OF IN-HOUSE/OUTDOOR COMPOSTING Timeline for Disposal & Premises Restocking: BURIAL Restocking Previously Infected Premises Has the timeline been followed? Negative environmental tests? What else is happening nearby? Are additional biosecurity requirements needed for the farm to function safely in the future? USDA and NCDA&CS must agree—if restock against advice, no indemnity available if flock breaks with HPAI Industry Readiness? Obtain National ID for each farm NCDA&CS can batch load these if you confirm our database information is correct for your farms Identify people with skills on your staff If we use locals we may avoid some hard lessons learned in other states Examples include penning crews, depop crews, composting oversight, Cleaning and disinfection, trucking of compost supplies Farm workers on shut down farms can be repurposed and employed Consider identifying security officers for any affected farms or in Control Zone Industry Readiness? Know and be ready to share each farm’s necessary movements Since each movement within control Zone must be permitted, be ready to let IC know when and what you need to move, and the priority. Don’t assume they know your operational details. Give plenty of notice Assist with Epidemiology If an outbreak spreads, those conducting epi investigations will not know your operational details—help them understand Set up your Biosecurity Requirements now and begin using As long as HPAI is in the US, we are in a new era—old ways will not work Prepare for Barrel Surveillance—one barrel per house Industry Readiness? Truck and equipment cleaning—be prepared with equipment Depopulation and Disposal plan for each farm Biosecurity Plan—USDA self-evaluation checklist Biosecurity: A New Era Set a secure perimeter around farm as always Set a second line of control at the door to each house Use dedicated clothing and boots for each house Control farm traffic to prevent access to houses Use biosecure carcass disposal methods What Will the Fall Bring to NC? Questions? Comments?