Pacific Region Avian Influenza
Training Workshop
August 1-5, 2006
Honolulu, Hawaii
Program Goals
• Create an Avian Influenza education
program that blends animal first-responder
training, animal health training, and Global
Positioning Systems (GPS) training.
– Keep animal first-responders safe
– Keep island poultry safe
• Build networks that will facilitate
collaboration, co-learning, and the
transmission of accurate information.
Workshop Participants
A total of 18 participants came from islands across
the US-Affiliated Pacific Islands: American Samoa
(2), Chuuk (2), Kosrae (2), Majuro (1), Palau (1),
Pohnpei (3), Rota (1), Saipan (2), Tinian (2), and Yap
(2).
15 of the participants worked within a Land Grant
college as either extension personnel or junior
researchers; 3 of the participants worked within
health services.
Workshop Overview
Day 1:
Day 2:
Day 3:
Day 4:
Day 5:
Health and safety
Discussion of Pacific Region
surveillance and response plans
Global Positioning Systems and
Geographic Information Systems training
Field exercises
Community safety and education strategies
Day 1: Health and Safety
• Presentation topics include:
– Emergency events
– Basic principles and preparedness training for a
biological outbreak or disaster
– Hand hygiene to prevent the spread of disease
– Personal protective equipment
Emergency Events
by Captain Carter Davis
Carter Davis, Captain
Honolulu Fire Department
CBRNE General Awareness
Lecturer/Certified HAZMAT
Instructor
Basic Principles and Preparedness Training
for a Biological Outbreak or Disaster
by Dr. John Casken
John Casken, RN, MPH,
PhD
Director, Office of
International Affairs
School of Nursing and
Dental Hygiene
Hand Hygiene to Prevent the Spread of
Disease
by Ms. Lynn Nakamura-Tengan
Lynn Nakamura-Tengan, MS
Extension Educator
Human Nutrition, Food and
Animal Sciences
University of Hawaii
Personal Protective Equipment
by Capt. Carter Davis and Dr. Ed Kalinowski
Lecture on Personal Protective Equipment
and a demonstration on how to don (put on)
and doff (take off) equipment
Ed Kalinowski, BSN, MEd., DrPH
Kapiolani Community College
Emergency Medical Services
Day 2: Group Discussion of Pacific
Regional Surveillance and
Response Plans
• Regional plans for surveillance and response
• Discussion topics:
– Status report and work in progress toward regional
goals
– Migratory birds of the Pacific Flyways
– Threats to domestic poultry
– Legal and illegal poultry trade
US Fish & Wildlife Services
Avian Influenza Surveillance Plans
by Dr. Jeff Burgett
Jeff Burgett, PhD
US Fish and Wildlife Service
Pacific Islands Office
Overview of Avian Influenza and Wildlife
Disease Investigations
by Dr. Thierry Work
Thierry Work, MS, DVM, MPVM
Wildlife Disease Specialist, USGS
National Wildlife Health Center
Resources Available at the
John A. Burns School of Medicine
by Dr. Duane Gubler
Duane Gubler, ScD,
Director, Asia-Pacific Institute
of Tropical Medicine and
Infectious Diseases,
Professor& Chair, Department
of Tropical Medicine and
Medical Microbiology,
John A Burns School of
Medicine
Resources Available at the
Secretariat of the Pacific Community
by Dr. Konrad Englberger
Lessons Learned from the Recent Avian
Influenza Outbreaks
by Dr. Steven Ostroff
Steven Ostroff, MD
Hawaii Pandemic Influenza Plan
by Dr. Arlene Buchholz
Arlene Buchholz, DVM, MPH
Veterinary Medical Officer
Hawaii Department of Health
Guam Pandemic Influenza Plan
by Dr. Thomas Poole
Thomas Poole, BS, MPH,
DVM, DACVPM
Guam Territorial Veterinarian
Day 3: Global Positioning Systems
(GPS) and Geographic Information
Systems (GIS) Training
• Introduction to GPS and GIS technologies
– Applications for GPS and GIS technologies within
emergency management
– Applications for GPS and GIS technologies within
avian influenza surveillance plans and incident
reporting databases
Global Positioning Systems (GPS)
by Mr. Eugene Dashiell
Eugene P. Dashiell, MA, AICP
Environmental Planning Services
GPS Field Exercises
Participants have an opportunity for one-on-one
instruction while practicing with GPS units.
Compatible Geographic Information Systems
(GIS) Program
During the week of August 1-5, 2006, the Pacific
EMPRINTS project hosted a Geographic Information
Systems workshop focusing on emergency situations
involving an avian influenza outbreak.
15 participants from the US-Affiliated Pacific Islands
attended the GIS workshop.
The participants from both workshops learned about the
each other’s role in the event of an avian influenza
emergency.
Avian Influenza Participants Meet the Geographic
Information Systems (GIS) Participants
Understanding how the GPS data will be used is critical
for understanding the applications for the technology in
emergency management and Avian Influenza surveillance
and reporting.
Day 4: Avian Influenza Field
Exercises
Participants were given the opportunity for
hands-on response training.
Three Avian Influenza situations were developed
representing the most probable AI encounters.
– Response to a single bird death (with site
containment)
– Response to a multiple bird death
– Dead bird sampling and shipping
Response to a Single Bird Death
With proper Personal Protective Equipment, Jabukja
Aikne (Majuro, Marshall Islands) carefully doublebags the chicken carcass. Later, he will disinfect the
area with a 10% bleach solution and label the
carcass.
While Jabukja is
collecting the carcass,
his partner, Felix
Sengeau (Palau,
FSM), in the “Cold
Zone,” is collecting
important information
about the site,
including GPS data.
This information is
collected on a Sample
Submittal form.
Response to a Multiple Bird Death
Responding to a multiple bird death in a confined space,
the participants don complete Personal Protective
Equipment (PPE).
Responders carefully take throat and cloacae samples
from each bird and relay incident information to “Cold
Zone” partner. Outer surfaces of sample vials are
cleaned, and then passed to “Cold Zone” partner for
collection.
Later, the carcasses will be collected for disposal and
surfaces will be sanitized.
Dead Bird Sampling and Shipping
Wearing proper Personal Protective
Equipment, participants collect throat and
cloacae samples, properly label the
sample vial and fill out a sample submittal
form. Then, participants place the sample
in a nitrogen-charged shipping container.
Skill/Task Evaluations
Participants were evaluated on their ability to perform 12 specific skills or tasks during the
training exercises:
Personal Protective Equipment Skills/Tasks
Task 1: Demonstrated ability to select appropriate Personal Protective Equipment for task
Task 2: Demonstrated ability to don correctly Personal Protective Equipment
Task 3: Demonstrated ability to doff properly Personal Protective Equipment without
contaminating self, or environment unnecessarily
Task 4: Demonstrated proper hygiene while in Personal Protective Equipment, (ie. did not touch
face or hair with gloves during exercise)
Dead Bird Sample Collection Skills/Tasks
Task 1: Demonstrated ability to collect trachea and cloacae samples
Task 2: Demonstrated knowledge and ability to properly prepare trachea and cloacae samples for
shipping
Task 3: Demonstrated ability to properly sanitize work area after collecting samples
Dead Bird Response Skills/Tasks
Task 1: Single bird death: Demonstrated ability to assess the situation and respond accordingly
Task 2: Multiple bird death: Demonstrated ability to assess the situation and respond
accordingly
Task 3: Demonstrated knowledge of multiple ways to dispose of bird carcasses in a sanitary
manner
Global Positioning System (GPS) and Reporting Skills/Tasks
Task 1: Demonstrate ability to obtain accurate GPS coordinates during training exercise
Task 2: Demonstrate ability to fill out mortality investigation (or sample submittal) form
Day 5: Community Safety and
Education Strategies
• Presentation topics include:
– Backyard biosecurity
– Community education and extension
materials
• Build an Avian Influenza response kit /
Personal Protective Equipment kit
• Program graduation
Backyard Biosecurity
by Dr. Thomas Poole
Community Educational Materials
by Dr. Thomas Poole
Build an Avian Influenza response kit /
Personal Protection Equipment kit
Each kit contains:
–
–
–
–
–
–
–
–
–
–
10 tyvek suits
10 N95 respirators
25 nitrile gloves
20 booties
goggles
2 spray bottles
30 hand sanitizing wipes
Global Positioning System unit
pens, markers, tape, scissors
air-tight storage container
Kino Ruben (Chuuk, FSM)
packs his Avian Influenza
Response kit.
Program Graduation
All 18 Avian Influenza Training Program participants completed
the course and each mastered the 12 items on the Skills
Assessment form, as verified by the program instructors.
Thank you to our Instructors and Advisers
Arlene Buchholz, DVM, MPH, Veterinary Medical Officer, Hawaii Department of Health
Jeff Burgett, PhD, US Fish and Wildlife Service, Pacific Islands Office
John Casken, RN, MPH, PhD, Director, Office of International Affairs, School of Nursing
and Dental Hygiene
Eugene P. Dashiell, MA, AICP, Environmental Planning Services
Carter Davis, Captain, Honolulu Fire Department, CBRNE General Awareness
Lecturer/Certified HAZMAT Instructor
Jim Foppoli, DMV, State Veterinarian, Hawaii Department of Agriculture
Duane Gubler, ScD, Director, Asia-Pacific Institute of Tropical Medicine and Infectious
Diseases, Professor& Chair, Department of Tropical Medicine and Medical
Microbiology, John A Burns School of Medicine
Darcy Hu, PhD, Ecologist, National Park Service, Pacific West Regional Office
Ed Kalinowski, BSN, MEd, DrPH, Kapiolani Community College, Emergency Medical
Services
Lynn Nakamura-Tengan, MS, Extension Educator, Human Nutrition, Food and Animal
Sciences
Stephen Ostroff, MD, formerly of the Department of the Interior, Health and Human
Services
Thomas Poole, BS, MPH, DVM, DACVPM, Guam Territorial Veterinarian
Thierry Work, MS, DVM, MPVM, Wildlife Disease Specialist, USGS, National Wildlife
Health Center