INTEGRATED SAFEGUARDS DATA SHEET CONCEPT STAGE Report No.: AC3094 Date ISDS Prepared/Updated: 07/24/2007 I. BASIC INFORMATION A. Basic Project Data Country: Djibouti Project ID: P102842 Project Name: Avian Influenza and Human Pandemic Preparedness Task Team Leader: Jean-Philippe Tre Estimated Appraisal Date: Estimated Board Date: Managing Unit: MNSSD Lending Instrument: Emergency Recovery Loan Sector: Health (50%);Animal production (25%);Agricultural extension and research (25%) Theme: Other communicable diseases (P);Other rural development (P) SPF Amount (US$m.): 0.00 GEF Amount (US$m.): 0.00 PCF Amount (US$m.): 0.00 Other financing amounts by source: Borrower 0.00 Avian and Human Influenza Facility 2.11 2.11 B. Project Objectives [from section 2 of PCN] The overall objective of the Grant is to contain and prevent the emergence of Highly Pathogenic Avian Influenza (HPAI) in domestic poultry, and to prepare for, control and respond to an influenza pandemic and other infectious disease emergencies in humans. C. Project Description [from section 3 of PCN] Component 1: Animal Health and Veterinary Services This component will provide support for the strengthening of veterinary services through assistance for: 1.Disease control and management capacity: this sub-component will support the following activities: (a) culling of infected and at-risk poultry; (b) compensation to farmers and producing companies; (c) disposal of carcasses and potentially infective materials in a biosecure and environmentally acceptable manner; (d) enhanced bio-security at poultry farms and associated premises, through bio-containment and bio-exclusion training and community awareness programs; (e) vaccination of poultry and use of good quality and non anti-viral HPAI vaccines produced according to OIE standards and implemented according to FAO/OIE guidelines. The sub-component would also provide basic bio-security equipment such as sprayers, protective equipment. 2. Improved Laboratory services capacity: The diagnostic capacity of public veterinary services will be improved through the upgrading of the existing veterinary laboratory in Djibouti city and training for laboratory technicians. This subcomponent will provide support for rapid testing capacity and acquisition of modern laboratory equipment. 3. Improved regulatory and legal framework of veterinary services: this sub-component will support reviews of existing regulation and policies to address key policies issues to ensure that the recommended disease control, prevention and eradication measures are implemented in a uniform way and in accordance with OIE standards and guidelines. It will also provide support for key diagnostic and assessment studies, including national poultry census and sector restructuring options. 4. Strengthened animal disease surveillance and diagnostic capacity building through: (a) provision of technical assistance, and training to field and quarantine staff; (b) improvement of animal health information flow among relevant agencies; (c) rapid detection, reporting and follow-up of reported cases; (d) routine serological surveys and epidemio-surveillance at migratory birds habitats and backyard levels; (e) the establishment of public and communitybased animal disease surveillance and early warning networks to support a robust emergency reporting and feedback system against notifiable diseases. The sub-component would also support training for animal health workers, and treatment of infected animals and reporting procedures. 5. Improved human resources through support for two-year curriculum training for new veterinary technicians Component 2: Public Health Services This component seeks to prevent the emergence of a human pandemic through the rapid identification and effective management of human cases. It will provide support for: 1. Improved diagnostic capacity and effective management of human cases: this sub-component will finance the procurement and distribution of medicine, personal protective equipment for atrisk population and medical staff. Anti-viral drugs will not be eligible for support. The subcomponent will also provide support for the acquisition of modern equipment for laboratory diagnostic as well as provision of laboratory consumables, specimen collection kits and transports costs associated with sending the specimens to the WHO collaborating center. 2. Improved surveillance, investigation and response capacity: this sub-component will support establishment and training of rapid response teams as well as operating costs associated with surveillance, investigation, and response activities, including vehicle purchase and necessary logistics 3. Technical training for health staff: this activity will support: (a) training for medical staff on social distancing measures, treatment guidelines, protocols and procedures for managing medical waste and hospital infection control guidelines, including strategies to increase hospital bed availability; (b) training for health field workers on surveillance measures, case detection and reporting, clinical and virological surveillance criteria and reporting protocols/systems for influenza-like symptoms and fevers of unknown origin; (c) practical training of laboratory technicians on the application of special quality control and bio-safety guidelines. Component 3: Communication and public awareness This component would provide support for information and communication activities to increase the attention and commitment of government, private sector and civil society and to raise awareness of the general population about the risk and potential impact of the pandemic. Specific activities would include: (a) the development of a communications strategy to advocate, inform and seek a rapid-reporting and rapid-response behavior from society; (b) information sharing and training workshops for public sector advocacy, media and journalists, local NGOs, civil society and technical staff in Ministries of Health and Agriculture; (c) broadcast media production and dissemination; (d) establishment and operation of an avian influenza hotline; (e) information baseline and research studies as well as media monitoring and evaluation activities; (e) production of educational toolkits for community training, education and mobilization. D. Project location (if known) This project will be implemented nationwide in Djibouti. For specific components, certain provinces are targeted where reference and regional laboratories exist (for strengthening of animal disease surveillance capacity). E. Borrower’s Institutional Capacity for Safeguard Policies [from PCN] The counterpart will need capacity building regarding safeguards policies, and quality control assistance. F. Environmental and Social Safeguards Specialists Ms Stefanie U.S. Brackmann (AFTEN) II. SAFEGUARD POLICIES THAT MIGHT APPLY Safeguard Policies Triggered Yes No TBD Environmental Assessment (OP/BP 4.01) X The safeguard issues which pertain to the Project are (i) selection and implementation of culling methods; (ii) selection and implementation of disposal methods for culled poultry and associated waste; (ii) safe disposal of medical waste; and (iv) mitigating the negative economic impacts of disease-inducted death and/or mandated culling of poultry on small-scale and backyard poultry producers. Overall, the Project would assist the government entities to develop a strategy for managing future emerging and re-emerging diseases outbreaks. As such the project will improve environmental and social safeguards in following areas: (i) mainstreaming environmental safeguards into protocols and procedures for the culling and disposal of animals during an Safeguard Policies Triggered Yes No TBD outbreak, in particular by adopting OIE standards in these areas, and improving bio-medicalwaste management systems in health facilities and laboratories; (ii) financing safe culling and disposal options; and (iii) development of policies on compensation for poultry farmers affected by future outbreaks. Natural Habitats (OP/BP 4.04) X Forests (OP/BP 4.36) X Pest Management (OP 4.09) X It is very likely that chemicals will be used for the culling of birds. The procurement of any pesticide will be contingent on an assessment of the nature and degree of associated risks, taking into account the proposed use and the intended users. The Project will require that any pesticides it finances be manufactured, packaged, labeled, handled, stored, disposed of, and applied according to standards acceptable to the Bank. The Bank does not finance formulated products that fall in WHO classes IA and IB, or formulations of products in Class II, if (a) the country lacks restrictions on their distribution and use; or (b) they are likely to be used by, or be accessible to, lay personnel, farmers, or others without training, equipment, and facilities to handle, store, and apply these products properly. Whatever medical waste is generated in health care facilities and waste from the animal health component will be managed using existing guidelines in the countries. The country project will also support updating these guidelines, training of health care workers to manage medicinal waste following these guidelines and the purchase of equipment for the proper handling and disposal of medical waste in selected facilities. This provision would be included in the project operational manual (or equivalent). Physical Cultural Resources (OP/BP 4.11) X Indigenous Peoples (OP/BP 4.10) X Involuntary Resettlement (OP/BP 4.12) X Safety of Dams (OP/BP 4.37) X Projects on International Waterways (OP/BP 7.50) X Projects in Disputed Areas (OP/BP 7.60) X Environmental Category: B - Partial Assessment III. SAFEGUARD PREPARATION PLAN A. Target date for the Quality Enhancement Review (QER), at which time the PAD-stage ISDS would be prepared: N/A B. For simple projects that will not require a QER, the target date for preparing the PAD-stage ISDS: 07/31/2007 C. Time frame for launching and completing the safeguard-related studies that may be needed. The specific studies and their timing1 should be specified in the PAD-stage ISDS. Since the project supports investments for the culling and disposal of carcasses and laboratory wastes, a short Environmental Management Plan (EMP) will be prepared. The EMP will cover the selection of appropriate culling methods, clean-up of animal wastes of infected and culled poultry; selection and management of disposal facilities. The scope of this EMP will be specified during the initial period of Project implementation. IV. APPROVALS Signed and submitted by: Task Team Leader: Mr Jean-Philippe Tre Approved by: Regional Safeguards Coordinator: Mr Sherif Kamel F. Arif Comments: Sector Manager: Mr Luis F. Constantino Comments: Note: The SD team member was Tigaust Fisseha. 1 Reminder: The Bank's Disclosure Policy requires that safeguard-related documents be disclosed before appraisal (i) at the InfoShop and (ii) in-country, at publicly accessible locations and in a form and language that are accessible to potentially affected persons.