1 ______________________________________________________________ AVIAN INFLUENZA subtype H5N1 BRIEF FOR THE DPG U. N. System in Tanzania March 7th, 2006 AVIAN INFLUENZA PREPAREDNESS IN TANZANIA: AN UPDATE. 1. INTRODUCTION: The United Republic of Tanzania has to date not reported a case of Avian Flu, either in wild birds poultry or humans. The recent spread of H5N1 around the world, especially the outbreak in Nigeria, is an indication that Tanzania has to prepare itself for possible outbreak. Since October 2005, the Government of Tanzania, with encouragement of some partners has been taking measures to put together contingency plans. The UN especially through WHO and FAO has been assisting. WHO guidelines have been used to put together the Health Sector plan. The most prominent collaborating agencies are; WHO, FAO, USAID; GTZ, University of Minnesota, NIMR, and World Bird Atlas. USAID, GTZ and World Bank are currently providing financial support for various Pre-Pandemic activities. The following activities have been undertaken to date; 2. PREPAREDNESS PLANS (a) Pre-pandenic Plan: The Technical Advisory Committee has completed a Prepandemic Plan which has now been submitted to the PMO. Activities to be undertaken include in this phase include: Surveillance Strengthening of Laboratories Training of laboratory technicians and Public awareness. The total cost of the Pre-pandemic plan is estimated at US$2.0Million 2 (b) Preparedness Plan(s) General Objectives of the Plans: Stop introduction of avian influenza H5N1virus in the country (Pre-pandemic phase) Detect the avian influenza H5N1 virus, control the disease at point source in order to delay or contain spread of infection (Emerging Pandemic phase) Minimize human suffering and death (Pandemic phase) The following long term plans are currently under preparation; 1. A Health Sector Preparedness Plan for Avian Influenza. 2. The National (Multisectoral) Emergency Preparedness and Response Plan for Avian Influenza which also includes the National Level activities is currently under preparation and is expected to be completed by week of March 6th. The plan will cover three sectors; livestock; health and; wildlife. Activities covered in this plan will include Pre –pandemic phase activities Pandemic phase activities (which will including culling of chickens and farmer compensation) Post-pandemic phase/recovery phase Preliminary estimates for this plan are around US$27 Million. The draft plan will be presented to the National Multi-Sectoral Task Force shortly. 3. PROGRESS TO DATE; 1. The Health Sector response: The Health Sector Technical Committee has been set up. Roles and responsibilities have been drawn up and a meeting schedule also put in place. Regular meetings are being conducted A draft plan has been produced and what remains to be done is the budget. 2. The Multisectoral response: A draft Multisectoral National Preparedness plan is under preparation. The National Joint Technical Expert Group for Avian Influenza has been set up. Specimens from wild and domestic birds are being collected and sent to USA for laboratory examination but so far no positive samples have been identified. This activity is being supported through USAID, GOT and GTZ. Government provided TShillings 50 Million. 3 3. Relevant Activities undertaken to date. Surveillance activities continue. The most recent reports indicate no positive samples so far. The public was initially alerted on the current situation of Avian Influenza through press releases and official statements but more recently, only mass media have been carrying out stories. Health Workers e.g. District Medical Officers have been sensitized in various forums. The MOH has alerted all Districts to be watchful. A ban on importation of poultry and poultry products from affected countries has been recommended and export of live birds and bird products is not recommended at this moment. WHO has arranged the services of the National Institute of Communicable Diseases in South Africa for examination of Human specimen if cases occur. 4. Constraints The Health Sector Technical Committee is supposed to meet weekly but does not yet do so satisfactorily. Both Task Forces have not been meeting regularly because of Christmas, New Year breaks as well as the General Elections. It is hoped that the Government response will now gain momentum. 4. TASK FORCES The following Task Forces have been formed to spearhead the response. 1. National (Multisectoral) Task Force for Emergency Preparedness and Response for Avian Influenza, which has to date undertaken the following: Formation of National Joint Expert Group Organization of regular meetings for the National Technical Expert Group Organization of regular meetings for the National Task Force itself. 2. The Health Sector Task force on Avian Influenza. MEMBERSHIP AND RESPONSIBILITIES OF THE MULTISECTORAL AND NATIONAL TASK FORCE The Multisectoral National Task Force for Emergency Preparedness and Response for has drawn members from the following sectors: i) Ministry of Water and Livestock Development, Chair ii) Ministry of Health, Co-Chair iii) Ministry of Natural Resources, Wildlife and Tourism, member iv) Department of Disaster Management in the Prime Minister’s Office, member v) Ministries of Local Government, member 4 vi) vii) viii) ix) x) xi) xii) xiii) Ministry of Finance, member Ministry of Home Affairs, member Ministry of Education and Culture, member Ministry of Community Development, Gender and Children Affairs, member Ministry of Foreign affairs. member Development Partners NGOs Private sector The responsibilities of the Task Force are to: a) b) c) Formulate policies and guidelines on the Avian Influenza prevention and control management Coordinate prevention and control activities conducted by various NGOs sectors and other stakeholders Mobilize resources necessary for prevention and control of Avian Influenza. Under the National Task Force is the National Joint Technical Expert Group for Avian Influenza which has membership from all relevant sectors. The Terms of Reference for the Technical Expert Group: a) b) c) d) e) f) g) Assess and Review the Epidemiological Status of the Disease Coordinate Epidemic-Surveillance and Biosecurity Operations Undertake Risk Analysis Prepare Contingency Plan Prepare Emergency Preparedness Plan Form the national Technical Command Post in the event of the disease Advise the national Avian Influenza Joint Task Group