GOVERNMENT OF SIERRA LEONE
NATIONAL AVIAN INFLUENZA TECHNICAL SECRETARIAT
MINISTRY OF AGRICULTURE AND FOOS SECUIRTY
EMERGENCY PREPAREDNESS AND RESPONSE ACTION PLAN
FOR THE PREVENTION AND CONTAINMENT OF AVIAN AND
HUMAN INFLUENZA (BIRD FLU)
IN SIERRA LEONE
JUNE 2006
1
AVIAN INFLUENZA (BIRD FLU)
I.0 SITUATION ANALYSIS
The Avian Influenza has now been diagnosed in all the five continents of the world.
But what is most alarming is the fact that this deadly disease has reached the West
African sub-region.
Considering the fact that there are no known natural barriers against the spread of
the avian influenza and also the porous boundaries between countries in the subregion, it is only a matter of time for the entire West African to be completely
affected by this pandemic.
It is well established that this region aside from not having well-organized veterinary
services is also a major destination for migratory birds, which have been identified
as the primary host of the highly pathogenic avian influenza virus.
In this regard the Government of Sierra Leone through its sectoral Ministries and
specialized UN-Agencies has developed this Plan of Action for capacity building for
national protection and preparedness for the avian and human influenza in Sierra
Leone.
I.1 Aetiology of the disease
The Avian Flu (bird flu) is a viral infection caused by strains of influenza that occur
normally among birds. It is very contagious and when contracted, the domestic
birds, including chicken, ducks and turkeys, become sick and die. These types of
bird flu viruses do not usually affect humans. Research studies have however shown
that the virus is capable of mutating into a more virulent form i.e the highly
pathogenic form, which is deadly to humans; there have been cases of humans
infected by bird flu since 1997. The virus identified is the H5N1 virus.
I.2
THE STATE OF THE COUNTRY’S VETERINARY
PUBLIC HEALTH DELIVERY SERVICES
The Animals’ disease situation today is less understood than it was before the out
break of the ten years of civil conflict in 1991. The civil conflict resulted in the
2
destruction of key livestock infrastructure such as the Central Veterinary Laboratory
at Teko and the districts livestock clinics in the regions. These very important
infrastructure, crucial in the diagnosis of animals’ diseases are yet to be
rehabilitated and equipped. Even the Veterinary clinic at Tower Hill is yet to receive
the attention it needs.
The significance of animal health goes beyond the protection of livestock from
disease per se. It impinges on public health as well as on environmental protection
and or preservation. It is in this area of public health that the medical and veterinary
professions converge in the provision of human and animal health.
The
Zoonoses:
ANTHRAX,
BRUCELLOSIS,
TUBERCULOSIS,
SALMONELLOSES,
CYSTICERCOSIS, other parasitoses as well as the Emerging Zoonoses, such as Mad
Cow diseases and bird flu are sufficient justification for adequate investment on
animal diseases prevention for the protection of humans.
In livestock, diseases have both a direct and an indirect effect.
The direct effects include, death, impaired health and reduced productivity, abortion
and or unthriftness.
In various degrees these direct effects adversely affect
profitability in a way that ultimately affects in a negative way the sustainability of the
enterprises.
The indirect effects include, trade embargo, restriction of movement as when
animals are quarantined, rejection of animal parts and tissues and the devaluation of
animal products. Like the direct effects of diseases on the animals, these indirect
effects similarly adversely affect profitability and could result in the failure of
enterprises as well.
As a result of the rapidity with which the highly pathogenic avian influenza was
spreading the Livestock Division carried out a detailed inventory of the veterinary
public health delivery services in December 2005 and below were the findings:
3
 CAPACITY OF NATIONAL EPIDEMIOLOGY DISEASE SURVEILLANCE
The country has few trained personnel on epidemiology surveillance but lacks
the
resources/logistics to effectively carry out their work and the central
veterinary laboratory that is crucial for disease diagnosis was completely
vandalized during the war in 1999.
 CAPACITY OF NATIONAL DIAGNOSTIC SET UP
The country lacks diagnostic set up, reagents, chemicals and test kits. There is
therefore little or no diagnostic work going on.
 INFORMATION ON NATIONAL POULTRY PRODUCTION
The country has few commercial poultry enterprises and these are mainly located
in the Western Area. The commercial poultry enterprises have high biosecurity
and the chickens do not come in contact with wild birds.
The local chickens are found all over the country and are on the free range system.
They therefore are more likely to come in contact with migratory birds especially in
communities located close to the nesting spots of migratory along the Atlantic Coast
of Sierra Leone – particularly in Yawrie Bay and the Pork Loko Creek in the North.
4
Figure I: Location of major Veterinary laboratory and clinics
Veterinary clinics in Freetown and Kabala
Central Veterinary Laboratory at Teko, near Makeni.
( Note: The central veterinary laboratory and the clinics are in state of disrepair
at present)
5
I.3
WILD BIRDS POPULATION AND
HIGH RISK AREAS IN SIERRA LEONE MIGRATORY.
Sierra Leone is a major destination area for migratory birds (figure II).
It is estimated that between 250,000 to 300,000 birds of various species congregate
in the different nesting spots along the country’s coastal areas every year.
Main species susceptible to Avian Influenza
1. Royal tern
-
Sterua maxima
2. Sand Witch Tern
-
Stern sandricensis
3. Western Reef Heron
-
Egretta gularis
4. Greater Flamingo
-
Phoenicopterus ruber
5. Lesser Flamingo
-
Phoenicopterus minor
The above species of migratory birds are most at risk of being infected and
infecting other birds as they traveled around the world and come to this
country only during the period November to April every year.
Main wild bird resting spots are found along the estuaries of the nine
major rivers. Main pathways and interaction of migratory and resident
birds are indicated in figure III.
6
Figure II
International migratory route for wild birds
7
Figure III
Figure III: Main Nesting spots for resident and migratory birds in coastal and
interior Sierra Leone
8
I.4 THE AVIAN FLU OUTBREAK IN WEST AFRICAN COUNTRIES AND THE
IMPLICATION FOR SIERRA LEONE.
The West African coast is a major destination for migratory birds from Europe, North
& South America and the Mediterranean region.
The outbreak of the highly pathogenic avian influenza in Burkina Fasso, Ivory Coast,
Nigeria and Niger has serious implication for Sierra Leone.
In terms of Veterinary preparedness, Nigeria, Ivory Coast are far ahead of Sierra
Leone. Sierra Leone has important cultural ties with countries in the sub-region and
the flow of human traffic between these countries is very high. Aside from this, the
national boundaries of countries in the sub-region are highly porous. Hence,
whatever major disease outbreak that erupts in one country is bound to spread to
the rest of the other countries in the region.
For now the west African sub-region is highly exposed and every nation is bound to
brace itself to prevent the entry and spread of this deadly pandemic.
This Action Plan is therefore to request for emergency assistance for preparedness
for early detection and prevention of the Avian Influenza in Sierra Leone.
1.5 GENERAL OBJECTIVE
 To protect the general populace and the economy from Avian Influenza
diseases in the country.
 To establish global and regional collaboration on the prevention and control of
avian influenza.
SPECIFIC OBJECTIVES
1. To strengthen the surveillance system for the detection of cases of Avian
Influenza.
2. To stop the introduction and spread in the poultry population
3. To reduce the possibility for human infection
4. To build the capacity for early detection and case management of HPAI
TARGET GROUP
1. The poultry population
2. The human population
9
II.0
STRATEGY TO PREVENT AND CONTROL HIGHLY
PATHOGENIC AVIAN INFLUENZA (HPAI)
ACTION PLAN
1.
Sensitization on the Avian Influenza disease, its
Prevention and Control
*National level
*District level
*Community
2.
Support the Avian Secretariat and the Technical Committee on
Bird Flu
3. Surveillance
 Monitor bio-security of poultry Enterprises
 Monitor death of birds at community level and poultry Enterprises
 Monitor of entry points and borders
 Monitor wet markets
 surveillance of migratory birds
 Compensate owners of poultry suspected to be infected by virus.
 Strengthen the surveillance Units of the Ministries of Health and Agriculture
to monitor and promptly report suspected cases from poultry farms and
the borders.
 Setting up isolation unite at the District Hospitals, the port at border towns.
4.
Prevention and Control
Mass poultry vaccination country -wide
Stockpiling of vet. Drugs and AI vaccines.
Capacity building on the management of Bird Flu.
Control on the trade of poultry and poultry products
Diagnosis of AI in poultry
Culling/Humane destruction and safe disposal of carcasses
Provision of influenza vaccines and anti-viral drugs for the exposed human
population.
 Preventive vaccination of the human population at risk.







III.
MANAGEMENT ARRANGEMENTS:
The above Plan of Action will be implemented by the National Avian Secretariat
under the direct leadership of a national coordinator and supported by a Team of
Veterinary and Medical public health personnel. The Avian Technical Committee will
provide the necessary technical and administrative support to the Secretariat.
10
The Inter-ministerial coordinating Committee and the UN-Country Team will be
responsible for mobilizing local and International donor resources for the operations
of the Secretariat and provide overall supervision. When necessary, International and
local consultants will be contracted on short-term basis.
IV.
Monitoring and Evaluation
 Joint monitoring by the Sectoral Ministries and other stakeholders will be
organized.
 Monitoring Report provided to Government,
FAO, OIE, WHO, ICRC and
other partners in the prevention and control of Avian Influenza.
11
EMERGENCY PREPAREDNESS AND RESPONSE PLAN FOR AVIAN AND HUMAN INFLUENZA (BIRD FLU)
SIERRE LEONE, 2006.
IDENTIFIED URGENT ACTION POINTS AND NEXT STEPS FOR THE AVIAN INFLUENZA (BIRD FLU) SECRETARIAT,
June, 2006-2007.
1 - PLANNING AND COORDINATION
1.1 - Situation analysis





The Office of the Vice President and related Cabinet Ministers (MAFS,MOF,MOTI,MOIA,MOHS,MOIB )fully engaged in Avian Influenza (AI) to
facilitate the sensitization and mobilization of the population for the implementation of the preparedness plan.
The key AI Partners (WHO,FAO,UNICEF,EU,USAID ) being provided with the emergency plan for support and collaboration;
The expansion of the Ministerial committee to provide direction and policy framework on AI
The restructuring and activation of the AI task force at the national and district levels;
1.2 – Action Item
Description / Next steps
Responsible
Coordination
1) Engage the Office of the Vice
President and related Cabinet
Ministers(MAFS,MOF,MOTI,MOIA,MO
HS,MOIB ) fully to facilitate the
sensitization and mobilization of the
population for the implementation of the
preparedness plan
2) The key AI Partners
(WHO,FAO,UNICEF,EU,USAID ) being
provided with the emergency plan for
support and collaboration;
3) The Inter Ministerial Committee to
provide direction and policy framework
on AI
President, Vice President, Office
of Nat. Security, Cabinet being
briefed on actions taken by the
Task force.
Ministerial
steering
committee
FAO, WHO, UNICEF,EU,
USAID and other partners fully
involved in AI activities
AI secretariat
Monthly ministerial meetings
Minister of
Health and
Agriculture
and the AI
secretariat
Time
Frame
June 2006
Budget
Leones
0
Remarks
June 2006
0
Partners to support the plan
June 2006
0
Policy guidelines and
Government Input
Political commitment
1.2 – Action Item
Description / Next steps
Responsible
4) The restructuring and activation of the
AI Technical Committee at the national
and District levels;
a. 15 Persons Technical
Committee being reconstituted
with TOR to be meeting weekly.
AI secretariat
and Partners.
Time
Frame
June
2006 to
June
2007.
Budget ( Leones )
Remarks
14,000,000 Cost for coordination of
meetings.
Establishment of Technical
Committee at District level.
b. Budget for National Technical
Committee.
Le:200,000 per meeting x 4
meetings a month x 12 months.
5)Communication Networking for
collection and dissemination of
information on AI at the different levels.
6) Operational cost for Avian Influenza
Secretariat.
9,600,000
c. Budget for District technical
committee meeting: Le100,000
per meeting x 2 meetings a month
x 12 months x 13 Districts.
MAFS &
MOHS
Communication Networking for
Fax facilites -3,000,000
Internet facilites – 2,000,000
Mobile phones (5 x 250,000)
Top up Cards (1000 units x 3 per
months x 12 months)
AI Secretariat
FAO,WHO,
UNICEF,EU
and NGO’s
June
2006 to
June
2007.
10,330,000 Strengthening
communication Network
at different levels
FAO, WHO,
UNICEF, EU,
NGO’s
MAFS &
MOHS
June
2006 to
June
2007.
83,050,000
Land phones (2 lines -2,000,000)
i. Procurement of Office
Equipment and Supplies.
- Photocopy Machine -6,000,000
- Laptop compute r/accessories
2 x 7,000,000
- Desk top computer /accessories
- 2 x 10,000,000
- PowerPoint projector-6,000,000
- Digital Cameras -2,000,000
June
2006 to
June
2007.
13
31,200,000 Cost for coordination of
District Technical
meetings.
- Generator
- 1x 5,000,000
- Memory sticks - 3x250,000
- Tables
- 4x 500,000
- Chairs 12 x 150,000
- Fan (Electric) – 3x 100,000
- Stationery
- 15,000,000
- AC for offices -3x L3,500,000
ii. Procurement of Fuel and
lubricants for office coordination
Petrol (70 gallons per months x
12 months x Le 12,150 per gallon
FAO, WHO,
UNICEF
June
2006 to
June
2007.
10,206,000 For vehicles, motor bikes
and Generator use
“
diesel (60 gallons per month x 12
months x Le11,150.
8,748,000
“
Lubricants (Le500,000)
500,000
iii. Maintenance of
vehicles/bikes/Generator
- Procurement of spear partsLe20,000,000
- Service charges Le10,000,000
“
30,000,000
iv. Maintenance of Office
Equipment – Le5,000,000
7. Incentive to Assigned staff in the
Secretariat
Coordinator
Le1,000,000 x 1 x 12 months
Assistant coordinator
Le700,000 x 1 x 12 months
Repairs of office
equipments
AI Secretariat
FAO,WHO,
EU. UNICEF,
MOHS, MAFS,
NGO’s
Veterinarian Le700,000 x 1 x
12 Months
June
2006 June
2007.
5,000,000
12,000,000 Monthly Incentive to
assigned staff.
8,400,000
8,400,000
Secretary
Le300,000 x 1 x 12 Months
3,600,000
14
“
8. Conduct National Review and Planning
9. Development and Production of the
long term National plan for the control
of
I A.
Administrative Staff ( 2)
Le350,000 x 2 x 12 Months
8,400,000
Office Assistant / Messenger
Le100,000 x 1 x 12 months
1,200,000
Drivers
Le100,000 x 2 x 12 months
Review and plan activities
with National, District
Agriculture and Health teams
NGO’s and UN Agencies and
other stake holders.
2 review and planning
workshops conducted per
year
Hire local consultants
(Livestock & Health),
conduct workshop and
prepare technical expert
report
2,400,000
Dec.2006
A I Secretariat
FAO,WHO,
&
EU. UNICEF,
MOHS, MAFS, June
NGO’s,MT/I
2007
DSA, transport cost, Fuel,
training materials
60,472,000 30,236,000 for each
workshop
Duration – 2 days each.
A I Secretariat
FAO,WHO,
EU. UNICEF,
MOHS, MAFS,
NGO’s, MT/I
October
-2006
October
-2006
Production and distribution
of the long term Nation plan
200 copies @ Le30,000
Consultant fees
DSA, Coordination,
30,000,000 Stationery.
Local effort to be
supported by
international experts
fielded by technical
agencies of the UN
6,000,000
Le343,506,000
Sub-Total
15
2.1 - Situation analysis
 There is the need to strengthen active surveillance of wild and domestic birds in the light of the outbreak of the avian influenza in Egypt, Niger,
Cameroon, Burkina Faso, Nigeria and Ivory Coast
 The Sierra Leone Veterinary Services currently have district surveillance focal persons in the field conducting ongoing activities that could be mobilized
for AI surveillance;
 The Disease Prevention and Control and Livestock Divisions must develop surveillance packages ( case definition and Management, Surveillance forms,
lab forms, Specimen collection and training guidelines) for their Health/ Extension workers to monitor Poultry workers, their relatives and the risk
populations.
 Areas identified to be strengthened are the logistics supply for surveillance and diagnostic equipment; and training on AI screening, testing , monitoring
and Personal protection;
 Specimens sent to Reference lab overseas
 There is also need to establish a mechanism for comprehensive compensation to facilitate the cooperation of the population in producing sick or dead
foul / birds and the culling of infected poultry.
2.2 – Action Item
Description / Next steps
Responsible
Time
Budget in
Remarks
Frame
(Le)
1. .Identify Reference
Labs. In UK and Italy already notified
AI secretariat
June 2006 0 Veterinary Laboratories
Laboratory for specimen
Negotiations with the courier service to be MOHS
June 2007
Agency,
analysis.
formalized
MAFF
Weybridge,Newhow
WHO/UNICEF
Addlestone, Surrey,KT15
FAO
3NB UK.
Fax: +44 1932 357856
2. Shipment of Specimens to
Specimens sent to accredited labs for
AI Secretariat
June 2006 36,000,000 Average of 30 samples shipped
per year overseas.
laboratories (overseas)
confirmation:
FAO, EU,
June 2007
Shipment of 30 samples per year x
WHO/UNICEF
Le,1,200,000 per sample shipment.
3. Develop Surveillance Protocol
for Health workers, Livestock and
Wild life agents .
a. Workshop conducted for 3 days
protocols produced and disseminated to
Districts
b. Meeting of Technical personnel (3
days)
Stationery and printing of copies of
protocol and distribution
AI Secretariat
DPC/MOHS
16,000,000 Activity instituted by MOHS
June 2006
A.I secretariat,
MAFS personnel
FAO
Ministry of Agriculture
personnel attend 3 days
10,000,000 workshop, DSA, pamphlets,
reception, training materials,
Media coverage, hire
services etc.
Printing and binding of 100
copies
16
300 Guidelines produced for Livestock
Agents.
4. Printing of Surveillance
guidelines and
investigation Forms for
Health workers, Livestock
and Wild life extension
Agents.
5. Training of Health personnel,
Livestock and wild life extension
agents. on surveillance and out
break investigations.
2,000 Reporting forms produced and
distributed to Livestock and Wild life
Surveillance Agents.
1000 guidelines produced and distributed.
4,000 reporting forms produced and
distributed.
a. Workshop (TOT ) for 30 surveillance
officers, 13 DMO’s , 13 DHS’s. for 3
days.
AI Secretariat
DPC/MOHS
WHO/UNICEF
FAO
Other NGOs
May-June
4,000,000 Each form will cost Le2,000.
AI secretariat
DPC,MOHS,
WHO, UNICES
and Other NGO’s
AI secretariat
WHO, MOHS,
EU,UNICEF.
1,500,000 Each unit of guidelines will
cost Le5,000.
5,000,000 5,000 each
8,000,000 2,000 each
June 2006
Training to be conducted
at National.
22,766,000
17
DSA, Stationery, rentals,.
Transport and Fuel
b. Training of Livestock & Wild life
agents assigned to Avian Flu activities (3
days)
i. Coordinator
ii.
iii.
June 2006
4 Resources persons
38 participants( i.e. 32
livestock 6 wild life)
- DSA for participants
-
360,000 Honorarium for coordinator
120,000 x 3 days
1,440,000 Honorarium for 4 resource
persons for 3 days x 120,000
9,804,000 86,000 per participants x
x38x3
1,140,000 To and Fro. 30,000 x 38
Transport for participants
1,500,000 Hire services/contract
iv.
Stationery and printing of
training manuals and
preparation of training report.
v.
Feeding of group
1,935,000 43 x Le. 15,000 x 3days
Fuel 20 galls
243,000 for coordination
DSA for 4 support staff
720,000 Le. 60,000 x 4 x 3 days
Media coverage
1,000,000 Publicity fees
c. Training of PHU staff (Cascade
training) 800 PHU staff in 13
districts trained on surveillance
and outbreak investigation.
A.I. Secretariat
DHMT, NGO’s
July –
August
2006
d. Cascade Training of 400 Agric./
Livestock Extension staff in 13
Districts on surveillance and
outbreak investigation.
A.I. Secretariat
District
Livestock team,
NGO
July-Aug.
2006
18
147,429,500 Training manuals, DSA
stationery, transportations,
fuel.
73,715,000 Training manuals, DSA
stationery, transportations,
fuel.
6. Capacity Building of
Veterinary Laboratories
for pre-confirmation tests
of AI and other related
poultry diseases.
 Rehabilitate and equip central
laboratory at Teko and the 5 clinics at
Bo, Kenema, Koidu, and Freetown.
* Regular reporting on various disease &
parasites infestations.
1. Provision of equipments for veterinary
laboratories
- Computer , printer and accessories
- ELISA reader (multi scan plus)
- Photo copier
MAFS, WHO,
FAO; MOHS and
Trade and
Industry
June 2006
190,000,000
10,000,000
10,000,000
8,000,000
- Microscopes, Centrifuges,
incubators, ovens , refrigerators ,
counting chambers, chemical
balances etc. ( Pl. see list attached )
150,000,000
2. Machinery
- 15 KVA generator
25,000,000 To provide power for Teko
laboratory
80,000,000 To facilitate Lab. staff
32,000,000 movement
“
“
“
“
“
- 4 wheel drive 1@ 80,000,000
- motorbikes 2 @ 16,000,000
3. Biologicals
- Avian Flu related biologicals
12,000,000
1,000,000
10,000,000
4. Antibiotics Discs
5. Re-agents and chemicals
- various testing reagent including
those for AI
- Disinfectants
- Detergents
For rapid identification of
10,000,000 type ‘A’ and H5N1virus.
10,000,000 For proper cleaning and
disinfection activities in labs.
6,000,000 3,000 reporting forms to be
produced at Le2,000each
Provision of Forms for reporting on
various infectious diseases and parasitic
infestations.
19
7. Training of Laboratory
staff (Vet)
Transportation Le30,000 x 10 persons
days
July-August
2006
300,000 Transportation to and fro
8,600,000
DSA for participants Le86,000 x 10 x 10
days
Stationery
Fuel for coordination (20 Galls)
500,000
243,000
4,800,000 120,000 per resource person
x 4 x 10 days
1,200,000 Le. 120,000 x 10 days
DSA for 4 resources persons
DSA for Coordinator
2,400,000 60,000 per person x 4 x 10
days
1,500,000 15,000 per person x 10x 10
days.
500,000
DSA for Support staff (2)
Media coverage
8. Procure require supplies for
surveillance Lab. Testing and
shipping Vet samples.
Essential items to carryout all aspects of
active surveillance and out-break
investigations should be procured as soon
as possible.
June2006
Veterinary surveillance
- 1,000 disposable PPE sets @
Le20,000
These disposable personal
protection equipment (plastic
20,000,000 overall,
gloves,
mask,
goggles etc.)sets will be used
by all category of staff or
none
technical
higher
authorities who may want to
visit risk sites or poultry
premises.
- 1,500 Collection bags for samples
3,000,000
- 300 shipping packs for transporting
Samples from investigation site to local
lab.
- 100 safety good boxes for shipment to
International Labs.
- 13 kerosene refrigerators (mid size) for
3,000,000
2,000,000 Each District team needs to
have a refrigerator to keep
20
surveillance teams 13 x Le2,000,000
26,000,000 the cool chain
- DSA for 38 Livestock and Wild life
surveillance agents.
156,864,000 The 32 livestock and 6 wild
life agents will be out of
station for at least 4 days
each month during the year.
i.e. 38 x 4 x 12 x Le86,000
Testing
Dry ice for shipping samples to
International Laboratories
15,000,000
- Testing reagent ( see budget for capacity
building of laboratories)
-
PPE set for laboratory staff 20 sets
@Le200,000 a unit of PPE for Lab. Staff
includes white cotton/poly ester overall,
boot, mask and goggles and gloves.
4,000,000
Risk allowances for Lab. Staff (Vet)
32,400,000 9 laboratory staff at
Le300,000 x 12
Containment / decontamination by
livestock and wild life .
8,400,000 Head of Laboratory 700,000
x 1 x12 months
10,000,000
- Disinfectants / decontaminants
- Motorized spraying equipment including
spares
- PPE sets specific for containment and
decontamination exercise 10 sets x
Le200,000
20,000,000
2,000,000
21
9. Conduct active surveillance of
both domestic and migratory
birds Country wide.
Link up with communities and checking
for sick/dead birds as well as doing
random testing

Obtain curent surveillance plan etc.

Identify / deploy 32 livestock & 6
wild life extension agents to carry out
active surveillance

Prioritize district for active
surveillance for both domestic and
migratory birds.

3 livestock agents deployed
in each of the 6 high risk
districts ie Bonthe, Pujehun,
Moyamba, W. Area, P/loko
and Kambia; and 2 in each
of the remaining 7 districts.
Also 6 wild life agents
deployed in the wet land
areas:- Sierra river estuary
Yawri Bay. Turtle Island /
Bonthe .Scarcise estuary.
Lake sunfun. Mamuta Mayoso swamp and Lakes
Idrissa and Tamisodora
Mobile phone
- 20 mobiles phones acquired @
Le200,000 each
4,000,000 The phones will be rationally
distributed among the
surveillance agents to ensure
rapid reporting
- 500 units Top up cards per week
per phone for 52 weeks

15,600,000 i.e. 15,000 x 20 x 52 weeks
Vehicles
- 3 Pick up vans @Le80,000,000
240,000,000
- 14 motorbikes(XL125) @
Le15,000,000
-
210,000,000 1 motorbike for each of the
13 districts and 1 for the
Central Lab.
12,000,000 40 bicycles to be used by
Community Para- Vets and
other surveillance agents
40 bicycles @ Le300,000
22
Rain Gear:
38 Units of rain gear
950,000 38 x Le. 30,000
1,400,000
Gun boot - 38 pairs @ 50,000
Hiring of boats with out board engines
10. Support to Surveillance
Officers (Health) in case
investigation, contact tracing,
reporting etc.
6 Binoculars for the Wild life crew
Fuel for field investigation (20 galls. Per
quarter x 4 quarters x 26 bikes)
36,000,000 6 wet land areas each to
conduct 1 boat trip per
month for 12 months @
Le500,000
A.I. Secretariat
MOHS WHO,
UNICEF, NGO’S
Raingears (26 sets x Le30,000 each)
Protective equipments(gowns) for
surveillance (3 per persons x 26 persons
Le20,000 each )
June 2006
1,200,000 i.e 200,000 x 6
25,272,000 DSA, mobility running cost,
maintenance,
communication, personal
protection, overnight
780,000 allowance.
1,560,000
Mask (3 per person x 26 x persons x
Le2,000).
156,000
Goggles (3 per person x 26 persons x
Le10,000)
390,000
Gloves (4 boxes 26 persons x Le10,000
each)
1,040,000
Rubber boot (1 pair 26 x persons x
Le50,000
1,300,000
To up for mobiles phones (1000 units per
months x 26 person x 12 months)
9,360,000
Procure Motor bikes with spares (2 bikes x
15,000,000 each)
30,000,000
23
Spare parts for bikes in use ( sprocket,
chain, tyres etc.) Le2,000,000 per bike x
26 bikes)
52,000,000
DSA for surveillance officers -Health (26
persons x Le 70,000 per night x 7 days per
month x 12 months)
11. Transportation for execution
and supervision of surveillance
other AI related activities
152,880,000
Secretariat and Technical committee
candidates to visit high risk and other areas
in the various districts to monitor the
situation on the ground.
- fuel 40 galls x Le12,200 x 12 trips
5,856,000 1 trip a month x 12 months
- DSA for National officer on surveillance
Activities – 4 persons x 1000,000 per
night x 4 days per month x 12 months
19,200,000
Livestock officers at provincial
headquarters and F/town, to help
supervise surveillance activities
- fuel 5 vehicles x 50 gals. X Le12,200 x
12 months
29,280,000 Field supervisors to be out at
least for 1 week each month
Fuel quota 50 gals per month
per vehicle
Laboratory staff to make regular field
trips for sample collection
- Fuel 60 x 12,200 x 12
8,784,000 Estimated fuel quota for Lab.
60 galls per month
Assigned livestock and wild life agent to
conduct active surveillance
- Fuel 19 x 8 12,200 x 12
22,252,000 There are already 4
motorbikes for AI activities
and 15 more are requested
making the number 19.
Monthly fuel quota per bike
- 8 gals.
Volunteer and community Para – vets to
help in the surveillance activities
40 bicycles to be used for
surveillance in communities.
Maintenance and repair of transportation
24
used for surveillance and other AI
activities
1. Vehicles (7)
- lubricants (25% of fuel estimate)
- spare parts
12,260,000 Spare parts estimate per
17,500,000 vehicle - Le2,500,000 per
year
10,000,000
- Services charges(for 7 vehicles)
2 Motorbikes (19)
- lubricants (25% of fuel estimate)
- spare parts
- Services charges(for 7 vehicles
5,550,000 Spares parts estimate per
19,000,000 bike -Le1,000,000 per year.
5,000,000
3. Bicycles (19)
- lubricants
- spare parts
- Services charges(for 40 bicycles)
12. Review culling and
compensation plan for Sierra
Leone.
500,000 To lubricate chains,
4,000,000 sprockets, etc,
1,000,000 To replace tyres, chains
spindles etc. on bicycles
To cover payments to
mechanics who repair
bicycles.
Description / nest steps
1. Seek options for potential funding
2. Develop communication and
compensation Plans to release
information on culling and
compensation
- Develop culling / depopulation
notification forms and print 2,000
copies
-
4,000,0000
1,000,000 Each notification for costs
Le2,000 each
develop and print 500 copies of
depopulation and farmers
compensation report forms, for
commercial and small scale farmers
6,000,000
-develop 3,000 compensation report forms
for backyard and free range poultry
keepers
100,000,000 Cost of compensation report
form 2,000 each
25
- Compensation Package
Each cost 2,000
If about 20,000 poultry are culled
in the next 12 months due to bird
flu and the compensation is
Le5,000 per bird.
13. Capacity building of Public
Health Laboratory for Preconfirmation tests of AI and other
Influenza related
Equipped public health laboratory in
AI Secretariat
WHO, UNICEF,
EU, MOHS,
NGO’s
June 2006 –
June 2007
65,000,000
5,000,000 per District
Hospital.
70,000,000
Le10,000,000 per National
Hospital.
13 Districts hospital
14. Training of Laboratory Staff
in District and National Hospitals
15. Procure PPE for Laboratory
staff at National and District
Hospitals
16. Risk allowance to Laboratory
staff in National and District
Hospitals
7 National hospitals.
- Laboratory equipments
- Biological
- Reagents
- Chemicals
- Disinfectants
- Detergents
Workshop for 40 participants for 3 days
PPE sets provided for laboratory staff in
hospitals.
(Le200,000 per set x 2 PPE sets per person
x 2 persons per hospital x 13 districts
hospitals)
Le200,000 per set x 2PPE sets per person
x 2 person per hospital x 7 National
hospitals
Le300,000 per person per month x 2
persons per hospital x 13 Districts hospital
x 12 months
Le300,000 per person per month x 2
persons per hospital x 7 National hospitals
x 12 months
AI Secretariat
WHO, UNICEF,
MOHS
June 2006
AI Secretariat
WHO, UNICEF,
EU, MOHS
June 2006June 2007
2 persons per hospital lab.
16,998,000
10,400,000
5,600,000
AI Secretariat
WHO,UNICEF
EU, FAO.
June 2006June 2007
93,600,000
50,400,000
Sub-Total
DSA, Stationer, Training
materials, Transport, Fuel
Costs.
2 PPE sets per Lab. staff at
District Hospital
2 PPE sets per Lab. Staff at
National Hospitals.
Risk allowance for 2 persons
monthly
Risk allowance for 2 person
monthly.
Le:2,499,612,500
26
3. QUALITY ASSURANCE IN AVIAN INFLUENZA CONTROL
3.1 Situation Analysis
The standards bureau assures the quality of food, beverages and other consumables entering the country as well as items produced locally in the
country. The Bureau is currently grossly under-resourced and ill equipped to undertake its functions. The advent of avian influenza and the possibility
of introducing the H5N1 virus via contaminated imported poultry makes the immediate provision of the necessary equipment and reagents to
facilitated the early detection of the virus an important emergency.
Build Testing Capacity Of Sierra Leone’s Standards Bureau
Action Item
1. Provision of equipment
Description / Next steps
Responsible
Provision of basic equipment for quality
control activities of Standards Bureau
- High pressure liquid Chromatograph
(HPLC) (Computer assisted 4 columns)
1 set x 102,000,000
WHO, FAO,
MT/I,
Time
Frame
June 2006
Budget
213,000,000
- Atomic absorption spectrophotometer
(AA) 1set x 96,000,000
2. Training of staff
- Cost for spares for equipments
Le30,000,000
Workshops to train staff
MTI, WHO and
FAO
Dec 2006
15,000,000
Sub-Total
Le 228,000,000
27
Remarks
4.
CASE MANAGEMENT
Situation Analysis
There is need for urgent action for the:
 Establishment of Isolation facilities at all Hospitals (National and District)
 Procurement and pre-positioning of Tami flu and other drugs needed for the out break.
 Development of Case Management Protocol for Hospitals and PHUs
 Training of Health workers on Case Management
 Provision of Equipment and Medical supply for Isolation Units
Action Item
Description / Next steps
Responsible
Time
Frame
1. Development of Case
Using the WHO/FAO guide lines develop WHO,
June 2006
Management Protocol for
the Case Management Protocol and Lab.
UNICEF, EU,
hospital staff
Collection tools workshop for 20 persons MOHS, NGO’s
for 3 days
2. Training of Hospital staff on
Case Management
3. Printing and distribution of
case Management Protocol
4. Procurement and Prepositioning of Tami flu and
other drugs(analgesics,
antibiotics and other
supportive therapeutic agents
etc)
5. Improve readiness for
prevention, isolation, and
treatment facilities for humans
in high risk Districts
Train nurses and Doctors( 4 staff per
hospital) in 13district hospitals and 7
national hospitals
500 Managements Protocols printed and
distributed to hospitals
WHO,
UNICEF, EU,
MOHS, NGO’s
WHO,
UNICEF, EU,
MOHS, NGO’s
WHO,
UNICEF, EU,
MOHS,
Tami flu and other drugs procured and
pre-positioned

WHO,
UNICEF, EU,
MOHS, AI
Secretariat
NGO’s
Identify hospital isolation wards
in 13 Districts and 7 national
hospitals.

Renovation were it is needed

Provide disinfectants and
detergent for isolation wards/
hospital
28
Budget
Remarks
Conduct training at national
level
Le11,517,200
DSA, stationery, Transport,
training materials.
July 2006
Le38,137,200
2 batches of 40 participants
each venue
July 2006
Le7,500,000
Provide standard management
protocol
June 2006
– June
2007
Le300,000,000
GOSL to provide some
consignments of drugs
June 2006
Le40,000,000
Renovation
Le2,000,000 per isolation
ward-hospital
Le40,000,000
Disinfectants
Le2,000,000 per isolation
ward-hospital
6. Risk allowance for staff in
the isolation wards (national
and districts hospitals)
4 persons per isolation ward x
Le300,000 monthly x 20 hospitals x
12 months
7. Procure PPE sets for Health
staff at Isolation Wards
(National and Districts
hospitals)
Le 250,000 per PPE sets x 2 sets per
staff x 4 persons per isolation ward x
20 hospital ward.
AI Secretariat
WHO,
EU,MOHS,
NGO’s
AI Secretariat
WHO,
EU,MOHS,
NGO’s
Sub-Total
June 2006
– June
2007
Le288,000,000
Le300,000 monthly per staff
August 2006
Le40,000,000
2 PPE sets per staff at
Isolation ward
Le: 765,154,400
29
5. INFORMATION EDUCATION AND COMMUNICATION (IEC)
5. 1. Situation analysis
 Some communication messages have been made public through the mass media but there is the need to standardize the messages to support surveillance
and prevention and containments strategies
 Coordination is necessary to ensure that messages given out on AI are the same and probably linked to same source
 Messages disseminated country wide
Action Item
Description / Next steps
Responsible
Time Frame
Budget
Remarks
1. Material
development
workshop to
standardize messages
which will be used to
train BFVs, CHWs,
PCs, councilors,
community action
groups (ISLAG,
CHRISTAG
2. Production of
messages into:jingles, flyers, posters,
leaflets, talk shows
adverts and other
information kits.
3. Sensitization of
District Promotion
teams, NGO’s,Media
personnel, Local Govt.
and partners in 13
Districts.
4. Support to radio
stations for air time
Workshop for 3 days to
standardize IEC materials
developed
Pre-test and consolidate
materials.
AI Secretariat HED/
MOHS DPC/MOHS
/
MAFS, SLBS,
Talking drum studio,
agencies FAO,
NGO’s
June 2006
Jingles – 12 local languages at
Le150,000
AI Secretariat
MAFS, MOHS,
UNICEF/WHO,
FAO NGO’s
June 2006
AI Secretariat
MAFS, MOHS,
UNICEF/WHO,
FAO NGO’s
July 2006
Information brochure – 5,000 at
Le3,500
Flyers - 5,000 at Le2,500
One day Sensitization workshop
for 30 participants per District
(13) to strengthen district
mobilization teams
a. Le5,000 per jingle at 2 slot
AI Secretariat
per week for 4 weeks in 15 local MAFS, MOHS,
radio stations x 12 Months =
UNICEF/WHO,
FAO NGO’s
b. 4 radio discussion per quarter
30
Le15,218,200
Le31,800,000
Le68,129,250
June 2006 –
June 2007
7,200,000
10,800,000
DSA , transport,
stationery, fuel for
coordination pretesting,
Development,
Printing, production
cost.
DSA, Transport,
Stationery, Fuel for
coordination (13
Districts)
Air time cost
at Le300,000 per discussion x 3
quarters x3 stations (western
area) =
5. Publication
(print media)
6. SMS messages
on Avian
Influenza
7. Conduct Press
conferences for
Media
personnel
(Print and
Electronic)
8. District
Sensitization
meetings
c. Radio announcement
(1 per month x Le20,000 per
slot x 2 Slotsx3 stations x 12
months
4 publications per quarter
AI Secretariat
@Le600,000 per publication x 3 MAFS, MOHS,
quarters.
UNICEF/WHO,
FAO NGO’s
Key messages sent through
A I. Secretariat
local Communication Net work FAO,WHO,
UNICEF, EU,
NGO’s, Celtel,
Milicom, Comium ,
Africel, Datatel
Two Press conferences
A I. Secretariat
conducted
FAO,WHO,
UNICEF, EU,
NGO’s,
2 sensitization meetings
conducted by districts team for
local councils chiefdom
authorities, religious leaders,
local volunteers, announcers
and partners
District Livestock /
Health teams,
NGO’s.
UNICEF,WHO,FAO
Sub-Total
1,440,000
June 2006 July 2007
7,200,000
4 publications per
quarter
June2006June 2007
5,000,000
Discussion ongoing
with local cell
phone companies
for additional
support
Nov.2006 &
May 2007
5,000,000
Press Conferences
conducted twice per
year at National
level
September
2006
Le65,299,000
2 sensitization
meetings conducted
by each district
team.
Le2,511,500 per
meeting in 13
districts.
Le:217,086,450
GRAND TOTAL
Le:4,151,074,350
US $ 1,383,691
31
32