China Field Epidemiology Training Program for Veterinarian (FETPV) Module 1: Introduction to veterinary epidemiology 29 November - 22 December, 2010 1. Background The appearance of highly pathogenic avian influenza (HPAI), Nipah virus and severe acute respiratory syndrome (SARS) has clearly demonstrated shortcomings in the ability to rapidly detect, report, and respond to such emerging diseases in Southeast Asia, due to lack of human capacity. The Field Epidemiology Training Program (FETP) is a globally recognized long-term field epidemiology program developed by the public health sector. This two-year course provides training to support outbreak investigations, analysis of surveillance data, field research and provision of practical recommendations for decision makers. Most importantly, the FETP model also promotes the concept of “training by providing services”. With successful stories of FETP in public health, the Ministry of Agriculture in China is currently partnering with the Food and Agriculture Organization of the United Nations (FAO) and United States Agency for International Development (USAID), to develop such a program similar to FETP for veterinarians. The China FETPV is pleased to announce that the training course will be held during 29 November – 23 December 2010 in Beijing, China. This one month course is aimed at providing basic knowledge in field epidemiological applications focusing on effective animal disease surveillance and outbreak response and at introducing the long-term FETPV course. 2. Objectives 1) To provide to participants with expertise in the basic concepts of field epidemiology focusing on the following activities - principles and concepts of field epidemiology for disease prevention and control - design and assessment of disease surveillance and networks using multi-level and multi-disciplinary approaches. - planing and conduct of effective outbreak investigations under a variety of field situations, 2) To introduce the FETPV course to the participants , and 3) To explore the possibility of collaboration for the development of an international FETPV. 3. Target participants and requirement In total, 15 trainees will be selected from core staff from veterinary department or institution of the national level and project provinces (Hunan, Guangxi, Yunnan, and Chongqing). They will be selected according to the following criteria: Essential: - Special interest in field epidemiology and working on animal disease control program; - At least 2 years working experience in epidemiology related fields; Good performance in current position, recommendation from direct supervisor and head of the institution; Bachelor Degree or above in Veterinary Medicine or equivalence; Proof of adequate language skills in English; 25–45 years old; Good communication and organizational skills; Commitment from the employing government agency to assign the trainee to duties involving extensive practices using epidemiological expertise and to support the trainee to participate in periodic epidemiology training courses over 2 years. Desired: - 4. Experience in field work including field studies and investigations; Currently working in animal disease control field especially on investigations and surveillance; Ability to organize similar training upon return to their institute. Course methodology - 5. Course will adopt the following approach to learning: Necessary theoretical knowledge and concepts using a problem-oriented approach that stresses critical reasoning skills Practical exercises to reinforce knowledge, concepts and critical reasoning skills Apply knowledge in simulations based on actual field case studies Introduction of multi-disciplinary approach at all levels of activities Course organizers - MoA and FAO (main organizers); China Animal Health & Epidemiology Center (CAHEC/Qingdao); China-Canada Livestock Health Extension Services Program (LHESP); United States Agency for International Development (USAID); United States Center for Disease Control (USCDC); Faculties of Veterinary Medicine (Wuhan, Beijing); International research centers: RVC/UK, CIRAD/France, IZSVe/Italy. Course Component Part 1: Explaining and applying essential epidemiological concepts. Learning Objectives: At the end of this part of the course, participants will be able to: 1. Explain and apply basic epidemiological concepts and essential definitions needed for addressing animal and human health problems; 2. Explain how epidemiological approaches support government regulatory services; 3. Describe the key elements of the human-animal interface and explain why these are important in disease control; 4. Explain the concept of causation and how it is used to better understand animal and human health problems; 5. Explain and apply the basic measures and tools of descriptive epidemiology. Part 2: Assessing population health and disease status by conducting surveys and surveillance. Learning Objectives: At the end of this part of the course, participants will be able to: 1. Explain the purpose and use of surveys and surveillance; 2. Explain sampling methods and perform basic sample size calculations; 3. Explain the properties of diagnostic tests, perform basic associated calculations and use them for interpretation of test results; 4. Analyze data gathered through surveys and surveillance and produce practical recommendations Part 3: Conducting an epidemiological investigation of a disease outbreak. Learning Objectives: 1. At the end of this part of the course, participants will be able to: Explain the aims and basic knowledge and skills of disease outbreak investigation; 2. Explain and implement the necessary steps in preparing for and conducting a disease outbreak investigation including analysis and interpretation of the resulting data; 3. Explain how to conduct disease outbreak investigations in different animal systems; 4. Explain and apply basic descriptive statistical methods for describing a disease outbreak event; Part 4: Communicating results and producing practical recommendations for stakeholders relating to population health based on disease status assessment and analysis of outbreak investigation data. Learning Objectives: At the end of this part of the course, participants will be able to: 1. Present descriptive data in oral and written formats; 2. Communicate practical recommendations to stakeholders relating to the data produced. Module 1: Introduction to veterinary epidemiology November 29th – December 23rd 2010 Date 8:30-9:00 9:00-10:30 B 11:00-12:30 L 13:30-15:00 B 15:30-17:00 Part 1 Basic epidemiological concepts Sun 28 Mon 29 Tue 30 Opening Ceremony Pretest Basic measures and tools of descriptive epidemiology Basic measures and tools of descriptive epidemiology (exercise) Part 2 Assess Animal and/or Related Human Health Situation Wen 1 Wrap up Surveys and Sampling methods surveillance in and performing animal health basic sample size calculations Thu 2 Wrap up Properties of Properties of diagnostic test, diagnostic test, performing basic performing basic associated associated calculations and calculations and interpretation of interpretation of test test results results Fri 3 Wrap up Understanding of the human-animal interface Wrap up (exercise) Design of surveillance systems Registration and Course Orientation Apply basic Apply basic epidemiological epidemiological concepts concepts and and essential definitions essential definitions (exercise) How epidemiology supports government regulatory services (Workshop) Sampling methods and performing basic sample size calculations Surveillance data analysis (exercise) Design of surveillance systems (exercise) Sat 4 Sun 5 Mon 6 (exercise) Surveillance data analysis (exercise) Week-end Surveillance Field Activities (Moa, CDC, FAO and university) Date 8:30-9:00 9:00-10:30 B 11:00-12:30 L 13:30-15:00 B 15:30-17:00 Tue 7 Surveillance Field Activities (MoA, CDC, FAO and university) Wed 8 Mentoring (summarize and produce recommendations from surveillance field activities) Thu 9 Wrap up Presentation of surveillance field activities Discussion and conclusions of surveillance field activities Outbreak investigation: Field visit Fri 10 Sat 11Sun 12 Part 3 The epidemiological response to a disease outbreak Concept of disease outbreak investigation Holiday Mon 13 Wrap up Animal disease outbreak investigation Using descriptive statistical methods for describing a disease event Using descriptive statistical methods for describing a disease event Tue 14 Wrap up Simulation exercise on outbreak investigation (exercise) Simulation exercise on outbreak investigation Wed 15 Wrap up Simulation exercise on outbreak investigation Simulation exercise on outbreak investigation Part 4 Communication - Reporting findings and making recommendations Thu 16 Fri 17 Risk communication Wrap up Data presentation and report writing Data presentation and report writing Week-end Data presentation and report writing exercise Sat 18Sun 19 Mon 20 Presentation Presentation Tue 21 Wed 22 Weekly scientific meeting Closing ceremony Weekly scientific meeting Departure of participants Remark: All exercises and field activities will be facilitated by instructors