S
Update on PCP-FMD in
virus pools 2-6
Samia Metwally, DVM, PhD
Animal Production and Health Division
Food and Agriculture Organization of the UN
Rome, Italy
Samia.metwally@FAO.org
Giancarlo Ferrari (FAO), Nadège Leboucq (OIE), Julio Pinto (FAO),
Laure Weber-Vintzel (OIE)
1
Middle East FMD Roadmap Meeting • Doha, Qatar • 1-3 December 2015
The Global FMD Control Strategy
Developed in 2012: by the FAO- OIE FMD working group in
consultation with the experts and regional representations
Number of Countries: 87
Duration: Fifteen years
Components
Improve
VS
Control
Other
Diseases
FMD
Control
Costing
US$ Mil (5 years)
National
Program
68
Vaccination
694
Regional
47
Global
11
820
2
FMD Control Meets FAO Strategic
Objectives
SO1: Contribute to the eradication of hunger, food insecurity and
malnutrition
SO2: Increase and improve provision of goods and services from
agriculture, forestry and fisheries in a sustainable manner
SO5: Increase the resilience of livelihoods to threats and crises
FAO is present in over 130 countries with a decentralised network
of five Regional Offices, nine Subregional Offices and 80 FAO
Representations.
Global Approach
 FAO-OIE FMD WG developed the
GS and coordinating its
implementation
 Global list of leading
experts; in





•
Laboratory diagnostics
Epidemiology
Vaccine and vaccination
Socio-economics and economics
Disease management and
control
Languages: English, French, Russian
and Arabic
Well trained on PCP-FMD
•
If interested, send CV to
 Global Network:
 OIE-FAO FMD reference laboratory
network
 Epidemiology network (not
established)
•
FAO-FMD@fao.org & OIE-FMD@oie.int
National Approach
• Use of PCP-FMD guidelines as tool for implementation
• Countries’ investment and control plans (FAO, OIE and
donor support)
• Performance of veterinary services (PVS)
• Guiding documents being developed:
–
–
–
–
–
Post vaccination monitoring
Serosurveillance
Disease investigation
Socioeconomic guidelines
Templates for drafting control plans
• Training and webinars
Progressive Control Pathway for FMD
3
Implement
Control strategy to
eliminate circulation
2
Implement
risk-based control
1
Identify risk and
control options
Eliminate virus circulation
•
Implement aggressive control policy
•
•
•
•
•
Continue routine surveillance
Early detection and rapid response
Vaccination
Eliminate FMD in zones or country
OIE-endorsed national control plan
Reduce Impact
•
•
•
•
Implement risk-based control strategy
Stakeholder consultation &engagement
Targeted vaccination
Monitor and evaluate
Understanding
•
FMD epidemiology
•
Identify hotspots
•
Map value and market chains
•
Socioeconomic impacts
•
Formulate control options
Regional Approach
• Regional control strategy
• Regional roadmap meetings for country assessment
(PCP stage)
• Regional laboratory and epidemiology networks
o
o
o
o
o
Eastern Africa: EARLN and EAREN
West Africa: RESOLAB and RESEPI
West Eurasia: WELNET and EPINET
SAARC: epidemiology and lab networks
ME: not established
Regional Roadmap Meeting Convened
Since 2012
SEAC
FMD
PHEFA
8
Regional Roadmap Platform
CVOs and FMD national specialists participate
development partners invited
 Share information on FMD virus circulation and vaccine selectioncountry reports
Review of national control plans
PCP stage acceptance: questionnaire, country report, interview and
assessment by regional advisory group
Assist in preparing national control programmes and project proposals
for increased investment in FMD control
No. Countries and their PCP Stages
SAARC Roadmaps (Virus pool 2)
2012 to Present
country
Bangladesh
Bhutan
India
Nepal
Sri Lanka
2011
1
1
3
1
1
2012 2013 2014 2015 2016 2017 2018 2019 2020
1
1
3
1
1
1
1
3
1
1
2
1
3
1
2
2
1
4
1
2
2
2
4
2
2
3
2
4
2
3
3
3
4
2
3
3
3
4
2
4
4
3
4
3
4
First roadmap in 2011
5-7 countries
20%
80%
Stage1
Stage 3
Present
No. Countries and their PCP Stages
West Eurasia Roadmap (virus pool 3)
2012 to present
Kazakhstan
Kyrgyzstan
Tajikistan
Turkemnistan
Uzbekistan
Afghanistan
Iran
Pakistan
Turkey Thrace
Turkey Marmara-Aegean
Turkey Rest of Anatolia
Armenia
Azerbaijan
Georgia
Syria
Iraq
First roadmap in 2008
14 countries
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025
1
1
1
1
1 2*
1
0
0
1
1 2* 2*
2
2
3
3
4
4
4
5
5
5
0
1
1
1
1
1
2
2
2
2
2
3
3
4
4
4
5
0
0
0
1
1
1
1
0
1
1
1
1
1
2
2
3
3
4
4
5
5
5
5
5
0
1
1
1
1
1
1
2
2
3
3
3
4
4
4
4
5
2
2
2
2
2
2
2
2
2
2
2
3
3
3
3
3
3
0
1
1
1
1 2*
2
2
2
3
3
3
3
3
4
4
4
?
4
4
4
4
5
5
5
5
5
5
5
2
2
2
3
3
3
3
4
4
4
4
1
2
2
2
2
2
2
2
2
2
2
3
3
4
4
4
4
2
2
2
2
2 2* 2*
2
3
3
3
4
4
4
4
4
4
2
2
2
2
2 2* 2*
2
3
3
3
4
4
4
4
5
5
2
1
1
1
1 2*
2
3
3
3
4
4
4
4
4
4
4
3
1
1
1
1 2*
1
1
1
1
1 2*
2012
Present
29%
64%
71%
29%
stage 0
Stage1
Stage 2
Stage 3
7%
No. Countries and Their PCP Stages
Middle East
2012- present
First roadmap in 2012
12-14 countries
Country
Bahrain
Egypt
Iraq
Jordan
Palestine
Kuwait
Lebanon
Oman
Qatar
Saudi Arabia
Syria
UAE
Yemen
2012
1
1
2
1
2013
2*
1
2
1
2
1
2
2
1
2
1
1
2*
1
2
2*
1*
2
1
1
2014
2
1
2*
2*
1
3
2*
2*
3
1
2*
2
1*
2015
3
1
2
2
2016
3
2
2
3
2017
3
2
2
3
2018
4
2
2
4
2019
4
2
3
4
2020
4
3
3
4
2021
4
3
3
4
3
2
3
3
1
3
3
1
3
3
3
3
2
4
3
2
4
3
4
4
2
4
3
2
4
3
4
4
3
4
4
2
4
4
4
4
3
4
4
2
4
4
4
4
3
5
4
3
4
4
4
4
4
5
4
3
Present
2012
42%
50%
58%
stage 0
33%
Stage1
Stage 2
Stage 3
17%
No. Countries and their PCP stages
East Africa
First roadmap in 2012
12 countries
Country
Burundi
Djibouti
DRC
Eritrea
Ethiopia
Kenya
Rwanda
Somalia
South Sudan
Sudan
Tanzania
Uganda
2012 to present
2014
201
5
201
6
201
7
201
8
201
9
202
0
202
1
202
2
202
3
202
4
1
1
1
1
1
1
1
1
1
1
1
1
2
2
1
1
2
2
2
2
2
2
2
2
3
3
2
3
3
3
3
3
3
3
3
3
4
4
4
4
4
4
4
4
2
3
2
1
3
2
2
2
4
2
1
3
2
3
3
4
2
1
3
3
3
3
4
2
1
3
3
3
3
4
2
1
3
3
3
4
4
2
2
4
4
4
4
4
2
2
4
4
4
1
2
2
2
2
2
3
3
1
1
1
1
1*
1
1
1
2*
2
2
2
1
1
2
2
1
1
2
2
*Provisionally accepted
stage 0
Stage1
Stage 2
Stage 3
2012
8%
92%
Present
17%
83%
13
Number of Countries per PCP stage
Virus Pools 2-4
Between 2012 and 2015, countries advanced in PCP stages
with clear shift to have more countries in PCP stages 1 and 2
in 2015 compared to 2012. A few countries progressively
advanced to stages 3 and 4 by 2015
15
Some Area of Challenges
•
Diagnostics:
– capabilities to carry out sustainable surveillance
– Field investigations and collection and shipping of samples
•
Vaccine:
– Low vaccine coverage and resources to buy vaccine
– Vaccination regimens for small ruminants
– Effective vaccination programs
•
Reporting and early warning:
– Lack of early warning system and realtime disease information system in regions
– Poor reporting at village level
•
Regional action plans:
– FMD control for hot spots
– Regional control plan
– Animal movement/value chain
•
Endorsement of public private partnership
•
Surveillance and seromonitoring
Conclusions
•
The mechanism for PCP-FMD stage acceptance is developed
•
Global FMD control is feasible and can be a driver to improve the animal health system
•
The uptake of FMD control is different; west Eurasian countries are more advanced than other
regions
•
PCP-FMD approach and reinforcement of vet services are gradually gaining acceptance. Sixty
countries are engaged and 42 countries are closely monitored with evidence of advancement.
•
Political will and engagement of international and regional organizations and development partners
are crucial to the startup and sustainability of FMD control
•
PCP principles could be adopted and used for control of other TADs as an optional possibility and
after regional and national discussions
•
Funding is needed to support the global strategy, particularly those countries at lower PCP stages
•
Vaccination issues need to be addressed by the government authority and research community
•
Virus pools 5 and 6
17
Acknowledgments
FAO Decentralized offices and ECTAD teams
OIE HQs and regional and sub regional offices
EuFMD secretariat
Continental-Regional organizations: AU-IBAR, IGAD, EU
Italian government for funding the FMD global secretariat, 2013-2015
Former Members of the FMD WG: Jemi Domenech and Peter Deleeuw
Thank you for your attention
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