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The PPR Global Control & Eradication Strategy - next steps - Susanne Münstermann on behalf of FAO – OIE PPR Working Group. Contents. The GCES Rationale for developing a PPR eradication strategy How it was done Objectives of the GCES Components of the GCES & their implementation

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  1. The PPR Global Control & Eradication Strategy- next steps -Susanne Münstermannon behalf ofFAO – OIE PPR Working Group

  2. Contents The GCES • Rationale for developing a PPR eradicationstrategy • How itwasdone • Objectives of the GCES • Components of the GCES & theirimplementation • At national level • Atregionallevel • At international level • Governance • M & E • Nextsteps

  3. Summary of the global PPR situation • Africa: 43 • East Asia: 2 • South Asia: 5 • West Eurasia: 9 • Middle East: 14 No of countries included in the GCES: 73

  4. Disease reports received in WAHIS for Middle East Region 2005 - 2015

  5. 52 countries officially free from PPR (Code 14.7)

  6. Rationale for PPR Control and Eradication • Role of small ruminant production for food security, poverty reduction, sustainable development • Socio-economic impact of PPR • Only regional approach will lead to success • Veterinary Services are at the heart of animal health systems tasked with preventing and controlling animal diseases Importance of PPR eradication was acknowledged at: • 5èmeGlobal Steering Committee of GF-TADs (Paris, Oct 2012) • OIE 82èmeGeneral Assembly (Paris, May 2014), Resolution No.24 • FAO 24ème COAG and FAO 150ème Conseil (Rome, 2014)

  7. Why is PPR a good disease candidate for a global eradication effort? • One serotype • No carrier state after infection • No reservoir outside domestic small ruminants • Vaccine with long live immunity after a single dose; cheap to produce • Thermo-stable vaccine to come • Diagnostic tests available

  8. Evolution of the PPR Strategy • Based on the experience with Rinderpest eradication and similar favorable characteristics for PPR, a GF-TADs PPR WG was formed in January 2013 • 4 members from FAO/IAEA and 3 from OIE • Meetings/TC were held regularly between Paris and Rome over 2 years • Draft PPR Global Control and Eradication Strategy (GCES) was produced for review

  9. Consultation with experts, national and regional authorities, policy-makers, development partners and private industry: PPR Workshop in Rome, October 2014 Peer review of thestrategy Consultation process for the elaboration of the PPR Global Strategy Similar to the preparation of the FMD Global Strategy • Inputs from the OIE Scientific Commission • Presentation in Abidjan

  10. Overall objectives of the PPR Global Strategy • Overall objective • A productive small ruminant sector contributing to global food security and nutrition, human health & economic growth, particularly in developing countries Purpose Establish the capacity of stakeholders and Veterinary Services to control and eradicate PPR and control other small ruminant diseases.

  11. Specific objectives of the PPR Global Strategy • The eradication of PPR by 2030, which requires: • In infected countries, achieving a progressive reduction of the incidence and spread, leading to final eradication of PPR • In non-infected countries, maintaining their officially recognised PPR-free status • While at the same time: • Reinforcing Veterinary Services • Improving animal health globally by reducing the impact of other major infectious diseases of SR Photo credit: G Von Klooster

  12. PPR Strategy - Main principles National, regional and global levels • Component 1 – PPR Control and Eradication • Component 2 – Strengthening Veterinary Services • Component 3 – Combined disease control (other small ruminant diseases) Photo credit: CIRAD

  13. Step-wise approach to eradication - National level-

  14. Four Stages 0

  15. Assessment plan Application to free status (14.7.31) National control program for endorsement by the OIE (14.7.34) Stage 4 Stage 1 Stage 2 Stage 0 Stage 3 No data available Understanding of the epidemiological situation and disease distribution Control in identified areas or husbandarysystems (vaccination) Control and eradication in the entireterritory (vaccination) Evidence for the absence of virus circulation

  16. Timelines • Stage 1  minimum 12 months and up to 3 years • Stage 2  3 years (from 2 to 5 years) • Stage 3  3 years (from 2 to 5 years) • Stage 4 2 years up to 3 years

  17. Key technical elements of each stage Legal framework Surveillance Diagnostic Prevention and Control Stakeholder involvement

  18. Progressively improving each technical element Legal framework

  19. Technical elements with specific protocols for implementation - Presented in the Annexes of the GCES -

  20. Technical Element: Surveillance Active versus passive surveillance in different Stages

  21. Technical Element: Vaccination • Main tool for control & eradication in Stage 2 and 3 • Approachdeveloped on the basis of country experiences (e.g. Afghanistan) Preconditions: • Know the animal numbers in the territory to bevaccinated(geographical distribution of SR in country) • Weretakenfrom FAO statistics (but changes will have a major effect on implementation and costing) • Know the agro-ecological system to time vaccination campaignsaccordingly • Literaturereview & modeling the aridity index

  22. Vaccination protocols in GCES Overall: 2 successive yearsfollowed by 1 or 2 years revaccination of new bornes By production system: • Arid pastoral and agro-pastoral • Characteristics: marked parturition season • 1 vaccination per year (before parturition peak) • Humidcrop-livestockfarming • Characteristics: no marked parturition season • 2 vaccinations per year (period to beadapted to agriculture calendar) • Peri-urbanlivestock production • Characteristics: high turn over • 1 or 2 vaccinations per year, depending on turn over

  23. Post Vaccination Evaluation (PVE) Stage 2 and 3 • Combination of different techniques (Serology, sociologicalsurveys, productivitysurveys)

  24. Linking the PPR step-wise approach to the quality of VS (Component 2) Capacity of VS considered as the ‘Enabling Environment’(Component II) 12 CCs 27 CCs 29 CCs 33 CCs OIE standards on quality of VS (Mostly) Assessment Level 3 of OIE PVS Critical Competences

  25. Regional approaches • Coordination • Laboratory Networks with Regional Leading Laboratory • Epidemiology Networks with Regional Leading Centre • Regional Vaccine Banks • Regional Animal Health Centers • Regional Road Map Meetings The regional networks are tools of paramount importance Photo credit: Iran Vet Organisation

  26. Regional coordination and monitoring 9 Regional Roadmaps governed by 9 Regional Advisory Groups (RAG)

  27. Member countries of the Middle East Roadmap: • GCC countries (Bahrain, SaudiArabia, Kuwait, Oman, Qatar, UAE) • Iraq, Jordan, Lebanon, Palestine, Syria, Yemen

  28. International approaches Integration and coordination of regional activities at the global level • OIE-FAO Reference Laboratory Network • International Epidemiology Network • PPR Global Research and Expertise Network (PPR-GREN)

  29. Governance GCES • GF-TADs Global Steering Committee • PPR Working Group • Regional Advisory Groups • Role of Regional Organizations, e.g.: • ASEAN, SAARC in Asia • AU-IBAR, SADC, ECOWAS, etc., in Africa • GCC in Middle East A Global Control and Eradication Programme (GCEP) to be launched to implement the Global Strategy with a Joint FAO-OIE Secretariat and a Global Steering Committee

  30. Monitoring & Evaluation A dedicated Tool has been developed for M&E of the GCES PPR Monitoring & Assessment Tool PMAT Descriptive part Questionnaire part Way forward part

  31. Component 1PPR control & eradication • Roadmap meetings • Self assessment of stage of departure using PMAT questionnaire • Country vision towards eradication • Establishment of the Regional Advisory Group (3 CVO et al) • Selection of disease for Component 3 • Central Africa: August 2015 • East Africa: September 2015 • West Africa: November 2015 • Middle East (Doha, Qatar): December 2015 • South Asia: January 2016 • West Eurasia: February 2016

  32. Example for a draft Roadmap after the initial Roadmap meeting

  33. Component 2Strengthening Vet Services • Dedicated list of questions in PMAT • PVS reports to assess level of CCs required for PPR • If PVS reports are >5 years, a follow-up PVS mission is recommended • Component 3Other small ruminant diseases • Disease specific criteria will be developed for the 2nd round of Roadmap meetings after identification of national priority diseases

  34. Conclusions • The FAO / OIE Global Control and Eradication Strategy has been endorsed by Ministers and country representatives at the Abidjan Conference in April 2015. • First sensitisation and country assessment “Roadmap” meetings have been orgainised in Central Africa, West Africa, East Africa since Abidjan • Within the next 4 months other regions will be addressed: Middle East (Qatar, 1- 3 December), South Asia and West Eurasia, while at the same time seeking donor support at global level • Important role of the Secretariat to implement the Global C&E program (GCEP) is acknowledged

  35. Thank you for your attention s.munstermann@oie.int eran.raizman@fao.org felix.njeumi@fao.org n.leboucq@oie.int adama.diallo@fao.org giancarlo.ferrari@fao.org j.domenech@oie.int d.sherman@oie.int Photo credit: Iran Vet Organisation Photo credit: Iran Vet Organisation

  36. Photos: credit P Fernandez, CIRAD, IAH Pirbright

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