CORDS Disease Surveillance Tabletop Exercise

Exercise Material Only - Not for Distribution EXERCISE FICTITIOUS VARIANT EXERCISE EXERCISE EXERCISE

Exercise Material Only - Not for Distribution Introductory Remarks

Exercise Material Only - Not for Distribution Administration and Logistics

Exercise Material Only - Not for Distribution Tabletop Overview • This is a learning exercise, not a test,intended to highlight the dialogue and movement of surveillance information within and amongst internal and external network(s) at all levels. • During this simulation, you are asked to emulate what you do in similar situations. • It also provides visibility beyond the direct impacts of a zoonotic disease on animals, humans and the environment, as to other significant secondary impacts (agri-food industry, trade, environmental considerations etc.). • The tabletop will last around one and a half hours: • Approach/methodology • Simulation • Lessons learned

Exercise Material Only - Not for Distribution Tabletop Aim • Determine how CORDS can increase the effectiveness of disease surveillance. • Explore the current realities “on the ground” and how this might be improved

Exercise Material Only - Not for Distribution Tabletop Objectives - General • To understand how an emerging zoonotic disease outbreak would be identified by CORDS Networks • To identify how and among whom, information will be shared. • To begin to develop a picture of how the sharing of intelligence might add to the effectiveness of surveillance. • Solicit feedback and input on optimal ways to share and exchange information on a trusted party platform in order to transform information into intelligence. • To identify how CORDS can best contribute by the provision of an IT platform.

Exercise Material Only - Not for Distribution Assumptions and Artificialities • The zoonotic dimension of the exercise (animal to human, human to human etc.) has been artificially facilitated, and the scenarios do not reflect the complexity of the task to establish such linkages. • Vaccinations, if any carried out, have proven ineffective against this fictitious variant. • Players will assume that any organization not participating in the exercise is responding to the outbreak to the best of their ability, or at full capacity, unless otherwise noted by the facilitator. • Names do not represent true persons.

Exercise Material Only - Not for Distribution Assumptions and Artificialities • Scenario progression has been accelerated. • It is acknowledged that under- reporting for a number of reasons (financial, political etc.) may occur in real life but this aspect has been minimized. • Locations as well as entities have been emulated where necessary to provide reference points but are by no means to represent any weaknesses real, perceived or interpreted. • The scenario events are not intended to shed discredit on any organization, real or fictitious.

Exercise Material Only - Not for Distribution Player Handbook

Exercise Material Only - Not for Distribution Concept of Play • Exercise players will respond in accordance with the existing procedures, and practices. • Members from a number of the Networks have been assigned to this scenario, while it is acknowledged that a main portion of the scenarios/ injects may focus on a particular Network, contributions and experience from all members will be solicited. • Participants from the various Networks are encouraged to share relevant experience during the discussions and report on the realities of their respective Network.

Exercise Material Only - Not for Distribution Concept of Play • When you receive information whether by means of a scenario update or through an inject, you need to assess for your respective Network: • How, and from whom would I normally have received this information? • How do I know I can trust this information? • Is this information “official” who can I share it with, who do I want to share it with? • Does action need to be taken as a result of this information, by whom? What is my role? • Who else may have intelligence that would be of value? How can I obtain that intelligence?

Exercise Material Only - Not for Distribution Concept of Play • The player, once asked by the facilitator, will present planned actions to all participants and: • emphasize information sources and support requirements by clearly stating the required action and by whom (within and amongst respective networks) • Address any points of clarification from members • At the end of a scenario suite, a short plenary discussion will focus on key overarching thematic questions.

Exercise Material Only - Not for Distribution Background

Exercise Material Only - Not for Distribution FMD • The OIE defines Foot and Mouth Disease (FMD) as: “a highly contagious viral disease of cloven-hooved animals. The morbidity (the number of animals that will get the disease) could be as high as 100%. The virus which causes FMD is an aphthovirus of the family Picornaviridae.” • Although it is/was thought that FMD is not readily transmissible to humans and is/was not a public health risk, this simulation is likely to explore new territory. • As of early 2014, only a few benign cases of human infections had been documented, and of these cases none required hospitalisation as these were mild in nature.

Exercise Material Only - Not for Distribution FMD • Before the conduct of this exercise, there were seven known immunologically distinct types of FMD viruses, A, O, C, SAT1, SAT2, SAT3, and Asia1. • “There can be a variety of genotypes within each of these requiring a specific vaccine effective against the circulating viral field strain in the event of an outbreak, to ensure protection”.

Exercise Material Only - Not for Distribution Scenario 1OUTBREAK CATALYST

Exercise Material Only - Not for Distribution

Exercise Material Only - Not for Distribution SCENARIO HIGHLIGHTS • Mr. Văn’s pig operation is housed in concrete pig sheds with natural ventilation as well as pens and metal cages with natural ventilation panels located in the roofs. The sheds have concrete floors and accommodate the 3000 fatteners that he is raising as well as 275 sows and approximately 2500 piglets • The farm is located in the small village of Kha Ly Ha, located in the BắcGiang province of Vietnam in the northeastern part of the country, 60 kilometres to the east of Hanoi. • The province has a high pig population density, estimated at around 1000 pigs per hectare. Mr. Văn informed the young help that FMD has been endemic in the region for some time and that the country was not FMD free according to the OIE. • Five young workers on Mr. Văn’s pig farm are being briefed concerning animal care and informed of their daily chores.

EXERCISE SCENARIO-INJECT SHEET Exercise Material Only - Not for Distribution

Exercise Material Only - Not for Distribution PLENARY DISCUSSION - A At the Network level, please provide your views: •How, and from whom would I normally have received this information? • How do I know I can trust this information? • Is this information “official” who can I share it with, who do I want to share it with? • Does action need to be taken as a result of this information, by whom? What is my role? • Who else may have intelligence that would be of value? How can I obtain that intelligence?

Exercise Material Only - Not for Distribution Scenario 2DOMESTIC CHALLENGE

SCANDAL NEWS THE WORLD’S MOST DUBIOUS NEWSPAPER July 10th, 2014 www.scandalnews.fcom Pigs and Humans – ill! Jean Letannant reported that two large finishing pig farms in the Thai Bin area had been struck by an unknown virus as over 4000 pigs were displaying signs of sluggishness, loss of appetite and disorientation and more than 40 workers and over 200 relatives are said to be sick. As a result of the sudden increase in cases, the Surveillance Section of the District Preventive Medicine Brigade was dispatched to investigate. At the request of the National Institute of Hygiene and Epidemiology, blood samples were collected from all affected.

Exercise Material Only - Not for Distribution FMD Serotype FV

Exercise Material Only - Not for Distribution PLENARY DISCUSSION - B At the Network, please provide your views: •How, and from whom would I normally have received this information? • How do I know I can trust this information? • Is this information “official” who can I share it with, who do I want to share it with? • Does action need to be taken as a result of this information, by whom? What is my role? • Who else may have intelligence that would be of value? How can I obtain that intelligence?

Exercise Material Only - Not for Distribution Scenario 3OUTBREAK SCOPE EXPANSION

SCANDAL NEWS THE WORLD’S MOST DUBIOUS NEWSPAPER July 10th, 2014 www.scandalnews.fcom Exported Weanlings - Sick! Jean Letannant Vietnamese weanlings exported to Laos and China arrived at destination in poor health condition today. Having spoken to importers, this reporter was informed that that importers were likely to demand reimbursement. Several truckers involved in the transportation were also displaying high fevers. Upon closer inspection, some piglets displayed lesions on the snout and around the feet.

Exercise Material Only - Not for Distribution PLENARY DISCUSSION - C At the Network level, please provide your views: •How, and from whom would I normally have received this information? • How do I know I can trust this information? • Is this information “official” who can I share it with, who do I want to share it with? • Does action need to be taken as a result of this information, by whom? What is my role? • Who else may have intelligence that would be of value? How can I obtain that intelligence?

Exercise Material Only - Not for Distribution Scenario 4ACTIONS AND RECOVERY

Exercise Material Only - Not for Distribution PLENARY DISCUSSION - D At the Network level, please provide your views: •How, and from whom would I normally have received this information? • How do I know I can trust this information? • Is this information “official” who can I share it with, who do I want to share it with? • Does action need to be taken as a result of this information, by whom? What is my role? • Who else may have intelligence that would be of value? How can I obtain that intelligence?

Exercise Material Only - Not for Distribution PLENARY DISCUSSION – Hotwash • What issues and opportunities were identified? • How can an IT platform provided by CORDS help to overcome these? • What would be optimal ways to share and exchange information on a trusted party platform in order to improve early warning? • What tools and processes would be required? • What does this mean for the priorities for CORDS and its networks?

CORDS Disease Surveillance Tabletop Exercise