FAO Presentation continued.
Geographical distribution of AI virus types of Avian Influenza isolated in Asia

Newly affected provinces
Outbreaks of AI reported between December 2003 and October 2004
Cross Cutting Issues
- Epidemic is evolving, persisting and expanding in geographical distribution and incidence
- Disease control measures not fully applied in all countries due to structural, financial, political problems
- Biosecurity Measures needed to be applied
- Intensify public awareness to change attitudes and practices of farmers especially on biosecurity
- Culling with insufficient protection of workers and in-humane killing of birds
- Vaccination
- Need for adequate epidemiological assessment
- More studies on asymptomatic animals
- Continuing threat to human health as long as the infection is present in the poultry production systems in Asia

Issues Concerned from the Second Wave
- Disease observed more in less bio-secure system: small-medium
- Disease occurred in (/close to) the area with history of previous outbreak: insufficient culling or movement control or less cooperation
- Collecting points of eggs/poultry
- Live bird markets
- Role of ducks in transmission of disease


3. Response of FAO

- FAO is implementing 17 HPAI-related projects at a total value of US$6.2m.
- National projects for infected countries
- Regional networking projects to improve diagnosis, reporting, prevention and control of HPAI
    + projects are in place for Southeast Asia and East Asia and a similar project is planned
      for South Asia.
- FAO is collaborating closely with OIE
    + formulation of Guiding Principles & Recommendations on surveillance, prevention,
      control and eradication of HPAI
    + identification and conduct of research programmes, technical support and training
      activities.
- FAO has established the EMPRES Emergency Centre for Transboundary Animal Disease
  Operations (ECTAD)
    + to facilitate coordination and to strengthen the chain of command for FAO
      programmes and projects relevant to HPAI and other transboundary animal diseases.


4. Recommended National Actions

Recommended National Actions as can be learned from the Conclusions from workshops in Cambodia, Indonesia, Lao PDR, Thailand and Vietnam

Subject
Points mentioned in conclusions
A.I.
Will take time to eradicate
Priority areas
High human density areas close to cities as that is where outbreaks tend to occur
Market
Breaking the chain of transmission by weekly holiday/cleaning day
Credit
Farmers want subsidised credit ? to be weighed against timeliness and sustainability

The outreach question
Roles of government and private sector
Government
Private sector
Commercial companies
Producer orgs. and community groups
NGOs
Vet and tech services
X
X
X
X
Surveillans
Epidemiology and Laboratory Capacity
X
X
X
X

Communication and public awareness reduce impact
example from 2 communes in Vietnam (Source: VSF)

Commune
1
2
First outbreak
Late December, 2003
February 5, 2004
Information to farmers and Animal Health Workers
Not informed
Informed
Time to stamping out
More than 2 months ? in a 3 km radius
Less than 1 week in a 500 m radius
Poultry officially dead
14,366
2,838

Subject
Points mentioned in conclusions
Human resource development Need at all levels and not only in technical disciplines: border check posts

Public awareness
Border control
May reduce demand for illegally moved animals
Transparency
Could lead to quicker action
Coordination
Awareness and transparency may lead to faster coordination and action

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