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Pandemic Influenza Preparedness :New Delhi Road Map 2008

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Title: Pandemic Influenza Preparedness :New Delhi Road Map 2008


1
Pandemic Influenza Preparedness New Delhi Road
Map 2008
S.K. Bandyopadhyay Animal Husbandry
Commissioner Department of Animal Husbandry,
Dairying and Fisheries Ministry of
Agriculture Government of India

2
Presentation overview
  • Bird Flu in India
  • Current appraisal
  • Vulnerabilities risk factors
  • Government Initiatives
  • New Delhi Road Map 2008

3
Highly Pathogenic Avian Influenza (Bird-flu)
  • Indian Episodes
  • 1st outbreak in Feb-March, 2006 in two districts
    of Maharashtra, which spilled over to adjacent
    districts of Gujarat and MP. India Declared
    freedom in August 2006.
  • 2nd episode was a small outbreak in a solitary
    backyard farm in Imphal district of Manipur in
    July 2007. Declared freedom in November, 2007.
  • The current episode in West Bengal was notified
    on 15 January, 2008 in two districts.
    Subsequently spread to 12 other districts of West
    Bengal. Last outbreak reported on 19/3/08.
    Total 14 districts , 53 blocks 2 municipalities
  • The first outbreak in Tripura notified on 7
    April, 2008.

4
2007
2006
2008
Outbreaks localized in small areas of Eastern
Western India
5
  • Backgrounds of the H5N1 outbreaks in India
    (1/2)
  • Maharashtra 2006
  • Outbreak reported in big commercial poultry farms
    initially
  • Subsequently backyard poultry were affected in
    adjacent district and also in adjacent states of
    Gujarat and MP
  • Source of infection could not be ascertained.
  • Manipur 2007
  • Outbreak reported in a small backyard farm,
    rearing only about 180 chickens.
  • Did not spread elsewhere
  • Source of infection could not be ascertained.
  • Contd..

6
Backgrounds of the H5N1 outbreaks in India (2/2)
  • West Bengal 2008
  • Mortality started in backyard poultry in two
    villages in two different districts.
  • West Bengal has highest poultry per Sq.Km (382)
    in the country and about 90 is in backyard
    production system with least biosecurity. High
    duck population, which are often silent carriers,
    accentuated the problem.
  • Comparative vulnerability of the states to the
    threat of bird-flu was prepared jointly by GoI,
    UNICEF and Wetland International. West Bengal
    was among the top 6 states in the vulnerability
    list.
  • Tripura 2008
  • Mortality started in backyard poultry in a
    village adjacent to international border.
  • Following laboratory confirmation, promptly
    notified

7
Actions taken by Department of AH, Govt. of India
(1/2)
  • An Action Plan for bird-flu prepared in October
    2005 and updated in November,2006, on the basis
    of risk assessment
  • Series of meetings were taken by the senior
    officers of the Department with each state and
    also at regional level and regular alerts issued.
  • Training as per the Action Plan conducted in each
    state and also on regional basis.
  • 43 of total veterinary workforce in India are
    trained on AI. Training of remaining workforce is
    continuing
  • Mass media campaign for safe poultry production,
    handling and safe eating regularly carried out

Contd..
8

Actions taken by Department of AH, Govt. of
India (2/2)
6. Four Regional Diagnostic Laboratories have
been equipped to carry out preliminary
surveillance for avian influenza 7. A strategic
reserve of bird-flu vaccine is being
maintained. 8. Effective import restrictions are
in place since 2004 against import of AI risk
material from AI-positive countries. 9. One
Global and another Asian Inter-Ministerial
conferences were held in New Delhi in 2007 and
2006 respectively. 10. An Inter-Ministerial Task
force of Animal Husbandry, Health and
Environment evaluates bird-flu situation in the
country. 11. A Joint Working Group of technical
experts in Livestock health, human health,
environment and publicity meet at regular
intervals to keep a close watch on bird-flu in
the country and world-wide and recommends
strategies to combat the menace.
9
Statistics Risk Factors
Country India Area 3287261
KM2 Population 102 billion Number of
States 28 7 union territories Poultry
population 489 million (2003) Duck
population 30 million (2003) Total egg
production 46 billion PA(2006) Total broiler
production 1200 million (meat 1.65 mil
MT) Pattern of rearing Both Backyard
Organized Poultry Marketing Mostly live-bird
(10 processed) Migratory birds Mostly during
winters Value of output 220 mil US (meat egg
only)
10
Poultry Production Systems in India

11
Vulnerability to Avian Influenza
  • Vulnerability at scale of operation At high
    scale of poultry production system better
    biosecurity with poorest in the backyard poultry.
  • Proximity to endemic or near-endemic countries,
    e.g., Vietnam, Indonesia, Bangladesh, China
  • Porous border with frequent movement across the
    border with Bangladesh, Myanmar and China
  • Natural routes of migratory birds for winter
    nesting
  • Mixed farming system (chicken, ducks, pigs) in
    backyard poultry
  • Thriving live poultry market with poor hygienic
    condition
  • Lack of awareness (producers, consumers,
    stake-holders)
  • Poor infra-structure in the states to handle
    emergencies

12
Known determinants for HPAI becoming endemic
  • Large numbers of concentrated commercial farms
    with poor biosecurity conditions
  • Large numbers of backyard poultry
  • Large numbers of traders and middlemen selling
    poultry through poorly controlled live bird
    markets
  • Large populations of free grazing or pond ducks
  • Inadequate law enforcement and weak Veterinary
    services, poor surveillance.


13
New Delhi Road Map 2008
  • Vision
  • One World and One Health

14
Objectives
  • The Delhi Road Map 2008, aims to
  • contain and mitigate the apprehended influenza
    pandemic
  • integrate Indian pandemic preparedness with the
    ongoing global efforts
  • encourage functional links between human and
    animal health system
  • set out actions to achieve laid out national
    benchmarks
  • establish cross border cooperation with neighbors
    in containment and mitigation of AI
  • draw standard guidelines for cross sector
    cooperation

15
The Road Map 2008
  • By the end of 2008,the nation
  • will establish an inter-ministerial oversight and
    coordination mechanism
  • will assess and priorities short , medium and
    long term needs
  • will assess adequacies of current legal
    instruments for implementing various national and
    international health regulations
  • will develop an effective animal disease
    surveillance and response system
  • will implement an effective and intensive
    vaccination strategy
  • will have an active surveillance and response
    system for early detection of human influenza
    cases

contd
16
  • will establish protocol for sharing informations
    and conducting joint investigation involving both
    human and animal health professionals
  • will have operational plan for immediate response
    and control of AI
  • will broaden the scope of pandemic preparedness
    to include continuity of essential services
  • will test pandemic preparedness through regular
    simulations, mock drills and table top exercises
  • will improve bio security in poultry sector
  • will establish and validate protocols for
    pandemic containment
  • will identify hospitals and other health
    facilities for treatment and management of human
    cases
  • will prepare communities to implement non
    pharmaceutical interventions
  • will establish laboratory access
    procedure/protocol

contd
17
  • will support global initiative in monitoring
    ,molecular characterization and vaccine research
  • will establish coordination protocol between
    animal and public health sectors with the process
    at State or province level
  • will incorporate pandemic preparation into
    national disaster management structure
  • will establish platforms for dialogue between
    government ,private sector and civil society
  • will review and strengthen communication
    programmes
  • will build on experience with AI control and New
    Delhi vision to prepare a national one world-one
    health strategy and road map for 2009.

18
Let us do more lest we regret not having done
enough when we could
Thanks
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