Презентация на тему USAID’s Programs for Avian Influenza and Other Emerging. Pandemic Threats

consists of three components
HIV/AIDS, TB, malaria, maternal and child

health, etc.

Intentional release of pathogens

Avian influenza, other pandemic threats

Congo
Eq. Guinea
Gabon
Rwanda
Tanzania
Uganda

Amazon
Bolivia
Brazil
Colombia
Ecuador
Mexico
Peru

early identification of and response to dangerous pathogens in

animals before they can threaten human health
Primary focus on wildlife
Risk-based modeling and resource deployment

Multi-sectors:
Draws on resources across USAID & USG beyond Global Health
Establishes partners for One Health – Ministry of: Health, Agriculture, Forestry, and Environment
Fosters partnership with Government and academic institutions

Focus on capacity building for developing-country institutions that lead disease prevention, detection, and response efforts

emergence and spread
linkages to recent surge in food production
Inadequate

livestock “biosecurity” facilitates uncontrolled spread
Poor hygiene practices increase risk of human exposure and infection

Emergence

Highly virulent
Efficiently transmitted to poultry but very limited transmission between humans
Continues to “evolve”

Characteristics

A coordinated “One Health” - multi-sectoral response is critical

Highly dynamic changes in disease patterns requires programmatic flexibility

Response

Overall Lessons learned
Effective control of H5N1 and other zoonotic diseases dependent on:
Early disease detection in animals
75% of new zoonotics caused by pathogens originating in wildlife
Local capacities for outbreak investigation and response
Reduction of human behaviors and practices that enable the spread of and exposure to the pathogen

may cause serious disease in humans
Risk determination
Characterize risk that

a microbe may pose to humans and its method of transmission from animals to humans

Outbreak response capacity
Strengthen country capacity to detect and respond to outbreaks in animals and humans

Two important aspects of the EPT strategy

Promotes a “One Health” approach that builds first on existing platforms

Focuses in on strengthening country capacities

Risk reduction
Develop and implement behavior change interventions to minimize disease threat for specific high-risk populations

Pre-empting zoonotic diseases threats

surveillance and pathogen discovery
Risk modeling for disease emergence and

spread
Strengthening country level outbreak response capacity across animal and human health sectors
Strengthening “One Health” training competencies across schools of public health and veterinary medicine
Behavior change research and interventions
Operational and commodity support
Strengthen animal and human health normative laboratory diagnostic capacities

Develop models to predict emergence of high-consequence pathogens
Conduct active surveillance for emerging pathogens in animals and humans
Develop and test point-of care diagnostics to rule out endemic diseases
Provide laboratory support to identify new pathogens
Strengthen field epidemiology and laboratory training programs
Collaborate in outbreak investigations
 

Laboratory support
Strengthening veterinary services

Pathogen discovery
Laboratory strengthening

Laboratory support (through Bio-engagement Program)
Public health diplomacy

*

* CDC USAID provides some funding to CDC for EPT activities.

for Indonesia

PREDICT: Global Viral Forecasting (GVF); & Eco-Health Alliance
IPB

Primate Center; & the Eijkman Institute

RESPOND: Development Alternatives Inc. (DAI);
Tufts Univ.; Univ. of Minnesota
UI, IPB, & UGM (SEAOHUN) + 15 universities INDOHUN

PREVENT: FHI 360
now hiring local consultant
areas planned in North Sulawesi and East Kalimantan

IDENTIFY: World Health Organization; Food and Agriculture Organization; World Organization for Animal Health (developing activities for FY13)

Pathogen Detection,
Risk (biological) Determination

Outbreak response capacity

Risk (behavioral)
Determination,
Risk Reduction

Strengthen Laboratories

specimen collection in the field- Primate Research Centre, January

2012
Human side: Workshop on Arbovirology & Lab –Eijkman Research Institute
RESPOND
Supported TEPHINET the Sixth TEPHINET Bi-regional Conference in Bali Nov. 2011
Supports South East Asia One Health University Network activities since it was inaugurated on May 2011
Support the Indonesian One Health University Networks (INDOHUN) Symposium -Bali May 3-4, 2012
Initiate in-service training approach for surveillance and outbreak response
PREVENT
in preparation on engaging local partners/universities to explore information and reference associate with formulation of strategies for effective BCC
Cross-project EPT working groups – laboratories, “One Health” core competencies, data collection/sharing, extraction industry, monitoring and evaluation

Since officially launched last July 2011