lessons learnt from real time trainingbasic transect studies in nakuru, kenya risk factors for at...
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Lessons learnt from Real Time Training
Eoin Ryan
SCRPD –Frascati 12-14 November 2013
What is it?
SCRPD –Frascati 12-14 November 2013
1. Seeing is believing
• Clinical experience of FMD is extremely valuable
• Example: UK2001 first case – Greek vet with FMD experience was present and supported diagnosis
• Japan 2010: FMD misdiagnosed as BVD initially
• Trainees have seen clinical FMD on every course so far (30/30 successes)
SCRPD –Frascati 12-14 November 2013
SCRPD –Frascati 12-14 November 2013
Kid (young goat) with vesicles on tongue
Case in Nepal, Dec 2012
SCRPD –Frascati 12-14 November 2013
2. Biosecurity is a verb
• Trainees are often aware of the general concept, but not how to apply the principles in a practical way
• “Risk reduction at every step” is a process which is learnt rather than a set of specific instructions
• Principles:
- Segregation of clean & dirty
- Cleansing
- Disinfection
SCRPD –Frascati 12-14 November 2013
3. Practical skills: what, why and how – and gaps!
• Clinical examination
• Taking diagnostic samples
• Lesion ageing & timelines
• Epidemiological investigations
SCRPD –Frascati 12-14 November 2013
4. Local risk factors: empowering people to reduce their risk?
• Transect study in FMD-affected area, identify risk factors
• Model for European situation: details different, but principles and methods similar
• Lesson for FMD control in endemic areas: vaccination is not the only tool for reducing risk
SCRPD –Frascati 12-14 November 2013
Lessons from outbreak investigations: Basic transect studies in Nakuru, Kenya
Risk factors for at least one case of FMD in household:
Results are what might be expected
-> Ways to empower livestock keeper to reduce (not eliminate) the risk of FMD
-> Communicate key messages: biosecurity, awareness
SCRPD –Frascati 12-14 November 2013
Thanks to Nick, Eunice, Abraham & Sabenzia
Lyons et al, EuFMD Open Session, Jerez 2012
5. Muddy boots, not ivory towers
• Significant benefit to EuFMD Secretariat and our team of experts from regularly seeing FMD in the field
• Talking to people affected by FMD & vets trying to control it
• Practical knowledge and field experience informs many areas of the EuFMD programme:
- Training and contingency planning support
- PCP and RBSP work in countries affected by FMD
- Field missions in response to FMD emergencies (Egypt, Bulgaria, Palestine)
- Trialling new technologies in the field (LFDs, LAMP, EpiCollect, air samplers) SCRPD –Frascati 12-14 November
2013
6. Partnerships with others
• EuFMD requested by Australian DAFF to train 80 Australians over 8 courses (funded by DAFF)
• The funds provided by Australia have contributed to expand EuFMD training services to EuFMD member states, thereby benefitting Europeans as well as Australians and Nepalese
• Vets from USA, NZ, Canada and Libya (self-funded) and Senegal (US-Identify project funded) have attended courses; two vets from FAZD/USA attending Kenya course next week; Russian vet attending the next course in Kenya
• Training in field investigations also needed in endemic regions: skills of outbreak investigation, taking correct samples for diagnosis, etc are of critical importance
• Area of common interest for FMD-free countries
SCRPD –Frascati 12-14 November 2013
SCRPD –Frascati 12-14 November 2013
SCRPD –Frascati 12-14 November 2013