GDLN Seminar on HPAI Vaccination , 17 Oct GDLN Seminar on HPAI Vaccination , 17 Oct

Ankara-TürkiyeAnkara-Türkiye

REPUBLIC OF TURKEYMINISTRY OF AGRICULTURE AND RURAL AFFAIRSGENERAL DIRECTORATE PROTECTION AND CONTROL

SITUATION IN TURKEY and LESSONS LEARNEDSITUATION IN TURKEY and LESSONS LEARNED ByBy

H.Haluk AŞKAROĞLUH.Haluk AŞKAROĞLUWB Project CoordinatorWB Project Coordinator

VaccinationVaccination PolicyPolicy

• At present, vaccination is not being At present, vaccination is not being implemented against implemented against AIAI in Turkey in Turkey

• Determination of alternative vaccination Determination of alternative vaccination strategies and programmes for worst case strategies and programmes for worst case scenariosscenarios

• A decision has been taken at Ministerial level A decision has been taken at Ministerial level for the stocking of a certain amount of for the stocking of a certain amount of vaccine to be used in emergency casesvaccine to be used in emergency cases

MIGRATION ROUTES OF WILD BIRDS

PREPARATIONS AGAINST AIPREPARATIONS AGAINST AIPreparations against possible AI outbreaks in Turkey were Preparations against possible AI outbreaks in Turkey were initiated in 2000. initiated in 2000.

Legislative Framework (2000-2005)Legislative Framework (2000-2005)

The AI contingency plan was enforced in 2005The AI contingency plan was enforced in 2005

– Laboratory activitiesLaboratory activities

Identified to the Reference laboratoriesIdentified to the Reference laboratories

Strengthening Strengthening DiagnosticDiagnostic CapacityCapacity

A surveillance programme and epidemiological studies were A surveillance programme and epidemiological studies were initiated in 2002.initiated in 2002.

18,669 units of serum from 320 of 7848 establishments examined,18,669 units of serum from 320 of 7848 establishments examined,

No No AIAI agentagent

PREPARATIONS AGAINST AIPREPARATIONS AGAINST AITraining ActivitiesTraining Activities

– Meetings held with Sector, Universities and the persons concerned Meetings held with Sector, Universities and the persons concerned

– News letter for producers ,News letter for producers ,

• Published on website , Published on website ,

• Sent to provinces (2003)Sent to provinces (2003)

• Data Base establishedData Base established

– Poultry data base updated (2002)Poultry data base updated (2002)

– Coordinates of Poultry establishments determined (2004)Coordinates of Poultry establishments determined (2004)

• Import restrictions and checks frequencies increasedImport restrictions and checks frequencies increased

• Simuluation exersize carried out Simuluation exersize carried out (4-9 September 2005)(4-9 September 2005)

• Not reported Not reported until October 2005 until October 2005

• 2002 sero-survey2002 sero-survey: : – 18,669 units of serum from 320 of 7848 establishments 18,669 units of serum from 320 of 7848 establishments

examined,examined,

– No No AIAI agentagent

• FFirst reported on 07-Oct-2005irst reported on 07-Oct-2005, , single outbreak in single outbreak in free range turkeys in the west on the Aegean coast free range turkeys in the west on the Aegean coast in Kızıksa, Manyas, Balıkesir in Kızıksa, Manyas, Balıkesir pprovincerovincess

• SSuccessfully controlled without any local or long-uccessfully controlled without any local or long-distance spreaddistance spread

Latest Outbreaks InformationLatest Outbreaks Information

Outbreaks Information (2006)Outbreaks Information (2006)A.I. Backyards and wild bird outbreaks in Turkey A.I. Backyards and wild bird outbreaks in Turkey

(01.05.2006) (01.05.2006)

• 200 Backyards outbreaks 200 Backyards outbreaks 30 Wild Birds outbreaks30 Wild Birds outbreaks

Outbreaks Information(2007)Outbreaks Information(2007)• On 05-Feb-07, report of mortality in village in On 05-Feb-07, report of mortality in village in

BatmanBatman

• Further Further 1717 outbreaks to date outbreaks to date

• Limited to two provinces in the south east of Limited to two provinces in the south east of the countrythe country

• Outbreak area roughly 60 km north south and Outbreak area roughly 60 km north south and 50km east west50km east west

• Ended of outbreaks 28-Feb-2007Ended of outbreaks 28-Feb-2007

07001 Bogazkoy

GENERAL MEASURES IN OUTBREAKSGENERAL MEASURES IN OUTBREAKS

• Activation of National and Local Disease Centres,Activation of National and Local Disease Centres,

• Coordination with related Ministries and Units,Coordination with related Ministries and Units,

• Movement restrictionsMovement restrictions

– Restrictions on poultry dispatch,Restrictions on poultry dispatch,

– Hunt Ban,Hunt Ban,

– ““Road checks” frequency increased in outbreak regions,Road checks” frequency increased in outbreak regions,

– Prohibiton of sales of live poultry in local markets,Prohibiton of sales of live poultry in local markets,

– Checks frequency increased at Border gates,Checks frequency increased at Border gates,

GENERAL MEASURES IN OUTBREAKSGENERAL MEASURES IN OUTBREAKS

• Support of Outbreak areaSupport of Outbreak area

– Personnel,Personnel,

– Protective clothes,Protective clothes,

– Disinfection materials and instruments.Disinfection materials and instruments.

• Strengthening diagnosis capacity of Veterinary Strengthening diagnosis capacity of Veterinary LaboratoriesLaboratories

• Close cooperation with OIE, FAO, WHO and EUClose cooperation with OIE, FAO, WHO and EU

• Dissemination of posters, leaflets and other printed Dissemination of posters, leaflets and other printed materialmaterial

GENERAL MEASURES IN OUTBREAKSGENERAL MEASURES IN OUTBREAKS

• Scientific Committee on AI established,Scientific Committee on AI established,

• Surveillance and Monitoring Activities;Surveillance and Monitoring Activities;

– Active clinical surveys conducted on backyard Active clinical surveys conducted on backyard poultry,(1-28 March 2006)poultry,(1-28 March 2006)

– Clinical screenings in commercial poultry Clinical screenings in commercial poultry establishments,establishments,

– H5, H7 and H9 antibodies detected in SamsunH5, H7 and H9 antibodies detected in Samsun

MEASURES IN OUTBREAK AREASMEASURES IN OUTBREAK AREAS• Quick arrival in the outbreak/suspect area, inspection, observation, Quick arrival in the outbreak/suspect area, inspection, observation,

collection of samplescollection of samples

– Determination of sick and dead animalsDetermination of sick and dead animals

• Sending of collected samples to the laboratorySending of collected samples to the laboratory

• Temporary quarantine measuresTemporary quarantine measures

– Restriction of movementsRestriction of movements

– Cleaning, disinfection and bio-security measuresCleaning, disinfection and bio-security measures

– Provision of informationProvision of information11

MEASURES IN OUTBREAK AREASMEASURES IN OUTBREAK AREAS

• Re-visits to the outbreak/suspect area until laboratory results are Re-visits to the outbreak/suspect area until laboratory results are

confirmedconfirmed

• Regular reporting on the current situationRegular reporting on the current situation

• Permanent quarantine measures and culling-destructionPermanent quarantine measures and culling-destruction

• Payment of compensation for culled animalsPayment of compensation for culled animals

• Strict road controlsStrict road controls

• Permit of the transport of live animals only after the issuing of a Permit of the transport of live animals only after the issuing of a

veterinary health certificateveterinary health certificate

PROTECTION ZONEPROTECTION ZONE

Declaration of an infected zone of Declaration of an infected zone of 3 km radius3 km radius from the foci of infection. from the foci of infection.

Stamping out of birds within the protection zone according to risk assessment.Stamping out of birds within the protection zone according to risk assessment.

Strict quarantine measures.Strict quarantine measures.

SURVEILLANCE ZONESURVEILLANCE ZONE

Control zone of Control zone of 7 km radius7 km radius from the perimeter of the infected zone. from the perimeter of the infected zone.

Restriction of movement of poultry, animals and livestock product in the Restriction of movement of poultry, animals and livestock product in the surveillance zone.surveillance zone.

Conduction of intensive surveys in holdings located within the surveillance zone.Conduction of intensive surveys in holdings located within the surveillance zone.

ECONOMIC MEASURES (I)ECONOMIC MEASURES (I)

Discussion of the issue in the meeting of the Discussion of the issue in the meeting of the Evaluation Committee for Economic ProblemsEvaluation Committee for Economic Problems

Compensated culling and disposal of spent Compensated culling and disposal of spent henshens

Slaughter and rendering of spent hensSlaughter and rendering of spent hens

Deferment of tax dues and Deferment of tax dues and Social Security Social Security Organisation premiums of the sectorOrganisation premiums of the sector

ECONOMIC MEASURES (II)ECONOMIC MEASURES (II)

Forward sales of raw feed materials Forward sales of raw feed materials by the Turkish Grain by the Turkish Grain BoardBoard

Provision of low-interest long-term operating Provision of low-interest long-term operating loansloans

Deferment of electricity billsDeferment of electricity bills

Increase of the poultry meat consumption of Increase of the poultry meat consumption of public organisationspublic organisations

Poultry meat and egg subsidies to owners Poultry meat and egg subsidies to owners whose poultry have been culledwhose poultry have been culled

MEASURES AFTER OUTBREAKMEASURES AFTER OUTBREAK• Strategic Communication Working GroupStrategic Communication Working Group is established is established

– Posters, brochures and leaflets preparedPosters, brochures and leaflets prepared

– TV spots prepared and revisedTV spots prepared and revised

– KAP survey carried outKAP survey carried out

– Intersectorals and interagencies coordination providedIntersectorals and interagencies coordination provided

– Communication Strategy Implementation Plan preparedCommunication Strategy Implementation Plan prepared

• Amendments to RegulationsAmendments to Regulations

• Case decriptions changed Case decriptions changed

MEASURES AFTER OUTBREAKMEASURES AFTER OUTBREAK

• Outbreaks Research Forms updated.Outbreaks Research Forms updated.

• Measures increasedMeasures increased

– Province GovernorshipsProvince Governorships

– Regional Veterinary Control and Research Institutes Regional Veterinary Control and Research Institutes DirectoratesDirectorates

– Customs and Warehouse DirectoratesCustoms and Warehouse Directorates

• International Projects prepared (WB,EU,FAO)International Projects prepared (WB,EU,FAO)

MEASURES AFTER OUTBREAK MEASURES AFTER OUTBREAK (SURVEY STUDIES)(SURVEY STUDIES)

• Passive surveyPassive survey

• Active clinical surveys on backyard poultryActive clinical surveys on backyard poultry

• Active clinical survey on commercial poultryActive clinical survey on commercial poultry

• Serological survey on backyard poultrySerological survey on backyard poultry

• Wild life survey studiesWild life survey studies

MEASURES AFTER OUTBREAKMEASURES AFTER OUTBREAK

• ““Ring test” studies between laboratoriesRing test” studies between laboratories

• Training and information exchange meetingsTraining and information exchange meetings

– On Avian Influenza and Bio-security in Bolu ve On Avian Influenza and Bio-security in Bolu ve BalıkesirBalıkesir

• Serologic survey in Sinop, Tokat, Elazığ and Serologic survey in Sinop, Tokat, Elazığ and KütahyaKütahya

– H3, H5, H6, H7 ve H9 antibodies detectedH3, H5, H6, H7 ve H9 antibodies detected

• ContingencyContingency plan planss existed in MARA and MOH existed in MARA and MOH

• Provincial authoritiesProvincial authorities were were informed informed about about ContingencyContingency plans plans previously previously

• Initial public awareness campaign was rapid and Initial public awareness campaign was rapid and strong which minimised panicstrong which minimised panic

• Collaboration established between MOH and MARACollaboration established between MOH and MARA

• Co-operation with NGOs developed and Co-operation with NGOs developed and strengthenedstrengthened

What were the strengths?What were the strengths?

• Communication Communication not not well establishedwell established at local at local levellevel..

• Different TV spots produced by MARA and Different TV spots produced by MARA and MOH: some messages targeted differentlyMOH: some messages targeted differently

What were the weaknesses?What were the weaknesses?

EXPERIENCES (I)EXPERIENCES (I)

IncreaseIncrease inin publicpublic awareness awareness has led to increase has led to increase in disease notificationin disease notification

Decrease has occurred in Decrease has occurred in the the consumptionconsumption of of poultry meat and eggspoultry meat and eggs

The flow of samples to laboratoriesThe flow of samples to laboratories has increasedhas increased

The bioThe bio--safety of laboratories may be at risksafety of laboratories may be at risk

EXPERIENCES (II)EXPERIENCES (II)

The social status of veterinarians has evolvedThe social status of veterinarians has evolved

Commercial establishments may take Commercial establishments may take advantageadvantage

Emergency funds must be put in place to Emergency funds must be put in place to compensate for the economic loss compensate for the economic loss ofof the the poultry sectorpoultry sector

CONCLUSIONCONCLUSION• Struggle with disease is also possible without vaccination Struggle with disease is also possible without vaccination

• Compansation fund should be establishedCompansation fund should be established

• CCooperation between ooperation between National and International National and International organizations organizations should beshould be strengthened strengthened

• More effective monitoring and surveillance More effective monitoring and surveillance should be obtainedshould be obtained

• Diagnostic services Diagnostic services have been have been strengthenedstrengthened

• SSpecial culling teams pecial culling teams should be should be established established depending on the depending on the culling strategiesculling strategies

• Necessary resources should be providedNecessary resources should be provided

THANK YOU FOR YOUR ATTENTIONTHANK YOU FOR YOUR ATTENTION