Progressive Control Pathway Support Officer (PSO) workshop 6-8 August 2019 PSO Workshop, Bangkok, Thailand Presentations\2019\PSO workshop 6-8 August 2019

1. Progressive Control Pathway
Support Officer (PSO) workshop
Introduction to the principles of the PCP and
the Global Strategy for FMD control
6-8 August 2019
PSO Workshop, Bangkok, Thailand
Melissa McLaws

2. How to approach the situation when…
• Insufficient information about FMD
• Limited resources for control
• Unknown (veterinary) competencies
PCP-FMD is framework which assists countries in
controlling Foot-and-Mouth Disease

3. Slide 7
• For countries with endemic FMD
• FMD control is developed in achievable steps
• The pathway begins with gaining an understanding of the disease’s
circulation in a country and its impacts.
• At the next step, this knowledge is used to plan the initial strategic
control based on identified risks for FMD.
• The control plan is monitored and evaluated.
PCP-FMD

4. Slide
Key principles of PCP-FMD
 Non prescriptive
 Prioritizes most important risks
 Best use of limited resources
 Evidence-based strategies

5. Slide
Key principles of PCP-FMD
Non prescriptive
• The PCP does not tell a country exactly what it has to do. It focuses
on results or outcomes.
• Also non -prescriptive in terms of how far countries should progress
along the pathway:
• A country does not have to progress the whole way “up” the
pathway. Disease eradication may not be achievable.
• The approach can be applied at national level, but it also
only in a specific production sector or geographical
region/zone.
Non prescriptive Prioritizes risks Best use of limited resources Evidence-based strategies

6. Slide
Key principles of PCP-FMD
Prioritize risks that are considered most important
• PCP-FMD uses risk analysis principles to identify and prioritise risk
“hotspots”.
• A risk “hotspot” might be a production sector, activity or geographical
area where there is a high likelihood of spread of disease, or where
disease leads to high impacts and losses.
• Once these risk “hotspots” are identified, these are used to define the
objectives, tactics and activities of a risk-based strategic plan.
Non prescriptive Prioritizes risks Best use of limited resources Evidence-based strategies

7. Slide
Key principles of PCP-FMD
Make best use of limited resources
Countries which are endemic for FMD often have limited resources.
 Time, personnel and budget
 many competing animal health concerns
Using risk based principles, the PCP-FMD seeks to make best use of
these limited resources, applying them where they can have the
most impact.
Non prescriptive Prioritizes risks Best use of limited resources Evidence-based strategies

8. Slide
The key principles of PCP-FMD
Evidence based
Every stage of the PCP-FMD involves collecting and analysing
evidence
 to guide our decision making, continuously monitor our
control measures and adapt them as necessary to the
situation
The PCP requires countries to progressively monitor the level of
implementation of planned activities and evaluate the impact of these on
occurrence of FMD.
 evidence that the approach is working and/or
 adapt the activities
Non prescriptive Prioritizes risks Best use of limited resources Evidence-based strategies

9. PCP-FMD STAGES 1 - 3

10. Stage 1 : Gain understanding of epidemiology and develop risk-based
approach to reduce FMD impact
PCP-FMD: Stage 1

11. Stage 1 : Gain understanding of epidemiology and develop
risk-based approach to reduce FMD impact
Foreseen activities/outcomes:
– Estimate FMD incidence
– Identify circulating strains
– Risk assessment along value chain
– Socio-economic impact assessment
– FMD strain identification
– Develop risk-based FMD control strategy
Required to
progress to
stage 2
PCP-FMD: Stage 1

12. Implement risk based control measures such that the FMD
impact is reduced
Ongoing risk assessment PLUS risk management
Monitoring system:
– For implementation and impact
To progress to Stage 3:
A revised, more aggressive control strategy that
has the aim of eliminating FMD from at least a
zone of the country
PCP-FMD: Stage 2

13. Stage 2: focus on monitoring
FMD virus is injected in the tongue of a cow
to test for the potency of the vaccine
0%
50%
100%
150%
200%
0
2000000
4000000
6000000
8000000
CoveragebyRegion
vaccinatedanimal
region
vaccinated animal coverage by region
Implementation
Incidence
80.00 - 100.00
60.00 - 80.00
40.00 - 60.00
20.00 - 40.00
0.00 - 20.00
No data
2010 Village Seroprevalence
Impact

14. Progressive reduction in incidence, followed by
elimination of FMD virus circulation
• Rapid detection and response for ALL
outbreaks
• Importance of stakeholder engagement to
ensure rapid detection and response (incl
compliance with movement controls)
NB: Once a country has entered the GF-TADs–supported PCP-
Stage 3 and has decided it wants to continue along the pathway to
Stage 4 and beyond, implicating the intention to eradicate FMD
virus from the domestic animal population, it may ask for formal
OIE-endorsement of its national FMD eradication programme
PCP-FMD: Stage 3

15. Each stage has
an objective and indicator:
e.g.
e.g
.

16. Requirements to qualify in a PCP-FMD Stage
Stage 1 Risk Assessment Plan
Stage 2 Risk Based Strategic Plan
Stage 3 Official Control Programme
Stage 4 Endorsement of the Official Control Programme by OIE
Status Recognition of FMD freedom with vaccination
Status Recognition of FMD freedom without vaccination

17. FMD is a global problem: 7 regional virus pools,
according to FMDV serotypes and strains

18. Global FMD control strategy
June 2012: launch of joint FAO and OIE global strategy on
FMD control.
3 components of which the first is global FMD control.

19. Global
FMD
control
strategy
1. Improving
global FMD
control
2.
Strengthening
Veterinary
Services
3. Improving
the control of
other major
diseases
 The PCP-FMD is the
preferred approach for
progressively controlling
FMD in FMD-endemic
countries
 The PCP process involves a
regional approach to FMD
control
  Regional Roadmaps
Component 1: Improving global FMD control

20. Global
FMD
control
strategy
1. Improving
global FMD
control
2.
Strengthening
Veterinary
Services
3. Improving
the control of
other major
diseases
 The OIE Performance of the
Veterinary Services (PVS) pathway*
is the major tool for component 2
 Of the 47 critical competencies**
of the PVS, 33 are considered
relevant for FMD control. For each
of these, level 3 out of 5 is
considered minimally required
 See PCP guidelines for PCP-FMD
Stages and the PVS critical
competencies required
Component 2: Strengthening Veterinary Services
* For PVS, see http://www.oie.int/support-to-oie-members/pvs-pathway/
**Explanation about the critical competencies and its levels 1-5, see:
http://www.oie.int/fileadmin/Home/eng/Support_to_OIE_Members/
pdf/PVS_A_Tool_Final_Edition_2013.pdf

21. Global
FMD
control
strategy
1. Improving
global FMD
control
2.
Strengthening
Veterinary
Services
3. Improving
the control of
other major
diseases
Component 3: Improving control of other major diseases
identification of priority
diseases that may be combined
with FMD control (Anthrax, CBPP,
Brucellosis, etc)

22. Slide 33
Relation between components

23. Slide 34
Relation between components

24. How could PCP progress in South and East
Asia be improved?
 Role of PCP Support Officers
 Let’s discuss during this workshop
Slide 9a

25. New PCP guidelines
Official Control
Programme to enter
into Stage 3
OCP endorsed by
OIE (with evidence
of validity and
reliability), is
gateway to PCP-
Stage 4
Lower PCP
stages under
GfTADs
assessment
Higher PCP stages
under OIE evaluation,
thus compliance with
international
standards
Acceptance procedure now
possible in between FMD Regional
Roadmap meetings through the
submission of application, Self-
assessment and documentation
Reinforcement of Veterinary
Services emphasized.
Use of OIE-PVS critical
competencies, level of
achievement extended
Fast-track process,
to apply for moving
more than one
Stage at the time

26. Stage 0
Stage 1 Key outcomes:
- Identification of circulating FMD
virus
- FMD risk hotspots Identified and
working hypothesis of FMD
circulation developed
- value-chain analysis and
stakeholder identification
- Socio-economic impact of FMD
estimated
- Strengthening veterinary services
- Participation in regional roadmap
meetings
Stage 2
Requirements to
progress to Stage 1: Risk
Assessment Plan
(epidemiology
and impact of FMD)
Requirements to progress
to Stage 2: Rsk-based
strategy plan for country,
a livestock sector or region
 PCP Stage 1: Gain understanding
of FMD epidemiology and impact,
and develop a risk-based approach to
reduce impact of FMD

27. Stage 0
Stage 1
Stage 2
Key outcomes relate to:
- Ongoing monitoring of
virus strains and risks in
different husbandry systems
- Evaluation of level of
implementation
- Evaluation of level of
impact of control strategy
- Further strengthening of
veterinary services
Stage 3
Requirement to
progress to Stage 3:
Official FMD Control
Programme with the
aim of eliminating
FMD virus from at
least a region of the
country
 PCP Stage 2: decrease the impact of FMD in at least
one livestock sector or zone. The level of implementation
and impact of the control strategy should be routinely
monitored through measurable indicators.
Requirements to progress
to Stage 2: Rsk-based
strategy plan for country,
a livestock sector or region

28. Stage 0
no reliable information
Stage 1
Stage 2
Stage 3
Key outcomes
- Ongoing monitoring of
virus strains and risks in
different husbandry
systems
- Control plan
implemented safeguarding
rapid detection of
outbreaks
- Incidence of FMD is
progressively eliminated
in domestic animals
- Further strengthening of
veterinary services
Stage 4
Requirement to
progress to Stage 4:
OIE endorsed
Official FMD Control
Programme
providing evidence
that FMD virus is
not circulating
endemically
PCP Stage 3: towards the eradication of FMD virus
By the end of Stage 3: FMD virus circulation is eliminated in at least 1
zone of the country.
Requirement to
progress to Stage 3:
Official FMD Control
Programme with the
aim of eliminating
FMD virus from at
least a region of the
country

29. Thank you for your attention
Questions or comments?
Melissa McLaws
melissa.mclaws@fao.org