Comprehensive and Integrated National Animal Health Surveillance

1. Comprehensive and Integrated National Animal Health Surveillance 21 January, 2011 Washington D.C. Aaron Scott, DVM PhD DACVPM Center Director, NSU USDA/APHIS/VS Center for Epidemiology and Animal Health Safeguarding Animal Health

2. Centers for Epidemiology and Animal HealthNational Surveillance Unit“Building Partnerships and Leading Change” Safeguarding Animal Health

3. Surveillance Stakes are high Curves ahead Map??? Road ends Information for action Traffic delays Run out of gas Safeguarding Animal Health

4. Animal Health Safeguarding Review 2001 Primary Recommendation: Congress and the USDA must provide funding and act to rebuild the state and national infrastructure for animal disease control, emergency disease preparedness and response.

5. Principle 1a – A comprehensive, coordinated, integrated surveillance system is the foundation for animal health, public health, food safety, and environmental health

6. Value of Surveillance • Early detection– reduce spread • “Proof” of freedom • Food safety/security • Public health Market Access Safeguarding Animal Health

7. Role Definition • National surveillance • SAHO / Tribal Authorities • Producer • Private Veterinarian / National Veterinary Accreditation Program Safeguarding Animal Health

8. Return on Investment • Estimate $565,000,000 per hour cost of FMD outbreak Safeguarding Animal Health

9. Return on Investment endemic diseases • 10% reduction in morbidity/mortality • ~$ 1,400,000,000 Safeguarding Animal Health

10. National Surveillance Exchange of information between health authorities is needed for safe flow of commerce and for disease control decisions. Ongoing publication of statistical data on diseases and populations Prompt notification of unusual or emergency situations Public Policy Transparency in methods used for analysis Access to complete and correct information Challenging assumptions Safeguarding Animal Health

11. The stakes:2009 meat/poultry exports But that’s only part of the story…. • $11,7 00,000,000 • > $25,000,000,000 to economy • ~150,000 jobs Safeguarding Animal Health

12. Greater Demands on National Animal Health Surveillance System food safety Agro-terrorism Emerging diseases food security National economy Public health Safeguarding Animal Health

13. Road hazards: Information sharing? Confidentiality? Safeguarding Animal Health

14. More curves: Federal/State budgets Safeguarding Animal Health

15. “The answer is obvious - to accomplish more with less….” Safeguarding Animal Health

16. Comprehensive and Integrated National Animal Health Surveillance “Building Partnerships and Leading Change” Innovation Partnerships Metrics Safeguarding Animal Health

17. Comprehensive Integrated NAHSS • Cost efficient • Benefit to broad stakeholder base • Disease flexible • Rapidly responsive And gives Information for National Status Safeguarding Animal Health

18. Weighted Benefit/Cost for surveillance P (intro) * SSe* p(success) * costs averted ______________________________ Cost of surveillance Safeguarding Animal Health

19. So far… • Stakes are high • We know surveillance concepts • We know the budget is limited • We’ve learned how to value/prioritize Let’s talk about approaches to surveillance Safeguarding Animal Health

20. Disease Specific Surveillance • Random sample • Targeted toward higher risk • Inference possible with RR • Definition of subpopulation • Concepts of compartmentalization, zoning, regionalization – risk based recognition Safeguarding Animal Health

21. Disease Surveillance (non-specific) High Se and low Sp Anomalies in animal health Safeguarding Animal Health

22. Surveillance Approach for Eradication Tuberculosis BSE TX Brucellosis Johnes

23. B. suis Pathways FMD Risk Assessment Brucellosis FMD Intelligence VHS Scrapie PRV Open source AI ISA BSE CSF Identify Emerging Diseases Early Detection of FADs Surveillance Information for Action Monitor and Control Domestic Diseases Enhanced Program Disease Surveillance Ruminant Swine Poultry Aquaculture Emerging TB NPIP Standardized and Coordinated Planning Analysis Modeling Reporting Standardized National Data Systems (AHSM, NAHLN, others) NAHLN Laboratories Sampling Streams Passive Reporting Traceability NAHMS Studies Strategic Planning Prioritization Collaboration Communication Response Government and industry infrastructure built over a century of disease management

24. Livestock markets Accredited vets on farm Slaughter plants NAHLN labs Interstate movement Disease programs “Turn on the faucet” IT bucket Surveillance information for action Analysis Interpretation Reporting Safeguarding Animal Health

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28. “Enhanced passive” surveillance systemReadily modified to be disease specific [On-farm] Accredited veterinarians Slaughter plant condemns Data provide triggers for investigation Livestock markets Laboratory submissions Safeguarding Animal Health

29. Remember our cost benefit formula? • P(intro) high • SSE also high • Mitigation potential yes, it’s realtime • Cost averted many diseases, very high • Cost of surveillance relatively low Safeguarding Animal Health

30. Creative Thinking • Cooperation and participation • Confidentiality and data sharing • Information management systems • National coordination of procedures for reporting and action • Government verification role • Epidemiologic investigations • TAIO Safeguarding Animal Health

31. Thank You Safeguarding Animal Health