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Practical Epi for Progressive (FMD) Control - Course

Reasons why, objective, structure and results of the applied epidemiology training for the progressive control of FMD

Melissa McLaws

on 4 March 2013

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Transcript of Practical Epi for Progressive (FMD) Control - Course

WHAT does the course aim to achieve? Enthusiastic trainees Countries are embarking on the Progressive Control Pathway (PCP), but many Veterinary Services lack capacity in epidemiology and socio-economics required to progress beyond the early stages 1. Define objectives

2. Design study (fit to achieve objectives)

3. Data collection

4. Data entry/validation

5. Data analysis (transforming data to information)

6. Write a useful report that clearly presents information - Develop epidemiology capacity to effectively implement the PCP-FMD:
Provide practical training in epidemiology and socio-economics
Skills required to progress through Stages 1-3 of PCP-FMD

- Build confidence to independently review and learn new epidemiology skills
- Discuss and debate approaches to FMD control with colleagues in the region
During the course and after Participants work in Veterinary Services on FMD prevention and control
Open-minded, keen to learn
Very good level of English
Including excellent understanding of spoken English
Committed to 4 weeks training plus additional homework
Prior epidemiology training is not required, although participants should be computer literate Core trainers are trained epidemiologists (PhD)
Field experience in FMD control
Additional expertise (laboratory, socio-economics) brought in for certain modules Melissa McLaws, Chris Bartels, Keith Sumption PEP-C Practical Epidemiology for
Progressive Control A Training Course brought to you by: WHY this course? The first PEP-C course was given in 2012
16 trainees from 6 countries:
- Armenia, Azerbaijan, Georgia, Turkey, Iran and Egypt
All countries in PCP-FMD Stage 1 or Stage 2
1 week sessions with 3-4 weeks in between each session Expertise in epidemiology and socio-economics required to fulfill Stages What is PEP-C? What are the ingredients? The Experience Under Development (coming soon...) Giancarlo Ferrari Naci Bulut Theo Knight-Jones Chris Bartels Melissa McLaws Week 1: Outbreak Investigation Outbreak investigation From: Pfeiffer Iceberg concept MOST LIKELY TIME
OF INTRODUCTION Investigation of FMD in a dairy farm Districts Households/villages Farms Pens
e.g. No. Infected pens/total no. pens Individual animal
Eg. No animals sick/total no. animals vv vv vv vv vv Unit of analysis:
what are you counting?? Week 2: Socio-economic analysis and Value chain Week 3: Surveys and Surveillance Week 4: FMD Control: Theory and management FAO manual 11: good emergency management practice: the essentials Introduction of FMD (new serotype)
Emergency preparedness plan – being ready
Contingency plan – doing
Operational plan - instructions
Recovery – back to normal Endemic/ongoing situations:
Risk-based control strategy Need for strategy – different situations in endemic countries Problem-solving, Active learning
Focus on practical application of epidemiological tools Specifically developed for this course
Case studies, field trips, exercises, group discussion, lectures, homework Trainers Learning approach Training material Ingredients:

Student-centered Approach
Fit-for-Purpose Material
Practical application
Experienced trainers
Enthusiastic trainees Ingredients: “Week 1 changed my view on Outbreak investigation from just collecting sample/making diagnosis to understand the outbreak (traceback, spread, curve)” Classic FMD investigation
including field work
Put into context of greater FMDV circulation, and understanding RISK Animal movements involved in outbreak investigated in PEP-C week 1 working with stakeholders to identify critical control points and feasible mitigation measures measuring direct and indirect impacts of FMD and control measures
Essential for advocacy (for funding FMD control) AND to define risk Value chain analysis: Impact Assessment: Questionnaire design, sample size, measures of disease...in theory and practice Using Epi-collect software in the field Putting it all together:
theory of disease spread and control
application to a component of the National FMD control strategy
country presentations to EuFMD Secretary and chair of W. Eurasia Roadmap Very well received/appreciated
Subject material
Course format (practical, problem-solving focus)

Ambitious objectives: material diverse and broad-scope
Need more time to absorb and apply material
Independent study, distance learning (internet-based?)

1 week/month was good structure
Time to digest material
Homework between sessions included practical application
Extended course

Developed regional network/friendships With 1st cohort:
Maintain network: WikiSpace, Roadmap meetings
Continue skill development: Refresher training, collaborative projects
Work in context of W. Eurasia FMD management Centre
Future courses:
Refine material but maintain problem-solving, active format Next steps: Lessons learned from 1st course: Field trips:
disease outbreak investigation
sero-survey and questionnaire
Meeting with private stakeholders
Elaborating a specific component of a country's FMD control strategy Practical application Course Outline:
Week 1 2 3 4 “I have learned to ask (and try to answer) questions like ‘Why’, ‘How’, ‘When’, ‘Where”, ‘Who’ in order to get a better understanding about the disease” "I liked to have different trainers with new methods, ways and experience" "thinking about risk pathways was the most interesting" "Sample size, sensitivity/specificity was well organized to serve our needs" "practical epidemiology is needed to establish activities to progress in PCP and global strategy of FMD control" The course emphasizes development of an ‘epidemiological approach’ to problem solving: "I liked the applied approach - it was different from other epidemiology courses"
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