Avian influenza preparedness workshop 2015

Cornelia Adlhoch, European Centre for Disease Prevention and Control6 October 2015, Stockholm

Outline

• Avian influenza situation overview• Comparison of H5N1 in 2007 and 2015 • ECDC´s work • Open questions on appropriate protection• Objective of the workshop• Outbreak preparedness, control and follow-up

Highly pathogenic avian influenza 2014/15

Highly pathogenic avian influenza 2014/15

Highly pathogenic avian influenza 2014/15

Highly pathogenic avian influenza 2014/15

Highly pathogenic avian influenza 2014/15

Highly pathogenic avian influenza 2014/15

Highly pathogenic avian influenza 2014/15

...and human cases of H5N1, H5N6, H6N1, H7N9, H9N2 and H10N8

HPAIV H5N1 2005-2007 and 2014-2015

HPAIV H5N1 affected regions 2007

http://www.miqel.com/reading_library/archived_stories/virus-pandemic-china-H5N1-bird-flu.html

HPAIV H5N1 affected regions 2014/15

10 May 201511 May 2015

28 May 2015

ECDC´s work

Epidemic Intelligence monitoring

Regular monitoring of the situationReport every 1st week of the month

ECDC Rapid Risk Assessment

• Use of appropriate personal protective equipment• People exposed should be monitored for ten days

No human infections yet.Risk of zoonotic transmission to general public in EU/EEA considered extremely low.

Objective of this workshop

To provide a situation update To share experiences on preparedness and

response To identify gaps and opportunities for

improvement in responding to the human health risks

To promote collaboration and information sharing between animal and human public health authorities

To provide a forum for exchanging experiences from the current outbreaks in the EU

Outbreak preparedness

• Preparedness plans and guidelines• Development of questionnaires• Evidence for vaccination recommendation• Evidence for antiviral treatment/post-

exposure prophylaxis recommendation

Outbreak management

• Risk assessment: Grading of exposure Assessment of risk Vaccination and/or pre-/postexposure prophylaxis

• Surveillance: Active or passive syndromic surveillance Target group: occupational exposed persons, persons in

proximity,... Time frame of follow-up Testing guidelines

• Communication Information of public/practicioners Information of exposed persons

Outbreak follow-up

• Serological study (cohort/case-control)

• Evaluation of events

• Modification of preparedness plans

Good guidelines - wrong weather conditions

Courtesy of colleagues in Italy

Thank you