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2294 part 1 final report.pdf - Agra CEAS Consulting

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Prevention and control of animal diseases worldwide<br />

Part I: Economic analysis: prevention versus outbreak costs<br />

Based on this Plan, a detailed Integrated National Operational Programme for Avian and Human Influenza<br />

2006-2010 (OPI) (A270), also known as Green Book, was prepared by a Government Taskforce<br />

established by the Steering Committee with support from the UN Country Team, the World Bank and<br />

other donors <strong>part</strong>icipating in a Joint Assessment Mission from 18-28 April 2006 and <strong>final</strong>ly endorsed by<br />

the international community. The plan is focused on the national preparedness, the improvement of the<br />

policy framework, public awareness and information activities as well as strengthening the disease control<br />

in the agricultural sector and the surveillance in both human and animal sectors. It constitutes the basis for<br />

the national VS to develop their own strategy to control HPAI. The total cost of the OPI was estimated at<br />

US$ 250 million, including US$31.2 million for the enhanced coordination activities (12% of the total),<br />

US$116.4 million for HPAI control and eradication activities in the agricultural sector (47%) and<br />

US$102.4 million for influenza prevention and pandemic preparedness in the human population (41%) 116 .<br />

The priorities proposed in the OPI have been discussed in a number of fora, while a number of<br />

international organisations (including the WB, the FAO, and the WHO) have been involved in a joint<br />

assessment mission during the plan’s preparation, which assessed the country needs and financial<br />

requirements for the implementation of the Plan over the 2006-10 period.<br />

In the animal health sector (HPAI Control and Eradication Strategy), the OPI’s key components include<br />

the strengthening of VS, a control and eradication strategy, support to surveillance and epidemiological<br />

investigation, and support for poultry sector restructuring. The strategy foresees a stepwise approach in<br />

three phases:<br />

(a) control phase (short term), in which the incidence of outbreaks is reduced by stamping out of<br />

outbreaks, mass vaccination and the start of improvements in bio-security (poultry production and<br />

changes to marketing practices). This phase is expected to continue in 2007, with some reduction of<br />

the national mass vaccination program occurring in 2006;<br />

(b) consolidation phase (medium term), in which gains are maintained, further restructuring of the<br />

industry is undertaken, farms in the industrial sector demonstrate freedom from HPAI, and disease<br />

free com<strong>part</strong>ments are expanded. This phase is to continue to the end of the OPI planning horizon,<br />

from 2008 to 2010; and<br />

(c) eradication phase (long term) which will start in 2010 and will continue beyond the OPI period.<br />

The bulk of the costs (Table 12) are foreseen for the control of the disease (65.9%) and, in accordance<br />

with the strategy, nearly half of the costs of this component are expected to be incurred in the short term<br />

(2006-07). The most significant expenditure of disease control is on targeted vaccination (US$ 25.6<br />

million or 46.6%), followed by compensation to livestock owners and disease investigation (appr. US$<br />

12.5 million each or 22.6%). The strengthening of the VS comes second in the Plan (18.9%) and is<br />

expected to be undertaken in year 2 (2007); in addition, the bulk of the (epidemio) surveillance investment<br />

is envisaged for 2007. Most of the VS component is devoted to the development of laboratory capacity<br />

and equipment (US$ 12.2 or 92% of the total component).<br />

116 All costs including contingencies. A more detailed budget is provided in Table 1, Annex 2 of the Plan (A109)<br />

Civic <strong>Consulting</strong> • <strong>Agra</strong> <strong>CEAS</strong> <strong>Consulting</strong> 109

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