2294 part 1 final report.pdf - Agra CEAS Consulting

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Prevention and control of animal diseases worldwide Part I: Economic analysis: prevention versus outbreak costs 5.4.1.3. AH services and institutional structures The Central Competent Authority for veterinary services in Romania is the National Sanitary Veterinary and Food Safety Authority (ANSVA). The ANSVA is organised in four directorates: 1- Veterinary, 2- General Food Safety, 3- Inspection, Control, BIPs and Co-ordination of Veterinary Institutes and 4- Economical-administrative, Juridical and International Relations, ANSVA is responsible for supervision, prevention, risk analysis, control, inspection and authorisation in the fields of animal health and welfare, food safety and border inspection posts (BIPs). The Authority is an independent body with its own budget and it is managed by a President (ranked as State Secretary) reporting directly to the Prime Minister (EC DG SANCO/FVO mission reports). ANSVSA employs about 3000 regular staff and some 400 area veterinarians in it s 42 County Sanitary Veterinary and Food Safety Directorates (Bucharest included). At the local level ANSVSA has contractual arrangements with about 2800 private veterinarians. Three public institutions are affiliated to ANSVSA: (1) the Institute for Diagnosis and Animal Health (IDAH), (2) the Institute for the Control o f Biological Products and Veterinary Drugs, and (3) the Institute for Veterinary Hygiene and Public Health (IVHPH). In addition, ANSVSA also controls the border inspection posts (BIPs). (A93a). Since the first outbreaks in 2005, several measures have been taken by the Romanian Government to prevent, control and eradicate Avian Influenza in the country. A chain of command was promptly set up to manage the crisis at central, county, and local level based on the indications of the Contingency plan (CP). A permanent National Disease Command Centre (the "Central Anti-Epizootic Command Centre") (CAECC) and local disease command centres made of the deputy director of the County Sanitary, Veterinary and Food Safety Unit and several AI experts have been established through Order No. 146/2005 (A275, A93a). On May 26 2006, the Prime Minister established a National Centre for the Coordination of the Fight against AI, chaired by the president of ANSVSA (National Sanitary Veterinary and Food Safety Authority), comprising representatives of 6 ministries and technical experts, and functioning as an advisory body to the CAECC (A93a). In addition, the Command Centre was assisted by a Crisis Cell which remained operational until the quarantine was lifted and the poultry farms were repopulated. (A93a). Together with the National Commission for Defence against Disasters, responsible for the definition of the overall policy framework for disaster prevention and response, the AECC was created to direct the intervention policy (A275, A93a). At central level the Veterinary service of the ANSVSA is the CA (Competent Authority) directing the technical measures being taken against the epidemic of avian influenza and is the only authorised institution to make international notifications on animal diseases. At the time of the outbreak an epidemiological cell was temporarily based at the National Reference Laboratory (NRL) to coordinate the technical activities. (A275). 5.4.2. Cost of prevention and control systems A national plan of intervention in case of a flu pandemic and a contingency plan for avian influenza, approved by the European Commission in December 2006 (Commission Decision, No 2007/24/EC, approving contingency plans for the control of avian influenza and New Castle disease; 22 December 2006), are in place in Romania but the extension and the cost of the overall projects are unclear. Civic Consulting • Agra CEAS Consulting 132
Prevention and control of animal diseases worldwide Part I: Economic analysis: prevention versus outbreak costs After the first confirmed outbreak, immediate support was provided by international organisations and programs are currently in place to strengthen AI surveillance and reporting systems (A236b). Through a FAO/German Trust Fund project, Germany allocated US$ 141,000, for a 6-month project which ended in May 2006, to provide emergency assistance to control Avian Influenza in Romania (A 42), while in November 2006 the EU allocated 105,000 Euro to improve the surveillance for avian influenza in the country 134 . In August 2006 the World Bank approved a loan to Romania over the 11/2006-8/2009 period in the amount of Euro 29.6 million (US$ 37.7 million) under the GPAI programme to support a national program to increase Romania’s avian and human influenza preparedness. The project allocated Euro 14.3 million (39%) for Animal Health, Euro 19.80 million (54%) for Human Health; Euro 1.641 million (4%) for Public Awareness and Communications and Euro 1.824 million (5%) for support, monitoring and evaluation (A93a). The Animal health component includes 4 components whose budget details are provided in Table 20. Table 20 Romania: Animal Health component of the avian influenza control and human pandemic preparedness and response project Amount (EURO million) Strengthening the Institutional Framework 1.503 Strengthening Disease Surveillance, Diagnostic Capacity and Research 10.878 Strengthening HPAI Control Programs 1.578 Improving Bio-security in poultry production trade 293 TOTAL 14.252 Source: Romania WB GPAI/APL Some 57% of the Animal Heath budget has been allocated to support the improvement of diagnostic capacity. Romania's laboratory capacity has been substantially improved over the past years and is equipped to diagnose all notifiable diseases, including HPAI, at the national reference laboratory (NRL) located at the Institute for Diagnosis and Animal Health (IDAH), but on the other hand the IDAH laboratory is the only BSL-3 facility on the animal health side. (A93a) The National Reference Laboratory (NRL) has been in charge since the beginning of the outbreaks to confirm through virus isolation the presence of HPAI. It has also been involved in the training of staff especially for the setting up of Polymerase Chain Reaction (PCR) diagnostic units in the county laboratories that have been provided with such technology. Three teams (virology, molecular biology and animal health & traceability) were set up to respond to the emergency and the number of people involved 134 According to this Commission Decision, Romania was allocated Euro 9.72 million in maximum co-funding (50% in most cases) for 2007 for the monitoring, eradication and control of animal diseases. The bulk of this budget has been committed to CSF (5.25 million Euro) and TSE monitoring (2.37 million Euro, for both of which the Commission co-funding rate is up to 100%. Civic Consulting • Agra CEAS Consulting 133
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