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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 />

The pledge was based on a World Bank assessment of the financing needs and gaps at the time (A89 and<br />

A176) 63 . This included mainly country level support (accounting for US$ 1.2 billion), and relatively<br />

smaller shares to support the role of international organisations in assisting regional and global initiatives<br />

on animal health (US$ 75 million, for organisations including the WHO, FAO, and the OIE) and on<br />

human health (US$ 157.6 million for the WHO).<br />

The activities foreseen included assistance to ‘infected’, ‘at risk’ and ‘newly infected’ countries for:<br />

emergency preparedness (development of functional disease control plans and simulation exercises;<br />

development of contingency plans for human pandemic of influenza of avian origin), active surveillance<br />

and monitoring, and communication and public awareness; laboratory support (including provision of<br />

equipment and consumables, assistance with diagnostic procedures), and assistance with analysis and<br />

studies (including of epidemiological data); and disease control (including provision of equipment,<br />

vaccines and consumables), capacity building, poultry industry restructuring, and various coordination<br />

activities.<br />

When first presented at the Geneva stakeholders’ conference and to the Beijing donor pledging<br />

conference, the global programme for avian influenza control (developed jointly by the OIE, FAO and the<br />

World Bank), had estimated costs for the animal health component only to US$ 494.3 million over a<br />

period of 3 years (of which some US$ 60 million were sought for the first 6 months as emergency action).<br />

Due to the rapid expansion of the disease, this budget was substantially revised in March 2006 to a total<br />

estimate of US$ 882.1 million over the 3-year period (FAO’s perspective for a global programme for<br />

avian influenza control and eradication A42). Of this, some US$ 308.5 million were proposed to serve as a<br />

contingency mechanism, to be managed by the FAO, for rapid response to infections in new countries not<br />

identified as yet (of which funds for 6 months only, at US$ 21.6 million, were sought at this stage). The<br />

important budget increase provided for the unexpected spread of the disease to Europe and Africa (two<br />

continents that were not affected in November 2005 when the previous estimates were made) but also in<br />

Asia itself. The budget included an international coordination component of US$ 132 million 64 .<br />

The emphasis was mainly on infected countries for which nearly a third of the total budget (some US$<br />

304.5 million) was proposed. Two countries (Indonesia and Vietnam) accounted for nearly a third of this<br />

total (US$ 75.3 million and US$ 20.4 million, or 25% and 7%, respectively), whereas India and Nigeria<br />

were estimated to need around US$ 45 million each (i.e. 15% each of the total) 65 . A further US$ 157.6<br />

million was proposed for countries ‘at risk’ which included all world regions.<br />

63 The Technical Note (Annex C) to document A89 (“AHI: Financing Needs and Gaps”) provides details of the<br />

costing for individual countries, the assumptions made and the tools used for extrapolation to the world. This<br />

procedure was undertaken in consultation with the OIE, the FAO and the WHO<br />

64 This was drafted on the basis of supporting coordination activities to be undertaken by the FAO as such and did<br />

not include activities related to the OIE notably coordination of the international effort for the strengthening of VS<br />

for mid to long-term capacity improvements, which was <strong>part</strong> of the original Geneva budget (for a proposed $22.5<br />

million).<br />

65 The proposed budget for Indonesia, Vietnam, Lao and Cambodia was based on detailed need assessments in the<br />

countries, whereas for a second set of countries (15 countries, including India, Nigeria, Egypt, Iran, Cameroon,<br />

Romania, Turkey, Malaysia etc.) detailed need assessments were still to be provided.<br />

Civic <strong>Consulting</strong> • <strong>Agra</strong> <strong>CEAS</strong> <strong>Consulting</strong> 52

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