Community for Emerging and Zoonotic Diseases Objectives, Successes and Pitfalls CAHSN Face to Face meeting, February 26-27, 2018 Presenter: Andrea Osborn

Background CEZD was initiated by a collaborative partnership in the project phase 2013-16 Alpha and Beta Pilots were successful Funded by Canadian Safety and Security Program A two year implementation phase (2016-2018) Implementation phase funded collaboratively CFIA – core team, PHAC CNPHI/KIWI, Partners funding time/effort of staff What happens next – how do we get to sustainability?

Successes and Pitfalls

CEZD Version 1.0 - Processes A disease or event occurs somewhere in the world and is reported on the web The information is detected by the algorithm on the Canadian Network for Public Health Intelligence Platform (PHAC) it filters signals that may be relevant and forwards them to the community The community reviews the information and rates it for relevance to Canada The core team generates the weekly intelligence report The reports are disseminated This is the process with which we have started, but the future vision goes far beyond this

Processes are Working Information volume is effectively decreased 6 months: April 1 – Sept 30, 2017 5062 information pieces received 1886 Signals filtered by KIWI 70 considered relevant to Canada Information volume is effectively decreased Weekly Intelligence reports reliably produced throughout implementation

Processes – Need Development Most highly rated signals are ‘community reported events’ Trends over time and geographic distribution can be tracked Needs to be automated, and brought together with other sources of early warning intelligence Community Reported Events PED in Manitoba – National Hog Farmer EHD reaches Ontario for first time – CWHC blog More virulent strain of PRRS challenges Manitoba – Farmscape Invasive Mosquito - ProMed Critical information, because we need to know where the information that is most relevant to Canada and Canadians come from, it comes from the community. Trends over time can be analysed, once we know ‘normal’, it’s easier to identify ‘abnormal’ – is the peak happening earlier, at a different time of the year? Geographically, we can see where the most relevant signals are coming from – vast majority from the US, makes sense given our shared borders, but given the rapidity of trade should we consider some of the other countries higher risk?

Pitfalls/Improvement needed Right now we are not providing value to all parts of the community Value being provided primarily to report consumers Increase value to the active part of the community Types of reports and analysis required What needs to be shared immediately What needs situation assessment/rapid risk assessment Who, what and how? Domestic intelligence sharing International intelligence

CEZD 1.0: Community Development

Success - Membership Growth and Diversity During our current implementation phase, involvement in CEZD has reached 230+ individuals 230 individuals 126 joined collaboration centre 104 signed up to receive the weekly intelligence reports Increased participation in the community Increased awareness of the community via Intelligence report distribution, and sharing of reports on the CAHSS website Community growth and awareness only started growing after a survey was conducted by the Canadian Animal Health Coalition last year and information was distributed. Most of our growth/diversification has happened over the last 6 months The largest number of members are within the Provincial and Federal Governments, = Public Health Agriculture and Agri-food Canada. Industry members have almost doubled Engagement of Academia at Veterinary Colleges and Schools of Public Health as well as the Addition of international members from the United States both USDA APHIS , academia and industry. Involvement in CEZD has more than doubled

Communications materials created Outreach – community growth Engagement – Methods Communications materials created Outreach – community growth Stakeholder Analysis - informal E-mail Survey of Canadian Animal Health Coalition members Conference presentations CAHSS website CVMA website, CVJ article Providing veterinary continuing education credit for CEZD Activities Nominated for a Price Waterhouse Cooper - Vision2Reality Award

Engagement Successes Adapting, Changing, Trying new things Revolving raters increased numbers rating signals Weekly “ping” questions (25-30) receive comments/ratings across disciplines Initiated community webinars (not consistent) Partnered in two funding requests to PHAC’s Infectious Diseases and Climate Change Fund Where to next ? Community needs to decide? Support existing community – increase value provided Reach out and grow the community further Webinars: Risk mapping to target surveillance activities Climate change hazards information portal Hosted multidisciplinary discussion on AI transmission between wild and farmed birds

Where are We Going? CEZD 2.0 5062 1886 70 We have to move beyond our current state with weekly reports, it’s very valuable but isn’t fast enough. Early warning is relative – knowing about FMD in South America is early warning, finding out about it by a news report from the US, next to our border is too late. ILT report in Ontario is early warning for producer from the next province but not the farmer next door. Need to build and engage the virtual network. Work of our engagement team needs to continue to grow and connect the community. To ensure we build and engage a trusted domestic network so that timely cross reporting can be facilitated. How can we engage internationally, which components of our community are already doing that, and can share their knowledge with the rest of us….

THANK-YOU