Status Report: Avian Influenza Emergency Preparedness Plan for Malawi

Avian Influenza Risk for Malawi Major risks: through migratory birds (Dec – March). The wetlands serve as important areas for resident & migratory birds. Wetlands lie on the north-south migratory routes along the rift valley. Transboundary movements

Name the most abundant species of migratory birds Common Name Scientific Name White stock Ciconia ciconia Little Bittern Lxobrychus minotus Greater Flamingo Phoeniceterns ruber Lesser Flamingo Phoenicepterns minor Corn rake Crex crex

LIVESTOCK MANAGEMENT SYSTEMS AND TRADE SMALLHOLDER INFORMAL COMMERCIAL INFORMAL LARGE SCALE

CAPACITY 1. HUMAN RESOURCE: VERY POOR GOVERNMENT VETS – 4 PRIVATE – 5 INSTITUTIONS – 4 This translates to a very high ratio of livestock units to a vet far below the recommended levels or the averages for developed countries or Africa. This status quo is unlikely to improve 2.DIAGNOSTICS Serology: Haemagglutination at Central Vet Labs RT-PCR at Mzuzu Taiwanese Medical Mission 3. INFRASTRUCTURE: Labs: Equipment Communication: All available

PREPAREDNESS PR0CEDURES PRE- OUTBREAK Prevent the introduction of Notifiable Avian Influenza (NAI) among animal and human population and minimise its impact once introduced. Conduct Newcastle disease vaccination campaign Public awareness on avian influenza created. Surveillance for avian influenza in animals and humans strengthened Migratory birds’ movement patterns and their interface with domestic poultry established and mapped. Capacity for managing the disease strengthened Public awareness on avian influenza created. Surveillance for avian influenza in animals and humans strengthened Migratory birds’ movement patterns and their interface with domestic poultry established and mapped. Capacity for managing the disease

OUTBREAK SITUATION To mount a timely, consistent and coordinated response to avian influenza among the animal and human population Procure bio security and bio safety equipment Procure diagnostic equipment and reagents Conduct training of specialised personnel (Laboratory, Clinicians, Epidemiologist, Public Health Specialists and Ornithologist) Develop treatment protocol Strengthening communication and networking system Conduct training on GIS

Summary Budget for Public awareness created18,669, , Surveillance strengthened.109,725, , Migratory bird movement pattern and interface established and mapped. 8,409, , Capacity for managing the disease strengthened. 69,468, , Monitoring and evaluation strengthened.8,407, , Form rapid response team4,231, , Grand Total 214,680, ,717,440.00

Activities to Date 1. National Taskforce and National Technical Committee formed 2. Press Releases on ban of poultry and poultry products and wild bird trade. Press Releases on ban of poultry and poultry products and wild bird trade. 3. Press conference with journalist for dissemination 4. Two International Airports: Chileka and Lilongwe. 5. Resource Mobilization Meeting.

6. FAO: 2 vehicles and 11 motorcycles - Staff 7. WHO: Preparatory Workshops 8. UNICEF: Staff Message Development Workshop

THANK YOU THE END

BUDGET SUMMARY(DEPARTMENT OF NATIONAL PARKS AND WILD LIFE) Output Total cost in MK Total cost in US$ 1Migratory birds movement patterns into and within the country and their interface with domestic poultry established and mapped. 16,676,250133,410 2An active NAI field surveillance established42,581,000340,504 3Public awareness on associated risks of introduction of disease 32,500,000260,000 4Capacity for detecting NAI in animals strengthened 85,035,000410,550 5Disease magnitude in the event of an outbreak established 750,0006,000 6 Impact of NAI in wild birds determined1,562,00012,500 7Capacity in control of NAI in animals strengthened 5,375,00043,000 8Disease out break in resident wild birds contained 15,625,000125,000 GRAND TOT AL 200,104,2501,330,964

Institutional Framework National task Force National Technical Committee District Executive Committee Area Executive Committee Village development Committee

The objectives of this plan are : 1. To create public awareness on avian influenza 2. To strengthen surveillance for avian influenza in animals and humans 3.To establish and map migratory birds movement patterns and their potential for contact with domestic poultry 4 To strengthen capacity for managing the disease 5 To minimise socio-cultural, economic and biodiversity losses

Expected outputs 1. Public awareness on avian influenza created. 2. Surveillance for avian influenza in animals and humans strengthened 3. Migratory birds’ movement patterns and their interface with domestic poultry established and mapped. 4. Capacity for managing the disease strengthened

4.0 Major activities 4.1 Output: Public awareness on avian influenza created Activities 1. Develop a communication strategy for avian influenza 2. Development of key messages 3. Communication channels (multi-media) 4. Conduct Social mobilization campaigns 5. Conduct press briefing 6. Conduct Advocacy for Local Assembly representatives 7. Issue Press Releases

4.2 Output: Surveillance for avian influenza in animals and humans strengthened Activities 1. Develop the surveillance tools I. Training manuals II. Reporting forms 2. Incorporate AI into the existing surveillance system 3. Conduct Training of staff in disease surveillance 4. Procurement of vehicles, Motorcycles, Bicycles and communication equipment 5. Sample collection and transportation 6. Conduct risk assessment 7. Conduct regular surveillance review meetings

4.3 Output: Migratory birds movement patterns and their interface with domestic Poultry established and mapped Activities 1. Conduct survey on spatial and temporal distribution of migratory and resident birds 2. Conduct training of staff in migratory bird identification 3. Form Rapid Response Teams 4 Procure survey and monitoring equipment of birds

4.4 Output: Capacity for managing the disease strengthened Activities 1. Conduct Newcastle disease vaccination campaign 2. Procure bio security and bio safety equipment 3. Procure diagnostic equipment and reagents 4. Conduct training of specialised personnel (Laboratory, Clinicians, Epidemiologist, Public Health Specialists and Ornithologist) 5. Develop treatment protocol 6. Strengthening communication and networking system 7. Conduct training on GIS

4.5 Output: Monitoring and Evaluation strengthened Activities 1. Conduct regular support supervision in hot spot areas 2. Conduct bi-annual review meetings with extension workers in hot spot areas 3. Conduct Monthly National Technical Committee meetings 4. Conduct quarterly National Task Force meetings 5. Compile and disseminate M & E annual reports

NOTIFIABLE AVIAN INFLUENZA PREPAREDNESS PLAN SUMMARY BUDGET IDPRE NAI DETECTIONCOST 1 Migratory birds movement patterns into and within the country and their interface with domestic poultry established and mapped 290, Establish response teams at hot spot areas and national level Public awareness on associated risks of introduction of disease Capacity for detecting NAI in animals strengthened Impact of NAI determined Capacity in NAI strengthened Disease outbreak contained GRAND TOTAL(MK) GRAND TOTAL(US $)

Summarised Plan Budget (Health ) Component Malawi KwachaUSD Coordination and implementation framework 34,400, ,615 Disease surveillance 387,692 Vaccine and antiviral medication delivery 8,000,000 61,538 Emergency Medical delivery 37,500,000288,462 Communication. 45,000, ,154 Procurement (Vaccines, Drugs & PPE) 12,183,552,391 93,719,634 Gland Total 12,358,852,39195,068,095

2.0 Migratory movement pattern and interface with domestic birds established and mapped 2.1 Procure survey and monitoring equipment4,469, , conduct survey on spatial and temporal distribution 395, , Training in migratory bird identification3,544, , Sub Total 8,409, ,274.40

3.0 Public Awareness created 3.1 Develop communication plan3,094, , Conduct social mobilization7,965, , Conduct advocacy835, , Conduct press briefing and field visits191, ,531, Issue press releases2,160, , Conduct press conferences2,222, , Conduct phone-in and panel discussions1,727, , Conduct guest interview473, , Sub Total 18,669, ,353.24

4.0 Capacity for managing the disease strengthened 4.1 Train specialist Lab personnel3,345, , Conduct training of Lab Personnel3,739, , Develop treatment protocol manual1,308, , Training of health workers7,132, , Stock piling of tamiflu2,623,885,0020, Conduct training in GIS2,245, , Conduct Newcastle disease vaccinations1,782, , Procure bio safety and diagnostic equipment47,290, , Sub Total 69,468, ,748.28

5.0 Monitoring and Evaluation strengthened 5.1 Conduct regular supervision in hot spot areas4,232, , Conduct annual review meeting3,077, , Conduct bi-monthly NTC meeting852, , Conduct quarterly NTF meeting48, Compile M & E annual reports198, , Sub Total 8,407, , Grand Total 214,680,5901,717,444.72

2 Publicity/Communication  Press Releases on ban of poultry and poultry products and wild bird trade.  Press conference with journalist for dissemination

3. Briefings  All Chief Animal Health and Livestock Development Officers.  Two International Airports: Chileka and Lilongwe.  Resource Mobilization Meeting.

4. Surveillance  Sample collection at Lake Chirwa with wetlands International /FAO.

5. Partner Support  FAO: 2 vehicles and 11 motorcycles - Staff  WHO: Preparatory Workshops  UNICEF: Staff Message Development Workshop