1. Nigel Perkins, Team Leader Gideon Bruckner, Animal Health Expert Georg Petersen, Human Health Expert Strengthening ASEAN Regional Coordination of Animal Health and Zoonosis ASEAN Workshop on Regional Coordination on Animal Health and Zoonoses Vientiane, 3 May 2010

2. Study Background  TADs continue to threaten animal and human health in the region  Coordination of preparedness and response capacity is important for control of TADs  Recent trends and activities GF-TADs framework One world – one health Shift from disease specific to more general focus -HPAI to EID or HPED Multiple projects/programs have developed regional coordination functions: SEAFMD, EC-HPED, HPAI

3. Study Background  2008: ASWGL recommended independent study team to provide a report to ASEC and AMS on options for regional coordination for animal health and zoonoses  Objectives  1.To assess and present feasible models of regional coordination arrangements for TADs, including Zoonoses, in ASEAN.  2.To explore regional strategies that will enhance the animal health sector’s capacity to more effectively collaborate with the human health sector in addressing emerging and “neglected” zoonotic diseases in ASEAN.

4. Study Team  Dr Gideon Bruckner funded by OIE and FAO Animal Health Expert -30 years in South African Govt Veterinary Depts: Director Veterinary Services & Vet Pub Health -Numerous consultancies & expert group reports for OIE, FAO, WHO, WTO -OIE – Head of the Scientific & Technical Dept: 2006-2007 -OIE Deputy Director-General, Animal Health and International Trade: 2007-2009  Dr Georg Petersen funded by European Commission Human Health Expert -20 years with WHO in Asia -WHO representative in Cambodia & Indonesia -Led WHO response activities following the 2004 tsunami in Aceh  Dr Nigel Perkins funded by AusAID Team Leader -Veterinary epidemiologist, Director of AusVet Animal Health Services ->10 yrs experience in Asia: HPAI, zoonotic diseases, disease outbreak investigation, SEAFMD review -Former team leader of EpiCentre, Massey University; Program Co-ordinator Australian Biosecurity CRC, Adjunct Professor University of QLD

5. Activities  Initial team meeting in Shanghai on 15 November 2009  Shanghai (6 days) 26th Conference of the OIE Regional Commission for Asia, the Far East and Oceania in Shanghai  Jakarta – ASEC (2 days)  Manila – Philippines BAI, WHO, ADB, ACB (2 days)  Bangkok – SEAFMD, FAO, SEAFDEC, AusAID, MBDS (4 days)  Jakarta – GF-TADs, WHO, ASEC  Aide Memoire: 9 December 2009  Study team departs to head home: 9 December 2009  Draft report: January 2010  Final report: March 2010  Team leader attending ASWGL meeting in May 2010

6. The report (77 pages)  Executive summary: 4 pages 12 recommendations  Main report: 21 pages Section 1: Background, objectives, methods, terminology Section 2: RCM – role, current situation, key stakeholders, what will make an RCM successful Section 3: 4 options for an RCM Section 4: Issues and discussion  Appendices: 42 pages Detailed discussion of findings & consultation ToR Project team References Itinerary & meeting schedule

7. Logistics  Considerable travel  Meetings not always able to be arranged  Not all ASEAN member countries were able to be consulted Met with Cambodia, Indonesia, Thailand, Singapore, Philippines Did not meet with Malaysia, Brunei, Vietnam, Myanmar, Laos  A large number of stakeholders were consulted  Some stakeholders (organisations or individuals) were not available at the time  Potential impacts Report reflects views of authors & of stakeholders that were consulted Input from ASEAN member countries was very consistent

8. Executive summary: 1 of 8  Current status for regional coordination Number of different mechanisms Linked in an un-organised way Appeared over time mainly in response to specific disease events & challenges Two main functional units -FAO RAP Bangkok offering RCM for HPAI –Being formalised as the EC-HPED RSU -SEAFMD for FMD

9. Executive summary: 2 of 8  Very consistent views from all stakeholders -Move towards a single, easily recognised RCM -Owned by member states (MS) –MS provide strategic direction/governance, occupy key positions, contribute to funding -Donors and Int’nl agencies remain critical –Assist with funding, technical expertise –Partnership with MS -GF-TAD offers a framework –Modified to fit MS ownership –Integration with other activities & interaction with Donors & Int’nl agencies

10. Executive summary: 3 of 8  One RCM to handle all priority TADs -Single structure (in Bangkok) -Handles multiple activities –Disease specific (FMD, HPAI, …) –Non-disease specific (e.g. capacity building) -Regional Coordination role -Not intended to implement specific projects within MS Provide regional forums for MS & other stakeholders Develop regional strategy for each priority disease or activity Technical input into policy/strategy dev for ASEAN Identify MS needs (projects) that are aligned with regional strategy Work with donors/agencies & MS to get projects developed Follow-up on activities SCOPE:

11. Executive summary: 4 of 8  Current models -OIE-SRR (includes SEAFMD, PSVS, other) –Model of excellence for regional coordination -EC-HPED RSU –Modelled on SEAFMD & GF-TAD

12. Executive summary: 5 of 8 OIE-SRR EC-HPED RSU RCMOIE-SRR SEAFMD OtherHPAI Epi network Lab network Specific diseases PSVS Transition

13. Executive summary: 6 of 8  Governing structure One Steering Committee -CVOs from MS -Based on GF-TAD with modification to reflect MS ownership External to ASEC -Linked to ASEC through ASWGL Engage non-ASEAN MS by -Full membership -Non-member participation

14. Executive summary: 7 of 8  Funding AAHTF -MS contributions with minimal level from all MS -Needs review of conditions Multi-donor funds -Such as OIE World Fund -Many advantages

15. Executive summary: 8 of 8  Animal – Human collaboration Maintain separate sectors Improve collaboration Involve human health sector in regional meetings of RCM that involve priority zoonotic diseases (HPAI) ASEC -AINR Division & HCDU Division Rec’s from ASEAN+3 Workshops on Animal & Human Health Collaboration for Emerging and Neglected Zoonotic Diseases

16. Options (1 of 4) 1.Preferred Single physical structure Staged transition from EC-HPED RSU Incorporates SEAFMD RCM SEAFMDOtherHPAI Epi network Lab network Specific diseases Efficient Effective High visibility Single point of interaction MS ownership Applies successful model(s)

17. Options (2 of 4) 2.RCM + separate OIE-SRR-SEAFMD Single physical structure Staged transition from EC-HPED RSU SEAFMD remains in OIE-SRR Close links between RCM and OIE- SRR/SEAFMD Inefficient / redundancies Confusion - multiple interaction points Ongoing competition with OIE-SRR Weakens RCM RCM SEAFMDOtherHPAI Epi network Lab network Specific diseases

18. Options (3 of 4) 3.Appointments within ASEC Animal health equivalent to EID Phase 2 PFS that exists within HCDU Several appointments to RCM Requires presence of external regional coordination mechanisms such as SEAFMD & EC-HPED RSU Cheaper Does strengthen AINR (impact?) Unlikely to improve coordination Likely to be reliant on project funding Inefficient / redundancies Confusion - multiple interaction points

19. Options (4 of 4) 4.Maintain current status EC-HPED RSU is continued within FAO offices in Bangkok -May take on a new name -Likely to compete with OIE for lead role in new disease/activities FMD coordination likely to stay with SEAFMD OIE-SRR likely to compete with FAO for lead role in new diseases/activities No improvement on current situation

20. Summary – a future RCM AMS and non-AMS Single mechanism, hosted by one country -covers multiple diseases & activities MS-owned -implications for name, funding, governance,… Minimise duplication, maximise efficiency High awareness – regionally and internationally Engage high-level MS delegates -effective outputs (function, policy) and engagement with donors and int'l agencies Staged implementation -transition from EC-HPED to RCM -move other coordination activities into RCM

21. Acknowledgements ASEAN Secretariat AusAID, AusAID-HRF FAO and OIE EC All people consulted have very willingly provided time and opinions Thank you