Zoonotic Disease

4. Zoonotic Disease

Questions Responses Document Required

Contextual Questions:

CQ1. What zoonotic diseases are of greatest public health concern within the country?

- The greatest zoonoses public health concern in the

country are avian influenza, rabies, Leptospirosis,

brucellosis, anthrax and EIDs including MERS and

Nipah. Many workshops/meeting were organized to

prioritize zoonoses in the country the detail is as

attached document CQ101 and ranked list of

zoonoses (attached document CQ102), Later, the

list is updated in the meeting of Working Group on

the International Health Regulations (IHR) on

zoonoses. The ranked zoonoses is attached on

document CQ103. However, country has a plan to

review the priority list of the zoonoses up-to-date.

Criteria for prioritization are disease situation,

severity of disease, risk of outbreak and the socio-

economic impact.

CQ101_zoonoses prioritization workshop Aug28-29, 2014

CQ102_zoonoses-prioritization-list_19NOV2014

CQ103__zoonoses-prioritization-list_23SEP2016

CQ2. Is there a formal policy for “One Health” in the country?

- In Thailand, “One Health” concept is incorporated into the four-year national strategic plan for emerging infectious diseases Preparedness, Prevention and Response during 2013-2016 (B.E. 2556-2559) (attached document CQ201 and CQ202)

CQ201_NSP for EIDs Preparedness, Prevention and Response during 2013-2016 (B.E. 2556-2559) (http://beid.ddc.moph.go.th/beid

Questions Responses Document Required

and also the latest national strategic plan during 2017-2021 (B.E. 2560-2564). The original document of latest NSP is attached (CQ203.1), the translate version is also attached (CQ203.2).

- Furthermore, the Memorandum of Understanding (MOU) at the Department and Ministerial levels were signed by 5 departments to strengthen surveillance and investigation system of emerging infectious diseases and occupational diseases (attached document CQ204.1 for original version and CQ204.2 for translate version).

- Additionally, One Health MOU among 8 ministries (i.e. Ministry of Public Health, Ministry of Agriculture and Cooperatives, Ministry of Natural Resources and Environment, Ministry of Education, Ministry of Interior, Ministry of Labour and Ministry of Social Development and Human Security) were signed by Permanent Secretaries for sharing information on EIDs, zoonotic diseases and public health threats (attached document CQ205.1 for original version and CQ205.2 for translate version).

- The resolution of National Health Assembly on “ Multi-sectoral Collaboration for One Health : Human, Animal and Environment” (attached document CQ206.1 for original version and CQ206.2 for translate version) was adopted to strengthen engagement of all stakeholders especially civil

_2014/sites/default/files/files/other/eidnationplan56_59.pdf)

CQ202_NSP for EIDs Preparedness, Prevention and Response during 2013-2016 (B.E. 2556-2559) English version (http://beid.ddc.moph.go.th/beid_2014/en/content/thailand-national-strategic-plan-emerging-infectious-disease-preparedness-prevention-and)

CQ203.1_NSP for EIDs Preparedness, Prevention and Response during 2017-2021 (B.E. 2560-2564) (http://beid.ddc.moph.go.th/media/document_detail.php?id=161)

CQ203.2_translate_NSP-EID 2017-2021

CQ204.1_original MOU 5 Departments to strengthen surveillance and investigation system of EIDs and occupational diseases

CQ204.2_translate_MOU 5 Departments

CQ205.1_original_MOU 8

Questions Responses Document Required

society organizations. - The background and development of One Health

concept in Thailand is collected and published in a Journal of Health System Research Institute (http://kb.hsri.or.th/dspace/handle/11228/4218?locale-attribute=th) as attached in document CQ207.

organizations on the Implementation of One Health Initiative for National Health Security (http://thaionehealth.org/?p=1381)

CQ205.2_translate_MOU 8 organizations on the Implementation of One Health Initiative for National Health Security

CQ206.1_original_Resolution of National Health Assembly on “ Multi-sectoral collaboration for One Health : Human, Animal and Environment” (http://thaionehealth.org/wp-content/uploads/2016/06/NHA6-res6.7-one-health-1.pdf)

CQ206.2_translate_Resolution of National Health Assembly on “ Multi-sectoral collaboration for One Health : Human, Animal and Environment” (http://thaionehealth.org/wp-content/uploads/2016/06/7_NHA6_Main-1.pdf)

Questions Responses Document Required

CQ207_The background and development of One Health concept in Thailand (http://kb.hsri.or.th/dspace/handle/11228/4218?locale-attribute=th)

CQ3. Within the past two years, has an exercise been conducted or real event occurred, involving Ministries of Health and Agriculture, to practice and test skills of both human and animal public health workers to investigate and respond to a zoonotic event?

Yes.

3a. Please describe the exercise or real event which occurred.

- Joint investigation between public health and animal health sectors was performed when zoonoses outbreak occurred such as rabies, leptospirosis, and brucellosis (attached document CQ3a01, CQ3a02 and CQ3a09). There is an outbreak of Leptospirosis during the flood at Pattalung province at the end of 2016 (CQ3a03). An example of real event that occurred can be found at http://www.osirjournal.net/ and http://www.wesr.moph.go.th/wesr/index.php?page=search.

CQ3a01_One Health epidemiological teams to strengthen emerging infectious diseases surveillance and responses at provincial level; 2015 (https://www.dropbox.com/s/j0shj05vtovwmko/AW%20BOE2016-web.pdf?dl=0)

CQ3a02_One Health epidemiological teams to strengthen emerging infectious diseases surveillance and

Questions Responses Document Required

- There were the simulation exercises for important zoonoses outbreak response such as avian influenza and Middle East Respiratory Syndrome (MERS). The simulation exercises were conducted at ministerial level for avian influenza (http://thaionehealth.org/th/%E0%B8%81%E0%B8%A3%E0%B8%B0%E0%B8%97%E0%B8%A3%E0%B8%A7%E0%B8%87%E0%B8%AA%E0%B8%B2%E0%B8%98%E0%B8%B2%E0%B8%A3%E0%B8%93%E0%B8%AA%E0%B8%B8%E0%B8%82-%E0%B8%8B%E0%B9%89%E0%B8%AD%E0%B8%A1%E0%B9%81%E0%B8%9C/). The guideline for simulation exercise of avian influenza is attached (document CQ3a04). Simulation

exercises for avian influenza were conducted at

the provincial level, particular in border

provinces for examples ; Sa Kaew province in

2015, Nongkai province in 2015, Songkhla

province in 2016 and Tak province in 2016

(document CQ3a05, CQ3a06, CQ3a067 and

CQ3a08). Furthermore, animal health sector

performed the simulation exercise for Avian

Influenza with livestock officials and farmer at

regional level

(http://164.115.129.63/dcontrol/upload/files/pl

responses at provincial level; 2016

(https://www.dropbox.com/s/1t09xdcure5o68x/OH_2559.pdf?dl=0)

CQ3a03_Meeting minutes of Committee on Leptospirosis (Leptospirosis investigation during the flood at Pattalung province)

CQ3a04_Simulation exercises for avian influenza guideline at ministerial level

CQ3a05_ Summary report of simulation exercise at provincial level (Sakaew province)

CQ3a06_ Summary report of simulation exercise at provincial level (Nongkai province)

CQ3a07_ Summary report of simulation exercise at provincial level (Songkhla province)

CQ3a08_ Summary report of simulation exercise at provincial level (Tak province)

CQ3a09_Summary on meeting with regions for rabies control

CQ3a10_Epidemiological reports on animal diseases and zoonoses 2009-2013

Questions Responses Document Required

an60-1.pdf and

http://164.115.129.63/dcontrol/site/?page=por

tal&groupid=17&subId=41).

CQ3a11_Animal health situation analysis/ surveillance data 2016

3b. What were the most significant lessons learned from the exercise/ real event?

Lessons learn for leptospirosis outbreak: Leptospirosis outbreak always occurs after flooding

period. Most of the outbreak occurred by lack of

knowledge and awareness to protect themselves

from infection and public health officers lacked of

experiences to respond for the outbreak. From

these lessons, several training courses were

organized for public health officer to improve

capacity to detect, screen , diagnose and care to

Leptospirosis illness.

Lessons learn for rabies: The most significant from the real event for rabies

infection in human was awareness of people to do

see doctor or health care staffs when they were

bitten by dog/cat. While unvaccination of stray/free

roaming dog/cat was major factor for rabies

transmission in domestic animal.

Lessons learnt for avian influenza simulation exercise at public health ministerial level, 2016 had the significant points as follows; 1) Public health should have mechanism to link

between the center and provincial level that could

CQ3b01_One Health epidemiological teams to strengthen emerging infectious diseases surveillance and responses at provincial level; 2015 (https://www.dropbox.com/s/j0shj05vtovwmko/AW%20BOE2016-web.pdf?dl=0)

CQ3b02_One Health epidemiological teams to strengthen emerging infectious diseases surveillance and responses at provincial level; 2016 (https://www.dropbox.com/s/1t09xdcure5o68x/OH_2559.pdf?dl=0)

CQ3b03 and CQ3b03.2_Meeting minutes of Committee on Leptospirosis (Leptospirosis investigation during the flood at Pattalung province)

CQ3b04_Summary on meeting with regions for rabies control

Questions Responses Document Required

be strengthen by collaborate with WHO through IHR

2005

2) Clearly Provincial reporter and following risk

communication guideline in every level.

3) EOC management should have guideline to

standardize for start or end EOC/ICS. It is important

to have focal point of structure, places and action in

normal situation and review the preparation of EOC

in every level.

Lesson learn from brucellosis outbreak is training the farmer to understanding the mechanism of disease , detecting antibody titer and culling the positive result routinely (reference from Provincial One Health book).

However, in order to strengthen the gaps, there is a plan to implement such as “After action review (AAR) workshop” after disease outbreak or simulation exercise in order to identify and solve the problem including to collect the documents.

4. How are estimates of animal population within the country determined?

- Department of Livestock Development conducted

census survey of livestock population. The

database of livestock population was recorded and

available online at http: //regislives.dld.go.th/ and

The database of livestock population: http: //regislives.dld.go.th/

The farmer database, 2015 :

Questions Responses Document Required

http://ict.dld.go.th/th2/index.php/th/report/447-

report-thailand-livestock/reportservey2558-1. As

for dog population, the estimated population in

2014 is available at

http://dcontrol.dld.go.th/dcontrol/images/nong/1

23.pdf.

Furthermore, Department of National Parks,

Wildlife and Plant Conservation is responsible for

the estimation of wild bird population, particularly

migrate birds and aquatic birds. The summary is

available at

http://www.dnp.go.th/Wildlife/Emerging%20Diseas

e/performance/%E0%B8%A3%E0%B8%B2%E0%B8

%A2%E0%B8%87%E0%B8%B2%E0%B8%99EIDW255

8.pdf.

http://ict.dld.go.th/th2/index.php/th/report/447-report-thailand-livestock/reportservey2558-1

4a. How often are these estimates developed?

Annually

4b. What department or agency is responsible for developing these estimates?

- Department of Livestock Development is responsible

for dog-cat population survey

- Department of National Park, Wildlife and Plant

Conservation is responsible for wildlife population

survey.

Questions Responses Document Required

5. Can you list the zoonotic diseases for which control policies exist with the purpose of reducing spill-over of zoonotic disease into human populations?

- Animal Influenza, Rabies, Brucellosis, Salmonellosis

(animal origin), Tuberculosis – clinical surveillance, active

surveillance, vaccination (for rabies and bovine brucellosis),

improve bio-security, movement control and stamping out

- Anthrax – vaccination (risk area), clinical surveillance

and movement control

- Tuberculosis - active surveillance, improve bio-

security, movement control and stamping out

- Nipah encephalitis - active surveillance, improve bio-

security, movement control and stamping out

- Bovine Spongiform Encephalopathy - active surveillance, prohibit importation on risky animal feed

HRH Princess Chulabhorn’s project on “Disease-free Animals, Safe Humans from Rabies” (http://thaigcd.ddc.moph.go.th/2016/informations/view/984)

5a. Please describe the progress in implementing these policies

The progress are

1. Rabies (CQ5a01 and CQ5a02)

a. Vaccination. Annual vaccination for animal

rabies has been done collaboratively among

Department of Livestock Development (DLD)

and Local Administrative Organization (LAO).

DLD and LAO provide free rabies vaccine for

dog and cat during vaccination campaign.

Free vaccination will also be provided to

CQ5a01_DDC-DLD co-project on rabies 2016

CQ5a02_manual for rabies free zone

CQ5a03_manual of poultry compartmentalization

CQ5a04_action plan according to One Health MOU among 8 ministries for responding to EIDs, zoonotic diseases and public health threats

Questions Responses Document Required

control animal rabies during the outbreak.

b. Dog-cat shelter has been set up. Several

shelters had been established during the

past few years to reduce stray dog-cat

population. Currently, dog-cat shelther is

one of the major measures for rabies

elamination program under Rabies

Elimination strategies under the Resolution

of Her Royal Highness Princess Chulabhorn

Mahidol (2017-2020). The details are

available at

http://thaigcd.ddc.moph.go.th/2016/inform

ations/view/984

c. Rabies free zone project (attached

document 5aRa2)

d. Dog-cat population control by surgical

opertion

e. Dog-cat registration

f. Public communication

2. Avian Influenza

a. Improve farm bio-security by encourage farm to be

GAP and Compartment Farm (CQ5a03)

b. Improve slaughterhouse bio-security

CQ5a05_Order of Order of Steering Working Group on MOU One Health 8 ministries

Questions Responses Document Required

c. Compensation scheme is applied for stamping out

activities

d. Public communication such as campaign during TAD

festival

e. Prepare equipment for emergency situation such as

Personal Protective Equipment, Olsetamivire,

vaccination for high risk group. An example of

official letter to hospital to prepare for Oseltamivir

and guideline associated are as follows

http://beid.ddc.moph.go.th/beid_2014/files/osel_f

orm.pdf and

http://beid.ddc.moph.go.th/beid_2014/sites/defaul

t/files/AI_manual59_291259.pdf.

3. Brucellosis

a. Serosurveillance to detect infected animal

b. Stamping-out with compensation policy for positive

animal

c. Endemic zone declaration for animal movement

restriction (Animal Disease Epidemic Act)

d. Improve farm bio-security

4. Other zoonoses/ EIDs

There is an action plan according to One Health MOU

among 8 ministries (i.e. Ministry of Public Health,

Questions Responses Document Required

Ministry of Agriculture and Cooperatives, Ministry of

Natural Resources and Environment, Ministry of

Education, Ministry of Interior, Ministry of Labour and

Ministry of Social Development and Human Security)

for sharing information and responding to EIDs,

zoonotic diseases and public health threats (action plan

and Order of Steering Working Group are attached in

document CQ5a04 and CQ5a05)

5b. Is there a plan in place to encourage reporting of animal disease (may include indemnities paid)?

Yes, there is a plan to encourage the reporting of animal

diseases.

- According to Animal Epidemics Act 2015, there is a

penalty to owner who does not follow article 11,

paragraph 1 “the owner must report to officer in 12

hours since knowing that animal died or died with

epidemic or animal illness or death in unknown

case” (http://www.vet.cmu.ac.th/web/file/Act-

3.pdf).

- Department of livestock development (DLD)

established the zoonoses alarm system by setting

up a channel to report a disease for ordinary people

to report animal infection or suspect

(http://www.thairabies.net/trn/Default_Main.aspx

and http://esmartsur.net). DLD made public

Animal Epidemics Act, B.E. 2558 (2015) (http://www.vet.cmu.ac.th/web/file/Act-3.pdf)

Online reporting system for rabies (http://www.thairabies.net/trn/Default_Main.aspx)

Online reporting system for poultry disease (http://164.115.129.63/dcontrol/site/?)

Online reporting system for other diseases (http://esmartsur.net/)

Questions Responses Document Required

relation to encourage disease notification including

broadcasting (Resource from Department of

Livestock development).

- Moreover, there are pilot projects to strengthen

engagement of animal owners/ farmers/ locals such

as

1. Participatory One Health Disease Detection

(PODD) to enhance reporting from community. The

project encourages community volunteer to report

the situation that is a possible factor to epidemic in

community by using application in mobile phone.

There has the pilot project in Local Administrative

Organization at Chiang Mai

(http://www.cmonehealth.org/).

2. Pilot project for farmer/ ruminant owner or pig

owner to report information of illness of

themselves or the death or unusual events in farm

associated with diseases i.e. Brucellosis,

Leptospirosis and Rabies etc. by mobile phone

application or website

(http://203.157.15.32/farmer/)

- Department of Livestock Development has the rule

in article of compensation by following assemble

law in controlling important animal diseases

Questions Responses Document Required

(http://aqi.dld.go.th/th/images/stories/document/

document-public/ low54.pdf).

5c. Is there a plan in place to address factors which might prevent farmers/ owners from reporting animal disease (may include lack of familiarity with reporting process, lack of indemnity, social stigma)?

Yes. The factors that made farmer or animal owner do not

report disease occurrence.

- Farmer or people do not aware that it is their duty to report a disease occurrence. Plan to address: public communication to emphasize

on role and responsibility of animal owner to report

any suspect animal diseases. An example could be the

project led by HRH Princess Chulabhorn, “Disease-free

Animals, Safe Humans from Rabies” campaign

(http://thainews.prd.go.th/website_th/news/print_ne

ws/TNROY6005170010011 or

http://englishnews.thaipbs.or.th/thailand-rid-country-

rabies-2020/).

- Their do not aware negative consequence from any zoonoses. Plan to address: training to improve knowledge of

farmer and people.

- Farmer do not know how to report and to whom

Plan to address: Using an online to report and do

public communication. Examples of online disease

reporting system are PODD and FARMER

(http://www.cmonehealth.org/ and

Animal Epidemics Act, B.E. 2558 (2015) (http://www.vet.cmu.ac.th/web/file/Act-3.pdf)

Online reporting system for rabies (http://www.thairabies.net/trn/Default_Main.aspx)

Online reporting system for poultry disease (http://164.115.129.63/dcontrol/site/?)

Online reporting system for other diseases (http://esmartsur.net/)

PODD ; Pacipatory One health Disease Detection (http://www.cmonehealth.org/

Anonymous reporting system for disease

(https://itunes.apple.com/th/app/%E0%B8%94-%E0%B8%94-%E0%B8%94/id1052065042?l=th&mt=8)

Questions Responses Document Required

http://203.157.15.32/farmer/).

- Farmer afraid of culling their animal when making report. Plan to address: compensate when culling animal The

rates for compensation is as follows

http://aqi.dld.go.th/th/images/stories/document/doc

ument-public/low54.pdf.

- - Fear in blemish or complaint from community. - Plan to address: establish the system of anonymous

report to encourage community to report a disease. An example of anonymous reporting system is as following https://itunes.apple.com/th/app/%E0%B8%94-%E0%B8%94-%E0%B8%94/id1052065042?l=th&mt=8.

- Challenges - limited budget for public communication.

Questions Responses Document Required

Technical Question:

P.4.1 Surveillance systems in place for priority zoonotic diseases/pathogens

- In Thailand, there is surveillance system for important zoonoses such as Avian Influenza, Rabies, Brucellosis, Anthrax, Leptospirosis, and Emerging Infectious Diseases such as Nipah, MERS and Ebola. The public health surveillance system, named R 506 (http://www.boe.moph.go.th/boedb/surdata/index.php) is operated in cooperation among provincial public health office, hospital and all health stations to monitor Rabies, Anthrax, Leptospirosis and zoonoses. Moreover, the Situation Awareness Team (SAT) has been set up in MOPH to verify and response any public health emergency situations (http://www.boeeoc.moph.go.th/eventbase/user/login/).

- For zoonoses in animal, surveillance report has been done by online systems. The systems include,

1. e-smart surveillance for general zoonoses such as

Brucellosis, Tuberculosis

(http://www.esmartsur.net).

2. Thai Rabies Net for rabies

(http://www.thairabies.net)

Questions Responses Document Required

3. Poultry diseases reporting system

(http://164.115.129.63/dcontrol/site/)

P.4.1.1. Does the country have a

mechanism in place to identify

priority zoonotic diseases that

pose a national health risk?

- Yes.

- Many workshops/meeting were organized to

prioritize zoonoses in the country the detail is as

attached document P41101 and ranked list of

zoonoses (attached document P41102), zoonotic

prioritization also was presented and discussed

during high level meeting of 4 Directors General

(Department of Disease Control, Department of

Livestock Development, Department of National

Parks, Wildlife and Plant Conservation and

Department of Local Administration) on the

collaboration for zoonoses prevention and control

(P41103). Later, the list is updated in the meeting of

Working Group on the International Health

Regulations (IHR) on zoonoses. The prioritized

zoonotic list is attached on document P41104.

However, country has plan to review the priority list

of the zoonoses up-to-date. Criteria for

prioritization is disease situation, severity of

disease, risk of outbreak and the socio-economic

impact.

P41101_zoonoses prioritization workshop Aug28-29, 2014

P41102_zoonoses-prioritization-list_19NOV2014

P41103_4-DG meeting minute

P41104_zoonoses-prioritization-list_23SEP2016

Questions Responses Document Required

P.4.1.2. Does the country have a surveillance system in place for relevant animal populations?

- Yes. There are several surveillance programs for zoonoses in animal population including rabies, avian influenza, brucellosis, tuberculosis, nipah encephalitis and other contagious zoonoses. The surveillance programs include clinical surveillance (for contagious zoonoses i.e. anthrax, avian influenza, rabies), sero surveillance (for important zoonoses i.e. nipah encephalitis, HPAI, rabies and sub-clinical infection zoonoses i.e. brucellosis, tuberculosis). Detail of surveillance system for some zoonoses was showed below.

Rabies

- Clinical surveillance

- Active surveillance by collecting brain sample from

high risk group such as dog-cat that died from

accident

- Avian Influenza

- Clinical surveillance

- Serological surveillance in specific group of poultry

such as duck, fighting cock, layer

- Virological surveillance by collecting sample from

cloacal swab and tracheal swab

Brucellosis

- Clinical surveillance

Animal Health operation plan 2016 (http://dcontrol.dld.go.th/dcontr

ol/index.php/plan/plan/550-

plan59)

Animal Health operation plan 2017 (http://dcontrol.dld.go.th/dcontr

ol/index.php/plan/plan/794-

2560)

Questions Responses Document Required

- Serological surveillance

Nipah viral encephalitis

- Serological surveillance in pig in high risk area

- Clinical surveillance

- However, as for leptospirosis, there is the cross-sectional survey in animal usually when suspecting outbreaks in human occur. In 2014, there is the collaboration among multi-sectors (DLD, DNP, ZPO and universities) to conduct the surveillance of MERS in camelids in Thailand.

P.4.1.3. Please describe

partnerships between ministry

of health, ministry of agriculture

and wildlife specialists as they

relate to zoonotic disease

detection and response

- National Committee for EID Preparedness,

Prevention and Response, chaired by Deputy Prime

Minister, is a formal forum for approving policy,

national strategy and measures associated with

disease prevention and control of EIDs (document

P41301 and

http://beid.ddc.moph.go.th/beid_2014/th/content/

การประชุมคณะกรรมการอ านวยการเตรียมความพร้อม-ป้องกันและ

แก้ไขปัญหาโรคติดต่ออุบัติใหม่แห่งชาติ). There are 8 sub-

committees under this national EID committee

including the National Sub-Committee on the

Development of Systems for Disease Surveillance,

Prevention, Treatment and Control under One

Health Concept, chaired by PS of MOPH (document

P41301_Order of National Committee for EID Preparedness, Prevention and Response

P41302_ Order of National Sub-Committee on the Development of Systems for Disease Surveillance, Prevention, Treatment and Control under One Health Concept

P41303.1 and P41303.2_Order of Coordinating unit for One Health steering committee

P41304.1 and P41304.2

Questions Responses Document Required

P41302). This sub-committee is the main forum for

member organizations to discuss on emerging and

potential infections between animals and human

and assess the situations. An example of the

agenda and minutes of meetings can be found here

(http://thaionehealth.org/th/agenda-and-minute-

from-the-national-sub-committee-on-the-

development-of-systems-for-disease-surveillance-

prevention-treatment-and-control-under-one-

health-concept/). The Working Groups under this

sub-committee also produce manuals/ guidelines

for disease surveillance, prevention and control i.e.

for avian influenza

(http://beid.ddc.moph.go.th/beid_2014/sites/defau

lt/files/AI_manual59_291259.pdf), MERS

(http://beid.ddc.moph.go.th/beid_2014/sites/defau

lt/files/upload/files/mer_corona30052558.pdf), etc.

Moreover, there is the Coordinating Unit for One

Health Steering Committee, chaired by DDG of DDC

to enhance the coordination between human,

animal and wildlife health, strengthen information

sharing and communication among partners

(document P41303.1, P41303.2 and

http://thaionehealth.org/th/home/).

_Order of Working Group on

coordination for

strengthening the capacity

according to IHR on Zoonosis

P41305_Order of ad hoc

Working Group for rabies

guidelines

P41306_Manual for

intelligent information

sharing among network and

network list

P41307_Order of One Health

Provincial Committee in

Chiangmai Province

P41308_Order of Provincial

Committee on rabies in

eastern regional provinces

P41309_Order of Provincial

Communicable Disease

Committee

P41310_guideline for rabies

responding

P41311_Roles of Monitoring and Surveillance Center for

Questions Responses Document Required

- Besides the national EID committee, there is also

Working Group on coordination for strengthening

the capacity according to IHR: Zoonosis to discuss

on zoonotic disease prioritization and response to

zoonotic event (document P41304.1 and P41304.2).

These two working group will hold the workshop for

Development of information sharing among multi-

sectoral agencies for avian influenza response in

Thailand in June 2017

(http://thaionehealth.org/th/workshop-on-

development-of-information-sharing-among-multi-

sectoral-agencies-for-avian-influenza-response-in-

thailand-by-using-one-health-systems-mapping-

and-analysis-oh-smart/).

- There are also other ad hoc Working Group led by

MOPH to discuss on measures for zoonoses and

produce manuals/ guidelines (document P41305

and http://r36.ddc.moph.go.th/r36/uploads/

document/584adb73e3d0f.pdf ).

- Moreover, regular sharing on zoonotic disease

situation in other countries and intelligence

information related to EIDs are within the network

bi-weekly (document P41306 Manual for intelligent

information and network list).

Zoonotic Diseases in Wildlife and Exotic Animals (MoZWE)

Questions Responses Document Required

- In addition, the partnership between MOPH and

MOAC take place at regional, provincial, district and

sub-district (Tambon) level. Whenever there is any

outbreaks in animal with zoonotic potential, District

Livestock Office or Livestock volunteer in the village

will inform Sub-district Health Promoting Hospital/

Hospitals in the area or/ and coordinate with the

District Public Health Office. They set up the joint

investigation team, which called Surveillance Rapid

and Response Team (SRRT). Later, information

including the report from outbreak investigation will

be shared to Provincial Public Health Office and

Office of Disease Prevention and Control in the

regions and subsequently to the headquarter, which

is BOE of DDC. Mostly, there is the coordination

directly between Provincial Livestock Office and

Provincial Public Health Office. An example of the

collaboration between public health and animal

health is shown in the provincial order on One

Health (document P41307 and P41308).

- Additionally, in every province, there is the Provincial Communicable Disease Committee led by Provincial Governor. This committee is set up according to Communicable Diseases Act B.E. 2558.

Questions Responses Document Required

A template of Provincial Communicable Disease Committee is as follow http://www.ddc.moph.go.th/file/law/007.1.pdf (document P41309).

- Furthermore, Office of Disease Prevention and

Control has collaborated with Provincial Public

Health Office, Provincial Livestock Office, Regional

Livestock Office and others (such as Regional

Veterinary Research and Development Centers,

Regional Medical Science Centers and Conservation

Area Regional Offices) through meeting and

workshop to improve the practice and

implementing the guidelines. An example of

guideline for rabies responding is shown in

document P41310 and the outbreak investigation

and research projects

(https://www.dropbox.com/s/j0shj05vtovwmko/A

W%20BOE2016-web.pdf?dl=0 and

http://www.dropbox.com/s/1t09xdcure5o68x/OH_

2559.pdf?dl=0)

- As for the partnership with wildlife specialist, there

is the Specific surveillance center (ZEIDs) under The

Monitoring and Surveillance Center for Zoonotic

Diseases in Wildlife and Exotic Animals (MoZWE),

Questions Responses Document Required

Faculty of Veterinary Science, Mahidol University,

which is FAO Reference Centre for Zoonotic and

Wildlife Disease to serve as active and passive

surveillance and monitoring unit (document P41311

and http://www.vs.mahidol.ac.th/th/index.php/

mozwe). This is a networking system which share

information among DLD, DNP, and DDC for early

warning of wildlife.

P.4.1.3.a. Are situational

awareness reports or reports of

potential disease outbreaks

shared between the agencies?

- Yes. There are situational awareness reports or reports of potential disease outbreaks shared between the agencies. Bureau of Disease Control and Veterinary Services (BDCVS), DLD. BDCVS will then summarize the situation of diseases and share the analysis report of situation to focal point of Bureau of Epidemiology through electronic mail weekly including the focal point from wildlife sector (DNP). Bureau of Epidemiology (BOE), DDC will later share preliminary investigation report of potential zoonotic events or zoonotic events to focal of BDCVS via electronic mail when the outbreak occurs and BOE will send weekly report of zoonotic situation to the focal point of BDCVS through electronic mail.

- As for wildlife specialist, reports from MoZWE on wildlife diseases including zoonoses such as leptospirosis are regularly shared through website

Report of zoonoses and non-zoonoses from DLD Daily (http://esmartsur.net/Report_Daily.aspx) and weekly (http://dcontrol.dld.go.th/dcontrol/index.php/reportweekly)

Questions Responses Document Required

and newsletter (http://www.vs.mahidol.ac.th/th/index.php/mozwe-weekly-report and Annex 3) while DNP also shared annual report on wildlife disease on website as well http://www.dnp.go.th/Wildlife/Emerging_Disease/Emerging_Diseasepage.htm and http://www.dnp.go.th/Wildlife/Emerging_Disease/3.1/%E0%B8%A3%E0%B8%B2%E0%B8%A2%E0%B8%87%E0%B8%B2%E0%B8%99%E0%B8%99%E0%B8%81%E0%B8%95%E0%B8%B4%E0%B8%94%20Flag%2011%20%E0%B8%A1%E0%B8%B4.%E0%B8%A2.%2057.pdf.

P.4.1.4. Are public health

laboratories and animal health

laboratories linked?

- There are some links personally. The formal link is between Department of Livestock Development and Departments of Ministry of Public Health. Animal Health laboratory is under DLD.

P.4.1.4.a. Is there a process for

sharing specimens between

public health and animal health

laboratories?

- There is no formal process for sharing specimens between public health laboratories and animal health laboratories.

- However, as for university, the specimen from animal/ human case can be shared to university laboratory upon the request.

P.4.1.4.b. Is there a process for

sharing laboratory reports

between public health and

- Yes. - National Institute for Animal Health (NIAH), which is

under Department of Livestock Development, is

P414b01_ sharing laboratory reports from university to DLD

Questions Responses Document Required

animal health laboratories? responsible for laboratory diagnosis in animal. NIAH will send laboratory report to Bureau of Disease Control and Veterinary Services (BDCVS), DLD. BDCVS will then summarize the situation of diseases and share the analysis report of situation to focal point of Bureau of Epidemiology through electronic mail weekly.

- In the meantime, National Institute for Health (NIH), which is under Ministry of Public Health, is responsible for laboratory diagnosis in human will send laboratory report to Bureau of Epidemiology (BOE), DDC. BOE will later share preliminary investigation report of potential zoonotic events or zoonotic events to focal of BDCVS via electronic mail when the outbreak occurs and BOE will send weekly report of zoonotic situation to the focal point of BDCVS through electronic mail.

- As for the university, for example, when The Monitoring and Surveillance Center for Zoonotic Diseases in Wildlife and Exotic Animals (MoZWE), Faculty of Veterinary Science, Mahidol University, which is FAO Reference Centre for Zoonotic and Wildlife Diseases receive samples from the responsible organization i.e. DDC, DLD, or DNP, reports will be delivered to DLD, DNP, and DDC as soon as obtained laboratory results (P414b01 and P414b02).

P414b02_ sharing laboratory reports from university to DDC

Questions Responses Document Required

P.4.1.4.c. Are these reports

shared on a regular basis, or

only when zoonoses are

discovered or suspected?

- Reports are shared on regular basis through the website of DDC and DLD and when potential zoonotic/ zoonoses are discovered. Summary report of disease situation will be shared weekly through focal point among sectors weekly. If there are any potential zoonotic/ zoonotic events, preliminary outbreak investigation reports will be shared as soon as possible.

- As for wildlife specialist, reports from wildlife diseases including zoonoses such as leptospirosis are regularly shared through website and newsletter (http://www.vs.mahidol.ac.th/th/index.php/mozwe-weekly-report and P414c03). Moreover, when MoZWE receive samples from the responsible organization i.e. DDC, DLD, or DNP, reports will be delivered to DLD, DNP, and DDC as soon as obtained laboratory results (P414c01 and P414c02)

P414c01_ sharing laboratory reports from university to DLD

P414c02_ sharing laboratory reports from university to DDC

P414b03_tri monthly newsletter for laboratory report from university of wildlife specialist

Weekly Epidemiology Surveillance Report: WESR: Outbreak verification summary (http://www.wesr.moph.go.th/wesr/index.php?page=searchhttp://www.wesr.moph.go.th/wesr/index.php?page=search)

Online reporting system for rabies (http://www.thairabies.net/trn/Default_Main.aspx)

• Online reporting system for

poultry disease

(http://164.115.129.63/dcont

Questions Responses Document Required

rol/site/?)

• Online reporting system for

other diseases

(http://esmartsur.net/)

Online reporting system for public health surveillance “R 506”(http://www.boe.moph.go.th/boedb/surdata/index.php)

P.4.1.5. Describe reports

produced from animal

surveillance systems for

zoonotic disease

- When Department of Livestock Development receives disease information from laboratories, he will further transfer the information to responsible stakeholders including Ministry of Public Health. The data will be summarized from time to time and also send to responsible organizations.

- The reports are summarized national and international animal disease situation. Stakeholders can access the report online and email will be notified to focal point of each organization.

P41501_Coordination

mechanism between Ministry

of Public Health and Ministry

Of Agriculture and

cooperatives

Report of zoonoses and non-

zoonoses from DLD Daily

(http://esmartsur.net/Report

_Daily.aspx) and weekly

(http://dcontrol.dld.go.th/dc

ontrol/index.php/reportweek

ly)

P.4.1.5.a. What ministries

receive reports produced by the

- Stakeholders can access the report online and email will be notified to focal point of Ministry of Public Health and other organizations.

Questions Responses Document Required

animal surveillance systems on

zoonotic diseases?

P.4.1.5.b. How is animal

surveillance systems linked to

surveillance systems used for

human pathogens?

- Animal disease information is linked to Ministry of

Public Health as described above.

- Situation of animal diseases are analysed and

shared with Ministry of Public Health from time to

time

- There are the Committee to respond zoonoses and

emerging diseases in provincial level and

information will be shared in timely manner.

- Annually meeting among policy make of Ministry of

agriculture and cooperatives, Ministry of Public

Health, Ministry of Natural Resource and

Environment and Zoological Park Organization of

Thailand

- However, the challenge is there is no direct link of

between database systems of public health side and

animal health side for zoonotic disease.

• Online reporting system for

rabies

(http://www.thairabies.net/tr

n/Default_Main.aspx)

• Online reporting system for

poultry disease

(http://164.115.129.63/dcont

rol/site/?)

• Online reporting system for

other diseases

(http://esmartsur.net/)

Online reporting system for public health surveillance “R 506”(http://www.boe.moph.go.th/boedb/surdata/index.php)

Online event-based surveillance system “Outbreak Verification

Questions Responses Document Required

Program” (http://www.boeeoc.moph.go.th/eventbase/user/login/).

P.4.1.5.c. Is there a mechanism

or mechanisms for establishing

interagency response teams in

the event of a suspected

zoonotic outbreak?

- Yes. Through the joint investigation team, which called Surveillance Rapid and Response Team (SRRT) at the sub-district level whenever there is any outbreaks with zoonotic potential, District Livestock Office or Livestock volunteer in the village will inform Sub-district Health Promoting Hospital/ Hospitals in the area or/ and coordinate with the District Public Health Office.

- Furthermore, there is Provincial Communicable Disease Committee meeting led by Provincial Governor. This committee which includes representatives from Provincial Public Health Office and Provincial Livestock Office is set up according to Communicable Diseases Act B.E. 2558. A template of Provincial Communicable Disease Committee is as follow http://www.ddc.moph.go.th/file/law/007.1.pdf and document P415c02. Other provincial committee can be seen in document P415c03 and P415c04.

P415c01_SRRT guideline

P415c02_Order of Provincial

Communicable Disease

Committee

P415c03_Order of One

Health Provincial Committee

in Chiangmai Province

P415c04_Order of Provincial

Committee on rabies in

eastern regional provinces

P.4.1.5.d. Is there a process for

sharing surveillance reports

between public health and

animal health laboratories?

- The surveillance report was made between DLD and Departments under Ministry of Public Health. Animal laboratories are under DLD. Thus, no direct sharing of surveillance report between animal and animal health laboratories.

Questions Responses Document Required

P.4.1.5.e. How do these systems

pick up emerging diseases

versus endemic diseases?

- Sample from suspect animal diseases will be further

submitted for laboratory confirmation. Laboratories

(8 laboratories nationwide) and network laboratory

(university) have their capability to test major

emerging zoonoses such as new straint of AI, MERS,

Ebola virus.

- For major emerging zoonoses, there are active

surveillance system to confirm free (or existence) of

emerging disease such as new straint of AI in birds,

MERS in camel and Nipah Encephalitis in pig

population.

- DDC has co-project with Neuroscience Center for

Research and Development & WHO-CC for Research

and Training on Viral Zoonoses, King Chulalongkorn

Memorial Hospital and AFRIMS to identify the viral

pathogens associated with unspecified encephalitis

during 2014-2016 due to an increasing in number of

unspecified encephalitis cases and also in ILI cases

with the collaboration with National Influenza

Center and NIH.

P415e01_Identification of viral pathogens causing unspecified encephalitis, hand foot mouth diseases and ILI during 2014-2016

P.4.2 Animal Health and Veterinarian Workforce OIE Country PVS report

Questions Responses Document Required

OIE Country PVS Gap Analysis Report

P.4.2.1. Describe public health training offered to animal health veterinary staff within the country.

Field Epidemiology Training Program for

Veterinarian (FETPV) is offered to in-service animal

health/ veterinary staffs of DDC/ DNP/ ZPO,

academic staffs or anyone in animal health field

who are interested (http://www.fao.org/3/a-

i6184e/i6184e04.pdf).

For pre-service staffs, veterinary public health

course is provided for undergraduate students

(Doctor of Veterinary Medicine: DVM) and graduate

student (MSc and MVPH) in university i.e. Faculty of

Veterinary Science. Veterinary Public Health/

zoonoses are included in the curriculum of DVM in

all 9 accredited universities by Thai Veterinary

Council.

Chiangmai University

(http://www.vet.cmu.ac.th/VET_lang=en/file/Acade

mic/Revised2009/Curriculum_Structure.pdf)

Kasetsart University

(http://vph.vet.ku.ac.th/vphvetku/images/educatio

n/coursesyllabus59/Syllabus-VPH41159.pdf,

http://vph.vet.ku.ac.th/vphvetku/)

Mahidol University

P42101_details of Field Epidemiology Training Program for Veterinarian (FETPV)

Questions Responses Document Required

(http://www.vs.mahidol.ac.th/en/index.php?option

=com_content&view=article&id=3&Itemid=4)

Chulalongkorn University

(http://www.vet.chula.ac.th/dept/vph/curliculum.p

hp )

Khonkaen University

(http://vet.kku.ac.th/publich/index.htm )

Prince of Songkla University

(http://iw.vet.psu.ac.th/ge/Docs/002-

curriculum/curriculumvet6y.pdf )

Mahanakorn University of Technology

(http://www.vet.mut.ac.th/main/course/bdcourse/

dvmC2558.pdf )

Mahasarakam University

(http://www.vet.msu.ac.th/eng/index.php/course/)

Rajamangala University of Technology Srivijaya

There are several universities that provide Master

degree (Master of Science: MSc. and Master of

Veterinary Public Health: MVPH) and Doctoral

degree (PhD). List of universities are as follows;

Chiangmai University

(http://vphcap.vet.cmu.ac.th/information.php,

Questions Responses Document Required

http://www.vet.cmu.ac.th/VET_lang=en/file/Acade

mic/Revised2009/Curriculum_Structure.pdf)

Kasetsart University

(http://vph.vet.ku.ac.th/vphvetku/images/educatio

n/coursesyllabus59/Syllabus-VPH41159.pdf,

http://vph.vet.ku.ac.th/vphvetku/)

Mahidol University

(http://www.grad.mahidol.ac.th/en/prospective-

students/view.php?id=6703M01G)

Chulalongkorn University

(http://www.vet.chula.ac.th/dept/vph/curliculum.p

hp)

Khonkaen University

(http://vet.kku.ac.th/vetkkued/course2.php )

P.4.2.1.a. Describe what training in controlling zoonotic disease in animal populations is offered to public health staff within the country.

- There are several curriculums on the controlling of

zoonoses offered to public health staffs for example

FETP (invited speakers are from DLD, universities or

FAO )

(http://www.interfetpthailand.net/course_index.ph

p?1c092a1b53a7a471fe7c04735dad699b=training_f

or_md)

- There is a short course training such as introductory

course to Field Epidemiology and basic

Epidemiology for Surveillance and Rapid Response

• P421a01_SRRT guideline

P421a02_SRRT guideline and standard procedures

P421a03_Course syllabus for Public Health students

Questions Responses Document Required

Team (SRRT) course for public health staffs

(document P421a01 and P421a02)

Zoonoses course for undergraduate and graduate students in universities i.e. Faculty of Public Health/ Faculty of Tropical Medicine etc. An example of Course syllabus for Public Health students is attached (P421a03)

P.4.2.2. Are animal health experts and veterinarians included in country FETP or other equivalent training program?

- Yes. Field Epidemiology Training Program for Veterinarians (FETPV) was established under cooperation between MoPH and DLD. There are 5-6 Thai veterinarians are trained in this program every year.

Field Epidemiology Training Program for Veterinarians (FETPV) http://164.115.23.67/vetepidem/media/curriculum/89.pdf

P.4.2.3. What is the current animal population for the country, including farm and agricultural animals?

Overall livestock owners in 2015 were 3,100,000 owners.

Top three animal owners were

- Chicken owners which is accounted of 2,402,864

owners. Own 418,330,613 heads.

- Beef cattle owners which is accounted of 764,668

owners. Own 4,407,108 heads.

- Duck owners which is accounted of 422,366 owners.

Own 28,762,249 heads.

Information of livestock population (http://ict.dld.go.th/th2/index.php/th/report/447-report-thailand-livestock/reportservey2558-1)

P.4.3 Mechanisms for responding to infectious zoonoses are established and functional

P.4.3.1. Describe the policy, strategy or plan for the response to zoonotic events in the

Questions Responses Document Required

country.

P.4.3.1.a. Is there a joint planning or strategy which exists between animal health, human health and wildlife sectors?

- Yes. - “One Health” concept is incorporated into the four-

year national strategic plan for emerging infectious diseases Preparedness, Prevention and Response during 2013-2016 (B.E. 2556-2559) (attached document P431a01 and P431a02) and also the latest national strategic plan during 2017-2021 (B.E. 2560-2564) (attached document P431a03.1 and P431a03.2) under the strategy 2: Developing the surveillance system, prevention and treatment as well as controlling the emerging infectious disease under One Health concept.

- Furthermore, there is an operation plan according the Communicable Disease Act B.E. 2558 (2015) which is about zoonose and rabies. The details are available at http://thaigcd.ddc.moph.go.th/2016/pages/view/105 and

- The plan according to the project led by HRH Princess Chulabhorn, “Disease-free Animals, Safe Humans from Rabies” campaign which is available at https://drive.google.com/file/d/0B7E7iFEFocNjWmdwNk54Skx4WWc/view.

• P431a01_NSP for EIDs

Preparedness, Prevention and

Response during 2013-2016

(B.E. 2556-2559)

(http://beid.ddc.moph.go.th/b

eid_2014/sites/default/files/fil

es/other/eidnationplan56_59.

pdf)

• P431a02_NSP for EIDs

Preparedness, Prevention and

Response during 2013-2016

(B.E. 2556-2559) English

version

(http://beid.ddc.moph.go.th/b

eid_2014/en/content/thailand

-national-strategic-plan-

emerging-infectious-disease-

preparedness-prevention-and)

• P431a03.1_NSP for EIDs

Preparedness, Prevention and

Response during 2017-2021

Questions Responses Document Required

(B.E. 2560-2564)

(http://beid.ddc.moph.go.th/

media/document_detail.php?i

d=161)

• P431a03.2_translate_NSP-EID

2017-2021

P431a04.1_DDC-DLD co-project on rabies 2016

P431a04.2_manual for rabies free zone

P.4.3.1.b. Is there any memorandum of understanding between sectors for the management of zoonotic events?

- There are several memorandum of understanding

among sectors including MOU among Department

of Livestock Development, Department of Disease

Control, Department of National Parks, Wildlife and

Plant Conservation, Zoological Park Organization

under The Royal Patronage of H.M. The King and

Thailand One Health University Network for

strengthening systems for surveillance,

investigation, prevention and control of emerging

diseases and occupational diseases (document

P431b01 and P431b01.2) and One Health MOU

among 8 ministries (i.e. Ministry of Public Health,

Ministry of Agriculture and Cooperatives, Ministry

P431b01.1_original MOU 5 Departments to strengthen surveillance and investigation system of EIDs and occupational diseases

• P431b01.2_translate_MOU 5

Departments

• P431b02.1_original_MOU 8

organizations on the

Implementation of One Health

Initiative for National Health

Security

(http://thaionehealth.org/?p=

Questions Responses Document Required

of Natural Resources and Environment, Ministry of

Education, Ministry of Interior, Ministry of Labour

and Ministry of Social Development and Human

Security) for sharing information on EIDs, zoonotic

diseases and public health threats (document

P431b02).

1381)

• P431b02.2_translate_MOU 8

organizations on the

Implementation of One Health

Initiative for National Health

Security

P.4.3.2. Describe how the latest zoonotic events were managed, for example:

- Whenever there is any outbreaks in animal with zoonotic potential, District Livestock Office or Livestock volunteer in the village will inform Sub-district Health Promoting Hospital/ Hospitals in the area or/ and coordinate with the District Public Health Office. They set up the joint investigation team, which called Surveillance Rapid and Response Team (SRRT). Later, information including the the report from outbreak investigation will be shared to Provincial Public Health Office and Office of Disease Prevention and Control in the regions and subsequently to the headquarter, which is BOE of DDC. Reports will be collected in Outbreak Verification Program (http://www.boeeoc.moph.go.th/eventbase_prov/). Additionally, the Provincial Livestock Office and Provincial Public Health Office are often communicate with each other and if the outbreak could not be contained, the issues can be brought

P43201_SRRT guideline

P43202_SRRT guideline and standard procedures

Questions Responses Document Required

to Provincial Communicable Disease Committee meeting led by Provincial Governor. This committee is set up according to Communicable Diseases Control Act B.E. 2558 or other provincial committee associated with zoonoses or EIDs.

P.4.3.2.a. How the information is shared between sectors?

- There are electronic systems for prioritized diseases

in both human and animal such as Avian Influenza

Database (http://164.115.129.63/dcontrol/

wsvlogin.php) and rabies (http://www.thairabies

.net/trn/Default_Main.aspx). Department of

Disease Control notifies that a zoonosis surveillance

have to report via R506 and event-based

surveillance. Investigation report, meeting and

other relevant information for zoonotic disease

control and prevention are shared with multi-

sectoral stakeholders including DLD and DNP

regularly. For example DNP shared the information

on the location where specimens from bats were

found positive for Nipah to DLD to identify the area

for managing the buffer zone for pig farm.

- There is also the reporting system for event-based

surveillance which is called “Outbreak Verification”.

BOE can provide the username and password for

other organization focal points to access this

• Online reporting system for

rabies

(http://www.thairabies.net/tr

n/Default_Main.aspx)

• Online reporting system for

poultry disease

(http://164.115.129.63/dcont

rol/site/?)

• Online reporting system for

other diseases

(http://esmartsur.net/)

Online reporting system for public health surveillance “R 506”(http://www.boe.moph.go.th/boedb/surdata/index.php)

Online event-based surveillance system “Outbreak Verification

Questions Responses Document Required

database. Additionally, information sharing

between sectors such as BOE and DLD is through

electronic mail regularly.

- Furthermore, there is the 4 department meeting

among the DG of DLD, DDC, DNP and Department of

Local Administration held almost every year to

share the zoonotic disease situation and find out

the solution to the issues. There will be 4 DG

meeting in 2017.

Program” (http://www.boeeoc.moph.go.th/eventbase/user/login/)

Report of zoonoses and non-zoonoses from DLD Daily (http://esmartsur.net/Report_Daily.aspx) and weekly (http://dcontrol.dld.go.th/dcontrol/index.php/reportweekly)

P.4.3.2.b. How often do the sectors meet at the technical level?

- Depend on the disease: - Leptospirosis: annual leptospirosis conference and

the meeting of committee for Thai Leptospirosis

Society regularly held 1-3 times/ year

- Avian influenza: the simulation exercise for AI

usually held once/ year. However, the One Health

Coordinating Unit Working Group which is under

the National sub-committee for EID prevention

and control and Working Group on IHR: zoonoses

usually held 3-4 times/ year

(http://thaionehealth.org/events/%E0%B8%81%E

0%B8%B2%E0%B8%A3%E0%B8%9B%E0%B8%A3%

E0%B8%B0%E0%B8%8A%E0%B8%B8%E0%B8%A1

%E0%B8%84%E0%B8%93%E0%B8%B0%E0%B8%9

• P432b01.1 and P432b01.2

_Meeting minutes of Thai

Leptospirosis Society

committee meeting 1/2017

Agenda and meeting minutes of National Sub-Committee on the Development of Systems for Disease Surveillance, Prevention, Treatment and Control under One Health Concept (http://thaionehealth.org/th/agenda-and-minute-from-the-national-sub-committee-on-the-development-of-systems-for-disease-surveillance-

Questions Responses Document Required

7%E0%B8%B3%E0%B8%87%E0%B8%B2%E0%B8%

99%E0%B8%A8%E0%B8%B9%E0%B8%99%E0%B8

%A2%E0%B9%8C-2/ and

http://thaionehealth.org/th/%E0%B8%81%E0%B8

%B2%E0%B8%A3%E0%B8%9B%E0%B8%A3%E0%B

8%B0%E0%B8%8A%E0%B8%B8%E0%B8%A1%E0%

B8%84%E0%B8%93%E0%B8%B0%E0%B8%97%E0

%B8%B3%E0%B8%87%E0%B8%B2%E0%B8%99%E

0%B8%9B%E0%B8%A3%E0%B8%B0%E0%B8%AA

%E0%B8%B2/) for other EIDs such as MERS and

Nipah. In addtion, there is the scientific

conference on Price Mahidol Awards and Global

One Health Day

(http://thaionehealth.org/th/%E0%B8%81%E0%B

8%B2%E0%B8%A3%E0%B8%9B%E0%B8%A3%E0%

B8%B0%E0%B8%8A%E0%B8%B8%E0%B8%A1%E0

%B8%A7%E0%B8%B4%E0%B8%8A%E0%B8%B2%E

0%B8%81%E0%B8%B2%E0%B8%A3%E0%B9%80%

E0%B8%8A%E0%B8%B4%E0%B8%87%E0%B8%9B

%E0%B8%8F/). Examples of meeting minutes from

these Working Group are attached (document

P432b02, P432b03 and P432b04)

- Rabies: Scientific symposium for rabies led by

prevention-treatment-and-control-under-one-health-concept/)

P432b02_Meeting minutes of Working Group on IHR: zoonoses

P432b03_Meeting minutes of One Health Coordinating Unit

P432b04_Meeting minutes of One Health Coordinating Unit

Questions Responses Document Required

the Thai Red Cross Society

P.4.3.2.c. Do you have outbreak investigation and response report on the latest zoonotic events?

- Yes. Whenever there is the outbreak occurs there will be the outbreak investigation according to BOE’s criteria for disease responding and investigation. The criteria for disease investigation is different depending on zoonotic diseases. For example, when there is rabies case or suspecting rabies which the information can be from several sources i.e. networks within or outside MOPH or general public. Situation Awareness Team (SAT) is responsible for event verification. Later, the responding unit (SRRT) will have to respond to that event according to guideline. SRRT at sub-district will have to conduct outbreak investigation within 24 hours after have been notified for in every cases. The guideline for outbreak responding is attached. According to the criteria, the outbreak investigation rabies, leptospirosis, anthrax, brucellosis and avian influenza, should be conducted within 24 hours. The criteria for outbreak investigation for each responding unit at each level is different. An example of outbreak investigation report is as follows http://164.115.23.67/vetepidem/?ipage=kno_detail2&id=103 and http://164.115.23.67/vetepidem/?ipage=kno_detail2&id=104 and as attached

P43201_SRRT guideline

P43202_SRRT guideline and standard procedures

Weekly Epidemiology Surveillance Report: WESR: Outbreak verification summary (http://www.wesr.moph.go.th/wesr/index.php?page=searchhttp://www.wesr.moph.go.th/wesr/index.php?page=search)

Folder P432c_Examples of outbreak investigation reports of zoonoses (brucellosis, rabies, etc.)

Questions Responses Document Required

P.4.3.3. Describe the roles and responsibilities of animal health, human health and wildlife sectors on these recent zoonotic events.

Provincial level - Provincial Health Office (Disease Control or

Epidemiology section) is responsible for surveillance of the unusual events and investigation zoonotic diseases in patients which received report from the District Health Office and the hospital and conduct outbreak investigation in human cases.

- Provincial Livestock Office (Animal Health unit) is responsible for monitoring the disease situation, conduct outbreak investigation in animals and resolving issues related to animal health. They are responsible for reporting outbreak and early warning to public health officials and control the disease and summarize the the zoonotic disease situation in province.

- International Communicable Disease Control Port is responsible for disease screening travelers and animals at arrival and departure points coordinate with local medical and veterinary services for support, isolation and treatment.

- The animal quarantine station is responsible for preventing the spread of domestic epidemics caused by the movement of animals - animal carcasses, the spreading of the diseases through livestock import and export. The animal quarantine station prevent the smuggling of animals or animal carcasses before passing the clinical or serological

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quarantine period.

central level - The IHR National Focal Point is responsible for

communicating with WHO focal point for IHR in Thailand, inform the important note associated with the regulation of IHR to agencies in country which are relevant to disease surveillance and reporting of the disease, and distribute the verified information to agencies.

- Bureau of Disease Control and Veterinary Services (BDCVS), Department of Livestock Development (DLD) is responsible for the implementation of Animal Epidemics Act, Rabies Act, and other relevant laws, conduct research studies, provide counseling and technology development on zoonotic diseases, the control, prevention and treatment of animal diseases. BDCVS is also the focal point for the coordination with OIE for veterinary epidemiology and information technology and coordinate with Member States of OIE. BDCVS also responsible for outbreak investigation in the area.

- Wildlife Conservation Office, Department of National Parks, Wildlife and Plant Conservation (DNP) is responsible for the study and research on conservation and restoration of natural resources and support the surveillance and monitoring,

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prevent and control zoonotic in wildlife. - Bureau of Epidemiology, Department of Disease

Control is responsible for coordinating with local and national agencies to monitor disease outbreaks, both inside and outside the country, share information and warnings, and conduct outbreak investigation in severe or critical cases.

- Bureau of General Communicable Diseases (BGCD), Department of Disease Control is responsible for monitoring, following-up assessing the risk and evaluating the prevention and control zoonotic diseases and international communicable diseases.

- Bureau of Emerging Infectious Diseases (BEID), Department of Disease Control is responsible for knowledge management, developing guidelines and mechanism for coordination and networking in order to have efficient prevention and control of emerging infectious diseases, monitoring and analysis disease situation, including collation of intelligence information of emerging infectious diseases and set up an early warning system. BEID also coordinate with international organizations and other countries.

- There is also collaboration with universities i.e. Faculty of Public health, Faculty of Medicine and Faculty of Veterinary Science. For example, for coordinate response when there are rabie

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suspected cases. Specimen from suspected cases will be sent to Chulalongkorn Hospital. Another example is when there is special cases that requires special techniques or higher technology for detection. Representatives from the universities also take part in the working group or committee. Professors from universities are invited to ad hoc meeting to give advice on special case or in the projects.

P.4.3.4. Do you consider that country has capacity to response to more than 80% of zoonotic events on time? What is the timeliness at present?

- According to a criteria for outbreak response of BOE, lists of zoonoses in which outbreak investigation have to be conducted within 24 hours including rabies, leptospirosis, Anthrax, avian influenza and brucellosis (P43401). While the diseases that need to be investigated within 12 hours according to Communicable Disease Act B.E. 2558 (http://www.ddc.moph.go.th/file/law/003.1.pdf) are Nipah virus disease, MERS, SARS, Ebola virus disease and Hendra virus disease. We analyzed the zoonotic events that were reported in the Outbreak Verification Program (http://www.boeeoc.moph.go.th/eventbase/) during the past few years. The responding time was calculated from the date of disease was notified to the date of investigation. Results shows that approximately 67% of events associated with avian

Online event-based surveillance system “Outbreak Verification Program” (http://www.boeeoc.moph.go.th/eventbase/user/login/)

P43202_SRRT guideline and standard procedures

• P43401_SRRT guideline and standard procedures

Questions Responses Document Required

influenza suspected cases was responded in time. While events associated with rabies and leptospirosis that responded in time was 52% and 35%, respectively. However, we notify that not every zoonotic/ suspected event was reported in this program and in some events there are no responding date reported to the website. Therefore, we aim to improve the mechanism for reporting these zoonotic events and improve the program to be able to calculate and compare the timeliness of each event automatically.