Discussion Documents

Surveillance Working Group Report

NAHS Meetings
Jan 15 & 16, 2008
Kanata, Ontario

Surveillance Working Group Members & Methods

Members
BC Mark Sheppard
AB Gerald Ollis & John Berezowski
MB Wayne Lees
ON Bruce McNab
QC Helene Bergeron
NB Jim Goltz
CFIA Christine Power (Francine Lord)
NAHS Ron Clarke* & Manjit Kerr-Upal

Methods
conference calls - discussion, consensus group e-mail,
circulated references,
definition & vision,
report outline / table of contents**
section assignments circulated drafts for editing
respect for travel budgets

Introduction & Background

  • Need information to make good business & policy decisions
  • Surveillance information is internationally recognized as essential
  • Much has been written over many years
  • e.g. Ottawa consultation 1998
  • Knowing the frequency and distribution in space and time of healthy animals, un-healthy animals, and hazards to health, is extremely valuable to: prevent spread, detect change, facilitate & validate response, and improve sustainable commerce.

Proposed* Definition & Vision

Definition
Surveillance is the ongoing systematic collection, collation, analyses and interpretation of animal-health-data, and the dissemination of resultant information to those who need to know, so that appropriate action may be taken*.

Vision
Having credible knowledge of the health status of our animals and the ability to detect important changes in that status.

* The above definition is similar to USDA’s, whereas more technical definitions describe “monitoring and surveillance” and refer to monitoring, critical thresholds and pre-defined control measures. Regardless of the semantic boundaries one places on the definition; surveillance is critical to the NAHS.

Outcomes & Measures of Success

  • Establishing Canada’s animal health status
  • Demonstrating extremely low prevalence or freedom
  • Timely identification of important risks & determinants
  • Industry & regulatory decision-makers’ use of surveillance data to guide animal health program prioritization & refinement
  • Demonstrating success & value of prevention, response & recovery initiatives
  • Reduction of animal diseases
  • Reduction in related risks to public health
  • Increased commerce & trade due to trust in Canada’s surveillance

Proposed Guiding Principles &Scope

Guiding Principles

  • Working together in partnerships (industry / provincial / federal)
  • Understanding roles and use of information
  • Sharing information
  • No or minimal duplication of effort
  • “one medicine”

Scope

  • Same as NAHS
  • Emphasis on food and farmed animals
  • But also, wild, companion & zoo animals, at least to the extent that their health status and health hazards directly influence or are influenced by public health, farmed animal health or economic health.
  • Geographic emphasis on Canada, but also international intelligence of influential hazards and trends beyond our borders, to the extent that they threaten our health and commerce.

Components and Governance

Components

  • many integrated components required
  • network of modern, ever-improving diagnostic laboratories
  • skilled staff, standard or compatible protocols
  • promote submissions, low fees, value-added service
  • IT to share, collate, analyze data, normal trends, thresholds
  • investigation, follow-up, response to thresholds exceeded
  • data re: populations-at-risk, including normal & abnormal flow
  • market and field syndromic and surrogate measures of health (e.g. sales-yard, abattoir, dairy, vet practice & farm)
  • base-line and targeted surveys (systematic, repeated & ad-hoc)
  • international surveillance respecting & balancing individual confidentiality & broader-good
  • communications (including integration with FPT systems)
  • foresight and continuous improvement

Governance

  • clear understanding and agreement on roles & responsibilities
  • systems of decision-making & accountability
  • cost sharing and dispute-resolution
  • integration with Federal Provincial Territorial ADMs

 

Suggested Next Steps

  • Agreement among stakeholders re: importance of surveillance
  • Present to FPT Table for decision of support as a pillar of NAHS
  • Commitment to further develop and implement
  • Strategic plan of implementation
  • Make linkages with “Growing Forward” initiative for $
  • More detailed agreements on protocols concerning:
    • diagnostics
    • information sharing and use
    • analysis and communications
    • accountability & cost sharing