Pacific Region Avian Influenza Training Workshop

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Pacific Region Avian Influenza Training Workshop

• August 1-5, 2006
• Honolulu, Hawaii

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Program Goals

• Create an Avian Influenza education program that
  blends animal first-responder training, animal
  health training, and Global Positioning Systems
  (GPS) training.
• Keep animal first-responders safe
• Keep island poultry safe
• Build networks that will facilitate
  collaboration, co-learning, and the transmission
  of accurate information.

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Workshop Participants

• A total of 18 participants came from islands
  across the US-Affiliated Pacific Islands
  American Samoa (2), Chuuk (2), Kosrae (2), Majuro
  (1), Palau (1), Pohnpei (3), Rota (1), Saipan
  (2), Tinian (2), and Yap (2).
• 15 of the participants worked within a Land Grant
  college as either extension personnel or junior
  researchers 3 of the participants worked within
  health services.

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Workshop Overview

• Day 1 Health and safety
• Day 2 Discussion of Pacific Region
  surveillance and response plans
• Day 3 Global Positioning Systems and
  Geographic Information Systems training
• Day 4 Field exercises
• Day 5 Community safety and education strategies

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Day 1 Health and Safety

• Presentation topics include
• Emergency events
• Basic principles and preparedness training for a
  biological outbreak or disaster
• Hand hygiene to prevent the spread of disease
• Personal protective equipment

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Emergency Eventsby Captain Carter Davis

• Carter Davis, Captain
• Honolulu Fire Department
• CBRNE General Awareness Lecturer/Certified HAZMAT
  Instructor

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Basic Principles and Preparedness Training for a
Biological Outbreak or Disasterby Dr. John Casken
John Casken, RN, MPH, PhD Director, Office of
International Affairs School of Nursing and
Dental Hygiene
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Hand Hygiene to Prevent the Spread of Diseaseby
Ms. Lynn Nakamura-Tengan
Lynn Nakamura-Tengan, MS Extension Educator Human
Nutrition, Food and Animal Sciences University of
Hawaii
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Personal Protective Equipmentby Capt. Carter
Davis and Dr. Ed Kalinowski

• Lecture on Personal Protective Equipment and a
  demonstration on how to don (put on) and doff
  (take off) equipment

Ed Kalinowski, BSN, MEd., DrPH Kapiolani
Community College Emergency Medical Services
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Day 2 Group Discussion of Pacific Regional
Surveillance and Response Plans

• Regional plans for surveillance and response
• Discussion topics
• Status report and work in progress toward
  regional goals
• Migratory birds of the Pacific Flyways
• Threats to domestic poultry
• Legal and illegal poultry trade

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US Fish Wildlife Services Avian Influenza
Surveillance Plansby Dr. Jeff Burgett

• Jeff Burgett, PhD
• US Fish and Wildlife Service
• Pacific Islands Office

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Overview of Avian Influenza and Wildlife Disease
Investigations by Dr. Thierry Work

• Thierry Work, MS, DVM, MPVM
• Wildlife Disease Specialist, USGS
• National Wildlife Health Center

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Resources Available at the John A. Burns School
of Medicineby Dr. Duane Gubler
Duane Gubler, ScD, Director, Asia-Pacific
Institute of Tropical Medicine and Infectious
Diseases, Professor Chair, Department of
Tropical Medicine and Medical Microbiology, John
A Burns School of Medicine
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Resources Available at the Secretariat of the
Pacific Community by Dr. Konrad Englberger
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Lessons Learned from the Recent Avian Influenza
Outbreaks by Dr. Steven Ostroff
Steven Ostroff, MD
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Hawaii Pandemic Influenza Plan by Dr. Arlene
Buchholz
Arlene Buchholz, DVM, MPH Veterinary Medical
Officer Hawaii Department of Health
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Guam Pandemic Influenza Plan by Dr. Thomas Poole
Thomas Poole, BS, MPH, DVM, DACVPM Guam
Territorial Veterinarian
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Day 3 Global Positioning Systems (GPS) and
Geographic Information Systems (GIS) Training

• Introduction to GPS and GIS technologies
• Applications for GPS and GIS technologies within
  emergency management
• Applications for GPS and GIS technologies within
  avian influenza surveillance plans and incident
  reporting databases

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Global Positioning Systems (GPS) by Mr. Eugene
Dashiell
Eugene P. Dashiell, MA, AICP Environmental
Planning Services
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GPS Field Exercises
Participants have an opportunity for one-on-one
instruction while practicing with GPS units.
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Compatible Geographic Information Systems (GIS)
Program

• During the week of August 1-5, 2006, the Pacific
  EMPRINTS project hosted a Geographic Information
  Systems workshop focusing on emergency situations
  involving an avian influenza outbreak.
• 15 participants from the US-Affiliated Pacific
  Islands attended the GIS workshop.
• The participants from both workshops learned
  about the each others role in the event of an
  avian influenza emergency.

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Avian Influenza Participants Meet the Geographic
Information Systems (GIS) Participants
Understanding how the GPS data will be used is
critical for understanding the applications for
the technology in emergency management and Avian
Influenza surveillance and reporting.
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Day 4 Avian Influenza Field Exercises

• Participants were given the opportunity for
  hands-on response training.
• Three Avian Influenza situations were developed
  representing the most probable AI encounters.
• Response to a single bird death (with site
  containment)
• Response to a multiple bird death
• Dead bird sampling and shipping

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Response to a Single Bird Death
With proper Personal Protective Equipment,
Jabukja Aikne (Majuro, Marshall Islands)
carefully double-bags the chicken carcass.
Later, he will disinfect the area with a 10
bleach solution and label the carcass.
While Jabukja is collecting the carcass, his
partner, Felix Sengeau (Palau, FSM), in the Cold
Zone, is collecting important information about
the site, including GPS data. This information
is collected on a Sample Submittal form.
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Response to a Multiple Bird Death
Responding to a multiple bird death in a confined
space, the participants don complete Personal
Protective Equipment (PPE). Responders
carefully take throat and cloacae samples from
each bird and relay incident information to Cold
Zone partner. Outer surfaces of sample vials
are cleaned, and then passed to Cold Zone
partner for collection. Later, the carcasses
will be collected for disposal and surfaces will
be sanitized.
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Dead Bird Sampling and Shipping
Wearing proper Personal Protective Equipment,
participants collect throat and cloacae samples,
properly label the sample vial and fill out a
sample submittal form. Then, participants place
the sample in a nitrogen-charged shipping
container.
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Skill/Task Evaluations

• Participants were evaluated on their ability to
  perform 12 specific skills or tasks during the
  training exercises
• Personal Protective Equipment Skills/Tasks
• Task 1 Demonstrated ability to select
  appropriate Personal Protective Equipment for
  task
• Task 2 Demonstrated ability to don correctly
  Personal Protective Equipment
• Task 3 Demonstrated ability to doff properly
  Personal Protective Equipment without
  contaminating self, or environment unnecessarily
• Task 4 Demonstrated proper hygiene while in
  Personal Protective Equipment, (ie. did not touch
  face or hair with gloves during exercise)
• Dead Bird Sample Collection Skills/Tasks
• Task 1 Demonstrated ability to collect trachea
  and cloacae samples
• Task 2 Demonstrated knowledge and ability to
  properly prepare trachea and cloacae samples for
  shipping
• Task 3 Demonstrated ability to properly
  sanitize work area after collecting samples
• Dead Bird Response Skills/Tasks
• Task 1 Single bird death Demonstrated
  ability to assess the situation and respond
  accordingly
• Task 2 Multiple bird death Demonstrated
  ability to assess the situation and respond
  accordingly
• Task 3 Demonstrated knowledge of multiple ways
  to dispose of bird carcasses in a sanitary
  manner
• Global Positioning System (GPS) and Reporting
  Skills/Tasks
• Task 1 Demonstrate ability to obtain accurate
  GPS coordinates during training exercise
• Task 2 Demonstrate ability to fill out
  mortality investigation (or sample submittal) form

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Day 5 Community Safety and Education Strategies

• Presentation topics include
• Backyard biosecurity
• Community education and extension materials
• Build an Avian Influenza response kit / Personal
  Protective Equipment kit
• Program graduation

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Backyard Biosecurityby Dr. Thomas Poole
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Community Educational Materialsby Dr. Thomas
Poole
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Build an Avian Influenza response kit / Personal
Protection Equipment kit

• Each kit contains
• 10 tyvek suits
• 10 N95 respirators
• 25 nitrile gloves
• 20 booties
• goggles
• 2 spray bottles
• 30 hand sanitizing wipes
• Global Positioning System unit
• pens, markers, tape, scissors
• air-tight storage container

Kino Ruben (Chuuk, FSM) packs his Avian Influenza
Response kit.
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Program Graduation

• All 18 Avian Influenza Training Program
  participants completed the course and each
  mastered the 12 items on the Skills Assessment
  form, as verified by the program instructors.

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Thank you to our Instructors and Advisers

• Arlene Buchholz, DVM, MPH, Veterinary Medical
  Officer, Hawaii Department of Health
• Jeff Burgett, PhD, US Fish and Wildlife Service,
  Pacific Islands Office
• John Casken, RN, MPH, PhD, Director, Office of
  International Affairs, School of Nursing and
  Dental Hygiene
• Eugene P. Dashiell, MA, AICP, Environmental
  Planning Services
• Carter Davis, Captain, Honolulu Fire Department,
  CBRNE General Awareness Lecturer/Certified HAZMAT
  Instructor
• Jim Foppoli, DMV, State Veterinarian, Hawaii
  Department of Agriculture
• Duane Gubler, ScD, Director, Asia-Pacific
  Institute of Tropical Medicine and Infectious
  Diseases, Professor Chair, Department of
  Tropical Medicine and Medical Microbiology, John
  A Burns School of Medicine
• Darcy Hu, PhD, Ecologist, National Park Service,
  Pacific West Regional Office
• Ed Kalinowski, BSN, MEd, DrPH, Kapiolani
  Community College, Emergency Medical Services
• Lynn Nakamura-Tengan, MS, Extension Educator,
  Human Nutrition, Food and Animal Sciences
• Stephen Ostroff, MD, formerly of the Department
  of the Interior, Health and Human Services
• Thomas Poole, BS, MPH, DVM, DACVPM, Guam
  Territorial Veterinarian
• Thierry Work, MS, DVM, MPVM, Wildlife Disease
  Specialist, USGS, National Wildlife Health Center