Pacific Region Avian Influenza Training Workshop

August 1-5, 2006

Honolulu, Hawaii

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.

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.

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

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

Emergency Eventsby Captain Carter Davis

Carter Davis, CaptainHonolulu Fire DepartmentCBRNE General Awareness Lecturer/Certified HAZMAT Instructor

Basic Principles and Preparedness Training for a Biological Outbreak or Disaster

by Dr. John Casken

John Casken, RN, MPH, PhDDirector, Office of International AffairsSchool of Nursing and Dental Hygiene

Hand Hygiene to Prevent the Spread of Disease

by Ms. Lynn Nakamura-Tengan

Lynn Nakamura-Tengan, MSExtension EducatorHuman Nutrition, Food and Animal SciencesUniversity of Hawaii

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., DrPHKapiolani Community CollegeEmergency Medical Services

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

US Fish & Wildlife Services Avian Influenza Surveillance Plans

by Dr. Jeff Burgett

Jeff Burgett, PhDUS Fish and Wildlife ServicePacific Islands Office

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

Thierry Work, MS, DVM, MPVMWildlife Disease Specialist, USGSNational Wildlife Health Center

Resources Available at the John A. Burns School of Medicine

by 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

Resources Available at the Secretariat of the Pacific Community

by Dr. Konrad Englberger

Lessons Learned from the Recent Avian Influenza Outbreaks

by Dr. Steven Ostroff

Steven Ostroff, MD

Hawaii Pandemic Influenza Plan by Dr. Arlene Buchholz

Arlene Buchholz, DVM, MPHVeterinary Medical OfficerHawaii Department of Health

Guam Pandemic Influenza Plan by Dr. Thomas Poole

Thomas Poole, BS, MPH, DVM, DACVPMGuam Territorial Veterinarian

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

Global Positioning Systems (GPS) by Mr. Eugene Dashiell

Eugene P. Dashiell, MA, AICPEnvironmental Planning Services

GPS Field Exercises

Participants have an opportunity for one-on-one instruction while practicing with GPS units.

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 other’s role in the event of an avian influenza emergency.

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.

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

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.

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.

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.

Skill/Task EvaluationsParticipants were evaluated on their ability to perform 12 specific skills or tasks during the training exercises:

Personal Protective Equipment Skills/TasksTask 1: Demonstrated ability to select appropriate Personal Protective Equipment for taskTask 2: Demonstrated ability to don correctly Personal Protective Equipment Task 3: Demonstrated ability to doff properly Personal Protective Equipment without contaminating self, or environment unnecessarilyTask 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/TasksTask 1: Demonstrated ability to collect trachea and cloacae samplesTask 2: Demonstrated knowledge and ability to properly prepare trachea and cloacae samples for

shippingTask 3: Demonstrated ability to properly sanitize work area after collecting samples

Dead Bird Response Skills/TasksTask 1: Single bird death: Demonstrated ability to assess the situation and respond accordinglyTask 2: Multiple bird death: Demonstrated ability to assess the situation and respond accordinglyTask 3: Demonstrated knowledge of multiple ways to dispose of bird carcasses in a sanitary

manner

Global Positioning System (GPS) and Reporting Skills/TasksTask 1: Demonstrate ability to obtain accurate GPS coordinates during training exerciseTask 2: Demonstrate ability to fill out mortality investigation (or sample submittal) form

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

Backyard Biosecurityby Dr. Thomas Poole

Community Educational Materialsby Dr. Thomas Poole

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.

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.

Thank you to our Instructors and AdvisersArlene Buchholz, DVM, MPH, Veterinary Medical Officer, Hawaii Department of HealthJeff Burgett, PhD, US Fish and Wildlife Service, Pacific Islands OfficeJohn Casken, RN, MPH, PhD, Director, Office of International Affairs, School of Nursing

and Dental HygieneEugene P. Dashiell, MA, AICP, Environmental Planning ServicesCarter Davis, Captain, Honolulu Fire Department, CBRNE General Awareness

Lecturer/Certified HAZMAT Instructor Jim Foppoli, DMV, State Veterinarian, Hawaii Department of AgricultureDuane 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 OfficeEd Kalinowski, BSN, MEd, DrPH, Kapiolani Community College, Emergency Medical

ServicesLynn Nakamura-Tengan, MS, Extension Educator, Human Nutrition, Food and Animal

SciencesStephen Ostroff, MD, formerly of the Department of the Interior, Health and Human

ServicesThomas Poole, BS, MPH, DVM, DACVPM, Guam Territorial VeterinarianThierry Work, MS, DVM, MPVM, Wildlife Disease Specialist, USGS, National Wildlife

Health Center