1. USG Avian Influenza Program in Uganda Avian Influenza East Africa Conference March 3-5 2008 By Rachel Cintron, USAID/Uganda

2. Partners in Uganda FAO ILRI The AFFORD Project STOP AI GOU Ministries of Agriculture and Health National Task Force CDC MUWRP DOD - CJTF-HOA

3. Uganda H5N1 Situation No reported animal infections No reported human infections Neighbor – Southern Sudan, with confirmed poultry cases in 2006. Need for good animal and human surveillance Need for epidemic preparedness Need for public awareness

4. USAID Funding FY06 - $650,000 FY07 - $1,220,000 FY08 - ?? Relative to PEPFAR and PMI – this is chicken feed, but can have a stronger and more focused impact with good collaboration

5. Making AI Relevant Funding is “stovepiped” but there are many crossover activities with other areas of health Need to make AI work supportive of and collaborative with other activities for comprehensive and sustainable development of surveillance and response capability in Uganda

6. Opportunities for Collaboration HMIS – better case recognition and reporting Surveillance and investigation Laboratory capacity – BSL3 with capability to handle more than one epidemic at a time Stockpiling of PPE and other equipment Use of other resources – facilities, vehicles Communication and Behavior Change “Supportive Supervision” of Health Workers

7. Opportunities for Collaboration 2 HMIS – PMI program and Health System Strengthening are already funding but needs more Surveillance and Investigation – WHO implements ESR for PMI – Uganda also has Ebola, Meningitis, Yellow Fever, etc. CDC also does this – but need more Laboratory Capacity – PEPFAR, PMI, CDC, MUWRP all have funds and prioritization of lab capacity – but need more

8. Opportunities for Collaboration 3 Stockpiling – PPE – e.g. some of this was used for Ebola this year Resources – For case investigation, or outbreaks, shared resources such as vehicles, laboratories, human resources, facilities Communication and Behavior Change – Harmonizing messages Supportive Supervision of Health Workers – Build on what is already happening

9. Example of Collaboration CJTF-HOA was doing a VETCAP to vaccinate poultry against Newcastle disease in Gulu District. This was an opportunity to interact with many poultry farmers – so with small $ support from USAID, they included AI training and awareness in their work. That’s killing two birds with one stone!

10. Where in your work? What are the possible links to the ongoing work of your organization? *Achoo!* Are you prepared?