1. Community for Emerging and Zoonotic Diseases
Objectives, Successes and Pitfalls
CAHSN Face to Face meeting, February 26-27, 2018
Presenter: Andrea Osborn

3. Background
CEZD was initiated by a collaborative partnership in the project phase
Alpha and Beta Pilots were successful
Funded by Canadian Safety and Security Program
A two year implementation phase ( )
Implementation phase funded collaboratively
CFIA – core team, PHAC CNPHI/KIWI, Partners funding time/effort of staff
What happens next – how do we get to sustainability?

4. Successes and Pitfalls

5. CEZD Version 1.0 - Processes
A disease or event occurs somewhere in the world and is reported on the web
The information is detected by the algorithm on the Canadian Network for Public Health Intelligence Platform (PHAC) it filters signals that may be relevant and forwards them to the community
The community reviews the information and rates it for relevance to Canada
The core team generates the weekly intelligence report
The reports are disseminated
This is the process with which we have started, but the future vision goes far beyond this

6. Processes are Working Information volume is effectively decreased
6 months: April 1 – Sept 30, 2017
5062 information pieces received
1886 Signals filtered by KIWI
70 considered relevant to Canada
Information volume is effectively decreased
Weekly Intelligence reports reliably produced throughout implementation

7. Processes – Need Development
Most highly rated signals are ‘community reported events’
Trends over time and geographic distribution can be tracked
Needs to be automated, and brought together with other sources of early warning intelligence
Community Reported Events
PED in Manitoba – National Hog Farmer
EHD reaches Ontario for first time – CWHC blog
More virulent strain of PRRS challenges Manitoba – Farmscape
Invasive Mosquito - ProMed
Critical information, because we need to know where the information that is most relevant to Canada and Canadians come from, it comes from the community.
Trends over time can be analysed, once we know ‘normal’, it’s easier to identify ‘abnormal’ – is the peak happening earlier, at a different time of the year?
Geographically, we can see where the most relevant signals are coming from – vast majority from the US, makes sense given our shared borders, but given the rapidity of trade should we consider some of the other countries higher risk?

8. Pitfalls/Improvement needed
Right now we are not providing value to all parts of the community
Value being provided primarily to report consumers
Increase value to the active part of the community
Types of reports and analysis required
What needs to be shared immediately
What needs situation assessment/rapid risk assessment
Who, what and how?
Domestic intelligence sharing
International intelligence

9. CEZD 1.0: Community Development

10. Success - Membership Growth and Diversity
During our current implementation phase, involvement in CEZD has reached 230+ individuals
230 individuals
126 joined collaboration centre
104 signed up to receive the weekly intelligence reports
Increased participation in the community
Increased awareness of the community via Intelligence report distribution, and sharing of reports on the CAHSS website
Community growth and awareness only started growing after a survey was conducted by the Canadian Animal Health Coalition last year and information was distributed.
Most of our growth/diversification has happened over the last 6 months
The largest number of members are within the Provincial and Federal Governments, = Public Health Agriculture and Agri-food Canada.
Industry members have almost doubled
Engagement of Academia at Veterinary Colleges and Schools of Public Health as well as the
Addition of international members from the United States both USDA APHIS , academia and industry.
Involvement in CEZD has more than doubled

11. Communications materials created Outreach – community growth
Engagement – Methods
Communications materials created
Outreach – community growth
Stakeholder Analysis - informal
Survey of Canadian Animal Health Coalition members
Conference presentations
CAHSS website
CVMA website, CVJ article
Providing veterinary continuing education credit for CEZD Activities
Nominated for a Price Waterhouse Cooper - Vision2Reality Award

12. Engagement Successes Adapting, Changing, Trying new things
Revolving raters increased numbers rating signals
Weekly “ping” questions (25-30) receive comments/ratings across disciplines
Initiated community webinars (not consistent)
Partnered in two funding requests to PHAC’s Infectious Diseases and Climate Change Fund
Where to next ? Community needs to decide?
Support existing community – increase value provided
Reach out and grow the community further
Webinars:
Risk mapping to target surveillance activities
Climate change hazards information portal
Hosted multidisciplinary discussion on AI transmission between wild and farmed birds

13. Where are We Going? CEZD 2.0
5062
1886 70
We have to move beyond our current state with weekly reports, it’s very valuable but isn’t fast enough.
Early warning is relative – knowing about FMD in South America is early warning, finding out about it by a news report from the US, next to our border is too late. ILT report in Ontario is early warning for producer from the next province but not the farmer next door.
Need to build and engage the virtual network. Work of our engagement team needs to continue to grow and connect the community.
To ensure we build and engage a trusted domestic network so that timely cross reporting can be facilitated.
How can we engage internationally, which components of our community are already doing that, and can share their knowledge with the rest of us….

14. THANK-YOU