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Risk Based Comprehensive
and Integrated Swine Surveillance
Paul Sundberg, DVM, PhD
Vice President, Science and Technology
National Pork Board
Current Surveillance Challenges
• Current funding tied to regulatory disease programs
– Does not allow flexibility for surveillance in response to
changing priorities
– Makes it a challenge to justify surveillance dollars for current
program diseases
• e.g. PRV
– Redundancies mean added costs
VS 2015: The Vision for Veterinary Services
“VS [USDA-APHIS-Veterinary Services] will design
and direct comprehensive national animal health
surveillance systems capable of finding foreign,
emerging and program diseases and of supporting
international reporting and trade verification
requirements.
Comprehensive and Integrated Swine Surveillance
A system that incorporates:
• Collaborative prioritization
• Defined disease surveillance objectives
• Planned collection and coordinated testing of appropriate surveillance
samples
• An infrastructure for collection of surveillance data at multiple risk-based
points or “surveillance streams”
• An agreed upon Response Plan
• An IT infrastructure to record and analyze data for appropriate action
• A regular analysis of surveillance needs and tools (planning and evaluation)
• Adequate funding
NOT just a collection of surveillance plans- PRV, Swine
Brucellosis, Classical Swine Fever, Vesicular Disease
Surveillance, etc.
Adapted from Dr. John Korslund, USDA
Surveillance Begins Locally but Looks Nationally
for the Appropriate Streams
• Sentinel Veterinary Clinics
– Provides local intelligence and observations
• FSIS condemnation data
– Broadens the perspective
• Diagnostic lab submissions
– Focus on clinical disease
• Down the Road
– Oral fluids vs. serum
National Pork Board Swine Surveillance
Working Group
• Collaboration of industry, subject matter experts,
USDA-NSU, USDA-SHP
• Working Group ranked 27 diseases
NSU Surveillance Design
Surveillance Data
NSU Collect, Analyze and Report
Surveillance
Working Group
Response
Priorities
Design Options
Risk based; Appropriate
Streams
Swine Surveillance Working Group
Disease surveillance priorities:
1. FMD – proof of freedom
• 95% confidence in the detection of 1 case in 1 million pigs in 2 weeks
1. PRV – detection
• 95% confidence in the detection of 1 case in 1 million pigs in 4 weeks
1. CSF – proof of freedom
• 95% confidence in the detection of 1 case in 1 million pigs in 6 weeks
1. Swine Brucellosis - detection
• 95% confidence in the detection of 1 case in 1 million pigs in 4 weeks
1. SIV – detection
2. Trichinae – detection
3. Toxoplasma – detection
Comprehensive Integrated Swine Surveillance
2012 Pilot Project
Industry Support
National Pork Board and National Pork Producers Council
– The National Pork Producers Council / National Pork Board supports the
development and implementation of a comprehensive and integrated swine
disease surveillance system that addresses animal and public health needs.
– The National Pork Producers Council / National Pork Board calls on all producers
to work with their veterinarians and submit appropriate SIV surveillance samples
into the USDA SIV surveillance program.
American Veterinary Medical Association
– Submitted by the American Association of Swine Veterinarians during the Winter
2010 House of Delegates meeting
– “Resolved, that the American Veterinary Medical Association (AVMA) supports the
development of comprehensive and integrated swine disease surveillance of the
US swine herd.”
Adequate Funding
Funding started with:
• APHIS-VS 2009 Congressional SIV supplemental appropriations
through Health and Human Services ($27 million)
Funding continues with FY2013:
• APHIS has been working . . . to increase the efficiency of animal health
surveillance without sacrificing confidence of industry and trading
partners . . . targeted surveillance . . . combining surveillance
streams . . . one sample is tested for multiple diseases . . .
• Decrease Swine Health Program from $23 million in 2012 to $20.3
million in 2013
– -$2.6 million (-11%)
– Modify swine surveillance efforts (-$2.515 million)
CISS Stakeholders
• USDA
– National Surveillance Unit
– APHIS – Veterinary Services
– APHIS – Emergency Programs
– Wildlife Services
– National Veterinary Services Laboratory
– National Animal Health Laboratory Network
– Agricultural Research Service
• HHS
– Centers for Disease Control
• States
– State Pork Producer Associations / Pork Producers
– State Animal Health Officials
– State Diagnostic Labs
• Packers
• American Association of Swine Veterinarians

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Dr. Paul Sundberg - Pork Industry Perspective on Risk-Based Surveillance

  • 1. Risk Based Comprehensive and Integrated Swine Surveillance Paul Sundberg, DVM, PhD Vice President, Science and Technology National Pork Board
  • 2. Current Surveillance Challenges • Current funding tied to regulatory disease programs – Does not allow flexibility for surveillance in response to changing priorities – Makes it a challenge to justify surveillance dollars for current program diseases • e.g. PRV – Redundancies mean added costs
  • 3. VS 2015: The Vision for Veterinary Services “VS [USDA-APHIS-Veterinary Services] will design and direct comprehensive national animal health surveillance systems capable of finding foreign, emerging and program diseases and of supporting international reporting and trade verification requirements.
  • 4. Comprehensive and Integrated Swine Surveillance A system that incorporates: • Collaborative prioritization • Defined disease surveillance objectives • Planned collection and coordinated testing of appropriate surveillance samples • An infrastructure for collection of surveillance data at multiple risk-based points or “surveillance streams” • An agreed upon Response Plan • An IT infrastructure to record and analyze data for appropriate action • A regular analysis of surveillance needs and tools (planning and evaluation) • Adequate funding NOT just a collection of surveillance plans- PRV, Swine Brucellosis, Classical Swine Fever, Vesicular Disease Surveillance, etc. Adapted from Dr. John Korslund, USDA
  • 5. Surveillance Begins Locally but Looks Nationally for the Appropriate Streams • Sentinel Veterinary Clinics – Provides local intelligence and observations • FSIS condemnation data – Broadens the perspective • Diagnostic lab submissions – Focus on clinical disease • Down the Road – Oral fluids vs. serum
  • 6. National Pork Board Swine Surveillance Working Group • Collaboration of industry, subject matter experts, USDA-NSU, USDA-SHP • Working Group ranked 27 diseases NSU Surveillance Design Surveillance Data NSU Collect, Analyze and Report Surveillance Working Group Response Priorities Design Options Risk based; Appropriate Streams
  • 7. Swine Surveillance Working Group Disease surveillance priorities: 1. FMD – proof of freedom • 95% confidence in the detection of 1 case in 1 million pigs in 2 weeks 1. PRV – detection • 95% confidence in the detection of 1 case in 1 million pigs in 4 weeks 1. CSF – proof of freedom • 95% confidence in the detection of 1 case in 1 million pigs in 6 weeks 1. Swine Brucellosis - detection • 95% confidence in the detection of 1 case in 1 million pigs in 4 weeks 1. SIV – detection 2. Trichinae – detection 3. Toxoplasma – detection
  • 8. Comprehensive Integrated Swine Surveillance 2012 Pilot Project
  • 9. Industry Support National Pork Board and National Pork Producers Council – The National Pork Producers Council / National Pork Board supports the development and implementation of a comprehensive and integrated swine disease surveillance system that addresses animal and public health needs. – The National Pork Producers Council / National Pork Board calls on all producers to work with their veterinarians and submit appropriate SIV surveillance samples into the USDA SIV surveillance program. American Veterinary Medical Association – Submitted by the American Association of Swine Veterinarians during the Winter 2010 House of Delegates meeting – “Resolved, that the American Veterinary Medical Association (AVMA) supports the development of comprehensive and integrated swine disease surveillance of the US swine herd.”
  • 10. Adequate Funding Funding started with: • APHIS-VS 2009 Congressional SIV supplemental appropriations through Health and Human Services ($27 million) Funding continues with FY2013: • APHIS has been working . . . to increase the efficiency of animal health surveillance without sacrificing confidence of industry and trading partners . . . targeted surveillance . . . combining surveillance streams . . . one sample is tested for multiple diseases . . . • Decrease Swine Health Program from $23 million in 2012 to $20.3 million in 2013 – -$2.6 million (-11%) – Modify swine surveillance efforts (-$2.515 million)
  • 11. CISS Stakeholders • USDA – National Surveillance Unit – APHIS – Veterinary Services – APHIS – Emergency Programs – Wildlife Services – National Veterinary Services Laboratory – National Animal Health Laboratory Network – Agricultural Research Service • HHS – Centers for Disease Control • States – State Pork Producer Associations / Pork Producers – State Animal Health Officials – State Diagnostic Labs • Packers • American Association of Swine Veterinarians