Re: Bhutan: Bird Flu Outbreak in Rinchending, Phuentsholing
<table width="100%" align="center" border="0" cellpadding="0" cellspacing="0"><tbody><tr height="26"><td class="body-txt">Minutes of the first NICC meeting on Highly Pathogenic Avian Influenza outbreak at Rinchending, Phuentsholing </td> </tr> <tr> <td class="body-txt"> [FONT="]Venue: DoL Conference hall<o

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[FONT="]Time: 9:15 AM<o

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[FONT="]Date: 23<sup>rd</sup> February 2010<o

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[FONT="]NICC members present<o
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[FONT="]1.[FONT="] [/FONT][/FONT][FONT="]Offtg. Secretary, Ministry of Agriculture & Forest, CHAIRMAN<o

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[FONT="]2.[FONT="] [/FONT][/FONT][FONT="]Director General, Department of Livestock, Ministry of Agriculture & Forest<o

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[FONT="]3.[FONT="] [/FONT][/FONT][FONT="]Executive Director, Bhutan Agriculture and Food Regulatory Services<o

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[FONT="]4.[FONT="] [/FONT][/FONT][FONT="]Lt. Colonel Tshewang, Royal Bhutan Police, Thimphu<o

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[FONT="]5.[FONT="] [/FONT][/FONT][FONT="]Mr. Thuji Tshering, CRQO, BAFRA <o

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[FONT="]6.[FONT="] [/FONT][/FONT][FONT="]Dr. Tashi Dorji, CLO, DoL<o

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[FONT="]7.[FONT="] [/FONT][/FONT][FONT="]Mr. Koinchoik Wangdi, CLO, DoL<o

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[FONT="]8.[FONT="] [/FONT][/FONT][FONT="]Mr. Jigme Wangchuk, DCLO, DoL<o

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[FONT="]9.[FONT="] [/FONT][/FONT][FONT="]Dr. J. B. Gurung, Animal Health Specialist, DoL<o

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[FONT="]10.[FONT="] [/FONT][/FONT][FONT="]Dr. Karma Rinzin, Program Director, NCAH Serbithang<o

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[FONT="]11.[FONT="] [/FONT][/FONT][FONT="]Dr. Pasang Tshering, Animal Health Specialist, NCAH Serbithang<o

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[FONT="]12.[FONT="] [/FONT][/FONT][FONT="]Dr. N. Dahal, DCVO, NCAH Serbithang<o

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[FONT="]13.[FONT="] [/FONT][/FONT][FONT="]Mr. Damcho Norbu, Offtg. RQO, BAFRA<o

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[FONT="]14.[FONT="] [/FONT][/FONT][FONT="]Mr. Tandin, Offtg. Director, Department of Public Health, MoH, Thimphu<o

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[FONT="]15.[FONT="] [/FONT][/FONT][FONT="]Mr. Jigme Chogyal, APO, Department of Disaster Management<o

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[FONT="]16.[FONT="] [/FONT][/FONT][FONT="]Mr Tandin Norbu, ICS<o

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[FONT="]17.[FONT="] [/FONT][/FONT][FONT="]Mr. Kinzang Namgay, CPS, DoL<o

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[FONT="]18.[FONT="] [/FONT][/FONT][FONT="]Representatives from the media<o

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[FONT="]The Chairman of the National Incident Command Centre for National Influenza Pandemic Preparedness Plan welcomed the participants of the NICC to the emergency meeting. The chairman stressed on the importance for effectively and timely control of the disease outbreak at the epicenter. He also emphasised on the cooperation and support from all the stakeholders for effectively implementing the rapid response measures. <o

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[FONT="]Dr. Karma briefed the [/FONT][FONT="]NICC members on the sequence of events that occurred and the actions taken so far since the first report of suspected H5N1 outbreak from Rinchending, Phuentsholing on 18<sup>th</sup> February 2010. Following areas were highlighted;<o

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[FONT="]a.[FONT="] [/FONT][/FONT][FONT="]Confirmation of the outbreak including laboratory confirmation from reference labs- HSADL Bhopal, India and NIAH Bangkok<o

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[FONT="]b.[FONT="] [/FONT][/FONT][FONT="]Depopulation, disposal and decontamination activities<o

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[FONT="]c.[FONT="] [/FONT][/FONT][FONT="]Compensation for culling of chickens in the containment area<o

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[FONT="]Some key issues from the field as noticed during the current episode were highlighted and are included in the minutes of the meeting.<o

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[FONT="]Dr. Pasang Tshering then outlined on the convening of the NICC and on the roles and responsibilities of the NICC and specific decisions to be made by the committee during the meeting.<o

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[FONT="]Decisions and recommendations made during the meeting[/FONT]
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[FONT="]The committee decided that following the confirmation of the outbreak of H5N1 in the country at Rinchending, Phuentsholing, following decisions and directives were issued;<o

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[FONT="]1.[FONT="] [/FONT][/FONT][FONT="]Convening of the NICC ? done on 23<sup>rd</sup> Feb 2010 at DoL conference hall.<o

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[FONT="]2.[FONT="] [/FONT][/FONT][FONT="]The house endorsed the official notification of the disease outbreak<o

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[FONT="]3.[FONT="] [/FONT][/FONT][FONT="]
The house was briefed on the pros and cons of OIE notification. The floor agreed that the Minister, Ministry of Agriculture and Forest will be briefed on the OIE notification before the final reporting to OIE is done. <o

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[FONT="]4.[FONT="] [/FONT][/FONT][FONT="]Establishment of Incident Operation Centre ? Although the Incident Operation Centre is already functioning, the house endorsed to officially establish the Centre and identification of the IOC Commander. NICC will issue an executive order for IOC establishment.<o

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[FONT="]5.[FONT="] [/FONT][/FONT][FONT="]The house endorsed the nomination of the following officials as media spokespersons<o

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[FONT="]a.[FONT="] [/FONT][/FONT][FONT="]Mr. Thuji Tshering, Chief Regulatory and Quarantine Officer, BAFRA <o

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[FONT="]b.[FONT="] [/FONT][/FONT][FONT="]Dr. Karma Rinzin, Program Director, National Centre for Animal Health, DoL <o

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[FONT="]6.[FONT="] [/FONT][/FONT][FONT="]The NICC agreed to update the events to the National Steering Committee and inform other relevant agencies<o

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[FONT="]Others:<o
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[FONT="]7.[FONT="] [/FONT][/FONT][FONT="]On the issue of cross border information on the outbreak of Avian Influenza, the house endorsed to share information with the relevant adjoining Indian Institutions.<o

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[FONT="]8.[FONT="] [/FONT][/FONT][FONT="]
The house endorsed to establish disinfection points by BAFRA on both the routes (Pasakha-Manitar route and Sorchen-Jumja route). Location to be decided based on the technical justifications of the outbreak area. Reactivation of disinfection of all the major entry points will also be carried. <o
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[FONT="]9.[FONT="] [/FONT][/FONT][FONT="]On the hire of vehicles and logistics arrangement, the floor agreed that the IOC is authorised to hire vehicles on need basis. Similarly, hire of one vehicle each required for the two checkpoints to be established by BAFRA on both the routes to Thimphu was endorsed.<o

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[FONT="]10.[FONT="] [/FONT][/FONT][FONT="]On the issue of catching of some free ranging birds which are not easy to catch, the house agreed to procure nets directly from the company to speed up the procurement process due to urgent requirement, while in the mean time the scavenging birds should be disposed off as per SOP by any other means that can be applicable to catch them. The nets can be used for similar cases in future.<o

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[FONT="]11.[FONT="] [/FONT][/FONT][FONT="]On the issue of disposal sites for the culled birds, the house agreed that the IOC team leader should be able to locate and decide on the area. Probable recommended site would be Rinchending area which is already declared as infected.<o

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[FONT="]12.[FONT="] [/FONT][/FONT][FONT="]On the issue of manpower for carrying out the operation, in the affected as well as in alert areas, the house endorsed that BAFRA could hire personnel for check point disinfection and culling operations.
As an urgent measure, the house also endorsed recruitment of 10 numbers of class 12 candidates to assist disinfection program to be introduced at Pasakha and Ramitey route immediately. <o

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[FONT="]13.[FONT="] [/FONT][/FONT][FONT="]The house endorsed involvement of Police personnel in the 3D operations and movement control. <o

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The budget involved for these activities will be borne by the World Bank supported Bird flu project. Any supplementary budget required will be processed with the government on emergency basis by the concerned agencies.<o

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[FONT="]15.[FONT="] [/FONT][/FONT][FONT="]The house also endorsed that the Department of Public Health will ensure safety measures such as prophylactic medication of the high risk groups, health monitoring of the public in the affected area and back up provision of PPE. <o

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[FONT="]16.[FONT="] [/FONT][/FONT][FONT="]The need for resources and other logistics as back up support was felt necessary from the Department of Disaster Management and the representative was accordingly asked to appraise the matter with the head of the Department<o

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[FONT="]17.[FONT="] [/FONT][/FONT][FONT="]The house endorsed equipping the alert areas with basic requirements (PPE, Diagnostic provisions etc.) for immediate control of any suspected outbreaks.<o

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admin, Feb 24 - 2010:tiphat:http://www.moa.gov.bt/moa/news/news_detail.php?id=1025</td></tr></tbody></table>