Support to COVID-19 response in Kenya by FELTP trained veterinary epidemiologists

Support to COVID-19 response in Kenya by FELTP trained veterinary epidemiologists

Support to COVID-19 response in Kenya by FELTP trained veterinary epidemiologists

Since 2009, the Kenya Field Epidemiology and Laboratory Training Program (K-FELTP) division in the Ministry of Health has been training national and county level officers from the Directorate of Veterinary Services in Field Epidemiology. To date at-least 30 veterinary officers have been trained in advanced level epidemiology under FELTP and more than 50 have been trained in basic epidemiology competences at county level.

These officers have gained valuable expertise in outbreak investigation and response, collaboration with public health services under the one health approach and field surveillance. Some of these officers were involved in contact tracing, field surveillance and data management during the 2015 Ebola threat; valuable skills that can come to play as we work to control the current outbreak. Currently, some veterinary officers under FELTP training and at the Zoonotic Disease Unit are involved in contact tracing and data management for the COVID -19 response. In support of the long-standing collaboration between the Ministry of Health and the Directorate of Veterinary Services through the Zoonotic Disease Unit, the DVS wishes to offer support to COVID 19 response activities.

The FELTP trained veterinary officers are available for engagement at both county and national levels. The officers located at national and county levels and can be mobilized to support the ongoing COVID-19 control efforts, can be contacted through the Zoonotic Disease Unit for deployment.

In view of this, and within the One Health perspective, you may consider recommending the inclusion of Director of Veterinary Services in the National Emergency Response Committee.

I wish you all the best in the current prevention and control efforts.

Source:
Dr Obadiah Njagi, PhD
Director Veterinary Services (Kenya)

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Covid-19 and Veterinary Services in Kenya

Covid-19 and Veterinary Services in Kenya

Covid-19 and Veterinary Services in Kenya

The first case of Coronavirus disease, COVID-19, was confirmed in Kenya on 12th March 2020. Since then, the COVID-19 National Emergency Response Committee, Ministry of Health, Ministry of Agriculture, Livestock, Fisheries and Cooperatives and various county governments have issued guidelines on public and individual behavior to manage the disease.

We all recognize that veterinary services are essential to ensure a continuum in food safety, disease prevention and animal emergency management. Consequently, the following measures which are in line with the communique of the World Organisation for Animal Health (OIE) and the World Veterinary Association (WVA) on “COVID-19 and veterinary activities designated as essential” are issued.

Disease surveillance: it is of paramount importance to carry out active and passive animal disease surveillance within your respective county so as to quickly detect any notifiable diseases which may arise. This is because, such diseases often engender huge losses which can only worsen the economic situation in livestock value chains. Moreover, some of these diseases are zoonotic and can further complicate the prevailing delicate public health status in the country.

It is therefore advised that whenever a notifiable disease is suspected, immediately impose a
provisional quarantine as you take samples for diagnosis. If an outbreak is confirmed, maintain the quarantine and carry out a ring vaccination in the affected areas. It is therefore necessary that you procure and keep stocks of vaccines against diseases that commonly occur in your locality. For various counties, these include Foot and Mouth Disease; Anthrax; Rift Valley Fever (rains are expected); Lumpy Skin Disease; Sheep and Goat Pox; Contagious Caprine Pleuropneumonia; Camel Pox; Blue Tongue; Peste des Petit Ruminants and New Castle Disease. Counties in the North-Eastern Region should be on the lookout for the camel associated Middle East Respiratory Syndrome Coronavirus (MERS-COV).

When vaccinating animals in large groups, it is advised that you wear Personal Protective Equipment (PPE) including a face mask and gloves since you will be meeting many livestock producers from diverse locations. Where possible, inform livestock producers to present animals individually at vaccination sites.

Prioritize animal movement control as a key intervention in animal disease control. It is cheaper and often very effective. As much as possible, examine animals before issuing movement permits. Remember to issue permits for animals migrating in search of pasture and water.

Animal markets and other gatherings: it is notable that some counties have closed all markets including animal markets. This is commendable as such markets act as foci of disease exchange among animals. Where markets are still operating, conduct disease surveillance on various animal species presented for sale.

Other gatherings of animals include agricultural shows, trade fairs and dips. Whereas shows and trade fairs are now banned, dipping of animals has to continue as a key disease control measure. Carry out disease surveillance at dip sites and advise animal owners as appropriate. If possible, consider offering preventive vaccination at the dips.

Slaughterhouses: these facilities will continue to operate as scheduled but be sure to reduce unnecessary crowding around and within the slaughterhouses. Only meat inspectors, flayers and a few people to clean green offal should be in the slaughterhouse. Outside the slaughterhouse, have the meat transporters only. They should however stay in their vehicles and wait to be summoned to load meat and quickly vacate the slaughterhouse premises. All hangers-on including people selling tea, ropes and paper bags that usually throng slaughterhouses must be kept away. Request for police assistance where necessary.

Meat markets include Burma in Nairobi, butcheries and open food markets such as Wakulima in Nairobi and similar markets across the country. The open food markets are also referred to as “wet markets”. All these forms of markets shall under no circumstances harbor any live animals like chickens, ducks, rabbits, cats and dogs. It is worth noting that the COVID-19 Pandemic arose at a wet market where meat was displayed for sale in close proximity to live animals. It is suspected that the virus made “a species jump” from the live animals at the market to humans through meat which was handled by people who touched their faces and transferred the virus to their respiratory systems through their nostrils or mouths and contracted the disease. The virus then quickly mutated in humans and has been able to move from person to person through air-borne droplets or coming into contact with virus-contaminated surfaces.
It is necessary to observe that meat inspection takes place in markets like Burma and many open food markets where poultry and rabbits are slaughtered. Responsible meat inspectors should be instructed to observe the contents of this Circular. In all other meat markets where veterinary personnel are not directly involved in sanitary matters, please liaise with your colleagues in the Department of Public Health to implement these measures.

Audit of farms: try and visit most animal farms in your county and stress to the owners the need to maintain separate sleeping quarters from places where animals are kept at night. It has been observed that in some counties, people sleep in the same rooms with animals like sheep, goats, calves, chickens, piglets and even adult cows. Animals are known sources of coronavirus that they can secrete from their nostrils or in their faeces. The latter can contaminate human food of any kind and even water and precipitate human infections. Coronaviruses are first evolving. Mutations of animal variants which can potentially infect humans are on-going so keeping a reasonable distance from animals is necessary at all times.

Finally, whenever in doubt as to how to proceed in managing an animal disease situation or a food safety measure during this time of partial lockdown to contain COVID-19, call the Director of Veterinary Services immediately.

Observe these guidelines alongside those issued by the COVID-19 National Emergency Response Committee, Ministry of Health and your county leadership consistently. Further guidelines on veterinary services may be issued by my office in future depending on the progression of the COVID-19 Pandemic.

Author 

Dr. Obadiah N. Njagi, PhD, OGW
Director of Veterinary Services

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Why veterinary services are essential services (even during pandemics)

Why veterinary services are essential services (even during pandemics)

Why veterinary services are essential services (even during pandemics)

When a nation strengthens it’s animal health sector it shall have taken a step closer to mitigating the economic and human health risks (including pandemics – see figure below). Confirming Mahatma Gandhi words, “The greatness of a nation can be judged by the way its animals are treated”
Shocking to learn, that as of 26th March 2020, Veterinary Services aren’t listed as essential in Kenya, especially when we are well aware that the Covid19 pandemic was due to a spillover from animals to humans! To prevent future outbreaks and pandemics of zoonotic diseases (disease transmitted between animals and humans) we need to have veterinary services, across the world, at the frontline and well funded and working with other professionals under the spirit of #OneHealth.
Veterinary service providers ensure that the health and welfare of animals is safeguarded round the clock. When limited this could lead to suffering of animals who need the highest level of care 24/7. Just imagine you have a sick pet or animal at home during the night and your veterinarian can’t offer his/her services because it is listed as non-essential? Unimaginable, right? When the health and welfare of our animals is not taken care of it can negatively affect the health and welfare of humans. Example: when animals are not treated by the right animal Health professionals it can lead to bigger problems such as drug resistance (ugonjwa kukataa kusikia dawa). 
Veterinary services ensure that the meat humans enjoy is safe (including free of drug residues, chemicals and disease) through meat inspection, proper treatment and management of animals. Making veterinary services non-essential may lead to serious public health issues (I think you have heard of a number of anthrax outbreaks in Kenya leading to the suffering and death of humans who late uninspected meat; that is how serious the issue is).
It is time we tell our governments to take veterinary services seriously to safeguard the health and welfare of animals and humans.

A joint statement from the World Organisation for Animal Health (OIE) and the World Veterinary Association (WVA)

The OIE and WVA have jointly drawn attention to the roles and responsibilities of the veterinary profession for public health. They highlight the specific veterinary activities which are key to ensure a continuum in food safety, disease prevention and emergency management. 
Veterinarians are an integral part of the global health community. Beyond the activities linked to the health and welfare of animals, they have a key role in disease prevention and management, including those transmissible to humans, and to ensure food safety for the populations.

In the current situation, it is crucial that, amongst their numerous activities, they can sustain those necessary to ensure that:

  • national and regional veterinary regulatory and inspection services can oversee the integrity of public health
  • only healthy animals and their by-products enter the food supply to guarantee food safety for the populations,
  • emergency situations can be addressed,
  • preventative measures, such as vaccination against diseases with a significant public health or economic impact, are maintained.
  • priority research activities continue.

The American Veterinary Medical Association position statement 

Veterinary practices provide the following essential services:

  • Frontline veterinary practitioners and staff are among the healthcare professionals who provide surveillance for diseases deemed reportable by state and federal governments, including zoonotic diseases, such as rabies, influenza and Lyme Disease. They are also responsible for issuing certificates of veterinary inspection that are required for the movement of animals between states and countries, including those entering the food supply.
  • Veterinarians are an integral part of our nation’s food and fiber industries. Veterinary care is critical to ensure that only healthy animals enter the food supply. While primarily housed on farms, food animals are also present in urban areas.
  • Veterinary practices provide medical and surgical care daily for critically ill and injured animals.
  • Veterinarians provide care for service and therapy animals, supporting both animal and human welfare.
  • Veterinarians also oversee the care of laboratory animals, which are critical to research that leads to the development of pharmaceuticals and biologics, including vaccines such as those currently being developed to combat COVID-19.
  • Veterinarians care for rare, threatened, and endangered animals in zoos, aquaria, wildlife rehabilitation clinics, and wildlife facilities. Even if such entities need to be closed to the public for COVID-19 mitigation, veterinarians and animal care staff must continue to care for these animals.
  • Veterinarians and our support staff are trusted professionals involved in disaster situations. While perhaps different from a statutory and regulatory perspective, the training, education, and experience of veterinarians and our staff in disasters are clearly transferrable skills in whatever COVID-19 risk mitigation is deemed necessary.

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COVID-19 outbreak in Kenya: tips to keep you and others safe

COVID-19 outbreak in Kenya: tips to keep you and others safe

COVID-19 outbreak in Kenya: tips to keep you and others safe

What is coronavirus (covid-19)?

There is an ongoing outbreak new coronavirus 2019 (COVID-19) across the World. COVID-19 is a new respiratory disease that is spread from infected person through direct contact with fluids like cough, sneeze or contaminated surfaces and articles.

How is coronavirus (covid-19) spread between humans?

COVID-19 spreads through droplets which are released when people sneeze or cough. These droplets can only travel up to one meter and cause infection when they contact the mucous membranes of the mouth, nose or eyes. Spread from contaminated surfaces (formites) may also occur, but plays a lesser role.

How long is the incubation period for COVID-19?

Incubation period is the time between catching the virus and when the symptoms of the disease start appearing. The average is about 5 days and ranges from 2 to 12 days in most cases.

COVID-19 signs and symptoms

The two main symptoms of COVID-19 are fever and cough. The initial case definition also included shortness of breath, but that is true only for those who are more seriously ill. Runny nose and sore throat are very uncommon, so their presence suggests a different virus. View the case definition of COVID-19 below:

Ways to prevent COVID-19

  • Washing hands regularly with soap and running water, or use an alcohol-based hand
    sanitizer,
  • Cough or sneeze into a disposable tissues or flexed elbow, and wash hands immediately.
  • Observe 2 metres social distance with people who have flu-like symptoms
  • Keep away from people who have flu-like symptoms and avoid travelling
  • Avoid handshake, hugging or kissing with people with flu-like symptoms

Infection Prevention and Control measures for each stakeholders

The Ministry of Health in Kenya has developed various IPC measures to be instituted in health facilities, Points of entry (POEs) and the community to mitigate the spread of Corona Virus Disease (COVID-19). The IPC measures serve to interpret and summarize the IPC guidelines for the different stake holders at health facilities, Points of entry POEs and the community

IPC measures in HEALTH FACILITIES
  1. Establish a system of screening and triage for all patients and staff accessing the health facility.
  2. Ensure access to hand washing for all persons accessing the screening area and throughout the health facility. Including those that have in contact with respiratory secretions. Soap and clean running water or 0.05% chlorine can be used for hand hygiene if hands are visibly soiled or Alcohol based hand rub (ABHR) if hands are not visibly soiled
  3. Ensure practise of respiratory etiquette for all persons accessing the health facility. Provide surgical masks to coughing persons, if masks are not available, advise on use and provide patients with single use disposal tissue or advise on coughing into their flexed elbow.
  4. Maintain social distancing (ONE meter or more) between patients and also between patients and staff.
  5. During consultation ensure that patients don’t face the hospital staff directly.
  6. Personal protective equipment (PPE) is guided by the overriding principle of appropriate selection and use of PPE based on routes of transmission and risk assessment.

Screeners at the screening area:

  • Always maintain a ONE meter distance from the patient being screened. If this is to be breached, a surgical mask is to be used.
  • Practise hand hygiene (soap and clean running water, 0.05% chlorine or ABHR)

Symptomatic patients at screening areas including those in isolation

  • Provide a surgical mask to each patient
  • Advice on Practise Hand hygiene including times of contact with respiratory secretions (soap and clean running water, 0.05% chlorine or ABHR)

Staff working in isolation (clinicians and non-clinicians)

  • Don N95 mask, goggles, disposable gloves and gown when accessing the isolation space.
  • Consider change of protective gear if soiled.
  • Practise hand hygiene (before donning , after doffing and in between patients)
IPC measures in POINTS OF ENTRY
Various IPC measures are recommended to be instituted in health facilities, Points of entry (POEs) and the community to mitigate the spread of Corona Virus Disease (COVID-19). COVID-19 is spread mainly through droplet and contact, directly with respiratory secretions or indirectly via fomites.
This document serves to interpret and summarize the IPC guidelines for the Points of entry (POEs).

 

POINTS OF ENTRY (Airports, sea ports and land crossings)

  1.  Establish a system of screening and triage for all travellers and staff accessing the POE.
  2. Ensure access to hand washing for all persons accessing the screening area and throughout the POE. Including those that have been in contact with respiratory secretions. (soap and clean running water, 0.05% chlorine or ABHR)
  3. Ensure practise of respiratory etiquette for all persons accessing the health facility. Provide surgical masks to coughing persons, if masks are not, advise on use and provide patients with single use disposal tissue or advise on coughing into their elbow.
  4. Maintain a ONE meter distance or more between traveller and between travellers and staff.
  5. During the process of screening, ensure that the travellers don’t face the screener directly.
  6. Personal protective equipment (PPE) is guided by the overriding principle of appropriate selection and use of PPE based on routes of transmission and risk assessment.

Arriving travellers

  • Practise hand hygiene. (soap and clean running water, 0.05% chlorine or ABHR)
  • Always maintain a ONE meter distance between travellers. Always avoid crowding.
  • Only symptomatic travellers should be availed surgical masks and directed towards isolation for further screening.
    Departing travellers
  • Practise hand hygiene. (soap and clean running water, 0.05% chlorine or ABHR)
  • Always maintain a ONE meter distance between travellers. Always avoid crowding.
  • Only symptomatic travellers should be availed surgical masks and directed towards isolation for further screening.

Primary screeners

  • Always maintain a ONE meter distance from the travellers being screened. If this is to be breached, a surgical mask is to be used.
  • Practise hand hygiene. (soap and clean running water, 0.05% chlorine or ABHR)
    Secondary screeners and staff working in isolation
  • Don N95 mask, goggles, disposable gloves and gown when accessing the isolation space.
  • Consider change of protective gear if soiled.
  • Practise hand hygiene (before donning , after doffing and in between patients)
    Other staff (including ground staff and customs)
  • Practise hand hygiene. (soap and clean running water, 0.05% chlorine or ABHR)
  • Always maintain a ONE meter distance between staff and travellers. If this is to be breached, a surgical mask is to be used.
IPC measures in THE COMMUNITY
Various IPC measures are recommended to be instituted in health facilities, Points of entry (POEs) and the community to mitigate the spread of Corona Virus Disease (COVID-19). COVID-19 is spread mainly through droplet and contact, directly with respiratory secretions or indirectly via fomites.
This document serves to interpret and summarize the IPC guidelines for the Community.

 

COMMUNITY CONSIDERATIONS

  1. Ensure access to frequent hand hygiene in all public spaces. (soap and clean running water, 0.05% chlorine or ABHR).
  2. Avoid crowding.
  3. Maintain ONE meter distance from persons with respiratory symptoms.
  4. Surgical masks should ONLY be availed to persons with respiratory symptoms. Best practices should be followed on how to wear, remove, and dispose of them and on hand hygiene action after removal.

Wearing surgical masks when not indicated may cause, unnecessary social panic, unnecessary cost, procurement burden and create a false sense of security that can lead to neglecting other essential measures such as hand hygiene practices.

Furthermore, using a mask incorrectly may hamper its effectiveness to reduce the risk of transmission. A surgical mask is not required for non-sick persons, as no evidence is available on its usefulness to protect. This applies to also Persons in self-quarantine. Self-quarantine refers to a voluntary two week restriction of movement (to your home) of non-symptomatic individuals returning from areas affected by COVID-19.

Quarantine is different from isolation as isolation refers to restriction of symptomatic persons within a defined area.

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Fast-food Chicken restaurants in Kenya serving up shockingly low welfare standards

Fast-food Chicken restaurants in Kenya serving up shockingly low welfare standards

Fast-food Chicken restaurants in Kenya serving up shockingly low welfare standards

Some of the largest global fast-food chains operating in Africa – including KFC, Burger King, Dominos Pizza and Subway – are under the spotlight as global charity, World Animal Protection, exposes these companies’ welfare standards for chickens raised for their meat.

‘The Pecking Order (TPO) 2020’ report which ranks how fast food restaurants are performing on their commitment, ambition and transparency on chicken welfare globally, revealing some alarming findings. All businesses operating in Africa are performing worryingly low; no companies have received points for their operations here. This means that consumers are unwittingly buying meat from chickens who are subject to unnecessary suffering and cruelty.

Many of the birds being served at these restaurants live in cramped, poorly ventilated, barren environments with wet and caked litter leading to many of the chickens suffering from lameness and skin lesions. Moreover, most companies are not showing any ambition to improve their standards. In the TPO, companies are assessed via publicly available information on three areas:

  • Commitment, their policies clearly state how important the welfare of chickens is to the company;
  • Ambition, a defined timeline that demonstrates the objectives, targets and promises a company has made to improve chicken welfare and when they will meet them; and
  • Transparency, through their performance reporting, and how clear the company is about living up to its promises on chicken welfare.

The companies assessed are KFC, Burger King, Subway, Domino’s Pizza Group, Domino’s Inc, McDonald’s, Nando’s, Pizza Hut and Starbucks. Also included in the rankings was Java House, Kenya’s largest fast-food chain. The key findings from ‘The pecking order 2020’ are:

  • Broiler chicken welfare in Kenya is very poor as all companies have received no points for their operations here.
  • Four companies – Burger King, Pizza Hut, Domino’s and Java House were classed as having ‘very poor’ chicken welfare globally.
  • Commitments are not coming fast enough – over 160 companies globally have signed up to the Better Chicken Commitment but two thirds of the companies assessed have not done so.
  • Commitments are limited to just the USA, Canada and a small number of European countries, so more take up in Africa and globally is crucial and required.
  • No company is reporting on performance on all welfare aspects globally. This makes it difficult to hold them accountable for the commitments they’ve made
  • Only a third (three of the nine) of companies assessed scored globally above a score of ‘poor’, so most companies are still failing.
  • Only one company, KFC, has been ranked as ‘making progress’, based on them signing the Better Chicken Commitment in six European countries– which includes using slower growing chicken breeds and giving chicken more light and space to behave more naturally – and some examples of performance reporting.

While it’s encouraging to see companies like KFC starting to take chicken welfare seriously in parts of Europe, the results remain extremely concerning, demonstrating that most companies have a long way to go to give chickens better lives in Africa. World Animal Protection is challenging these global brands to extend their commitments into their African businesses.

Dr. Victor Yamo, Campaigns Manager at World Animal Protection says: “Millions of African birds live in cramped, poorly ventilated, barren environments with wet and caked litter leading to many of the chickens suffering from lameness and skin lesions. These birds never get the chance to grow at a healthy rate or behave naturally. Instead, their lives are all too often full of pain, fear and stress. There is no excuse why these iconic companies with the power to put an end to this suffering continue causing such suffering for the sake of their own profits.

Dr. Yamo further observes that KFC has taken the right step in committing to the Better Chicken Commitment in 6 European countries – but this now needs to be replicated in Africa since Consumers globally are becoming increasingly concerned about animal welfare, and we will continue to speak up for them and for chickens to put pressure on companies to make real change.“

World Animal Protection is calling on these global companies to lead and ensure that any chickens that are being served at their restaurants are guaranteed a life worth living. The companies assessed in ‘The pecking order’ have a seismic opportunity at their hands and could use their power to improve the lives of hundreds of millions of animals.

To find out more visit: https://www.worldanimalprotection.or.ke/PeckingOrder2020

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