RS Key Finding 1- The overall objective must be to minimise risk of disease entering the country and to prevent an outbreak from turning into an epidemic. (vii) RS Key Finding 2 - EU and UK should keep "disease-free status without routine vaccination", though this might change, e.g. if the risk of an outbreak increased sharply, better vaccines became available, or the trading regulations associated with disease-free status were further changed, so should be kept under review. (vii) RS Key Finding 3 - Better contingency planning, with plans debated and approved by Parliament, rehearsed each year and reviewed triennially. (vii) RS Key Finding 4 - EU and UK must strengthen their early warning systems, through an EU risk and surveillance unit, more funding for OIE reference laboratories, better on-farm surveillance with more interaction between farmers and vets, and tightening of import controls. (vii) RS Key Finding 5 - Routine vaccination is possible, but current technical problems and trade regulations argue against it. Nevertheless, it is clear that the long-term solution is to develop a vaccine against FMD (and other diseases such as classical swine fever) that confers life-long immunity against all strains of the virus. An international effort is needed to develop this. (vii) RS Key Finding 6 - To prevent an outbreak turning into an epidemic, animal movements should be minimised at all times. Early warning of infection should trigger enhanced precautionary measures. (vii) RS Key Finding 7 - Culling of IPs and DCs will remain essential, but, given recent advances in vaccine science and improved trading regulations, emergency vaccination to live should now be considered as part of the control strategy from the start of any outbreak: the Government should prepare the regulatory framework and practical arrangements (e.g. validation of tests, and the supply of vaccines) which would allow this. An exit strategy must be agreed with the main stakeholders to allow the country to return to "disease-free without vaccination" status. (viii) RS Key Finding 8 - The first suspected case of an outbreak must be diagnosed in an approved OIE reference laboratory. Modern diagnostic tests (including pen-side tests) need to be developed to shift the burden of diagnosis onto vets on farm, and must be linked by modern telecommunications to HQ. (viii) RS Key Finding 9 - Quantitative modelling is an essential tool: a prerequisite for this is a central database including improved data on farms, location of animals, animal movements, the characteristics of the disease and arrangements to input disease control data in a timely and assured way during an outbreak. Existing models need to be refined. (viii) RS Key Finding 10 - A national strategy for animal disease research should be developed, through a "virtual national centre for animal disease research and surveillance" involving IAH, VLA, universities, private research institutes and publicly funded research in Scotland and Northern Ireland. (viii) |