9. pulling together - pandem priorities for research and ... · research and training priorities...
TRANSCRIPT
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PANDEM
Pulling together - PANDEM Priorities for
Research and Training
Darina O’Flanagan WHO Consultant
Caroline Brown, WHO Regional Office for Europe
1
Aim: To identify improvement needs to fulfil operational
requirements for Pandemic risk management
Methods
� Based on outputs of WP 2-4 and the workshop in Feb
2016
� Literature search on lessons learned
� focus on the systems, practices and tools identified by
users necessary to build capacity.
� Research and Training priorities for capacity
strengthening and better integration
PANDEM 5.2, Gap Analysis, 5.4 Research Training
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• Strengthen core capacities• Surveillance , outbreak detection and response ,
modelling accuracy, communication, legal underpinning to facilitate implementation of IHR
• Independent assessment and training
• Higher quality evidence base for interventions• Containment , communications
• Research into scope of civil- military collaborationwith multi agency/departmental / ministry input intopandemic planning
• effectiveness of border measures
• Plug and play research strategy
• Innovation to discover new platforms
Common themes in lessons
• Priorities selected where a clear gap/need identified
by EU and MS
• Likely to achieve useful results within budget and
timeframe
• Response to cross-border threats to health.
• Topic not already covered, by EC, ECDC or WHO
• Impact defined in terms of, reducing mortality,
morbidity, socio and economic and security
consequences of the next pandemic
Prioritisation
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• A gap in some MS is not a gap in all MS
• Disparate structures and systems require MS specific
solutions
• A lot of good work at EU level – ECDC, WHO-Regional
Office for Europe, EU supported projects and in
different MS
Challenges in prioritising
Workshop 2Workshop 2Key
stakeholdersKey
stakeholders
Priorities Priorities Integrated
solution specification
(5.3)
Integrated solution
specification (5.3)
The Matrix
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OP
ER
AT
ION
AL
TA
SK
TOPIC
SURVEILLANCE
CURRENT GAPS POSSIBLE
SOLUTIONS
POTENTIAL
IMPACT
IDEAL
SITUATION
WITHIN 5-10
YEARS
S.1
Population-
based
surveillance
Lack of baseline
knowledge of
community level
data and
information on
impact of a
pandemic.
People-friendly
platforms to
promote the
collection of
data and
information.
Enables rapid
risk
assessments
and estimate
of impact of a
new threat and
thereby
enables best
possible use of
counter
measures.
identify
implications
for essential
services and
plan
response in
real-time
Example of Matrix item on surveillance
Surveillance to determine severity in a pandemic
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Resource modelling tool
Surveillance/predictive modelling
0
50
100
150
200
250
0
5
10
15
20
25
30
17 21 25 29 33 37 41 45 49 1 5 9 13 17 21 25 29 33 37 41 45 49 1 5 9 13 17 21 25 29 33 37 41 45 49 1 5 9 13 17 21 25 29 33 37 41 45 49 1 5 9 13 17
Summer
2009
2009/2010 Summer
2010
2010/2011 Summer
2011
2011/2012 Summer
2012
2012/2013
ILI
con
sutl
ati
on
ra
te p
er
10
0,0
00
po
pu
lati
on
Nu
mb
er
of
ILI/
infl
ue
nza
ou
tbre
ak
s
Week number & season
Community hospital/Long-stay unit/Residential institution Hospital
Educational setting Other outbreak
ILI consultation rate per 100,000 population
Pandemic=109 2010/2011=14
2011/2012=17
2012/2013=72
Influenza outbreaks in Ireland
and ILI rates
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Governance – model legal plan
Communications
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Strategies for increasing vaccine uptake among healthcare professionals and engaging with vaccine-resistant groups during infectious disease outbreaks.
Social Marketing
Diagnostics
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Dedicated situational awareness Dedicated situational awareness platform
• .Mentioned in European Court of Auditors report on dealing with serious cross border threats
Situational awareness
Training – capacity mapping
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Training and exercises
Picture:Getty Telegraph .co.uk
US Marines Monrovia Liberia
• use of MOOCs
• link where possible to
accreditation of courses for
continuing professional
development
• for the training of health,
security and civil protection
professionals on pandemic
preparedness and response
E-learning and serious gaming
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Conclusions