health security and disease outbreak preparedness · 2019-11-05 · health programme emergencies...
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HEALTH
programme
EMERGENCIES
OPERATIONAL READINESS
Health Security and Disease Outbreak Preparedness
HEALTH
programme
EMERGENCIES
Outline
• Overview of the Global Health Security Agenda and IHR (2005)
• Harmonization of IHR (2005) & GHSA assessment tools• The JEE tool• Evolution of external assessment process, 2005-2016
• Health Security Goal: Interactive process to identify gaps and fillthem
• Health Security status Tanzania
HEALTH
programme
EMERGENCIES
Overview of the Global Health Security Agenda
and IHR (2005)
• The Global Health Security Agenda (GHSA), an initiative of many countries that seeks to accelerate progress toward a world safe and secure from infectious disease threats and to promote global health security.
• The GHSA supports existing agreements under the International Health Regulations (IHR) (2005), the World Organization for Animal Health (OIE) Animal Health Codes, and the Codex Alimentarius International Food Standards.
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HEALTH
programme
EMERGENCIES
HEALTH
programme
EMERGENCIES
Detect Assess Report Respond
• Establishes a process for international collaboration and decision-making during public health emergencies
• Requires reporting of specific diseases plus any potential international public health emergencies regardless of origin or source
• Establishes a global network of 24x7 National Focal Points (NFP)
• Establishes core capacities for surveillance and response for all countries at all levels (local, intermediate, national)
IHR (2005)
HEALTH
programme
EMERGENCIES
Less than 1/3 of the world is prepared to respond
• All 194 countries of the
world committed to
International Health
Regulations in 2005
• 2012 – fewer than 20% met IHR goals to detect and respond to pandemics
• 2014 update – 30% fully
prepared
Source: Report to the Director-General of the Review Committee on Second Extensions for Establishing National Public Health Capacities and on IHR Implementation, November 2014
HEALTH
programme
EMERGENCIES
Global Health Security Agenda (GHSA)
“This [the Global Health
Security Agenda] is indeed a
timely initiative. It raises the
political profile of the threat
from emerging and epidemic-
prone diseases. And it
energizes efforts to improve
health security…in line with
WHO International Health
Regulations...”
--World Health Organization
Director General Margaret Chan
February 13, 2014
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HEALTH
programme
EMERGENCIES
GH
SA O
bje
ctiv
es
Prevent
• 1-Antimicrobial Resistance
• 2-Zoonotic Diseases
• 3-Biosafety/ Biosecurity
• 4-Immunization
Detect
• 5-Laboratory Systems
• 6-Surveillance
• 7-Reporting
• 8-Workforce Development
Respond
• 9-Emergency Operations Centers
• 10-Law Enforcement and Multisectoral Response
• 11-Medical Countermeasures & Personnel Deployment
More than 50 countries have committed to the global health
security agenda
1
2
3
➢ 3 objectives➢ 11 action packages
13 countries in AFRO
HEALTH
programme
EMERGENCIES
JEE
Act
ion
pac
kage
s
Prevent
• 1-Nationa Legislation, policy & Financing
• 2-IHR Coordination, Communication& Advocacy
• 3-Antimicrobial Resistance
• 4-Zoonotic Diseases
• 5 Food Safety
• 6-Biosafety/ Biosecurity
• 7-Immunization
Detect• 8-National Laboratory System
• 9-Real Time Surveillance
• 10-Reporting
• 11-Workforce Development
Respond
• 12-Preparedness
• 13-Emergency Response Operations
• 14-Linking Public Health & Security Authorities
• 15-Medical Counter Measures & Personnel Deployment
• 16-Risk Communication
Others
• 17-IHR related Hazards and POEs
• 18-Chemical Events
• 19-Radiation Events
Call on All Member States to conduct Voluntary JEEs
➢ 4 objectives➢ 19 Action
packages
AFRO: Tanzania, Ethiopia, Mozambique done
HEALTH
programme
EMERGENCIES
Evolution of external assessment process, 2005-2016
HEALTH
programme
EMERGENCIES
Health Security Goal: Interactive process to identify gaps and fill them
HEALTH
programme
EMERGENCIES
HEALTH SECURITY STATUS TANZANIA:
Progress 1
February 2019: Documenting Progress following the JEE and implementation of NAPHS• Much progress on the objectives and activities
stipulated in the NAPHS
• Functional IHR TWG that provides strategic guidance for implementation
• Assessment of all relevant legislation references, and proposed amendments were in process and policy commitments for the implementation of IHR capacities for health security
• Guidelines for the various technical activities developed and most implemented
• Development and the implementation of AMR action plan was in place with a regular monitoring and evaluation mechanism
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HEALTH
programme
EMERGENCIES
STATUS TANZANIA: Progress 2
• Tanzania FELTP program accredited by the Global Accreditation Body of TEPHINET. This brings Tanzania FELTP at par with global standards
• Development and implementation of ‘all hazard emergency preparedness and response plan’
• Immunization coverage continued to be high (>90%)
• Emergency Operations Center was functional and responsive
• Transparent self-evaluation of the capacities. (e.g. chemical safety)
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HEALTH
programme
EMERGENCIES
Way forward
• IHR Art. 54 – obligation for State Parties
• States Parties and the Director-General shall continue to report annually to the World Health Assembly on the implementation of the International Health Regulations (2005), using the self-assessment annual reporting tool (SPAR tool).
(Decision WHA(15), 2018).
• Three submission deadlines exist:
– October each year for inclusion in the Executive Board report (preferred)
– February the following year to be included in the World Health Assembly report
– June the following year for inclusion in Regional Committee reports.
• Exceptionally in 2018, as many as possible reports should be submitted in October (exeption for AFRO to submit it before end of November), to be used by WHO as part of indicator for the 13th Global Program of Work –GPW13.
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HEALTH
programme
EMERGENCIES
IF YOU FAIL TO PREPARE, YOU PREPARE TO FAIL
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HEALTH
programme
EMERGENCIES
Thank you!
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