asia pacific strategy for emerging diseases (2010) and influenza activities

ASDPEAsia Pacific Strategy for Emerging Diseases (2010) and

Influenza Activities

Health Security and Emergencies (DSE)

WHO Western Pacific Regional Office (WPRO)

2Division of Health Security and Emergencies (DSE)


APSED Approach to Address Capacities One Framework: “3 in 1”

• Is a common strategy for countries to strengthen national capacities required for managing emerging diseases

• Is a common framework in the Region to develop the IHR core capacities

• Is also a framework for strengthening the basic capacities required for pandemic preparedness and response



Time Difference from outbreak start to outbreak discovery and public communication

Fig. 4. Box plots of the median time difference from estimated outbreak start to outbreak discovery and public communication about the outbreak for selected WHO-verified outbreaks,1996–2009, across various WHO regions

Source: Emily h. Chan etc, PNAS, Dec 2010



Process of Developing APSED (2010)

Country Consultations

Bi-Regional Consultation on APSED and Beyond

24-27 May 2010

5th TAG Meeting 6-9 July 2010

RCM (Oct 2010)

DiscussionPapers

Draft APSED (2010)

Independent Review



Process of Developing APSED (2010)

Voice/Outcomes of Country and Regional Consultations

Results of APSED (2005) Common Indicators Assessments

Lessons learned fromPandemic preparedness & response

APSED (2010)



Structure of APSED (2010)



APSED Five Objectives

1. Reduce the risk of emerging diseases

2. Strengthen early detection

3. Strengthen rapid response

4. Strengthen effective preparedness

5. Build technical partnership



Expanded Scope: 8 Focus Areas

APSED (2005)1. Surveillance and Response2. Laboratory3. Zoonoses4. Infection Control5. Risk Communication

APSED (2010)1. Surveillance, Risk Assessment

and Response

2. Laboratory

3. Zoonoses

4. Infection Prevention and Control

5. Risk Communication

6. Public Health Emergency Preparedness

7. Regional Preparedness, Alert and Response

8. Monitoring and Evaluation



8 Focus Areas: Key Components

• Each focus area contains key components for actions



FOCUS AREA 1:Surveillance, Risk Assessment and Response

• Sensitive and timely surveillance systems can trigger early alerts and rapid response to minimize the impact of a potential outbreak.

• Key components– Event-based surveillance– Indicator-based surveillance– Risk assessment capacity– Rapid response capacity – Field epidemiology training


and Response

2. Laboratory

3. Zoonoses








FOCUS AREA 2: Laboratory• Timely, accurate laboratory

diagnosis in a safe environment is a cornerstone of any health system for emerging diseases

• Key components– Accurate laboratory diagnosis– Laboratory support for surveillance

and response– Coordination and laboratory

networking– Biosafety


and Response

2. Laboratory

3. Zoonoses








FOCUS AREA 6:Public Health Emergency Preparedness

• Comprehensive plans and well-prepared systems can reduce the negative health, social and economic impacts of public health emergencies

• Key components– Public health emergency planning– National IHR Focal Point functions– Points of entry preparedness – Response logistics– Clinical case management


and Response

2. Laboratory

3. Zoonoses








Conclusion • APSED (2010)

– Provides a common framework for countries to strengthen national and local capacities required for managing all emerging infectious diseases and public health emergencies

– A road map for Member States in the Asia Pacific Region to build up the IHR core capacity requirements

– As APSED (2005), it can incorporate influenza activities to ensure its effective implementation

asia pacific strategy for emerging diseases (2010) and influenza activities

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