background in may 2003, the chief executive announced that the government had begun to study the...
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Background In May 2003, the Chief Executive announced
that the Government had begun to study the establishment of a CDC – like organisation in Hong Kong
SARS Expert Committee’s Report released in Oct 2003 recommended the establishment of a Centre for Health Protection (CHP)
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Health Protection
Health protection is about the measures that public health authorities and others take to protect the population from communicable diseases and other public health hazards
(Report of the SARS Expert Committee 2003 )
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What differences will CHP make?
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International and
Mainlandauthorities
Hospital Authority/
Private hospitalsand
practitioners
Community
Universities
DH
Existing Interface Gaps
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Legislation Surveillance
Science
Effective Health
ProtectionSystem
RiskManagement
Programme Development
Source:Health Protectionfor the 21st Century,Health Canada
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SCOPING
Assessment of potential building blocks of health protection
SCIENCE
• Support of a network of laboratories
• Laboratory enhancement
• Science-based practice
SURVEILLANCE
• Strengthening of epidemiology as the core competency
• Enhanced surveillance
EMERGENCY RESPONSE
• Multi-disciplinary emergency response• Centralisation of field epidemiology services• Strengthening of risk communication
LEGISLATION
• Review of legislation in communicable disease control
PROGRAMMMEDEVELOPMENT
• Set up specialised health protection programmes
Centre for Health Protection Public HealthLaboratory Services
Surveillance & Epidemiology
Branch
Emergency Response &InformationBranch
Public Health
Services
Infection Control Branch
Programme Management and Professional Development Branch
EXPERTISE DEVELOPMENT
• Reorganisation of public health training• Strengthening of field epidemiology as the core business for investigation, analysis and rapid response capability
RESEARCH SUPPORT
• Incorporation of applied research
INTERNATIONAL COLLABORATION
• Coordination in Pearl River Region• Networking with international partners
Review of mandate
Promotion of standards
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Organisation of CHP
EMERGENCY RESPONSE ANDINFORMATION
BRANCH
SURVEILLANCE & EPIDEMIOLOGY
BRANCH
PUBLIC HEALTHLABORATORY
SERVICES
PUBLIC HEALTH SERVICES
INFECTIONCONTROL BRANCH
Controller, CHP
PROGRAMME MANAGEMENT & PROFESSIONAL DEVELOPMENT BRANCH
Director of Health
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New functional elements
Epidemiology Unit
CD Surveillance Unit
Emergency Response and Information Branch
Programme Management and Professional Development Branch
Infection Control Branch
Health Protection Programmes for targeted diseases
New functional elements
Epidemiology Unit
CD Surveillance Unit
Emergency Response and Information Branch
Programme Management and Professional Development Branch
Infection Control Branch
Health Protection Programmes for targeted diseases
Existing servicesto be incorporated
Regional Offices
Disease Prevention and Control Division
Central Health Education Unit
TB & Chest Service
Social Hygiene Service
Special Preventive Programme Pathology Service
Existing servicesto be incorporated
Regional Offices
Disease Prevention and Control Division
Central Health Education Unit
TB & Chest Service
Social Hygiene Service
Special Preventive Programme Pathology Service
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HospitalAuthority /
PrivateHospitals & Practitioners
• Epidemic Intelligence• Communicable Disease
Notification• Training
• Attachment Programmes
• Communicable Disease Information System• Health Protection
Programmes fortargeted diseases •Infection Control
• Multi-disciplinary Emergency Response
• Risk Communication• Standardisation of Infection
Control Practice • Population Based
Programmes• Health Education
Programmes
• Professional Development
• Multi-disciplinary Emergency Response
• Appointed Collaboration Centres
• Health Protection Programmes for
targeted diseases
CHP
International & Mainland
authorities
Universities
Community
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Strengths of CHP
Three Rs:
Real-time surveillance
Rapid intervention & resolution
Risk communication
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Functional Branches
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Surveillance &
Epidemiology Branch
FUNCTIONS Use contemporary IT programmes
and infrastructures to collect, collate, analyse and disseminate surveillance data on notifiable diseases and other communicable diseases
Establish a central communicable disease information system
Manage & respond to communicable disease outbreaks and develop control measures
Mastermind a surveillance system for GD-HK-Macao and focus on the situation of communicable diseases in PRDR
FUNCTIONS Use contemporary IT programmes
and infrastructures to collect, collate, analyse and disseminate surveillance data on notifiable diseases and other communicable diseases
Establish a central communicable disease information system
Manage & respond to communicable disease outbreaks and develop control measures
Mastermind a surveillance system for GD-HK-Macao and focus on the situation of communicable diseases in PRDR
FACILITIES
Epidemiology Unit and its Outbreak Teams
Data Management Centre
Communicable Disease Surveillance Unit
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Priority issues Enhance comprehensiveness and
sensitivity of disease surveillance E-Notification platforms for physician reporting Centralised notification system for receiving
reports of institutional outbreaks Emerging infections surveillance network Expanded surveillance network: local and
international
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Priority issues Strengthen Epidemiology and surge
capacities Epidemiology as core public health training Set up structured Epidemiology Training
Programme for specialist development Exchange programmes and training for dealing
with emerging pathogens Training for supporting professionals and public
health partners
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Infection ControlBranch
FUNCTIONS Develop, promulgate and evaluate
best practices in infection control at health care and non-health care settings
Coordinate, facilitate and support training in infection control for all levels of health care workers
Support epidemiological investigation of nosocomial infections in hospital
Conduct surveillance on infection hazards in health care and non-health care setting
Set up epidemiology and infection control units in five major public hospitals
FUNCTIONS Develop, promulgate and evaluate
best practices in infection control at health care and non-health care settings
Coordinate, facilitate and support training in infection control for all levels of health care workers
Support epidemiological investigation of nosocomial infections in hospital
Conduct surveillance on infection hazards in health care and non-health care setting
Set up epidemiology and infection control units in five major public hospitals
FACILITIES
Simulation Room Epidemiology and
Infection Control Units
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Expert Committees
Technical SupportDivision
Clinical Consultation & Investigation Division
Branch Head
Advisory Office
Senior Microbiologist Senior Epidemiologist Specialist in ID
Surveillance & Research Division
Training programmes
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Interface in Infection Control Practices
Expert Panel on Infection Control
CHP Infection Control Branch
Recommendations
Training programme
s
Training & technical support
Advisory Office
hospital-based Epidemiology and Iinfection Control Units
Coordinating body
Infection control committee
Infection control committeeInfection control committee
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QMH
QEH
PWH
TMH
PMHPMH
Epidemiology and Infection Control Unit
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Emergency Response & Information
Branch
FUNCTIONS Overall corporate planning Co-ordinate emergency response on a
community/territory-wide basis Contingency planning Overall risk communication strategy Update information system needs Facilitate the development of preventive
strategy and cross-sector logistic support
Develop contingency plans and arrange drills
FUNCTIONS Overall corporate planning Co-ordinate emergency response on a
community/territory-wide basis Contingency planning Overall risk communication strategy Update information system needs Facilitate the development of preventive
strategy and cross-sector logistic support
Develop contingency plans and arrange drills
FACILITIES
Emergency Response Centre
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Crisis Communication Lifecycle
Precrisis Initial Maintenance Resolution Evaluation
•Be prepared.
•Foster alliance.
•Develop consensus recommendations.
•Test message.
•Acknowledge the event with empathy.
•Explain and inform the public in simplest forms, about the risks.
•Establish agency/ spokes-person credibility.
•Provide emergency courses if action (including how/ where to get more information).
•Commit to stakeholders and public to continued communication.
•Help public more accurately understand its own risks.
•Provide background and encompassing information to those who need it.
•Gain understanding and support for response and recovery plans.
•Listen to stakeholder and audience feedback, and correct misinformation.
•Explain emergency recommendations.
•Empower risk/ benefit decision-making.
•Improve appropriate public response in future similar emergencies through education.
•Honestly examine problems and mishaps, and then reinforce what worked in the recovery and response efforts.
•Persuade the public to support public policy and resource allocation to the problem.
•Promote the activities and capabilities of the agency (corporate identity reinforced- internally, too)
•Evaluate communication plan performance.
•Document lessons learned.
•Determine specific actions to improve crisis systems or the crisis plan.
(Source: Crisis, Emergency & Risk Communication, CDC)
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Public Health
Services
FUNCTIONS Support the control of communicable
diseases in the community (TB, HIV, STI)
Contribute to the surveillance of communicable diseases in Hong Kong
Provide specialised clinical services Provide communicable disease
treatment services Consist of TB and Chest Service,
Social Hygiene Service and Special Preventive Programme
FUNCTIONS Support the control of communicable
diseases in the community (TB, HIV, STI)
Contribute to the surveillance of communicable diseases in Hong Kong
Provide specialised clinical services Provide communicable disease
treatment services Consist of TB and Chest Service,
Social Hygiene Service and Special Preventive Programme
FACILITIES
Specialist Clinics Public Health Units
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Priority issues To evaluate and improve the notification and
reporting systems for STI, TB and HIV/AIDS
To explore the role of information technology on surveillance and intersectoral coordination in relation to the above diseases
To facilitate the training and interchange of expertise between the public health stream and the clinical stream
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Public Health
Laboratory Services
FUNCTIONS Provide pathology service for
communicable disease surveillance and control
Provide laboratory support for outbreak investigations
Develop infection control standards in laboratory settings
Train microbiologists and infection control professionals for laboratory services
Collaboration with laboratories in HA, AFCD, Govt Lab, local universities and overseas agencies
FUNCTIONS Provide pathology service for
communicable disease surveillance and control
Provide laboratory support for outbreak investigations
Develop infection control standards in laboratory settings
Train microbiologists and infection control professionals for laboratory services
Collaboration with laboratories in HA, AFCD, Govt Lab, local universities and overseas agencies
FACILITIES
Public Health Laboratory Centre
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Priority issues To introduce new laboratories to improve
investigative capacity, including the laboratories for antimicrobial resistance surveillance, molecular virology, etc.
To develop and evaluate new test and optimize current tests for earlier laboratory confirmation of SARS CoV and shorten turn around time
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Priority issues
To strengthen the networking and coordination with local universities, HA and other health care institutions on laboratory research and support of communicable diseases control
To enhance training for medical, scientific and technical staff
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Programme Management
& Professional Development
Branch
FUNCTIONS Coordinate and organise training
activities for medical and nursing professionals of CHP, HA and other institutions
Liaise with local and international institutions to arrange attachment and exchange programmes
Carry out and coordinate research, including research projects in collaboration with universities, HA and other government departments
Manage health protection programmes
Coordinate with various advisory committees
Undertake health promotion activities
FUNCTIONS Coordinate and organise training
activities for medical and nursing professionals of CHP, HA and other institutions
Liaise with local and international institutions to arrange attachment and exchange programmes
Carry out and coordinate research, including research projects in collaboration with universities, HA and other government departments
Manage health protection programmes
Coordinate with various advisory committees
Undertake health promotion activities
FACILITIES
Library, IT facilities Training Office Research Office
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Health Protection Programmes
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Health Protection Programmes for targeted diseases/ health hazards
Three Dimensions
Multidisciplinary approach and intersectoral participation
Prevention – intervention continuum
Sustainable development
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S & E ER & I PHLS PHS IC
Controller, CHP
Hospital X University P
CHP Scientific Committee for HP Programme B
CHP Core Group for HP Programme A
Advisory Committee
Expert members
Expert members
Programme lead
Programme lead
HP Programme organisation
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Implementation Milestones
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Dec 2003 – Jan 2004 Consultations with stakeholders on
the establishment of CHP
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Mid 2004 To establish CHP under a transitional
stage Appointment of Controller, CHP Establishment of the Surveillance &
Epidemiology Branch & Infection Control Branch
Enhancement of Multi-disciplinary Emergency Response Mechanism
Endorsement of Manpower Enrichment / Redeployment Plan
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2005 All functional elements of CHP to
operate smoothly, including Implementation of CD information
system (by phases) Implementation of manpower plan CHP IT platform in place (e.g. e-
notification system, case notification system)
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Thank You