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COVID-19: International collaboration through CAPSCA and ICAO Member States
Ansa Jordaan, Chief Aviation Medicine
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CAPSCA Partners
79% of ICAO Member States are members of CAPSCA
Established 2006 2007 2009 2011 2011
WHO partnerWPRO,SEARO AFRO
AMRO/ PAHO EURO EMRO
ICAO States 41 48 35 56 15CAPSCA States 26 40 31 41 15
% 63 83 89 73 100
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CAPSCA Public Health CorridorsThe Implementation Mechanism of the CART Take-Off Document
Recommendations 4 & (5): Global and regional harmonization of procedures … to strengthen public and passenger confidence in air travel. …Member States should establish aviation public health procedures aligned with the guidance in the Take-off: Guidance for Air Travel through the COVID-19 Public Health Crisis & (discontinuation)
CREW MODULE (PHC Form 1)
AIRCRAFT MODULE(PHC Form 2)
AIRPORT MODULE(PHC Form 3)
CARGOMODULE
ICAO/CAPSCAENGAGEMENT
CAPSCA checklists, Assistance Visits, PHC Validation process and flow chart Industry Assistance: IATA self-assessment, ACI accreditation, etc. Reporting framework - State, CRRIC and ICAO Sharing of implementation information for mutual recognition by States, bilateral & multilateral
agreements and opening of air travel through Public Health Corridors
Multilayer strategy : crew and passenger education, physical distancing, processes and technology to reduce physical contact, use of face masks, temperature screening, health declarations, COVID-19 testing, cleaning & disinfection procedures, ventilation & air filtering, modification of airport layouts, managing passengers with suspected COVID-19 infection, assistance with contact tracing, staff protection
ICAO Global and Regional Implementation Roadmaps
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CAPSCA PHC
Passenger- Education- Behaviour- Transport to airport
CommunicationHealth
Declaration
? Testing
Crew Training Behaviour Reporting
for duty Health
Declaration Flight crew
segregation Fast track Health
monitoring Manage ill
crew Layover
? Testing? Isolation? Quarantine
Departure airport ***- Epidemiology data- Transmission pattern Bilateral agreement
Airport access Ventilation/ AC Physical Distancing Use of masks/ PPE Cleaning/ Disinfection Control sheet Contactless processes Manage ill passenger Cargo handling Boarding Exit Screening – visual Temperature screening Airport accreditation
? Testing
In-flight Ventilation HEPA Aircraft design Boarding Seat assignment Baggage Distancing Use of masks/ PPE Disinfection Hand sanitizer Passenger
Interaction Lavatory UPK Medical Kit Manage ill
passenger Air Operator
Assessment
Arrival airport *** Acceptable risk Airport parking PHA boarding
procedures Separate pathways Transit Airport Access Ventilation/ AC Physical Distancing Use of masks/ PPE Cleaning/ Disinfection Contactless procedures Managing ill passenger Cargo handling Entry Screening – visual Temperature screening Airport accreditation
? Testing
Public Health- Secondary assessment- Self-monitoring- Contact Tracing? Isolation? Quarantine
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CAPSCA & CART II
CAPSCA
Main (General)
Surveys
EB - HR
EB - Cargo
EB - expanded
SL - passengers & repatriation
Accredit ACI
Assessment IATA
PHC trial
PHC i-Pack
Main (T/O document)
Disinfection
Disinsection
Masks
Middle seat
Hazardous waste
Key workers
Sanitizer
UPK
Safety demo
Layover
Pilot masks
Testing
Epi data
Testing
Quarantine
Risk management
Risks
Mitigation measures
Risk tools
Risk framework Risk tool
Indicators & implementation
Indicators
Implementation
Tracking
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Q3: Does your State currently require mandatory COVID-19 tests prior to flight in the country of departure?
CAPSCA Survey
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Q10: Does your State currently require COVID-19 tests upon arrival?
CAPSCA Survey
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Q15: Where is the COVID-19 testing being conducted? Please select all possible options and provide details.
CAPSCA Survey
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Q21: Are passengers quarantined upon arrival? If so, please provide details including duration of quarantine.
CAPSCA Survey
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Q23: Does a negative test result eliminate or shorten the quarantine period?
CAPSCA Survey
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2nd Edition of “Take-off” Guidance Document: Updates from WG2
2nd Edition of “Take-off” Guidance Document (TOGD)
Update of existing modules
• AVSEC screening
• Disinfection & Disinsection
• Crew & layovers
• Passengers with disabilities
New text
• General hygiene
• Face coverings and masks
• Passengers with disabilities
• Mental health
• Hazardous waste management
New references for non-commercial aviation
• References to industry material
• CAPSCA provided input and strong guidance on several updates
CART Phase II
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• Recommendation 12 (Aviation safety-related measures). States should put in place the necessary measures
to mitigate risks associated with prolonged regulatory alleviations and should not extend alleviations (both core
and extended CCRDs) beyond 31 March 2021, unless circumstances dictate otherwise. In addition, States are
encouraged to facilitate access to medical and training facilities, including flight simulation training devices
used for flight crew (national and foreign) to maintain their certifications, recency of experience and proficiency.
• Recommendation 13 (Testing and cross border risk management measures). While testing is not universally
recommended by public health authorities as a routine health screening method, States contemplating testing in
their COVID-19 risk management strategy should apply the approach outlined in the ICAO Manual on Testing
and Cross Border Risk Management Measures.
• Recommendation 14 (Public Health Corridors (PHCs)). States considering the formation of a PHC should
actively share information with each other to implement PHCs in a harmonized manner. To facilitate
implementation of PHCs, the ICAO Implementation Package (iPack) on establishing a PHC is available to
States.
CART Phase II
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• Risk based & evidence based approach to support States in implementing a multi-layer risk
management strategy.
• Risk Management Framework with a decision-making tool to determine the risk of transporting
potentially infectious passengers and/or importing COVID-19.
• Advice on factors States could consider should they elect to implement testing, as well as guidance
on how to implement testing.
• Recognizing the sovereignty and authority of States over their national recovery, taking taking
into account national frameworks and public health capacities.
• Final review and publication mid-November following WHO review
• Living document with regular updates as technology advances and evidence evolves
Manual on Testing and Cross Border Risk Management Measures
CART Phase II
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• Assess the status of implementation of COVID-19 public health mitigations measures in their States, conduct a gap analysis against the relevant ICAO SARPs, CART recommendations, CAPSCA and associated guidance material and determine an action plan for further improvement;
• Develop a COVID-19 aviation risk assessment framework in accordance with sovereign principles that integrates with existing national frameworks;
• Apply generic decision-making tools to determine the risk of transporting potentially infectious passengers or importing/ translocating the virus between States;
• Mitigate the risk by implementing a multi-layer risk management strategy that is evidence-based and performance based;
• Share public health risk mitigation measures and best practices with other states to encourage harmonisation with other States; and
• Engage in bilateral or multilateral discussions with other states to establish public health corridors between States.
iPack Objectives(will support States to)
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• Expertise: CAPSCA *Subject Matter Experts, supporting CAAs remotely
• Training:
• CAPSCA on-line course (JAATO – EUR 495) and ICAO PHC on-line course (USD 175);
• Standardized & competency-based training - online or virtual formats; (*course development)
• Workshops:
• Introductory/ familiarization webinars;
• Workshops with customized hands-on exercises (*development);
• Tools: checklists; frameworks; decisions aids; templates; accreditations (IATA, ACI*); forms and posters; online reporting systems; PHC Application.
• Documents:
• ICAO: SARPs & PANS-ATM; State Letters, Electronic Bulletins, CART reports, CART Take Off Guidance Document, GIR; Testing and Cross-Border Risk Management Measures Manual
• CAPSCA partner guidance material and other associated guidance material.
• Additional cost: Translation
iPack Components
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• Checklists;
o CAPSCA COVID-19 Assistance Review Checklist
o COVID-19 Multilayer Mitigation Strategy Checklist
o COVID-19 Priority Travel Assessment Checklist (including medical certification and training, transport of human remains,
o COVID-19 Aviation Testing Assessment Checklist
• Frameworks;
o CAPSCA Public Health Corridor COVID-19 Assistance Review (PHC COVID-19 Review)
o Risk framework
o Others?
iPack Tools
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Assistance Review Framework
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• Decisions aids;
o COVID-19 Risk Management Decision Aid
o Others?
• Templates;
o COVID-19 Epidemiological Assessment
o PHC template to facilitate sharing of information,
o testing result format and ? later update on procedures
o Simplified risk management template
o Risk tables/ charts
• Assessment and accreditations procedures;
o IATA Health Standard Checklist for Airline Operators
o ACI Airport Health Accreditation Programme
iPack Tools
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iPack Tools
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• Forms and posters;
• Crew COVID-19 status card (PHC Form 1),
• Aircraft COVID-19 disinfection control sheet (PHC Form 2),
• Airport COVID-19 Cleaning/ disinfection Control Sheet (PHC Form 3)
• Public Health COVID-19 Passenger Self Declaration Form (PHC Form 4),
• Face Coverings and Medical Masks (PHC poster)
• Online reporting systems;
• COVID-19 Response and Recovery Implementation Centre (CRRIC) - ICAO CART web site
• Global COVID-19 Airport Status - ICAO CART web site
• Flight information App – CAPSCA web site
• ACI - list of accredited airports?
• PHC Application
iPack Tools
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Health Certificate Validation
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