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Collaborative Arrangement for the Prevention and Management of Public Health Events in Civil Aviation IHR-Capacities at Point of Entries: Development and Maintenance Austria´s Approach Andreas M. Herndler Crisis Manager and Contingency Planner, Aerodromes Federal Ministry of Transport, Innovation and Technology and Irene Kászoni-Rückerl Communicable Diseases, Crisis Management, Disease Control Federal Ministry of Health and Women´s Affairs

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Page 1: IHR-Capacities at Point of Entries: Development and Maintenance … Meetings Seminars and... · 2017. 7. 17. · Ing. Andreas M. Herndler, MBA MPA Crisis Manager and Contingency Planner,

Collaborative Arrangement for the Prevention and

Management of Public Health Events in Civil Aviation

IHR-Capacities at Point of Entries:

Development and Maintenance

Austria´s Approach

Andreas M. Herndler

Crisis Manager and Contingency Planner, Aerodromes Federal Ministry of Transport, Innovation and Technology

and

Irene Kászoni-Rückerl

Communicable Diseases, Crisis Management, Disease Control Federal Ministry of Health and Women´s Affairs

Page 2: IHR-Capacities at Point of Entries: Development and Maintenance … Meetings Seminars and... · 2017. 7. 17. · Ing. Andreas M. Herndler, MBA MPA Crisis Manager and Contingency Planner,

Possible Points of Entries (Airports)

Vienna

* 22 Mio

Graz

* 900.000

Linz

* 500.000

Salzburg

* 1,8 Mio

Klagenfurt

* 200.000

Innsbruck

* 1 Mio

Population: 8,7 Mio, Area: 84000 km2

* Pax/year

Page 3: IHR-Capacities at Point of Entries: Development and Maintenance … Meetings Seminars and... · 2017. 7. 17. · Ing. Andreas M. Herndler, MBA MPA Crisis Manager and Contingency Planner,

- Legislative

- Coordination

- Strategy

- Recommendations

- Guidlines

Stakeholders

MoH • PHA

• veterinary authority

• Border vet services

• food safety authority

• provinces

• districts

Page 4: IHR-Capacities at Point of Entries: Development and Maintenance … Meetings Seminars and... · 2017. 7. 17. · Ing. Andreas M. Herndler, MBA MPA Crisis Manager and Contingency Planner,

National Stakeholders involved

(total: some 30)

Page 5: IHR-Capacities at Point of Entries: Development and Maintenance … Meetings Seminars and... · 2017. 7. 17. · Ing. Andreas M. Herndler, MBA MPA Crisis Manager and Contingency Planner,

Coordination & Communication

Health Authority

- Early Warning and Response System

(EWRS) -> Focal Points at MS

- Health Security Committee (HSC)

- IHR National Focal Point

Civil Aviation

Network Management Centre

(Eurocontrol)

European Aviation Crisis Coordination

Cell -> Focal Points at MS

(ECAC)

Page 6: IHR-Capacities at Point of Entries: Development and Maintenance … Meetings Seminars and... · 2017. 7. 17. · Ing. Andreas M. Herndler, MBA MPA Crisis Manager and Contingency Planner,

Competences – PHA

- Federal state with 9 provinces, 94 administrative districts

• Public health services jointly provided by federal, provincial and local authorities

- Federal PHA = MoH

• National IHR focal point

• HSC member, EWRS focal point under Dec.1082/2013/EU

• Strategic, public health protection & overall health policy

- Provincial and local PHA

• Operational

e.g. contact tracing, quarantine measures, disinfection

Page 7: IHR-Capacities at Point of Entries: Development and Maintenance … Meetings Seminars and... · 2017. 7. 17. · Ing. Andreas M. Herndler, MBA MPA Crisis Manager and Contingency Planner,

Capacity development

stakeholders identified

working group and plan developed

capacities at potential PoE assessed (IHR assessment tool)

recommendations for PoE capacity building (handbook)

constant work on capacity development and maintenance …

Page 8: IHR-Capacities at Point of Entries: Development and Maintenance … Meetings Seminars and... · 2017. 7. 17. · Ing. Andreas M. Herndler, MBA MPA Crisis Manager and Contingency Planner,

Emergency response plan

- Emergency Plan for PHE (negotiated by MoH, authorized by MoT)

• responsibilities

• chain of reporting

• isolated parking position

• instructions for ground handling, police, ambulance and rescue service, PHA, …

• recommendations for PPE + training

• passenger locator forms

• instructions for passengers in several languages (generic, EVD, MERS-CoV, …)

• quarantine area + catering

- PHA on-call service to arrive within a certain timeframe

- Aeronautical Information Circular / Information to railway companies

Page 9: IHR-Capacities at Point of Entries: Development and Maintenance … Meetings Seminars and... · 2017. 7. 17. · Ing. Andreas M. Herndler, MBA MPA Crisis Manager and Contingency Planner,

Procedure „medical emergency- infectious“

Page 10: IHR-Capacities at Point of Entries: Development and Maintenance … Meetings Seminars and... · 2017. 7. 17. · Ing. Andreas M. Herndler, MBA MPA Crisis Manager and Contingency Planner,

Procedure „medical emergency- infectious“

Page 11: IHR-Capacities at Point of Entries: Development and Maintenance … Meetings Seminars and... · 2017. 7. 17. · Ing. Andreas M. Herndler, MBA MPA Crisis Manager and Contingency Planner,

Procedure „medical emergency- infectious“

Page 12: IHR-Capacities at Point of Entries: Development and Maintenance … Meetings Seminars and... · 2017. 7. 17. · Ing. Andreas M. Herndler, MBA MPA Crisis Manager and Contingency Planner,

Example: Early Detection

AIC regarding Ebola Virus Disease (in place 2014/15)

- IATA-guidelines

• fever

• appearing obviously unwell

• persistent coughing

• impaired breathing

• persistent diarrhea

• persistent vomiting

• skin rash

• bruising or bleeding without previous

injury

• confusion of recent onset

- please ask the passenger if he had

been to one the countries with the last

21 days:

• Guinea,

• Liberia

• Sierra Leone or

• Nigeria

- report as

„medical emergency infectious“

Page 13: IHR-Capacities at Point of Entries: Development and Maintenance … Meetings Seminars and... · 2017. 7. 17. · Ing. Andreas M. Herndler, MBA MPA Crisis Manager and Contingency Planner,

Implementation and Training

Exercises: medical emergency infectious patient

- Full Scale Exercise Vienna Airport

- Partial Exercises smaller airports

- Table Top Exercise railway company

Page 14: IHR-Capacities at Point of Entries: Development and Maintenance … Meetings Seminars and... · 2017. 7. 17. · Ing. Andreas M. Herndler, MBA MPA Crisis Manager and Contingency Planner,
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Core Capacities at PoE – further Development

- full legal implementation of IHR

federal structure demands further legal adaptations

e.g. appointment of MD of aerordrome operators as PHA…

- designation and nomination of PoE

- transfer of Emergency Plan for PHE to PHA

Page 25: IHR-Capacities at Point of Entries: Development and Maintenance … Meetings Seminars and... · 2017. 7. 17. · Ing. Andreas M. Herndler, MBA MPA Crisis Manager and Contingency Planner,

Ing. Andreas M. Herndler, MBA MPA Crisis Manager and Contingency Planner, Aerodromes

Federal Ministry of Transport, Innovation and Technology

Radetzkystrasse 2, A-1030 Vienna

+43 1 71162-659812

[email protected]

Mag. Irene Kászoni-Rückerl Communicable Diseases, Crisis Management, Disease Control

Federal Ministry of Health and Women´s Affairs

Radetzkystrasse 2, A-1030 Vienna

+43 1 71100-644641

[email protected]

Thank you!