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The MultisectoralRisk Assessment
WP4
MLS KOM
2-3 July 2019
Institut Pasteur, Paris
Maria Grazia Dente, Laura Amato, Silvia Declich
(ISS)
The MRA exercises during
MLS1 (2014-2018)
MLS1 MRA
exercises
MediLabSecure Kick-Off
Meeting
2-3 July 2019
Institut Pasteur,
Paris
Objectives and timing
QUESTION TIME
1. Were you aware of the Multisectoral Risk Assessment exercises
implemented by MLS?
MediLabSecure Kick-Off
Meeting
2-3 July 2019
Institut Pasteur,
Paris
Objectives and timing
MediLabSecure Kick-Off
Meeting
2-3 July 2019
Institut Pasteur,
Paris
2. Which pathogens, among the following ones, were addressed by the Risk Assessment exercises?
□ Chikungunya virus□ Crimean-Congo Haemorragic Fever virus□ Dengue virus□ Rift Valley Fever virus□ West Nile virus□ Zika virus
MediLabSecure Kick-Off
Meeting
2-3 July 2019
Institut Pasteur,
Paris
Objectives and timing
MediLabSecure Kick-Off
Meeting
2-3 July 2019
Institut Pasteur,
Paris
MLS1 MRA
exercises
OHEJP ASM 22-24 May 2019
Dublin
Exercise
(Place and date)
Participant Countries
from MediLabSecure
Network
Objective(s) Methodology Guidance documents
West Nile virus
exercise
(Paris, December
2015)
Albania, Algeria, Armenia,
Bosnia and Herzegovina,
Egypt, Georgia, Jordan,
Kosovo, Lebanon, Libya,
Moldova, Montenegro,
Morocco, Palestine,
Former Yugoslav Republic
of Macedonia (FYROM),
Serbia, Tunisia, Turkey,
Ukraine
Describe risk level
assessment between
sectors and countries
Assess the cross sectoral
collaboration during the
initial phase of the
MediLabSecure project
Make participants aware
of the ECDC tool
Provide indications for the
next MRA exercises
1) Map the assessment of WNV risk
across four sectors (human and
animal virology, medical
entomology and public health) by
country & by regions
2) Conduct a SWOT analysis to
assess strengths, weaknesses,
opportunities and threats in
relation to the surveillance
systems in place at national level,
to support the risk assessment
3) Compile an evaluation
questionnaire on exercise
satisfaction
ECDC “West Nile virus risk
assessment tool”
Crimean-Congo
haemorrhagic fever
exercise
(Belgrade,
November 2016)
Albania, Armenia, Bosnia
and Herzegovina, Former
Yugoslav Republic of
Macedonia (FYROM),
Georgia, Kosovo,
Moldova Montenegro,
Serbia, Turkey and
Ukraine
Enhance knowledge and
capacity on MRA
Encourage multisectoral
collaboration and
exchange, also among
neighbouring countries
and assess the related
added value
Provide consensus on a
single national level of risk
across all the sectors
Make participants aware
of ECDC RRA guidance and
FAO RA methodology
1) Table top exercise on multisector
risk assessment with four sectors
(human and animal virology,
medical entomology and public
health) by country & by regions
2) Questionnaire on the value of
multisector approach
3) Evaluation questionnaire on
exercise satisfaction
ECDC “Operational
guidance on rapid risk
assessment methodology”
Rift Valley fever
exercise
(Tunis, July 2017)
Algeria, Egypt, Jordan,
Lebanon, Libya, Morocco,
Palestine and Tunisia
FAO “RVF in Niger Risk
assessment”
MLS1 MRA
exercises
A total of 159 participants from the 19 non-EU countries of the MLS Network took part in the three exercises: (country representatives of human and animal virology, medical entomology and public health sectors, involved in vector-borne disease surveillance, participated to the MRA exercises)
73 participants in the WNV
42 in the CCHF and
44 in the RVF exercise
MediLabSecure Kick-Off
Meeting
2-3 July 2019
Institut Pasteur,
Paris
1° exercise - WNV
MediLabSecure Kick-Off
Meeting
2-3 July 2019
Institut Pasteur,
Paris
1° exercise - WNV
MediLabSecure Kick-Off
Meeting
2-3 July 2019
Institut Pasteur,
Paris
The implementation of the first MRA exercise on WNV highlighted the need for enhancing the collaboration between sectors to reduce heterogeneity in risk assessment and for analysing the added value of a multisectoralapproach.
1° exercise - WNV
MediLabSecure Kick-Off
Meeting
2-3 July 2019
Institut Pasteur,
Paris
CCHF MRA was implemented with the countries of Balkans and Black Sea Region of MLS that considered this disease as a priority for the area.
The exercise was developed by adapting the information table for rapid risk assessment and the risk-ranking algorithm of the ECDC Operational guidance on rapid risk assessment methodology to rate the potential of CCHF virus transmission in each participating country integrating the views of the different sectors.
2° exercise - CCHF
MediLabSecure Kick-Off
Meeting
2-3 July 2019
Institut Pasteur,
Paris
RVF exercise was implemented with the countries of North Africa and the Middle East Region of MLS which considered RVF a priority for the area.
The RVF exercise was developed by adapting the Risk Questions of the FAO RVF in Niger Risk assessment (2017) to identify the risk of RVF virus infection introduction, spread and/or persistence in each participating country.
3° exercise - RVF
MediLabSecure Kick-Off
Meeting
2-3 July 2019
Institut Pasteur,
Paris
The assessments were done in two steps:
- First the participants assessed the risk in small groups of neighbouring countries on the basis of the information delivered with the technical presentations, available national data and the background document sent in advance;
- Second an assessment was made by each country over the different sectors.
Each country provided the multisectoral added value to the rapporteur for plenary audience restitution.
2nd & 3rd exercises
MediLabSecure Kick-Off
Meeting
2-3 July 2019
Institut Pasteur,
Paris
2nd & 3rd exercises
MediLabSecure Kick-Off
Meeting
2-3 July 2019
Institut Pasteur,
Paris
OHEJP ASM 22-24 May 2019
Dublin
MRA added value
MediLabSecure Kick-Off
Meeting
2-3 July 2019
Institut Pasteur,
Paris
MRA added value
MediLabSecure Kick-Off
Meeting
2-3 July 2019
Institut Pasteur,
Paris
Conclusions
MediLabSecure Kick-Off
Meeting
2-3 July 2019
Institut Pasteur,
Paris
MRA added value
MediLabSecure Kick-Off
Meeting
2-3 July 2019
Institut Pasteur,
Paris
Objectives and timing
MLS KOM
2-3 July 2019
Institut Pasteur,
Paris
QUESTION TIME
1. Did you participate in any of the exercises?
2. If so, in which one?
□ Crimean-Congo Haemorragic Fever virus
□ Rift Valley Fever virus
□ West Nile virus
Objectives and timing
MediLabSecure Kick-Off
Meeting
2-3 July 2019
Institut Pasteur,
Paris
2. If so, in which one?
□ Crimean-Congo Haemorragic Fever virus
□ Rift Valley Fever virus
□ West Nile virus
Objectives and timing
MediLabSecure Kick-Off
Meeting
2-3 July 2019
Institut Pasteur,
Paris
Objectives and timing
MediLabSecure Kick-Off
Meeting
2-3 July 2019
Institut Pasteur,
Paris
KOM
(July 2019)
Multidisciplinary epidemiology
All MLS Countries
(all sectors)
Regional Meeting
(Dec 2019)
Multidisciplinary and cross-border risk assessment
exercise with a ToTapproach
Sahelian Countries
(all sectors)
+ Trainers from other MLS Countries
Regional Meeting
(May 2020)
Multidisciplinary epidemiology
All Countries in the region (all sectors)
Regional Meeting
(November 2020)
Multidisciplinary epidemiology
All Countries in the region (all sectors)
WP4 Capacity buildingMLS2 MRA exercise
The MRA exercise with the Sahel Countries
MediLabSecure Kick-Off
Meeting
2-3 July 2019
Institut Pasteur,
Paris
WP4 Capacity buildingMLS2 MRA exercise
The Multisectoral Risk Assessment Exercise
Exercise to be run with the five countries of Sahel Region.
Tentative planned aspects:
Preparation phase: Sept-Nov 2019
Date and country of Exercise implementation: November or December 2019 in
Senegal
Pathogen: RVF virus
MediLabSecure Kick-Off
Meeting
2-3 July 2019
Institut Pasteur,
Paris
WP4 Capacity buildingMLS2 MRA exercise
The Multisectoral Risk Assessment Exercise
Training of Trainers (ToT) approach: countries FP who have participated in the previous
MLS exercise on RFV will be invited to develop and facilitate the exercise (French
speaking)
Countries involved in the
previous RVF Exercise in Tunis
Morocco
Algeria
Tunisia
Libya
Egypt
Jordan
Lebanon
Palestine
MediLabSecure Kick-Off
Meeting
2-3 July 2019
Institut Pasteur,
Paris
WP4 Capacity buildingMLS2 MRA exercise
Multisectoral Risk Assessment Exercise
Comments?
Suggestions?
Concerns ?
MediLabSecure Kick-Off
Meeting
2-3 July 2019
Institut Pasteur,
Paris
Thank you
for your attention
www. medilabsecure.com
Funded byEC DEVCO (IFS/2018/402-247)