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International Civil Aviation Organization
1. Passenger Locator Form2. ICAO Questionnaire
3. Universal Safety Oversight Audit Programme
Dr Anthony EvansChief, Aviation Medicine Section
International Civil Aviation OrganizationMontreal, Canada
Plan
• Passenger Locator Card Form• ICAO Questionnaire• Universal Safety Oversight Audit Programme
CAPSCA Cairo, December 2012
Passenger Locator Form
• Recommended for use when PHA needs to communicate with a contact of a known or suspected case
• Current form – on ICAO and WHO websites –has been revised
• Improvements made in light of H1N1 experience
CAPSCA Cairo, December 2012
New ‘form’Current ‘card’
New
Current
http://www.icao.int/safety/aviation-medicine/Pages/guidelines.aspx
http://www.capsca.org/CAPSCARefs.html
New form:“Adopted” (by ICAO Air Transport Committee) 7 May 2012“Effective” (available on ICAO websites) 29 October 2012“Applicable” (comes into force) 28 February 2013
“ICAO Health Related Documents “-in process of modification
Scanning Software
• ReadSoft– http://www.readsoft.com/software-products/forms-
processing.aspx
• Further information from:– Dr Karen Marienau (CDC) – E-mail: kqm5@cdc.gov– (check the ReadSoft website before contacting Dr
Marienau)
CAPSCA Cairo, December 2012
Questionnaire/survey – June 2010
CAPSCA Cairo, December 2012
Questionnaire/survey – June 2010
• Sent to civil aviation regulatory authorities in all ICAO ‘Contracting States’ – i.e. member States of ICAO (States that have signed the Convention on
International Civil Aviation, the Chicago Convention (1944), currently 191).
• Aim – to determine weak areas in preparedness planning, from the viewpoint of civil aviation authorities
• Over 60 responses• Asia most prepared
CAPSCA Cairo, December 2012
Responses from:
• Angola, Armenia, Austria, Bahrain, Barbados, Belarus, Botswana, Brazil, Burundi, Canada, China; Cote d’Ivoire; Cuba; Czech Republic; Denmark; Dominican Republic; Ecuador; Estonia; Ethiopia; Finland; France; Germany; Ghana; Greece; Guatemala; Honduras; Hungary; Jamaica; Japan; Jordan; Lebanon; Madagascar; Malaysia; Mexico; Republic of Moldova; Republic of Mozambique; Nepal; Netherlands; New Zealand; Peru; Philippines; Poland; Portugal; Russian Federation; Saudi Arabia; Senegal; Serbia; Singapore; Slovakia; Republic of South Africa; Spain; Suriname; Sweden; Switzerland; Thailand; The Former Yugoslav Republic of Macedonia (FYROM); Trinidad and Tobago; United Kingdom; Uruguay; Venezuela; and Yemen.
CAPSCA Cairo, December 2012
9 questions……
CAPSCA Cairo, December 2012
1. My State has implemented Annex 9, Standard 8.16 that requires Contracting States to establish a national aviation plan in preparation for an international outbreak of a communicable disease
CAPSCA Cairo, December 2012
1. My State has implemented Annex 9, Standard 8.16 that requires Contracting States to establish a national aviation plan in preparation for an international outbreak of a communicable disease
This question was answered by 100% respondents.
YES - 28 Respondents NO - 15 RespondentsIN PART - 23 Respondents
CAPSCA Cairo, December 2012
1.1.1 Is the national preparedness plan for aviation integrated with the general national preparedness plan?
CAPSCA Cairo, December 2012
1.1.1 Is the national preparedness plan for aviation integrated with the general national preparedness plan?
This question was answered by 80% respondents.
YES - 45 RespondentsNO - 5 Respondents
CAPSCA Cairo, December 2012
1.1.2 Have airport operators been involved in the development of the national preparedness plan for aviation?
CAPSCA Cairo, December 2012
1.1.2 Have airport operators been involved in the development of the national preparedness plan for aviation?
This question was answered by 80% respondents.
YES - 47 RespondentsNO - 3 Respondents
CAPSCA Cairo, December 2012
1.1.3 Have aircraft operators been involved in the development of the national preparedness plan for aviation?
CAPSCA Cairo, December 2012
1.1.3 Have aircraft operators been involved in the development of the national preparedness plan for aviation?
This question was answered by 83% respondents.
YES - 47 RespondentsNO - 5 Respondents
CAPSCA Cairo, December 2012
1.1.4 Has the public health authority collaborated with the regulatory aviation authority in the development of the national preparedness plan for aviation?
CAPSCA Cairo, December 2012
1.1.4 Has the public health authority collaborated with the regulatory aviation authority in the development of the national preparedness plan for aviation?
This question was answered by 81% respondents.
YES - 46 RespondentsNO - 6 Respondents
CAPSCA Cairo, December 2012
2. Aircraft operators carrying passengers to/from my State are utilising the updated (2007) Aircraft General Declaration (Annex 9, Appendix 1 refers), which contains a revised Declaration of Health.
CAPSCA Cairo, December 2012
2. Aircraft operators carrying passengers to/from my State are utilising the updated (2007) Aircraft General Declaration (Annex 9, Appendix 1 refers), which contains a revised Declaration of Health.
This question was answered by 100% respondents.
YES - 49 RespondentsNO - 14 RespondentsDON’T KNOW - 3 Respondents
CAPSCA Cairo, December 2012
3. Aircraft operators and/or the Public Health Authority in my State are utilising the Passenger Locator Card (Annex 9, Appendix 13 refers) for contact tracing of passengers who may have been in proximity to someone who may be suffering from a communicable disease
CAPSCA Cairo, December 2012
3. Aircraft operators and/or the Public Health Authority in my State are utilising the Passenger Locator Card (Annex 9, Appendix 13 refers) for contact tracing of passengers who may have been in proximity to someone who may be suffering from a communicable disease
This question was answered by 100% respondents.
YES - 43 RespondentsNO - 18 RespondentsDON’T KNOW - 4 Respondents
CAPSCA Cairo, December 2012
4. Aircraft operators carrying passengers to/from my State have been advised to implement the new (November 2009) procedure for notifying air traffic control of a public health event on board an aircraft (such as a suspected case of communicable disease)
CAPSCA Cairo, December 2012
4. Aircraft operators carrying passengers to/from my State have been advised to implement the new (November 2009) procedure for notifying air traffic control of a public health event on board an aircraft (such as a suspected case of communicable disease)
This question was answered by 98% respondents.
YES - 43 RespondentsNO - 15 RespondentsDON’T KNOW - 5 Respondents
CAPSCA Cairo, December 2012
5. Air traffic service providers in my State have been advised to implement the new (November 2009) procedure for informing the destination aerodrome of a public health event on board an aircraft (such as a suspected case of communicable disease) that has been advised to an air traffic controller by a pilot-in-command
CAPSCA Cairo, December 2012
5. Air traffic service providers in my State have been advised to implement the new (November 2009) procedure for informing the destination aerodrome of a public health event on board an aircraft (such as a suspected case of communicable disease) that has been advised to an air traffic controller by a pilot-in-command
This question was answered by 100% respondents.
YES - 48 RespondentsNO - 14 RespondentsDON’T KNOW - 3 Respondents
CAPSCA Cairo, December 2012
6. Air traffic service contingency plans been developed that include public health emergencies (Annex 11 – Air Traffic Services, Attachment C, paragraph 4 refers)
CAPSCA Cairo, December 2012
6. Air traffic service contingency plans been developed that include public health emergencies (Annex 11 – Air Traffic Services, Attachment C, paragraph 4 refers)
This question was answered by sixty-five Respondents (100%).
YES - 41 RespondentsNO - 21 RespondentsDON’T KNOW - 3 Respondents
CAPSCA Cairo, December 2012
7. Aerodrome emergency plans that include public health emergencies have been developed and tested (See Annex 14 — Aerodromes, Volume 1 —Aerodrome Design and Operations, Chapter 9, section 9.1 refers)
CAPSCA Cairo, December 2012
7. Aerodrome emergency plans that include public health emergencies have been developed and tested (See Annex 14 — Aerodromes, Volume 1 —Aerodrome Design and Operations, Chapter 9, section 9.1 refers)
This question was answered by 100% respondents.
YES - 42 RespondentsNO - 21 RespondentsDON’T KNOW - 2 Respondents
CAPSCA Cairo, December 2012
8. Aircraft operators include a Universal Precaution Kit for managing public health events on board aircraft, as part of their on board medical supplies (Annex 6, paragraph 6.2 refers)
CAPSCA Cairo, December 2012
8. Aircraft operators include a Universal Precaution Kit for managing public health events on board aircraft, as part of their on board medical supplies (Annex 6, paragraph 6.2 refers)
This question was answered by sixty-five Respondents (100%).
YES - 46 RespondentsNO - 12 RespondentsDON’T KNOW - 6 Respondents
CAPSCA Cairo, December 2012
9. My State has joined or plans to join the Cooperative Arrangement for the Prevention of Spread of Communicable Disease through Air Travel (CAPSCA) project (where available
CAPSCA Cairo, December 2012
9. My State has joined or plans to join the Cooperative Arrangement for the Prevention of Spread of Communicable Disease through Air Travel (CAPSCA) project (where available)
This question was answered by 100% respondents.
YES - 40 RespondentsNO - 19 RespondentsDON’T KNOW - 2 Respondents
CAPSCA Cairo, December 2012
Universal Safety Oversight Audit Programme - Update
CAPSCA Cairo, December 2012
Audit questions undergoing final review
• To be implemented in May 2013• Proposals to include references to WHO
documents
CAPSCA-Cairo, December 2012
Audit - OrganizationICAO ref. Protocol question Reply Guidance for review of
protocol question Status of implementation Evidence/Notes/Comments
ORG: prevention of communicable disease
CC Art 14 A9 8.12 & 8.16 A37-13
Has the State identified a clear contact point at national aviation level, with identified individual(s), for policy formulation, operational organization of preparedness and coordination of a national plan in order to respond to a communicable disease or other public health emergency with the potential to pose a serious public health risk?
Yes
No
If yes, provide name and contact details
New questionThe World Health
Organization’s International Health Regulations (IHR) (2005) contain many Articles of relevance to aircraft and airport operators. The contact point addressed by this question (or equivalent individual in the regulatory authority) should be aware of the existence of the IHR (2005) and should have a contact point in the State’s ministry of health to facilitate intersectoralcollaboration
CAPSCA-Cairo, December 2012
Organization protocols
• Has the State identified a clear contact point, with identified individual(s), at national aviation level for policy formulation, operational organization of preparedness and coordination of a national plan in order to respond to a communicable disease with the potential to pose a serious public health risk?
• CC Art 14; Annex 9, 8.12 & 8.16; A37-13
CAPSCA-Cairo, December 2012
Aircraft Operations Protocols (1)
• Does the aircraft operations organization ensure that the air operator has established a procedure for the crew to evaluate a traveller with a suspected communicable disease, based on the presence of a fever and certain other signs or symptoms?
• Annex 9, 8.15, Note 1; Annex 6, 6.2 and Attachment B
CAPSCA-Cairo, December 2012
Guidance for review of question
• Review operations inspectors procedures to ensure they check air operators related procedures
• Sample an air operator procedure to confirm implementation, check if the universal precaution kit is used (not mandatory, recommendation)
• Check the procedure contains communication between the cabin crew and the flight crew and the transmission, for States where it is required, of a General Declaration form.
CAPSCA-Cairo, December 2012
Aircraft Operations Protocols (2)
• Does the aircraft operations organization ensure that the air operator has established procedures for the pilot in command to report promptly to ATC a suspected communicable disease, in order to facilitate the presence of any special medical personnel and equipment necessary for the management of public health on arrival?
• Annex 9, 8.15; PANS ATM Doc 4444, 16.6.1
CAPSCA-Cairo, December 2012
Air Navigation Service Protocols (1)
• Does the State ensure that procedures have been established for providing service to aircraft in the event of emergency?
• Annex 11, 2.23, 2.30, Attachment C; PANS ATM Doc 4444, 15.1; A11
CAPSCA-Cairo, December 2012
Guidance for review of question
• Review mechanism established to ensure effective implementation• Review documented evidence of the procedures followed to render
assistance to an aircraft in the event of the following emergencies:1. Unlawful interference2. Aircraft bomb threat3. Emergency descent
• Review mechanism established to ensure effective implementation• Review documented evidence of the existence of contingency plans
and how they are applied• Review documented evidence for inclusion of
contingency plans in respect of public health emergencies
CAPSCA-Cairo, December 2012
Air Navigation Service Protocols (2)
• Does the State ensure that the ATS has established a procedure, upon receipt of information from a pilot regarding a suspected case of communicable disease, to forward a message as soon as possible to:– the ATS unit serving the destination/departure if
applicable– the public health authority (PHA) or the appropriate
authority designated by the State– the aircraft operator or its designated representative
the aerodrome authority?
• PANS ATM Doc 4444, 16.6.2 & 16.6.3
CAPSCA-Cairo, December 2012
Guidance for review of question
• Review procedure and mechanism established to ensure the message is forwarded to the appropriate entities, especially that relating to transfer of information from the destination ATS unit to the public health authority
• Review the mechanism to ensure the contact details of each entity is up to date and available
• During industry visit ensure the procedure is known by the staff and contact details of the entities are available
CAPSCA-Cairo, December 2012
Aircraft Operator (or handling agency) at destination aerodrome
incl. ground-based medical services provider
(if available)
- Aircraft Callsign (ID) - Dep. Aerodrome- Dest. Aerodrome- Est. Time Arrival- Number of persons
on board - Number of susp. cases- Nature of public
health risk
• Airport Operator• Public Health Authority• Other agency(ies)
NOTIFICATION OF SUSPECTED COMMUNICABLE DISEASE, OR OTHER PUBLIC HEALTH RISK, ON BOARD AN AIRCRAFT
Air Traffic Controller
Destination Aerodrome
Air Traffic Services
ICAO Aircraft General Declaration - Declaration of Health
(ICAO Annex 9, Appendix 1 & IHR (2005) Annex 9)
Departure Aerodrome Air Traffic Services
Via local procedure(Aerodrome
Emergency Plan)
Voice or data link e.g. AFTN*
• Airport Operator• Public Health
Authority• Other agency(ies)
Via local procedure(Aerodrome Emergency Plan)
*AFTN = Aeronautical Fixed Telecommunication Network
Aerodrome Protocols
• Has the State promulgated regulations for aerodrome operators to develop emergency plans, including appropriate cooperation and coordination with other entities involved in the provision of emergency services and the development of the plans?
• Annex 14, Vol. I, 9.1.1 to 9.1.3, Rec Annex 14, Vol. I, 9.1.4 & 9.1.5, GM Doc 9734 Part A 2.4.7 GM Doc 9774 App. 1 4.3
CAPSCA-Cairo, December 2012
Guidance for review of question
• Verify regulations• Cross-check with ICAO Annex 14 compliance checklist• Review evidence to confirm effective implementation, cooperation
and coordination
• Include emergencies which may occur in the vicinity of an aerodrome
• Sample aerodrome manual
• Review regulation and manuals to ensure inclusion of public health emergencies and coordination with public health services
CAPSCA-Cairo, December 2012
International Civil Aviation Organization
1. Passenger Locator Form2. ICAO Questionnaire
3. Universal Safety Oversight Audit Programme
Dr Anthony EvansChief, Aviation Medicine Section
International Civil Aviation OrganizationMontreal, Canada
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