result of gap analysis and framework of action required in coming five months 19-20 august 2009 3 rd...
TRANSCRIPT
Result of gap analysis and framework of action required in
coming five months
19-20 August 2009 3rd Meeting of National Influenza Centres in the
Western Pacific Region
Communicable Disease Surveillance & Response (CSR)WHO Western Pacific Regional Office (WPRO) and South East Asia Regional Office (SEARO)
Why we urgently need to prepare (1)Why we urgently need to prepare (1)
Mortality Distributions and Timing of Waves of Previous Influenza Pandemics
Miller M et al. N Engl J Med 2009;10.1056/NEJMp0903906
Communicable Disease Surveillance & Response (CSR)WHO Western Pacific Regional Office (WPRO) and South East Asia Regional Office (SEARO)
Why we need to prepare (2) Different stages of influenza spread to Pandemic
Why we need to prepare (2) Different stages of influenza spread to Pandemic
Sporadic Cases School & Community Outbreaks
Sustained Community Transmission
National (and Global) Spread - Pandemic
JapanEarly NY
Mexico NY
Mild
Severe
Death
How can we reduce the level of preventable
deaths?
Communicable Disease Surveillance & Response (CSR)WHO Western Pacific Regional Office (WPRO) and South East Asia Regional Office (SEARO)
Scenario Building – Bicol, Region 5Scenario Building – Bicol, Region 5
Population
Sick
Hospitalisations
Death
0.1%
1,022
20%
2% 9%
0.5%
30%
91,97620,439
5,110
5,109,798 (Aug 07 census)
1,021,960 1,532,939
0.1%
1,533
2% 9%
0.5%
137,96530,659
7,665
Communicable Disease Surveillance & Response (CSR)WHO Western Pacific Regional Office (WPRO) and South East Asia Regional Office (SEARO)
Background of Gap Analysis how we conducted and how we interpreted
Background of Gap Analysis how we conducted and how we interpreted
Soon after the first report of influenza A(H1N1), WHO Offices of South East Asia Region and Western Pacific Region initiated the rapid assessment to identify gaps in pandemic preparedness in countries
The rapid assessment was conducted through WHO country offices using modified framework of Asia Pacific Strategy for Emerging Diseases (APSED)
Analysis elaborates the need for urgent action and allows WHO to further develop more focused action framework for coming five months
Communicable Disease Surveillance & Response (CSR)WHO Western Pacific Regional Office (WPRO) and South East Asia Regional Office (SEARO)
APSED AND WORKPLAN APSED AND WORKPLAN APSED AND WORKPLAN APSED AND WORKPLAN
IHR (Public Health Emergencies of International Concern)
Asia Pacific Strategy for Emerging Diseases (APSED)
Bi-Regional Workplan
AvianInfluenza
Pandemic preparedness
Communicable Disease Surveillance & Response (CSR)WHO Western Pacific Regional Office (WPRO) and South East Asia Regional Office (SEARO)
SURVEILLANCESURVEILLANCE
COMMANDCOMMAND
PUBLIC HEALTH PUBLIC HEALTH INTERVENTIONINTERVENTION
COMMUNICATIONCOMMUNICATIONHEALTH CARE HEALTH CARE
RESPONSERESPONSE
HEALTH SECTORHEALTH SECTOR
SOCIETAL LEVELSOCIETAL LEVELHow to slow downHow to slow downthe transmissionthe transmission
Individual Individual LEVELLEVEL
LaboratoryLaboratory
How to How to minimize minimize
preventablepreventabledeathsdeaths
Partnership
Communicable Disease Surveillance & Response (CSR)WHO Western Pacific Regional Office (WPRO) and South East Asia Regional Office (SEARO)
Different stages of influenza spread to Pandemic and required intervention
Different stages of influenza spread to Pandemic and required intervention
Sporadic cases School outbreaks + community
Sustained (extensive) community level
Nation wide (pandemic level)
spread
Health Care Response
Public Health Intervention
Surveillance
Communication
Communicable Disease Surveillance & Response (CSR)WHO Western Pacific Regional Office (WPRO) and South East Asia Regional Office (SEARO)
Command and planningCommand and planning
Need to urgently update pandemic preparedness and response plan
Need to reconfirm their line of command, roles and responsibility
Need to conduct training for risk assessment that serves as foundation for public health intervention and health care response
Need to organize planning meeting to facilitate the preparation at sub-national level 1. Both political and technical leaders at local authorities2. Disaster Committee3. Response Team4. Laboratory
Need to improve communication capacity: domestically and internationally (IHR)
Need to improve their Business Continuity Plan
Communicable Disease Surveillance & Response (CSR)WHO Western Pacific Regional Office (WPRO) and South East Asia Regional Office (SEARO)
SurveillanceSurveillance
1. Further strengthen central unit capacity to collect and analyse data and communicate with command post
2. Further strengthen influenza like illness surveillance and event based surveillance
3. Develop information collection system such as school absenteeism, if appropriate
4. Develop laboratory diagnostic strategy including surge capacity
Communicable Disease Surveillance & Response (CSR)WHO Western Pacific Regional Office (WPRO) and South East Asia Regional Office (SEARO)
Health care response Health care response
1. Need to develop national guidelines on clinical management and infection control
2. Need to organize training: infection control, clinical management
3. Need to facilitate hospital management including infection control in pandemic response
4. Need to establish health care response system at sub-national level
Communicable Disease Surveillance & Response (CSR)WHO Western Pacific Regional Office (WPRO) and South East Asia Regional Office (SEARO)
Public Health InterventionsPublic Health Interventions
1. Capacity to conduct risk assessment
2. Need further detail advance planning and SOP
3. Need to develop SOP including communication
4. Need to develop communication material (communication)
Communicable Disease Surveillance & Response (CSR)WHO Western Pacific Regional Office (WPRO) and South East Asia Regional Office (SEARO)
CommunicationCommunication
1. Communication strategy and public information materials
2. Trainings for media/public/private sector staff responsible for risk communication
3. Protocols and procedures for risk communication collaborating with multi-agencies for pandemic response
Communicable Disease Surveillance & Response (CSR)WHO Western Pacific Regional Office (WPRO) and South East Asia Regional Office (SEARO)
Conclusion Conclusion
WPRO and SEARO conducted rapid gap assessment; country showed gaps in similar areas.
Rapid gap assessment provided the opportunity to develop simple and focused framework of action for coming five months
Every country required accelerated action to prepare for the extensive community level transmission
Time is limited and action needs to be focused
Planning and preparation needed not only at national but also at sub-national level