Скачать презентацию International Health Regulations 2005 Update on implementation WHO EPR Скачать презентацию International Health Regulations 2005 Update on implementation WHO EPR

a17c68c7b1b672aa9840b957507dff36.ppt

  • Количество слайдов: 22

International Health Regulations (2005) Update on implementation WHO/EPR International Health Regulations (2005) Update on implementation WHO/EPR

World Health assembly resolution Early IHR implementation May 2006 § Early implementation of IHR World Health assembly resolution Early IHR implementation May 2006 § Early implementation of IHR on a voluntary basis in the context of pandemic influenza preparedness and response § Differentiate between IHR start in June 2007 and voluntary compliance now Highlights § 90 days to designate National Focal Points (NFP) and for WHO to designate IHR Contact Points § Notification to WHO of human influenza cause by new virus subtype § Surveillance, information sharing, consultation, verification and public health response § Measures for travellers § WHO to establish a roster of experts

Elements for a WHO strategy • 3 domains • 7 areas of work • Elements for a WHO strategy • 3 domains • 7 areas of work • Build on existing • WHO alert & response operations • WHO (relevant) control programmes (e. g. GIP, ADE, ERI, IVB, POL, FOS, PHE …) • Regional strategies for surveillance & response (e. g. joint WPRO/SEARO, PAHO, IDSR in AFRO & EMRO) • …

Alert & Response Ops Coordination • IHR Contact Point • Monitoring • Reporting • Alert & Response Ops Coordination • IHR Contact Point • Monitoring • Reporting • Resource mobilisation • Administration IHR Bodies & Procedures • Intelligence • Verification • Risk assessment • Risk communication • IHR Focal Points • Notification • Roster of experts • Emergency Committee • Review Committee Project Management • National legislation WHO Alert, Preparedness, and Response Operations • advocacy Points of Entry • Ports • Airports • Ground crossings • influenza • polio • smallpox • Chemical/Radionuclear National Core Capacity • education Specific threats • SARS IHR Communication • information • Response • others Country Alert & Response • IHR NFP Operations • National ARO • Laboratory training / support • Epidemiology training / support • National system assessment • Response preparedness -Social mobilization -Case management

Coordination: Many players to bring on board Potential Donors Country relevant professionals WHO Senior Coordination: Many players to bring on board Potential Donors Country relevant professionals WHO Senior Management Country IHR Focal Points International Organisations (FAO, OIE, WTO, …) WHO Country Offices Media / The public WHO Governing Bodies Regional Organizations (ASEAN, EU, …)

IHR Bodies & Procedures National Focal Points (NFPs) “National IHR Focal Point” means the IHR Bodies & Procedures National Focal Points (NFPs) “National IHR Focal Point” means the national centre, designated by each State Party, which shall be accessible at all times for communications with WHO IHR Contact Points under these Regulations; As of mid September 2006 60 NFPs have been officially designated

IHR Roster of Experts l Experts in all relevant fields of expertise—primary source of IHR Roster of Experts l Experts in all relevant fields of expertise—primary source of members of Emergency Committees and Review Committees l DG appoints Roster members under WHO Regs for Expert Advisory Panels & Committees (except as specified in IHR) l Additionally, DG appoints 1 Roster member at request of each State-Party, and, as appropriate, experts proposed by relevant IGOs/REIOs l States must notify DG of qualifications / expertise of each expert l To date, 45 States have proposed experts for membership – 2 additional States are under final negotiations – 2 experts of EU will be integrated l Database - IHR Expert Roster:

Emergency Committee: Who is on it? l Members selected by DG from IHR Expert Emergency Committee: Who is on it? l Members selected by DG from IHR Expert Roster (& other expert advisory panels when appropriate) l Selected on basis of: – expertise / experience for particular session/event – due regard for equitable geographical representation l At least one member should be nominated by SP where event arises

Emergency Committee: What does it do? l Only involved in context of probable or Emergency Committee: What does it do? l Only involved in context of probable or declared PHEIC l Emergency Committee advises DG on the key determinations involving PHEICs: – Whether an event constitutes a PHEIC (only if SP does not agree with DG preliminary determination) – Termination of a PHEIC – Temporary Recommendations: Proposed issuance, modification, extension or termination

Review Committee: What does it do? l Review Committee provides technical advice to DG Review Committee: What does it do? l Review Committee provides technical advice to DG on: – Standing Recommendations, and modifications/termination (concerning specific ongoing public health risks on appropriate health measures for routine or periodic application) – Potential amendments to IHR – Any other matter referred by DG concerning functioning of IHR – Some reservations – Potential additional two-year extension to core

Alert & Response Ops Coordination • IHR Contact Point • Monitoring • Reporting • Alert & Response Ops Coordination • IHR Contact Point • Monitoring • Reporting • Resource mobilisation • Administration IHR Bodies & Procedures • Intelligence • Verification • Risk assessment • Risk communication • IHR Focal Points • Notification • Roster of experts • Emergency Committee • Review Committee Project Management • National legislation WHO Alert, Preparedness, and Response Operations • advocacy Points of Entry • Ports • Airports • Ground crossings • influenza • polio • smallpox • Chemical/Radionuclear National Core Capacity • education Specific threats • SARS IHR Communication • information • Response • others Country Alert & Response • IHR NFP Operations • National ARO • Laboratory training / support • Epidemiology training / support • National system assessment • Response preparedness -Social mobilization -Case management

Event notification and determination under IHR (2005) Determine whether an event constitutes a PHEIC Event notification and determination under IHR (2005) Determine whether an event constitutes a PHEIC and recommend measures Receive, assess and respond to events notified Consult events or notify WHO of any events that may constitute a PHEIC Detect and report any urgent or unexpected events External advice WHO DG Coordinate WHO IHR Contact Points Communicate National IHR Focal Points Various disease and event surveillance systems within a country Emergency Committee Other competent Organizations (IAEA etc. ) Ministries/ Sectors Concerned Report

WHO IHR contact points - Status • WHO Regional level • 1 (dedicated) telephone WHO IHR contact points - Status • WHO Regional level • 1 (dedicated) telephone number + 1 (dedicated) fax number + 1 (dedicated) e-mail for each Region. • Roster of duty Officers in each Region and HQ – 24/7 coverage • SOPs to all Regions • WHO Country Offices • to be part of the Alert and Response system through • contact with IHR NFP • link to the Regional Contact Point • IHR briefing / Operational Guide

Specific threats Influenza Pandemic Task Force l Somewhat similar functions to Emergency Committee for Specific threats Influenza Pandemic Task Force l Somewhat similar functions to Emergency Committee for AI/PI issues–but only until IHR (2005) enter into force - 15 -June-07 l IPTF mandate – Provides technical advice to DG: – Response to avian influenza – Appropriate phase of pandemic alert and the corresponding response measures – Declaration of an influenza pandemic – International response to a pandemic l IPTF operational – 21 members – meets end of

Alert & Response Ops Coordination • IHR Contact Point • Monitoring • Reporting • Alert & Response Ops Coordination • IHR Contact Point • Monitoring • Reporting • Resource mobilisation • Administration IHR Bodies & Procedures • Intelligence • Verification • Risk assessment • Risk communication • IHR Focal Points • Notification • Roster of experts • Emergency Committee • Review Committee Project Management • National legislation WHO Alert, Preparedness, and Response Operations • advocacy Points of Entry • Ports • Airports • Ground crossings • influenza • polio • smallpox • Chemical/Radionuclear National Core Capacity • education Specific threats • SARS IHR Communication • information • Response • others Country Alert & Response • IHR NFP Operations • National ARO • Laboratory training / support • Epidemiology training / support • National system assessment • Response preparedness -Social mobilization -Case management

International Consultation on Strengthening National Capacities for Epidemic Preparedness and Response in Support to International Consultation on Strengthening National Capacities for Epidemic Preparedness and Response in Support to the National Implementation of the International Health Regulations (IHR) Lyon, France 2 - 5 May 2006 Strategic approaches to improving national capacities for epidemic alert and response in the context of IHR • Key Components and Essential Elements • Strategies and Mechanisms • WHO Strategies to Support Development of National Capacities 100 participants

National core capacities for IHR • Advance draft on “Minimum and Desirable Core Capacities” National core capacities for IHR • Advance draft on “Minimum and Desirable Core Capacities” Peripheral Intermediate National • Link with requirement for AI pandemic preparedness • Includes preparation to the response

IHR M & E : 5 Pillars System Pillar 1 Policy Planning Financing Pillar IHR M & E : 5 Pillars System Pillar 1 Policy Planning Financing Pillar 3 Pillar 2 IHR Infrastructures & Institutions Pillar 4 Pillar 5 IHR Technical Resources IHR Human Resources knowledge & skills IHR Systems and Services 15 Early Warning System 1 Legal framework for IHR 2 National Plan for PHEIC 3 Budget allocation for IHR 4 National IHR Focal Point 5 Focal Point for communication with Media 6 Points of Entry 7 National Emergency Committee 11 IHR Resources 8 IHR training and Mapping continuous education 9 Roster of professionals with IHR “qualification” 12 Telecommunication Resources 13 Infection Control SOPs 10 Active Participation in International IHR 14 Clinical Management guidelines for PHEIC related Networks WHO Resources IDSR–APSED–EID–HMN GOARN – EMS – E-Health- Global Atlas – Health Mapper – CSUN- GLADNet… 16 Verification and risk assessment system 17 Rapid Investigation & Response Team 18 Equipments and Stockpiles 19 Functioning laboratory system for PHEIC

Points of Entry Montreal meeting outcomes 3 working groups have produced SOPs on designation Points of Entry Montreal meeting outcomes 3 working groups have produced SOPs on designation and certification criteria for ports, airports and ground crossings These SOPS will be further refined and tested, and finalized in Vancouver, Canada, in November for May 2007 product delivery

Capacity strengtening at Points of. Lyon- 2 -5 Entry Capacity Strengthening at April '06 Capacity strengtening at Points of. Lyon- 2 -5 Entry Capacity Strengthening at April '06 Points of Entry Standard operating procedures 1. 2. 3. 4. 5. 6. 7. 8. Inspection for conveyances(for passenger, cargo vessels & aircrafts) Quarantine/isolation facilities at Po. E/off Po. E(for suspects, animals) Contingency plans for ports, airports, ground crossings Disinsection/decontamination methods & measures for conveyances, cargo, goods, persons, animals Qualifications for persons carrying out public health inspection/environmental audit/pest control Minimum requirements for designated hospital & clinic Reporting sickness on board and reporting on containers Recovering cost Epidemic and Pandemic Alert and Response (EPR) 1 5

Guides l Guide to ship sanitation – publication early 2007 l Guide to hygiene Guides l Guide to ship sanitation – publication early 2007 l Guide to hygiene and sanitation in aviation – in progress (peer review June 2007)