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EMERGENCIES

OPERATIONAL READINESS

Health Security and Disease Outbreak Preparedness

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EMERGENCIES

Outline

• Overview of the Global Health Security Agenda and IHR (2005)

• Harmonization of IHR (2005) & GHSA assessment tools• The JEE tool• Evolution of external assessment process, 2005-2016

• Health Security Goal: Interactive process to identify gaps and fillthem

• Health Security status Tanzania

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EMERGENCIES

Overview of the Global Health Security Agenda

and IHR (2005)

• The Global Health Security Agenda (GHSA), an initiative of many countries that seeks to accelerate progress toward a world safe and secure from infectious disease threats and to promote global health security.

• The GHSA supports existing agreements under the International Health Regulations (IHR) (2005), the World Organization for Animal Health (OIE) Animal Health Codes, and the Codex Alimentarius International Food Standards.

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EMERGENCIES

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EMERGENCIES

Detect Assess Report Respond

• Establishes a process for international collaboration and decision-making during public health emergencies

• Requires reporting of specific diseases plus any potential international public health emergencies regardless of origin or source

• Establishes a global network of 24x7 National Focal Points (NFP)

• Establishes core capacities for surveillance and response for all countries at all levels (local, intermediate, national)

IHR (2005)

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EMERGENCIES

Less than 1/3 of the world is prepared to respond

• All 194 countries of the

world committed to

International Health

Regulations in 2005

• 2012 – fewer than 20% met IHR goals to detect and respond to pandemics

• 2014 update – 30% fully

prepared

Source: Report to the Director-General of the Review Committee on Second Extensions for Establishing National Public Health Capacities and on IHR Implementation, November 2014

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Global Health Security Agenda (GHSA)

“This [the Global Health

Security Agenda] is indeed a

timely initiative. It raises the

political profile of the threat

from emerging and epidemic-

prone diseases. And it

energizes efforts to improve

health security…in line with

WHO International Health

Regulations...”

--World Health Organization

Director General Margaret Chan

February 13, 2014

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EMERGENCIES

GH

SA O

bje

ctiv

es

Prevent

• 1-Antimicrobial Resistance

• 2-Zoonotic Diseases

• 3-Biosafety/ Biosecurity

• 4-Immunization

Detect

• 5-Laboratory Systems

• 6-Surveillance

• 7-Reporting

• 8-Workforce Development

Respond

• 9-Emergency Operations Centers

• 10-Law Enforcement and Multisectoral Response

• 11-Medical Countermeasures & Personnel Deployment

More than 50 countries have committed to the global health

security agenda

1

2

3

➢ 3 objectives➢ 11 action packages

13 countries in AFRO

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EMERGENCIES

JEE

Act

ion

pac

kage

s

Prevent

• 1-Nationa Legislation, policy & Financing

• 2-IHR Coordination, Communication& Advocacy

• 3-Antimicrobial Resistance

• 4-Zoonotic Diseases

• 5 Food Safety

• 6-Biosafety/ Biosecurity

• 7-Immunization

Detect• 8-National Laboratory System

• 9-Real Time Surveillance

• 10-Reporting

• 11-Workforce Development

Respond

• 12-Preparedness

• 13-Emergency Response Operations

• 14-Linking Public Health & Security Authorities

• 15-Medical Counter Measures & Personnel Deployment

• 16-Risk Communication

Others

• 17-IHR related Hazards and POEs

• 18-Chemical Events

• 19-Radiation Events

Call on All Member States to conduct Voluntary JEEs

➢ 4 objectives➢ 19 Action

packages

AFRO: Tanzania, Ethiopia, Mozambique done

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EMERGENCIES

Evolution of external assessment process, 2005-2016

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EMERGENCIES

Health Security Goal: Interactive process to identify gaps and fill them

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EMERGENCIES

HEALTH SECURITY STATUS TANZANIA:

Progress 1

February 2019: Documenting Progress following the JEE and implementation of NAPHS• Much progress on the objectives and activities

stipulated in the NAPHS

• Functional IHR TWG that provides strategic guidance for implementation

• Assessment of all relevant legislation references, and proposed amendments were in process and policy commitments for the implementation of IHR capacities for health security

• Guidelines for the various technical activities developed and most implemented

• Development and the implementation of AMR action plan was in place with a regular monitoring and evaluation mechanism

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STATUS TANZANIA: Progress 2

• Tanzania FELTP program accredited by the Global Accreditation Body of TEPHINET. This brings Tanzania FELTP at par with global standards

• Development and implementation of ‘all hazard emergency preparedness and response plan’

• Immunization coverage continued to be high (>90%)

• Emergency Operations Center was functional and responsive

• Transparent self-evaluation of the capacities. (e.g. chemical safety)

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EMERGENCIES

Way forward

• IHR Art. 54 – obligation for State Parties

• States Parties and the Director-General shall continue to report annually to the World Health Assembly on the implementation of the International Health Regulations (2005), using the self-assessment annual reporting tool (SPAR tool).

(Decision WHA(15), 2018).

• Three submission deadlines exist:

– October each year for inclusion in the Executive Board report (preferred)

– February the following year to be included in the World Health Assembly report

– June the following year for inclusion in Regional Committee reports.

• Exceptionally in 2018, as many as possible reports should be submitted in October (exeption for AFRO to submit it before end of November), to be used by WHO as part of indicator for the 13th Global Program of Work –GPW13.

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EMERGENCIES

IF YOU FAIL TO PREPARE, YOU PREPARE TO FAIL

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EMERGENCIES

Thank you!