ACI WFSSC 38 MEETING ACI-LAC FAL/AVSEC/IT ... Meetings Seminars and...38.010 Px = 54 ICE ‘s 2.715...

ACI WFSSC 38th MEETINGACI-LAC FAL/AVSEC/IT MEETING

23-25 MAY – PUNTA CANA

© 2018 Airports Council International1

Public Health Eventsin aviation (needs and limitations)

Dr. Walter GaberMedical Adviser ACI World/Europe

Senior Vice President HR Frankfurt int. AirportCAPSCA 2019 Helsinki

Worldwide Distribution of VHF

Yellow-FeverJunin-FeverMachupo-FeverSabia-FeverHanta-FeverDengue-Fever

Hanta-Fever Hanta-FeverCrimean-Congo-Fever

Dengue-FeverHanta-FeverCrimean-Congo-Fever

Rift Valley-FeverLassa-FeverEbola-FeverYellow-FeverCrimean-Congo-FeverDengue-Fever

VHF=vir.häm.fever

3Source: IATA/Tourism Economics 2017 www.iata.org/economics

+64%

+103%

+46%

+132%

+146% +137%

20 years passanger growthoutlook (2017-37)

Why do people travel if they are sick?

• They want to get home...........

• The importance of the journey:– Business– Sick or dying relatives abroad– Returning to birthplace to die– Mirgrants• Believe that they only have a minor illness• Asymptomatic carriers• Asymptomatic – incubating disease• Travelling to OWN health care

Time allotment for medical staff if US flightshave to be screened

Seite 5

38.010 Px = 54 ICE‘s

2.715 to = 104 trucks

Friday, 08:30

•The complete Air Traffic is still shut down

2 h

8 long-haul aircrafts could not start54 medium-haul aircrafts could not start16 short-haul aircrafts could not start

28 long-haul aircrafts could not land41 medium-haul aircrafts could not land16 short-haul aircrafts could not land

20.478 passengers are at FRA17.532 passengers are not at their destination

2.715 tons of freight are not at their destination163 aircrafts are not available at their scheduled

intermediate airports

H. Kühn / FBA-SB / SB-104/08

The effects are noticeable Europe-wide

58.086 Px = 83 ICE‘s

4.139 to = 159 trucks

Friday, 09:30

÷The complete Air Traffic is still shut down

3 h

13 long-haul aircrafts could not start80 medium-haul aircrafts could not start25 short-haul aircrafts could not start

44 long-haul aircrafts could not land62 medium-haul aircrafts could not land24 short-haul aircrafts could not land

31.596 passengers are at FRA26.490 passengers are not at their destination

4.139 tons of freight are not at their destination248 aircrafts are not available at their scheduled

intermediate airports

H. Kühn / FBA-SB / SB-104/08

3 h

The effects are noticeable worldwide

www.bmvbs.deJeglitza/05.07.2012/CAPSCA-EUR2

Implementing IHR 2005 in GermanyOverview

• implement the InternationalHealth Regulations in a state withstrong federal characteristics

• fill the requirements of Annex 1BIHR 2005 with life

• develop a manageable instrumentfor the airports and airlines

(a) Assessmentand Medical care,staff & equipment

(b) Equipment &personnel for

transport

(c) Trained personnelfor inspection of

conveyances

(d) ensure save environment:water, food, waste, wash rooms

& other potential risk areas -inspection programmes

(e) Trained staff andprogramme for vector

control

Core capacity requirements at all times (routine)

a

Public HealthEmergencyContingency plan:coordinator, contactpoints for relevantPoE, PH & otheragencies

Provide assessment &care for affectedtravellers, animals:arrangements withmedical, veterinaryfacilities for isolation,treatment & otherservices

b cProvide space,separate from othertravellers to interviewsuspect or affectedpersons

dProvide forassessment,quarantine of suspector affected travellers

e

To applyrecommendedmeasures, disinsect,disinfect,decontaminate,baggage, cargo,containers,conveyances, goods,postal parcels etc

fTo apply entry/exitcontrol for departing &arriving passengers

gProvide access torequired equipment,personnel withprotection gear fortransfer of travellerswith infection/contamination

Capacity requirements for responding to potential PHEIC (emergency)

Art.27 AffectedConveyances

CORE CAPACITY REQUIREMENTS ASSESSMENT TOOLFOR DESIGNATED PORTS, AIRPORTS AND GROUND

CROSSINGS

•Routine

B - core capacity requirements for designated airports, ports and ground crossings.

1) At all Times (Routine)

Stage of Implementation(Justify answer right column)

CORE CAPACITIES MEASURE OF COMPLIANCEFully Partial None

Description stage of implementation of capacities and/oraction to be taken (e.g. progress, gaps and plan for capacitydevelopment, including resource and timelines, etc.)To be filled in by competent authority of Member States orresponsible for self assessment at the point of entry

(a) Provide access to (i) appropriate medical service including diagnostic facilities located so as to allow the prompt assessment and careof ill travellers, and (ii) adequate staff, equipment and premises

(i) Assessment and care of illtravellersAccess to medical and diagnosticfacilities

Administrative arrangements and MoUs arein place to grant access to medical anddiagnostic facilities for assessment and careof ill or suspect travellers, in consultationwith local and/or proximate health services.If on-site, specialized warehouse formedicine and medical instruments andrecords for their use and replacement.[capability to do on-site or access tovaccination for yellow fever and otherinfectious diseases and ability to issueInternational Certificate of Vaccination]


Implementing IHR 2005 in GermanyStep 3: RKI-Recommandations - core capacities

Approach

•systematic, technically safe and

oriented towards everyday practice

•consensual

•integration into the risk managementand the emergency planning of theairports and airlines

Update:2018 in german only


Implementing IHR 2005 in GermanyStep 3: RKI-Recommandations - core capacities

Content

1.Capacitites required any time

2.Capacities for emergencies ofinternational importance

3.Passenger Tracing

4.Training

5.Exchange of experience and evolutionof core capacities


Implementing IHR 2005 in GermanyStep 3: RKI-Recommendations - core capacities

Structure of the recommendations(simplified):

•Requirement/capacity according to IHR2005, Annex 1A +B, reps. Article 18

•Recommendation

•Administrative precautions andresponsibilities

•Personnel

•Infrastructure

•Measures

Source: Lufthansa Group

Fig. 1 Standard operating procedures fromLufthansa Technik to be used in aircraftsfor disinfection in the presence of highinfectious diseases

Link for HID-Form


Fig. 2: Link for the complete set of High Infectious Diseases Forms (HIDForms) on Lufthansa aircraft from Lufthansa Technik AG.The forms may be used for your own purposes.Lufthansa would appreciate a short feedback ([email protected]) if you use the SOPs

Overview Desinfectants versus scope of application


*) for small areas [< 1m²] due topossible flammability

• Annex 915th edition – 2017

• Facilitation Manual/ Doc 99571st edition – 2011

• ICAO Facilitation Panel meetingSeptember 2018

• Standard – compulsory• Recommended practice – not

compulsory

Disinsection Standards

Disinsection Standards

• Limit routine disinsection of aircraft cabins and flight decks while passengers and crewsare on board

• Authorize only methods, whether chemical or non-chemical, recommended by the WorldHealth Organization

• Procedures not injurious to the health of passengers and crew and cause minimumdiscomfort

• Provide to aircraft operators appropriate information explaining the pertinent nationalregulation, the reasons for the requirement, and the safety of properly performedaircraft disinsection

• Accept a pertinent certification on the General Declaration (Appendix 1) or the Certificateof Residual Disinsection (Appendix 4)

• Substance used must not have a deleterious effect on the structure of the aircraft or itsoperating equipment.




Airport needs and Limitations (KISS)

Limitations:State versus non state airportsCost – benefit (!)Strict cooperation of airlines (example)BCMP (buss. Cont. Magt. Plan) with all stakeholders should be implementedSupport CAPSCA e.g.GOAL: ....keep the airport running… (pressure by all stakeholders..)

Needs:Information by time (qualified)PHA Recommendations fitting to all airports ….different countries (Italy? zika)KISS = keep it super simpleDesinsection material ...aircraft component compatible worldwide(Boeing, Airbus e.g.)Communications24/7 support PHA/Airlines




Airport needs and Limitations

Limitations:Medical Concerns…....

Medical risk for Air CrewMedical risk for Passengers (children, pregnant women…)Medical risk for Airport Staff (works council, nat. versus int. law)

Occupational medicine concerns !Accumulation ?

Obligation of the aircraft’s captain

•According to international regulations

•WHO (23rd May 2005)• and ICAO (Annex 9, Chapter 8)•, as well as attachment to State letter•AN 522-0755• „Guidelines for Air Traffic Services Unitsand Public Health Authorities when notifiedof a suspected case of communicabledisease on board in inbound aircraft “

•The aircraft’s capitain should radioahead to the ATC so that health andairport authorities are alerted by ATC tothe arrival of a suspected case.

Should=recommodation......

Business Continuity Plans : Goal

• With so many potential crisesout there, we want ourbusiness continuity plans toenable :

– Early incident / crisisdetection

– Reduce :• SCOPE (Umfang)• SCALE (Mass)• DURATION (Dauer)

TimeBu

sines

sFlo

wDi

srup

tions

Incidents

Crisis

• Read the IHR (WHO webside)• Check the CORE CAPACITY TOOL (WHO webside)• Cross Check recommodation RKI 2018• Be aware of SOP desinfection LH• Be aware of upcoming SOP LH for desinsection• Are you designated Airport by WHO ? (if yes....)

To Do List versus Wait and See




Walter Gaber MD

Senioe Vice President Human Resources since 1996Medical Director, Public Health OfficerConsultant für national/international AirportsOccupational physician, Emergency medicineEnvironmental medicine, Sports medicineAcupuncture, ChirotherapyQualification as fire service physicianQualification as organizing manager for rescue operationsQualification as safety expertMedical Consultant for WHO, ACI,EAGOSH,national and international OrganisationsInternational Trainer for Crisis Intervention since 2006

AWARDS2017 Certificate of Appreciation, US Consulate2013 Certificate of Appreciation, US Consulate for outstanding medical support2011 Certificaton of Appreciation ; Mark A,**** General USAF for medical support at the tragicevent in March 20112008 Certificaton of Appreciation, State Department USA for continued support of medicaloperations for United States Government personnel through the Frankfurt Airport.2005 Certificate of AchievementDepartment of the Air Force (USA) for 20 years of outstanding support and unending cooperation2004 Certificate of AppreciationDelta Airlines, Atlanta , USA , for 15 years of medical support1995 Silver Pin award of "Arbeitsgemeinschaft gesunder Rücken"(AGS) for committed work on anational level in various member associations.

ACI WFSSC 38 MEETING ACI-LAC FAL/AVSEC/IT ... Meetings Seminars and...38.010 Px = 54 ICE ‘s 2.715...

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