DPG HEALTH MEETINGUSAID CONFERENCE ROOM

6 NOVEMBER 2013

International Health Regulation (2005)

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What are the IHR?

“The purpose and scope of the IHR (2005) are “to prevent, protect against, control and provide a public health response to the international spread of disease in ways that are commensurate with and restricted to public health risks, and which avoid unnecessary interference with international traffic and trade”

International legal instrument adopted at WHA in 2005- Came into force on 15 June 2007

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Background

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Effective Global Alert and Response

Strong national public health systems

maintain active surveillance of diseases and public health events

investigate detected events; report; assess public health risk; share information; and implement control

measures.

Effective global systems, networks and tools

– carry out continuous global risk assessment,

– Be prepared to respond to unexpected events with a potential for international relevance

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COUNTRY CORE CAPACITIES:

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Current situation in the AFROut of 46 African region Member States

• 100 % have designated a NFP and provided full contact details

• 70% having established communication links with at least one of the relevant sectors

• 50% have started revising their national guidelines for IDSR to incorporate the IHR

• 33% having assessed one or more of the national core capacities in surveillance and response and developed plans

• 61% designated ports; 74% designated airports; and 52% designated ground crossing for development of core capacities required for IHR

• 65% have identified competent authorities for application of health measures at points of entry

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Core capacity requirements

Community level: Detect events involving disease above expected Report unusual events to next level

Regional level: Confirm reported events and support control Assess events and report to national level

National level on a 24/7 basis: Assess reports within 48 hours. Notify WHO through the NFP of all potential PHEICs Determine control measures required Support local investigations Provide information sharing links with HFs, NEPs etc Establish, operate and maintain response plan

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National Communication under IHR (2005)

DiscussionRecordingOutcome

DiscussionRecordingOutcome

•Sector group meetings /discussion in filling out the questionnaire

•Communication with NFP office if necessary for guidance and clarification

•Relevant sectors submit data to NFP with endorsement from relevant authorities

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Accessibility at all times

Primary channel for WHO-NFP event-related communications

Disseminate information within WHO

"Activate" the WHO assessment and response system

Detect

Assess

Report

Respond

Accessibility at all times

Communication with WHO

Dissemination of information nationally

Consolidating input nationally

National surveillance and response systems

National IHRFocal Points

WHO IHR Contact Points

EmergencyCommittee

Other competent organizations

(IAEA etc).

Ministries and sectors concerned

Determine Public Health Emergency of International Concern (PHEIC)Make temporary and standing recommendations Review

Committee

ExpertRoster

WHO Director-General

Consultation

Notification

Report

Verification

Management of Public Health Risks/Events

HQ

ROs

COs

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DECISION FOR THE ASSESSMENT AND NOTIFICATION OF EVENTS THAT MAY CONSTITUTE A PUBLIC HEALTH EMERGENCY OF INTERNATIONAL CONCERN

1. Is the public health impact of the event serious?

2. Is the event unusual or unexpected?

3. Is there a significant risk of international spread?

4. Is there a significant risk of international travel or trade?

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What we have to do!

Advocacy on IHR (2005) so all know their roles.

Appoint sector IHR FP Resource mobilization to support IHR (Govt

+DPs) Adaptation of legislation, technical

guidelines, training materials and programmes

Capacity: organization and support, community participation, equipment, training, coordination

Monitoring and evaluation: monitoring tool sent to IHR NFP annually ( Multisectoral inputs)

Carry out obligations in terms of IHR.

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Thank you