GLOBAL HEALTH SECURITY AGENDA

ACTION PACKAGE COORDINATION MEETING

VIETNAM DISCUSSION ON ZDAP

AND BIOSAFETY/BIOSECURITY

ACTION PACKAGES

Indonesia, 23-25 August 2016

PRESENTATION OUTLINE

Viet Nam General Information

Emerging Infectious Diseases in Viet Nam

Zoonotic diseases: Achievements & Challenges

Biosafety & Biosecurity: Achievements & Challenges

Lesson learnt: Zoonotic diseases & Biosafety & Biosecurity

The way forward: ZDAP and BBAP

GENERAL INFORMATION

Area: 332,600 km2

8 ecological regions

63 provinces, 713 districts & 11,164

communes

Population: 92 million

Average life expectancy at birth: 76 yrs

Lower middle income country

GDP per capita (2015): $ 2,109

Annual GDP growth rate (2015): 6.7%

Key economic sectors:

Agriculture

Mining and oil industries

EMERGING INFECTIOUS DISEASES

Situation Diseases

Emerging Infectious Diseases risks

•

•

Influenza A (H7N9),

MERS-CoV

A (H5N8), A (H5N2)

outside the country

•

•

Ebola

Plague

Emerging Infectious Diseases that

have affected Viet Nam

In human:

• SARS

• Influenza A (H5N1),

• Zika

In animal:

• Influenza A (H5N1),

A

A

(H1N1)

(H1N1)

Endemic Diseases

•

•

•

•

•

•

•

Rabies

Anthrax

Japanese encephalitis

Leptospirosis

Streptococcus suis

Dengue fever

Hand-foot-mouth disease

ZOONOTIC DISEASE: ACHIEVEMENTS [1]

National legislation

• Law on Communicable Diseases

• National Veterinary Law

• Joint Circular between MOH and MARD

• National Guideline for Surveillance on Zoonosis Disease

• National Action Plan for Emerging Infectious Diseases

s

ZOONOTIC DISEASE: ACHIEVEMENTS [2]

Joint Activities between MOH & MARD

• Joint surveillance

• Outbreaks response

• Risk communication

• Training and researches

ZOONOTIC DISEASE: ACHIEVEMENTS [3]

One Health Partnership

• One Health Strategic Plan for Zoonotic Diseases 2016-2020

• Communication network on EIDs

• Policy mobilization on EIDs

• EPT-2 Project

ZOONOTIC DISEASE: ACHIEVEMENTS [4]

International network

• One health

• One Health University Network

• GHSA

• ASEAN

ZOONOTIC DISEASE: CHALLENGES

• Increase of interconnection between human and animal

• Increasing risk of diseases in disadvantage areas

• Limitation of capacity at local level

• Limitation of resources

• Increase of interconnection between human and animal

• Easier wide spread diseases from animal to human/re-emerging diseases

• No immunity of people in community

• Occurrence of disease in remote and mountainous areas

• Delay in detection and reporting

• Difficulty in control of outbreak

• Behavior change

• Implementation at the grassroots level

• Low awareness

• Unwell trained staff

• Lack of staff

• Limitation of resources

• Responding VS prevention

• Research

• Implement new activities

BIOSAFETY&BIOSECURITY: ACHIEVEMENTS [1]

National legislation

• Decree on Biosecurity

• National Guideline on Biosafety Practice in Labs

• National Guideline on Storage, Transportation and

Infectious Specimen

BIOSAFETY&BIOSECURITY: ACHIEVEMENTS [2]

Technical development

• Biosafety training

• BSL3 laboratory in National Institutes and Central

Hospitals: PCR, Elisa, Genexpert, Confirm EIDs.

• Linkage with international laboratory: Nagasaki, Japan

and OUCRU (Oxford University Clinical Research Unit),

WHO CC…

BIOSAFETY&BIOSECURITY: CHALLENGES

• Limited implementation on biosecurity

• Low awareness of management staff on biosafety and

biosecurity

• No active in implementation of biosafety/biosecurity in laboratory

• Lack of national direction on implementation of Biosafety for

laboratory in Veterinary

• Lack of QA for Biosafety equipment

LESSON LEANT

FOR ZDAP AND BIOSAFETY/BIOSECURITY

LESSON LEARNT FOR ZDAP

Need high

commitment from

Government to

implement biosafety &

biosecurity

Political will Legislation

Development of legal

documents

Joint

circular/MOU/action

plan

International

cooperation

Support

technical/financial

Encourage/speech up

joint implementation

activities

Intersectoral &

agencies collaboration

Joint implementation at field work

Focus on some priority diseases

Linkage between surveillance

and laboratory

LESSON LEARNT FOR BIOSAFETY & BIOSECURITY

Political will

Need high

commitment from

Government to

implement biosafety &

biosecurity

Legislation

Development of

legal documents

Sharing information

Linking other

laboratories for

exchange staffs &

sharing

information/data

International cooperation

Support

technical/financial

Encourage/speech up

joint implementation

activities

THE WAY FORWARD

FOR ZDAP AND BIOSAFETY/BIOSECURITY

THE WAY FORWARD FOR ZDAP

International/regional level

1. Re-affirm commitment of the Government to international community

2. Conduct international workshops to update achievement and share information

3. Reinforce ZDAP network for sharing information of progress and lesson learnt

4. Encourage participation of all interested countries to participate ZDAP

5. More involvement and support from developed countries to other developing countries

6. Promote one health approach

7. Link IHR – PVS in training/workshop for human health staff and animal health staff

National level 1. Provide forum for technical staff of all stakeholders to share experience and information

2. Development joint technical guideline

3. Reinforce capacity for both human health staff and animal health staff especially animal health at grass root levels.

4. Map high risk area for priority investment

5. Balance between development and environment

6. Invest more resources in prevention

7. Strengthen cross-sector collaboration to investigate and response to outbreaks of zoonotic diseases

THE WAY FORWARD FOR BIOSAFETY & BIOSECURITY

International/regional level

1. Raising important of biosafety and biosecurity in international conference

2. Support of international agencies to developing countries to enhance biosafety and biosecurity

National level

1. Policy mobilization both biosafety and biosecurity

2. Direction from high level to promote biosafety and biosecurity

3. Invest more resources in biosafety and biosecurity

THANK YOU FOR YOUR ATTENTION!