Post on 02-Jan-2016
ASDPEAsia Pacific Strategy for Emerging Diseases (2010) and
Influenza Activities
Health Security and Emergencies (DSE)
WHO Western Pacific Regional Office (WPRO)
2Division of Health Security and Emergencies (DSE)
WHO Western Pacific Regional Office (WPRO)
APSED Approach to Address Capacities One Framework: “3 in 1”
• Is a common strategy for countries to strengthen national capacities required for managing emerging diseases
• Is a common framework in the Region to develop the IHR core capacities
• Is also a framework for strengthening the basic capacities required for pandemic preparedness and response
3Division of Health Security and Emergencies (DSE)
WHO Western Pacific Regional Office (WPRO)
Time Difference from outbreak start to outbreak discovery and public communication
Fig. 4. Box plots of the median time difference from estimated outbreak start to outbreak discovery and public communication about the outbreak for selected WHO-verified outbreaks,1996–2009, across various WHO regions
Source: Emily h. Chan etc, PNAS, Dec 2010
4Division of Health Security and Emergencies (DSE)
WHO Western Pacific Regional Office (WPRO)
Process of Developing APSED (2010)
Country Consultations
Bi-Regional Consultation on APSED and Beyond
24-27 May 2010
5th TAG Meeting 6-9 July 2010
RCM (Oct 2010)
DiscussionPapers
Draft APSED (2010)
Independent Review
5Division of Health Security and Emergencies (DSE)
WHO Western Pacific Regional Office (WPRO)
Process of Developing APSED (2010)
Voice/Outcomes of Country and Regional Consultations
Results of APSED (2005) Common Indicators Assessments
Lessons learned fromPandemic preparedness & response
APSED (2010)
6Division of Health Security and Emergencies (DSE)
WHO Western Pacific Regional Office (WPRO)
Structure of APSED (2010)
7Division of Health Security and Emergencies (DSE)
WHO Western Pacific Regional Office (WPRO)
APSED Five Objectives
1. Reduce the risk of emerging diseases
2. Strengthen early detection
3. Strengthen rapid response
4. Strengthen effective preparedness
5. Build technical partnership
8Division of Health Security and Emergencies (DSE)
WHO Western Pacific Regional Office (WPRO)
Expanded Scope: 8 Focus Areas
APSED (2005)1. Surveillance and Response2. Laboratory3. Zoonoses4. Infection Control5. Risk Communication
APSED (2010)1. Surveillance, Risk Assessment
and Response
2. Laboratory
3. Zoonoses
4. Infection Prevention and Control
5. Risk Communication
6. Public Health Emergency Preparedness
7. Regional Preparedness, Alert and Response
8. Monitoring and Evaluation
9Division of Health Security and Emergencies (DSE)
WHO Western Pacific Regional Office (WPRO)
8 Focus Areas: Key Components
• Each focus area contains key components for actions
10Division of Health Security and Emergencies (DSE)
WHO Western Pacific Regional Office (WPRO)
FOCUS AREA 1:Surveillance, Risk Assessment and Response
• Sensitive and timely surveillance systems can trigger early alerts and rapid response to minimize the impact of a potential outbreak.
• Key components– Event-based surveillance– Indicator-based surveillance– Risk assessment capacity– Rapid response capacity – Field epidemiology training
APSED (2010)1. Surveillance, Risk Assessment
and Response
2. Laboratory
3. Zoonoses
4. Infection Prevention and Control
5. Risk Communication
6. Public Health Emergency Preparedness
7. Regional Preparedness, Alert and Response
8. Monitoring and Evaluation
11Division of Health Security and Emergencies (DSE)
WHO Western Pacific Regional Office (WPRO)
FOCUS AREA 2: Laboratory• Timely, accurate laboratory
diagnosis in a safe environment is a cornerstone of any health system for emerging diseases
• Key components– Accurate laboratory diagnosis– Laboratory support for surveillance
and response– Coordination and laboratory
networking– Biosafety
APSED (2010)1. Surveillance, Risk Assessment
and Response
2. Laboratory
3. Zoonoses
4. Infection Prevention and Control
5. Risk Communication
6. Public Health Emergency Preparedness
7. Regional Preparedness, Alert and Response
8. Monitoring and Evaluation
12Division of Health Security and Emergencies (DSE)
WHO Western Pacific Regional Office (WPRO)
FOCUS AREA 6:Public Health Emergency Preparedness
• Comprehensive plans and well-prepared systems can reduce the negative health, social and economic impacts of public health emergencies
• Key components– Public health emergency planning– National IHR Focal Point functions– Points of entry preparedness – Response logistics– Clinical case management
APSED (2010)1. Surveillance, Risk Assessment
and Response
2. Laboratory
3. Zoonoses
4. Infection Prevention and Control
5. Risk Communication
6. Public Health Emergency Preparedness
7. Regional Preparedness, Alert and Response
8. Monitoring and Evaluation
13Division of Health Security and Emergencies (DSE)
WHO Western Pacific Regional Office (WPRO)
Conclusion • APSED (2010)
– Provides a common framework for countries to strengthen national and local capacities required for managing all emerging infectious diseases and public health emergencies
– A road map for Member States in the Asia Pacific Region to build up the IHR core capacity requirements
– As APSED (2005), it can incorporate influenza activities to ensure its effective implementation