GLOBAL PUBLIC HEALTH PERSPECTIVES

Multisectoral Collaboration for Global Public Health Risks

World Health Organization

Modern Global Health Security threats

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The IHR (2005) is the legal framework for collective responsibility for global health security

The IHR specify the roles, responsibilities and core capacities for States Parties to the Regulations and WHO

The IHR reinforce WHO's central role in managing acute public health risks, including providing information and technical support to countries

The effectiveness of the IHR requires international, multisectoral and multilevel operational readiness and responsiveness

Two major areas for implementation 1) national core capacity requirements 2) global event management

The International Health Regulations (IHR)

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Protect the health of the worlds human populations

Cross-sectoral and multi-disciplinary approaches Collaboration is an obvious need under IHR And fundamental under the principles of Global Health Security For

Zoonoses

Antimicrobial resistance (AMR)

Food safety

Other emerging and existing infectious threats to health at the human-animal interface

Other areas (chemical, radiation)

GHSA creates an enabling environment and synergies for the implementation of WHOs IHR

WHO collaborates closely with FAO and OIE on cross-sectoral activities at the national, regional, and international level

WHO/GHSA : Synergistic mandates

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WHA67.25 ...... To develop a draft global action plan to combat AMR.....to ensure that all countries...have the capacity to combat AMR.

Takes into account existing action plans and all available evidence and best practice

To apply a multisectoral approach by consulting:

Member States

Other relevant (multilateral) stakeholders including FAO and OIE

To strengthen the tripartite collaboration between FAO, OIE and WHO for combatting AMR

WHO Action on Antimicrobial Resistance

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WHO Helping Countries Build Core Capacities

National core capacities required under IHR: Surveillance, Reporting, Notification, Verification, Response,

and Collaborative activities

Both existing & emerging threats (including biological threats)

Building capacities translates to health systems strengthening Strong national health systems are required for collective

defense against threats to global health security

Alignment with national animal health sector to ensure technical collaboration at the human-animal interface Strong public health systems and strong animal health

systems nationally

PLUS require standard national tools, mechanisms, and processes to normalise planning, assessing and responding together

Based on joint priorities and shared references Example: WHO IHR/OIE PVS project

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Overlap Between GHSA and IHR

Legislation, Policy &

Financing

Risk communication

Coordination and NFP

Communication Points of Entry

Food Safety

Chemical Events

Radiological Emergencies

Prevent AMR

Vaccination Programs

Nosocomial infection control

Regional bio surveillance hubs

Sample sharing

Novel diagnostics

Sharing medical countermeasures and personnel

Surveillance Laboratory Preparedness Response Zoonotic diseases Human Resources

GHSA IHR

RISKS

Preparedness for all risksincreases country resilience

Early detection allowsrapid response, reducesthe number of peopleaffected and reduces theimpact on the economy:travel and trade

A few countries not able toprevent, detect or respondto the risks will create amajor threat for the rest ofthe world.

MOVING FORWARD

Shared Value Shared Responsibility

OPPOTURNITIES

Several opportunities canbe used to build capacities

interest in specific diseases(influenza, Mers, Ebola)

Comprehensive nationalhealth systemsstrengthening approaches

Collaboration with othersectors: animal health,tourism, trade, defence(biosecurity threats)New technologies availablefor better surveillance

PRIORITIES

Support the developmentof political commitment,financial investment andintersectoral collaborationat global, regional andnational level.

Systems best built onNational Priority HealthIssues

Strengthen CULTURE ofRoutine Cross-SectoralCollaboration and Useexisting Tools, Norms,Platform, Network,Systems

Conclusions

Better risk management for emerging and re-emerging diseases require all countries to have International Health Regulations (IHR) capacities in place and WHO to ensure a global safety net. National commitment is key.

Need to maintain continued and balanced attention to high-risk threats such as Ebola and AMR as well as all hazards approach.

WHO, FAO and OIE are critical to maintain global preparedness and alert and provide coordinated international response to mitigate the multisectoral impact of these events.

As there is major OUTBREAK now, immediate Action for renewed political attention and investment is required.

CONCLUSIONS

If countries can prevent, detect, and effectively assess/respond to known diseases early, they will be able to detect what is unusual or unknown

and implement effective response actions while the problem is small