global health security agenda country roadmap: … · 2016-12-26 · real time surveillance systems...

2016-09-16

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GLOBAL HEALTH SECURITY AGENDA

COUNTRY ROADMAP: THAILAND

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ACRONYMS

AMR-NC: AMR National Multisectoral Committee BEID: Bureau of Emerging Infectious Diseases, Department of Disease Control BPS: Bureau of …., Ministry of Agriculture and Cooperatives BHA Bureau of Health Administration, Ministry of Public Health CDC: United States Centers for Disease Control and Prevention DMSc : Department of Medical Sciences DDC: Department of Disease Control DF: Department of Fishery, Ministry of Agriculture and Cooperatives DHS: Department of Health Service Support DLD : Department of Livestock Development, Ministry of Agriculture and Cooperatives DMDC: Drug Monitoring System Monitoring and Development Center, Thai Health Foundation DNP: Department of National Parks, Wildlife and Plant Conservation, Ministry of Natural Resources and Environment DOA: Department of Agriculture, Ministry of Agriculture and Cooperatives DSS: Department of Health Service Support, Ministry of Public Health FAO: Food and Agriculture Organization of the United Nations FDA: Food and Drug Administration FETP: Field Epidemiology Training Program FETP-V: Field Epidemiology Training Program (Veterinary) FETP-W: Field Epidemiology Training Program (Wildlife) HSRI: Health System Research Institute, Ministry of Public Health IHPP: International Health Policy Program, Ministry of Public Health MOAC: Ministry of Agriculture and Cooperatives MOC: Ministry of Commerce MOD: Ministry of Defence MOEnv: Ministry of Natural Resources and Environment MOI: Ministry of Interior MOJ: Ministry of Justice MOL: Ministry of Labour MOPH: Ministry of Public Health MOF: Ministry of Finance MOFA: Ministry of Foreign Affairs MOST: Ministry of Science and Technology MOT: Ministry of Transportation NHCO: National Health Committee Office; NHSO: National Health Security Office

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OHCU: One Health Coordinating Unit OIE: World Organization for Animal Health THOHUN: Thailand One Health University Network USAID: United States Agency for International Development WHO: World Health Organization ZPO: The Zoological Park Organization under the Royal Patronage of His Majesty the King, Ministry of Natural Resources and Environment

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Detect 1:

Laboratory Systems

GHSA Goal GHSA Objective GHSA 5-Year Target

Detect Threats Early Developing and deploying novel diagnostics and strengthen laboratory systems

Real-time biosurveillance with a national laboratory system and effective modern point-of-care and laboratory-based diagnostics

YEAR Key Milestones

Host Government Activity

Other GHSA Donors and Stakeholders

Other Activity (e.g. NGO, other governments, multilaterals, private sector)

DMSc, BHA, DHS, DDC NSTDA, universities, WHO, TUC, CDC, FAO, OIE, AFRIMS

MT council, Microbiology council, biosafety association

Year 1 2016

Strategic Policy, Registering & Licensing 1.1 Self-assessment utilizing the JEE

conducted; 1.2 National Roadmap developed

DMSc DLD

Diagnostic Capacity 1.3 National committee for

microbiology laboratory standard established

DMSc

Quality Management System 1.4 100 % of district laboratories

certified by MoPH standard

DMSc

Biorisk Management System 1.5 Training course for Biomedical

engineering containment programme conducted

DMSc

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One Health 1.6 Diseases for both HH and AH

(including AMR and Zoonotic pathogen) prioritized

DMSc, DLD, DDC

Networking 1.7 National laboratory network

enhanced

DMSc, DLD

Laboratory Workforce 1.8 National Laboratory workforce

Plan as part of National strategic Plan formulated

DMSc, DHS

Year 2 2017

Strategic Policy, Registering & Licensing 2.1 Joint External Evaluation

conducted; 2.2 Joint HH-AH National laboratory

strategic plan and policy developed;

2.3 Auxiliary regulations of Pathogen and Animal Toxin Act supporting national biosafety and biosecurity implemented

DMSc, BHA, DHS, DDC, DLD

Diagnostic Capacity 2.4 1st Edition of National standards

for microbiology laboratories launched

DMSc, BHA,DHS,

Quality Management System 2.5 2nd Ed. Of the MoPH laboratory

quality standard launched 2.6 Web base laboratory capacity

mapping database developed 2.7 TOR for tier reference laboratories

initiative (for all tier lab, HH-AH) formulated.

DMSc, DLD

Year 2 2017

Biorisk Management System 2.8 National Biosafety and Biorisk

DMSc, DLD

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management Guidelines conform with new PAT act developed

Networking 2.9 Requirement on Laboratory

capacity for multi-tier laboratory network reviewed and revised

DMSc National laboratory standard committee

Laboratory Workforce 2.10 Relevant Training curriculum

developed

DMSc, DHS,DDC

Year 3 2018

Strategic Policy, Registering & Licensing 3.1 National Strategic Plan continued

implemented; 3.2 50 % of reference laboratories

audited and licensed

DMSc, BHA, DHS,DDC DMSc (BPAT)

Diagnostic Capacity 3.3 National Guideline on Point Of

Care [validation and verification] established and implemented

DMSc, BHA, DHS, FDA

Quality Management System 3.4 National PT/EQA center for

Health laboratoriesis established

DMSc

Biorisk Management System 3.5 All biosafety officers in all health

laboratories certified

DMSc, DLD

Networking 3.6 National SOPs for specimen

referral system developed with one health approach;

3.7 Regional referral system policy for cross- border/regional formulated;

3.8 Laboratory information system for public health laboratory network and EPI linked.

DMSc, DDC, DLD

Laboratory Workforce 3.9 Training center (on laboratory

DMSc

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capacity building, Biosafety, Biorisk management and bioengineering control)

Year 4 2019

Strategic Policy, Registering & Licensing 4.1 All of reference laboratories

audited and licensed

DMSc (BPAT)

Diagnostic Capacity 4.2 DMSc laboratory information

system integrated

DMSc

Biorisk Management System 4.3 All biosafety officers in all health

laboratories certified

DMSc, DLD

Networking 4.4 National guideline for information

sharing of AH-HH lab formulated

DMSc, DDC, DLD

Year 5 2020

Strategic Policy, Registering & Licensing 5.1 Incidence report trend monitoring

system developed

DMSc

Biorisk Management System 5.2 National Guideline on Bio-

engineering control endorsed by PAT

DMSc, DLD,

Networking 5.3 Laboratory information for National

real time biosurveillance and Emerging Operation Center for selected pathogen integrated

DMSc, DDC, DLD

Total Budget: To be identified

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Detect 2 & 3: Real Time Surveillance Systems Target Desired Impact

Strengthened foundational indicator- and event-based surveillance systems that are able to detect events of significance for public health, animal health and health security; improved communication and collaboration across sectors and between sub-national (local and intermediate), national and international levels of authority regarding surveillance of events of public health significance; improved country and intermediate level/regional capacity to analyse and link data from and between strengthened, real-time surveillance systems, including interoperable, interconnected electronic reporting systems. This can include epidemiologic, clinical, laboratory, environmental testing, product safety and quality, and bioinformatics data; and advancement in fulfilling the core capacity requirements for surveillance in accordance with the IHR and the OIE standards

A functioning public health surveillance system capable of identifying potential events of concern for public health and health security, and country and intermediate level/regional capacity to analyse and link data from and between strengthened real-time surveillance systems, including interoperable, interconnected electronic reporting systems. Countries will support the use of interoperable, interconnected systems capable of linking and integrating multi-sectoral surveillance data and using resulting information to enhance the capacity to quickly detect and respond to developing biological threats. Foundational capacity is necessary for both indicator-based (including syndromic) surveillance and event-based surveillance, in order to support prevention and control activities and intervention targeting for both established infectious diseases and new and emerging public health threats. Strong surveillance will support the timely recognition of the emergence of relatively rare or previously undescribed pathogens in specific countries.

Key Milestones Host

Government Activity Other Donors and

Stakeholders

Other Activity (e.g. NGO, other governments, multilaterals, private

sector)

Year 1

1.1 Guidelines implemented for event confirmation, verification, assessment and notification 1.2 Policies, regulations, and communication procedures established at designated PoE as required by the IHR in Annex 1 1.3 Plans developed with country commitment to a sustainable funding plan for interoperable, interconnected, electronic real-time reporting system

MOPH MOAC MOT MOF MOFA

WHO FAO OIE CDC

Year 2 2.1 Data is complied, analyzed for trends, summarized for decision-making, and shared with stakeholders

MOPH MOAC MOT MOF

WHO FAO OIE

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2.2 Regular feedback of syndromic surveillance results to all levels and other relevant stakeholders is disseminated

MOFA CDC

Year 3

3.1 Sharing of surveillance activities is coordinated and supported through government commitment, stakeholders and partnerships, including neighboring countries 3.2 Sharing of surveillance activities is coordinated and supported through government commitment, stakeholders and partnerships, including neighboring countries


WHO FAO OIE CDC

Year 4

4.1 Data is compiled, analyzed for trends, summarized for decision-making, and shared with stakeholders 4.2 Country has demonstrated the ability to file a report within 24 hours to the OIE for relevant zoonotic disease, based on an exercise or event


WHO FAO OIE CDC

Year 5

5.1 Sharing of surveillance activities is coordinated and supported through government commitment, stakeholders and partnerships, including neighboring countries


WHO FAO OIE CDC

Total budget

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Detect 4: Reporting (See also DETECT 2 and 3: Real Time Surveillance) Target Desired Impact

Timely and accurate disease reporting according to WHO requirements and consistent coordination with FAO and OIE.

Countries and their National IHR Focal Points, OIE Delegates, and WAHIS National Focal Points will have access to a toolkit of best practices, model procedures, reporting templates, and training materials to facilitate rapid (within 24 hours) notification of events that may constitute a PHEIC to WHO / listed diseases to OIE and will be able to rapidly (within 24/48 hours) respond to communications from these organizations.

Key Milestones Host


Stakeholders Other Activity (e.g. NGO, other

governments, multilaterals, private sector)

Year 1

1.1 Standard procedures established for implementing Circular 16 to strengthen surveillance data sharing among animal and human health sectors and laboratories

MOPH MOAC

WHO FAO OIE CDC

Year 2 2.1 Communicable disease reporting requirements updated and implemented

MOPH MOAC

WHO FAO OIE CDC

Year 3

3.1 National framework established for case-based reporting that integrates the preventive and clinical systems for domestic and international reporting of zoonotic disease events compliant with OIE and WHO standards

MOPH MOAC

WHO FAO OIE CDC

Year 4 4.1 National reporting of zoonotic MOPH

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disease and public health events compliant with OIE and WHO standards

MOAC WHO FAO OIE CDC

Year 5

5.1 Policies or legislation developed, as needed, to facilitate international reporting of PHEIC according to the WHO/IHR; and of animal diseases according to OIE

MOPH MOAC

WHO FAO OIE CDC

Total Budget

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Detect 5:

Workforce Development

Target Desired Impact

State parties should have skilled and competent health personnel for sustainable and functional public health surveillance and response at all levels of the health system and the effective implementation of the IHR (2005). A workforce includes physicians, animal health or veterinarians, biostatisticians, laboratory scientists, farming/livestock professionals, with an optimal target of one trained field epidemiologist (or equivalent) per 200,000 population, who can systematically cooperate to meet relevant IHR and PVS core competencies.

Prevention, detection, and response activities conducted effectively and sustainably by a fully competent, coordinated, evaluated and occupationally diverse multi-sectoral workforce.

Key Milestones Host




Year 1

Activities to Strengthen National Workforce Development

1.1 Maintain the existing training programs such as FETP, FETPV, FETPW, FEMT

- FETP, FETPV, FETPW Thailand

- CDC/ FAO/ WHO/USAID

1.2 Develop new curriculum for training-of-trainers (TOT) course

- FETP Thailand, MOAC, MOEnv

- CDC Advocate for One Health approach and HSS

1.3 Conduct self-assessment utilizing JEE assessment tools

- DDC -

1.4 Develop national plan for workforce management and development in disease control

- BOE in coordination with BPS, MOAC

- CDC/ FAO/ WHO/USAID/OIE

Activities as a Leading Country

1.5 Establish the Thailand Regional Coordination Office

- DDC, DLD - CDC/ FAO/ WHO/USAID/OIE

1.6 Develop regional Strategic Framework for Public Health Workforce Development and Systems Strengthening on Epidemiology (2016-2020)

- DDC - CDC/ FAO/

WHO/USAID/OIE

1.7 Establish regular communication with other leading and contributing countries

- BOE coordination for DDC

- CDC/ FAO/ WHO/USAID/OIE

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for workforce development action package

1.8 Conduct annual meeting among leading and contributing countries for workforce development action package

- DDC, DLD - CDC/ FAO/

WHO/USAID/OIE

Year 2


2.1 Strengthen national One Health network


2.2 Implement the national plan for workforce management and development in disease control


WHO/USAID/OIE


- DDC -

2.4 Develop a centralized database for trained personnel



2.5 Strengthen international network (ASEAN+3 FETN)

- DDC - CDC/ WHO/USAID

2.6 Monitor the national plan for workforce management and development in other countries


WHO/USAID/OIE

2.7 Foster opportunity for joint outbreak investigation


2.8 Conduct the global TEPHINET scientific conference


2.9 Maintain regular communication with other leading and contributing countries for workforce development action package


WHO/USAID/OIE



WHO/USAID/OIE

2.11 Support the Coordinating Office - DDC, DLD - CDC/ FAO/

WHO/USAID/OIE

Year 3


3.1 Evaluate the training-of-trainers (TOT) course


3.2 Conduct the national seminar on epidemiology


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- DDC -

3.4 Develop and evaluate intensive and retention strategy and effective training approach to maintain workforce performance in Ministry of Public Health or similar institutions

- DDC

- CDC/ WHO/USAID


3.5 Evaluate joint outbreak investigation - DDC, DLD - CDC/ FAO/

WHO/USAID/OIE

3.6 Maintain and strengthen international network (TEPHINET)


3.7 Expand collaboration with other regional training programs




WHO/USAID/OIE



WHO/USAID/OIE


WHO/USAID/OIE

Year 4


4.1 Conduct JEE - DDC - CDC/ WHO/USAID

4.2 Revise the national plan for workforce development





WHO/USAID/OIE



WHO/USAID/OIE


WHO/USAID/OIE


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Year 5

5.1 Revise and develop 2nd

5-year national strategic plan for workforce development





WHO/USAID/OIE



WHO/USAID/OIE


WHO/USAID/OIE

Total Budget

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Prevent 1:

Antimicrobial Resistance


The draft National Action Plan on AMR, Thailand (2017-2021)1 indicates five national targets as follows.

By the year 2021, 1. Morbidity due to AMR reduces by 50% 2. Amount of antibiotics for human use decreases by 20% 3. Amount of antibiotics for animal use decreases by 30% 4. Public knowledge on AMR and awareness in appropriate use of antimicrobials increases 20% 5. The national AMR management system has a demonstrated capacity (Score 4)

Reduction of morbidity, mortality and economic impact caused by AMR

Key Milestones Host


Stakeholders

Other Activity (e.g. NGO, other governments,

multilaterals, private sector)

Year 1

1.1 The AMR National Multisectoral Committee (AMR-NC) including relevant subcommittees is established. (Strategy 6)

MOPH, MOAC - -

1.2 The national plans of four priority areas2 are developed. Designated

settings and sentinel sites to implement the plans are identified. (Strategy 1-6)

AMR-NC - -

1.3 Baseline data from the pilot sites covering the five national targets are established. (Strategy 1-6)

AMR-NC, MOPH, MOAC HSRI3 IHPP, Universities

1.4 A program to establish the prototypes of companion animal hospitals to promote appropriate use of antimicrobials is developed. (Strategy 4)

- - Universities

1.5 A program to review and monitor the distribution and use of antimicrobials in plantation (Strategy 4)

DOA, FDA, DMSc - IHPP

Year 2 2.1 The national integrated AMR surveillance and warning system/center for human and animals is established. (Strategy 1)

DMSc, DLD, DDC - -

2.2 National standard technique for laboratory, aligned with the international standard, is developed. (Strategy 1)

DMSc - -

2.3 Hospitals (150 beds+) adopt and implement the national AMR program (Strategy 3)

BHA, DSS, DDC, DMS - NHSO, HA, Universities

2.4 Strengthening capacities of health professionals regarding infectious disease and promoting the use of relevant guidelines to address AMR

BHA, DSS, DDC, DMS - NHSO, HA, Universities

2.5 Strengthening regulatory control by antibiotic reclassification measure. (Strategy 2)

FDA - -

2.6 Detection of antimicrobial residues and AMR pathogens in food chain (Strategy 4)

MOPH, MOAC - -

2.7 Engaging stakeholders from public, private and civil society sectors to increase public awareness on AMR (Strategy 5)

MOPH, MOAC - NHCO, DMDC, Universities

2.8 Report on Thailand AMR situations and actions is published. (Strategy 6) AMR-NC - -

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Key Milestones Host Government Activity

Other Donors and Stakeholders

Other Activity (e.g. NGO, other governments,

multilaterals, private sector)

Year 3

3.1 AMR surveillance and warning system in animal and fishery products is developed. (Strategy 4)

DLD, DF, FDA, DMSc FAO -

3.2 National monitoring system on distribution of antimicrobials for human and animal use is established. (Strategy 2)

FDA, DLD, DF HSRI, WHO3 IHPP, Universities

3.3 Regulatory system on medicated feed production is established (Strategy 4)

DLD - -

3.4 Interim monitoring and evaluation of the implementation of National Action Plan on AMR is conducted. Essential changes for facilitating the plan implementation to achieve the goals are made as appropriate. (Strategy 6)

AMR-NC - -

Year 4

4.1 Results from the designated units/sentinel sites are used as inputs (baseline data) for revising the targets of national action plan on AMR.

AMR-NC, MOPH, MOAC - Universities

4.2 Engaging stakeholders to discuss results, lessons learned and revising the national action on AMR. (Strategy 6)

AMR-NC - NHCO, DMDC, Universities

Year 5

5.1 5.1 Updating the components of AMR-NC and its relevant subcommittees AMR-NC - -

5.2 A final report on the implementation of the National Action Plan on AMR (2017-2021) is published.

AMR-NC - -

5.3 5.3 The 2nd

National Action Plan on AMR (2022-2026) is approved. AMR-NC - -

Total Budget

Notes: 1. As of July 2016, the draft National Action Plan on AMR, Thailand (2017-2021) is under the process to be submitted for the Cabinet approval. It consists of 6 strategies: (1) AMR

surveillance based on One Health approach, (2) Control and regulation of antimicrobial distribution, (3) Infection prevention and control in healthcare settings and antimicrobial stewardship in healthcare settings and pharmacies; (4) AMR control & appropriate use of antimicrobials in agriculture and companion animals; (5) Public awareness on AMR and appropriate use of antimicrobials and (6) Governance and policy mechanism for sustainable implementation addressing AMR.

2. The four priority areas of national plans include the items as follows: National plan for detection and reporting of priority AMR pathogens based on Global Antimicrobial Surveillance System (GLASS), National plan for surveillance of infections caused by priority AMR pathogens, National plan for HCAI programs, and National plan for antimicrobial stewardship.

3. The proposal is under the peer-review. 4. The AMR national system capacity based on the Joint External Evaluation Tool (JEE) should be achieved the Score 2, 3 and 4 in the Year 1, 4 and 5, respectively. 5. The M&E framework of the implementation of AMR National Action Plan is based on the developmental evaluation approach that allows to make adjustment of the plan and

activities in order to achieve the national goals and targets, to respond to changing situations over time.

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Prevent 2:

Zoonotic Diseases

5-Year Goal: Thailand has level-4 of capability according to the assessment tool of Joint External Evaluation: IHR (2005) monitoring and evaluation framework launched in February 2016, relevant partners have capability for preparedness and response to threats from emerging infectious diseases/ zoonosis/ other infectious diseases of international concern, applying the 5 years National EID/Zoonosis Strategic Plan with One Health Approach.

Key Milestones Host

Government Activity Other GHSA Donors and

Stakeholders


sector)

Year 1

1.1 Zoonotic disease priority for Thailand reviewed/revised

1.2 Multi-ministerial MOU developed 1.3 Baseline ZDAP Self-Assessment

using evaluation tool of IHR/ GHSA joint external evaluation completed

1.4 Mechanism of coordination between IHR Zoonosis and GHSA ZDAP identified and developed

DDC/DLD

OH Secretariat/DDC OH Secretariat/DDC

OH Secretariat/DDC

CDC/ FAO/ WHO

USAID

Year 2

2.1 Joint surveillance of zoonosis among animal-human-wildlife initiated and implemented

2.2 Provincial One Health model developed and implemented in 20 provinces

2.3 “One Health Watch” information sharing center developed

2.4 National EID/ Zoonosis Committee Meeting regularly (> 2 times/year)

2.5 Joint external Evaluation of IHR/GHSA on Zoonotic Action Packages done

DDC/DLD/DNP

DDC/DLD/DNP

OHCU/DLD/DNP/ZPO OH Secretariat/BEID DDC/DLD/DNP

CDC/ FAO/ WHO

CDC/ FAO/ WHO

CDC WHO

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Year 3

3.1 National implementation plan for 5 prioritized zoonotic diseases developed and implemented

3.2 Laboratory surveillance database for 5 prioritized diseases developed

3.3 Joint One Health Outbreak Investigation and Response developed and implemented (Manual/Guidelines)

3.4 Model of provincial One Health coordination mechanism developed and implemented in 35 provinces

3.5 Regional and provincial TOTs trained to support sustainable One Health workforce (at least 1/province)

DDC/DLD/DNP DDC/DLD/DNP

DDC/DLD/DNP DDC/DLD/DNP

DDC/DLD/THOHUN

CDC/ FAO/ WHO

CDC/ FAO/ WHO

CDC/ FAO/ WHO USAID/EPT2

Year 4

4.1 National zoonosis surveillance system (including wildlife) evaluated

4.2 SRRT-One Health with veterinary team trained and covered in 45 provinces

4.3 National EID/ Zoonosis Committee Meeting regularly (> 2 times/year) and sustain functioning of national coordination mechanism

4.4 Established EID/Zoonosis Provincial Committee under Communicable Diseases Act 2558 coverage at 100%

4.5 National EID /One Health Expert Committee established and knowledge based system initialized

DDC/DLD/DNP DDC/DLD

OH Secretariat/BEID DDC/DLD DDC/DLD/NSTDA

CDC CDC

5 CDC

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Year 5

5.1 Zoonosis/ EID event-based surveillance for 5 prioritized diseases (and unusual events) established at regional level

5.2 SRRT-One Health with veterinary team trained and covered in 50 provinces

5.3 Integrated One Health/ zoonosis laboratory network and referral system developed

5.4 Provincial One Health coordination mechanism developed and implemented in 55 provinces

5.5 Public – Private Partnership implemented in 12 provinces (with One Health implementation)

5.6 Risk communication on EID/zoonosis developed and implemented at regional level

DDC/DLD/DNP

DDC/DLD DDC/DLD/DMSC DDC/DLD/DNP DLD/DDC DDC/DLD

CDC

CDC

CDC

CDC

Total Budget

Note: Underlined words of each item is/ are the main responsible organization/agencies, the following are contributing or collaborating organizations/agencies

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Prevent 3: Biosafety & Biosecurity

Key Milestones


Other GHSA Donors and Stakeholders


Year 1 2016

Biorisk Management System 1.1 Training course for Biomedical

engineering containment programme conducted

DMSc

Year 2 2017

2.1 Auxiliary regulations of Pathogen and animal toxin act supporting national biosafety and biosecurity are implemented

2.2 National Biosafety and Biorisk management Guidelines conform with new PAT act are developed

DMSc, DLD

Year 3 2018

3.1 Training curriculum for biosafety officer in different level of laboratories aligned with PAT Act;

3.2 BSO trainings conducted

DMSc, DLD

Year 4 2019

4.1 Biosafety officers in all public health laboratories certified;

4.2 All public health laboratories for

GHSA Goal GHSA Objective GHSA 5-Year Target

Prevent Avoidable Epidemics Promoting national biosafety and biosecurity systems.

A whole-of-government national biosafety and biosecurity system is in place, ensuring that especially dangerous pathogens are identified, held, secured and monitored in a minimal number of facilities according to best practices; biological risk management training and educational outreach are conducted to promote a shared culture of responsibility, reduce dual use risks, mitigate biological proliferation and deliberate use threats, and ensure safe transfer of biological agents; and country-specific biosafety and biosecurity legislation, laboratory licensing, and pathogen control measures are in place as appropriate.

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dangerous pathogens inspected and accredited

Year 5 2020

5.1 National Guideline on Bio-engineering control are endorsed by PAT;

5.2 Incidence report trend monitoring system established; and

5.3 National guideline for transportation of infectious material developed

DMSc, DLD,

Total Budget: To be identified

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Prevent 4: Immunization


A functioning national vaccine delivery system—with nationwide reach, effective distributions, access for marginalized populations, adequate cold chain, and ongoing quality control—that is able to respond to new disease threats

Effective protection through achievement and maintenance of immunization against measles and other epidemic-prone vaccine preventable diseases (VPDs). Measles immunization is emphasized because it is widely recognized as a proxy indicator for overall immunization against VPDs. Countries will also identify and target immunization to populations at risk of other epidemic-prone VPDs of national importance (e.g., cholera, Japanese encephalitis, meningococcal disease, typhoid, and yellow fever). In the case of some diseases that are transferable from cattle to humans, such as anthrax and rabies, animal immunization should also be taken into account.

Key Milestones

Host Government

Activity

Other Donors and

Stakeholders

Other Activity (e.g. NGO, other

governments, multilaterals,

private sector)

Year 1

1.1 Steps to strengthen immunization programs to sustainably implement vaccine coverage of VPDs are developed

1.2 Internal and external QA programs for designated health facilities are developed 1.3 National databases for laboratory(ies) to record, monitor and report to stakeholders

are established 1.4 Collaborations with WHO, and other international stakeholders focused on

development to invest in immunization programs are established

Year 2

2.1 Monitoring and evaluation of health workers in immunization implementation activities

are performed

2.2 Measurable success criteria to document progress of immunization programs is

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determined 2.3 Information, education, communication materials on vaccine delivery and cold-chain

management are developed and disseminated 2.4 Coordination with sectors and stakeholders to implement vaccination controls at PoE is

established.

Year 3

3.1 Successes of strategies targeting community engagement for immunization adherence are documented

3.2 Trainings and exercises for event or hazard-specific response and management plans with sectors, stakeholders, and other agencies are developed

3.3 Steps to strengthen cold-chain quality assurance and safety measures within vaccine storage and delivery systems are developed

Year 4 4.1 Sustainable plan for vaccine programs is developed and implemented 4.2 Sustainable plan to ensure plan for vaccine delivery and cold-chain management is

developed and implemented

Year 5

5.1 National plan is strengthened for better integration of financial management for healthcare planning and immunization priorities

5.2 Strategic framework to nationally prioritize resources and investments in immunization is developed

Total Budget

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Respond 1: Emergency Response Operations


Countries will have a public health emergency operation centre (EOC) functioning according to minimum common standards; maintaining trained, functioning, multi-sectoral rapid response teams and “real-time” biosurveillance laboratory networks and information systems; and trained EOC staff capable of activating a coordinated emergency response within 120 minutes of the identification of a public health emergency.

Effective coordination and improved control of outbreaks as evidenced by shorter times from detection to response and smaller numbers of cases and deaths.

Key Milestones Host

Government Activity



sector)

Year 1

1.1 Routine communication connectivity with international, national, and sub-national public health focal points is established 1.2 Authorities for activation and deactivation of the national PHEOC are identified 1.3 Technical assistance with the receipt, inventory, installation and testing of PHEOC equipment systems are provided 1.4 The multisectorial emergency response department includes all key stakeholders for public and animal health, including veterinary, wildlife, and other pertinent experts 1.5 Database of PHEOC SMEs for preparedness and response are developed

MOPH MOAC MOF

WHO FAO OIE CDC

Year 2 2.1 EOC roles and responsibilities plans to key

stakeholders are disseminated

2.2 Risk communications strategy and/or operational

MOPH MOAC MOF

WHO FAO OIE

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plan are disseminated

2.3 EOC activates a coordinated emergency response

or exercise within 120 minutes of the identification of a

public health emergency; response utilized operations,

logistic and planning functions

CDC

Year 3

3.1 Discussion and operations-based exercises conducted jointly with MOPH 3.2 National legislation or directives for PHEOC and other entities to manage public health emergencies are developed and/or improved 3.3 National public health response fund and the policies for utilization of this fund are identified

MOPH MOAC MOF

WHO FAO OIE CDC

Year 4

4.1 Current legislation, regulation and other national policies that authorize emergency management activities are assessed 4.2 Measurable success criteria to document progress of PHEOC capacity are identified

MOPH MOAC MOF

WHO FAO OIE CDC

Year 5 5.1 After Action reviews (AAR) and improvements for routine trainings and exercises incorporated into national response plans

MOPH MOAC MOF

WHO FAO OIE CDC

Total Budget

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Respond 2: Linking Public Health and Security Authorities


In the event of a biological event of suspected or confirmed deliberate origin, a country will be able to conduct a rapid, multisectoral response, including the capacity to link public health and law enforcement, and to provide and/or request effective and timely international assistance, including to investigate alleged use events.

Development and implementation of a memorandum of understanding (MOU) or other similar framework outlining roles, responsibilities, and best practices for sharing relevant information between and among appropriate human and animal health, law enforcement, and defence personnel and validation of the MOU through periodic exercises and simulations. In collaboration with FAO, International Criminal Police Organization (INTERPOL), OIE, WHO, individual Biological and Toxin Weapons Convention States Parties (and where appropriate the Implementation Support Unit), the United Nations Secretary-General’s Mechanism for Investigation of Alleged Use of Chemical and Biological Weapons (UNSGM), and other relevant regional and international organizations as appropriate, countries will develop and implement model systems to conduct and support joint criminal and epidemiological investigations to identify and respond to suspected biological incidents of deliberate origin.

Key Milestones Host




Year 1

1.1 Develop MOUs between and among health, agriculture, defense, security, law enforcement and other relevant sectors outlining roles, responsibilities, and best practices for sharing relevant information and collaboration in addressing challenges from biological threat

1.2 Establish National Committee and Sub-Committees to:

- review the existing laws and authorities;

- develop strategic framework/protocol/SOPs for implementing the MOUs particularly

MOPH, MOAC, MOI, MOD, MOJ, MOT, MOFA, MOC, MOF, MOL, MOST, Royal Thai Police

Medical Council of Thailand, Veterinary Council of Thailand

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on information sharing and contingency plans;

- arrange for necessary resources for human and animal health surveillance, reporting and response

1.3 Establish Provincial Committee (rapid response team) to implement the contingency plans

Year 2

2.1 Develop training modules for multi-sectoral training on joint investigation to identify and respond to biological threat (contingency plan)

2.2 Conduct training

Relevant Departments of MOPH, MOAC, MOI, MOD, MOJ, MOT, MOFA, MOC, MOF, MOL, MOST, Royal Thai Police, FAO, OIE, WHO

Medical Council of Thailand, Veterinary Council of Thailand, Thai Veterinary Medical Association, The Animal Husbandry Association of Thailand

Year 3

3.1 Conduct multi-sectoral table-top and field simulation exercises

3.2 Evaluate the exercises and revise if necessary



Year 4

4.1 Conduct training 4.2 Conduct multi-sectoral table-top and

field simulation exercises 4.3 Evaluate the exercises and revise if

necessary



Year 5

5.1 Demonstrate the country capability to conduct a rapid, multi-sectoral response, including the capacity to link public health and law

Relevant Departments of MOPH, MOAC, MOI, MOD, MOJ, MOT, MOFA, MOC,

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29

enforcement, and to provide and/or request effective and timely international assistance, including to investigate alleged use events

MOF, MOL, MOST, Royal Thai Police, FAO, OIE, WHO, INTERPOL

Total Budget

2016-09-16

30

Respond 3: Medical Countermeasures and Personnel Deployment Target Desired Impact

A national framework for transferring (sending and receiving) medical countermeasures and public health and medical personnel among international partners during public health emergencies.

Countries will have the necessary legal and regulatory processes and logistical plans to allow for the rapid cross-border deployment and receipt of public health and medical personnel during emergencies. Regional (international) collaboration will assist countries in overcoming the legal, logistical and regulatory challenges to deployment of public health and medical personnel from one country to another.

Key Milestones




Year 1

1.1 Capacity of emergency deployment of medical countermeasures response to emerging infectious diseases is tested

MOPH MOST MOD MOF MOFA MOT

WHO USAID TUC

Private hospital association Medical emergency association Professional Association in infectious diseases, pediatrics, medical technology

Year 2

2.1 Capacity of emergency deployment of medical countermeasures response to emerging infectious diseases is tested 2.2 Measurable success criteria to document progress of countermeasure response is determined

MOPH MOST MOD MOF MOFA MOT

WHO USAID TUC


Year 3

3.1 International partnerships with medical product manufacturers supported and core services are supported 3.2 National plans and policies for personnel deployment are regularly updated

MOPH MOST MOD MOF MOFA MOT MOC

WHO USAID TUC


Year 4 4.1 National plans and policies for MOPH WHO Private hospital association

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medical countermeasure stockpile/deployment measures are updated 4.2 Engagement meeting(s) to build regional partnerships for personnel deployment is/are conducted

MOST MOD MOF MOFA MOT MOC

FAO OIE USAID TUC

Medical emergency association Professional Association in infectious diseases, pediatrics, medical technology

Year 5

5.1 Strategic framework to nationally prioritize resources and investments in medical countermeasures is developed

MOPH MOST MOD MOF MOFA MOT MOC

WHO FAO OIE USAID TUC


Total Budget

global health security agenda country roadmap: … · 2016-12-26 · real time surveillance systems...

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