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ASSESSMENT OF NEEDS: COUNTRY PERSPECTIVES AND EXPERIENCES OF
PVS AND IHR
Teerasak ChuxnumBureau of EpidemiologyMinistry of Public Health
THAILAND
INTERNATIONAL HEALTH REGULATIONS : IHR 2005
Thailand National Core Capacity
Adopted by 58th WHA 23 May 2005
Thai Cabinet accepted 5 June 2007
Entered to force on 15 June 2007
IHR Committee Review plan 20
Communicable Disease Acts 1980
Port Health Authority
Cholera, Yellow fever, Tuberculosis
INTERNATIONAL HEALTH REGULATIONS : IHR 2005
Thailand National Core CapacityCapacities
• Legal framework
• Coordination and collaboration
• Epidemiology Surveillance
• RapidResponse
• HospitalPreparedness and Infection Control
CommitteesPublic Health
emergencysurveillance
Laboratory System
Point of Entry IntegratedCoordination Global Health Security Agenda
Thailand Development on IHR&PVS&GHSA
Timeline in years
2007 2009 2012 2014 2018
Planning Implementation
2 + 3 + (2) + 5
Extension
GHSA
Strengthen
PVS
National Focal Point
International Health Regulation 2005
Core Capacities Legislation and policy Coordination and Communications Surveillance
Response for PHEIC Preparedness Risk Communication Human Resource Capacity Laboratory
Diseases and hazards
Infectious Zoonosis Food safety Chemical event Radiation emergency
Point of Entry
PREVENT
• Antimicrobial resistance; AMR
• Zoonosis; ZOO• Food Safety; FOOD• Chemical; CHEM• Radiological and Nuclear; RAD
• Hospital Infection Control; IC
DETECT
• Laboratory; LAB• Point of Entry; PoE• Situation Awareness Team; SAT
RESPOND
• Surveillance Rapid and Response Team; SRRT
• Emergency Operation Center; EOC
Field Epidemiology Training Program; FETP
Global Health Security Agenda (GHSA)
PVS ??
GAP: Institutional owner and bureaucratic procedure
National Committee on AI
Response & Pandemic Influenza
Preparedness
GovernmentNational EIDs Strategic Plan
(2013-2016)
Emerging Infectious Diseases
preparedness & response
Rational for using a multi‐sectoralapproach
The outbreaks of SARS and HPAI sent an alarm to the world regarding the pandemic threats that human beings are confronting
Thailand has developed a new 5‐year National Strategic Plan for EIDs Preparedness, Prevention and Control 2013‐2016
The key emphasis is the importance of an interdisciplinary and multi‐sectoral collaboration using the One Health approach
Thailand’s National Strategic Plan for Emerging Infectious Disease Preparedness, Prevention and Response 2013‐2016
Improve EID preparedness and to strengthen the capacity of the key government employees responsible for human, animal and wildlife health
Strategy Preparedness Prevention and Resolved National Emerging Infectious Diseases
(2013-2016)Strategy 1 : Strengthen disease surveillance, prevention, treatment and control systems on the basis of “One Health” conceptStrategy 2 : Strengthen systems to enhance disease‐free animal husbandry, improve animal health and health of wild animals Strategy 3 : Intensify knowledge management systems and promote research and development on EIDs Strategy 4 : Establish integrated management of preparedness and response for public health emergencies Strategy 5 : Enhance public information, education and communication on EIDs
Strengthening collaborations among multi‐sectoral units in each level
FETP/
FETPV/FETPW
SRRT(Public Health/Animal Health/Environmental Health/Laboratory)
Public Health Volunteers/Animal Health Volunteers/Wildlife Park
Rangers/Zoo Keepers
Surveillance under “One Health” Concept
Advanced level
Intermediate level
Basic level
National
Provincial
Community
SRRT: MD, DVM, Health Officers, Lab Scientists, Pathologists,
Wildlife Experts
Hospital
Laboratory
Animal Team
PathologicalExamination
Active case finding
Wild bird surveillance
Development Surveillance Rapid Response Team : SRRT (>10,000 teams) at the provincial, district and sub‐district level
Flow of SRRT Outbreak Responses
12
FETP FETPV FETPW Joint Outbreak Investigation
Unknown death of wild gaurs in Kuiburi national park
FETP FETPV FETPW
The review of the IHR monitoring framework questionnaire and linkages to the PVS tool
Bangkok 26‐27 March 2014