AVIAN AND HUMAN INFLUENZA (AHI)

CONSOLIDATED ACTION PLAN FOR CONTRIBUTIONS OF THE UN SYSTEM AND PARTNERS

REVISED ACTIVITIES AND FINANCIAL REQUIREMENTS UP TO DECEMBER 2007

24 November 2006

Produced on behalf of FAO, ICAO, ILO, IOM, OCHA, OIE, UNDP, UNHCR, UNICEF, UNWTO, WFP and WHO

by UN System Influenza Coordinator (UNSIC)

UN Development Group 2 United Nations Plaza,

DC2- 2612 New York, NY 10017 Tel. +1 646 236 1942

INTRODUCTION

In July 2006, the UN Secretary General prefaced the first issue of the UN Consolidated Action Plan

for Avian and Human Influenza (AHI) with reference to our collective responsibility for ensuring that

all countries -- rich and poor -- are adequately protected and prepared. He pledged the UN System’s

support to countries in their efforts to respond to the threats posed by highly pathogenic avian

influenza and any future influenza pandemic. He committed the combined strength and expertise of

UN System agencies, funds and programmes in support of this outcome and called on the

international community to provide them with adequate backing.

The collective goal of the UN System is to help national authorities implement programmes that are

characterized by high technical quality (right actions, in the right place at the right time), with strong

national ownership and adequate resources. The UN System expects to do this with a high degree of

inter-agency coherence and synergy, whether working at country, regional or global levels. To make

this happen, the UN System has established a high level Steering Committee (chaired by the UN

Deputy Secretary General), appointed a Senior Coordinator, and is engaging in joint operations with

the World Bank, World Organisation for Animal Health and the Red Cross Movement. The UN

System has established functional links with the International Partnership on Avian and Pandemic

Influenza, with regional political organisations, and with many private sector groups, voluntary bodies

and donor agencies. The UN System produced, in June 2006, a UN Consolidated Action Plan that

describes the ways in which agencies, funds and programmes are working together.

The Plan builds on the AHI action plans developed and implemented by each of the concerned UN

agencies, funds and programmes. It reflects the common objectives, strategic directions, and results

to be attained by different parts of the UN System together with their international and regional

partners. It also lists financial requirements for the different objectives to be realized.

AHI threats are changing over time. So are the needs of countries and the assistance that is requested

from the UN System and its partners. The present document complements the initial UN Consolidated

Action Plan by reflecting these changes. It provides an overview of overall progress achieved during

the last six months against the seven common objectives the UN System has set for itself, presents the

UN System contributions to AHI in a comprehensive Logical Framework and informs on revised

financial requirements for 2007. I am particularly pleased that this revision of the Action Plan

introduces the critical work being undertaken by the International Labour Organisation, the

International Organisation for Migration, the International Civil Aviation Organisation, the World

Tourism Organisation and the World Organisation for Animal Health. The Federation of Red Cross

and Red Crescent Societies and major international NGOs are currently working on ways to

complement the UN Action Plan.

The reports of actions undertaken within this edition of the plan, and in the parallel report being produced by the UN System and the World Bank “Responses to Avian and Human Influenza Threats: Progress, Analysis and Recommendations – July to December 2006” indicates that the world is relying on a strong, efficient and predictable UN in order to respond to the threats posed by avian and human influenza. Demands for help from the UN System have increased dramatically. The funds received during 2006 were insufficient for an adequate response to the full variety of demands made – especially in countries with restricted capacity to implement avian and human influenza strategies, and in African nations. Hence this revision of the Consolidated Action Plan is accompanied by a sincere request that the donor community maintains its support to the UN System so that it can respond properly to countries’ requests for assistance in this critical area. The UN needs considerable additional funding for the calendar year 2007.

David Nabarro UN System Senior Coordinator for Avian and Human Influenza

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Avian and Human Pandemic Influenza: Consolidated Action Plan for Contributions of the UN System and Partners Revised Activities and Financial Requirements up to December 2007

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Summary of Central Features of the UN Consolidated Action Plan S1 This version of the plan should be read as a revision of the Version released in July 2006. It has five sections. S2 The global, regional and national response to the ongoing epizootic of highly pathogenic avian influenza and the threats posed by an influenza pandemic have evolved in the last six months. Most countries have concentrated on interlinked yet distinct areas of action, all of which require a long term commitment and each of which contributes to the better overall functioning of the health, livestock and crisis preparedness sectors. S3 The five areas of action include:

� Healthy livestock production systems and animal health services capable of responding to highly pathogenic avian influenza,

� Functioning human public health systems (that can detect, respond to and contain serious infections, including avian and pandemic influenza),

� Social mobilisation activities that include communication for behaviour change � Crisis preparedness efforts that include contingency planning for influenza pandemics, � Institutional arrangements for co-coordinated financial and technical support for effective

national implementation of integrated influenza programmes S4 The UN as a whole contributes to work in these areas through support for seven objectives. The support is described in Section I of this Action Plan revision, disaggregated by the following objectives:

Short Title Detailed Objective 1. Animal Health and Bio-Security

Ensuring, through a global, cohesive framework in response to avian influenza in poultry, that animal health is safeguarded, bio-security is brought up to standard, and capacity is there, when needed, for scaling up veterinary services to detect early and stamp out rapidly new avian infections through prompt movement restrictions and culling, and for sustaining vaccination of poultry and other interventions when they are indicated. Clarifying how the emergence of pandemic agents, food and agricultural practices, land use and ecosystem management are related.

2. Sustaining Livelihoods

Ensuring that the economic and poverty impact of avian influenza as well as related control measures are monitored and rectified; limiting any adverse repercussions on the Millennium Development Goals; seeking fair and equitable compensation for those whose livelihoods are endangered by avian influenza and control measures.

3. Human Health Strengthening public health infrastructure, including surveillance systems, to (i) reduce human exposure to the H5N1 virus; (ii) strengthen early warning systems, including early detection and rapid response to human cases of avian influenza; (iii) intensify rapid containment operations and responses for a newly emerging human influenza virus; (iv) build capacity to cope with a pandemic, including surge capacity for a pandemic; and (v) coordinate global science and research, particularly as this pertains to the availability of a pandemic vaccine and antiviral drugs. Strengthening community based treatment of acute respiratory infections, including pre-positioning of medical supplies in peripheral areas to enhance capacity to respond as well as to enhance nutrition security and access to micronutrients to minimise the impact of infection on susceptible populations.

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4. Coordination of National, Regional and International Stakeholders

Ensuring that national government ministries work together in a focused way, bringing in civil society and private sector groups, in pursuit of sound strategies for avian influenza control and pandemic preparedness.

5. Public Information and communication to support behaviour change

Strategic communication to provide clear and unambiguous risk and outbreak information to the general public and key groups of people with the highest potential for stemming the spread and impact of the disease. This will include communicating with the public, households and communities to involve and mobilise them to adopt appropriate behaviours to reduce risks and mitigate the impact of any outbreaks or pandemic.

6. Continuity under Pandemic Conditions

Ensuring the continuity of essential social, economic and governance services, and effective implementation of humanitarian relief, under pandemic conditions.

7. Humanitarian Common Services Support

Ensuring that - in the event that national capacity is overwhelmed by pandemic conditions – agreed emergency operating procedures are invoked and benefit from information technology and logistics capacity set up and made operational beforehand

The relationship between these objectives and integrated national planning is shown in the diagram on the following page. S5 There is a brief summary, under section II, of arrangements for implementing the Consolidated Action Plan which stresses that each agency is responsible for ensuring the implementation of activities for which it has taken responsibility within the context of this Action Plan, and accounting for those activities to those who provide funds. The most frequently used route for moving funds to agencies will be through bilateral agreements between donor organisations and the agencies concerned. However, in line with the present emphasis within the UN System on agencies, funds and programmes working together when addressing major global themes, and “delivering as one”, the UN System established a central financing mechanism for influenza action (CFIA) in November 2006, and this is described within paragraph 30 . S6 A new feature in the plan is a Logical Framework which indicates, in tabular form, how the different elements of this action plan dovetail together and help countries yield the outcome to which their governments have – individually and collectively – committed. This is presented in Section III. S7 Section IV summarizes the requirements of the different agencies, funds, and programmes and other organisations for 2007, expressing them in relation to the Action Plan’s seven objectives. S8 Financial requirements for the UN System with breakdowns according to individual agencies and objectives are summarized in Section V.

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Avian and Human Pandemic Influenza: Consolidated Action Plan for Contributions of the UN System and Partners Revised Activities and Financial Requirements up to December 2007

24 November 2006 ________________________________________________________________________________________________

Relationship between National Planning Processes and the UN Consolidated Action Plan

1. Animal Health and Bio-security Giving priority to the health of animals within livestock production systems – improving both animal husbandry practices and the performance of veterinary services 2. Sustaining Livelihoods Protecting the livelihoods of poorer farmers whose livelihoods depend on small scale livestock production (including poultry)

3. Human Health Ensuring that human health services enable the public to be protected against newly emerging infections, especially those from the animal kingdom, with predictable capacity to detect and respond to suspicious incidents using the provisions of the International Health Regulations

4. Public Information and Communication to Support Behaviour Change Establishing social mobilisation campaigns (using effective communications, a range of media, as well as incentives and regulations) to encourage the public, farmers and professionals to change age-old livestock rearing practices and promote bio-security

6. Continuity under Pandemic Conditions Preparation for the maintenance of essential functions for continuity of livelihoods and security, governance and economic systems in the event of a pandemic 7. Humanitarian Common Services Support Getting ready to provide effective humanitarian support to societies – particularly to vulnerable groups - whose survival and well-being will be endangered by a pandemic

5. Coordination of National, Regional and International Stakeholders Intra-governmental machinery that ensures coordinated action among different sectors

National Contributions to the coordinated global response: a shared vision a) Control highly pathogenic avian influenza in poultry, and reduce the risks that this disease poses for members of the human

population exposed to it; b) Watch out for sustained human to human transmission of highly pathogenic influenza through vastly improved surveillance, and be

ready to contain it; should containment not be successful, c) Mitigate the impact of a pandemic on human health, society, economic systems and governance.

Healthy Livestock Production Systems

Functioning public health systems

Social mobilisation with communication for behaviour change

Crisis preparedness that includes preparation for influenza pandemics

Coordinated financial and technical support

Six factors for in-country success 1. High level political commitment to implementation accompanied by effective leadership of all concerned stakeholders. 2. Procedures and systems for rapidly scaling up implementation of priority actions in key sectors, at local and central level. 3. Government commitment to improved management of veterinary and human health services, with transparent sharing of information

on outbreaks, immediate establishment of cause, and prompt responses 4. Incentive and/or compensation schemes that encourage immediate reporting of suspected outbreaks and sustain livelihoods 5. Effective strategic alliances of civil society, private sector, and all levels of government 6. Collective Government support for mass communication on HPAI risks and healthy behaviour.

Synergised support from the United Nations System around seven objectives

Three intensities of implementation: 1) Countries with Strong Capacity to Implement (SIC), 2) Countries with Moderate Capacity to Implement (MIC), and 3) Countries with Restricted Implementation Capacity (RIC)

Five Areas of Action

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I UN System Agencies’ Actions for the Seven Objectives:

Overall Progress 1 Highly Pathogenic Avian Influenza (HPAI) is a continuing threat to animal health, to the poultry industry, and to human health. The current epizootic caused by the H5N1 virus continues: since August 2006 outbreaks have been confirmed among poultry in China, Thailand, Laos, Russia, Egypt, Sudan and Nigeria. The virus is continuously present (enzootic) in much of Indonesia. Livelihoods of those who lose birds either as a result of disease, or due to the practice of control measures, continue to be at risk. The rate at which confirmed human cases appears is now as high as ever, with the majority of new cases also coming from Indonesia. There is still a possibility that this virus will become capable of sustained transmission between humans: this is increased each time someone is infected. Nevertheless, the WHO assessment of pandemic alert remains at phase 3. 2 Countries the world over need (and seek) substantial and sustained assistance from agencies, funds and programmes of the United Nations System and their partners. The needs of countries differ greatly. Countries currently affected by H5N1 highly pathogenic Avian Influenza have intense and urgent needs to enable them to respond effectively. Countries not yet affected seek help to build capacity in their animal and human health, and crisis preparedness, sectors. All countries need to engage in effective social mobilisation programmes supported by powerful and widespread communications campaigns. Countries with strong implementation capacity (SIC) expect the international community to convene stakeholders, set norms and standards, harmonise external cooperation, maintain support through regional and international technical networks, and monitor progress. Countries with a more moderate implementation capacity (MIC) have similar expectations but also require substantial and sustained technical and financial assistance so as to be able to realize the international norms and standards. Up to 30 countries with restricted implementation capacity (RIC) may need to draw on the direct assistance of the international community – to help with aspects of programme implementation until the in-country response is adequate. Special arrangements are needed to respond to the needs of refugees: 1.8 million are located within 24 African countries and a further 1.5 million within 11 countries in the rest of the world. Special arrangements are also needed for IDPs living in camp settings. 3 Within countries the UN System Resident Coordinators have a key role in bringing together UN System agencies and supporting national contingency planning efforts, working in concert with country directors of the World Bank and other Development Banks, with bilateral donor agencies and with global, regional and local-level bodies that support effective country-level actions. UN System agencies, funds and programmes route their support to countries through their representatives in countries – together they constitute the UN country team which is led by the Resident Coordinator. Working closely with the World Bank Country Directors, Resident Coordinators and UN country teams help governments build synergy within the external community, and mobilise, manage and account for external resources. Objective 1 - Improving Animal Health and Bio-security 4 FAO and OIE continue to analyse the situation regarding HPAI, assess the capacity and impact of veterinary services, performance of national laboratories and review emergency plans. Information is published at regular intervals. The FAO/OIE Global Strategy for the Progressive Control of Highly Pathogenic Avian Influenza (HPAI) is being updated to take account of latest findings. Through its Emergency Centre for Trans-boundary Animal Diseases (ECTAD), FAO has provided ever-increasing strategic support for surveillance and disease control efforts in infected countries and assisted non-infected countries with prevention and preparedness activities. Since the beginning of 2006 FAO staff and consultants have carried out over 160 field missions to assess country needs and analyse the HPAI disease situation. Some missions have been carried out in

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Avian and Human Pandemic Influenza: Consolidated Action Plan for Contributions of the UN System and Partners Revised Activities and Financial Requirements up to December 2007

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conjunction with partner agencies – particularly OIE, the World Health Organisation, UNICEF and the World Bank. 5 The OIE developed an official evaluation tool for veterinary services, trained experts and begun the official evaluations of developing affected and at risk countries upon their request: over 40 OIE certified PVS1 experts have now been trained and 15 PVS Pilot Country Evaluations are ongoing. Since April 2006, FAO provided direct support to 66 countries with assessment missions and longer term technical expertise to help them prepare for, prevent, quickly detect, rapidly respond or eradicate outbreaks of HPAI. For those countries where the disease has become endemic, FAO experts have helped to manage HPAI and minimise the longer term impact of the disease. They have contributed to upgrading surveillance, laboratory capacity, veterinary infrastructure and biosecurity on farms and throughout the production chain in line with OIE international standards. In some countries, like Indonesia, the intensive support is just beginning to have an effect; in others, including Nigeria, there has been continued improvement of service provision. Challenges continue to be faced in many contries with relatively less well developed veterinary services. FAO is focusing on how HPAI disease is modulated by animal husbandry, ecology and land use and has conducted several workshops and studies to inform effective action. OIE/FAO produced a document on good governance2 to build capacity for the control of epizootic diseases and limit their spread. This document informs the elaboration of strategies for the progressive control of HPAI in affected countries and its prevention in countries not yet affected. 6 FAO has developed country specific projects for interim emergency assistance to strengthen veterinary services in line with OIE standards and build human and physical resource capacity to appropriately respond to HPAI outbreaks. It has provided policy advice, strategy design, technical information and guidelines, contingency planning and technical assistance to countries in Asia, the Middle East, Africa, Europe and Latin America. In Africa, FAO and OIE work with the Inter-African Bureau for Animal Resources of the African Union (AU-IBAR) and the Initiative for African Livestock (ALIVE). In addition to focused country support, FAO has trained national staff by organising and conducting regional training workshops in contingency planning, laboratory diagnosis and epidemiology/wild bird surveillance. Numerous training activities are underway such as the Participatory Disease Surveillance (PDS) and Participatory Disease Response (PDR) which are ongoing and quickly expanding in Indonesia. 7 Through a range of training activities in several regional workshops and the deployment of technical assistance when requested, FAO and OIE have helped to establish linkages between countries and international FAO and OIE reference laboratories where samples can be sent for analysis. FAO has established a contract with World Courier for shipment of hazardous biological samples as well as guidelines for collection and manipulation of samples. This activity promotes safe and efficient diagnostic methodologies and builds on networks and joint work at regional levels. The OIE / FAO influenza network OFFLU has encouraged the sharing of virus strains and data on the animal human interface to enable analysis of the molecular epidemiology of the virus and the timely submission of strains useful for human vaccine development to the WHO Reference Laboratory. Establishment of more reference laboratories in developing countries is being promoted by laboratory twinning with OIE and FAO reference laboratories. 8 The Crisis Management Center (CMC), recently launched by FAO in collaboration with OIE, links with ECTAD and the Emergency Prevention System for Transboundary Animal and Plant Pests and Diseases (EMPRES). It is a global frontline facility that has the capability to respond immediately to affected and at-risk countries, the moment they request assistance and working in close cooperation

1 PVS: Performance, Vision and Strategy: a tool for the Evaluation of Veterinary Services 2 “Ensuring good governance to address emerging and re-emerging disease threats – Supporting the veterinary services of developing countries to meet OIE international standards on quality”, endorsed by the International Conferences of Geneva and Beijing and published by the OIE, last updated in August 2006 (http://www.oie.int/downld/Good_Governance/A_good_gouvernance.pdf )

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with appropriate ministeries of these countries, to send out rapid assessment teams or rapid response teams of experts to the countries. from May through September 2006, 15 rapid assessment and rapid response teams were deployed to 15 countries to collect and analyse information in realtime in order to assess the situation on the ground and deliver rapid solutions. The establishment of the CMC to full operational capacity is an ongoing process. 9 FAO is providing supplies and equipment to countries through ECTAD in a way that responds to the level of urgency and the countries' response capacities. Supplies have included emergency kits and basic emergency laboratory equipment and supplies to support the veterinary services in more than 97 countries in order to assist in disease surveillance and outbreak containment. Objective 2 – Sustaining livelihoods 10 FAO has examined the socio-economic impact of HPAI on the animal health sectors and on the social and economic status of people whose animals affected by both illness and the impact of movement restrictions, culling and other control measures. In the last six months there has been major work on incentive systems and compensation practice, culminating in the production of a compendium of best practices (with the World Bank). 11 FAO is part of a working group with other UN agencies, NGOs, private sector entities, national counterparts and donor agencies to address the socio-economic and policy issues that are related to HPAI. This working group assesses the human dimensions of HPAI on markets, households, livelihoods (with particular attention on the small poultry producer), food security, and the related institutional challenges of delivering sustainable and cost-effective disease control with the poultry production and marketing systems that are evolving, and in some cases, systematically being restructured. WFP is incorporating Avian Influenza specific indicators within its own Vulnerability and Analysis Mapping (VAM) methodology. In August 2006 a UN knowledge network on HPAI socio-economics was established with the object to improve the effectiveness of collaboration within the UN System by sharing of knowledge on activities, methods and outputs, to benefit the countries and development partners. The network has recently been launched as a restricted email list. 12 FAO has provided advice on compensation plans to several countries and made available guidelines for designing a compensation strategy. It has been addressing the social and economic impacts of HPAI outbreaks and control measures at all levels through reports on livelihoods and equity impacts, particularly for small scale producers and those dependent on the poultry sector, analysis of food security and nutrition impacts, advice on approaches to rehabilitation and analysis of impacts of possible changes in the structure of the poultry sector. 13 Needs assessments and gap analysis are being conducted, with UNDP, at local government and community levels, and provide the basis for advice on economic recovery as well as capacity building to manage socio-economic impacts of HPAI. UNDP is supporting the design and implementation of compensation funds for affected farmers in specific countries. It emphasises the link between Avian Influenza and poverty and as such supports the design of alternative livelihoods strategies for those who could be potentially affected, especially small producers, linking short-term relief and risk coping operations to long-term development and risk mitigation strategies. Objective 3 – Human Health 14 WHO continues to support countries as they make the necessary investments so that they will be in a position to enact the International Health Regulations. WHO assists in the investigation of suspected human cases of avian influenza with support for laboratory confirmation, field investigation and reporting. WHO has introduced new protocols for the sharing of biological specimens from suspected cases and samples of viral material so as to better meet the needs of the international community. WHO, FAO and OIE are reinforcing their linkages on combined approaches to animal and human health.

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Avian and Human Pandemic Influenza: Consolidated Action Plan for Contributions of the UN System and Partners Revised Activities and Financial Requirements up to December 2007

24 November 2006 ________________________________________________________________________________________________

15 WHO convened the Pandemic Influenza Task Force which will be charged with providing technical advice on pandemic alert levels, containment and response in the event that sustained human to human transmission of a pandemic virus is suspected. WHO is leading the planning for rapid response efforts for pandemic containment including the development of rapid response protocols, the management of stockpiles of antiviral medicines and the development of procedures for risk communication. Countries are also being helped, through WHO and other UN System agencies, to build the capacity they need to cope with a pandemic – formulating and testing pandemic response plans and helping to build core capacities that are found to be lacking when the plans are put to the test. In October 2006, WHO and UNHCR have been testing WHO training modules for Pandemic Influenza preparedness and mitigation in refugee and displaced populations in Kenya. 16 By convening high level meetings of researchers and private entities, WHO is coordinating global scientific research and development, putting particular emphasis on protocols for the use of antiviral medicines, especially for prophylaxis, for increasing accessibility of vaccines in the event of pandemic influenza and for improving the accessibility of laboratory services within the context of the Global Outbreak Alert and Response Network. Objective 4 – Coordination of National, Regional and International Stakeholders 17 Successful implementation of strategic actions in relation to upgrading the livestock sector, improving the functioning of human public health systems, mobilising societies to take action that will improve their health and well-being, and improving capacity for crisis preparedness in ways that take account of influenza pandemics is only possible if these outcomes are given high priority within the collective processes of local and national government. This prioritisation calls for the following success factors:

� A strong commitment to ensuring their implementation at the highest political level, accompanied by effective leadership of all concerned stakeholders.

� Clear procedures and systems for managing the rapid implementation of priority actions in

each of the sectors concerned, at local and central level. � A commitment by all sectors of government to the improved functioning of veterinary and

human health services at all levels, with collective support for a transparent approach to the sharing and dissemination of information about suspected disease outbreaks, immediate efforts to establish their cause, and prompt responses (including restriction of movement of animals that could cause the dissemination of outbreaks)

� Incentive and/or compensation schemes that encourage the immediate reporting of suspected

disease outbreaks to responsible authorities and that limit the potential for control measures to result in serious social and economic disadvantage

� Effective mobilisation of civil society and the private sector as well as all levels of

government to work together on transforming the livestock sector, supporting human public health services, promoting social mobilisation, communication of key information to the public, and preparedness for pandemic influenza as a potential disaster

� Collective support by all of Government for national, regional – and global - mass

communication campaigns that promote healthy behaviour and focus on reducing the extent to which humans might be exposed to HPAI viruses.

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18 Within the United Nations System UNDP focuses most on support to effective governance around development issues, including actions linked to crisis preparedness and response. OCHA has a critical role in supporting strategies for disaster reduction. Both UNDP and OCHA have provided sustained and effective support at the national level to encourage the emergence of the six success factors described above. They have conducted assessments of the strengths, weaknesses, opportunities and constraints of the agencies and institutions responsible for managing the National and State response in Avian Influenza. As indicated in paragraph 2 above, coordinated external support is also key, especially in countries with restricted implementation capacity that can easily be overwhelmed by the demands placed on them by different donor and international agencies. Resident Coordinators, together with the UN country teams, and representatives of the World Bank, other Development Banks and donor agencies have sought to coordinate external assistance, working within the institutional arrangements for support to implementation agreed in Beijing in January 2006 (the “Flexible Financing Framework”). The office of the UN System Influenza Coordinator (UNSIC) has been linking with national governments, UN and non UN agencies, private sector groups and voluntary organisations at regional and sub-regional levels in ways that promote synergy of actions and use resources effectively to achieve outcomes. It has also ensured, with the collaboration of Resident Coordinators, that the UN System is preparing itself to keep its staff safe and to maintain operational continuity in the event of an influenza pandemic. The UN System’s contribution to the coordination of implementation support is currently the subject of an independent study which will be reporting by the end of November 2006. Objective 5 – Public Information and Communication to Support Behaviour Change 19 The UN System has recognized, during 2006, that community actions are at the heart of responses to highly pathogenic avian influenza, and preparedness for a human pandemic. For responses to be effective, people’s actions should reduce the risk that animals are affected, that humans become infected, that infected humans die, or that human infection evolves into a pandemic. Such risk-reducing actions often require changes in people’s habitual behaviour – changes that will only come about if they are understood and seen to be worth the effort. This aspect of the strategic response to the threats posed by Avian and Human Influenza (AHI) started to receive attention at the FAO, WHO, OIE and World Bank strategy development meeting in Geneva, November 2005. Since then countries affected by Avian Influenza have appreciated that successful communication - whether it be with members of the public, or with groups who might be at particular risk (including health professionals and persons working in livestock markets) - is a priority for avian and pandemic influenza programming. 20 As highly pathogenic avian influenza spread across the world during the early months of 2006, countries initiated communications programmes both to inform their public about the nature of the outbreak and the risks they faced, and to encourage appropriate changes in behaviour. FAO, WHO and UNICEF responded rapidly to requests for a short set of universal messages that would guide the key risk reducing behaviours for all communities at risk of AHI. FAO and WHO are developing communication plans to address outbreak communication for animal and human health issues, and then the messages for behaviour change communication that take account of deep-rooted livelihood practices and the longer-term socio-economic implications of change. Information packages for the media, frontline extension workers, the scientific community and health, agriculture and livestock ministries have been developed. The work is being implemented at country level in close cooperation with the relevant ministries. Responding to emerging requests from Ministries of Agriculture of various countries, FAO has recently started collaborating with WHO in the adaptation and development of an Outbreak Communications Training Module specifically orientated for Ministries of Agriculture. Inter-agency toolkits, guides and materials are being prepared and communication research/evaluation methodologies and community based surveys of knowledge, attitude and practice and Participatory Action Research studies on HPAI are underway

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Avian and Human Pandemic Influenza: Consolidated Action Plan for Contributions of the UN System and Partners Revised Activities and Financial Requirements up to December 2007

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21 UNICEF has been key in developing sensitisation campaigns adapted to the need of specific countries, particularly in Asia, in order to trigger social mobilisation and behaviour change. It works in partnerships with FAO, WHO, the World Bank, NGOs, specialised communication agencies, poultry producers and farmer associations, and communications teams from agriculture ministries in various countries. WFP, together with UNICEF, has piloted programmes within the Asia region, and is now initiating a similar approach with other regions. UNWTO has set up a special communications programme for travel industry stakeholders and, through them, for tourists. 22 UNICEF has taken the lead in helping national and local officials devise and implement strategies for social mobilisation for changes in behaviour so as to reduce risks to health. UNICEF has established an ongoing system for systematic support for behaviour change communication in South and East Asia, the Middle East, Eastern Europe and Africa, using some common elements (when these were appropriate) but always adapting strategies to local and national circumstances.

23 The UN Systems agencies and their partners, including the World Bank, have learnt the lessons of past communications campaigns, and sought to apply similar action learning techniques as country after country invested in campaigns of its own. Agencies have appreciated the need for research into existing practices and their determinants, the knowledge that underlies them, and the emotions and incentives that might encourage desired changes. Within the context of its Government of Japan-supported programme, UNICEF staff has emphasised the importance of on-going action research to support communication strategies. This has resulted in (a) a series of baseline behaviour studies, (b) regular review of individual strategies, and (c) frequent “best practice” analyses, including one recently conducted jointly by the UN and World Bank within the Bank’s Global Distance Learning Network, in October 2006. The assembly of collected best practice will be available to all interested parties through a UNICEF-hosted web-based resource centre to be launched in December 2006. Objective 6 - Continuity under Pandemic Conditions 24 National governments are increasingly adopting a “One Government Response” to the threat posed by a human influenza pandemic. The response is characterized by synergy across different government ministries; between local, state and national government; and between government and civil society, private sector and media partners. The response is expected to include procedures for ensuring continuity of access to basic services, of rule of law, of financial services and of societies under the crisis conditions that pertain during an influenza pandemic. The reserve capacity of humanitarian agencies – both within and outside government – to provide large-scale Relief should also be scaled up. In this regard, WFP has conducted over 60 Logistic Capacity Assessments which address the logistics systems for priority countries. 25 An increasing number of national pandemic contingency plans is being subject to tests – desk-top exercises, simulations and drills – so as to see whether or not they are, in practice, able to be implemented. In recent months, national authorities in the Middle East and North Africa, Europe, Asia, and the Americas have been particularly likely to subject their plans to these tests. FAO has planned future desktop simulation workshops as a crucial tool for improving countries' contingency and operational plans for HPAI. UN agencies and the World Bank are working together on the issue of contingency plans and has assisted countries in their national response capacity and emergency preparedness and response. The engagement of the UN System is being solicited and the collective efforts of UNDP, WFP, UNICEF and OCHA are supporting FAO and WHO to ensure a multisectoral approach to preparedness. 26 This is vital as previous public health crises such as HIV and SARS indicate that even where public health response is strong, a weak contribution from other sectors leads to more people being vulnerable, greater suffering, and increased social, economic and humanitarian consequences. The

12

early results of pandemic preparedness exercises show that these lessons still need to be learnt and applied in many countries. The UN System will help ensure that the lessons of experience are available to national officials and institutions, to civil society, to civil-military liaison groups and to voluntary organisations – and are incorporated within the repertoire of national disaster preparedness actions. 27 To this end, a multi-agency Pandemic Influenza Contingency Support (PICS) Team was established, supported by OCHA and UNDP, with a mandate of assisting countries as they minimise the social, economic governance and humanitarian consequences of the next pandemic. The teams focus on non-medical factors, and do this in advance of the pandemic in order to ensure robust multi-sectoral engagement from the start – with technical leadership from the public health profession and engagement of high-level political and managerial authority. The PICS Team will ensure that UN System staff are well equipped to help national authorities assess their pandemic contingency from a disaster preparedness perspective, to design, implement and test robust and high quality preparedness plans which reflect international best practice, and scale up their preparations. The team will help to ensure the UN System is able to respond adequately to the challenges of a pandemic by improving existing regional mechanisms, and setting them up where they currently do not exist. The inter-agency PICS Team will be comprised of a small core group in Geneva with regional focal persons in Bangkok, Dakar, Nairobi and Johannesburg, and later, in Central Asia, the Middle East, and Latin America and will work closely with NGO, private sector and other relevant actors. Objective 7 - Humanitarian Common Services Support 28 The next pandemic will “test notions of global solidarity”. Wherever possible, countries will need to work in harmony to address and rectify gaps in pandemic preparedness plans and to ensure that they have the necessary common humanitarian services to support emergency responses and enable all populations, particularly the most vulnerable, to have access to basic needs. UNCTs have been at the forefront of addressing ‘common service support’, through the development of their country specific plans for both continuity of operations and support to national authorities WFP has developed analytical maps on AHI through collaboration with FAO, WHO and other key partners. It has also developed a Logistics Concept of Operations (LOGS CONOPS) and has been engaged with WHO in discussion for the provision of logistics and other operational support. WFP along with UNICEF and OCHA, continues to provide in many locations ICT common service support, and with the potential limitation of surge capacity, the need for pooling resources is a key feature in many of the country based plans. The Rockefeller Foundation, working with different UN System agencies (most particularly WHO) has established the ethical and human rights concerns that must be taken into account in responding to avian influenza and the threat of a human pandemic.

II Arrangements for Implementing the Consolidated Action Plan 29 UN Agency Action and Reporting: The Consolidated UN Action Plan sets out the objectives for responses to Avian and Human Pandemic Influenza to which various UN Systems agencies, funds and programmes and other organisations contribute. At the same time, it presents (a) the work of different UN agencies, funds and programmes as well as other organisations as they establish unified action, (b) their financial requirements to respond to country needs through global and regional action, and (c) their support to essential actions within countries. The work of these different entities is monitored through their Executive Boards and nothing in this Consolidated Action Plan envisages that the normal monitoring process will be supplanted. As such, the individual UN agencies, programmes and funds will have primary responsibility for monitoring progress on their strategic contributions and desired results, and reporting on these. However, the emphasis within the consolidated approach is on the synergy of the contributions made by individual entities. The UN System Influenza Coordination Office (UNSIC) will continue to report on the overall UN System contribution to the fulfilment of the objectives and their respective impact, focusing particularly on

13

Avian and Human Pandemic Influenza: Consolidated Action Plan for Contributions of the UN System and Partners Revised Activities and Financial Requirements up to December 2007

24 November 2006 ________________________________________________________________________________________________

the synergy between individual agencies and on any programme changes that are necessary to fill gaps in the response as the AHI situation changes over time. 30 Funding: The prevailing mechanism for routing cash to agencies is the direct transfer from individual donors to the respective UN System agency, programme and fund and partners. One additional means for donor support to this Consolidated Action Plan is the newly established Central Financing for Influenza Action (CFIA). The CFIA is designed as a financing mechanism that i) enhances inter-agency coordination, ii) respects the key UN agency responsibilities iii) promotes the coherence, effectiveness, and predictability of the overall UN System response and iv) simplifies, through one pooled account, their capacity to support the range of UN agencies engaged in specific responses. It will assist focused joint planning and implementation. To ensure that the CFIA constitutes a strategic instrument that brings added value to the international response to AHI, the focus and allocations of this financing mechanism will be designed as gap filling interventions, within the strategic framework of the UN Consolidated Action Plan, to be used when critical activities in the Plan cannot be adequately funded, or in a satisfactory manner, through other channels, including internal agency allocations, bilateral funding or when new needs arise, including the need to move cash rapidly to countries and partners on the ground, for which other funding mechanisms are inadequate (in terms of timing, volume, scope, coverage). As such, funds contributed to the CFIA would not be in place of funds that might be channeled to any existing individual agency for AHI or emergency funds more generally. 31 Implementation: Different UN Systems agencies, funds, programmes and partners will be responsible for implementing actions outlined in this plan and modifying the actions in the light of changing realities and contexts. However, the principle of a synergised approach to supporting national and regional authorities with the achievement of their expected results will be the defining characteristic of the UN System’s overall implementation arrangements. The plan remains a living document capable of change in the light of evolving circumstances.

14

III

Log

ical

Fra

mew

ork

Obj

ectiv

e 1.

Ani

mal

Hea

lth a

nd B

iose

curi

ty

Ens

urin

g, th

roug

h a

glob

al, c

ohes

ive

fram

ewor

k in

res

pons

e to

avi

an in

flue

nza

in p

oult

ry, t

hat a

nim

al h

ealt

h is

saf

egua

rded

, bio

-sec

urit

y is

bro

ught

up

to s

tand

ard,

and

ca

paci

ty is

ther

e, w

hen

need

ed, f

or s

cali

ng u

p ve

teri

nary

ser

vice

s to

det

ect e

arly

and

sta

mp

out r

apid

ly n

ew a

vian

infe

ctio

ns th

roug

h pr

ompt

mov

emen

t res

tric

tion

s an

d cu

llin

g, a

nd f

or s

usta

inin

g va

ccin

atio

n of

pou

ltry

and

oth

er in

terv

enti

ons

whe

n th

ey a

re in

dica

ted.

Cla

rify

ing

how

the

emer

genc

e of

pan

dem

ic a

gent

s, f

ood

and

agri

cult

ural

pr

acti

ces,

land

use

and

eco

syst

em m

anag

emen

t are

rel

ated

E

xpec

ted

Impa

ct: i

mpr

oved

vet

erin

ary

capa

city

to r

espo

nd to

ani

mal

hea

lth

conc

erns

wit

h sp

ecia

l em

phas

is o

n A

vian

Inf

luen

za a

nd r

each

ade

quat

e bi

osec

urit

y st

anda

rds

wor

ldw

ide

Purp

oses

O

utpu

ts

Act

iviti

es

1.1

Prov

ide

a co

hesi

ve

resp

onse

to a

vian

in

fluen

za in

pou

ltry

rela

ted

to in

tern

atio

nal

(OIE

) sta

ndar

ds

1.1.

1 FA

O in

col

labo

ratio

n w

ith O

IE

Ana

lysi

s of

, and

res

pons

e to

, the

H5N

1 si

tuat

ion

in p

oult

ry a

nd w

ild

bird

s th

roug

h th

e pr

ovis

ion

of

a gl

obal

fra

mew

ork

for

a co

hesi

ve r

espo

nse

rela

ted

to in

tern

atio

nal (

OIE

) st

anda

rds

1.1.

2 FA

O in

col

labo

ratio

n w

ith O

IE

Nat

iona

l aut

hori

ties

abl

e to

rec

eive

pro

mpt

and

va

luab

le s

uppo

rt th

roug

h a

rapi

d re

spon

se s

ervi

ce

1.1.

3 O

IE a

nd F

AO

M

ore

refe

renc

e la

bora

tori

es in

dev

elop

ing

coun

trie

s (l

abor

ator

y tw

inni

ng)

1.1.

4 U

NH

CR

S

urve

illa

nce

and

dete

ctio

n in

ref

ugee

set

ting

I.

Ass

essm

ent o

f th

e co

untr

y si

tuat

ion

conc

erni

ng r

isks

of

HP

AI

and

its

mit

igat

ion.

II

. A

sses

smen

t of

surv

eill

ance

sys

tem

s an

d na

tion

al la

bora

tori

es

III.

Rev

iew

of

emer

genc

y pl

ans

and

fiel

d ex

erci

ses

IV.

Coo

rdin

ate

coun

try

supp

ort s

o as

to c

ont r

ibut

e to

con

cert

ed in

tern

atio

nal e

ffor

ts

V.

Ass

ess

gove

rnan

ce c

apac

ity

and

impa

ct o

f V

eter

inar

y S

ervi

ces

(OIE

) I.

R

apid

inci

dent

res

pons

e in

rel

atio

n to

new

avi

an in

flue

nza

infe

ctio

ns

II.

Ass

ist i

n th

e im

plem

enta

tion

of

resp

onse

s th

roug

h st

rate

gic

alli

ance

s an

d pa

rtne

rshi

ps w

ith

fiel

d N

GO

s an

d pr

ivat

e en

titi

es

III.

Cri

sis

Man

agem

ent C

entr

e (C

MC

) to

ass

embl

e, a

naly

se a

nd c

omm

unic

ate

rele

vant

di

seas

e da

ta a

nd e

arly

war

ning

mes

sage

s; d

eplo

y ra

pidl

y sp

ecia

lise

d te

ams

to

infe

cted

are

as

I.

Iden

tify

labo

rato

ries

and

exp

erts

invo

lved

II

. C

olle

ct in

form

atio

n re

late

d to

the

acti

vity

and

exi

stin

g ca

paci

ty o

f th

e ap

p lic

ant

labo

rato

ry f

or A

I (a

nd o

ther

em

ergi

ng o

r re

-em

ergi

ng d

isea

ses)

for

whi

ch c

apac

ity

buil

ding

is r

equi

red

III.

Pre

pare

det

aile

d w

ork

plan

and

tim

esca

les

to e

nabl

e th

e ap

plic

ant l

abor

ator

y to

fu

lfil

l in

the

futu

re th

e re

quir

emen

ts o

f an

OIE

/FA

O R

efer

ence

Lab

orat

ory

I.

Set

ting

up

repo

rtin

g sy

stem

s, c

oord

inat

ion

and

surv

eill

ance

mec

hani

sms

at c

amp,

na

tion

al a

nd g

loba

l lev

els

15

Avi

an a

nd H

uman

Pan

dem

ic I

nflu

enza

: Con

soli

date

d A

ctio

n P

lan

for

Con

trib

utio

ns o

f th

e U

N S

yste

m a

nd P

artn

ers

R

evis

ed A

ctiv

itie

s an

d F

inan

cial

Req

uire

men

ts u

p D

ecem

ber

2007

24

Nov

embe

r 20

06

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

1.2

Bri

ng b

iose

curi

ty u

p to

stan

dard

and

cre

ate

capa

city

for

scal

ing

up

vete

rina

ry se

rvic

es

1.2.

1 FA

O

Cou

ntri

es a

ffec

ted

by a

nd a

t ris

k of

HP

AI

rece

ive

nece

ssar

y te

chni

cal a

ssis

tanc

e to

ach

ieve

in

tern

atio

nal s

tand

ards

for

ani

mal

hea

lth

and

bios

ecur

ity

1.2.

2 FA

O

Vet

erin

aria

ns a

nd o

ther

per

sonn

el a

re c

ompe

tent

to

impl

emen

t lab

orat

ory

serv

ices

, und

erta

ke f

ield

in

vest

igat

ions

, rec

ogni

ze d

isea

se, u

se p

rote

ctiv

e eq

uipm

ent,

and

be o

pera

tion

ally

pre

pare

d fo

r co

ntin

genc

ies

1.2.

3 O

IE in

col

labo

ratio

n w

ith F

AO

G

ap a

naly

sis

rela

ted

to in

tern

atio

nal (

OIE

) st

anda

rds

on V

eter

inar

y S

ervi

ces

1.2.

4 U

NH

CR

L

abor

ator

y an

d ve

teri

nary

ser

vice

s in

ref

ugee

se

ttin

g

I.

Adv

ice

to g

over

nmen

ts o

n na

tion

al s

trat

egie

s fo

r co

ntro

l of

high

ly p

atho

geni

c av

ian

infl

uenz

a II

. In

cou

ntri

es w

here

HP

AI

has

beco

me

ende

mic

, pro

vide

adv

ice

to g

over

nmen

ts in

de

velo

ping

long

term

str

ateg

ic p

lans

for

con

trol

and

str

ateg

ic v

acci

nati

on s

chem

es

I.

Dir

ect t

echn

ical

sup

port

thro

ugh

trai

ning

of

loca

l vet

erin

aria

ns a

nd o

ther

ani

mal

he

alth

wor

kers

to e

nabl

e th

em to

fac

e th

e H

PA

I sp

read

II

. P

rovi

de e

quip

men

t for

and

ass

ista

nce

wit

h la

bora

tori

es b

ased

on

need

s as

sess

men

ts.

I.

Ass

ess

gove

rnan

ce c

apac

ity

and

impa

ct o

f V

eter

inar

y S

ervi

ces

II.

Fol

low

-up

on f

indi

ngs

I.

Ens

ure

that

pro

toco

ls a

nd p

athw

ays

for

labo

rato

ry a

nd v

eter

inar

y se

rvic

es a

re in

pl

ace

1.3

Bri

ng to

geth

er

rele

vant

inte

rnat

iona

l ex

pert

ise

with

reg

ard

to

the

evol

utio

n of

the

new

em

ergi

ng H

PAI H

5N1

viru

s

1.3.

1 FA

O

Cla

rifi

cati

on o

f th

e li

nk b

etw

een

the

emer

genc

e of

pat

hoge

ns a

nd f

ood

and

agri

cult

ure

prac

tice

s 1.

3.2

OIE

and

FA

O

Wor

ldw

ide

netw

ork

of la

bora

tori

es a

nd e

xper

tise

sp

ecia

lise

d in

avi

an in

flue

nza

(OF

FL

U).

I.

Car

ry o

ut d

isea

se e

pide

mio

logi

cal a

sses

smen

t of

zoon

otic

and

pan

dem

ic r

isk

– en

hanc

ing

food

and

agr

icul

ture

pra

ctic

es

II.

Car

ry o

ut d

isea

se e

colo

gica

l ass

essm

ent o

f zo

onot

ic a

nd p

ande

mic

ris

k –

enha

ncin

g fa

rmin

g la

ndsc

apes

, lan

d us

e an

d ec

o sy

stem

s us

e an

d m

anag

emen

t II

I. R

evie

w o

ptio

ns f

or s

afer

and

hea

lthi

er n

atur

al r

esou

rce

man

agem

ent,

land

use

, ag

ricu

ltur

e an

d li

vest

ock

sub

sect

ors,

and

min

imiz

ing

zoon

otic

ris

k an

d li

keli

hood

of

pand

emic

age

nt e

mer

genc

e I.

T

rans

fer

of in

flue

nza

stra

ins

betw

een

labo

rato

ries

II

. S

eque

ncin

g of

vir

us s

trai

ns

III.

Dat

abas

e on

seq

uenc

ing

of v

irus

str

ains

IV

. T

rain

ing

in th

e O

FF

LU

labo

rato

ries

16

Obj

ectiv

e 2.

Sus

tain

ing

livel

ihoo

ds

Ens

urin

g th

at th

e ec

onom

ic a

nd p

over

ty im

pact

of

avia

n in

flue

nza

as w

ell a

s re

late

d co

ntro

l mea

sure

s ar

e m

onit

ored

and

rec

tifi

ed; l

imit

ing

any

adve

rse

repe

rcus

sion

s on

th

e M

ille

nniu

m D

evel

opm

ent G

oals

; see

king

fai

r an

d eq

uita

ble

com

pens

atio

n fo

r th

ose

who

se li

veli

hood

s ar

e en

dang

ered

by

avia

n in

flue

nza

and

cont

rol m

easu

res

Exp

ecte

d Im

pact

: mec

hani

sms

in p

lace

to p

rote

ct a

nd s

usta

in li

veli

hood

s of

thos

e af

fect

ed b

y av

ian

infl

uenz

a im

pact

s

Purp

oses

O

utpu

ts

Act

iviti

es

2.1

Mon

itor

and

asse

ss

econ

omic

and

pov

erty

im

pact

of a

vian

in

fluen

za

2.1.

1 FA

O

The

HP

AI

impa

ct o

n li

veli

hood

s an

d it

s co

ntro

l m

easu

res

are

wel

l und

erst

ood

and

infl

uenc

e th

e de

sign

of

cont

rol p

olic

ies

and

stra

tegi

es

2.1.

2 W

FP

Ass

essm

ent a

nd a

naly

sis

impa

ct o

f av

ian

infl

uenz

a (a

nd c

ontr

ol m

easu

res)

on

vuln

erab

le

popu

lati

ons,

par

ticu

larl

y fo

cusi

ng o

n th

e ep

izoo

tic

on li

veli

hood

and

foo

d se

curi

ty

2.1.

3 U

NIC

EF

Impa

ct o

f av

ian

infl

uenz

a on

the

nutr

itio

nal s

tatu

s an

d w

ell b

eing

of

chil

dren

and

wom

en is

ad

equa

tely

add

ress

ed w

hen

asse

ssin

g H

PA

I im

pact

I.

Ana

lyse

the

stru

ctur

e an

d fu

ncti

onin

g of

nat

iona

l pou

ltry

sec

tors

and

mar

ket c

hain

s in

ord

er to

bet

ter

targ

et a

vian

infl

uenz

a co

ntro

l II

. A

dvis

e go

vern

men

ts o

n co

mpe

nsat

ion

stra

tegi

es a

nd r

elat

ed li

veli

hood

s su

ppor

t for

lo

nger

term

to m

itig

ate

nega

tive

impa

cts

of c

ulli

ng

III.

Adv

ise

on c

osts

for

con

trol

, fun

ding

mec

hani

sms

and

trad

e-of

fs o

f di

ffer

ent

com

bina

tion

s of

con

trol

mea

sure

s un

der

diff

eren

t sce

nari

os o

f di

seas

e si

tuat

ion

and

poul

try

sect

or s

truc

ture

IV

. R

evie

w s

ocia

l, ec

onom

ic a

nd b

iodi

vers

ity

impa

cts

of H

PA

I an

d co

ntro

l act

ivit

ies

at

mic

ro/m

eso

leve

l in

orde

r to

adv

ocat

e fo

r th

ose

that

wil

l ach

ieve

con

trol

wit

h th

e lo

wes

t ext

erna

litie

s V

. A

naly

se tr

ade

and

mar

ket s

hock

s an

d co

nsul

t wit

h po

licy

mak

ers

and

maj

or p

riva

te

sect

or p

laye

rs in

ord

er to

sug

gest

mea

sure

s to

mit

igat

e th

ese

shoc

ks

VI.

Adv

ise

on th

e li

veli

hood

s, s

ocia

l and

env

iron

men

tal i

mpl

icat

ions

of

long

term

st

ruct

ure

chan

ges

in th

e po

ultr

y se

ctor

V

II. P

rovi

de te

chni

cal g

uide

line

s fo

r sa

fe a

nd e

cono

mic

ally

via

ble

poul

try

prod

ucti

on

targ

eted

to th

e ne

eds

of s

ecto

rs 3

and

4 p

rodu

cers

I.

S

tren

gthe

n ca

paci

ty f

or li

veli

hood

/foo

d se

curi

ty a

naly

sis

and

mon

ito r

ing

I.

Adv

ocat

e fo

r in

clus

ion

of im

pact

s on

chi

ldre

n an

d w

omen

in a

ny H

PA

I im

pact

as

sess

men

ts a

nd p

rovi

de te

chni

cal i

nput

s

17

Avi

an a

nd H

uman

Pan

dem

ic I

nflu

enza

: Con

soli

date

d A

ctio

n P

lan

for

Con

trib

utio

ns o

f th

e U

N S

yste

m a

nd P

artn

ers

R

evis

ed A

ctiv

itie

s an

d F

inan

cial

Req

uire

men

ts u

p D

ecem

ber

2007

24

Nov

embe

r 20

06

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

2.1.

4 IL

O

Dev

elop

men

t of

met

hodo

logy

to a

sses

s la

bour

m

arke

t im

plic

atio

ns a

nd to

exa

min

e m

easu

res

adop

ted

to m

itig

ate

heal

th a

nd li

veli

hood

-rel

ated

ha

zard

s (i

n po

ultr

y an

d ot

her

sect

ors

such

as

trav

el a

nd to

uris

m)

2.1.

5 U

NW

TO

A

war

enes

s on

the

mul

tipl

ier

effe

ct o

f to

uris

m o

n th

e ec

onom

y in

gen

eral

, the

pot

enti

al a

vian

flu

sc

enar

io im

pact

s an

d th

e be

nefi

ts o

f so

lid

prep

ared

ness

and

res

pons

e

I.

Con

duct

a b

asel

ine

stud

y to

ass

ess

the

impa

cts

of th

e ha

zard

s of

AI

on w

orke

rs.

II.

Col

labo

rate

wit

h go

vern

men

ts a

nd r

egio

nal o

rgan

isat

ions

in a

naly

zing

nat

iona

l and

re

gion

al s

peci

fic

labo

ur m

arke

t con

diti

ons

III.

Dev

elop

a s

ecto

r sp

ecif

ic m

odel

to a

ddre

ss th

e im

pact

on

the

poul

try

sect

or

IV.

Ref

ine

the

empl

oym

ent e

last

icit

y m

odel

to r

eact

to G

DP

loss

est

imat

es p

repa

red

by

Wor

ld B

ank’

s D

evel

opm

ent P

rosp

ect G

roup

(D

EC

PG

) V

. A

naly

se s

ecto

r an

d ec

onom

y lo

ss e

stim

ates

and

pre

pare

rec

omm

enda

tion

s an

d im

pact

ass

essm

ents

I.

S

how

tour

ism

’s im

pact

s on

reg

iona

l eco

nom

ies

in te

rms

of G

DP

and

em

ploy

men

t, us

ing

Tou

rism

Sat

elli

te A

ccou

ntin

g ap

proa

ch

II.

Cor

rela

te w

ith

othe

r ag

ency

ass

essm

ents

II

I. D

evel

op a

sce

nari

o ba

sed

mod

el to

add

ress

the

impa

cts

on th

e to

uris

m s

ecto

r

IV.

Ass

ess

sect

or d

rive

n lo

ss e

stim

ates

acr

oss

econ

omie

s

2.2

Stud

y co

mpe

nsat

ion

sche

mes

/ be

st p

ract

ices

2.2.

1 FA

O

Kno

wle

dge

of c

ompe

nsat

ion

sche

mes

and

bes

t pr

acti

ces

(wit

h th

e W

orld

Ban

k an

d O

IE)

I.

Rev

iew

of

bene

fits

and

ris

ks p

osed

by

diff

eren

t com

pens

atio

n m

echa

nism

s II

. A

dvis

e on

bes

t pra

ctic

es

2.3

Ass

ist i

n th

e de

sign

an

d im

plem

enta

tion

of

mec

hani

sms f

or

com

pens

atio

n an

d th

e de

velo

pmen

t of

alte

rnat

ive

livel

ihoo

ds

2.3.

1 U

ND

P A

ssis

tanc

e to

gov

ernm

ents

as

they

des

ign

and

impl

emen

t mec

hani

sms

for

sust

aini

ng th

e li

veli

hood

s of

per

sons

mad

e vu

lner

able

by

AI

cont

rol m

easu

res

and

poss

ible

con

sequ

ence

s of

a

pand

emic

2.

3.2

WFP

P

rogr

amm

e su

ppor

t to

vuln

erab

le p

opul

atio

ns

who

se f

ood

secu

rity

is im

pact

ed b

y av

ian

infl

uenz

a an

d co

ntai

nmen

t eff

orts

2.

3.3

UN

HC

R

Equ

ival

ent c

ompe

nsat

ion

for

refu

gees

to th

e on

e re

ceiv

ed b

y m

embe

rs o

f ho

st c

ount

ry p

opul

atio

n in

sim

ilar

eco

nom

ic c

ondi

tion

I.

Car

ry o

ut a

naly

tica

l wor

k on

the

pote

ntia

l soc

io-e

cono

mic

con

sequ

ence

s of

an

AI

pand

emic

II

. R

evie

w o

f be

nefi

ts a

nd r

isks

pos

ed b

y di

ffer

ent c

ompe

nsat

ion

mec

hani

sms.

II

I. S

uppo

rt c

omm

unit

y ac

tion

to id

enti

fy a

lter

nati

ve o

ptio

ns f

or li

veli

hood

sec

u rit

y an

d de

velo

p li

nkag

es b

etw

een

avia

n in

flue

nza

and

pove

rty

I.

Ass

ess

the

adeq

uacy

of

food

aid

as

resp

onse

to lo

ss o

f li

veli

hood

and

dev

elop

pr

ogra

mm

es a

ccor

ding

ly

I.

In c

oord

inat

ion

wit

h W

FP

and

nat

iona

l aut

hori

ties

impl

emen

t com

pens

atio

n sc

hem

es

in r

efug

ee s

etti

ngs

18

2.3.

4 IL

O

Tec

hnic

al a

ssis

tanc

e fo

r po

ssib

le c

ompe

nsat

ion

and

live

liho

od s

uppo

rt

2.3.

5 IO

M

Gov

ernm

ent c

ompe

nsat

ion

stra

tegi

es th

at in

clud

e th

e ne

eds

of m

igra

nts

I.

Map

ping

of

scop

e fo

r in

com

e su

ppor

t and

/or

com

pens

atio

n m

echa

nism

s th

roug

h so

cial

pro

tect

ion

mec

hani

sms

II.

Mob

ilis

e su

ppor

t thr

ough

IL

O’s

trip

arti

te c

onst

itue

ncy

III.

Out

line

des

ign

of b

enef

it s

chem

es

IV.

Com

pile

and

dis

sem

inat

e in

form

atio

n to

sta

keho

lder

s in

clud

ing

ILO

con

stit

uent

s.

V.

Sup

port

mon

itor

ing

syst

ems

I.

Ass

ess

and

anal

yse

impa

ct o

f av

ian

infl

uenz

a on

live

liho

od a

nd f

ood

secu

rity

in

mig

rant

pop

ulat

ions

II

. Id

enti

fy a

lter

nati

ves

to li

veli

hood

sec

urit

y in

mig

rant

pop

ulat

ions

II

I. I

dent

ify

and

impl

emen

t com

pens

atio

n m

echa

nism

s fo

r m

igra

nts

O

bjec

tive

3. H

uman

Hea

lth

Str

engt

heni

ng p

ubli

c he

alth

infr

astr

uctu

re, i

nclu

ding

sur

veil

lanc

e sy

stem

s, to

(i)

red

uce

hum

an e

xpos

ure

to th

e H

5N1

viru

s; (

ii)

stre

ngth

en e

arly

war

ning

sys

tem

s,

incl

udin

g ea

rly

dete

ctio

n an

d ra

pid

resp

onse

to h

uman

cas

es o

f av

ian

infl

uenz

a; (

iii)

inte

nsif

y ra

pid

cont

ainm

ent o

pera

tion

s an

d re

spon

ses

for

a ne

wly

em

ergi

ng h

uman

in

flue

nza

viru

s; (

iv)

buil

d ca

paci

ty to

cop

e w

ith

a pa

ndem

ic, i

nclu

ding

sur

ge c

apac

ity

for

a pa

ndem

ic; a

nd (

v) c

oord

inat

e gl

obal

sci

ence

and

res

earc

h, p

arti

cula

rly

as th

is

pert

ains

to th

e av

aila

bili

ty o

f a

pand

emic

vac

cine

and

ant

ivir

al d

rugs

. Str

engt

heni

ng c

omm

unit

y ba

sed

trea

tmen

t of

acut

e re

spir

ator

y in

fect

ions

, inc

ludi

ng p

re-p

osit

ioni

ng

of m

edic

al s

uppl

ies

in p

erip

hera

l are

as to

enh

ance

cap

acit

y to

res

pond

as

wel

l as

to e

nhan

ce n

utri

tion

al s

ecur

ity

and

acce

ss to

mic

ronu

trie

nts

to m

inim

ise

the

impa

ct o

f in

fect

ion

on s

usce

ptib

le p

opul

atio

ns

Exp

ecte

d Im

pact

: sou

nd s

yste

ms

in p

lace

for

saf

egua

rdin

g th

e he

alth

of

hum

an p

opul

atio

ns d

urin

g a

pand

emic

Pu

rpos

es

Out

puts

A

ctiv

ities

by

3.1

Red

uce

hum

an

expo

sure

to th

e vi

rus

3.1.

1 W

HO

R

educ

ed o

ppor

tuni

ties

for

hum

an in

fect

ion

and

redu

ced

oppo

rtun

itie

s fo

r a

pand

emic

vir

us to

em

erge

3.

1.2

ILO

Im

prov

ed w

orki

ng c

ondi

tion

s an

d pr

otec

tion

of

wor

kers

aga

inst

AH

I

I.

Impr

ove

unde

rsta

ndin

g of

ris

k fa

ctor

s fo

r hu

man

infe

ctio

n.

II.

Ens

ure

that

pro

per

isol

atio

n an

d in

fect

ion

cont

rol p

roce

dure

s ar

e fo

llow

ed in

ho

spit

al c

arin

g fo

r su

spec

ted

or c

onfi

rmed

cas

es

I.

Pro

mot

e IL

O s

tand

ards

, pri

ncip

les

and

appr

oach

es o

n oc

cupa

tion

al s

afet

y an

d he

alth

II

. A

ssis

t in

enha

ncin

g na

tion

al in

fras

truc

ture

s an

d sy

stem

s fo

r th

e pr

otec

tion

of

fron

tlin

e w

orke

rs in

agr

icul

ture

and

pou

ltry

pro

duct

ion,

far

mer

s, h

ealt

h w

orke

rs a

nd

labo

ur a

nd f

ood

insp

ecto

rs

III.

Str

engt

hen

capa

city

of

coun

trie

s to

impr

ove

wor

king

con

diti

ons

and

safe

ty a

nd

heal

th a

t wor

k in

hig

h ri

sk o

ccup

atio

ns a

nd w

orkp

lace

s

19

Avi

an a

nd H

uman

Pan

dem

ic I

nflu

enza

: Con

soli

date

d A

ctio

n P

lan

for

Con

trib

utio

ns o

f th

e U

N S

yste

m a

nd P

artn

ers

R

evis

ed A

ctiv

itie

s an

d F

inan

cial

Req

uire

men

ts u

p D

ecem

ber

2007

24

Nov

embe

r 20

06

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

3.2

Stre

ngth

en e

arly

w

arni

ng sy

stem

s

3.2.

1 W

HO

a)

Str

engt

hene

d ca

paci

ty o

f na

tion

al a

nd

inte

rnat

iona

l sur

veil

lanc

e sy

stem

s, u

sing

exi

stin

g in

fras

truc

ture

s, in

way

s th

at e

nsur

e ra

pid

dete

ctio

n of

sus

pect

ed h

uman

cas

es, r

apid

and

rel

iabl

e la

bora

tory

con

firm

atio

n, r

apid

fie

ld in

vest

igat

ion,

an

d ra

pid

and

com

plet

e re

port

ing

to W

HO

b)

Aff

ecte

d co

untr

ies,

WH

O, a

nd th

e in

tern

atio

nal

com

mun

ity

have

all

dat

a an

d cl

inic

al s

peci

men

s ne

eded

for

an

accu

rate

ris

k as

sess

men

t 3.

2.2

UN

HC

R

Str

engt

hene

d ca

paci

ty f

or s

urve

illa

nce,

link

ed to

na

tion

al a

nd in

tern

atio

nal s

urve

illa

nce

syst

ems

amon

g re

fuge

es a

nd o

ther

pop

ulat

ions

of

conc

ern

to U

NH

CR

3.

2.3

IOM

S

tren

gthe

ned

capa

city

for

sur

veil

lanc

e in

mig

rant

po

pula

tion

s.

I.

Con

duct

sur

veil

lanc

es f

or h

uman

cas

es in

cou

ntri

es e

xper

ienc

ing

poul

try

outb

reak

s.

II.

Det

ect i

mpo

rted

or

expo

rted

cas

es

III.

Con

firm

dia

gnos

is

IV.

Und

erta

ke f

ield

inve

stig

atio

ns o

f ca

ses

and

inte

rpre

t the

fin

ding

s, tr

ace

and

mon

itor

co

ntac

ts o

f ea

ch h

uman

cas

e V

. Id

enti

fy p

opul

atio

ns a

t hei

ghte

ned

risk

of

infe

ctio

n an

d in

trod

uce

prot

ecti

ve

mea

sure

s V

I. S

tren

gthe

n m

echa

nism

for

for

mal

col

labo

ratio

n be

twee

n th

e hu

man

hea

lth

and

agri

cult

ural

sec

tors

I.

E

nsur

e th

at c

lini

cal s

peci

men

s an

d vi

ruse

s ar

e sh

ared

wit

h th

e W

HO

net

wor

k of

re

fere

nce

labo

rato

ries

spe

cial

ised

in d

iagn

ostic

wor

k an

d an

alys

es o

f in

flue

nza

viru

ses

I.

Set

ting

up

repo

rtin

g sy

stem

s, c

oord

inat

ion

and

surv

eill

ance

mec

hani

sms

at c

amp,

na

tion

al a

nd g

loba

l lev

el

I.

Ass

ist i

n se

ttin

g up

sur

veil

lanc

e, in

vest

igat

ion

and

resp

onse

to s

uspe

cted

cas

es o

f hu

man

infl

uenz

a in

mig

rant

set

ting

II

. E

nsur

e ac

cess

to a

ntiv

iral

s an

d v a

ccin

es f

or m

igra

nt p

opul

atio

ns

3.

3. In

tens

ify r

apid

co

ntai

nmen

t ope

ratio

ns

and

resp

onse

s for

a

new

ly e

mer

ging

hum

an

influ

enza

vir

us

3.3.

1 W

HO

R

isk

com

mun

icat

ions

on

pote

ntia

l out

brea

ks,

whi

le p

rovi

ding

sub

stan

ce a

nd te

chni

cal i

nput

on

hum

an h

ealt

h is

sues

, inc

ludi

ng p

reve

ntio

n an

d tr

eatm

ent,

for

soci

al m

obil

isat

ion

acti

viti

es b

eing

im

plem

ente

d.

I.

Det

ect t

he e

arli

est e

pide

mio

logi

cal s

ign a

ls th

at th

e vi

rus

may

be

incr

easi

ng it

s tr

ansm

issi

bili

ty a

mon

g hu

man

s II

. Q

uick

ly a

sses

s si

tuat

ions

that

pot

enti

ally

sig

nal t

he s

tart

of

effi

cien

t and

sus

tain

ed

hum

an-t

o-hu

man

tran

smis

sion

of

the

viru

s II

I. S

houl

d as

sess

men

t ind

icat

e th

at h

uman

-to-

hum

an tr

ansm

issi

on is

occ

urri

ng,

inte

rven

e im

med

iate

ly, u

sing

rap

id-r

espo

nse

fiel

d te

ams

and

glob

al a

nd r

egio

nal

stoc

kpil

es o

f an

tivi

ral d

rugs

and

oth

er s

uppl

ies

IV.

Dev

elop

an

oper

atio

nal p

roto

col,

supp

orte

d by

sta

ndar

d op

erat

ing

proc

edur

es, t

o su

ppor

t thi

s in

terv

enti

on

V.

Dev

elop

a c

omm

unic

atio

n pr

otoc

ol to

sup

port

this

inte

rven

tion

, enc

oura

ge

com

plia

nce,

and

min

imis

e th

e st

ress

ex p

erie

nced

by

the

affe

cted

pop

ulat

ion

20

3.4

Bui

ld C

apac

ity to

co

pe w

ith a

pan

dem

ic

3.4.

1 W

HO

C

ount

ries

hav

e fo

rmul

ated

and

test

ed p

ande

mic

re

spon

se p

lans

to e

nabl

e gl

obal

res

pons

e to

a

pand

emic

3.

4.2

UN

HC

R

Wor

king

clo

sely

wit

h W

HO

in r

efug

ee s

etti

ngs,

su

rvei

llan

ce a

nd in

vest

igat

ion

of, a

nd r

espo

nse

to,

susp

ecte

d hu

man

cas

es o

f av

ian

infl

uenz

a an

d in

stan

ces

of e

ffic

ient

hum

an-t

o-hu

man

tr

ansm

issi

on o

f hi

ghly

pat

hoge

nic

infl

uenz

a,

incl

udin

g ta

rget

ed s

uppl

y of

ant

ivir

al a

nd v

acci

nes

3.4.

3 U

NIC

EF

Hea

lth

need

s of

chi

ldre

n an

d w

omen

dur

ing

a pa

ndem

ic a

re a

dequ

atel

y ad

dres

sed

3.4.

4 IO

M

Acc

ess

to h

ealt

h ne

eds

for

mig

rant

pop

ulat

ions

at

risk

of

avia

n in

flue

nza

or o

f an

y po

tent

ial f

utur

e pa

ndem

ic

I.

Pro

vide

gen

eric

gui

danc

e on

the

cont

ent a

nd s

truc

ture

of

a re

spon

se p

lan.

II

. A

ssis

t ind

ivid

ual c

ount

ries

, par

ticu

larl

y th

ose

wit

h li

mit

ed r

esou

rces

, in

the

deve

lopm

ent o

f pl

ans

III.

Tes

t pla

ns in

indi

vidu

al c

ount

ries

, reg

ions

, and

inte

rnat

iona

lly

in o

rder

to id

enti

fy

gaps

in c

ore

capa

citi

es

IV.

Ena

ble

WH

O a

nd it

s re

gion

al a

nd c

ount

ry o

ffic

es to

car

ry o

ut g

reat

ly e

xpan

ded

func

tion

s, a

roun

d th

e cl

ock,

in le

adin

g an

d co

ordi

nati

ng th

e gl

obal

res

pons

e to

a

pand

emic

I.

P

rovi

sion

of

PP

E to

Sta

ff a

nd tr

aini

ng in

ris

k an

d ri

sk a

void

ance

, cas

e m

anag

emen

t, an

d m

anag

emen

t of

was

te

II.

Sec

urit

y of

sta

ff, m

edic

atio

ns, i

sola

tion

s an

d tr

iage

zon

e II

I. S

tren

gthe

ning

of

heal

th s

ervi

ces

to in

clud

e su

rvei

llan

ce, d

etec

tion

, inf

ecti

on c

ontr

ol

and

clin

ical

man

agem

ent (

incl

udin

g st

ockp

ilin

g of

ant

ibio

tics

, par

acet

amol

, and

es

sent

ial d

rugs

for

oth

er d

isea

ses)

I.

S

tren

gthe

n on

-goi

ng c

omm

unit

y-ba

sed

care

for

acu

te r

espi

rato

ry in

fect

ions

and

di

arrh

eal i

nfec

tion

s II

. S

tren

gthe

n nu

trit

ion

secu

rity

and

mic

ronu

trie

n t in

itia

tive

s to

ens

ure

that

chi

ldre

n an

d w

omen

hav

e op

tim

al n

utri

tion

al h

ealth

II

I. C

ontr

ibut

e to

dev

elop

men

t of

nati

onal

pan

dem

ic p

repa

redn

ess

plan

s fo

r he

alth

se

rvic

es

IV.

Sup

port

logi

stic

sys

tem

s to

ens

ure

avai

labi

lity

of

the

appr

opri

ate

esse

ntia

l dru

g s,

espe

cial

ly f

or c

hild

ren

and

wom

en

I.

Str

engt

hen

com

mun

ity

base

d an

d ho

me

base

d ca

re f

or a

cute

res

pira

tory

infe

ctio

n in

m

igra

nt p

opul

atio

ns

II.

Str

engt

hen

nutr

itio

nal s

ecur

ity in

mig

rant

pop

ulat

ions

II

I. S

uppo

rt g

over

nmen

ts to

incl

ude

the

heal

th n

eeds

of

mig

rant

s in

nat

iona

l pan

dem

ic

prep

ared

ness

pla

ns

IV.

Adv

ocat

e fo

r av

aila

bili

ty o

f es

sent

ial d

rugs

to m

igra

nts

3.5

Coo

rdin

ate

glob

al

scie

nce

and

rese

arch

for

av

aila

bilit

y of

a

pand

emic

vac

cine

and

an

tivir

al d

rugs

3.5.

1 W

HO

F

acil

itat

ion

of a

vail

abil

ity

of p

ande

mic

vac

cine

s an

d an

tivi

ral d

rugs

I.

Iden

tify

pri

orit

y re

sear

ch a

reas

and

enc

o ura

ge p

ubli

c an

d pr

ivat

e se

ctor

fun

ding

II

. O

btai

n m

ore

data

on

the

use

of b

oth

clas

ses

of a

ntiv

iral

dru

gs, o

n vi

rus

susc

epti

bili

ty

to th

ese

drug

s, a

nd o

n op

tim

um d

oses

and

dur

atio

n of

adm

inis

trat

ion

for

both

tr

eatm

ent a

nd p

roph

ylax

is in

chi

ldre

n an

d ad

ults

II

I. E

stab

lish

par

tner

ship

s w

ith

gove

rnm

ents

, re g

ulat

ory

auth

orit

ies,

aca

dem

ic in

stit

utes

, an

d in

dust

ry to

fin

d w

ays,

fac

ilit

ated

by

WH

O, t

o in

crea

se v

acci

ne m

anuf

actu

ring

ca

paci

ty q

uick

ly a

nd in

way

s to

ens

ure

equi

tabl

e ac

cess

21

Avi

an a

nd H

uman

Pan

dem

ic I

nflu

enza

: Con

soli

date

d A

ctio

n P

lan

for

Con

trib

utio

ns o

f th

e U

N S

yste

m a

nd P

artn

ers

R

evis

ed A

ctiv

itie

s an

d F

inan

cial

Req

uire

men

ts u

p D

ecem

ber

2007

24

Nov

embe

r 20

06

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

IV.

Ass

ist d

evel

opin

g co

untr

ies

emba

rkin

g on

the

deve

lopm

ent,

regu

lato

ry a

ppro

val,

and

prod

ucti

on o

f pa

ndem

ic v

acci

nes

V.

Acc

eler

ate

rese

arch

and

dev

elop

men

t for

new

vac

cine

s co

nfer

ring

long

-las

ting

pr

otec

tion

aga

inst

mul

tipl

e in

flue

nza

viru

s st

rain

s V

I. U

se in

stit

utio

ns w

ithi

n th

e W

HO

Glo

bal O

utbr

eak

Ale

rt a

nd R

espo

nse

Net

wor

k (G

OA

RN

) an

d la

bora

tori

es w

ithi

n th

e W

HO

infl

uenz

a su

rvei

llan

ce n

etw

ork

to

ensu

re th

at s

cien

tifi

c kn

owle

dge

abou

t an

evol

ving

pan

dem

ic is

gen

erat

ed a

nd

com

mun

icat

ed in

rea

l tim

e

Obj

ectiv

e 4.

Coo

rdin

atio

n of

Nat

iona

l, R

egio

nal a

nd In

tern

atio

nal S

take

hold

ers

Ens

urin

g th

at n

atio

nal g

over

nmen

t min

istr

ies

wor

k to

geth

er in

a f

ocus

ed w

ay, b

ring

ing

in c

ivil

soc

iety

and

pri

vate

sec

tor

grou

ps, i

n pu

rsui

t of

soun

d st

rate

gies

for

avi

an

infl

uenz

a co

ntro

l and

pan

dem

ic p

repa

redn

ess.

E

xpec

ted

Impa

ct: s

yner

gy (

i.e. b

ette

r th

an th

e su

m o

f th

e pa

rts)

am

ong

acti

ons

take

n by

nat

iona

l-,

regi

onal

- an

d in

tern

atio

nal-

leve

l sta

keho

lder

s to

tack

le A

HI

thre

ats

Pu

rpos

es

Out

puts

A

ctiv

ities

4.1

Ens

ure

high

leve

l na

tiona

l lea

ders

hip

in

the

resp

onse

to A

HI

4.1.

1 U

ND

P N

atio

nal l

eade

rshi

p fo

r th

e na

tiona

l res

pons

e to

A

HI

(in

conj

unct

ion

wit

h th

e W

orld

Ban

k,

regi

onal

ban

ks, o

ther

inte

rnat

iona

l sta

keho

lder

s an

d th

e U

N c

ount

ry te

am c

ompo

sed

of r

espe

ctiv

e U

N a

genc

ies)

I.

Adv

ocat

e w

ith

nati

onal

lead

ers

to e

ncou

rage

thei

r fu

lles

t com

mit

men

t to

the

resp

onse

whi

le o

penl

y fa

cing

cha

llen

ges

II.

Sup

port

cro

ss-g

over

nmen

t eng

agem

ent

III.

Fac

ilit

ate

the

join

t ana

lysi

s of

cha

llen

ges

and

syne

rgis

ed a

ppro

ache

s to

AH

I re

spon

ses

in h

igh

leve

l reg

iona

l and

glo

bal m

eeti

ngs

4.

2 A

ssis

t nat

iona

l go

vern

men

ts in

thei

r co

ordi

nate

d re

spon

se to

A

HI.

4.2.

1 U

ND

P F

orm

atio

n of

str

ateg

ic a

llia

nces

to ta

ckle

the

AH

I th

reat

acr

oss

all l

evel

s of

gov

ernm

ents

, wit

h fu

ll

enga

gem

ent o

f th

e pr

ivat

e an

d vo

lunt

ary

sect

ors

4.2.

2 U

ND

P A

dep

enda

ble

pack

age

of a

ssis

tanc

e fo

r na

tion

al

auth

orit

ies

I.

Invo

lve

the

priv

ate

sect

or a

nd c

ivil

soc

iety

, at n

atio

nal a

nd lo

cal l

evel

s, in

di

scus

sion

s re

gard

ing

the

form

ulat

ion

and

impl

emen

tati

on o

f A

HI

stra

tegi

es

II.

Fac

ilit

ate

acce

ss to

info

rmat

ion

on p

riva

te s

ecto

r pr

epar

edne

ss a

nd th

e ro

le o

f ci

vil

soci

ety

orga

nisa

tion

s I.

D

evel

op th

e in

tegr

ated

nat

iona

l AH

I pr

ogra

mm

e m

anag

emen

t sys

tem

s th

at a

re

base

d on

the

glob

al s

trat

egic

vis

ion

for

AH

I re

spon

ses

II.

Eng

age

diff

eren

t min

istr

ies

and

non-

gove

rnm

enta

l par

tner

s w

ithi

n an

agr

eed

fram

ewor

k fo

r na

tion

al a

ccou

ntab

ilit

y II

I.

Ado

pt r

esul

ts-b

ased

man

agem

ent m

etho

ds

22

4.2.

3 U

ND

P C

apac

ity

in th

e of

fice

of

the

Res

iden

t Coo

rdin

ator

fo

r co

ordi

nati

on o

f bi

late

ral a

nd m

ulti

late

ral

exte

rnal

ass

ista

nce

(in

conj

unct

ion

wit

h th

e de

velo

pmen

t ban

ks)

in li

ne w

ith

the

inte

grat

ed

nati

onal

infl

uenz

a pl

ans

4.2.

4 O

CH

A

Reg

iona

l Int

erag

ency

Pla

tfor

ms

esta

blis

hed

or

stre

ngth

ened

to p

rovi

de s

uppo

rt to

cou

ntry

-lev

el

pand

emic

con

ting

ency

pla

nnin

g 4.

2.5

WFP

F

ood

secu

rity

asp

ects

inte

grat

ed in

nat

iona

l pla

ns

by th

e N

atio

nal s

truc

ture

s in

cha

rge

of

coor

dina

ting

avi

an in

flue

nza

and

pand

emic

pr

epar

edne

ss

IV.

Car

ry o

ut r

egul

ar im

plem

enta

tion

rev

iew

s an

d ad

just

AH

I st

rate

gy a

s ne

cess

ary

to

refl

ect n

atio

nal a

nd/o

r in

tern

atio

nal c

ircu

mst

ance

s I.

E

nsur

e co

mpl

emen

tari

ties

of

exte

rnal

ly p

rovi

ded

tech

nica

l ass

ista

nce.

II

. E

ncou

rage

fin

anci

al a

ssis

tanc

e I.

A

ssis

t nat

iona

l aut

hori

ties

in te

stin

g pr

epar

edne

ss p

lans

– p

rovi

ding

sup

port

in

part

icul

ar to

cou

ntri

es w

ith

rest

rict

ed im

plem

enta

tion

cap

acit

y II

. D

evel

op p

lans

for

con

tinu

ity

of c

riti

cal o

pera

tion

s an

d su

ppor

t to

nati

onal

and

loca

l au

thor

itie

s in

the

even

t of

a pa

ndem

ic

III.

P

erfo

rm q

uali

ty a

ssur

ance

of

prep

ared

ness

pla

ns

IV.

Dev

elop

vir

tual

reg

iona

l pla

tfor

m in

clud

ing

info

rmat

ion

man

agem

ent p

rodu

cts

(who

doe

s w

hat-

whe

re, c

onta

ct d

irec

tory

, on-

line

dis

cuss

ion

foru

m, c

alen

dar

of

even

ts, d

ocum

ent d

atab

ase,

map

ping

ser

vice

, etc

) fo

r re

gion

al in

form

atio

n ex

chan

ge

I.

Adv

ocat

e fo

r in

tegr

atio

n of

foo

d se

curi

ty e

lem

ents

in n

atio

nal p

lans

for

avi

an

infl

uenz

a an

d pa

ndem

ic p

repa

redn

ess

II.

Adv

ise

on b

uild

ing

up n

atio

nal r

esil

ienc

e, p

arti

cula

rly

rela

ted

to f

ood

avai

labi

lity

(p

ipel

ine

man

agem

ent a

nd c

reat

ion

of u

se o

f na

tion

al f

ood

stoc

ks)

4.

3 Im

prov

e na

tiona

l, re

gion

al a

nd

inte

rnat

iona

l co

ordi

natio

n

4.3.

1 U

NSI

C

Syn

ergi

stic

act

ion

at n

atio

nal,

regi

onal

and

in

tern

atio

nal l

evel

I.

Har

mon

ise

and

alig

n ex

tern

al a

ssis

tanc

e at

cou

ntry

leve

l, w

orki

ng th

roug

h R

esid

ent

Coo

rdin

ator

s an

d W

orld

Ban

k co

untr

y di

rect

ors

II.

Enc

oura

ge s

yner

gy o

f st

rate

gies

pur

sued

and

act

ions

und

erta

ken

by U

N S

yste

m

agen

cies

, fun

ds a

nd p

rogr

amm

es a

nd o

ther

dev

elop

men

t and

hum

anit

aria

n pa

rtne

rs

arou

nd th

e 7

obje

ctiv

es in

the

Act

ion

Pla

n II

I.

Sup

port

and

link

wit

h in

ter-

gove

rnm

enta

l par

tner

ship

s on

Avi

an a

nd H

uman

In

flue

nza

(e.g

. IP

AP

I)

IV.

Tra

ck, a

sses

s, a

naly

se a

nd r

epor

t on

the

impa

ct o

f th

e gl

obal

AH

I ef

fort

and

iden

tify

cr

itic

al is

sues

for

rev

iew

in h

igh

leve

l mee

ting

s or

gani

sed

by p

artn

ers

V.

Wor

k to

war

ds c

onsi

sten

cy (

and,

idea

lly,

uni

son)

of

mes

sage

s is

sued

by

diff

eren

t U

N S

yste

m a

genc

ies

to m

edia

, to

inte

rest

ed p

arti

es, t

o th

e re

spec

tive

line

min

istr

ies,

in

rel

atio

n to

AH

I V

I.

Ens

ure

that

the

UN

Sys

tem

is p

repa

red

to k

eep

its

staf

f sa

fe a

nd to

mai

ntai

n op

erat

iona

l con

tinu

ity

in th

e ev

ent o

f a

pand

emic

23

Avi

an a

nd H

uman

Pan

dem

ic I

nflu

enza

: Con

soli

date

d A

ctio

n P

lan

for

Con

trib

utio

ns o

f th

e U

N S

yste

m a

nd P

artn

ers

R

evis

ed A

ctiv

itie

s an

d F

inan

cial

Req

uire

men

ts u

p D

ecem

ber

2007

24

Nov

embe

r 20

06

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Obj

ectiv

e 5.

Pub

lic In

form

atio

n an

d C

omm

unic

atio

n to

Sup

port

Beh

avio

ur C

hang

e S

trat

egic

com

mun

icat

ion

to p

rovi

de c

lear

and

una

mbi

guou

s ri

sk a

nd o

utbr

eak

info

rmat

ion

to th

e ge

nera

l pub

lic

and

key

grou

ps o

f pe

ople

wit

h th

e hi

ghes

t pot

enti

al f

or

stem

min

g th

e sp

read

and

impa

ct o

f th

e di

seas

e. T

his

wil

l inc

lude

com

mun

icat

ing

with

the

publ

ic, h

ouse

hold

s an

d co

mm

unit

ies

to in

volv

e an

d m

obil

ise

them

to a

dopt

ap

prop

riat

e be

havi

ours

to r

educ

e ri

sks

and

mit

igat

e th

e im

pact

of

any

outb

reak

s or

pan

dem

ic

Exp

ecte

d Im

pact

: Cha

nged

beh

avio

ur s

uppo

rted

by

accu

rate

mes

sagi

ng a

nd e

ffec

tive

soc

ial m

obil

isat

ion

Pu

rpos

es

Out

puts

A

ctiv

ities

5.1

Stra

tegi

c co

mm

unic

atio

n fo

r aw

aren

ess a

nd

beha

viou

r ch

ange

(m

essa

ging

)

5.1.

1 FA

O, O

IE a

nd W

HO

C

onte

nt d

evel

opm

ent f

or e

ffec

tive

pub

lic

awar

enes

s an

d so

cial

mob

ilis

atio

n ca

mpa

igns

for

be

havi

our

chan

ge

5.1.

2 IL

O

Pub

lic

awar

enes

s an

d be

havi

our

chan

ge r

elat

ed to

th

e w

orkp

lace

5.

1.3

FAO

in c

olla

bora

tion

with

OIE

S

tren

gthe

ned

capa

citi

es f

or o

utbr

eak

and

risk

co

mm

unic

atio

ns a

mon

g M

inis

trie

s of

Agr

icul

ture

.

I.

Dev

elop

gui

deli

nes

on a

ppro

ache

s to

com

mun

icat

ion

on c

ompe

nsat

ion.

II

. P

rovi

de m

ater

ials

that

con

vey

core

mes

sage

s on

AH

I pr

even

tion

as

wel

l as

pand

emic

con

tain

men

t II

I. E

nsur

e th

at e

ach

coun

try

affe

cted

by

outb

reak

s in

pou

ltry

has

a s

trat

egy

for

info

rmin

g th

e ge

nera

l pub

lic

of th

e as

soci

ated

ris

ks to

hum

an h

ealt

h an

d re

late

d m

itig

atio

n m

easu

res,

and

has

a p

olic

y th

at f

acil

itat

es th

ese

prot

ecti

ve b

eha v

iour

s IV

. E

nsur

e th

at th

is s

trat

egy

is b

ased

on

best

pra

ctic

es f

or b

ring

ing

abou

t beh

avio

ur

chan

ge, i

s ad

apte

d to

nat

iona

l soc

ial a

nd c

ultu

ral c

onte

xt, r

each

es p

opul

atio

ns a

t gr

eate

st r

isk

(inc

ludi

ng c

hild

ren)

, and

is te

sted

for

eff

ecti

vene

ss a

nd m

odif

ied

as

need

ed

I.

Fac

ilit

ate

acce

ss to

up-

to-d

ate

info

rmat

i on

on r

isk

and

cont

rol m

easu

res

at th

e w

orkp

lace

II

. S

uppo

rt n

atio

nal c

omm

unic

atio

n st

rate

gies

and

info

rmat

ion

cam

paig

ns th

at p

rovi

de

tech

nica

l inf

orm

atio

n fo

r th

e pr

even

tion

of

AH

I at

the

wor

kpla

ce to

geth

er w

ith

gove

rnm

ents

em

ploy

ers

and

wor

kers

II

I. T

oget

her

with

em

ploy

ers

and

wor

kers

adv

ise

on, p

repa

re a

nd d

isse

min

ate

tech

nica

l in

form

atio

n fo

r th

e pr

even

tion

of

AH

I at

the

wor

kpla

ce

I.

Dev

elop

gui

delin

es a

nd tr

aini

ng m

odul

es b

ased

on

best

pra

ctic

es f

or s

tren

gthe

n ing

ca

paci

ties

of

Min

istr

ies

of A

gric

ultu

re in

out

brea

k an

d ri

sk c

omm

unic

atio

n fo

cusi

ng

on a

nim

al h

ealt

h an

d so

cio-

econ

omic

/ li

veli

hood

issu

es

II.

Con

duct

reg

iona

l wor

ksho

ps o

n ou

tbre

ak a

nd r

isk

com

mun

icat

ion

for

Min

istr

ies

of

Agr

icul

ture

24

5.1.

4 FA

O a

nd O

IE (G

F-T

AD

s)

Est

abli

shm

ent o

f re

gion

al/n

atio

nal S

top

AI

Par

tner

ship

s w

hich

incl

udes

Min

istr

ies

of

Agr

icul

ture

, med

ia, N

GO

s an

d P

riva

te P

oult

ry

Sec

tor

5.1.

5 FA

O in

col

labo

ratio

n w

ith O

IE

Est

abli

shm

ent o

f m

ulti

-dis

cipl

inar

y gl

obal

and

re

gion

al T

echn

ical

Adv

isor

y G

roup

s on

mid

to

long

er-t

erm

str

ateg

ic c

omm

unic

atio

n is

sues

, fo

cusi

ng o

n an

imal

hea

lth,

live

liho

ods

and

soci

o-ec

onom

ics

5.1.

6 FA

O

Est

abli

shm

ent a

nd h

osti

ng o

f U

N K

now

ledg

e N

etw

ork

on S

ocio

-eco

nom

ics

of A

vian

Inf

luen

za

5.1.

7 U

NW

TO

T

arge

ted

com

mun

icat

ions

for

trav

elle

rs, t

he tr

avel

in

dust

ry a

nd to

uris

t des

tina

tion

s 5.

1.8

UN

WT

O

Ded

icat

ed n

etw

orks

to in

form

, sha

re a

nd

com

mun

icat

e th

e m

ost u

p-to

-dat

e an

d av

aila

ble

rele

vant

info

rmat

ion,

idea

s an

d ul

tim

atel

y m

essa

ges

to tr

avel

lers

5.

1.9

UN

WT

O

Bas

ic in

form

atio

n, g

uide

line

s an

d co

mm

on

mes

sagi

ng f

or u

se b

y th

e di

ffer

ent s

ecto

rs o

f th

e tr

avel

indu

stry

and

its

supp

ly s

yste

ms

and

thro

ugh

this

to th

e tr

avel

ler

I.

Dev

elop

str

ateg

ies,

pro

cess

es a

nd a

dvoc

acy

mat

eria

ls f

or e

stab

lish

ing

mul

ti-s

ecto

ral,

regi

onal

/nat

iona

l AI

part

ners

hips

for

sup

port

ing

com

mun

icat

ion

outr

each

and

im

plem

enta

tion

, con

sens

us-b

uild

ing,

and

mit

igat

ing

poul

try

mar

ket s

hock

s I.

C

ondu

ct a

glo

bal,

and

six

regi

onal

Exp

ert C

onsu

ltat

ions

on

stra

tegi

c co

mm

unic

atio

n fo

r th

e pr

even

tion

and

cont

rol o

f H

PA

I, f

ocus

ing

on a

nim

al h

ealt

h, li

veli

hood

s an

d so

cio-

econ

omic

s II

. E

stab

lish

a g

loba

l and

reg

iona

l Tec

hnic

al A

dvis

ory

Gro

ups

and

at th

e F

AO

-OIE

R

egio

nal A

nim

al H

ealt

h C

ente

rs to

pro

vide

on-

goin

g gu

idan

ce a

nd te

chni

cal

assi

stan

ce in

str

ateg

ic c

omm

unic

atio

n to

Min

istr

ies

of A

gric

ultu

re

I.

Fac

ilit

ate

netw

ork

buil

ding

and

cre

atio

n of

web

-spa

ces,

pro

cedu

res,

act

ivit

ies,

di

scus

sion

for

ums,

pro

duct

s an

d to

ols

for

the

esta

blis

hmen

t of

the

UN

Kno

wle

dge

Net

wor

k on

Soc

io-e

cono

mic

s of

Avi

an I

nflu

enza

I.

D

evel

op a

cam

paig

n to

ale

rt tr

avel

ers

to th

e T

ouri

sm E

mer

genc

y R

espo

nse

Net

wor

k (T

ER

N)

and

its

Avi

an F

lu in

form

atio

n II

. C

reat

e an

d di

stri

bute

bro

adca

st a

nd in

tern

et b

ased

info

rmat

ion

vign

ette

s I.

D

esig

nate

sen

ior

leve

l nat

iona

l coo

rdin

ato r

s on

all

mat

ters

rel

ated

to A

vian

&

Hum

an P

ande

mic

Inf

luen

za

II.

Con

vene

and

man

age

the

Tou

rism

Em

erge

ncy

Res

pons

e N

etw

ork

(TE

RN

), it

s co

re

cros

s se

ctor

al c

onst

itue

ncy,

its

prog

ress

ive

expa

nsio

n at

glo

bal r

egio

nal a

nd

inte

rnat

iona

l lev

els

and

its

role

as

a m

echa

nism

for

info

rmat

ion

exch

ange

and

co

nsis

tent

mes

sagi

ng

I.

Est

abli

sh a

n av

ian

flu

web

site

and

rea

l tim

e em

erge

ncy

resp

onse

por

tal i

n pa

rtne

rshi

p w

ith M

icro

soft

, as

a on

e st

op s

hop

for

avia

n fl

u in

form

atio

n to

trav

eler

s an

d th

e to

uris

m s

ecto

r

5.2

Soci

al m

obili

satio

n fo

r aw

aren

ess a

nd

beha

viou

r ch

ange

.

5.2.

1 U

NIC

EF

Beh

avio

ur c

hang

e st

rate

gies

and

pro

toty

pe

com

mun

icat

ion

mat

eria

ls d

evel

oped

by

gove

rnm

ents

and

par

tner

s an

d de

sign

ed f

or

hous

ehol

d le

vel,

wit

h a

spec

ific

foc

us o

n ba

ckya

rd p

oult

ry f

arm

ers,

com

mun

ity

infl

uenc

ers

and

chil

dren

I.

Bui

ld r

esil

ienc

e am

ong

com

mun

itie

s by

sup

port

ing

nati

onal

com

mun

icat

ion

stra

tegi

es th

at p

rovi

de c

lear

and

em

pow

erin

g in

form

atio

n to

the

gene

ral p

ubli

c an

d ke

y gr

oups

of

peop

le, w

ith

a fo

cus

on c

omm

unit

ies

and

hous

ehol

ds

II.

Adv

ocat

e am

ong

the

key

nati

onal

dec

isio

n m

aker

s fo

r th

e ap

prop

riat

e ac

tion

s to

st

em th

e sp

read

and

impa

ct o

f a

pand

emic

II

I. S

tren

gthe

n on

-goi

ng h

ygie

ne p

rom

otio

n pr

ogra

mm

es

25

Avi

an a

nd H

uman

Pan

dem

ic I

nflu

enza

: Con

soli

date

d A

ctio

n P

lan

for

Con

trib

utio

ns o

f th

e U

N S

yste

m a

nd P

artn

ers

R

evis

ed A

ctiv

itie

s an

d F

inan

cial

Req

uire

men

ts u

p D

ecem

ber

2007

24

Nov

embe

r 20

06

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

5.2.

2 U

NH

CR

R

efug

ees

and

othe

r po

pula

tion

s of

con

cern

to

UN

HC

R a

re p

rope

rly

info

rmed

and

enc

oura

ged

to

adop

t hea

lthy

AH

I-re

late

d be

havi

ours

5.

2.3

WFP

A

HI

awar

enes

s co

mpo

nent

s in

tegr

ated

into

ex

isti

ng o

r ne

w f

ood-

assi

sted

pro

gram

mes

whe

re

appr

opri

ate

5.2.

4 IL

O

Pre

pare

dnes

s m

easu

res

and

beha

viou

r ch

ange

on

occu

pati

onal

saf

ety

and

heal

th is

sues

5.

2.5.

IOM

G

over

nmen

t beh

avio

ur c

hang

e st

rate

gies

for

m

igra

nts

I.

Tra

nsla

te p

ublic

aw

aren

ess

mes

sage

s in

to a

ppro

pria

te la

ngua

ges

and

form

at to

in

form

and

enc

oura

ge r

efug

ees

to r

educ

e ri

sks

II.

Rai

se a

war

enes

s of

ref

ugee

s an

d pe

ople

wor

king

in c

amps

abo

ut a

vian

flu

and

the

risk

of

tran

smis

sion

, and

sup

port

pos

sibl

e ac

tions

to k

eep

poul

try

away

fro

m

habi

tati

ons

III.

Rai

se a

war

enes

s of

ref

ugee

s an

d pe

ople

wor

king

in c

amps

abo

ut h

uman

flu

tr

ansm

issi

on a

nd p

rote

ctio

n I.

In

trod

uce

awar

enes

s m

ater

ials

in s

choo

l s w

here

WF

P p

rovi

des

scho

ol f

eedi

ng

II.

Use

of

food

dis

trib

utio

n si

tes

for

awar

enes

s ca

mpa

igns

II

I. L

ink

wit

h U

NIC

EF

, FA

O a

nd g

over

nmen

t to

diss

emin

ate

awar

enes

s m

ater

ials

du

ring

mon

itor

ing

visi

ts

IV.

Sup

port

par

tner

and

gov

ernm

ent c

omm

unit

y tr

aini

ng p

rogr

amm

es th

roug

h fo

od f

or

trai

ning

if a

ppro

pria

te

I.

Col

lect

, org

anis

e an

d di

ssem

inat

e up

-to-

date

tech

nica

l inf

orm

atio

n on

occ

upat

iona

l he

alth

and

saf

ety

prev

enti

ve m

easu

res

wit

h a

focu

s on

usi

ng a

ppro

pria

te p

rote

ctio

n,

taki

ng p

reca

utio

ns a

nd e

duca

ting

wor

kers

II

. P

repa

re a

nd d

isse

min

ate

tech

nica

l inf

orm

atio

n fo

r th

e pr

even

tion

of

AH

I at

the

wor

kpla

ce to

geth

er w

ith

wor

kers

in p

arti

cula

r II

I. A

ssis

t cou

ntri

es in

thei

r ef

fort

s to

info

rm, e

duca

te a

nd tr

ain

wor

kers

on

occu

pati

onal

sa

fety

and

hea

lth

and

AH

I is

sues

toge

ther

wit

h go

vern

men

ts, e

mpl

oyer

s an

d w

orke

rs

I.

Adv

ocat

e fo

r ap

prop

riat

e he

alth

pr o

mot

ion

prog

ram

mes

for

mig

rant

s.

II.

Str

engt

hen

nati

onal

and

inte

rnat

iona

l com

mun

icat

ion

stra

tegi

es f

or m

igra

nt

com

mun

itie

s an

d ho

useh

olds

26

Obj

ectiv

e 6.

Con

tinui

ty u

nder

Pan

dem

ic C

ondi

tions

E

nsur

ing

the

cont

inui

ty o

f es

sent

ial s

ocia

l, ec

onom

ic a

nd g

over

nanc

e se

rvic

es, a

nd e

ffec

tive

impl

emen

tati

on o

f hu

man

itar

ian

reli

ef, u

nder

pan

dem

ic c

ondi

tion

s E

xpec

ted

Impa

ct: P

lans

for

“bu

sine

ss c

onti

nuit

y” d

urin

g a

pand

emic

in p

lace

and

reh

ears

ed

Purp

oses

O

utpu

ts

Act

iviti

es

6.1

Con

tinge

ncy

plan

ning

for

oper

atio

nal

cont

inui

ty d

urin

g a

pand

emic

6.1.

1 O

CH

A

Pan

dem

ic in

flue

nza

plan

s an

d st

rate

gies

bui

lt

upon

exi

stin

g m

echa

nism

s fo

r di

sast

er

prep

ared

ness

, mit

igat

ion

and

resp

onse

, as

wel

l as

esta

blis

hed

best

pra

ctic

e, a

nd –

as

far

as p

ossi

ble

– fu

lly

inte

grat

ed in

to e

xist

ing

stru

ctur

es f

or

disa

ster

s an

d cr

isis

man

agem

ent

6.1.

2 O

CH

A

Man

agem

ent s

yste

ms

for

pand

emic

pre

pare

dnes

s an

d re

spon

se e

ngag

ing

all s

take

hold

ers

and

enco

urag

ing

syne

rgy

6.1.

3 U

ND

P S

uppo

rt to

nat

iona

l pan

dem

ic p

repa

redn

ess

plan

ning

(w

ith

OC

HA

) 6.

1.4

UN

HC

R

Cou

ntry

-lev

el p

ande

mic

infl

uenz

a co

ntin

genc

y pl

ans,

ena

blin

g st

aff

to r

espo

nd to

ref

ugee

s’

need

s 6.

1.5

UN

ICE

F

Iden

tifi

cati

on o

f e

ssen

tial

as

wel

l as

addi

tion

ally

re

quir

ed a

ctiv

ities

that

sho

uld

cont

inue

in a

pa

ndem

ic (

in c

olla

bora

tion

wit

h th

e U

N c

ount

ry

team

and

gov

ernm

ent)

I.

Pro

vide

sup

port

to U

N c

ount

ry te

ams

in d

evel

opin

g an

d te

stin

g pa

ndem

ic

prep

ared

ness

pla

ns, i

nclu

ding

ope

rati

onal

con

tinu

ity

com

pone

nts

II.

Und

erta

ke r

isk

asse

ssm

ents

, ens

ure

that

pan

dem

ic p

lans

are

bas

ed u

pon

alte

rnat

ive

pand

emic

sce

nari

os, a

djus

t pla

nnin

g sc

enar

ios

as r

equi

red

give

n th

e lo

cal c

onte

xt

and

the

evol

utio

n of

pan

dem

ic r

isks

II

I. D

esig

n an

d re

view

com

preh

ensi

ve m

ulti

-sec

tora

l pre

pare

dnes

s an

d re

spon

se p

lans

, in

volv

ing

all l

evel

s of

gov

ernm

ent,

for

pand

emic

-rel

ated

con

ting

enci

es

IV.

Tes

t pla

ns th

roug

h si

mul

atio

ns, r

evie

w q

uali

ty a

nd e

ffec

tive

ness

, and

rec

omm

end

revi

sion

s as

app

ropr

iate

I.

E

stab

lish

reg

iona

l fra

mew

orks

for

pan

dem

ic p

repa

redn

ess,

mit

igat

ion

and

resp

onse

II

. A

naly

se p

rogr

ess,

rev

iew

res

ults

, and

shi

ft p

rogr

amm

e em

phas

is w

hen

nece

ssar

y II

I. S

hare

bes

t pra

ctic

es a

nd le

sson

s ac

ross

reg

ions

to im

prov

e co

ordi

nati

on a

nd

plan

ning

I.

S

uppo

rt th

e ef

fort

s of

the

UN

res

iden

t coo

rdin

ator

and

cou

ntry

team

to e

nsu r

e th

at

the

UN

cou

ntry

team

dev

elop

s an

d te

sts

its

own

pand

emic

pre

pare

dnes

s pl

an

II.

Enc

oura

ge n

atio

nal o

ffic

ials

to in

tegr

ate

pand

emic

pre

pare

dnes

s pl

anni

ng in

to

nati

onal

cri

sis

prep

ared

ness

and

res

pons

e ex

erci

ses

I.

Ope

rati

onal

ise

cont

inge

ncy

plan

in c

olla

bora

tion

wit

h th

e ho

st c

ount

ry a

nd o

ther

im

plem

enti

ng p

artn

ers

incl

udin

g th

e U

N

I.

A

ssis

t in

oper

atio

nali

sati

on o

f th

e na

tion

al p

ande

mic

con

tain

men

t and

res

pons

e p l

an

II.

Ass

ist t

o m

eet t

he n

eeds

of

the

mar

gina

lize

d, in

clud

ing

wom

en, c

hild

ren

and

orph

ans

in a

pan

dem

ic

III.

Ass

ist i

n th

e de

velo

pmen

t of

a st

rate

gy w

ith

the

Min

istr

y of

Edu

cati

on to

min

imis

e th

e ne

gati

ve im

pact

(on

chi

ldre

n an

d w

omen

) of

cla

ss-s

uspe

nsio

n an

d/or

oth

er

inte

rrup

tion

of

the

educ

atio

n of

chi

ldre

n as

a r

esul

t of

a pa

ndem

ic

27

Avi

an a

nd H

uman

Pan

dem

ic I

nflu

enza

: Con

soli

date

d A

ctio

n P

lan

for

Con

trib

utio

ns o

f th

e U

N S

yste

m a

nd P

artn

ers

R

evis

ed A

ctiv

itie

s an

d F

inan

cial

Req

uire

men

ts u

p D

ecem

ber

2007

24

Nov

embe

r 20

06

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

6.1.

6 IL

O

Cap

acit

y de

velo

pmen

t of

Lab

our

Min

istr

ies

and

heal

th d

epar

tmen

ts f

or a

res

pons

e to

a p

ossi

ble

pand

emic

(w

ith

invo

lvem

ent o

f pr

ivat

e se

ctor

)

6.1.

7 IO

M

Infl

uenz

a pa

ndem

ic p

repa

redn

ess

plan

s in

clud

e th

e ne

eds

of m

igra

nts

and

mig

rant

pop

ulat

ions

. 6.

1.8

FAO

and

OIE

P

rovi

de a

con

tinu

ed c

ohes

ive

resp

onse

to H

PA

I re

late

d to

inte

rnat

iona

l sta

ndar

ds a

nd p

rovi

de

serv

ice

to g

over

nmen

ts, t

he a

nim

al h

ealt

h se

ctor

an

d it

s as

soci

ated

sys

tem

s du

ring

a p

ande

mic

si

tuat

ion

6.1.

9 IC

AO

A

ssis

tanc

e to

Sta

tes

in th

eir

pand

emic

pr

epar

edne

ss p

lann

ing

6.1.

10 IC

AO

E

valu

atio

n of

maj

or in

tern

atio

nal a

irpo

rts

in A

sia

for

adeq

uate

pre

pare

dnes

s pl

anni

ng

6.1.

11 IC

AO

P

rovi

sion

of

ongo

ing

advi

ce to

the

avia

tion

sec

tor

and

loca

l sta

keho

lder

s in

the

Asi

a/P

acif

ic r

egio

n 6.

1.12

ICA

O

Dev

elop

men

t pro

gram

me

of p

repa

redn

ess

plan

ning

for

Afr

ica

I.

Str

engt

hen

the

role

of

soci

al d

ialo

gue

in d

evel

opin

g su

stai

nabl

e re

spon

se to

a

poss

ible

pan

dem

ic

II.

Cap

acit

y bu

ildi

ng in

soc

ial d

ialo

gue

as a

mec

hani

sm to

dev

elop

a s

usta

inab

le

resp

onse

to a

pos

sibl

e pa

ndem

ic

III.

Tri

part

ite

deve

lopm

ent o

f se

ctor

spe

cifi

c gu

idel

ines

on

resp

onse

s to

AH

I w

ith

invo

lvem

ent o

f la

bour

and

hea

lth

stak

ehol

ders

I.

C

olla

bora

te w

ith

OC

HA

, ot

her

agen

cies

and

gov

ernm

ents

to p

rovi

de te

chni

cal a

nd

logi

stic

s su

ppor

t in

oper

atio

nali

sati

on o

f na

tion

al p

ande

mic

con

tain

men

t and

re

spon

se p

lans

II

. A

ssis

t in

the

deve

lopm

ent o

f a

stra

tegy

wit

h M

inis

trie

s of

Lab

our

and

soci

al w

elfa

re

to m

inim

ise

the

nega

tive

impa

ct o

n vu

lner

able

mig

rant

s an

d m

obil

e po

pula

tion

I.

A

ssis

t gov

ernm

ents

for

an

enha

nced

, rap

id a

nd ta

rget

ed r

espo

nse

and

cont

rol

acti

viti

es f

or H

PA

I an

imal

sec

tor

II.

Pro

vide

tech

nica

l ass

ista

nce

to d

eal w

ith

the

side

eff

ects

of

a pa

ndem

ic in

the

anim

al

heal

th s

ecto

r an

d it

s as

soci

ated

infr

astr

uctu

re a

nd s

yste

ms

I.

Bri

ng to

geth

er e

xper

tise

in o

rder

to d

evel

op g

uide

line

s.

II.

Rev

ise

guid

elin

es in

ligh

t of

impr

oved

kno

wle

dge/

expe

rien

ce

I.

Eva

luat

e pr

epar

edne

ss p

lans

aga

inst

IC

AO

gu i

deli

nes

at m

ajor

inte

rnat

iona

l air

port

s in

Asi

a an

d un

dert

ake

on-s

ite

trai

ning

I.

E

stab

lish

a r

egio

nal n

etw

ork

of e

xper

ts in

Asi

a/P

acif

ic r

egio

n (C

AP

SC

A -

Asi

a pr

ojec

t)

II.

Car

ry o

ut a

trip

arti

te r

evie

w f

or C

AP

SC

A –

Asi

a I.

O

rgan

ise

an in

itial

sem

inar

/wor

ksho

p fo

r A

fric

a re

gion

(C

AP

SC

A -

Afr

ica

proj

ect)

28

6.1.

13 U

NW

TO

R

esil

ienc

e of

the

tour

ism

sec

tor

– pa

rtic

ular

ly in

th

e po

ores

t cou

ntri

es

6.1.

14 U

NW

TO

C

apac

ity

buil

ding

and

tech

nica

l ass

ista

nce

in r

isk

and

prep

ared

ness

ass

essm

ents

and

cri

ses

man

agem

ent p

lann

ing,

incl

udin

g re

cove

ry

stra

tegi

es a

nd s

peci

al m

arke

ting

sup

port

act

ivit

ies

I.

Enc

oura

ge g

over

nmen

ts &

fin

anci

ng in

stit

utio

ns to

incl

ude

tour

ism

as

an e

ssen

tial

se

ctor

in e

cono

mic

sur

viva

l pla

ns in

dev

elop

ing

coun

trie

s II

. P

rovi

de a

bas

ic U

NW

TO

sup

port

sys

tem

and

a f

ram

ewor

k fo

r cr

isis

man

agem

ent &

re

cove

ry

I.

Dev

elop

gui

delin

es a

nd to

olki

ts f

or th

e to

uris

m s

ecto

r to

hel

p st

akeh

olde

rs a

ctiv

ely

part

icip

ate

in n

atio

nal a

nd r

egio

nal A

vian

Flu

pre

pare

dnes

s pl

ans,

so

that

the

need

s of

tour

ists

and

the

tour

ism

indu

stry

are

ful

ly a

ccou

nted

for

II

. D

evel

op r

egio

nal a

nd n

atio

nal c

risi

s si

mul

atio

n ex

erci

ses

to r

ehea

rse

and

asse

ss

prep

ared

ness

pla

ns a

nd u

ncov

er s

hort

com

ings

II

I. F

ield

adv

isor

y an

d te

chni

cal a

ssis

tanc

e m

issi

ons

upon

req

uest

6.2

Prep

are

for

hum

anita

rian

act

ions

du

ring

a p

ande

mic

6.2.

1 O

CH

A

Sta

ndar

d op

erat

ing

proc

edur

es s

urge

cap

acit

y in

pl

ace

to s

uppo

rt c

onta

inm

ent a

nd m

itig

atio

n du

ring

a p

ande

mic

6.

2.2

WFP

S

tren

gthe

ned

capa

city

for

bus

ines

s co

ntin

uity

pl

anni

ng a

nd im

plem

enta

tion

6.

2.3

WFP

S

uppo

rt to

gov

ernm

ents

in c

ount

ries

wit

h la

rge

vuln

erab

le a

nd f

ood

inse

cure

pop

ulat

ions

6.

2.4

IOM

H

uman

itar

ian

supp

ort t

o go

vern

men

ts in

co

untr

ies

wit

h la

rge

mig

rant

pop

ulat

ions

I.

Pla

n re

spon

ses

to p

oten

tial

hum

anit

aria

n co

nseq

uenc

es o

f a

pand

emic

, inc

ludi

ng

stra

tegi

c al

lian

ces

that

eng

age

the

priv

ate

and

volu

ntar

y se

ctor

and

invo

lve

com

mun

itie

s II

. In

col

labo

ratio

n w

ith

inte

rnat

iona

l mil

itar

y an

d ci

vil d

efen

se a

ctor

s, d

efin

e ap

prop

riat

e ro

les

and

effe

ctiv

e m

echa

n ism

s fo

r co

ordi

nati

on a

nd p

lann

ing

I.

Impl

emen

t pre

pare

dnes

s m

easu

res

to r

einf

o rce

WF

P c

apac

ity

to a

djus

t its

bus

ines

s m

odel

in a

pan

dem

ic e

nvir

onm

ent

II.

Con

duct

sto

ckpi

le m

appi

ng a

nd u

pdat

e lo

gist

ics

capa

city

ass

essm

ents

II

I. I

nteg

rate

exi

stin

g ba

se-l

ine

data

on

food

inse

curi

ty w

ith

AH

I m

aps

I.

Ups

trea

m a

dvic

e on

bui

ldin

g up

nat

iona

l res

ilie

nce

and

plan

ning

for

rel

ief

food

in

terv

enti

ons

in a

pan

dem

ic s

itua

tion

II

. N

egot

iate

acc

ess

to n

atio

nal f

ood

stoc

ks f

o r p

ande

mic

res

pons

e, p

lan

pipe

line

and

su

ppor

t for

foo

d ai

d in

terv

enti

on

I.

Ens

ure

that

in r

espo

nses

to th

e hu

man

itar

i an

cons

eque

nces

of

a pa

ndem

ic th

e ne

eds

of m

igra

nts

are

met

29

Avi

an a

nd H

uman

Pan

dem

ic I

nflu

enza

: Con

soli

date

d A

ctio

n P

lan

for

Con

trib

utio

ns o

f th

e U

N S

yste

m a

nd P

artn

ers

R

evis

ed A

ctiv

itie

s an

d F

inan

cial

Req

uire

men

ts u

p D

ecem

ber

2007

24

Nov

embe

r 20

06

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

____

Obj

ectiv

e 7.

Hum

anita

rian

Com

mon

Ser

vice

s Sup

port

E

nsur

ing

that

- in

the

even

t tha

t nat

iona

l cap

acit

y is

ove

rwhe

lmed

by

pand

emic

con

diti

ons

– ag

reed

em

erge

ncy

oper

atin

g pr

oced

ures

are

invo

ked

and

bene

fit f

rom

in

form

atio

n te

chno

logy

and

logi

stic

s ca

paci

ty s

et u

p an

d m

ade

oper

atio

nal b

efor

ehan

d E

xpec

ted

Impa

ct: A

vail

abil

ity

of f

unct

ioni

ng a

nd e

ffec

tive

com

mon

ser

vice

s to

but

tres

s na

tion

al c

apac

ity in

the

even

t of

a pa

ndem

ic

Purp

oses

O

utpu

ts

Act

iviti

es

7.1

prov

ide

tech

nolo

gy

and

logi

stic

cap

acity

in

the

even

t of a

pan

dem

ic

thro

ugh

com

mon

se

rvic

es

7.1.

1 W

FP

info

rmat

ion

man

agem

ent r

elat

ed to

avi

an

infl

uenz

a 7.

1.2

WFP

L

ogis

tic

expe

rtis

e, c

onti

ngen

cy p

lann

ing

expe

rien

ce, a

nd jo

int o

pera

tion

s ap

proa

ch to

inte

r-ag

ency

pro

cess

7.

1.3

WFP

H

uman

itar

ian

supp

ort t

hrou

gh th

e de

live

ry o

f fo

od

assi

stan

ce, a

nd lo

gist

ics

supp

ort w

here

pos

sibl

e,

unde

r pa

ndem

ic c

ondi

tion

s 7.

1.4

UN

age

ncie

s and

par

tner

s N

eces

sary

com

mon

hum

anit

aria

n se

rvic

es to

su

ppor

t em

erge

ncy

resp

onse

s

I.

Pro

visi

on o

f G

IS c

apac

ity.

II

. C

onte

nt m

anag

emen

t of

HE

WS

web

rel

ated

to a

vian

infl

uenz

a I.

S

hare

logi

stic

s kn

owle

dge

and

expe

rtis

e w

ith

tech

nica

l age

ncie

s II

. D

evel

op lo

gist

ics

plan

s in

sup

port

to U

NC

T p

ande

mic

pla

ns c

onsi

deri

ng li

mit

ed

surg

e ca

paci

ty d

urin

g pa

ndem

ic

I.

Dev

elop

a W

FP

pan

dem

ic C

once

pt o

f O

pera

tion

s (p

lann

ing

will

take

into

acc

ount

th

e lik

ely

impa

ired

impl

emen

ting

capa

city

of W

FP, o

ther

UN

age

ncie

s, go

vern

men

ts, N

GO

par

tner

s and

supp

liers

in a

pan

dem

ic e

nvir

onm

ent)

I.

Ena

ble

all p

opul

atio

ns, p

arti

cula

rly

the

mos

t vul

nera

ble,

to h

ave

acce

ss to

bas

ic

need

s

30

IV Overview of individual agencies’ contributions and financial

requirements

(By alphabetical order)

I. FOOD AND AGRICULTURE ORGANISATION (FAO)

No Objectives Funds requested till

end 2007 (in USD)

Partners

1 Animal Health and Bio-Security 109,500,000

2 Sustaining Livelihoods 7,300,000 5 Public Information and

Communication to Support Behaviour Change

2,500,000

OIE, WHO, UNICEF, national and regional entities/organisations and NGOs

6 Continuity under Pandemic Conditions

2,500,000 OCHA, WFP, WHO, IFRC, NGOs

TOTAL 121,800,000*

* Projected FAO financial requirements for 2008 are USD 83,500,000 for 2008. It is anticipated that affected countries will request FAO's technical assistance for the implementation of up to a quarter of their total estimated needs and up to half of the total estimated global needs for countries at risk of infection.

Overview of FAO’s Contribution FAO, together with the World Organisation for Animal Health (OIE), is supporting countries to strengthen veterinary services in preventing and controlling H5N1 highly pathogenic avian influenza. As the central UN System contributor to coordinated action for animal health, FAO has established and promoted global strategies for tackling avian influenza, and now monitors the H5N1 situation. It also tracks the extent to which International Standards for animal health are being achieved. FAO facilitates direct technical and resource assistance to the efforts of national governments in infected countries, in countries at risk of introduction of HPAI, and in newly infected countries. It provides rapid response services (and is gearing up to increase its crisis management capacity). Through a range of regional technical networks, FAO works with partner organisations (especially OIE) to increase the availability of technical assistance for national efforts to tackle trans-boundary animal diseases. FAO is also working to clarify how animal husbandry, agriculture and ecosystems management may enhance the risk of an emergence of pandemic agents. FAO further provides assessment on the inter-relation of animal production and health practices, farming landscape dynamics and pathogen emergence.

31

Avian and Human Pandemic Influenza: Consolidated Action Plan for Contributions of the UN System and Partners Revised Activities and Financial Requirements up December 2007

24 November 2006 ________________________________________________________________________________________________

II. INTERNATIONAL CIVIL AVIATION ORGANISATION (ICAO)

No Objectives Funds requested till

end 2007 (in USD)

Partners

6 Continuity under Pandemic Condition

400,000 WHO, International Air Transport Association (IATA), Airports Council International (ACI), member states

TOTAL 400,000

Overview of ICAO’s Contribution In the event of an influenza outbreak with pandemic potential, the aviation community will need to take action in order to prevent or at least minimise its spread. In such event, the aviation sector will be detrimentally affected as passengers will avoid flying to areas where there is a perceived increased risk of disease. In this regard, ICAO is coordinating an international effort to bring together expertise to develop guidelines to help States in their preparedness planning. Initial efforts are targeted towards the Asia Pacific region and a project entitled CAPSCA – Asia (Co-operative Arrangement for Preventing the Spread of Communicable Diseases through Air Travel - Asia) is in place. This project involves the evaluation, based on the ICAO guidelines, of major international airports in the region, training of local medical officers and officials, and the development of a regional network of experts that can provide ongoing advice on pandemic planning to the aviation sector. The CAPSCA - Asia model will be adapted and used as a template for other regions of the world, starting with Africa in 2007 and later on in Europe/Middle East and the Americas to facilitate global harmonisation.

32

III. INTERNATIONAL LABOUR ORGANISATION (ILO)

No Objectives Funds requested till

end 2007 (in USD)

Partners

2 Sustaining Livelihoods 250,000 3 Human Health 1,300,000 5 Public Information and

Communication to Support Behaviour Change

800,000

6 Continuity under Pandemic Condition

100,000

FAO, WHO, ILO‘s constituents (governments, workers and employers organisations), private sector

TOTAL 2,450,000

Overview of ILO’s Contribution ILO’s tripartite structure places it in an extremely favorable position to address the concerns of governments, employers and employees with regards to AHI threats. Since 2003 the poultry sector has suffered tremendous losses valuing up to $ 10 billion, due to the killing of infected livestock worldwide. Furthermore many countries have also experienced a sharp decline in local demand for poultry, which has further battered vulnerable livelihoods. In addition to these losses, the threat of a pandemic further weakens already delicate structures of trade and livelihoods of backyard poultry farmers. With regard to preventive action, issues of workers rights and occupational safety and health are particularly relevant to the ILO’s field of operations. There is a need for capacity building and ensuring that efficient mechanisms and infrastructures are in place at the workplace in times of a possible pandemic. The ILO has established regulatory frameworks and has gained valuable experience in tackling diseases such as HIV/AIDS at the workplace. Such experiences will prove useful in developing practices for effective prevention and control of AHI. Information campaigns will be a key tool in succeeding against the adverse impacts of AHI. With time, an increasing number of countries are adopting transparency regarding information on AHI and carrying out public awareness campaigns. In this regard, the workplace is as an important instrument to inform the employers, workers and the general public of precautionary measures and best practices.

33

Avian and Human Pandemic Influenza: Consolidated Action Plan for Contributions of the UN System and Partners Revised Activities and Financial Requirements up December 2007

24 November 2006 ________________________________________________________________________________________________

IV. INTERNATIONAL ORGANISATION FOR MIGRATION (IOM)

No Objectives Funds requested till

end 2007 (in USD)

Partners

2 Sustaining Livelihoods 1,000,000 3 Human Health 2,000,000 5 Public Information and

Communication to Support Behaviour Change

1,000,000

6 Continuity under Pandemic Condition

1,000,000

FAO, WHO, UNDP, OCHA, UNICEF, UNHCR

TOTAL 5,000,000

Overview of IOM’s Contribution In the event of a pandemic, migrant populations might very well be at risk if plans for their protection have not been put in place during the preparatory and prevention stages. There are close to 200 million international migrants today. IOM is a highly decentralized organisation with offices worldwide and is using this structure to access migrant populations in order to inform them on AHI threats and ensure that their health and livelihood wellbeing is looked after. IOM is also linking with national governments and key stakeholders that manage migration to ensure inclusion of migrant populations in national preparedness plans.

34

V. OFFICE FOR THE COORDINATION OF HUMANITARIAN AFFAIRS (OCHA)

No Objectives Funds requested till

end 2007 (in USD)

Partners

4 Coordination of National Stakeholders

400,000

6 Continuity under Pandemic Conditions

3,1000,000

UNDP, FAO, OIE, WHO, World Bank, UNESCO, IRIN radio, UNICEF, IOM, WFP, OXFAM, IFRC, IGAD, CEEAC, SADEC, ECOWAS

TOTAL 3,500,000 Overview of OCHA’s Contribution Experience with pandemics such as HIV/AIDS and SARS demonstrated that robust multi-sector support is needed to reduce vulnerability and humanitarian consequences. Typical coordination challenges to ensure gaps are filled and to avoid duplication need to be addressed. To support pandemic preparedness, standard OCHA activities such as bringing together key partners, acting as secretariat for task forces, managing information products, tracking who is doing what where, and reporting will need to be implemented at all levels. In 2007, OCHA, with UNDP, will support the creation of the Pandemic Influenza Contingency Support (PICS) Team, comprising Regional Planning Officers (in Bangkok, Nairobi, Dakar, and Johannesburg, with more to follow in the Middle East, Eastern Europe, and the Americas) and an inter-agency team based in Geneva. Substantial requests for technical assistance have already been made of the UN system: the PICS Team will ensure that such requests are met quickly and efficiently. In addition, OCHA has the lead responsibility for continuity under pandemic conditions, ensuring that pandemic plans and strategies are built upon existing mechanisms for disaster management, and ensuring that contingency plans are tested, reviewed, and revised periodically.

35

Avian and Human Pandemic Influenza: Consolidated Action Plan for Contributions of the UN System and Partners Revised Activities and Financial Requirements up December 2007

24 November 2006 ________________________________________________________________________________________________

VI. ORGANISATION MONDIALE DE LA SANTE ANIMALE (OIE) / WORLD ORGANISATION FOR ANIMAL HEALTH

No Objectives Funds

requested till end 2007 (in USD)

Partners

1 Animal Health and Bio-Security 23,600,000

5 Public Information and Communication to Support Behaviour Change

1,900,000

FAO, WHO, UNICEF, national and regional entities/organisations and NGOs

TOTAL 25,500,000* * OIE’s original requirements were 38,400,000. The OIE has already received USD 12,900,000 through

the OIE World Animal Health and Welfare Fund. Overview of OIE’s Contribution OIE, together with the Food and Agriculture Organisation (FAO), is supporting countries to strengthen good governance and veterinary services in preventing and controlling emerging and re-emerging animal diseases, including H5N1 highly pathogenic avian influenza. As the relevant standard setting international organisation, the OIE leans its action plan against the Terrestrial Animal Health Code (referred to as the OIE Code) and its standards and guidelines on the Evaluation of Veterinary Services. The OIE certified PVS experts and the PVS instrument are used for these evaluations. An OIE/FAO document3 (published by the OIE, last updated in August 2006) on “Ensuring Good Governance to Address Emerging and Re-emerging Disease Threats – Supporting the Veterinary Services of Developing Countries to Meet OIE international Standards on Quality”, endorsed by the International Conferences of Geneva and Beijing, to limit the spread and build capacity for epizootic disease control forms the main background for the elaboration of strategies for the progressive control of HPAI in affected countries and prevention of incursions of disease to unaffected countries.

3 http://www.oie.int/downld/Good_Governance/A_good_gouvernance.pdf

36

VII. UNITED NATIONS DEVELOPMENT PROGRAMME (UNDP)

No Objectives Funds requested till

end 2007 (in USD)

Partners

2 Sustaining Livelihoods 13,500,000

4 Coordination of National Stakeholders

12,500,000

6 Continuity under Pandemic Condition

4,000,000

OCHA and other UN System agencies, Governments, World Bank, regional development banks, donors and civil society organisations

TOTAL 30,000,000

Overview of UNDP’s Contribution National governments’ responses to threats related to avian and human influenza are most likely to succeed if their strategies pass the test of technical soundness, if multi-sectoral response mechanisms are realistic and effective, and if they are implemented in a timely manner. The UNDP effort is designed to contribute to ensuring that success factors as described in this Consolidated Action Plan are in place, particularly through encouraging effective governance in relation to AHI. The primary focus of the UNDP effort is countries with restricted capacities (RIC) or Least Developed Countries - especially Sub-Saharan African countries and countries where capacities are already compromised -, and countries with moderate implementation capacities (MIC) or Low Income Countries. UNDP is well placed to ensure that countries receive any needed support to encourage these attributes necessary for success. In addition, UNDP, in close collaboration with OCHA, supports the coordination of UN System activities at country level, geared at capacity building for AHI, ensuring country ownership as well as the involvement of all stakeholders.

37

Avian and Human Pandemic Influenza: Consolidated Action Plan for Contributions of the UN System and Partners Revised Activities and Financial Requirements up December 2007

24 November 2006 ________________________________________________________________________________________________

VIII. UNITED NATIONS HIGH COMMISSIONER FOR REFUGEES (UNHCR)

No Objectives Funds requested till

end 2007 (in USD)

Partners

1 Animal Health and Bio-security 1,000,000 2 Sustaining Livelihoods 500,000

3 Human Health 6,000,000 5 Public Information and

Communication to Support Behaviour Change

500,000

6 Continuity under Pandemic Condition

2,000,000

The government of the host countries in collaboration with UNDP, FAO, WHO, WFP and UNICEF

TOTAL 10,000,000

Overview of UNHCR’s Contribution In the event of a pandemic, the already limited resources for infection control and disease management are unlikely to be directed towards refugees. UNHCR will be responsible for protection and assistance activities for refugees and other population of its concern, should the influenza pandemic occurs. It will ensure that these people are not being excluded from national and regional preparedness planning and are properly informed. It will also be the convening agency in refugee settings during the pandemic and ensure timely and efficient management of the situation according to stages. UNHCR is particularly concerned about refugees confined in camps of more than 5,000 persons and other populations of concern:

� 24 countries in the African continent are concerned with over 1,800,000 people: Algeria, Angola, Burundi, Central African Rep., Chad, Congo, Côte d'Ivoire, Dem. Rep. of the Congo, Djibouti, Ethiopia, Ghana, Guinea, Kenya, Liberia, Malawi, Namibia, Nigeria, Rwanda, Sierra Leone, Sudan, Togo, Uganda, United Rep. of Tanzania, Zambia.

� 11 countries in the rest of the world are concerned with over 1,500,000 people: Afghanistan, Azerbaijan, Bangladesh, Iraq, Islamic Rep. of Iran, Nepal, Pakistan, Serbia & Montenegro, Sri Lanka, Thailand, Yemen.

UN country teams should clarify roles and responsibilities in such a situation in order to support this vulnerable population.

38

IX. UNITED NATIONS CHILDREN’S FUND (UNICEF)

No Objectives Funds requested till

end 2007 (in USD)

Partners

3 Human Health 13,500,000

5 Public Information and Communication to Support Behaviour Change

25,000,000

6 Continuity under Pandemic Condition

11,500,000

Line-ministries, NGOs and civil society organisations, local science institutions and professional bodies, WHO, FAO, WFP, UNHCR and OCHA

TOTAL 50,000,000 Overview of UNICEF’s Contribution The main objective of UNICEF’s response will be to ensure that the needs of children are adequately addressed in preventing, preparing and responding to avian influenza and the human pandemic. In order to achieve this objective UNICEF will:

� In collaboration with governments, and with FAO and WHO as technical lead agencies, develop communication strategies for advocacy and behavioural change to prevent bird-to-bird, bird-to-human and human-to-human transmission.

� In collaboration with governments and as part of the UN country team, assess the potential impact of a pandemic on country programme activities;

� In collaboration with governments and UN country teams, identify which programme activities are essential and should continue in a pandemic and which additional critical actions should be added to the programme of cooperation; and

� In collaboration with governments, UN country teams and Inter-Agency Regional Support Networks, put in place technical and material assistance needed to support critical new activities for national preparedness and response.

At country level, UNICEF provides technical assistance and support to direct implementation. UNICEF Regional Offices provide coordination, technical support to country offices, and regional oversight and share good practices. UNICEF Headquarters provides policy guidance and global oversight. UNICEF has identified areas where strengthening systems and putting in place essential programmes will: (a) reduce morbidity and mortality, (b) reduce transmission, (c) maintain the basic essential services for children and the most vulnerable, and (d) support the national response to the pandemic. While these actions are aimed at mitigating the immediate threat of a pandemic, they will also serve to strengthen national systems for longer term gains for children. As part of WHO and UNICEF’s work towards reaching the Millennium Development Goals, both organisations have jointly agreed on a list of 60 priority countries, which account for over 90 per cent of global under-five mortality each year. During the initial stages of avian and human influenza preparedness activities, UNICEF proposes to leverage efforts in 48 of the 60 priority countries, all of which fall into the categories of countries with moderate (MIC) and restricted (RIC) implementation capacity.

39

Avian and Human Pandemic Influenza: Consolidated Action Plan for Contributions of the UN System and Partners Revised Activities and Financial Requirements up December 2007

24 November 2006 ________________________________________________________________________________________________

X. UNITED NATIONS WORLD TOURISM ORGANISATION (UNWTO)

No Objectives Funds requested till

end 2007 (in USD)

Partners

2 Sustaining Livelihoods 100,000 5 Public Information and

Communication to Support Behaviour Change

1,000,000

6 Continuity under Pandemic Condition

500,000

WHO

TOTAL 1,600,000

Overview of UNWTO’s contribution In case of a pandemic, the tourism industry will be tremendously affected, jeopardizing the income of governments, private sector and civil society. The sector represents more than 5% of GDP and jobs on a global basis and more than 40% of service exports: it is a principal export for poor countries. Tourism demand is a driver of related sectors. It is therefore of vital importance to ensure that preparedness and response plans are in place. UNWTO will do this working closely with the UN System Influenza Coordinator, the World Health Organisation (WHO) and the Food and Agriculture Organisation (FAO). As the UN Organisation responsible for tourism, UNWTO is engaging tourism private and public actors by disseminating information, building capacity and coordinating preparedness activities. It supports tourism stakeholders in their efforts to develop strategies and tools to withstand the impact of a pandemic. These will include mechanisms to prevent spreading of unnecessary panic among consumers while sharing accurate information. UNWTO will use its networks of states, private sector members, NGOs and its Regional Commissions to track, and respond to, evolving avian influenza developments with messages and support. A central component will be a portal for travel organisations and for tourists with real time information on avian flu developments linking to UN and public crisis channels and supported by a global university based reporting structure.

40

XI. WORLD FOOD PROGRAMME (WFP)

No Objectives Funds requested till

end 2007 (in USD)

Partners

2 Sustaining Livelihoods 500,000*

4 Coordination of National Stakeholders

500,000

5 Public Information and Communication to Support Behaviour Change

1,000,000

6 Continuity under Pandemic Condition

1,500,000**

7 Common Services 2,000,000**

UNICEF, WHO, FAO, OCHA, UNDP, IFAD and other international and regional partners, NGOs

TOTAL 5,500,000 * Does not include costs for programme implementation. WFP will respond to those needs following requests from affected governments and costs will be calculated on the basis of assessed needs. ** Do not include support for programme implementation in a pandemic situation.

Overview of WFP’s Contribution WFP’s four main planning objectives in responding to avian influenza and the threat of an influenza pandemic are: � Staff safety and health, by minimizing the impact on the health and safety of staff, including

compliance with the UN Medical Services Staff Contingency Plan; � Continuity of operations in serving current beneficiary caseloads and maintaining WFP

infrastructure; � WFP's capacity to identify and address the food security needs of possible new beneficiary

caseloads (new programme response); � Contribution to a system-wide effort to prepare for, prevent and/or combat a pandemic (new

services); The majority of WFP’s operations are focused in countries with restricted implementation capacity (RIC). In countries with strong and moderate implementation capacity (SIC and MIC). WFP is advocating for consideration, by the national authorities, of food insecurity in the development of plans in response to avian influenza as well as pandemic preparedness plans.

41

Avian and Human Pandemic Influenza: Consolidated Action Plan for Contributions of the UN System and Partners Revised Activities and Financial Requirements up December 2007

24 November 2006 ________________________________________________________________________________________________

XII. WORLD HEALTH ORGANISATION (WHO)

No Objectives Funds requested for

2006-2007 (in USD)

Partners

3 Human Health 99,400,000 UN System agencies, national governments, NGOs, civil society, academic institutions and the private commercial sector

TOTAL 99,400,000

Overview of WHO’s Contribution WHO Member States have agreed on a series of protocols for reducing the risks of catastrophic ill health as a result of communicable disease. In May 2006, the World Health Assembly adopted a resolution (WHA59.2) that calls upon Member States to immediately comply, on a voluntary basis, with the provisions of the International Health Regulations4 (2005) that are considered relevant to the risk posed by avian influenza and pandemic influenza. The International Health Regulations form the basic framework that guides countries to establish epidemiological surveillance and reporting systems WHO has been mandated to monitor the implementation of the Regulations and to provide technical assistance to those countries, where implementation is not at the required level. WHO assists countries to develop their overall health systems that provide the ongoing capacity to respond to epidemics and pandemics, including prevention, treatment of affected persons, and leadership within the health sector. It has developed model strategies that countries should consider to adopt as part of their pandemic preparedness planning. It has also highlighted the national and international capacities that are necessary, were there to be an outbreak of influenza with a pandemic potential. WHO - through its network of country and regional offices, and global initiatives for epidemic and pandemic preparedness and response - works to improve these capacities. This will result in increased capacity to respond to the present threats to human health that are posed by avian influenza and will improve countries’ (and global) abilities for defence against many other emerging and epidemic-prone diseases.

4 The International Health Regulations (2005) officially enter into force in June 2007, two years after their adoption by the World Health Assembly.

42

XIII. UNITED NATIONS SYSTEM INFLUENZA COORDINATOR OFFICE, PART OF THE UNITED NATION DEVELOPMENT GROUP (UNDG)

No Objectives Funds requested till

end 2007 (in USD)

Partners

4 Coordination of National, Regional and International Stakeholders

2,200,000 UN Systems agencies, funds and programmes, other organisations, NGOs, private sector entities, governments

TOTAL 2,200,000

Overview of UNSIC’s Contribution The UNSIC office, which works from inside the UN Development Group, exists solely to facilitate and promote coordination of the work of different UN System agencies, funds and programmes (and their outside-UN partners) as they support national, regional and international responses to avian and human influenza; the office supports efforts to identify programme and funding gaps, and may catalyse efforts to close them. UNSIC seeks an inclusive yet focused approach to coordination, encouraging the taking of decisions by consensus, seeking to avoid highly formal processes, and being prepared, at all times, to move rapidly to closure in situations that warrant rapid action. It ensures that the UN System works to its best effect, through the formation of alliances and links, through some formal agreements and many informal arrangements, and – where appropriate – to establish effective collaboration with like minded groups from the public, voluntary, private and media sectors.

43

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44

Notices:

45

Notices:

46

INTRODUCTION

In July 2006, the UN Secretary General prefaced the first issue of the UN Consolidated Action Plan

for Avian and Human Influenza (AHI) with reference to our collective responsibility for ensuring that

all countries -- rich and poor -- are adequately protected and prepared. He pledged the UN System’s

support to countries in their efforts to respond to the threats posed by highly pathogenic avian

influenza and any future influenza pandemic. He committed the combined strength and expertise of

UN System agencies, funds and programmes in support of this outcome and called on the

international community to provide them with adequate backing.

The collective goal of the UN System is to help national authorities implement programmes that are

characterized by high technical quality (right actions, in the right place at the right time), with strong

national ownership and adequate resources. The UN System expects to do this with a high degree of

inter-agency coherence and synergy, whether working at country, regional or global levels. To make

this happen, the UN System has established a high level Steering Committee (chaired by the UN

Deputy Secretary General), appointed a Senior Coordinator, and is engaging in joint operations with

the World Bank, World Organisation for Animal Health and the Red Cross Movement. The UN

System has established functional links with the International Partnership on Avian and Pandemic

Influenza, with regional political organisations, and with many private sector groups, voluntary bodies

and donor agencies. The UN System produced, in June 2006, a UN Consolidated Action Plan that

describes the ways in which agencies, funds and programmes are working together.

The Plan builds on the AHI action plans developed and implemented by each of the concerned UN

agencies, funds and programmes. It reflects the common objectives, strategic directions, and results

to be attained by different parts of the UN System together with their international and regional

partners. It also lists financial requirements for the different objectives to be realized.

AHI threats are changing over time. So are the needs of countries and the assistance that is requested

from the UN System and its partners. The present document complements the initial UN Consolidated

Action Plan by reflecting these changes. It provides an overview of overall progress achieved during

the last six months against the seven common objectives the UN System has set for itself, presents the

UN System contributions to AHI in a comprehensive Logical Framework and informs on revised

financial requirements for 2007. I am particularly pleased that this revision of the Action Plan

introduces the critical work being undertaken by the International Labour Organisation, the

International Organisation for Migration, the International Civil Aviation Organisation, the World

Tourism Organisation and the World Organisation for Animal Health. The Federation of Red Cross

and Red Crescent Societies and major international NGOs are currently working on ways to

complement the UN Action Plan.

AVIAN AND HUMAN INFLUENZA (AHI)

CONSOLIDATED ACTION PLAN FOR CONTRIBUTIONS OF THE UN SYSTEM AND PARTNERS

REVISED ACTIVITIES AND FINANCIAL REQUIREMENTS UP TO DECEMBER 2007

24 November 2006

Produced on behalf of FAO, ICAO, ILO, IOM, OCHA, OIE, UNDP, UNHCR, UNICEF, UNWTO, WFP and WHO

by UN System Influenza Coordinator (UNSIC)

UN Development Group 2 United Nations Plaza,

DC2- 2612 New York, NY 10017 Tel. +1 646 236 1942