The Global Threat of Avian and Human Influenza

Stocktaking: Conclusions of Geneva & Review of Recent Progress

David NabarroUnited Nations System Influenza CoordinatorJanuary 17 2006

(With support from Peacepath Consulting and Nan Kasonde)

2

‘Taking Stock’ and Moving Forward

1. Progress since November 7th 2005

2. Coordination: Supporting Countries

3. One UN System Approach

4. Moving Forward

3

1. Progress Since November 2005

Starting point: The 12 conclusions of Geneva

Local GlobalRegional

Development of integrated

national plans

Aggressive control of Avian Influenza in birds and human pandemic

preparedness

Voluntary compliance of International Health

Regulations

Assess needs of veterinary

infrastructures

4

3

2

1

Multi-country technical networks

Expanded network of influenza laboratories

Stronger country and regional capacity

‘Rapid response’ teams of experts

8

7

6

5

Finalize coordination framework building on existing mechanisms

Costing of country plans and regional and

global requirements

Global strategy for vaccine research

and development

Expanded global anti-viral stockpile

12

11

10

9

4

Notable achievements by countries

Contributions by the international community

Development of new public private partnerships

Actions by civil society

Key Successes to Date

5

2. UN System Requirements

• Animal Health• Human Health• Governance and Rule of Law• Economic and Social

Systems• Humanitarian and Relief• Communication and

Coordination

Inter-linked Dimensions

Animal

Health

Humanitarian& Relief

Coordination & Communication

Human

Health

Economy& Society

Governance& Rule of Law

6

One UN System Approach

Animal

Health

Human

Health

Governance & Rule of

Law

Economic & Social Systems

Humanitarian & Relief; Logistics

Communication &

Coordination

FAO WHO UNDP R/C UNICEF WFP OCHA ICAO UNWTO UNEP

7

A Coordinated UN System

Animal

Health

Human

Health

Humanitarian& Relief

Economy& Society

Governance & Rule of Law

Direct UN System Interventions

Catalyse other actors to contribute

• National governments• Regional bodies• Civil society• Private sector

Coordination & Communicatio

n

8

3. Levels of Coordination

Coordination is active at three levels and practiced both regionally and globally

In Country

Inter Agency

Inter-country

Provide local leadershipJoin up government departments, civil

society and partners Jointly implement and monitor

Facilitate information exchangeSet global standardsPrioritize and implement Monitor achievements

Align strategyProgress assessment by peersFill gaps and surmount blocksResolve difficulties

9

Importance of country level coordination (Proposed Nov. 2005)

National Coordination Mechanism (Country Led)Integrated Country Plan

International Consortium on Avian & Pandemic Influenza(Countries, Agencies, Financiers, Civil Society)

Regional and Global SupportFinancing Partners: MDBs, Bilaterals,

etcPrivate Initiatives

Regional Organizations:

APEC, ASEAN , etcFAO OIE WHO

Other UN System

Alignment and Harmonization

106040317-GMH-FAO-Coordv05BOS

Coordination Framework (01/2006)

, ,

National Coordination Mechanism (Country Led)

Country Coordination

Inte

grat

ed

Count

ry P

lan

International and Regional Influenza Partnerships

Inter-country coordination

Polit

ical a

nd

polic

y Con

sens

us

FAO OIE

Regional Organizations:

APEC,ASEAN ,AU

Regional Development Banks

Regional

WHOOther UN

Financing Partners:MDBs Bilaterals

etcPrivate Initiatives

Alignm

ent a

nd

Harm

oniza

tion

Global

FAO OIE WHOOther UN System

Interagency Coordination

11

4. Taking the Next Steps: Together

• Applying lessons and taking action

• Moving funds and managing them

• Supplying skilled people

• Changing behaviour

• Sustaining coodination

• Monitoring progress and assessing performance

• Peer reviews

• Reporting progress

12

There is no choice

We are being put to the test.

We can stamp out avian influenza

We can reduce

death rates and economic impact

We can improve prospects for future generations