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TRINIDAD AND TOBAGO CAPSCA IMPLEMENTATION

CAPSCA Bern June 2013

Trinidad and Tobago is an unitary state comprising of two islands at the southern-most end of the Caribbean archipelago. It has a population of 1.35 million people and occupies a combined area of 5128 sq km. The capital city is Port of Spain. The Republic of Trinidad and Tobago is a Unitary Parliamentary Constitutional Republic. Trinidad has an area of 4,828 sq km and is situated at the closest point 10 km from the east coast of Venezuela. The Piarco International Airport is located in Trinidad. Tobago is 32 km off the north-east coast of Trinidad and has an area of 300 sq km. The ANR Robinson Airport is located in Tobago.

TRINIDAD AND TOBAGO


TRINIDAD AND TOBAGO

TRINIDAD AND TOBAGO FLIGHT INFORMATION REGION (FIR)

ANTIGUA

ST. VINCENT AND THE GRENADINES

GUADELOUPE

MARTINIQUE

DOMINICA

ST. LUCIA

BARBADOS

GRENADA

TRINIDAD AND TOBAGO

PASSENGER ARRIVALS

760000

780000

800000

820000

840000

860000

880000

900000

920000

940000

960000

980000

2008 2009 2010 2011 2012 2013

TRINIDAD AND TOBAGO

TRINIDAD AND TOBAGO


• Air Traffic Control Services are provided by the Air Navigation Services of the Trinidad and Tobago Civil Aviation Authority (TTCAA).

• The Piarco FIR covers approximately 1.92 million sq km.

• Air Traffic Controller Proficiency

• Training in Unusual Situations and Emergencies (TUSAE)

• Yearly Assessments

PIARCO ATC

Notification of Suspected Communicable Diseases, or Other Public Health Risk, on Board An Aircraft


As the Regulatory Body, the TTCAA adopts a coordinated approach

AATT MINISTRY OF

HEALTH

IMMIGRATION THE AIRLINES

PORT HEALTH

CUSTOMS

CAPSCA IMPLEMENTATION

TTCAA

A COORDINATED APPROACH

Airports Authority of Trinidad

and Tobago (AATT)

The Airports Authority of Trinidad and Tobago (AATT) manages and operates the islands’ two international airports - Piarco International Airport, Trinidad and A.N.R. Robinson International Airport, Tobago.

• The AATT Emergency Plan incorporates the Health Emergency Plan for the airport.

• It clearly details the guidance for an emergency in order of priority. The role of all the relevant agencies and personnel is detailed.

• The Airport Health Emergency plan shall conform with the National Health Emergency Plan

Article 14 of the Convention on International Civil Aviation (Chicago, 1944) states that: “Each Contracting State agrees to take effective measures to prevent the spread by means of air navigation of cholera, typhus (epidemic), smallpox, yellow fever, plaque, and such other communicable diseases as the Contracting States shall from time to time decide to designate, and to that end Contracting States will keep in close consultation with the agencies concerned with international regulations relating to sanitary measures applicable to aircraft”.


ICAO ARTICLE 14

The ICAO Assembly Resolution A37-13 Prevention of spread of communicable disease through air travel urges Contracting State and regional safety oversight organizations to ensure that the public health sector and the aviation sector collaborate to develop a national preparedness plan which addresses public health emergencies of international concern and which is integrated with the general preparedness plan. It also urges Contracting States to join and participate in the Cooperative Arrangement for the Prevention of Spread of Communicable Disease through Air Travel (CAPSCA) project, where available, to ensure that its goals are achieved, unless equivalent measures are already in place.


ICAO RESOLUTION A37-13


CAPSCA IN TRINIDAD AND TOBAGO

• The CAPSCA Assistance Visit (AV) to Trinidad and Tobago was conducted from 27th to 28th August 2012.

• Attendance at 3rd CAPSCA Global Coordination and 4th

CAPSCA Americas Meeting in Chile 8th – 12th October 2012. • Report on the CAPSCA Assistance Visit was received in

November 2012 • Meeting of all relevant stakeholders to review AV report and

formulate action plan.

STATUS OF IMPLEMENTATION

• ATS procedures have been revised to include the provisions of the ICAO PANS-ATM 16.6.

• Training for ATCs has been included in the TUSAE program. This program forms part of the proficiency training.

• There is already in place, a contingency plan for disruptions to ATC operations. This plan is currently being reviewed and shall be subsequently promulgated.



• Airport Emergency Plan implemented and tested in accordance with Annex 14 V1 9.1

• The Airport Health Emergency Plan has been drafted and is currently being reviewed. Final version and inclusion in Airport’s Emergency Plan should be finished by the end of July 2013.

• Table-top exercise of Airport Health Emergency Plan scheduled for August 2013



• Trinidad and Tobago Civil Aviation Regulations (TTCARs)are being amended within the State’s Legal framework. August 2013.

• The IHR to be included in the National Legal framework. This will allow the TTCARs to refer to the IHR.

• Full implementation of CAPSCA in Trinidad and Tobago by March 2014


Public Health Emergency

Preparedness in the

Aviation Sector

Ministry of Health

PUBLIC HEALTH AUTHORITY

• The Ministry of Health is the “Competent Authority” with responsibility for implementation of the IHR (2005).

• The Office of the Chief Medical Officer is the designated National Focal Point.

• The Ministry of Health has a critical role in coordinating Public Health Emergency preparedness at Points of Entry.


NATIONAL HEALTH DISASTER

OPERATIONAL PLAN

An all-hazards plan identifying actions to be taken by Health Sector Agencies in emergency response: 1. Outline a coordinating mechanism for health sector

response

2. Identify the roles and responsibility of key health sector agencies

3. Outline a response mechanism that returns the impacted population to a state of normalcy in the shortest possible time


NATIONAL HEALTH DISASTER

OPERATIONAL PLAN

• Does not specifically address the aviation sector.

• Aim to develop a public health emergency contingency plan at designated points of entry in accordance with WHO guidance documents.


PANDEMIC INFLUENZA

PREPAREDNESS & RESPONSE PLAN

• Contingency plan to mitigate the impact of an influenza pandemic through planning and preparation by the coordinated efforts of all stakeholders.


INTERSECTORAL COLLABORATION FOR

PANDEMIC INFLUENZA PREPAREDNESS

AND RESPONSE

Trinidad and Tobago Pandemic Influenza Preparedness and Response Plan

Ministry of Health (MOH)

Pandemic Influenza Committee (PIC)

Ministry of Agriculture (Veterinary Division)

Task Force Committee (TFC)

Office of Disaster Preparedness & Management

(ODPM)


ACUTE RESPIRATORY ILLNESS

SURVEILLANCE


AIRPORT

INFLUENZA SURVEILLANCE

Ministry of Health provides Airlines with Influenza Data Forms

Flight crew distributes forms to all passengers

Forms completed by all passengers

Completed forms collected by crew upon landing


AIRPORT

INFLUENZA SURVEILLANCE

Forms reviewed by Health Control Officer before disembarkation

In the event of a suspected or probable case of Influenza,

Medical Officer on-call informed by Health Control Officer

Suspected cases isolated, transported to the nearest health facility or quarantined and the Chief Medical Officer informed


PORT HEALTH SERVICES

Epidemiological Surveillance

Liaison with Medical Facilities

Environmental Monitoring

Monitoring of Food and Water Safety


STAKEHOLDER MAP FOR CORE CAPACITY

REQUIREMENTS AT DESIGNATED

POINTS OF ENTRY


ASSESSMENT OF IHR CORE CAPACITIES AT DESIGNATED POINTS OF ENTRY

Strengths Weaknesses

Coordination and

communication

High degree of transparency

Absence of formal MOUs and

regular updating of contact details

Core capacities at

all times

Robust programme for vector

control; Reliable system for care of

affected travellers

Largely informal inspection

programmes for food, water and

solid waste disposal

Core capacities

for responding to

PHEICs

Demonstrated history of responsive

of emergency services at points of

entry

Public health contingency plan

needs to be updated and tested


THE WAY FORWARD

IHR Implementation Plan

2012-2014


Core Capacity: Points of Entry

Goal: To ensure that designated points of entry establish the capacity to

detect and respond to public health threats

Objective Activities Responsibility Timeline Indicator

Establish

standard

operating

procedures at

all points of

entry

Develop a Port

Health Manual to

guide all Port Health

activities

Port Health

Medical Officer

July 2012

to

December

2013

Dissemination

of an

approved Port

Health

Manual to all

stakeholders

THE WAY FORWARD



Strengthen

intersectoral

collaboration

Establish MOUs

between relevant

agencies

Legal Unit

July 2012

to

June 2014

Relevant

MOUs are

established

Participate in

CAPSCA initiatives

NFP

T&T is an

active

CAPSCA

member

state

THE WAY FORWARD



Enhance

Port

Health

operations

Review and revise

proposals to augment

the organizational

structure which

conducts Port Health

operations

HR

July 2012

to

December

2013

Establishment of an

appropriately-

staffed Port Health

Unit

Standardize Port

Health documents in

accordance with IHR

(2005) models

Port Health

Medical

Officer

July 2012

to

December

2012

The format of all

Port Health

documents are

consistent with IHR

(2005)

requirements

THE WAY FORWARD



Enhance Port

Health

operations

Develop physical

infrastructure at to

adequately support

Port Health

operations

AATT

July 2012

to

June 2014

Appropriate

physical

infrastructure is

dedicated for

Port Health

activities

Strengthen

response

systems to

public health

emergencies

Review, update and

test the public

health emergency

plan for designated

points of entry

Port Health

Medical

Officer;

ESDPCU

July 2012

to

December

2013

Dissemination

and testing of

updated public

health

emergency

response plan

THE WAY FORWARD


TRINIDAD AND TOBAGO CAPSCA IMPLEMENTATION


trinidad and tobago capsca implementation meetings seminars and workshops...the airports authority...

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