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Background. In May 2003, the Chief Executive announced that the Government had begun to study the establishment of a CDC – like organisation in Hong Kong SARS Expert Committee ’ s Report released in Oct 2003 recommended the establishment of a Centre for Health Protection (CHP).

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Background

Background

  • In May 2003, the Chief Executive announced that the Government had begun to study the establishment of a CDC – like organisation in Hong Kong

  • SARS Expert Committee’s Report released in Oct 2003 recommended the establishment of a Centre for Health Protection (CHP)


Health protection

Health Protection

  • Health protection is about the measures that public health authorities and others take to protect the population from communicable diseases and other public health hazards

    • (Report of the SARS Expert Committee2003 )


Background

What differences will CHP make?


Background

International

and

Mainland

authorities

Community

DH

Hospital

Authority/

Private hospitals

and

practitioners

Universities

Existing Interface Gaps


Background

Science

Legislation

Surveillance

Programme

Development

Risk

Management

Effective

Health

Protection

System

Source:

Health Protection

for the 21st Century,

Health Canada


Background

Review of mandate

Promotion of standards

SCOPING

Assessment of potential building blocks of health protection

  • SCIENCE

  • Support of a

  • network of

  • laboratories

  • Laboratory

  • enhancement

  • Science-based

  • practice

  • SURVEILLANCE

  • Strengthening of

  • epidemiology as the

  • core competency

  • Enhanced

  • surveillance

  • EMERGENCY RESPONSE

  • Multi-disciplinary

  • emergency response

  • Centralisation of field

  • epidemiology services

  • Strengthening of

  • risk communication

  • LEGISLATION

  • Review of legislation in

  • communicable disease

  • control

  • PROGRAMMME

  • DEVELOPMENT

  • Set up specialised

  • health protection

  • programmes

  • INTERNATIONAL COLLABORATION

  • Coordination in Pearl River Region

  • Networking with international partners

  • RESEARCH SUPPORT

  • Incorporation of applied

  • research

  • EXPERTISE DEVELOPMENT

  • Reorganisation of public health training

  • Strengthening of fieldepidemiology as the core business

  • for investigation, analysis and rapid response capability


Background

Organisation of CHP

Director of Health

Controller, CHP

SURVEILLANCE &

EPIDEMIOLOGY

BRANCH

INFECTION

CONTROL

BRANCH

PUBLIC HEALTH

LABORATORY

SERVICES

PUBLIC HEALTH

SERVICES

EMERGENCY

RESPONSE AND

INFORMATION

BRANCH

PROGRAMME MANAGEMENT & PROFESSIONAL DEVELOPMENT BRANCH


Background

New functional elements

  • Epidemiology Unit

  • CD Surveillance Unit

  • Emergency Response and

    Information Branch

  • Programme Management and Professional Development Branch

  • Infection Control Branch

  • Health Protection Programmes for targeted diseases

Existing services

to be incorporated

  • Regional Offices

  • Disease Prevention and Control Division

  • Central Health Education Unit

  • TB & Chest Service

  • Social Hygiene Service

  • Special Preventive Programme

  • Pathology Service


Background

  • Risk Communication

  • Standardisation of Infection

  • Control Practice

  • Population Based

  • Programmes

  • Health Education

  • Programmes

  • Epidemic Intelligence

  • Communicable Disease

  • Notification

  • Training

  • Attachment Programmes

International &

Mainland

authorities

Community

CHP

  • Communicable Disease

  • Information System

  • Health Protection

  • Programmes for

  • targeted diseases

  • Infection Control

  • Multi-disciplinary

  • Emergency Response

  • Professional

  • Development

  • Multi-disciplinary

  • Emergency Response

  • Appointed Collaboration

  • Centres

  • Health Protection

  • Programmes for

  • targeted diseases

Universities

Hospital

Authority /

Private

Hospitals &

Practitioners


Strengths of chp

Strengths of CHP

Three Rs:

  • Real-time surveillance

  • Rapid intervention & resolution

  • Risk communication


Background

Functional Branches


Background

Surveillance & Epidemiology Branch

FUNCTIONS

  • Use contemporary IT programmes and infrastructures to collect, collate, analyse and disseminate surveillance data on notifiable diseases and other communicable diseases

  • Establish a central communicable disease information system

  • Manage & respond to communicable disease outbreaks and develop control measures

  • Mastermind a surveillance system for

    GD-HK-Macao and focus on the situation of communicable diseases in PRDR

FACILITIES

  • Epidemiology Unit and its Outbreak Teams

  • Data Management Centre

  • Communicable Disease Surveillance Unit


Priority issues

Priority issues

  • Enhance comprehensiveness and sensitivity of disease surveillance

    • E-Notification platforms for physician reporting

    • Centralised notification system for receiving reports of institutional outbreaks

    • Emerging infections surveillance network

    • Expanded surveillance network: local and international


Priority issues1

Priority issues

  • Strengthen Epidemiology and surge capacities

    • Epidemiology as core public health training

    • Set up structured Epidemiology Training Programme for specialist development

    • Exchange programmes and training for dealing with emerging pathogens

    • Training for supporting professionals and public health partners


Background

Infection Control

Branch

FUNCTIONS

  • Develop, promulgate and evaluate best practices in infection control at health care and non-health care settings

  • Coordinate, facilitate and support training in infection control for all levels of health care workers

  • Support epidemiological investigation of nosocomial infections in hospital

  • Conduct surveillance on infection hazards in health care and non-health care setting

  • Set up epidemiology and infection control units in five major public hospitals

FACILITIES

  • Simulation Room

  • Epidemiology and Infection Control Units


Background

Branch Head

Senior Microbiologist

Specialist in ID

Senior Epidemiologist

Advisory

Office

Technical Support

Division

Clinical Consultation

& Investigation Division

Surveillance &

Research Division

Training programmes

Expert Committees


Background

CHP Infection Control Branch

Advisory Office

Expert Panel on Infection Control

Training & technical support

Recommendations

Coordinating body

Training programmes

Infection control committee

Infection control committee

Infection control committee

hospital-based Epidemiology and Iinfection Control Units

Interface in Infection Control Practices


Background

TMH

PWH

PMH

PMH

QEH

QMH

Epidemiology and Infection Control Unit


Background

Emergency Response & Information Branch

FUNCTIONS

  • Overall corporate planning

  • Co-ordinate emergency response on a community/territory-wide basis

  • Contingency planning

  • Overall risk communication strategy

  • Update information system needs

  • Facilitate the development of preventive strategy and cross-sector logistic support

  • Develop contingency plans and arrange drills

FACILITIES

  • Emergency Response Centre


Crisis communication lifecycle

Crisis Communication Lifecycle

Precrisis

Initial

Maintenance

Resolution

Evaluation

  • Be prepared.

  • Foster alliance.

  • Develop consensus recommendations.

  • Test message.

  • Acknowledge the event with empathy.

  • Explain and inform the public in simplest forms, about the risks.

  • Establish agency/ spokes-person credibility.

  • Provide emergency courses if action (including how/ where to get more information).

  • Commit to stakeholders and public to continued communication.

  • Help public more accurately understand its own risks.

  • Provide background and encompassing information to those who need it.

  • Gain understanding and support for response and recovery plans.

  • Listen to stakeholder and audience feedback, and correct misinformation.

  • Explain emergency recommendations.

  • Empower risk/ benefit decision-making.

  • Improve appropriate public response in future similar emergencies through education.

  • Honestly examine problems and mishaps, and then reinforce what worked in the recovery and response efforts.

  • Persuade the public to support public policy and resource allocation to the problem.

  • Promote the activities and capabilities of the agency (corporate identity reinforced- internally, too)

  • Evaluate communication plan performance.

  • Document lessons learned.

  • Determine specific actions to improve crisis systems or the crisis plan.

(Source: Crisis, Emergency & Risk Communication, CDC)


Background

Public

Health Services

FUNCTIONS

  • Support the control of communicable diseases in the community (TB, HIV, STI)

  • Contribute to the surveillance of communicable diseases in Hong Kong

  • Provide specialised clinical services

  • Provide communicable disease treatment services

  • Consist of TB and Chest Service, Social Hygiene Service and Special Preventive Programme

FACILITIES

  • Specialist Clinics

  • Public Health Units


Priority issues2

Priority issues

  • To evaluate and improve the notification and reporting systems for STI, TB and HIV/AIDS

  • To explore the role of information technology on surveillance and intersectoral coordination in relation to the above diseases

  • To facilitate the training and interchange of expertise between the public health stream and the clinical stream


Background

Public Health Laboratory Services

FUNCTIONS

  • Provide pathology service for communicable disease surveillance and control

  • Provide laboratory support for outbreak investigations

  • Develop infection control standards in laboratory settings

  • Train microbiologists and infection control professionals for laboratory services

  • Collaboration with laboratories in HA, AFCD, Govt Lab, local universities and overseas agencies

FACILITIES

  • Public Health Laboratory Centre


Priority issues3

Priority issues

  • To introduce new laboratories to improve investigative capacity, including the laboratories for antimicrobial resistance surveillance, molecular virology, etc.

  • To develop and evaluate new test and optimize current tests for earlier laboratory confirmation of SARS CoV and shorten turn around time


Priority issues4

Priority issues

  • To strengthen the networking and coordination with local universities, HA and other health care institutions on laboratory research and support of communicable diseases control

  • To enhance training for medical, scientific and technical staff


Background

Programme Management & Professional Development Branch

FUNCTIONS

  • Coordinate and organise training activities for medical and nursing professionals of CHP, HA and other institutions

  • Liaise with local and international institutions to arrange attachment and exchange programmes

  • Carry out and coordinate research, including research projects in collaboration with universities, HA and other government departments

  • Manage health protection programmes

  • Coordinate with various advisory committees

  • Undertake health promotion activities

FACILITIES

  • Library, IT facilities

  • Training Office

  • Research Office


Background

Health Protection Programmes


Health protection programmes for targeted diseases health hazards

Health Protection Programmesfor targeted diseases/ health hazards

Three Dimensions

  • Multidisciplinary approach and intersectoral participation

  • Prevention – intervention continuum

  • Sustainable development


Background

Advisory

Committee

Controller, CHP

S & E

ER & I

PHLS

PHS

IC

Expert members

CHP Core Group for

HP Programme A

Programme

lead

CHP Scientific Committee for

HP Programme B

Programme lead

Expert members

Hospital X

University P

HP Programme organisation


Background

Implementation Milestones


Dec 2003 jan 2004

Dec 2003 – Jan 2004

  • Consultations with stakeholders on the establishment of CHP


Mid 2004

Mid 2004

  • To establish CHP under a transitional stage

    • Appointment of Controller, CHP

    • Establishment of the Surveillance & Epidemiology Branch & Infection Control Branch

    • Enhancement of Multi-disciplinary Emergency Response Mechanism

    • Endorsement of Manpower Enrichment / Redeployment Plan


Background

2005

  • All functional elements of CHP to operate smoothly, including

    • Implementation of CD information system (by phases)

    • Implementation of manpower plan

    • CHP IT platform in place (e.g. e-notification system, case notification system)


Background

Thank You


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