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H1N1 Outbreak in North Korea

H1N1 Outbreak in North Korea

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H1N1 Outbreak in North Korea

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  1. H1N1 Outbreak in North Korea By See-Won Byun, Paul Choi, Kevin Shepard, Adrian Yi, Yun Yi

  2. Introduction

  3. Actors

  4. Task: Simulate Collaboration to Prevent a Global Pandemic

  5. North Korea

  6. North Korea: Responsible Offices

  7. North Korea

  8. South Korea

  9. South Korea: Responsible Offices Foreign and Security Policy Coordination Council Direct Control: Chief of Staff Chair: MOFAT Minister Council Members: Defense Minister NIS Chief, Chief of the PM Office, Unification Minister, Sr. Pres. Sec. For. Affairs & Nat’l Sec. System & Actors I - Macro:

  10. South Korea: Responsible Offices (2) System & Actors II - Micro:

  11. South Korea

  12. United States

  13. United States: Responsible Offices Overseas Response Domestic Response

  14. United States

  15. Japan

  16. Japan: Responsible Offices

  17. Japan Actors & Roles Ministry of Health, Labor, and Welfare (MHLW) • Adopts response policies • Leads planning & coordination among relevant government bodies: Cabinet Secretariat; Ministries of Foreign Affairs; Finance; Environment; Land, Infrastructure & Transport; Agriculture, Forestry & Fisheries; Education, Culture, Sports, Science & Technology; Ministry of Defense; Coast Guard; National Police Association; Small & Medium Enterprise Agency • Coordinates international & local efforts in public & private sector: Healthcare providers & suppliers; Medical institutions; Social welfare facilities; Public transportation; Media; Private & nonprofit corporations Prime Minister • Takes lead from MHLW at human-human transmission phase National Institute of Infectious Diseases • As WHO collaborating center conducts surveillance; provides technical assistance for development of national & regional health programs

  18. Japan

  19. China

  20. China: Responsible Offices

  21. China

  22. Coordinating a Response In Resolving the issue,“How do regional actors collaborate in order to get the DPRK to cooperate in order to prevent a global pandemic?”, the following should be considered: • Prioritization of objectives • Coordination of resources • Division of cost/burden • Areas for Joint Response: (1) Detection & reporting (2) Assessment & decision-making (3) Resource mobilization (4) Implementation (5) Monitoring & evaluation • Common Priorities/Challenges • Interagency; public-private; civil-military; domestic-international coordination mechanisms • Availability of supplies: Possible nationalization of production facilities • Pandemic-related global economic crisis; social instability at home • Spread of biological terrorism DPRK-Specific Challenges • Uncertain DPRK leadership response: reluctance toward info-sharing, foreign intervention • DPRK non-membership in international organizations • DPRK domestic situation; possible insurgency against police & military enforcement of quarantine • Diplomatic/political tensions: DPRK-Japan, DPRK-U.S., inter-Korean • Inefficient distribution of external supplies to DPRK (and who distributes/how); Training of international & DPRK staff for common understanding; human & material resource constraints • Lack of legal & other national capacities to implement measures, standard operating procedures • Delay in DPRK-WHO reporting; Lack of rapid & transparent info-sharing

  23. Reading Lists Required Reading • “Pandemic H1N1 Influenza: The Evolving Saga,” Smart Global • The pandemic influenza challenge: Multilateral perspectives on preparedness, response planning, and areas for cooperation, James Schoff and Marina Travayiakis, IFPA Jan 2007, • Reform locally, act globally?  Crisis management trends in Korea, James Schoff and Choi Hyun-jin, KEI Apr 2008, • General understanding of DPRK government view of NGO’s, by Gordon Flake: • Preparing for the next influenza pandemic: roles and responsibilities of Roche and other stakeholders, Roche May 2008, Recommended Reading • WHO, “Coordinated approach for responding to early pandemic events”, Japan-WHO Joint Meeting on Early Response to Potential Influenza Pandemic in Asia, Tokyo, Japan, 12-13 January 2006. • “The Pandemic Influenza Challenge: Multilateral Perspectives on Preparedness, Response Planning, and Areas for Cooperation,” IFPA, January 2007. • Trilateral tools for managing complex contingencies: US-Japan-Korea cooperation in disaster relief and stabilization/reconstruction missions, James Schoff IFPA Nov 2005, • Most recent population data for the DPRK: • Huang Yanzhong, “China’s Reaction to H1N1 Pandemic Flu,” EAI Background Brief No. 498, January 8, 2010. • “China’s H1N1 Response and Public Opinion: Promise and Potential Challenges,” CSIS, Novmber 5, 2009.

  24. Related Sites • MED Pandemic Influenza Information: • Office of Foreign Missions Pandemic Influenza • US Department of Defense Global Emerging Infections Surveillance and Response System (DoD-GEIS): • Hawaii’s Department of Health: • Pacific Public Health Surveillance Network: • World Health Organization • Center for Disease Control: • • • • Chinese Center for Disease Control and Prevention:

  25. References • DPRK leadership chart: • WHO general outlook on North Korea: WHO coverage of 2005 Avian Flu outbreak: • WHO assistance on measles outbreak: • • Example of NK refusing help: • NK treatment of US NGOs: • “North Korea Rejects US Food Aid, Kicks Out US NGOs,” • “NGOs Remain Committed to N. Korea Despite Expulsion” • “First NGO Heading for North Korea this Week,” • S. Korean NGOs say aid for N.Korea is going to waste in Incheon Harbor,” • “Pandemic Influenza Preparedness and Response Plan 2006,” Ministry of Health & Welfare, Korea Centers for Disease Control & Prevention, 2006. ROK Pandemic Flu Response Plan

  26. References (cont.) • • • Canada - Public Health Agency - Travel Advisories • UK - Foreign and Commonwealth Office - Travel Advice – Mexico • WHO's International Health Regualtion system ( • The pandemic influenza challenge: Multilateral perspectives on preparedness, response planning, and areas for cooperation, James Schoff and Marina Travayiakis, IFPA Jan 2007, • (Abstract only) When the flu comes: political and economic risks of pandemic disease in Asia, Ann Marie Kimball, NBR Sep 2006, • “Japan’s contribution to the early response to pandemic influenza,” Presentation at Japan-WHO Joint Meeting on Early Response to Potential Influenza Pandemic, Tokyo, Japan, 12-13 January 2006, • Pandemic Influenza Preparedness Action Plan of the Japanese Government, 2005 (rev. 2007), • DPRK Pandemic Control Plan : • USFK Public Health Emergency Officers (PHEO) program •