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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 )
slide7
International

and

Mainland

authorities

Community

DH

Hospital

Authority/

Private hospitals

and

practitioners

Universities

Existing Interface Gaps

slide8
Science

Legislation

Surveillance

Programme

Development

Risk

Management

Effective

Health

Protection

System

Source:

Health Protection

for the 21st Century,

Health Canada

slide9
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
slide10
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

slide11
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
slide12
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
slide15
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
slide18
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
slide19
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

slide20
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

slide21
TMH

PWH

PMH

PMH

QEH

QMH

Epidemiology and Infection Control Unit

slide22
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)

slide26
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
slide29
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
slide34
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
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
slide37
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

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
slide41
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)
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