Dr Chin-Kei Lee, Team Leader, ESR, WPRO

1. Public Health Emergency Preparedness Dr Chin-Kei Lee, Team Leader, ESR,WPRO Meeting on Strengthening INFOSAN and National Food Control Systems in Asia, 10-12 December 2013, Manila

2. Focus Areas of APSED APSED (2010) • Surveillance, Risk Assessment and Response • Laboratory • Zoonoses • Infection Prevention and Control • Risk Communication • Public Health Emergency Preparedness • Regional Preparedness, Alert and Response • Monitoring and Evaluation APSED (2005) • Surveillance and Response • Laboratory • Zoonoses • Infection Control • Risk Communication APSED addressing cross-cutting issues

3. IHR regional core capacity scores based on responses from the same 26 countries Progress 2012-2013

4. Past events: key lessons learnt… • Importance of a common operational platform for command, control and coordination • Timely information collection, risk assessment and information display vital to enable decision-making • Need common mechanism to link the right people with right expertise for the right roles to ensure effective coordinated response • Common principle, but need to be tailored-made for each country / each event

5. APSED: Vision for PHEP Member States in the Asia Pacific region will have an overarching, flexible national public health emergency preparedness and response plan (PHEP) and a command and control system in place, supported by a functional Emergency Operation Centre (EOC), to effectively respond to all acute public health emergencies of national and international concern, including an influenza pandemic

6. A functional EOC… Facilities + Functions

7. EOC in APSED It is intended for use by Ministries of Health by providing best practices and options for consideration in: • Implementing and using a national command, control, and coordination structure (an incident management system or “IMS”) • Establishing an emergency operations centre • Establishing and integrating a response logistics system Within the Ministry of Health, for both daily operations and emergency response activities

8. APSED (2010) Workplan on EOC Key milestone • By 2013, all Member States will have established an EOC within the Ministry of Health • By 2015, EOC is able to support all the key functions required in responding to public health emergencies, including PHEIC

9. WPRO Emergency Operation Centre (EOC) activated, with an Event Management Team (EMT)

10. Two Tiers Approach Develop Exercise FIRST TIER Emergency Planning Plan Revise Evaluate SECOND TIER Increasing Readiness • Actions specific to events • Actions based on routine activities

11. Coordination of resources • Useful to have a generic plan to cover cross-cutting approach • Current preparedness in resource-limited MS is vertical (e.g. donor funding) but not horizontal • Maintaining preparedness for vertical diseases is not feasible • Emergencies response can be used to push forever horizontal approach • Facilitation at the national level by a coordinated planning mechanism (such as APSED framework)

12. Summary • Platform and achievement has been built based on preparedness and response to pandemic influenza and EIDs • Pandemic influenza preparedness can be beneficial for preparedness for other EIDs and PHEs (and vice versa) • Need capacity building to respond to pandemic influenza and other PHE’s Pandemic Preparedness  EID Public Health Emergency Planning