International Health Regulation (2005) DPG HEALTH MEETING USAID CONFERENCE ROOM 6 NOVEMBER 2013
What are the IHR? International legal instrument adopted at WHA in 2005 - Came into force on 15 June 2007 “The purpose and scope of the IHR (2005) are “to prevent, protect against, control and provide a public health response to the international spread of disease in ways that are commensurate with and restricted to public health risks, and which avoid unnecessary interference with international traffic and trade”
Effective Global Alert and Response Strong national public health systems • maintain active surveillance of diseases and public health events • investigate detected events; • report; • assess public health risk; • share information; • and implement control measures. Effective global systems, networks and tools • carry out continuous global risk assessment, • Be prepared to respond to unexpected events with a potential for international relevance
100 % have designated a NFP and provided full contact details 70% having established communication links with at least one of the relevant sectors 50% have started revising their national guidelines for IDSR to incorporate the IHR 33% having assessed one or more of the national core capacities in surveillance and response and developed plans 61% designated ports; 74% designated airports; and 52% designated ground crossing for development of core capacities required for IHR 65% have identified competent authorities for application of health measures at points of entry Current situation in the AFROut of 46 African region Member States
Core capacity requirements Community level: • Detect events involving disease above expected • Report unusual events to next level Regional level: • Confirm reported events and support control • Assess events and report to national level National level on a 24/7 basis: • Assess reports within 48 hours. • Notify WHO through the NFP of all potential PHEICs • Determine control measures required • Support local investigations • Provide information sharing links with HFs, NEPs etc • Establish, operate and maintain response plan
Recording Outcome Recording Outcome Discussion Discussion National Communication under IHR (2005) • Sector group meetings /discussion in filling out the questionnaire • Communication with NFP office if necessary for guidance and clarification • Relevant sectors submit data to NFP with endorsement from relevant authorities
Management of Public Health Risks/Events Determine Public Health Emergency of International Concern (PHEIC) Make temporary and standing recommendations Emergency Committee Expert Roster WHO Director-General Review Committee HQ Accessibility at all times Primary channel for WHO-NFP event-related communications Disseminate information within WHO "Activate" the WHO assessment and response system WHO IHR Contact Points Other competent organizations (IAEA etc.) ROs Consultation Notification Report Verification COs Accessibility at all times Communication with WHO Dissemination of information nationally Consolidating input nationally National IHR Focal Points Ministries and sectors concerned Detect Assess Report Respond National surveillance and response systems
DECISION FOR THE ASSESSMENT AND NOTIFICATION OF EVENTS THAT MAY CONSTITUTE A PUBLIC HEALTH EMERGENCY OF INTERNATIONAL CONCERN 1. Is the public health impact of the event serious? 2. Is the event unusual or unexpected? 3. Is there a significant risk of international spread? 4. Is there a significant risk of international travel or trade?
What we have to do! • Advocacy on IHR (2005) so all know their roles. • Appoint sector IHR FP • Resource mobilization to support IHR (Govt +DPs) • Adaptation of legislation, technical guidelines, training materials and programmes • Capacity: organization and support, community participation, equipment, training, coordination • Monitoring and evaluation: monitoring tool sent to IHR NFP annually ( Multisectoral inputs) • Carry out obligations in terms of IHR.