Emergency Preparedness and Response Plan - 2011

1. Emergency Preparedness and Response Plan - 2011 Dr. Ajay Khera Deputy Commissioner Ministry of Health & FW, Government of India

2. Outline of the Presentation • Emergency Preparedness • Overview of actions at national, state and district level • Current status • Emergency Response – Urgent Actions in response to detection of wild poliovirus (WPV)

3. Guiding Principles “ From now onwards, any wild polio virus from any source will be considered a public health emergency and responded to with urgent mop-ups” “ Government and partners will deploy additional, highly experienced human resources to ensure that mop-up rounds are of the highest quality” “ Mop-ups will target both the area of detection of the virus in a case or in the environment and, if there is a clear genetic link, the area of origin of the virus”

4. Actions at National level • Central Emergency Preparedness & Response Group (Central EPRG) • Sufficient buffer stocks of vaccines to undertake mop ups at short notice • Media Response plan

5. National Actions • Inform Union Health Minister & Secretary • Review findings of field investigation and decide: • Area of response • Timing of response; number of proposed rounds • Vaccine type • Visit state/districts to review/monitor planning and implementation (members of Central EPRG) • Urgently mobilize appropriate vaccine from buffer stocks

6. Actions at State level • State Emergency Preparedness & Response Group (State EPRG) in each state • Identification of Rapid Response Team (RRT) members • Identification of high risk districts/ areas and assigning these to senior state officials • Actions to improve SIA and RI coverage in these areas • Communication and media response plan for use following the detection of a wild poliovirus

7. State Actions • Activate State EPRG within 24 hours of information • Inform Divisional Commissioners and District Magistrates of affected area • Assign geographical areas to RRT members and senior state officials for visit and support • Meet State Steering Committee to seek involvement of non-health departments – Panchayati Raj, Education, Social Welfare, others • Mobilize additional Govt. Medical Officers to mop up districts

8. District Actions • Before mop up • Mobilize block officials immediately to start preparations for mop up • District Task Force (DTF) meets within 5 days of information • Tehsil/ Block Task Force meets within 7 days • Review all microplans within 10 days • Re-train all vaccinators and supervisors prior to mop up • Develop local IEC and media plan • Plan for intensive monitoring

9. District Actions (2) During mop up • Implement under direct oversight of DM and supervision of CMO • Intensive monitoring by all agencies • Daily review of activity at block and district level by DM, BDOs, CMO, BMOs, central and state monitors After mop up • Implementation report by DM to State Secretary & State EPRG

10. States with Emergency Preparedness and Response Group constituted EPRG formed in 23 States/UTs * (out of 35 States/UTs) * Data as on 8 July’11

11. States with Rapid Response Team Members identified RRT members identified in 23 States/UTs * (out of 35 States/UTs) * Data as on 8 July’11

12. Trainings of RRT members • Five training programs scheduled to train the identified RRT members across India • More than 125 RRT members will be trained during July-August 2011

13. = 10 Migrant sites = 10 HR sites High risk areas identification, IndiaJune 2011 High risk areas in settled population Migrant sites ~ 150,000 Migrant sites ~ 50,000 HR areas in settled population

14. Role of NPSP • Assist training of Rapid Response Team Members • Support state government to conduct epidemiological investigation in WPV area in collaboration with Immunization Division, NCDC/IDSP and UNICEF • Deploy additional experienced Medical Officers to support planning, training and monitoring in mop up area • Support monitoring of the preparedness and response at the district, state and national levels

15. Role of UNICEF • Assist training of Rapid Response Team Members on communication and media planning • Conduct communication risk analysis in area of WPV detection • Deploy additional experienced communication experts to guide & support IEC/social mobilization activities • Support state to develop & implement Media strategy

16. Role of Rotary International • Advocacy at state and district levels • Support IEC/ social mobilization activities & media management in coordination Govt., UNICEF and NPSP • Any other essential emergency support activities

17. Emergency Response (West Bengal) Confirmation of polio case on 7 Feb ’11 • GoI communication to Chief Secy. (GoI) : 8 Feb • Field Investigation (NCDC, NPSP, UNICEF) : 9 Feb • Decision on mop up size, date, vaccine (GoI) : 9 Feb • Intensified HR plan (WHO - NPSP) : 9 Feb • Plan for Support of IEC activities (UNICEF) : 9 Feb • 14 SMOs of NPSP arrive in districts (NPSP) : 10 Feb • Marker pens procured (Rotary) : 10 Feb • District Task Force Mtg. (GoWB) : 10 Feb • Coordination mtgs. with partners (Delhi) : 11 Feb • Media plan operationalized (UNICEF) : 11 Feb • Vaccine arrives in districts (GoI/ GoWB) : 11 Feb Mop up conducted from 13 Feb’11

18. Thank You