A Multi-sector Pandemic Preparedness and Response for Migrants and

1. A Multi-sector Pandemic Preparedness and Response for Migrants and Host Communities, Svay Reing Province, Cambodia

2. Pandemic an ‘all-of-society’ emergency – will have social, economic and public safety impacts Health will be the key technical sector, but will need support from other sectors in order to function. Over-all pandemic response will be coordinated through existing emergency management structures – the NCDM, PCDM & DCDM Why do we develop a multi-sector for Pandemic Preparedness and Response Planning?

3. Objectives • To integrate the pandemic preparedness and response mechanism into a broader national disaster management system (in NCDM) • To provide a quick and appropriate response to a pandemic • To reduce the public panic and confusion • To reduce a negative impact of pandemic influenza and opportunities of its transmission • To reduce the social and economic impacts due to a pandemic and would save millions of dollars • To maintain business continuity in all stages of pandemic.

4. 24 Provincial government departments/entities Including military, police and gendarmeries. Local authorities/community leaders ( provincial, district and commune level) Non governmental organizations, Private companies/Service providers Focal points from health and non health sectors

5. Key processes ofa multi-sector pandemic planning • Established the PPPT through reinforcing and modifying roles of existing provincial committee for disaster management (PCDM) • Conducted Training of Trainer on a multi-sector PPP and response to the selected provincial trainers from diverse 22 government departments, civil societies and private sectors. • Conducted the planning workshops for health and non-health sectors which involved participants from provincial, district and community level. • Each sectors workshop, the trained provincial ToT were merged with new participants to lead their planning and discussions.

6. Before each sector planning session started • Participants were introduced overall overviews of the planning • Background of the pandemic influenza • Cause of pandemic and differentiate between seasonal, avian and pandemic influenza • Recognize mild and severe signs and symptoms • Prevention, reduction of impacts and transmission such as cover nose and mouth when coughing and sneezing, frequency washing hands with soap and social distancing.

7. Additional tools supported in process of planning

8. National Geographic Documentary On Super Flu , NCDM NCDM-Video Presentation NCDM-Video Presentation

9. Phase 6 the pandemic phase, is characterized by community level outbreaks in at least one other country in a different WHO region in addition to the criteria defined in Phase 5. Designation of this phase will indicate that a global pandemic is under way. The current WHO phase of pandemic alert is 6

10. % of Morbidity and Mortality in 100 days , Svay Rieng Population Normal OPD and IPD In the outbreak of Pandemic

11. Normal OPD and IPD In the outbreak of pandemic influenza within 12 weeks

12. Health sector focuses and key areas identified • Modified roles • Provincial Health Department • Provincial Hospital • District Referral Hospital • Community health center • Village Health Support Groups/Village Health Volunteers • Health facilities • Essential services to be maintained during a pandemic • Non-essential services to be suspended during a pandemic • Identified external buildings for services expansion • Controlling patients flow and the crowds • Setting up a triage system, OPD and IPD • Separation of respiratory and non respiratory patients • Managing resources • Mapping and redeployment of staffing: MD/MA, Nurses, midwives • Medicines: Tamiflu, Antibiotics, Paracetamol, IV fluids, ORS etc • Equipments: PPE, Oxygen, Intubation, Ambulances • Internal and external coordination/communications • Situation update and reporting • Staff motivations/ volunteers like medical students

13. Information/education Key health messages Disseminations Communities/schools Water and energy system Maintain services 24 hours to key institutions/facilities Public Security Reinforce law, public order Secure key facilities Secure essential transport Transport Assist health sector Other sectors Food and water Emergency team and supplies Border Management Human health screening Animal health screening Goods controlling Non-health sectors focus and key areas identified

14. Food emergency Vulnerable groups Patients and hospital staff Emergency team Community and individual stock Economic and Finance Maintain staff salaries Control/ monitoring food prices and other essential consumptions Command & Control Ensure the continue of essential services in all stages of pandemic Mobilizing and monitoring existing resources Coordinate information flows between health and non health sectors Assist health and non health sectors on technical inputs, decision making and problems solve Update on the severity of the crisis Non-health sectors focus and key areas identified cont.

16. Ex. Organization Chart of Public Security

17. Each Sector Produced

18. Thank You !