Emerging Disease Surveillance & Response (ESR) WHO Western Pacific Regional Office (WPRO)

1. Regional Plan for Strengthening the National Influenza Surveillance Capacity:Guiding the way towards a comprehensive National Influenza Surveillance System (NISS) Emerging Disease Surveillance & Response (ESR) WHO Western Pacific Regional Office (WPRO)

2. Regional Plan for Strengthening the National Influenza Surveillance Capacity Goal in 2007: To develop and sustain comprehensive national influenza surveillance systems through enhancing/strengthening the capacities of the National Influenza Centers and associated epidemiology programmes

3. GISN in WPRO and SEARO, 2007 19 NICs in 13 countries in the Western Pacific Region and 8 NICs in 6 countries in the South East Asia Region 2 WHO Collaborating Centres (Australia and Japan)

4. Workplan and Expected Outcomes by 2010 1. Improving virological testing capacity in the National Influenza Centers Virus isolation using cell culture or egg embryo Typing/subtyping using standard WHO reagents Regular submission to WHO CC representative strain and immediate submission of non-typable viruses Molecular diagnostic capacity such as real-time PCR for seasonal influenza and H5N1 Meet the EQA standard

5. Workplan and Expected Outcomes by 2010 2. Better understanding the epidemiology of influenza through link of virological and epidemiological surveillance for influenza - step by step approach to strengthen the capacities Able to conduct outbreak investigations Able to analyse and interpret the ILI data to understand the seasonality and to report to FluNet Determine the proportion of influenza among ILI cases Describe the seasonality, incidence, age distribution, risk group in various population and geographic locations

6. Workplan and Expected Outcomes by 2010 3. Improving early detection of human avian influenza cases or clusters Capacity of surveillance for Severe Acute Respiratory Illness (e.g. atypical pneumonia, ARDS, etc.) 4. Contributing to the national rapid response and containment as well as pandemic preparedness planning Specific roles and responsibilities of National Influenza Center are identified in the national rapid response and containment plan Specific roles and responsibilities of National Influenza Center are identified in the national pandemic preparedness plan

7. Introduction to Group Work 3 Development of NIC/GISN 5-yr Workplan

8. Where we want to be Vision Where we are … 2011 2015 + +

9. Group Work 3

10. Plenary - Feedback at 1:30pm

11. Overall Comments

12. 1. Improving virological testing capacity in the NICs in and environment where safe laboratory practices and quality assurance are ensured.

13. 2. Better Defining the epidemiology and burden of influenza through linking virological and epidemiological surveillance and strengthening of national networks

14. 3. Supporting national efforts and improving communication and reporting through the strengthening or development of regional and global networks.

15. ACTIONS FOR WHO COLLABORATING CENTRES

16. ACTIONS FOR WHO