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EU SHIPSAN ACT Joint Action

EU SHIPSAN ACT Joint Action. International Workshop to Strengthen Core Capacity at Designated Points of Entry under International Health Regulations. DG HEALTH & CONSUMERS PUBLIC HEALTH PROGRAMME 2008-2013. Acronym: SHIPSAN ACT Joint Action Contract Number: 20122103

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EU SHIPSAN ACT Joint Action

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  1. EU SHIPSAN ACT Joint Action International Workshop to Strengthen Core Capacity at Designated Points of Entry under International Health Regulations

  2. DG HEALTH & CONSUMERS PUBLIC HEALTH PROGRAMME 2008-2013 Acronym: SHIPSAN ACT Joint Action Contract Number: 20122103 Duration: 39 Months (January 2013 - April 2016) • Work plan 2012 for the second programme of Community action in the field of health (2008-2013) • 3.1.2.3. The Impact on Maritime Transport of health threats due to biological, chemical and radiological agents, including communicable diseases

  3. EU SHIPSAN ACT Joint Action - The history • Situation analysis and needs assessment • Addressing passenger ships • State of the art: Communicable diseases & outbreaks from 1970 to 2006 • EU MS categorised in 4 groups according to their capacity • Study: 32 countries and 176 authorities • Needs, gaps, legislation • Use experience of existing programmes • Manual for health and hygiene - outline • Developmentof materials and establishment of training network • Manual for health and hygiene • Training network and pool of experts • Training material • Training modules for PHO & seafarers • EU SHIPSAN Integrated Program/pilot inspections • Web-based Communication Network • Joint Action for all types of threats in maritime transport • Cargo ships • Inland navigation vessels • Fishingvessels • Passenger ships

  4. EU SHIPSAN ACT Joint ActionThe partnership • Austria • Belgium • Bulgaria • Croatia • Cyprus • Estonia • France • Germany • Greece • Iceland • Ireland • Italy • Lithuania • Malta • Netherlands • Norway • Poland • Portugal • Romania • Slovakia • Slovenia • Spain • United Kingdom • 31institutions from 23countries were designated by their Ministries of Health

  5. EU SHIPSAN ACT Joint Action – General objective SHIPSAN ACT JA Focus on: prevention, identification, assessment & link with existing mechanisms for response coordination to serious cross border threats to health caused by communicable diseases, chemical, biological and radiological agents. • Facilitate the implementation of the EU legislation: • Decision No 1082/2013/EU of the European Parliament and of the council on serious cross-border threats to health • Directive 2010/65/EU on reporting formalities for ships arriving in and/or departing from ports of the Member States by supporting EMSA to implement MDH • Directive 2009/13/EC based on ILO convention on occupational health by developing an outline of a risk assessment tool for occupational health on ships – OSHA-OiRa tool Facilitate implementation of IHR: Supporting core capacities Annex 1b by training, inspections, contingency planning guidance and IHR provisions for conveyances and conveyance operators including SSC To strengthen an integrated strategy and sustainable mechanisms at EU level for safeguarding the health of travelers and crew of passenger and cargo ships and preventing the cross-border spread of diseases.

  6. SHIPSAN ACT ACTIVITIES

  7. Research:State of the Art report (WP4) Draft available Draft Report A five part report will be compiled, consisting of:

  8. Survey results Figure 8. Legionnaires’ diseasesoutbreaks by place of occurrence Figure 1. Influenza outbreaks by types and subtypes. N=23 EU SHIPSAN ACT Joint Action. Draft State of the Art. Work Package 4: State of the Art Report Authors: R Palmera, J Pérez, F Nogareda, C Varela. INSTITUTO de SALUD CARLOS III – SPAIN. March 2014

  9. Literature review and surveys for chemical or radiological events in all types of ships or at ports Figure 27. Chemical events, with cases, by type of chemical substances. N=69 Figure 24. Radiological events by place of occurrence. N=13 Figure 25. Chemical events, with cases, by type of vessel. N=69 Figure 22. Radiological events by type of vessel. N=13 EU SHIPSAN ACT Joint Action. Draft State of the Art. Work Package 4: State of the Art Report Authors: R Palmera, J Pérez, F Nogareda, C Varela. INSTITUTO de SALUD CARLOS III – SPAIN. March 2014

  10. Training needs related to core capacities at the points of entry (ports) among the EU countries Needs for training by level of importance for responding to events that may constitute Public Health Emergency of International Concern (PHEIC) EU SHIPSAN ACT Joint Action. Draft State of the Art. Work Package 4: State of the Art Report Authors: R Palmera, J Pérez, F Nogareda, C Varela. INSTITUTO de SALUD CARLOS III – SPAIN. March 2014

  11. Integrated Inspection Programme Inspections in all types of ships for SSCs Standards: WHO Handbook for inspection of ships and issuance of Ship Sanitation Certificates Tools: SHIPSAN ACT Information System for recording and issuing Ship Sanitation Certificates under the International Health Regulations 2005, for all types of ships sailing in EU. http://ssc.shipsan.eu • SHIPSAN ACT Joint Action will facilitate IHR implementation by: • Delivering European and national training courses focused on IHR (2005) and the issuance of Ship Sanitation Certificate (SSC) by using the WHO Learning Programme • Running the web based SHIPSAN ACT information system for recording and issuing Ship Sanitation Certificates

  12. Integrated Inspection Programme Information system for recording and issuing Ship Sanitation Certificates (SSC)

  13. Integrated Inspection Programme Functions Information system for recording and issuing Ship Sanitation Certificates (SSC) • Registries • Ships • Owners • Agents • Classification Societies • Ports • Other Organizations/Authorities • Port Health Authorities • Inspectors • Overview page • Inspection forms • Messages Board • News section • Address Book • Help tool • Online user manual • Advance Search • Sitemap

  14. Integrated Inspection Programme Functions Functions Information system for recording and issuing Ship Sanitation Certificates (SSC) • Generation of an empty checklist, under the IHR 2005 • Generation and print of official documents related with the inspections • Ship Sanitation Certificates (SSCC or SSCEC) • Evidence Report

  15. Integrated Inspection Programme Authorisation Information system for recording and issuing Ship Sanitation Certificates (SSC) Different users and user groups depending on the access level and authorization: • System administrator • Shipsan administrators • Inspectors • International Organizations • National Authorities

  16. Integrated Inspection Programme Information system for recording and issuing Ship Sanitation Certificates (SSC) To gain access visit http://ssc.shipsan.eu/ and complete an application form A web-based system for port health officers or other public health worker conducting inspection for issuance of SSCs

  17. Integrated Inspection Programme Information system for recording and issuing Ship Sanitation Certificates (SSC) 171 registered inspectors from 9 European countries A total of 4273 Ship Sanitation Certificates have been issued and recorded in the SHIPSAN information system based on the WHO Handbook for inspection of ship and issuance of SSCs

  18. Integrated Inspection Programme European directory of authorised ports to issue Ship Sanitation Certificates under IHR 2005 • The contact details of the authorised ports of EU countries for issuing Ship Sanitation Certificates under IHR (2005) available via the EU SHIPSAN ACT Joint Action website. • The aim is to create the first contact list for authorised ports of EU countries responsible for issuing Ship Sanitation Certificates under IHR (2005) that will: • facilitate port to port communication, • strengthen the network of port health officers in Europe and • further facilitate communication of the ship directly with the appropriate port health authorities when desiring to ask for a Ship Sanitation Certificates renewal.

  19. Integrated Inspection Programme Inspections of passenger ships Standards: European legislation Tools: SHIPSAN ACT Information System & Manual www.shipsan.eu/comnet 2013-2014: Announced inspections accompanied by a SHIPSAN ACT trainer 2015: Unannounced inspections by port health officers trained by SHIPSAN ACT • PASSENGER SHIPS: Aims to bring a consistent and proportionate approach to ship inspections of all ship types which will improve the quality of inspections by: • providing training (e-learning, face-to-face, on the job); • issuing an annual inspection schedule; • operating information tools for recording and sharing inspection results.

  20. Database for recording inspections conducted against the European standards as provided in the SHIPSAN Manual for Hygiene Standards and Communicable Diseases Surveillance on Passenger Ships. • The inspection results are shared among the partners through the database, in the secured password protected area. • Data recorded in the database regarding inspection results: • information on the type of inspection • deficiencies • recommendations for each deficiency • date of inspection • the inspection report • inspectors and employing authorities (authorisation) • name of the competent (port health) authority if different from the above • name of the port (coded)

  21. The SHIPSAN pool of inspectors consists of: • 31 inspectors who have attended the face-to-face training and have conducted pilot inspections From May until November 2013: • 48 full inspections and 2 re-inspections were conducted on board 43 cruise ships and 5 ferries Participants: • 22 ports from 13 countries (Germany, Greece, Cyprus, Estonia, Italy, Netherlands, Spain, Malta, Iceland, Ireland, United Kingdom, Lithuania and Belgium) • 9 cruise ship companies • 5 ferry companies • 20 SHIPSAN inspectors • 7 trainers • 77 “inspectors-in-training”

  22. Evaluation of pilot inspections – positive feedback • 249 questionnaires to 97 inspectors, 7 trainers, 48 Captains/ship crew and 14 shipping companies • 109 completed questionnaires: • For all 48 inspections conducted, at least one completed evaluation questionnaire was received • 6 out of 9 participating cruise shipping companies completed the evaluation questionnaires and none from the ferry shipping companies • All responding shipping companies: this kind of inspections is necessary • provides a verification of companies’ standards • helps to address issues of inconsistency and weakness in inspectoral approach and of response to communicable diseases events • All except one of the 18 responding Captains and ship crew reported that the SHIPSAN inspection performed was useful for their ships • >90% of inspections were rated by inspectors, trainers and Captains/ship crew as excellent or satisfactory in terms of usefulness/effectiveness and conformity to objectives

  23. Evaluation of pilot inspections – what to improve General advice Always read the “Plan for pilot inspections” before performing a SHIPSAN inspection Familiarization of inspectors with the Manual Inspection preparation Any equipment used should work properly and accurately At least two teams of trained inspectors are needed to conduct a proper inspection in a large ship Introductory meeting Inspectors should not demand the presence of the Captain to the introductory and closing meetings. The roles in the inspection team (lead inspector, trainers, inspector-in-training etc.) need to be defined at the introductory meeting Inspection Time management

  24. Evaluation of pilot inspections – what to improve Inspection report Correct description of inspection findings in the inspection report Only inspection findings that correspond to the SHIPSAN Manual items should be included in the inspection report A draft hard copy of the inspection findings should be given to the Captain by inspectors before leaving the ship; this is a preferable practice than the verbal reporting of inspection findings. Other Remarks on the Manual will be brought to the attention of the working group for the Manual revision Inspectors attire Outlines of inspection are a useful tool even to most experienced inspectors

  25. Communication network platform Functions: • maintaining registries(ports, ships, competent authorities and inspectors) • sharing epidemiological information in a standardized and confidential way • recording information for risk assessment • exchanging information during an outbreak investigation

  26. Communication network platform • EU SHIPSAN ACT communication platform 19 events have been followed up by using the communication network platform • 4 countries have created alerts: • Spain (14) • Germany (1) • Italy (3) • Greece (1) www.shipsan.eu/comnet

  27. Communication network platform Public health events

  28. Facilitates the electronic transmission of the Maritime Declaration of Health

  29. e-learning Face to face training courses Training activities On the job training

  30. Training activities

  31. 83 trainers from 20countries • 70 from 17 EU countries • 13 from 3 Non EU countries Pool of trainers

  32. Pool of trainers

  33. Training material • For port health officers • Case studies • Exercises • Debates • Practical training on board ships • Issuance of IHR-SSCs following WHO guidelines • For seafarers • Case studies • Problem solving exercises • Simulation exercises • Debates • Inspection findings

  34. Totalnumberofregisteredusers: 325 E-learning

  35. 97 port health officers On the job training

  36. “Hygiene & Health Practices on Passenger Ships” Location: Italy Duration: 3 days Date: October 2013 • Trainees: • A total of 29 trainees: • 16seafarers • 6 cruise companies, • 1 ferry company • 1 ship management company • 13 port health officers • Evaluation • 100% of the responding trainees: course met their expectations and would recommend the training course to others. • 91.7% of trainees found the usefulness of e-learning for “face to face training course” good or excellent. • Some comments from participants: • “Great training, I learned a lot and felt very comfortable. The atmosphere and choosing training methods created a very beneficial learning experience” • “ I would not tell others about the course cause I want to come again and participate” 1st training course

  37. Location: Piraeus Duration: 4 days Date: 5-7 March 2014 • Trainees: • 113 trainees • 52 seafarers from the industry (cruise ship and ferry companies, and consultancy companies) • 61 port health officers: 55 trainees from 19 EU MS and 6 trainees from 4 Non EU countries (Brazil, Israel, Montenegro and Turkey) 2nd training course Pre and post assessment scores of knowledge showed an increase of 65% for the professional seafarers and 52% for the port health officers.

  38. Advanced training course for water safety on ships Location: Athens, Greece Duration: 3 days Date: 17-19 June 2014 3rd training course • A training course for: • seafarers, • shipping industry professionals and • port health officers (working in authorities responsible for public health issues related to hygiene inspections and communicable disease prevention in a port environment)

  39. Timetable of training courses

  40. Chemical and radiological incidents on ships Guidelines will strengthen current approaches to safeguard the health of travellers and crew on passenger ships and cargo vessels • Guidelines for competent authorities on risk assessment and response to chemical/radiological events (accidental/deliberate release) • in support to their risk assessment and response to chemical and radiological incidents on ships while the ship is at port. • Training material will be developed on dealing with chemical and radiological incidents. • Table top exercises will be used to pilot test the guidelines.

  41. Occupational health and hygiene in maritime transport • Risk assessment tool for occupational and public health risks per cargo ship type • The risk assessment tool will be developed using theOnline Interactive Risk Assessment (OiRA) tool developed by the European Agency for Safety and Health at Work (EU-OSHA) • Opportunities for collaboration will be identified between port health and occupational health authorities. • Public health risks of international concern will be identified according to the type of cargo ship. • Survey on the current status of implementation of ILO Maritime Labour Convention, 2006. • Model for a Memorandum of Understanding between port health and port state control authorities on issues related to occupational health and ship inspections • to be implemented by the EU MS in their own context and according to national and local rules.

  42. Synergies • Collaborating partner in the European Chemical Emergency Network. • Memorandum of Understanding between EU SHIPSAN ACT and EU OSHA • for the risk assessment tool for occupational and public health risks per cargo ship type • Advanced National Networks for Administrators (ANNA) • a EUMS driven project - in close co-operation with the European Commission • supporting the effective implementation of reporting formalities for ships arriving in/departing from EU ports

  43. Dissemination of Results EU SHIPSAN ACT Joint Action was presented in: • 10 national conferences related to: • hygiene inspections, • occupational health, • travel medicine • communicable disease surveillance • WHO global meetings • Chief Medical Officers’ Meeting in the framework of the Greek Presidency • By 2016 to be presented in >20 national conferences

  44. Conclusions… SHIPSAN ACT aims to: • Enhance core capacities of port health authorities and facilitates IHR implementation through: • Establishing an integrated inspection system and conducting inspections on passenger ships by using the SHIPSAN Manual (http://www.shipsan.eu/KeyResources.aspx) • Delivering training courses (on the job / e-learning / face to face) • Training courses focused on the SHIPSAN Manual at European and National level • Training courses focusing on the SHIPSAN Manual and SHIPSAN information system

  45. …Conclusions SHIPSAN ACT Information tools (SIS) will allow: • risk assessment • standard response • rapid information sharing • follow up of events related to maritime transport • Developing guidelinesfor dealing with chemical and radiological incidents • Updating scientific evidence

  46. For further information:www.shipsan.eu 7298 visits (August 2013 - May 2014)

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