Asia Pacific Strategy for Emerging Diseases (2010) and Influenza Activities

1. Asia Pacific Strategy for Emerging Diseases (2010) and Influenza Activities Health Security and Emergencies (DSE) WHO Western Pacific Regional Office (WPRO)

2. APSED Approach to Address Capacities One Framework: “3 in 1” • Is a common strategy for countries to strengthen national capacities required for managing emerging diseases • Is a common framework in the Region to develop the IHR core capacities • Is also a framework for strengthening the basic capacities required for pandemic preparedness and response

3. Time Difference from outbreak start to outbreak discovery and public communication Fig. 4. Box plots of the median time difference from estimated outbreak start to outbreak discovery and public communication about the outbreak for selected WHO-verified outbreaks,1996–2009, across various WHO regions Source: Emily h. Chan etc, PNAS, Dec 2010

4. Process of Developing APSED (2010) Discussion Papers Country Consultations Independent Review Draft APSED (2010) Bi-Regional Consultation on APSED and Beyond 24-27 May 2010 5th TAG Meeting 6-9 July 2010 RCM (Oct 2010)

5. Process of Developing APSED (2010) Voice/Outcomes of Country and Regional Consultations APSED (2010) Results of APSED (2005) Common Indicators Assessments Lessons learned from Pandemic preparedness & response

6. Structure of APSED (2010)

7. APSED Five Objectives • Reduce the risk of emerging diseases • Strengthen early detection • Strengthen rapid response • Strengthen effective preparedness • Build technical partnership

8. Expanded Scope: 8 Focus Areas • APSED (2010) • Surveillance, Risk Assessment and Response • Laboratory • Zoonoses • Infection Prevention and Control • Risk Communication • Public Health Emergency Preparedness • Regional Preparedness, Alert and Response • Monitoring and Evaluation APSED (2005) • Surveillance and Response • Laboratory • Zoonoses • Infection Control • Risk Communication

9. 8 Focus Areas: Key Components • Each focus area contains key components for actions

10. FOCUS AREA 1:Surveillance, Risk Assessment and Response • APSED (2010) • Surveillance, Risk Assessment and Response • Laboratory • Zoonoses • Infection Prevention and Control • Risk Communication • Public Health Emergency Preparedness • Regional Preparedness, Alert and Response • Monitoring and Evaluation • Sensitive and timely surveillance systems can trigger early alerts and rapid response to minimize the impact of a potential outbreak. • Key components • Event-based surveillance • Indicator-based surveillance • Risk assessment capacity • Rapid response capacity • Field epidemiology training

11. FOCUS AREA 2:Laboratory • APSED (2010) • Surveillance, Risk Assessment and Response • Laboratory • Zoonoses • Infection Prevention and Control • Risk Communication • Public Health Emergency Preparedness • Regional Preparedness, Alert and Response • Monitoring and Evaluation • Timely, accurate laboratory diagnosis in a safe environment is a cornerstone of any health system for emerging diseases • Key components • Accurate laboratory diagnosis • Laboratory support for surveillance and response • Coordination and laboratory networking • Biosafety

12. FOCUS AREA 6:Public Health Emergency Preparedness • APSED (2010) • Surveillance, Risk Assessment and Response • Laboratory • Zoonoses • Infection Prevention and Control • Risk Communication • Public Health Emergency Preparedness • Regional Preparedness, Alert and Response • Monitoring and Evaluation • Comprehensive plans and well-prepared systems can reduce the negative health, social and economic impacts of public health emergencies • Key components • Public health emergency planning • National IHR Focal Point functions • Points of entry preparedness • Response logistics • Clinical case management

13. Conclusion • APSED (2010) • Provides a common framework for countries to strengthen national and local capacities required for managing all emerging infectious diseases and public health emergencies • A road map for Member States in the Asia Pacific Region to build up the IHR core capacity requirements • As APSED (2005), it can incorporate influenza activities to ensure its effective implementation