The Public Health England Global Health Strategy

1. ThePublic Health EnglandGlobal Health Strategy Dr Osman Dar Consultant in International Public Health

2. What we do • provide government, local government, the NHS, MPs, industry, public health professionals and the public with evidence-based professional, scientific and delivery expertise and advice • ensure there are effective arrangements in place nationally and locally for preparing, planning and responding to health protection concerns and emergencies, including the future impact of climate change • support local authorities, and through them clinical commissioning groups, by providing evidence and knowledge on local health needs, alongside practical and professional advice on what to do to improve health, and by taking action nationally where it makes sense to do so 2 The Public Health England Global Health Strategy

3. PHE structure Advisory Board Chief Executive Development Advisor Director of Health Protection and Medical Director Director of Health and Wellbeing Chief Knowledge Officer Director of Nursing Director of Communications Director of Strategy Chief of Staff Chief Operating Officer Private Office Secretariat Director of Programmes Regional Directors Microbiology Internal Audit Corporate Governance Centre Directors Finance and Commercial Director Legal Service Director of Human Resources 3 The Public Health England Global Health Strategy

4. What we do • Health and Wellbeing Directorate: improving the population’s health • ● screening and immunisation ● mental and physical health ● social determinants of health ● social marketing and behaviour change campaigns ● promoting healthy lifestyles • Health Protection Directorate: protecting the nation’s health • ● emergency response ● infectious disease surveillance and field epidemiology training programme ● public health strategy – UK and international ● Centre for radiation, chemical and environmental hazards (CRCE) ● global health • Operations Directorate: linking local to national • ● specialist and reference microbiology services ● culture collections ● FDA approved manufacture ● translational research ● vaccine development ● bio-safety training • Chief Knowledge Office Directorate : knowledge and intelligence • ● disease registration ● drug treatment monitoring ● National Cancer Intelligence Network ● research and development ● information governance 4 Introduction to Public Health England The Public Health England Global Health Strategy

5. PHE’s 7 priorities for the next 5 years 1 Tackling obesity 2 Reducing smoking 3 Reducing harmful drinking 4 Ensuring every child has the best start in life 5 Reducing dementia risk 6 Tackling antimicrobial resistance 7 Reducing tuberculosis Published October 2014: From evidence into action: opportunities to protect and improve the nation’s health https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/366852/PHE_Priorities.pdf 5 Introduction to Public Health England

6. Policy mandate (1)

7. Policy mandate (2): WHO International Health Regulations (IHR) 2005 • International legal instrument binding in 194 countries that: • require countries to report certain disease outbreaks/ public health events to WHO • define country obligations to uphold global public health security • require countries to strengthen public health surveillance and response capacity • PHE responsibilities • Assess events that may be Public Health Emergencies of International Concern • Notify events to WHO • Contribute to broad IHR implementation on behalf of UK government 7The Public Health England Global Health Strategy Global health and Public Health England: Overview and update of activities

8. Developing the strategy 8The Public Health England Global Health Strategy Introduction to Public Health England

9. PHE’s global health strategy - 2014 • Priorities for next 5 years: • Improving global health security – focusing on antimicrobial resistance, mass gatherings, extreme events, climate change, bioterrorism, emergency response, new and emerging infections, cross border threats, and migrant and travel health. • Responding to outbreaks and incidents of international concern, and supporting the public health response to humanitarian disasters. • Building public health capacity, particularly in low and middle income countries, through, for example, a programme of staff secondments and global health initiatives. • Developing our focus on, and capacity for, engagement on international aspects of health and wellbeing, and non-communicable diseases. • Strengthening UK partnerships for global health activity. 9 Introduction to Public Health England The Public Health England Global Health Strategy

10. Strategy Delivery • The strategy will be delivered through development of an annual delivery plan, setting objectives, and defining outputs in support of the five strategic priorities. Over the next five years PHE’s work will include: • Providing coordination support and leadership to the Global Health Security Agenda, and supporting others in developing capacity relating to the International Health Regulations 2005 (for example in our Overseas Territories) • Developing a robust system to enable rapid and appropriate response to outbreaks and incidents of international concern and humanitarian disasters, ensuring compliance with internationally agreed guidelines • Assisting public health capacity building in priority countries • Expanding our portfolio of global health engagement on NCDs • Strengthening our global health partnerships both nationally and internationally 10The Public Health England Global Health Strategy The Public Health England Global Health Strategy Introduction to Public Health England

11. Global health activities

12. WHO Collaborating Centres at PHE Diphtheria and streptococcal infections Haemophilus influenzae Reference & research on hospital infections Mass gatherings and emergency response Laboratory and diagnostic support Virus reference & research (special pathogens) Prison health Reference and Research on Poliomyelitis Public health management of chemical incidents 12 Introduction to Public Health England The Public Health England Global Health Strategy

13. Global health projects Evaluation of HBsAg and anti-HCV diagnostic kits E-learning courses (WHO public health emergency management) WHO chemical risk assessment/ capacity building Evaluating tick-borne encephalitis virus quasi species Maintaining a functional enteric bacteriology laboratory Emergency preparedness and response training Virology surveillance network Diphtheria outbreak response Meningococcal serology capacity building Investigating emerging/serious infectious diseases Staff exchanges 13 Introduction to Public Health England The Public Health England Global Health Strategy

14. Case study: Middle East Respiratory Syndrome (MERS) • MERS arrived in UK in September 2012 • Investigation by Health Protection Agency (now PHE) confirmed a new pathogenic coronavirus - designated MERS • Confirmation of 1st MERS case diagnosed, initiated series of responses within UK and internationally • Key elements of early response – Define nature of new illness and prepare UK guidance on managing any future patients. • PHE worked with WHO and Ministry of Health in Saudi Arabia to collect epidemiological and clinical information, and to put together a credible picture of likely impact of MERS. • International engagement significantly improved guidance that PHE provided for UK clinicians, and contributed to earlier detection, and better management of subsequent patients. 14 Introduction to Public Health England The Public Health England Global Health Strategy

15. Summary • Delivery of the PHE Global Health Strategy has been initiated. • PHE will look to develop and build on partnerships and collaborations as it advances its Strategy delivery. • We welcome enquiries from individuals and organisations interested in developing collaborations with PHE or getting involved in its Global Health activity. • For further information please contact: • anthony.kessel@phe.gov.uk • mark.salter@phe.gov.uk • annette.luker@phe.gov.uk • osman.dar@phe.gov.uk 15 Introduction to Public Health England The Public Health England Global Health Strategy