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Pandemic Preparedness. Andrew Bates Oct, 2009 Phnom Penh, Cambodia. Objectives. You should be able to: Know key gaps in the preparedness Understand the funding being requested Know the requirements for obtaining assistance for H1N1 second wave. Designing and implementing exercises.
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Pandemic Preparedness Andrew Bates Oct, 2009 Phnom Penh, Cambodia
Objectives • You should be able to: • Know key gaps in the preparedness • Understand the funding being requested • Know the requirements for obtaining assistance for H1N1 second wave. • Designing and implementing exercises
UN Assessment tool • July 2009 WHO calls for assessing the situation in developing countries • Under resourced health care systems and inability to produce vaccines were primary reasons for the WHO assessment • WHO identifies gaps in preparedness when 61 countries responded to the assessment tool • There were six serious gaps identified in developing countries
Health and Non Health Sector Gaps Help with planning for the Health sector; The distribution of vaccines and antivirals Increased supply of PPE and training in use of PPE Medical Case Management training Operational Communications for each stage of a pandemic Laboratory capacity and training (RT-PCR)
Types of Exercises to consider • Orientation; walk through to each persons role • Drill; having a functional area train as a unit • Table Top; will provide interagency coordination issues to be considered • Functional Exercise; takes people to the field to walk through their roles but not use the equipment • Simulation; This is a full real time simulation in the field with all the equipment
Funding • Who do we partner with inside our government? • Essential services; power, water, Communications, transportation, • Who can we partner with outside of our government? • World Bank/IMF • UN agencies; WHO, WFP, UNSIC, FAO, UNHCR • Regional organizations ASEAN/ARF/APEC • Private sector sources
The Malaysian Experience Malaysian MOH partners with WFP and IFRC in Nov 2008 Malaysian MOH partners with WHO March 2009 for Rapid Containment just before H1N1 outbreak Field exercise in local province to train vertical integration and logistics for obtaining Tamiflu Communication evaluation and working a pandemic environment
Summary • Pandemic plans require testing by performing exercises • Exercises come in many forms • Exercises can be shared cost • Look for partners • Make a plan to exercise and test your pandemic plan • Design and fund your plan that meets the objectives of all the partners • Know who has the funding and ask for it