Emergency Preparedness and Response Plan

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					Emergency Preparedness
and Response Plan - 2011

                   Dr. Ajay Khera
               Deputy Commissioner
   Ministry of Health & FW, Government of India
        Outline of the Presentation

   Emergency Preparedness
     Overview of actions at national, state and district level
     Current status

   Emergency Response – Urgent Actions in response to
    detection of wild poliovirus (WPV)
                Guiding Principles
“ From now onwards, any wild polio virus from any
  source will be considered a public health emergency and
  responded to with urgent mop-ups”

“ Government and partners will deploy additional, highly
  experienced human resources to ensure that mop-up
  rounds are of the highest quality”

“ Mop-ups will target both the area of detection of the
  virus in a case or in the environment and, if there is a
  clear genetic link, the area of origin of the virus”
           Actions at National level
   Central Emergency Preparedness & Response Group
    (Central EPRG)

   Sufficient buffer stocks of vaccines to undertake mop
    ups at short notice

   Media Response plan
                  National Actions
   Inform Union Health Minister & Secretary

   Review findings of field investigation and decide:
      Area of response
      Timing of response; number of proposed rounds
      Vaccine type

   Visit state/districts to review/monitor planning and
    implementation (members of Central EPRG)

   Urgently mobilize appropriate vaccine from buffer stocks
             Actions at State level
   State Emergency Preparedness & Response Group
    (State EPRG) in each state

   Identification of Rapid Response Team (RRT) members

   Identification of high risk districts/ areas and assigning
    these to senior state officials

   Actions to improve SIA and RI coverage in these areas

   Communication and media response plan for use
    following the detection of a wild poliovirus
                    State Actions
   Activate State EPRG within 24 hours of information
   Inform Divisional Commissioners and District
    Magistrates of affected area
   Assign geographical areas to RRT members and senior
    state officials for visit and support
   Meet State Steering Committee to seek involvement of
    non-health departments – Panchayati Raj, Education,
    Social Welfare, others
   Mobilize additional Govt. Medical Officers to mop up
                      District Actions
   Before mop up
o   Mobilize block officials immediately to start preparations for mop up

o   District Task Force (DTF) meets within 5 days of information

o   Tehsil/ Block Task Force meets within 7 days

o   Review all microplans within 10 days
o   Re-train all vaccinators and supervisors prior to mop up

o   Develop local IEC and media plan

o   Plan for intensive monitoring
               District Actions (2)
During mop up
   Implement under direct oversight of DM and
    supervision of CMO

   Intensive monitoring by all agencies

   Daily review of activity at block and district level by
    DM, BDOs, CMO, BMOs, central and state monitors

After mop up
   Implementation report by DM to State Secretary &
    State EPRG
States with Emergency Preparedness
  and Response Group constituted

                    EPRG formed in 23 States/UTs *
                       (out of 35 States/UTs)

                                            * Data as on 8 July’11
States with Rapid Response Team
       Members identified

               RRT members identified in 23 States/UTs *
                          (out of 35 States/UTs)

                                                 * Data as on 8 July’11
         Trainings of RRT members

   Five training programs scheduled to train the identified
    RRT members across India

   More than 125 RRT members will be trained during July-
    August 2011
      High risk areas identification, India
                   June 2011

                                                        High risk areas in
                    Migrant sites
                                                        settled population

    = 10 Migrant sites                      = 10 HR sites

~ 150,000 Migrant sites             ~ 50,000 HR areas in settled population
                  Role of NPSP
   Assist training of Rapid Response Team Members

   Support state government to conduct epidemiological
    investigation in WPV area in collaboration with
    Immunization Division, NCDC/IDSP and UNICEF

   Deploy additional experienced Medical Officers to
    support planning, training and monitoring in mop up area

   Support monitoring of the preparedness and response at
    the district, state and national levels
                Role of UNICEF

   Assist training of Rapid Response Team Members on
    communication and media planning

   Conduct communication risk analysis in area of WPV

   Deploy additional experienced communication experts to
    guide & support IEC/social mobilization activities

   Support state to develop & implement Media strategy
        Role of Rotary International

   Advocacy at state and district levels

   Support IEC/ social mobilization activities & media
    management in coordination Govt., UNICEF and NPSP

   Any other essential emergency support activities
Emergency Response (West Bengal)
                Confirmation of polio case on 7 Feb ’11
   GoI communication to Chief Secy. (GoI)           : 8 Feb
   Field Investigation (NCDC, NPSP, UNICEF)        : 9 Feb
   Decision on mop up size, date, vaccine (GoI)     : 9 Feb
   Intensified HR plan (WHO - NPSP)                 : 9 Feb
   Plan for Support of IEC activities (UNICEF)      : 9 Feb
   14 SMOs of NPSP arrive in districts (NPSP)       : 10 Feb
   Marker pens procured (Rotary)                    : 10 Feb
   District Task Force Mtg. (GoWB)                  : 10 Feb
   Coordination mtgs. with partners (Delhi)         : 11 Feb
   Media plan operationalized (UNICEF)              : 11 Feb
   Vaccine arrives in districts (GoI/ GoWB)         : 11 Feb
                  Mop up conducted from 13 Feb’11
Thank You

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