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Pandemic Preparedness and Response Plan

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Pandemic Preparedness and Response Plan Powered By Docstoc
					                            UNITED NATIONS

                                   EGYPT




      PANDEMIC PREPAREDNESS AND RESPONSE PLAN

                                 April 2008




Coordinated by:
Chair, United Nations Disaster Management Team (UN DMT), Egypt
                                                  Table of Contents
1.  Introduction ........................................................................................................................ 4
  1.1. Background .................................................................................................................. 4
  1.2. Objectives .................................................................................................................... 5
  1.3. Methodology, Planning Process & Framework ............................................................. 5
2. Scenarios & Key Threats and Risks to UNCT Business Continuity ................................... 7
  2.1. Scenarios ..................................................................................................................... 7
  2.2. Key Threats and Risks to UNCT Business Continuity ................................................ 10
3. UNCT Preparedness and Response ............................................................................... 11
  3.1. UNCT Operating Modes ............................................................................................. 11
    3.1.1. Protocol ................................................................................................................ 11
    3.1.2. Common UNCT Objectives: Preparedness Mode ................................................ 12
    3.1.3. Common UNCT Objectives: Crisis Mode ............................................................. 13
    3.1.4. Common UNCT Objectives: Emergency Mode .................................................... 14
  3.2. Management and Coordination Arrangements ........................................................... 14
    3.2.1. Roles and Responsibilities: Preparedness Mode ................................................. 15
    3.2.2. Roles and Responsibilities: Crisis & Emergency Modes ...................................... 16
    3.2.3. Budget/Funding Mechanisms ............................................................................... 16
  3.3. Accountability Framework .......................................................................................... 18
    3.3.1. Resident Coordinator ........................................................................................... 18
    3.3.2. Designated Official ............................................................................................... 18
    3.3.3. Heads of Agency .................................................................................................. 18
    3.3.4. Security Wardens ................................................................................................. 19
    3.3.5. Critical Staff .......................................................................................................... 19
    3.3.6. Non-Critical Staff .................................................................................................. 20
4. Staff Health, Safety and Security ..................................................................................... 21
  4.1. Medical and Non-Medical Interventions under Preparedness Mode .......................... 21
  4.2. Medical and Non-Medical Interventions under Crisis Mode ....................................... 22
  4.3. Medical and Non-Medical Interventions under Emergency Mode .............................. 23
5. Support for National Preparedness and Response ......................................................... 25
6. Business Continuity ......................................................................................................... 29
  6.1. Critical Staff ................................................................................................................ 29
  6.2. Business Continuity Matrix ......................................................................................... 31
7. Communications .............................................................................................................. 33
  7.1. Internal Communication ............................................................................................. 34
    7.1.1. Preparedness Mode ............................................................................................. 34
    7.1.2. Crisis and Emergency Modes .............................................................................. 35
    7.1.3. Post-Pandemic ..................................................................................................... 35
  7.2. External Communication ............................................................................................ 37
    7.2.1. Preparedness Mode ............................................................................................. 37
    7.2.2. Crisis and Emergency Modes .............................................................................. 38
    7.2.3. Post-Pandemic ..................................................................................................... 38
8. UN Agency Roles and Responsibilities............................................................................ 40
  8.1. Preparedness Mode ................................................................................................... 40
  8.2. Crisis Mode ................................................................................................................ 41
  8.3. Emergency Mode ....................................................................................................... 41
                                                                                                                                    pg. 2
9.     Annexes........................................................................................................................... 42
     9.1. Annex A: List of UNCT AHI Focal Points.................................................................... 42
     9.2. Annex B: List of AHI Focal Points (Foreign Missions) ................................................ 44
     9.3. Annex C: Summary of Staff Entitlements ................................................................... 46
     9.4. Annex D: Staff's Checklist of Six-Week Supplies ....................................................... 47




                                                                                                                                     pg. 3
1. Introduction

1.1. Background

Egypt is one of the 14 countries with confirmed human cases of Avian Influenza, and one of
the six countries where the disease remains endemic. As at 17 April 2008, 50 human cases
have been confirmed positive, 22 of whom died and 28 recovered, ranking Egypt third in the
world for the number of confirmed human cases after Indonesia (132 cases) and Viet Nam
(106 cases).1

The need to plan and prepare for the Avian/Human Influenza (AHI) pandemic, therefore, is
urgent, compounded by Egypt’s large population, high population density and large
dependence on poultry for both income generation and nutritional intake. The Secretary-
General, in his memo dated 17 March 2006, directed all United Nations Country Teams
(UNCTs) to produce detailed plans on how to protect staff, continue operations and support
national efforts during a pandemic. In order to plan and prepare for the AHI pandemic, the
following key actions have been taken by UNCT Egypt to date.
      AHI focal points were identified in most UN agencies in Egypt (see Annex A), and lead
       agencies for the contingency planning exercises were appointed by the UNCT.
      UN Medical Services Staff Contingency Plan was revised and updated in early 2006,
       with WHO taking the lead, and its implementation is on-going.
      WFP, as the Chair of the UN Disaster Management Team (DMT) for 2006-2008, was
       appointed by the UNCT to take a lead in the UN Operations Contingency Plan and the
       first version of the document was prepared in August 2006 and duly endorsed by the
       UNCT.
The need to update the UN Operations Contingency Plan and revise it to be more pandemic
preparedness and response-focused2 was identified by the DMT in late 2007, and this UN
Pandemic Preparedness and Response Plan is the culmination of the efforts that followed.

This document (hereafter referred to as “the Plan”): develops detailed locally relevant
scenarios; identifies the key threats and risks to UN business continuity; establishes common
UNCT operational modes with common objectives, outputs and key activities; defines the
UNCT management and coordination arrangements, with roles, responsibilities and
accountabilities of various internal actors; outlines business continuity planning needs;
establishes internal and external communication strategies; provides overview of individual
agency's roles and responsibilities; and, summarizes the UNCT support to the Government of
Egypt (GoE) national preparedness and response efforts.

This is a flexible, adaptable and living document that will be regularly reviewed and further
revised and updated with the changing situations on the ground, as well as with the changes
in the GoE preparedness and response plans. Given the recruitment of a full-time UN AHI

1
    WHO Cumulative Number of Confirmed Human Cases of Avian Influenza, as at 17 April 2008
2
  It should be noted that for the UNCT response to the avian influenza epizootic, sections of the UN Operations Contingency Plan (August
2006) continues to be in effect. This Plan supersedes the aforementioned document only in reference to the pandemic preparedness and
response.

                                                                                                                                 pg. 4
Coordination Specialist based at the RC's Office, the custodianship of this document will be
with the RC's Office.


1.2. Objectives

In the face of the human pandemic influenza threat, it can be foreseen that its impact could
seriously affect the UN staff health, safety and security, UN’s ability to continue its operations
and increase the areas in which the GoE would require UN support, as well as create new
beneficiary groups requiring UN-supported emergency humanitarian assistance. Thus, the
objectives of the Plan are as follows:

   1. To analyze the impact of the potential pandemic to staff health and safety, UN
      operations and support needs of the GoE national preparedness and response efforts;
   2. To ensure that a common framework is in place for the UNCT to respond collectively in
      a timely, effective and appropriate manner;
   3. To establish a common understanding of the UN management and coordination
      structure in relation to pandemic preparedness and response;
   4. To identify roles and responsibilities of individual UN agencies under the common
      framework; and,
   5. To identify areas of support to the GoE pandemic preparedness and response efforts.


1.3. Methodology, Planning Process & Framework

The UNCT Task Force on Pandemic Planning and Preparedness (hereafter referred to as
“the Task Force”) was formed as a part of the DMT, consisting of representatives from: DSS,
FAO, ICAO, IOM, OCHA, UNDP, UNHCR, UNIC, UNICEF, UNRC’s Office, WFP and WHO.
WFP, as the Chair and Secretariat of the DMT, acts as the Task Force Chair and Secretariat.
A workshop was organized by the DMT and facilitated by the Regional Planning Officer,
Pandemic Influenza Contingency (PIC)/OCHA and a national consultant on 17 December
2007 to kick off the process of revamping the Plan, where gaps and areas of improvement in
existing contingency plans were identified and a roadmap for finalizing the Plan was agreed
upon. An international consultant was recruited and funded by WFP in early March 2008 to
coordinate the preparation of the Plan. A half-day workshop was held on 10 March 2008 to
agree on scenarios, key threats and risks to UN business continuity and UNCT operational
modes, facilitated by the Regional Planning Officer, PIC/OCHA, and the international
consultant, with participation of representatives from: DSS, IOM, OCHA, UNDP, UNHCR,
UNIC, UNRC’s Office, WFP and WHO. Follow-up meetings were held with WHO, UNRC's
Office, DSS, UNIC, UNICEF, FAO, UNHCR, IOM, WFP and the Cabinet Information and
Decision Support Center (IDSC). The draft Plan has been prepared by the international
consultant, together with the Regional Planning Officer, PIC/OCHA, under the auspices of the
DMT, in consultations with all participating UN agencies.

The Pandemic Planning and Preparedness Guidelines for the United Nations System (15
March 2006) were used as the primary guidance material. For the Staff Health and Safety
section, the UN Medical Services Staff Contingency Plan Guidelines for an Influenza
Pandemic (1 March 2006) was chiefly referred to. The Business Continuity section (Section
                                                                                             pg. 5
6) takes into account the draft Administrative Guidelines for an Influenza Pandemic (23 May
2006). The scenario building and identification of key threats and risks to business continuity
(Section 2) are in line with WHO Pandemic Phases (see Figure 1). The Support to National
Preparedness and Response section (Section 5) has taken into considerations the Integrated
National Plan for Avian and Human Influenza (20 May 2007), the Ministry of Health and
Population’s (MoHP) National Plan for Influenza Pandemic Preparedness (2007) 3 and
discussion with the Director of the Crisis Management Sector, IDSC. The Inter-Agency
Contingency Planning Guidelines for Humanitarian Assistance was also referred to and
inspirations gained from UN System Plans of other country teams.

       Inter-               Phase 1          No new influenza virus detected in humans. If a new
     pandemic                                influenza virus presents in animals, the risk of human
                                             infection is considered to be low
      period
                            Phase 2          No human infections, but a circulating animal
                                             influenza virus poses a risk to humans

     Pandemic               Phase 3          Human infection(s) with a new virus, but no (or very
    alert period                             infrequent) human-to-human spread.

                            Phase 4          Small human-to-human cluster(s) - less than 25
                                             people, lasting less than 2 weeks, highly localized -
                                             virus is not well adapted to humans

                            Phase 5          Larger human-to-human cluster(s) - between 25-50
                                             people, lasting from 2-4 weeks, still localized but virus
                                             increasingly better adapted to humans

     Pandemic               Phase 6          Significantly increased and sustained transmission
      period                                 in general population

    Figure 1: WHO Pandemic Phases (Source: UNSIC Pandemic Planning and Preparedness
    Guidelines for the United Nations System)




3
 At the time of writing, this plan is only available in Arabic. This plan supersedes the Human Pandemic Influenza Preparedness Plan section
of the Integrated National Plan.

                                                                                                                                    pg. 6
2. Scenarios & Key Threats and Risks to UNCT Business
   Continuity

2.1. Scenarios

There are three key driving forces that make Egypt vulnerable to a pandemic influenza:

Population Concentration: Egypt has the largest population within the MENA region.
Although there has been a slowdown in fertility rates, the Egyptian population is still growing
in absolute terms and currently stands at 75.5 million4, with 31.8% of the population under the
age of 15 years5. Moreover, only 3.5% of the total area of the country is easily habitable and
agriculturally productive, vast majority of which lies within the Nile Valley and Delta. The
outcome is a high population density of over 2,000 per km² in these areas.

Poverty and Food Insecurity: In Egypt, 16.7%, or almost 12.6 million people, are below the
lower national poverty line, referring to the economic capacity of a household to obtain basic
food items.6 Moreover, there are regional disparities in poverty, whereby poverty in both rural
and urban areas in the governorates of Upper Egypt is far more persistent than anywhere
else in the country, at 34% in rural areas and 19% in urban areas.7 Food security situation in
Upper Egypt is fragile. For example, one-third of the population in three sample governorates
in Upper Egypt are unable to obtain their minimum daily calorie intake. 8 Combined with
issues such as higher illiteracy rates, lower access to education and higher gender inequality
in Upper Egypt, these are the population groups most vulnerable to the pandemic, whose
access to food and other basic needs and services in time of the pandemic is likely to be most
severely disrupted.

Regional Disparity in Health Care Quality and Nutritional Situation: 95% of the population has
access to basic health facilities/services within a 5 km radius. 9 However, in many areas,
clinics are not adequately staffed with health professionals. Child mortality is still high and
exhibits a strong geographic and gender pattern, with children in rural Upper Egypt at the
greatest risk of dying in infancy. Child mortality is concentrated in early infancy, with under-5
mortality rate of 46 deaths per 1,000 births and infant mortality rate of 38 per 1,000. 10 In
addition, prevalence rate of long-term malnutrition in Upper Egypt reaches 21.8% in rural
areas. In 2005, stunting was as high as 25%, of which 8.5% were severe cases. 11 All these
factors suggest that people, especially children, in rural Upper Egypt are least likely to receive

4
    United Nations Statistics Division 2008
5
    CAPMAS 2006
6
    Egypt MDGs Second Country Report 2004, p.11
7
    Egypt MDGs Second Country Report 2004, p.13
8
    FAO Food Outlook No. 1, April 2005, Annex B.7
9
    Egypt CCA 2005, p.31
10
     Egypt Interim Demographic and Health Survey 2003, p.89
11
     Vulnerability and Food Subsidy Study 2005, WFP and Ministry of Supply and Internal Trade

                                                                                                pg. 7
adequate, quality health care services, while their health is more vulnerable due to long-term
malnutrition and stunting.

Furthermore, it must be noted that specific groups, such as refugees, asylum seekers and
migrants, are currently amongst the most vulnerable groups in terms of poverty and food
insecurity. It is anticipated that these groups will fall amongst the most vulnerable to the
pandemic, whose access to healthcare, food and other basic needs and services in time of
the pandemic is likely to be most severely disrupted.

Given the above key driving forces, Table 1 illustrates the possible course of events that
could occur in Egypt under Pandemic Phases 4-5 and Pandemic Phases 5-6. The scenarios
are grouped into three risk categories: human health; socio-economic systems; and,
governance and security. The scenarios are intended to act as tools to explore, describe and
analyze the extent of the pandemic in Egypt and environment in which the UN system may
find itself.




                                                                                         pg. 8
Table 1: Scenario Matrix
Risk Category                                    Pandemic Phases 4-5                                                                                Pandemic Phase 6
                                                                                                                                                           OR
                                                                                                                     Phase 5 but significant number of human-to-human clusters in Egypt
Planning        There is evidence of increased to significant human-to-human transmission. It comes in       The virus becomes efficiently transmissible from human to human. Human influenza
Assumptions     waves in small clusters (7-10 cases in areas smaller than villages). Avian-to-avian,         immediately and rapidly spreads with high caseloads and increasing mortality. There
                avian-to-human and human-to-human cases are ongoing in parallel. Depending on the            will be little time for preparation, and response is reactive and defensive. AHI human
                GoE response, clusters may be quarantined and thus population movement may be                vaccine is available within six months after the first case of human-to-human infection.
                restricted in certain areas. Gathering of people may be restricted, and international        The spread of the virus is expected to be rapid, given the population density
                health regulations will prevent movement of people across borders.
Human Health     No. of people affected: few hundred                                                           No. of people affected: 7-20 million
                 Depending on the locations of the clusters of human-to-human transmissions,                   Entire health sector including emergency services and ICU overloaded from
                    access to sufficient medical services may become a serious issue, especially for             increased demands for medical attention and medication etc., compounded by
                    specific groups such as refugees, asylum seekers and migrants having much limited            population in panic
                    access                                                                                      Infection of some medical care providers, and need for non-medical professionals to
                 Over-stretched health sector in affected areas, especially in rural areas                      take on the role of providing medical care
                 Mass panic leading to imaginary and psychological symptoms, overwhelming the                  Deterioration in hygiene standards leading to emergence of water borne diseases
                    health facilities of unaffected areas                                                        etc.
                 Reluctance of patients to come to hospitals for fear of being infected by the virus           Lower priority given to routine/regular/other medical services
                                                                                                                Reluctance of the poor to access medical assistance, as pandemic influenza may
                                                                                                                 not be covered by insurance
                                                                                                                Lower priority given to the poor, the refugees, asylum seekers and migrants, if there
                                                                                                                 is a shortage of medical supplies

Socio-             Decline of household income, due to increase in unemployment rates (incl. Gulf              Severe effect on livelihood of the entire population, as well as the refugees/asylum
Economic            states no longer accepting Egyptian foreign workers) and significant decline in              seekers/migrants hosted in Egypt
Systems             tourism                                                                                     The age group 20 to 40 year-olds, i.e. the household breadwinners, hardest hit
                   Increase in short-term food and non-food insecurity, due to inflation of food and non-      Significant drop of household income, due to increase in unemployment rates
                    food prices and shortage of food and non-food items in the market                            across sectors
                   Increased financial burden on affected people, more so for the poor, the refugees,          Further increase in short-term food and non-food insecurity, due to inflation of food
                    asylum seekers and migrants                                                                  and non-food prices and shortage of food and non-food items in the market
                   Some disruption of all public services (power, transportation, water and sanitation,        Severe disruption of all public services (power, transportation, water and sanitation,
                    etc.) in affected cluster areas                                                              etc.) in the entire country
                   Increased need for local civil society to run the basic services and/or overtake some       International travel drastically reducted
                    basic government functions, due to civil servants’ absenteeism in affected cluster          Increased need for local civil society to run the basic services and/or overtake some
                    areas                                                                                        basic government functions, due to civil servants’ absenteeism
                   Negative effect on the GoE subsidy programmes due to reduced revenues                       Severe negative effect on the GoE subsidy programmes due to reduced revenues
                   Closure of schools in affected cluster areas, and possible decline in school                Closure of all schools and many private and public sector offices
                    attendance in other areas                                                                   Severe downturn in economic activities
                   Development of a black market                                                               Enlarged black market, especially for food and medicines
                   Devaluation of L.E.                                                                         Continued devaluation of L.E.
                   Stock market drop                                                                           Further stock market drop
                   Loss of the GoE revenue, both from tourism and income taxes                                 Continued loss of the GoE revenue, both from tourism and income taxes

Governance         Increased public anxiety nation-wide                                                        Possible wide spread public discontent depending on the GoE reaction and
and Security       Larger role played by the military                                                           measures taken, especially if there is shortage of medical supplies and care
                   Possible demonstrations in front of the GoE ministries as well as WHO/UN                    Tightened security control as the military increases its role in society and the
                   Possible need to protect certain targets, such as pharmacies, hospitals, WHO/UN,             Emergency Marshall Law is enforced
                    etc.                                                                                        Possible use of force
                   Increased tensions between the public and the GoE                                           Curfew imposed across country
                   Increased pressure on telecommunication networks, especially in affected areas              Possible stigmatization of people and their families affected by the disease
                   Curfew imposed in affected clusters
                   Possible influx of refugees from neighboring countries

                                                                                                                                                                                                pg. 9
2.2. Key Threats and Risks to UNCT Business Continuity

The possible scenarios in Egypt point to probable external threats and risks that the UN
system would face in trying to continue its business. Table 2 identifies the likely obstacles to
the UNCT business continuity for which the UNCT would have to prepare, to the extent
possible, during the current Pandemic Phase 3.

Table 2: Key Threats and Risks to UNCT Business Continuity
                                                                                     Pandemic Phase 6
                                                                                             OR
Type of Risk for Business
                                        Pandemic Phases 4-5               Phase 5 but significant number of
Continuity
                                                                              human-to-human clusters in
                                                                                            Egypt
Access to project and           May be restricted due to government       Difficulties in reaching project and
vulnerable/affected areas       containment measures                      vulnerable/affected areas
                                Restricted for non-UN staff members       Restricted to critical staff
Access to UN premises           May need to identify alternative office   Non-critical staff to telecommute
                                location(s)                               from home

                                May be disrupted, due to restricted       Greatly disrupted
Business and Financial
                                movement of people and goods              Banking sector may be severely
Services
                                Banking sector may be affected            affected

                                Increased demand due to stockpiling
Commodities (food and non-      and possible disruptions in               Severe shortages due to disruptions
food)                           transportation systems may result in      in supply chains
                                shortages
                                May begin to see closure of public
                                                                          Closure of some public
                                administrative buildings
                                                                          administrative buildings
Government social               Curfew may be introduced
                                                                          Probably curfew
distancing measures             May become more difficult to have
                                                                          Fewer meetings with the GoE
                                meetings with the GoE officials and
                                                                          officials and other partners
                                other partners
                                                                          Severe disruptions, possibly
Public transportation           May reduce services
                                                                          temporary absence of services
                                Possible demonstrations in front of the   May be increased tensions as
                                GoE ministries as well as WHO/UN          security control is tightened
Security
                                Possible looting attempts for medical     Possible looting attempts for medical
                                supplies                                  and other supplies
                                As usual, although increased demand       Likely disruptions and/or slow
Telecommunications
                                may result in slower service              service, due to increased demand
                                                                          High level of disruption or total
                                Possible disruption due to increased
Transportation (air)                                                      suspension, due to international
                                demand and some restrictions
                                                                          and/or national regulations

                                As usual, although possible increased     Widespread congestion, due to
                                level of congestion, due to reluctance    possible closure of public
Transportation (roads)
                                to use public transportation and          transportation and closure of some
                                closure of some roads                     or many roads
Utilities (water and
                                As usual, although may be occasional
sanitation, electricity, fuel                                             May experience regular disruptions
                                disruptions in some areas
and power supply)
                                                                                                         pg. 10
3. UNCT Preparedness and Response

3.1. UNCT Operating Modes

In order for the UNCT to respond collectively under a common framework in a timely, effective
and appropriate way to the needs of its staff and dependents, the GoE and its people, the
UNCT has agreed on three operating modes for pandemic preparedness and response.
These modes are: Preparedness Mode; Crisis Mode; and, Emergency Mode. Under each
operating mode, the UNCT would act as one to achieve common objectives, and the activities
of all Agencies would be managed and coordinated to result in concrete common outputs.12

     3.1.1.        Protocol

The Resident Coordinator (RC) is responsible for officially declaring the transition from one
operating mode to another. RC will be advised by the UNCT, SMT, DMT, CMT and/or UNSIC
in making this decision. The triggers for each operating mode have been defined and agreed
upon. WHO Pandemic Phase and Egypt’s Security Phase (which is independent of
Pandemic Phase) would also be considered. It should be noted that in Egypt, it would be
likely for the shift from Crisis to Emergency Mode to be within a short period of time.

The decision to declare Emergency Mode should be taken sensitively with careful
considerations given to ensuring staff health, safety and security while also making sure that
maximum emergency humanitarian assistance would be provided to support the GoE and its
people.

The operating mode may alternate between Crisis Mode and Emergency Mode throughout
the course of a global pandemic.

Each transition from one operating mode to another will be documented and communicated
internally and to the UNSIC and OCHA PIC.

Each Head of Agency is responsible to inform its staff of the transition from one operating
mode to another. It is also the responsibility of the Head of Agency to communicate the fact
to its HQ and regional office, as per internal procedures.




12
   Following the finalization and endorsement of the Plan, an operational implementation plan, which clearly indicates lead agencies and
timeframe for each output and activity, must be prepared. Section 7 refers to Agencies' roles and responsibilities towards achieving the
common outputs/activities, which can act as the starting point for the preparation of the operational implementation plan.

                                                                                                                                pg. 11
   3.1.2.        Common UNCT Objectives: Preparedness Mode

Likely Triggers      Present state (WHO Pandemic Phase 3)
Main Objectives 1. Achieve pandemic readiness
of UNCT Actions 2. Support national preparedness
Main Outputs of     1.1. UNCT Pandemic Planning and Preparedness Plan drafted, approved,
UNCT Actions        disseminated and regularly reviewed and updated; and, simulation
                    exercises conducted
                    1.2. Identified critical staff informed of the roles, responsibilities and
                    entitlements and trained
                    1.3. Medical and non-medical supplies procured and stored
                    1.4. Necessary arrangements made with national and local authorities
                    1.5. Necessary arrangements made with private servicing contractors re
                    telecommunication
                    1.6. ICT systems reviewed and enhanced
                    1.7. Internal and external emergency communication protocols/systems
                    established
                    1.8. Staff and dependents informed of policies, procedures and health and
                    safety guidelines
                    1.9. Security procedures reviewed and enhanced
                    2.1. Support requirements of national authorities identified and addressed
Key Activities      1.1.1. Preparation of UNCT Pandemic Planning and Preparedness Plan
                    1.1.2. Regular meetings of UNCT Pandemic Planning and Preparedness
                    Task Force
                    1.2.1. Procurement of medical and non-medical supplies
                    1.3.1. Training of critical staff
                    1.4.1. Signing of agreements/protocols with national and local authorities
                    1.5.1. Signing of contracts with private service contractors
                    1.6.1. Upgrade of ICT systems
                    1.7.1. Testing of internal and external emergency communication systems
                    through simulations and drills
                    1.8.1. Information sessions for staff
                    1.8.2. Dissemination of information materials for staff and dependents
                    (English and Arabic)
                    1.9.1. Regular meetings of SMT
Key Policies        All normal business functions are sustained and all staff are expected to
                    work.




                                                                                        pg. 12
   3.1.3.      Common UNCT Objectives: Crisis Mode

Likely Triggers  Human-to-human clusters are confirmed in another country (WHO
                   Pandemic Phases 4-5)
                                                     OR
                 First human-to-human clusters appear in-country or bordering areas
Main Objectives 1. Ensure staff health, safety and security
of UNCT Actions 2. Maintain regular business functions
                3. Support national response
Main Outputs of 1.1. Medical & safety and security guidelines and arrangements
UNCT Actions    implemented and medical & safety and security services provided to all
                staff
                2.1. Security situation reviewed and, if required, security phase adjusted
                3.1. Steps taken to ensure continuity of regular business functions
                4.1. Requests for support from national authorities addressed adequately
                and promptly
Key Activities  1.1.1. Monitoring and tracking of the latest pandemic-related information
                1.1.2. Medical and counseling services to staff and dependents
                2.1.1. Regular meetings of SMT
                3.1.1. Implementation of business continuity arrangements
                4.1.1. Support GoE surveillance and detection systems (human and
                animal), containment efforts, communication and other response efforts

Key Policies       Normal business functions are sustained as appropriate and all staff are
                   expected to work. Flexibility to be exercised as to working arrangements.
                   Mandatory screening at building entrance.




                                                                                      pg. 13
     3.1.4.        Common UNCT Objectives: Emergency Mode

Likely Triggers  WHO declares Pandemic Phase 6
                                                      OR
                 Human-to-human clusters appear in Cairo (depending on magnitude
                   and location)
                                                      OR
                 UN staff and/or dependents fall victim to the virus
Main Objectives 1. Ensure staff health, safety and security
of UNCT Actions 2. Sustain minimum critical functions
                3. Provide emergency humanitarian assistance
Main Outputs of 1.1. Medical & safety and security services provided to all staff and
UNCT Actions    dependents
                1.2. Security situation reviewed and, if required, security phase adjusted
                2.1. Critical functions maintained
                3.1. Emergency humanitarian needs of the GoE and its people provided
Key Activities  1.1.1. Medical care and follow-up of staff and dependents
                1.2.1. Regular meetings of SMT
                1.2.2. Implementation of security measures
                2.1.1. Implementation of critical business continuity arrangements
                3.1.1. Regular communication with the GoE
                3.1.2. Implementation of emergency humanitarian programmes
Key Policies    Only critical business functions to continue. Only critical staff to have
                access to UN buildings. Non-critical staff may work from home.


3.2. Management and Coordination Arrangements

The RC, as the Chair of the UNCT and the Designated Official (DO), has the overall
responsibility to ensure that the main objectives of UN Actions under each operating mode
are met. The RC is advised by UNSIC, OCHA, WHO and DSS. Decisions are taken in
consultation with the appropriate coordination mechanisms, such as the UNCT, SMT, DMT
and/or CMT.

The RC is supported by the RC’s Office, in particular the AHI Coordination Specialist13 based
at the RC’s Office, for overall coordination between UN agencies, GoE partners, donors,
NGOs and civil society. S/he may also receive support from OCHA and UNSIC, should the
coordination of response activities require additional capacities.

The UNCT and SMT are represented by all UN agencies in Egypt. UN Heads of Agency
appoint members of the DMT, while the DO appoints members of the CMT.
13
  The roles and responsibilities of the AHI Coordination Specialist in pandemic preparedness and response will be further clarified in the
coming months.

                                                                                                                                 pg. 14
Individual agencies are also supported by their respective Regional Offices and Headquarters
for technical assistance, resource mobilization and provision of extra human and other
resources.

       3.2.1.          Roles and Responsibilities: Preparedness Mode

Actor                                                  Roles and Responsibilities
                                Discuss and agree on key policy issues
UNCT                            Provide oversight to DMT
(Chair: RC)                     Approve UNCT Pandemic Preparedness and Response Plan and its
                                reviews and updates
                                Provide technical support to RC/DO, with regional/global perspective, on
OCHA
                                pandemic planning and preparedness
                                Provide staff health and other medical-related advise to RC/DO
WHO
                                Act as the UN focal point to MoHP/GoE on health-related pandemic issues
                                Provide information on status of animal virus spread and control
FAO
                                Act as the UN focal point to MALR/GoE on animal health issues
SMT
                                Meet regularly to discuss staff safety and security issues
(Chair: DO)
                   Prepare the UNCT Pandemic Preparedness and Response Plan
                   Conduct working-level discussions on issues related to the pandemic
DMT
                   Organize regular coordination and information-sharing meetings amongst
(Chair: WFP14)
                   key UN agencies in order to ensure maximum impact of interventions and
                   avoid duplication of efforts
                   Coordinate pandemic preparedness efforts with the GoE and donors
                   Organize regular coordination and information-sharing meeting with the
RC’s Office (incl. GoE and donors on pandemic preparedness
AHI                Ensure custodianship of the UNCT Pandemic Preparedness and
Coordination       Response Plan, and regularly monitor the progress made, as well as
Specialist15)      undertake its review and update16
                   Act as the UN focal point to the GoE on non-health-related pandemic
                   preparedness issues
Agency        AHI Advise respective Head of Agency on AHI and pandemic-related issues
Focal Points       Prepare Agency-level Pandemic Preparedness and Response Plan
                   Advise SMT on staff safety and security issues related to the pandemic
DSS                Update the Security Plan and ToR of Security Wardens to include
                   pandemic-related protocol/system, procedures, roles and responsibilities




14
     WFP has been the Chair of DMT from 2006 to 2008. However, as the Chair is rotating, this may change in the coming years.
15
     At the time of writing, the recruitment process for the AHI Coordination Specialist is ongoing and expected to take office by mid-2008.
16
     Depending on the scope of the update, other in-house expertise and/or external consultancy support may be sought.

                                                                                                                                         pg. 15
       3.2.2.        Roles and Responsibilities: Crisis & Emergency Modes

Actor                                                Roles and Responsibilities
                             Coordinate UN System's operational response to the pandemic
       17                    Organize regular coordination and information-sharing meetings amongst
RC            with
                             key UN agencies in order to ensure maximum impact of interventions and
support      from
                             avoid duplication of efforts
OCHA and RC’s
                             Coordinate pandemic response efforts with the GoE and donors
Office (incl. AHI
                             Organize regular coordination and information-sharing meeting with the
Coordination
                             GoE and donors
Specialist)
                             Liaise with the GoE on non-health-related pandemic response issues, incl.
                             needs assessment and resource mobilization
                             Discuss and agree on key policy issues
UNCT
                             Decide on establishment of CMT and provide oversight (if needed)
(Chair: RC)
                             Provide oversight to OCHA and the Sector/Cluster Groups
                             Provide up-to-date staff health and other medical-related advise to RC/DO
WHO
                             Liaise with MoHP/GoE on health-related pandemic response issues
                             Provide up-to-date information on status of animal virus spread and
                             control
FAO
                             Liaise with MALR/GoE on animal health-related pandemic response
                             issues
SMT
                 Meet regularly to discuss staff safety and security issues
(Chair: DO)
CMT              Run, manage and resolve emergencies internal to UN staff and
(Chair: DO)      dependents (if established)
Agency       AHI
                 Advise respective Head of Agency on pandemic response-related issues
Focal Points

During the Emergency Mode, in order to minimize the risk of infection, face-to-face meetings
would be kept to the absolute minimum. The actors would most likely meet via tele/video-
conference.


       3.2.3.        Budget/Funding Mechanisms

Under the Preparedness Mode, individual UN agencies have been fundraising for extra
resources to support the GoE pandemic preparedness efforts, sometimes from each agency’s
corporate funds and other times from individual donors with particular interest in Egypt. To
date, there has not been any UN consolidated resource mobilization efforts.

Under the Crisis and Emergency Modes, there may be a need for an emergency consolidated
resource mobilization. The resources needed by the UNCT in Egypt will depend on the
severity of the pandemic. Exact value of these additional resources will be determined at the
earliest possible stage of the Crisis/Emergency Mode and an interagency appeal for funding

17
     The RC may also assume the Humanitarian Coordinator (HC) function.

                                                                                                pg. 16
may be made, together with the GoE. Although their use in a pandemic has yet to be formally
agreed on, consideration will be given to mobilizing resources through Inter-Agency Flash
Appeals or applying for support from emergency funding mechanisms, such as the Central
Emergency Response Fund (CERF) and OCHA Emergency Cash Grants18.

Individual agencies may also continue to tap into corporate emergency funds. If Egypt is one
of the first countries with human-to-human clusters, there is expected to be great donors’
interest and support in view of containment, provided that the GoE has a comprehensive
response mechanism in place. From that angle, the UNCT can provide technical assistance
to the GoE in fundraising through putting in place clear needs assessment and proposals.




18
  In time of a global pandemic, however, these emergency funds may not be available for Egypt, as priorities would be given to countries
that are the hardest hit.

                                                                                                                                pg. 17
3.3. Accountability Framework


       3.3.1.          Resident Coordinator

                           Preparedness Mode                      Crisis Mode           Emergency Mode
                        Declare the change from one operational mode to another to all Heads of Agency
                        Inform UNSIC, OCHA HQ, the GoE and any other relevant actors of the change of
                        operational mode
                        Regular           pandemic Regular              pandemic Daily pandemic situation
                        preparedness-related         response-related updates to reporting to UNSIC
RC                      updates to UNSIC             UNSIC
                        Regular           pandemic Regular              pandemic Daily pandemic situation
                        preparedness-related liaison response-related liaison with liaison with the GoE
                        with the GoE                 the GoE
                        Appoint Chair and members
                        of DMT


       3.3.2.          Designated Official

                           Preparedness Mode                      Crisis Mode           Emergency Mode
                        Convene and chair SMT monthly
                        Ensure that pandemic-          Ensure that appropriate pandemic-related security
                        related security implications measures are taken
                        are analyzed and measures
DO                      are incorporated into the
                        Security Plan
                                                       Appoint members of CMT
                        Regular/daily reporting to DSS HQ on staff safety and security-related issues


       3.3.3.          Heads of Agency

                           Preparedness Mode                      Crisis Mode           Emergency Mode
                        Inform its staff of the change from one operational mode to another
                        Identify and contract a Ensure that the stock of Ensure that the physician is
                        physician, who would then Tamiflu is stored in a safe providing adequate services
                        be trained 19 to provide and secure location, easily to its staff and that all staff
                        medical      services     (incl. accessible in times of a and dependents are fully
                        prescription of Tamiflu) to its pandemic                      aware of how to contact the
Heads of                staff and dependents when                                     physician
Agency                  the pandemic strikes
                        Inform critical staff of their roles, responsibilities and
                        entitlements
                        Inform DSS of any changes to its Critical Staff list
                        Ensure that its Security Wardens are aware of their pandemic-related roles and
                        responsibilities and that they actively participate in all related meetings, drills and

19
     Organization of the trainings would be facilitated by WHO.

                                                                                                           pg. 18
                          Preparedness Mode                           Crisis Mode                        Emergency Mode
                       simulation exercises
                       Ensure that all its staff receive information packages and                   Ensure that all its staff
                       regular pandemic-related information updates                                 receive daily pandemic-
                                                                                                    related      advice      and
                                                                                                    information updates
                                                              Decide whether some staff             Ensure implementation of
                                                              can effectively telecommute           business           continuity
                                                              from home and ensure that             measures
                                                              necessary      administrative
                                                              and business continuity
                                                              measures       are     taken
                                                              accordingly
                                                                                                    Report daily to the DO
                                                                                                    regarding health, safety and
                                                                                                    security of its staff
                                                                                                    Report daily to the RC for
                                                                                                    any        policy     and/or
                                                                                                    operational issues


       3.3.4.         Security Wardens

                          Preparedness Mode                           Crisis Mode                        Emergency Mode
                       Inform staff and dependents Act as per the arrangements
                       under his/her care of the
                       arrangements under Crisis
                       and Emergency Modes
Security               Participate in all pandemic-related Security Wardens'                        Report daily to the Security
Wardens20              meetings, drills and simulation exercises                                    Officer/Head of Agency
                                                                                                    regarding health, safety and
                                                                                                    security   of    staff   and
                                                                                                    dependents under his/her
                                                                                                    care


       3.3.5.         Critical Staff

                          Preparedness Mode                           Crisis Mode                        Emergency Mode
                       Be fully aware of their roles and responsibilities, and participate in all pandemic-related
                       drills and simulation exercises
                       Provide pandemic-related information to their dependents, including their entitlements,
                       roles and responsibilities as critical staff
                       Familiarize him/herself with the UNCT Pandemic
Critical
                       Preparedness and Response Plan and other pandemic-
Staff                  related documents and procedures
                       Take necessary preparedness measures, including
                       stocking up of food and non-food items
                                                        Check their dependents and their own body temperature
                                                        daily and inform the respective Head of Agency

20
     The existing ToR to Security Warden needs to be expanded to include pandemic preparedness and response-related duties.

                                                                                                                              pg. 19
                                           immediately of any respiratory symptoms by phone
                                           Report to work daily, unless their dependents and/or
                                           themselves are showing signs of infection, in which case
                                           they are required to go on voluntary confinement in their
                                           homes


   3.3.6.   Non-Critical Staff

              Preparedness Mode                   Crisis Mode                Emergency Mode
            Comply with the public health measure taken by the national authorities, particularly those
            relevant to social gatherings
            Familiarize him/herself with the UNCT Pandemic
            Preparedness and Response Plan and other pandemic-
            related documents and procedures
Non-        Provide pandemic-related information to their dependents
            Continue     to     work     in May    telecommute      from Must telecommute from
Critical    accordance       with     their home, if approved by the home and must not be
Staff       normal ToR                      Head of Agency                 physically in the office
            Take necessary preparedness measures, including
            stocking up of food and non-food items
                                            Check their dependents and their own body temperature
                                            daily and inform the respective Head of Agency
                                            immediately of any respiratory symptoms by phone




                                                                                                pg. 20
4.    Staff Health, Safety and Security

4.1. Medical and Non-Medical Interventions under Preparedness Mode

                 Action                                     Lead Agency              Timeframe
                                        Medical Interventions
“Pandemic”       Prioritize and identify the groups who will      RC, Heads of       Once the UN
Vaccines         receive the “Pandemic Vaccine” once it           Agency, WHO, UN    Physicians are
                 becomes available                                Physicians (when   recruited
                                                                  recruited)
Antivirals       Stockpile Oseltamivir (Tamiflu) to treat 30%     UNICEF             Done- follow-up
                 or more of staff and dependents                  (procurement),     actions ongoing
                                                                  WHO (storage)
                 Stockpile enough Oseltamivir to provide          UNICEF             Done (?)
                 prophylaxis for six weeks primarily for          (procurement),
                 critical staff with high risk of exposure        WHO (storage)
Antipyretics     Stock-up as needed                               Each staff         ASAP (see Annex
(eg.                                                                                 D for Checklist of
paracetamol)                                                                         Six-Week Supplies)
Antibiotics  Identify sources of antibiotics able to treat        UNICEF             Done (?)
                 secondary bacterial infections on an out-        (procurement),
                 patient basis in 10% or more of staff and        WHO (storage)
                 dependents- if not available/unreliable,
                 stockpile
Medical          Procure stock of surgical masks in numbers       UNICEF             Done (?)
Supplies         sufficient to provide all staff and dependents   (procurement),
                 with two masks per day for six weeks             WHO (storage)
                 Procure stock of Personal Protective             UNICEF             Done- follow-up
                 Equipment (PPE), including N95 masks,            (procurement),     actions ongoing
                 gloves and gowns for two change per day          WHO (storage)
                 for six weeks for medical and paramedical
                 staff and critical staff
                 If local supplies not sufficient, procure one    UNICEF             Done (?)
                 set of needles and syringes per staff and        (procurement),
                 dependents                                       WHO (storage)
                 Procure thermometers                             Each staff         ASAP (see Annex
                                                                                     D for Checklist of
                                                                                     Six-Week Supplies)
                                     Non-Medical Interventions
                 Familiarize with national pandemic               WHO, RC, DMT       Done (for
                 preparedness and response plan(s) and                               Integrated National
                 inform the UNCT                                                     Plan)
                                                                                     For the latest
                                                                                     MoHP pandemic
                                                                                     plan, as soon as
                                                                                     finalized and
                                                                                     shared with the UN
                                                                                     agencies
                 Familiarize with UN Medical Services             RC/DO, Heads of    Ongoing
                 Contingency Plan for Influenza Pandemic          Agency, UN
                                                                                                  pg. 21
                           Action                                                         Lead Agency                    Timeframe
                                                                                          Physicians (when
                                                                                          recruited)
                           Prepare contractual agreements with                            WHO, UN                        Once the UN
                           outpatient and hospital-based health care                      Physicians (when               Physicians are
                           providers who will help prepare for the                        recruited)                     recruited
                           implementation of local plans and care for
                           staff and dependents
                           Explore the possibility of creating local                      WHO, UN
                           auxiliary outpatient care clinics for staff and                Physicians (when
                           dependents that are designed to reduce the                     recruited)
                           risk of nosocomial influenza infections
                           (“fever clinics”)
                           Establish protocol/system for distribution of                  WHO, Heads of                  By mid-2008 (?)
                           simple surgical masks to all staff and                         Agency, HR
                           dependents21                                                   Officers
                           Establish protocol/system for distribution of                  WHO, Heads of                  By mid-2008
                           PPE to medical and paramedical staff and                       Agency
                           critical staff


4.2. Medical and Non-Medical Interventions under Crisis Mode

                           Action                                            Lead Agency                                 Trigger
                                                         Medical Interventions
“Pandemic”                 As under Preparedness Mode
Vaccines
Antivirals                 Provide within 48 hours to symptomatic                         UN Physicians (if              When first human-
                           persons who meet the clinical case                             recruited),                    to-human cluster
                           definition criteria                                            contracted                     appear in Egypt or
                                                                                          healthcare                     bordering areas
                                                                                          providers (if
                                                                                          contracted)
                           Provide primarily to critical staff with high                  UN Physicians (if              When first human-
                           risk of exposure for prophylaxis                               recruited),                    to-human cluster
                                                                                          contracted                     appear in Egypt or
                                                                                          healthcare                     bordering areas
                                                                                          providers (if
                                                                                          contracted)
Antipyretics As required
(eg.
paracetamol)
Antibiotics  As required
Medical      Advise use of surgical masks and PPE     Heads of Agency                                                    After distributed
Supplies
                                Non-Medical Interventions
                           Conduct “dry runs” of “fever clinics” to make                  WHO, UN                        When human-to-
                           sure they can be implemented and operated                      Physicians (if                 human clusters are
                           smoothly when needed                                           recruited)                     confirmed in
                                                                                                                         another country
21
     It is suggested that the same protocol/system be used as that for distribution of information materials (see Section 6.1.1.).

                                                                                                                                       pg. 22
             Action                                          Lead Agency         Trigger
             Operationalize “fever clinics” as needed        WHO, UN             When first human-
                                                             Physicians (if      to-human cluster
                                                             recruited)          appear in Egypt or
                                                                                 bordering areas
             Confirm contractual medical care                WHO, UN             When human-to-
             agreements with health care providers and       Physicians (if      human clusters are
             facilities                                      recruited)          confirmed in
                                                                                 another country
             Advise staff to stock up on six-week            Heads of Agency,    When human-to-
             supplies (if not already done so)               Security Wardens    human clusters are
                                                                                 confirmed in
                                                                                 another country
             Distribute surgical masks to all staff and      WHO, Heads of       When first human-
             dependents                                      Agency, HR          to-human cluster
                                                             officers            appear in Egypt or
                                                                                 bordering areas
             Distribute RRP to medical and paramedical       WHO, Heads of       When first human-
             staff and critical staff                        Agency              to-human cluster
                                                                                 appear in Egypt or
                                                                                 bordering areas
             Enforce home confinement of symptomatic         Heads of Agency     When first human-
             staff and/or dependents for seven days after                        to-human cluster
             resolution of fever                                                 appear in Egypt or
                                                                                 bordering areas
             Advise voluntary home confinement to staff      Heads of Agency     When first human-
             whose dependents are symptomatic                                    to-human cluster
                                                                                 appear in Egypt or
                                                                                 bordering areas
             Defer all non-critical meetings and             DO, SMT, Heads of   When first human-
             prohibit/postpone activities requiring mass     Agency              to-human cluster
             gatherings                                                          appear in Egypt or
                                                                                 bordering areas
             Defer all non-critical travel                   DO, SMT, Heads of   When first human-
                                                             Agency              to-human cluster
                                                                                 appear in Egypt or
                                                                                 bordering areas
             Defer all travel of staff and dependents        DO, Heads of        When first human-
             presenting with influenza-like symptoms         Agency, UN          to-human cluster
                                                             Physician (if       appear in Egypt or
                                                             recruited)          bordering areas


4.3. Medical and Non-Medical Interventions under Emergency Mode

             Action                                      Lead Agency             Trigger
                                     Medical Interventions
“Pandemic”   Acquire and plan for staff vaccination as per   WHO, UN             When the vaccine
Vaccines     the priority groups identified during           Physicians (if      is available
             Preparedness Mode, once the vaccine is          recruited),
             available                                       contracted
                                                             healthcare
                                                             providers (if

                                                                                             pg. 23
             Action                                          Lead Agency          Trigger
                                                             contracted)
Antivirals   Provide as prophylaxis primarily to critical    UN Physicians (if    Pandemic Phase 6
             staff with high risk of exposure                recruited),
                                                             contracted
                                                             healthcare
                                                             providers (if
                                                             contracted), Heads
                                                             of Agency
             Provide treatment to staff and dependents       UN Physicians (if    Pandemic Phase 6
             at pre-identified healthcare providers          recruited),
                                                             contracted
                                                             healthcare
                                                             providers (if
                                                             contracted)
             Provide primarily to critical staff with high   UN Physicians (if    When first human-
             risk of exposure for prophylaxis                recruited),          to-human cluster
                                                             contracted           appear in Egypt or
                                                             healthcare           bordering areas
                                                             providers (if
                                                             contracted)
                                  Non-Medical Interventions
             As under Crisis Mode




                                                                                               pg. 24
5.         Support for National Preparedness and Response
The capacity of the Government is the key determinant for UN support to national pandemic
preparedness and response. Egypt is a country with a strong central government, with
Strong Capacity to Implement (SIC) 22. To date, in addition to a MoHP National Plan for
Influenza Pandemic Preparedness (2007), each of the 27 governorates in Egypt has a
governorate-specific pandemic preparedness and response plan, all of which have been
reviewed and cleared by IDSC. At the time of the writing, these plans are being tested
through simulation exercises, priority given to governorates with the highest number of avian
influenza cases. Given the strong capacity of the GoE, UN support is, and will continue to be,
closely aligned with that of the GoE and its pandemic preparedness and response plans.

UN support to the national preparedness and response to a pandemic in Egypt may include:
(a) harmonizing external cooperation; (b) maintaining support through regional and
international technical networks; (c) monitoring progress; (d) assisting the GoE in its efforts to
contain and minimize the impact and spread of the pandemic, as well as continue its control
and surveillance at its animal source; (e) building the pandemic response capacities at central
and local levels of the GoE and NGOs/civil society; and, (f) advocating to ensure the provision
of adequate support to the poorest, most vulnerable and/or marginalized segments of the
population. In other words, the UN agencies may provide support to the GoE at all levels of
the GoE pandemic planning, preparedness and response structure (see Figure 2 below).

While the specifics of the required UN assistance would be difficult to identify at this stage,
the GoE has proposed for a UN focal point to be based full-time at the Operational Room of
IDSC during the pandemic. This UN focal point23 would support IDSC/GoE identify the GoE
needs and assist in identifying the necessary human and financial resources.




22
     For the three categories of Country Capacity to Implement, see: AHI Action Plan for UN System Contributions.
23
  This UN focal point must be identified by the UNCT/DMT in the coming months. S/he should be a native Arabic speaker with an
understanding of how the GoE operates.

                                                                                                                     pg. 25
Figure 2: GoE Pandemic Planning, Preparedness and Response Structure (adapted from: Egyptian Plan
for the Pandemic Influenza Preparedness, IDSC March 2008)

Below is the summary of each Agency’s support to national preparedness and response
efforts. It must be noted that they will be more concrete in the coming months, as each
Agency completes its Pandemic Business Continuity Plan and as the GoE pandemic plans
are revised/finalized and shared with the UN agencies.

                              Support to National Preparedness and Response
 Agency
                Preparedness Mode                      Crisis Mode                    Emergency Mode
             Continued support to MALR
             on control and surveillance of
             the animal virus and in           Continued support to MALR on control and surveillance of the
             completing MALR’s pandemic        animal virus
FAO          preparedness and response
             plan
             In collaboration with WFP,        In collaboration with WFP, support national authorities in food
             support national authorities in   security monitoring and planning of food security emergency
             food security monitoring          activities




                                                                                                          pg. 26
                           Support to National Preparedness and Response
Agency
            Preparedness Mode                      Crisis Mode                 Emergency Mode
         Continued strengthening of
         nationwide communication
         campaigns to increase
         awareness on HPAI and
         behavioral change associated
         with transmission of HPAI
         infection in poultry and
         humans
         In collaboration with NGOs,
         support MALR and MoLD on
         enhancing resilience of rural
         communities in food security
         by supporting their livelihoods

         6-month pilot project targeting
         Sudanese migrant and host
         communities in Cairo for
         awareness raising and
IOM      behavioral change activities
         (information materials,
         trainings), with possible
         replication in other
         communities

         Advisory role to strengthen
         regional preparedness and         Possible setting up of a        Provide necessary support,
OCHA     response capacities and           coordination office to advise   either in-country or remotely,
         facilitate regional information   RC best support the GoE         as needed
         sharing
         Provision of capacity building
         assistance to IDSC to
UNDP     strengthen the overall disaster
         management capacity of the
         GoE
         Awareness raising and
         behavioral change activities
         (information materials,
         trainings) targeting refugee
         communities, UNHCR
         implementing partner NGOs,
         who are providing health care
         to refugees, and CBOs
UNHCR
         Possible advocacy for refugee
         communities to be included in
         any national preparedness
         and response plans and/or
         strengthening the national
         capacity to address the needs
         of refugees in such plans




                                                                                                    pg. 27
                          Support to National Preparedness and Response
Agency
            Preparedness Mode                       Crisis Mode                    Emergency Mode

         Awareness raising and
         behavioral change activities
         (information materials,
UNICEF   trainings) in communities in 17
         governorates




         Support to the GoE in              Support to the GoE in              Support to the GoE in
         coordinating UN and donor          coordinating UN and donor          coordinating UN and donor
         assistance to GoE                  assistance to GoE response         emergency humanitarian
UNRC's   preparedness efforts               efforts                            assistance to GoE
Office
         Facilitation in information-sharing between the GoE and UN and donor communities
                                                                               Support to the GoE in its
         Support to the GoE in its resource mobilization efforts
                                                                               emergency appeal


         Policy support to the relevant
                                            Emergency needs assessment, followed by emergency
         GoE ministries through
                                            humanitarian food assistance, possibly through the GoE, in
         continued monitoring of food
                                            vulnerable, food-insecure areas, where there is evidence of
         security situation across
                                            severe food shortage
         country


         Advocacy for the poor,
                                            Assistance in strengthening the GoE logistics capacity to deliver
WFP      vulnerable, food-insecure
                                            the necessary food, non-food, medical and other essential
         population to be included in
                                            supplies, in addition to proving logistics-related support to
         the GoE preparedness and
                                            other UN agencies
         response efforts

         Support IDSC to ensure
         business continuity in time of a
         pandemic through awareness
         raising activities (training and
         brochure) to the private sector


                                            Support to MoHP in improving
         Continued assistance to            health services, particularly as
                                                                               Assistance to MoHP in
         MoHP in strengthening public       quality and outreach gaps
WHO      health infrastructure, incl.       become apparent as services
                                                                               providing emergency health
                                                                               services
         surveillance systems               are put under mounting
                                            pressure




                                                                                                       pg. 28
                                         Support to National Preparedness and Response
     Agency
                       Preparedness Mode                                Crisis Mode                          Emergency Mode

                   Continued assistance to
                   MoHP in strengthening                     Support to MoHP in
                   community-based treatment of              conducting awareness raising
                   acute respiratory infections,             campaigns on medication
                   incl. prepositioning of medical           availability and its strategic
                   supplies in peripheral areas to           use
                   enhance response capacity

                                                             Scaled up assistance to MoHP
                                                             in strengthening its
                   Continued assistance to
                                                             communication campaigns in                Assistance to MoHP in
                   MoHP in strengthening its
                                                             an effort to contain public               implementing its pandemic
                   national awareness raising
                                                             anxiety and in providing sound            communication campaigns
                   campaign
                                                             advice and guidance to the
                                                             public




6.       Business Continuity

6.1. Critical Staff

Critical staff are those few staff who will be working on priority operations and programmes at
the UN premises under the Emergency Mode. Critical staff are identified based on critical
functions that will be required to sustain minimum business and programme continuity,
dependent also on the mandate of the agency and local situation. Each Agency must
maintain the proportion of critical staff as low as possible.24 Critical staff numbers is also
limited to the UNCT's capacity to ensure staff health, safety and security and to provide
appropriate facilities and supplies for ensuring continuity of critical functions.

Critical functions under the Emergency Mode include:

       Decision-making (policy and operational) related to staff health, safety and security
        eg: Country Director and Deputy Country Director
       Decision-making (policy and operational) related to business and programme
        continuity
        eg: Country Director, Deputy Country Director, Head of Programmes
       Insurance of physical security of staff
        eg: Security Officer
       Provision of medical care to staff



24
   The Chief Executives Board for Coordination (CEB) Human Resources Network recommends a maximum of 10% of staff be identified as
critical by each organization at HQ-level. However, it is the responsibility of each organization and duty station to determine the percentage.

                                                                                                                                      pg. 29
          eg: UN Physician and nurses25
         Maintenance of ICT services
          eg: ICT Officer
         Coordination with other UN agencies, the GoE partners and other stakeholders
          eg: External Relations Officer and/or Public Information Officer
         Insurance of financial management and accountability
          eg: Finance Officer
         Maintenance of utilities (electricity, water and sanitation)
          eg: Administrative Officer, office helper
         Provision of means of transportation
          eg: Driver

For each critical function, a principal and an alternate have been identified, in the eventuality
that the principal staff is unable to fulfill his/her roles and responsibilities. Critical staff will
have the appropriate delegated authority and may be asked to live on the premises for up to
six weeks.

The list of critical staff is maintained by DSS and updated quarterly through information
provided by all Agencies. The latest list26 was updated 18 March 2008.




25
  It should be noted that currently there are no UN Physician for UNCT Egypt. It is the recommendation of this document for either the
Common Service Working Group or each Head of Agency to seriously consider appointing UN Physician(s) and nurses during the
Preparedness Mode.
26
 The list as at 18 March 2008 only indicates the principal staff and not their alternates. For the next update, the inclusion of alternates, as
well as indication of their critical function and their contact details (e-mail, mobile and office telephone number), are recommended.

                                                                                                                                      pg. 30
6.2. Business Continuity Matrix

UNCT, as well as each individual Agency, should plan to adequately address each of the key threats and risks to UN business continuity
identified in Section 2.2. The Business Continuity Matrix below outlines actions to be taken under each operational mode to minimize the
key threats and risks.

Type of Risk for
                              Preparedness Mode                         Crisis Mode                       Emergency Mode                      Lead Organization
Business Continuity
                         Each agency to consider options      Humanitarian and AHI-related
                                                                                                   Humanitarian and AHI-related
                         for pre-positioning emergency        agencies to conduct a joint
                                                                                                   agencies to closely monitor the     Coordination
Access to project and    humanitarian commodities and         emergency needs assessment,
                                                                                                   project implementation process      Preparedness Mode- DMT
vulnerable/affected      identify and train local partners    including access issues and
                                                                                                   and provide remote support          Crisis and Emergency Modes-
areas                    and/or army in distribution etc.     instruct local partners and/or
                                                                                                   through daily communication         CMT
                         during Crisis and Emergency          army of implementation modality
                                                                                                   with implementing partners.
                         Modes.                               as necessary.
                                                              If the alternative office location
                                                              option is to be taken, start to
                                                                                                   ICT officers of each Agency to
                                                              relocate at the early stage of the
                         Common        Service      Working                                        provide telephone support to        Common Service Working
                                                              Crisis Mode.
Access to UN premises    Group to explore the option of                                            non-critical staff to ensure that   Group, with ICT officers of all
                                                              Each Agency to start setting up
                         alternative office location(s).                                           telecommuting is carried out        Agencies
                                                              home-based work station to
                                                                                                   smoothly.
                                                              allow staff to telecommute
                                                              during Emergency Mode.
                         Common        Service     Working
                         Group to start exploring options     Each Agency may decide to
                                                                                                                                       Common Service Working
Business and Financial   with banks to see what kind of       stock up on cash in a safe in        Staff to receive advance salary
                                                                                                                                       Group, Heads of Agency,
Services                 arrangements can be made to          case the banking sector is           in cash, if appropriate.
                                                                                                                                       Finance Officers of all Agencies
                         ensure access to cash when           affected.
                         pandemic strikes.
                         Each staff to start stocking up on
                                                              Each staff to ensure that
                         food and non-food items.
Commodities (food and                                         stocked food and non-food items                                          Individual staff, Admin. Officers
                         Each office to also start stocking                                        n/a
non-food)                                                     are within the sell-by date and                                          of all Agencies (for office use)
                         up on food and non-food items,
                                                              stored in an appropriate manner.
                         as appropriate.
                                                              Each Agency to put in place
                         Each Agency to agree with the        tele-/video-conference facilities.   Each Agency to remain close
Government social        GoE and other partners on            DSS to disseminate to all staff      contact with relevant GoE and
                                                                                                                                       Heads of Agency, DSS
distancing measures      communication modalities under       any      information     regarding   other partners while minimizing
                         Crisis and Emergency Modes.          curfews      and     other    GoE    face-to-face meetings.
                                                              measures.
                                                                                                                                                                pg. 31
Type of Risk for
                                     Preparedness Mode                         Crisis Mode                      Emergency Mode                     Lead Organization
Business Continuity
                               Each staff reliant on public
                               transportation to work out with       Staff to start car-pooling, if      Critical staff to transport using
Public transportation                                                                                                                        Each staff
                               colleagues with cars to car-pool      relevant and appropriate.           his/her own car or office car.
                               under the Crisis Mode.

                               DSS to continue security-related information collection, as well as intended GoE security measures to
Security                                                                                                                                     DSS
                               be taken if UN were to be a target.

                                                                     Each Agency to ensure that a
                               Each staff to start possessing        communication tree with more        Each Agency to disseminate
                                                                                                                                             Heads of Agency with ICT
Telecommunications             more than one mean of                 than         one  mean         of   message using more than one
                                                                                                                                             officers
                               telecommunications.                   telecommunication is distributed    mode of communication.
                                                                     to all staff.

                                                                     Each Agency to ensure that its      Each staff to avoid use of air
Transportation (air)           Continue as usual.                                                                                            Heads of Agency, each staff
                                                                     staff’s air travel is minimal.      transportation.

                                                                     DSS to disseminate up-to-date
                                                                     information    regarding   road
Transportation (roads)         Continue as usual.                                                        Avoid unnecessary movements.        DSS
                                                                     closures    and     other  GoE
                                                                     containment measures.
                               Each Agency to start stocking         If there are disruptions in the
                               up on water in tanks and other        water supply, each staff to be      Each critical staff to ensure the
Utilities: Water and
                               items for sanitation (toilet          especially careful to keep the      workplace remains as sanitary       Admin. Officers, each staff
sanitation
                               papers,        garbage        bags,   workplace clean while also not      as possible.
                               disinfectants, etc.).                 wasting water in tanks.
                               Each office to buy a generator if
                               they don’t have it already.           Common        Service   Working     Common      Service    Working
                               Common         Service     Working    Group to continue to follow-up      Group to continue to negotiate
                               Group to see if the UN                with relevant GoE actors, while     with relevant GoE actors to         Common Service Working
Utilities: Electricity, fuel
                               humanitarian agencies would be        also assessing the likelihood of    ensure regular electricity, fuel    Group, Admin. Officers of all
and power supply
                               given priority for power supply in    such disruptions.                   and     power     supply     for    Agencies
                               time of regular disruptions.          Each office to continue stocking    humanitarian and AHI-related
                               Each office to start stocking up      up on petrol.                       agencies.
                               on petrol for the office vehicles.




                                                                                                                                                                     pg. 32
7. Communications
In times of a pandemic, as well as in the periods before and after, both internal and external
communications would be critical in addressing the needs of both UN staff and dependents
and the GoE and its people.

For both internal and external audiences, the RC speaks on behalf of the entire UNCT.
Specifically on medical and health-related issues, the RC delegates his/her authority to WHO
to communicate on behalf of the UNCT. Each Agency is entitled to issue and release
information to external audience based on its respective mandate and mission, drawing upon
common messaging that have been agreed on by the UNCT on UN general policy matter in
order to ensure coherence and avoid contradictory messages.

UNIC supports the RC, WHO and individual Agencies as necessary in messaging
(substance) and information dissemination.

All staff, especially the critical staff, must be fully aware of to whom to direct any request for
information.

It has been mentioned by several AHI Focal Points that, especially during a full-blown
pandemic, the GoE may take measures to streamline all information going to the public,
including those by the UN, through a GoE entity. There exists also some reluctance by the
GoE to openly talk about the pandemic in the mass media at this preparedness stage for fear
of fuelling unnecessary public panic and confusion. In the coming months, a better
understanding of the GoE communication strategy in times of a pandemic needs to be
explored.




                                                                                            pg. 33
7.1. Internal Communication
7.1.1. Preparedness Mode

                                                                                                                                                            Timeframe /
                                                                                                                       Means of Communication /
Type of Information                                           Lead Agency                 Audience                                                          Frequency / Trigger
                                                                                                                       Action
                                                                                                                                                            Point
                                                                                                                       Development and distribution of
                                                              WHO (development),                                       information material on the
                                                                with Agency HR            Staff and dependents         challenges that will face in an          By mid-2008
                                                              Officers (distribution)                                  event of a pandemic (English
                                                                                                                                   27
                                                                                                                       and Arabic)
                                                                                                                                                                Ongoing (as
                                                                                                                       Undertaking of information
                                                                        WHO               Staff and dependents                                              requested by Heads
                                                                                                                       sessions
Staff Health and Safety: awareness raising                                                                                                                      of Agency)
                                                                                                                       Inclusion of influenza pandemic-
                                                                DSS, with Agency
                                                                                          New staff and visitors       related information during regular        As needed
                                                                Security Officers
                                                                                                                       security briefings
                                                                                                                       Provision of influenza pandemic-
                                                                RC's Office, with                                                          28
                                                                                                                       related information on the intra-
                                                              technical inputs from                 Staff                                                        As needed
                                                                                                                       UN web, which is updated
                                                                     WHO
                                                                                                                       regularly
                                                                  Each agency
                                                              (through the Warden                                      Regular updating and testing of
                                                                                          Staff and dependents                                               Once every quarter
                                                              System), supervised                                      staff contact system
                                                                     by DSS
Staff Health and Safety: staff contact system                                                                          Distribution of laminated cards
                                                                                                                       for staff, which include the
                                                                   Each agency            Staff and dependents         contact details of key pandemic-       By mid-2008 (?)
                                                                                                                       related personnel (doctors,
                                                                                                                       medical facilities, etc.)




27
     A similar protocol to that adopted to disseminate HIV/AIDS in the Workplace awareness raising information packages can be used.
28
     Including health travel advisory and advice on personal hygiene.

                                                                                                                                                                          pg. 34
                                                                                       Testing of alternative ways of
                                                                                       communication in case
                                          Common Service                               communication infrastructure or
                                                                Staff and dependents                                             Ongoing
                                           Working Group                               services are not functioning,
                                                                                       such as SMS, email, VHF,
                                                                                       satellite phones
                                                                                       Distribution of information
                                                                                       material on business continuity
Business continuity and administrative
                                          Heads of Agency               Staff          and administrative arrangements       By mid-2008 (?)
arrangements
                                                                                       in the event of an influenza
                                                                                       pandemic



7.1.2. Crisis and Emergency Modes

                                                                                                                           Timeframe /
                                                                                       Means of Communication /
Type of Information                      Lead Agency            Audience                                                   Frequency / Trigger
                                                                                       Action
                                                                                                                           Point
                                                                                       Daily provision of up-to-date
                                         DSS, with technical                           information re status of the
                                                                Staff and dependents                                               Daily
                                          inputs from WHO                              pandemic via multiple
                                                                                       communication means
Staff Health and Safety                                                                Emergency alerts via multiple
                                                DSS             Staff and dependents                                            As needed
                                                                                       communication means
                                         UN Physicians (to be
                                                                                       Provision of emergency medical
                                            identified and      Staff and dependents                                            As needed
                                                                                       advice
                                             contracted)
Business continuity and administrative                            Critical and non-    Information re the mode of
                                          Heads of Agency                                                                          Daily
arrangements                                                        critical staff     business continuity



7.1.3. Post-Pandemic

                                                                                                                           Timeframe /
                                                                                       Means of Communication /
Type of Information                      Lead Agency            Audience                                                   Frequency / Trigger
                                                                                       Action
                                                                                                                           Point
                                                                                       Regular provision of up-to-date
                                         DSS, with technical
Staff Health and Safety                                         Staff and dependents   health and safety information via        As needed
                                          inputs from WHO
                                                                                       multiple communication means

                                                                                                                                           pg. 35
                                                                                                    As soon as
Business continuity and administrative                             Information re back-to-work
                                         Heads of Agency   Staff                                 Crisis/Emergency
arrangements                                                       arrangements
                                                                                                   Mode is lifted




                                                                                                            pg. 36
7.2. External Communication

Specific strategies for external public communications with the local and international media will be critical to help dispel rumors,
maintain public order and manage public anxiety at all stages of the pandemic preparedness and response periods. Media
communication will be combined with targeted and/or community-level awareness raising and behavioral change
communication (Preparedness Mode) and risk minimization/protection communication (Crisis and Emergency Modes).

In the coming months, relationships with identified pandemic-related communication focal points in neighboring countries will be
developed with a view to facilitating information exchange in case of a pandemic.

For list of relevant partners in the Foreign Missions, refer to Annex B, which is regularly updated by the RC’s Office. In the
coming months, the list of the GoE and NGO/civil society partners with corresponding UN agencies will also be completed by
the RC’s Office.


7.2.1. Preparedness Mode

                                                                                                                                 Timeframe /
Type of Information                           Lead Agency              Audience          Means of Communication                  Frequency / Trigger
                                                                                                                                 Point
UN Statements, Press Releases (Strategy,    RC, with support           Local and         Press conference, dissemination
                                                                                                                                      As needed
Policy, General, etc.)                        from UNIC           international media    through e-mail/fax, etc.
                                           WHO, with support           Local and         Press conference, dissemination
UN Statements, Press Releases (Medical)                                                                                               As needed
                                              from UNIC           international media    through e-mail/fax, etc.
                                           Individual Agencies,                          Press conference, dissemination
Statements, Press Releases (Sectoral,                                  Local and
                                             with support from                           through e-mail/fax, etc. (after first        As needed
Programme-related)                                                international media
                                                   UNIC                                  circulating amongst UNCT)
                                                                     General public,
                                                                       health care
                                                                                         Dissemination of information
Awareness raising and behavioral change                                 providers,
                                             UNICEF, WHO                                 materials at community-level,                 Ongoing
(human health and hygiene)                                        emergency response
                                                                                         training
                                                                   providers, schools,
                                                                          media
                                                                      Vets, poultry      Dissemination of information
Awareness raising and behavioral change
                                                  FAO              producers, police &   materials at community-level,                 Ongoing
(animal health)
                                                                   military personnel,   training
                                                                                                                                               pg. 37
                                                                     general public




7.2.2. Crisis and Emergency Modes

                                                                                                                             Timeframe /
Type of Information                           Lead Agency              Audience         Means of Communication               Frequency / Trigger
                                                                                                                             Point
                                            RC, with support                            Press conference (possibly
UN Statements, Press Releases (Strategy,                               Local and
                                             from UNIC and                              virtual), dissemination through e-        As needed
Policy, General, etc.)                                            international media
                                            possibly OCHA                               mail/fax, etc.
                                                                                        Press conference (possibly             Regularly / daily
                                           WHO, with support           Local and
UN Statements, Press Releases (Medical)                                                 virtual), dissemination through e-    during Emergency
                                             from UNIC            international media
                                                                                        mail/fax, etc.                              Mode
                                                                                        Press conference (possibly
                                           Individual Agencies,
Statements, Press Releases (Sectoral,                                  Local and        virtual), dissemination through e-
                                             with support from                                                                    As needed
Programme-related)                                                international media   mail/fax, etc. (after first
                                                   UNIC
                                                                                        circulating amongst UNCT)
                                                                     General public,
                                                                      health care                                              In line with MoHP
Risk minimization / protection                                                          Dissemination of information at
                                             WHO, UNICEF               providers,                                               communication
communication (human health)                                                            community-level
                                                                  emergency response                                                 strategy
                                                                       providers
                                                                      Vets, poultry
Risk minimization / protection                                                          Dissemination of information at       In line with MALR
                                                  FAO              producers, general
communication (animal health) (TBC)                                                     community-level                        pandemic plan
                                                                         public



7.2.3. Post-Pandemic

                                                                                                                             Timeframe /
Type of Information                           Lead Agency              Audience         Means of Communication               Frequency / Trigger
                                                                                                                             Point
                                                                       Local and        Press conference, dissemination
UN Statements, Press Releases (General)           UNIC                                                                            As needed
                                                                  international media   through e-mail/fax, etc.
                                                                       Local and        Press conference, dissemination        Regularly / daily
UN Statements, Press Releases (Medical)           WHO
                                                                  international media   through e-mail/fax, etc.              during Emergency

                                                                                                                                           pg. 38
                                                                                                                                   Mode

                                            RC with support from        Local and
UN Statements, Press Releases (Important)                                                Press conference, etc.                  As needed
                                                   UNIC            international media
                                                                                         Press conference, dissemination
Statements, Press Releases (Sectoral,                                   Local and
                                            Individual Agencies                          through e-mail/fax, etc. (after first   As needed
Programme-related)                                                 international media
                                                                                         circulating amongst UNCT)
                                                                      General public,
                                                                        health care
Information on psychosocial support,                                                     Dissemination of information at
                                              WHO, UNICEF               providers,                                               As needed
counseling, child protection, etc.                                                       community-level, training, etc.
                                                                   emergency response
                                                                         providers
                                                                       Vets, poultry
                                                                                         Dissemination of information at
Animal health-related information (TBC)            FAO              producers, general                                           As needed
                                                                                         community-level, training, etc.
                                                                           public
Information on recovery efforts and                                   General public,    Dissemination of information at
                                                UNDP, WFP                                                                        As needed
resources available for recovery                                     poultry producers   community-level, training, etc.




                                                                                                                                          pg. 39
8. UN Agency Roles and Responsibilities

8.1. Preparedness Mode
                          Main Objectives of UNCT Actions
                          1. Achieve pandemic readiness
                          2. Support national preparedness


          Main Outputs of UNCT Actions                                     Lead Agencies                             Timeframe
1.1. UNCT Pandemic Planning and                                      Chair, DMT, with RC,                  Draft Plan: end of March 08
Preparedness Plan drafted, approved,                                 OCHA and Agency AHI                   Approved Plan and
disseminated and regularly reviewed and                              Focal Points                          Dissemination: end of April
updated; and, simulation exercises conducted                         RC's Office (regular reviews          08
                                                                     and updates29)                        Regular reviews and
                                                                                                           updates: bi-annually
                                                                                                           Simulation exercises: by
                                                                                                           mid-2008
1.2. Identified critical staff informed of the roles,                All Heads of Agency, DSS              Informed: by mid-2008
responsibilities and entitlements and trained                        (training)                            Training: by end of 2008
1.3. Medical and non-medical supplies procured                       UNICEF (procurement),                 Done- follow-up actions
and stored                                                           WHO (storage)                         ongoing
1.4. Necessary arrangements made with national                       Common Service WG,                    WG to agree on
and local authorities                                                Admin. Officers                       arrangements needed: by
                                                                                                           mid-2008, actions to follow
1.5. Necessary arrangements made with private                        Common Service WG                     WG to agree on
servicing contractors re telecommunication                                                                 arrangements needed: by
                                                                                                           mid-2008, actions to follow
1.6. ICT systems reviewed and enhanced                               Common Service WG                     Review: by end of 2008,
                                                                                                           enhancement actions to
                                                                                                           follow
1.7. Internal and external emergency                                 DSS (internal), RC’s Office           Internal: System in place- to
communication protocols/systems established                          (external)                            be tested for pandemic
                                                                                                           scenario by end 2008
                                                                                                           External: by end 2008
1.8. Staff and dependents informed of policies,                      All Heads of Agency, with             By end of 2008
procedures and health and safety guidelines                          HR Officers and technical
                                                                     inputs from WHO
1.9. Security procedures reviewed and enhanced                       SMT, DSS                              Review: by mid-2008,
                                                                                                           enhancement actions to
                                                                                                           follow
2.1. Support requirements of national authorities                    Agency AHI Focal Points,              Ongoing
identified and addressed                                             with facilitation by Common
                                                                     UNCT AHI Focal Point
                                                                     (RC’s Office)




29
     Depending on the scope of the update, other in-house expertise and/or external consultancy support may be sought.

                                                                                                                              pg. 40
8.2. Crisis Mode
                     Main Objectives of UNCT Actions
                     1. Ensure staff health, safety and security
                     2. Manage the crisis
                     3. Maintain regular business functions
                     4. Support national response

      Main Outputs of UNCT Actions                       Lead Agencies                   Timeframe
1.1. Medical & safety and security guidelines and    WHO, DSS, All Heads of       Within the first 48 hours
arrangements implemented and medical & safety        Agency                       after the change to Crisis
and security services provided to all staff                                       Mode

2.1. Security situation reviewed and, if required,   SMT, DSS                     Within the first 72 hours
security phase adjusted                                                           after the change to Crisis
                                                                                  Mode
3.1. Steps taken to ensure continuity of regular     All Heads of Agency, with    Within the first 48 hours
business functions                                   support from Common          after the change to Crisis
                                                     Service WG                   Mode
4.1. Requests for support from national              All Heads of Agency, with    Within the first working
authorities addressed adequately and promptly        support from Agency AHI      week after the change to
                                                     Focal Points and Common      Crisis Mode
                                                     UNCT AHI Focal Point
                                                     (RC’s Office)


8.3. Emergency Mode
                    Main Objectives of UNCT Actions
                    1. Ensure staff health, safety and security
                    2. Sustain minimum critical functions
                    3. Provide emergency humanitarian assistance

      Main Outputs of UNCT Actions                       Lead Agencies                   Timeframe
1.1. Medical & safety and security services          UN Physicians (to be         Within the first 24 hours
provided to all staff and dependents                 recruited), DSS, All Heads   after the change to
                                                     of Agency                    Emergency Mode
1.2. Security situation reviewed and, if required,   SMT, DSS                     Within the first 72 hours
security phase adjusted                                                           after the change to
                                                                                  Emergency Mode
2.1. Critical functions maintained                   All Heads of Agency, esp.    Within the first 24 hours
                                                     humanitarian and AHI-        after the change to
                                                     related agencies             Emergency Mode
3.1. Emergency humanitarian needs of the GoE         Humanitarian Agencies        Within the first week after
and its people provided                              (incl: WHO, WFP, UNICEF,     the change to Emergency
                                                     UNHCR)                       Mode




                                                                                                     pg. 41
9. Annexes
9.1. Annex A: List of UNCT AHI Focal Points

                                                                                                                    Office (Cairo) (+20
Agency                        Name                Title                       E-mail                      Mobile
                                                                                                                    (0)2)
UN Resident Coordinator       James Rawley        Resident Coordinator        james.w.rawley@undp.org               2578 4849
                                                                                                          012 314
DMT                           Bishow Parajuli     Chair                       Bishow.Parajuli@wfp.org               2528 1730 (ext. 4100)
                                                                                                          8443
Common UNCT AHI Focal Point
                                                                                                          012 391
UN Spokesperson               Maher Nasser        Director, UNIC              mnasser@unic-eg.org                   2795 9816
                                                                                                          9236
                                                                                                          010 029
FAO                           Rob De Rooij        ECTAD Team Leader           Rob.DeRooij@fao.org                   3331 6022
                                                                                                          8438
                                                  ECTAD Operations                                        010 006
FAO                           Toni Ettel                                      toni.ettel@fao.org                    3331 6021
                                                  Officer                                                 9738
                                                                                                          018 276
ICAO                          Jehad Faqir         Deputy Regional Director    jfaqir@cairo.icao.int                 2267 4841/45/46
                                                                                                          7411
ILO                           Debru Nagash                                    nagash@ilo.org                        2736 9290
                                                  Research and Project                                    012 312
IOM                           Roberto Pitea                                   rpitea@iom.int                        2736 0848 / 2735 0879
                                                  Assistant                                               5886
                                                                                                          012 882
OCHA (Regional Office)        Jean-Luc Tonglet    Regional Planning Officer   tonglet@un.org                        2528 1730-4 (ext. 2990)
                                                                                                          2159
                                                  Regional Planning                                       012 822
OCHA (Regional Office)        Amany Nakhla                                    nakhla@un.org                         2528 1730-4 (ext. 2991)
                                                  Analyst                                                 2395
UNAIDS
UNDP                          Rania Hedeya        Programme Analyst           rania.hedeya@undp.org                 2394 9011
                                                                                                          010 200
UNDP                          Tarek Talaat Issa   Head, Operations Unit       tarek.talaat@undp.org                 2394 9026
                                                                                                          0098
                                                                                                          010 516
UNDSS                         Ahmed Farouk        Local Security Assistant    ahmed.farouk@undp.org                 2277 0237
                                                                                                          1701
UNESCO
UNFPA
                                                  Regional Epidemic
                                                                                                          012 006
UNHCR (Regional Office)       Iman Ahmed          Preparedness and            ahmedim@unhcr.org                     3835 5801-3
                                                                                                          7960
                                                  Response Coordinator
UNIC                          Fethi Debbabi       Information Officer         fethi.debbabi@unic-eg.org   018 144   2795 9816

                                                                                                                                      pg. 42
                                                                                                                Office (Cairo) (+20
Agency                      Name               Title                      E-mail                      Mobile
                                                                                                                (0)2)
                                                                                                      7227
UNICEF                      Essam Allam                                   eallam@unicef.org                     2526 5083 (ext. 401)
UNICEF                      Basil Ammari                                  bammani@unicef.org                    2526 5083 (ext.)
                                               Programme                                              012 310
UNICEF                      Sahar Hegazi                                  shegazi@unicef.org                    2526 5083 (ext. 211)
                                               Communication Officer                                  7974
UNIFEM
UNISDR                      Tine Ramstad                                  tr@unisdr-wara.org
UNODC                       Ehab Salah                                    ehab.salah@unodc.org
UN Resident Coordinator's                                                                             012 397
                            John Apruzzese     Head, Coordination Unit    john.apruzzese@undp.org               2394 9013
Office                                                                                                6644
                                                                                                      012 115
WFP                         Ayoub Aljaloudi    Deputy Country Director    ayoub.e-aljaloudi@wfp.org             2528 1730 (ext. 4110)
                                                                                                      1019
                                               Regional Programme                                     012 398
WFP (Regional Bureau)       Carl Paulsson                                 carl.paulsson@wfp.org                 2528 1730-4
                                               Advisor                                                6437
                            Hala El            National Professional      elhennawyh@egy.emro.who.i   010 397
WHO (Country Office)                                                      nt
                                                                                                                2795 3708 / 2795 7706
                            Hennawyh           Officer                                                9432
                                                                                                      010 855
WHO (Regional Office)       John Jabbour       Senior Epidemiologist      jabbourj@emro.who.int                 2276 5276
                                                                                                      6816
                                               Director, General                                      010 333
WHO (Regional Office)       Hichem Lafif                                  lafifh@emro.who.int                   2276 5100
                                               Management                                             3408
WHO (Regional Office)       Hatem El Khodary                              elkhodaryh@emro.who.int
                                                                                                      012 462
WHO (Regional Office)       Nasr El Tantawy    Epidemiologist             eltantawyn@emro.who.int               2276 5566
                                                                                                      9001
                            Yasser El          Human Development
World Bank                                                                yelgammal@worldbank.org               2574 1670-1
                            Gammal             Coordinator
World Bank                  Alaa Hamed         Senior Health Specialist   alaahamed@worldbank.org               2574 1670-1
World Bank                  Ayat Soliman                                  asoliman@worldbank.org                2574 1670-1




                                                                                                                                 pg. 43
9.2. Annex B: List of AHI Focal Points (Foreign Missions)

Foreign Mission Name                   Title              Contact Details (Cairo) +20 (0)2

                                           Head,          E-mail   peter.paproski@international.gc.ca
   Canada          Peter Paproski         Technical       Mobile
                                         Cooperation
                                                          Office   2794 3110
                                                          E-mail   bensch@um.dk
   Denmark          Bente Schiller        Counselor       Mobile
                                                          Office   2739 6518
   European                                               E-mail
  Invenstment                                             Mobile
     Bank                                                 Office   2336 6583
                                                          E-mail   alberto.cortezon@ec.europa.eu
 EU Delegation     Alberto Cortezon                       Mobile
                                                          Office 2794 4680
                                                          E-mail
    Finland                                               Mobile
                                                          Office 2736 3722
                                           Regional       E-mail philippe.devaud@cfcc-eg.org
                                          Adviser on      Mobile 012 558 4533
    France         Philippe Devaud
                                         Multilateral
                                         Cooperation      Office   2570 3916 (ext. 20)

                                        Deputy Head,      E-mail   wz-20@kair.auswaertiges-amt.de
   Germany        Stephanie Rosch       Development    Mobile
                                         Department
                                                       Office
                                                       E-mail carola.morstein-von@gtz.de
     GTZ         Carola Von Morstein   Project Manager Mobile
                                                       Office
                                                       E-mail segreteriautl.cairo@esteri.it
                                       Health Projects
     Italy           Enrico Mara                       Mobile
                                         Coordinator
                                                       Office 2795 2808 / 2795 2560
                                                          E-mail   annamaria.meligrana.cont@esteri.it
     Italy       Annamaria Meligrana      Consultant      Mobile
                                                          Office   2792 0873
                                                          E-mail   takeshi.ito@mofa.go.jp
                                                          Mobile
    Japan            Takeshi Ito        First Secretary
                                                          Office   2795 3962-4
                                                          Office   2795 3962-4
  Netherlands    Herman Van Wissen       Agricultural     E-mail   herman-van.wissen@minbuza.nl
                                                                                               pg. 44
Foreign Mission Name                     Title            Contact Details (Cairo) +20 (0)2

                                            Counselor     Mobile
                                                          Office 2739 5500
                                                          E-mail
   Sweden                                                 Mobile
                                                          Office 2736 4132
                                                          E-mail   jolanda.pfister@eda.admin.ch
  Switzerland   Jolanda Pfister Herren                    Mobile
                                                          Office   2575 8284
                                                          E-mail   rgerard@usaid.gov
    USAID           Ronit Gerard                          Mobile
                                                          Office   2523 6500
   African                                                E-mail   o.aw@afdb.org
                                           Resident
 Development         Oumar Aw                             Mobile
                                         Representative
    Bank                                                  Office   2516 0906




                                                                                              pg. 45
9.3. Annex C: Summary of Staff Entitlements
(adapted from: Draft Administrative Guidelines for an Influenza Pandemic (23 May 2006))

Staff Entitlements            Preparedness Mode                  Critical Mode                Emergency Mode
Annual Leave                No change                     Flexibility to be exercised   If Emergency Mode when
                                                          for    authorization    and   staff are expected to
                                                          when staff unable to          return to work, staff to be
                                                          return to work due to         place on Special Leave
                                                          travel restrictions           With Full Pay (SLWFP)
                                                                                        until the Emergency Mode
                                                                                        is lifted
Attendance                  No change                     No change                     Only critical staff to report
                                                                                        to duty
                                                                                        Critical staff to be given
                                                                                        compensatory paid time
                                                                                        off at a later date
Contracts and               No change                     Renewal and non-renewal       No renewal or non-
extensions                                                actions to be taken at        renewal actions to be
                                                          least one month in            taken
                                                          advance
Death                       No change                     Arrangements to be made in compliance with GoE
                                                          measures
Education Grant             No change                     Flexibility to be exercised for authorization of advance
                                                          or deferral of travel
                                                          In the event of death of a staff member, education
                                                          grant to continue up to the end of the school year
Hazard Pay                  Special allowance       for   n/a                           Hazard pay to be granted
                            critical staff  to      be                                  to critical staff
                            approved by ICSC
Home Leave                  No change                                            If Emergency Mode when
                                                          Flexibility to be exercised
                                                          for advance or deferralstaff are expected to
                                                                                 return to work, staff to be
                                                          and when staff unable to
                                                                                 place on Special Leave
                                                          return to country due to
                                                          travel restrictions    With Full Pay (SLWFP)
                                                                                 until the Emergency Mode
                                                                                 is lifted
Insurance                   Coverage of AHI and pandemic to depend on insurance schemes

Pay and benefits            No change                     Plan for, and effect if Effect salary advance with
                                                          appropriate,           salary corresponding benefits to
                                                          advance (months to be all international and local
                                                          determined)              with staff
                                                          corresponding benefits to
                                                          all international and local
                                                          staff
Recruitment /               No change                     Priority to be given for Freeze
Reassignment                                              critical functions related to
                                                          pandemic preparedness
                                                          and response
Visas                       Arrangements to be made       Necessary arrangements to be made for visa
                            to plan for visa extensions   extensions should departure become impossible for
                            should departure become       staff and dependents with expiring visas
                            impossible for staff and
                            dependents with expiring
                            visas

                                                                                                             pg. 46
9.4. Annex D: Staff's Checklist of Six-Week Supplies
(adapted from: Annex 8 of the UN Medical Services Staff Contingency Plan Guidelines for an Influenza
Pandemic (1 March 2006))
Item                      Quantity                Check       Expiry Date    Note
                          2 litres per person x 42
Bottled drinking water
                          days                                                More for summer months and
Treated water for food                                                        households with children,
                          2 litres per person x 42                            nursing mothers and invalids
preparation,
                          days
sanitation, etc.
Water purification kits
                          1-2 per household
or filters

Canned food

Dried food (fruits,
nuts, crackers,
cereals, etc.)

Canned juices                                                                 Store in driest, coolest spot in
                                                                              the house, away from direct
High-energy food                                                              sunlight; keep sealed and
(peanut butter, high-                                                         covered
energy biscuits,
chocolate bars, etc.)
Salt, sugar, tea,
coffee, spices, etc.
Baby food and
powdered milk

Gas bottles

Soap and/or alcohol-
based hand wash

Garbage bags

                                                                              Viruses are easily cleaned
Cleaning supplies                                                             away with formalin and iodine-
                                                                              based disinfectants

Tissues

Soap and/or alcohol-
based hand wash
Diapers and sanitary
napkins (as needed)
Clean towels and
sheets

Can opener


Matches and/or lighter



                                                                                                         pg. 47
Item                       Quantity                 Check   Expiry Date   Note

Flashlight


Candles


Portable radio


Clock


Fire extinguisher


Batteries


Rubber bands


Adhesive tape


Scissors


Permanent pens


Paper


Petrol or diesel for car


First-aid kit

                                                                          To daily monitor body
Thermometers               2                                              temperature of staff and
                                                                          dependents

Surgical masks             2 per person x 42 days

                                                                          Such as paracetamol or
Antipyretic                                                               panadol (but not aspirin) to
                                                                          relieve pain and control fever

Prescript medicine


Supplements




                                                                                                     pg. 48

				
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