Tsunami by chenmeixiu

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									    Status of Pandemic
Influenza Preparedness in
 the Caribbean July 2008
  Dr. Robert Lee, Coordinator Avian &
Pandemic Influenza Preparedness in the
               Caribbean




       Pan American Health Organization
             Regional Office of the
          World Health Organization
 Pandemic Influenza Preparedness
       in Caribbean 2007
USAID Project:
• National Plan development and Testing
• Communications &
• Animal Veterinary Public Health
• Pre-Positioning of PPE in 21 countries
CDC Project:
• Sentinel Influenza Surveillance
CIDA Project:
• Bioterrorism surveillance during Cricket
  World Cup
    Coordination of activities
• Regional
  – periodic meetings between divisions at
    HQ;
  – monthly teleconference with PAHO focal
    points; CAREC, HDM/CD
  – On-going liaison with CPO, FP
• Country level
  – PAHO focal points liaise with national
    focal points
    National Influenza Pandemic
        Preparedness Plans
• 21 Caribbean Countries
  have prepared a NIPPP
  using a WHO template
• 19 countries have had
  National meetings and
  workshops to develop
  NIPPP.
• Most of these NIPPPs are
  strategic plans and need to
  be put in an operational
  format (SOPs) and tested
  by simulation exercises
    Avian & Pandemic Influenza
        Simulations & Drills
• PED has developed scenarios to
  test country National Influenza
  Pandemic Plans
• Tabletop simulations to test &
  develop NIPPPs have been
  carried out in 16 countries; in 2
  countries sub-national drills have
  been carried out for advocacy
• Simulation Drills conducted in St
  Lucia and Guyana
• 2 recent National Disaster drills    •1 regional simulation
  have included Pandemic as a          (FAHOUM08) targeting
  theme (Belize, Montserrat)           the national security &
                                       disaster sectors
                                       conducted in 2008
        Regional & Local Health
       Emergency Team Training
              under IHR
• 5 PAHO epidemiologists from
  Caribbean trained in rapid
  response team deployment Oct
  2006
• 16 National Epidemiologists
  from the Caribbean trained in
  rapid response team for
  deployment in the sub-region
  Jan 2007
• 10 countries have completed
  National rapid response team
  trainings; 6 scheduled for next
  Q.
Personal Protective Equipment

• 4500 kits distributed to
  21 Caribbean countries
  in 2007
• 10,350 kits will be
  distributed in 2008
• PPE kits can be used •10 countries have
  for Human or             conducted training
  Veterinary health        in PPE use. 6 to do
                           so by end of next Q
       Pandemic Influenza
          Surveillance
• Current system utilizes reporting of
  Acute Respiratory Illness Syndrome on
  a weekly basis, lab confirmation in
  country or by shipping to CAREC
• Sentinel surveillance system for
  Influenza-Type Illness (ILI) and for
  Severe Acute Respiratory Disease
  (SARD) in 7 countries
                                                                                        (LON)
                             (ATL)
                                             BAH          BDA                                   (AMS)

      (MEX)                                      TCI                                                    (PAR)

                                                                 ANG
                                     JAM
                                           HAI
                                                 DOR     BVI               SXM
                             CAY
                                                               SKN                ANT

                                                                     MON
                                                                           GUA

BLZ                                                                        DOM

                                                                           MAR

       PROPOSED SATELLITE                                                   SLU
      NETWORK FOR TESTING
                                                                           SVG                BAR
        HUMAN SPECIMENS
                                                                           GRE
         Existing Capacity
                                                         BON
         Proposed Capacity
                                           ARU                             TRT
                                                   CUR
         Sub-regional Reference lab
         Regional Reference Lab                                              GUY SUR
                                                                                        FGU
Caribbean Regional communications
       capacity development

•   Subregional workshops have been
    conducted to ensure inclusion of
    communication component in the national
    plans.

•   An internet page has been developed and
    will soon be set up on the PAHO Website
    to facilitate the access of information, a
    Sharepoint site has been established as
    part of a Communicators’ Network, and
    there is an upcoming web dialogue for
    journalists with the Communications
    Initiative.

•   A communication plan checklist has been
    developed and is frequently updated to
    incorporate the dynamic nature of the
    joint learning process
Animal Veterinary Public Health
•   Development of software for regional surveillance
    system for animal diseases focusing on avian
    influenza
•   Strengthening of the existing diagnostic capacity
    of veterinary laboratories for avian influenza
    diagnosis
•   Development of an analysis of information model
    for the geographic risk characterization of Avian
    Influenza for avian & human populations
•   Develop occupational health surveillance among
    animal health workers and other risk groups
•   Multisectoral simulation exercises with the
    participation of the health sector in St Lucia and
    Guyana
Influenza Patient being Admitted to Hospital ward, Dominica March 2007
               Future plans
• Advocacy to non-health sectors – uniformed
  forces, disaster sector
• Collaboration to define role of uniformed sector
  in Pandemic Phase
• Integration of NIPPP into National Disaster
  Plans
• Containment training for Public Health &
  Disaster Sector
• Health Services Strengthening – training in
  guidelines, hospital assessments, protocol
  development
• Drills to test plan and its implementation

								
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