avian influenza and pandemic preparedness in thailand department of disease control ministry of...
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Avian Influenza and Pandemic Preparedness in Thailand
Department of Disease ControlMinistry of Public Health Thailand
Scope
1.Magnitude of problem and trend.2.National Strategic Plan 3. International collaboration.
Source: BOE, MOPH
Spot maps of human cases and poultry outbreaks in Thailand
Confirmed case
Suspect caseArea of outbreak in poultry
First round(Jan-May 2004)
Second round
(Jun-Oct 2004)
Third round
(Oct05-Jan06)
Surveillance activitiesSurveillance activities
notification of pneumonia and ILI with exposure history
- clinical investigation- field investigate- laboratory investigation
Confirm Probable Suspect Exclude
Surveillance network
•Confirm clinical finding•Testing of respiratory specimen•Visit village and identify exposure•Active case finding and Surveillance of all household member for 10 days•Educated villagers to avoid risk
(SRRT)Hospital
Laboratory
จำ��นวนผู้��ป่วยย�นย นไข้�หว ดนก (H5N1) ป่ระเทศไทย พ.ศ. 2547 - 2548
0
1
2
3
4
5
6
7
8
No
v-03
Jan
-04
Mar
-04
May
-04
July
-04
Sep
-04
No
v-04
Jan
-05
Mar
-05
May
-05
July
-05
Sep
-05
No
v-05
Jan
-06
dead
survive
2004 2005
จำ��นวน (ร�ย)
Epidemic curve of confirm H5 human cases in Thailand from 2004 to present. (22 cases with 14 deads in 3 waves)
Remark: 3097 Notification and investigation in 2004 3244 Notification and investigation in 2005
cases
25 July 05
Human
No human cases by 2006
Animal Health
1. No outbreak in Economic sector by 2006
2. No widespread outbreak in domestic poultry by 2007
Pandemic preparedness
• Readiness by 2005
National Strategic Plan for
Avian Influenza Pandemic Preparedness in Thailand
AD 2005-2007
4800 Million Baht (120 US Million $)
(Health volunteers & community leaders)
Missions: Surveillanc & investigation
containment
Care and infection control
Health education
Supplies and equipment
Medication
(15 มิ�ย .2548)
Health servicesSRRTs
Mr Bird Flu
Governor and AI team
Mr Bird Flu
Provincial operation room
Pandemic build-up
;
Ro = 2 initiallyRo = 4 afterwards
A verynarrow window
of opportunity to contain pandemic
at its origin
Policy for International PartnershipsPolicy for International Partnerships
• Support UN/WHO/FAO/OIE initiation and request• transparent of information• sharing of virus isolates • pandemic preparedness
• Seeding fund for ACMECS (2.5 Millions)• Training for rapid response teams • Training for laboratory capacity building• Donate 35,000 capsules for pre-emptive measures• Resource persons in the area of clinical,epidemiology and laboratory on request.
Conclusions
Thai Government will• Takes Avian Influenza as National Agenda• Builds capacity inside country both animal and human health.• Improving pandemic preparedness plan.• Commit for international partnership
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