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
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Scope
1.Magnitude of problem and trend.2.National Strategic Plan 3. International collaboration.
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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)
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Surveillance activitiesSurveillance activities
notification of pneumonia and ILI with exposure history
- clinical investigation- field investigate- laboratory investigation
Confirm Probable Suspect Exclude
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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
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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
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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 $)
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(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
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Pandemic build-up
;
Ro = 2 initiallyRo = 4 afterwards
A verynarrow window
of opportunity to contain pandemic
at its origin
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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.
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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