evd preparedness update | for internal use only 1 |1 | health emergency preparedness 12 january 2016

EVD PREPAREDNESS UPDATE | FOR INTERNAL USE ONLY1 |

Health Emergency Preparedness

12 January 2016


Countries are readier than ever to respond to Ebola

Benin

Burkina Faso

Cameroon

CAR

Cote d'Iv

oire

Ethiopia

Ghana

Guinea-Biss

au Mali

Mauritan

iaNiger

Senegal

The Gambia

Togo

410

14

3

20

50

27

4

44

1612

48

711

73

59

12

4

7774

64

7984

52 52

67

81

37

Baseline 01-Dec

Implementation of EVD preparedness checklist - % tasks completed

50%

in

dica

tor


Countries have tested their response systems through field & functional

exercises


Immediate aim for all priority countries to ensure that they are operationally ready to effectively detect, investigate and report potential EVD cases and to mount a response.

Longer term aim for all vulnerable countries to detect, investigate and report unknown or unusual acute public health events and to mount an effective, safe, and coordinated response.

Ebola Preparedness and beyond


Countries maintain a coordination platform to manage emergency responses

Strengthening WHO Office capacity

Risk and Capacity assessment

Consolidated national response planning

Functional incident management systems in place– In collaboration with EOC-Net, 2-day workshop 12-13 Nov to lead countries through

the development a National PHEOC Implementation Plan clearly describing the necessary activities for establishing a PHEOC.

– High level participation from Gambia; Guinea Bissau; Mauritania; Niger; Tanzania; & Togo.

– Action plans developed to engage partners in discussion and reach consensus on roles of PHEOC, particularly vis-à-vis the NDMAs or their counterparts. The plans describe deliverables, timelines and budgets, roles and responsibilities.


Countries conduct strategic assessments to prioritise risks


Strategic risk assessment productsCr

itiqu

e

7 - 17 - 2 - 14 -

Impo

rtan

t

13 - 3 - 5 - 8 - 20 - 4 - 12 - 19 - 23 - 9 - 10 -

Mod

éré

15 - 18 - 21 - 1 - 16 - 6 -

Min

eur

22 - 11 -

Nég

ligea

ble

Très peu probable Peu probable Probable Très probable Presque certain

8 - deshydratation

IMPA

CT

PROBABILITE

Matrice des risques

1 - Tuberculose2 - Intoxication au mercure3 - Cancer4 - Pneumoconiose5 - Traumatisme6 - Pathologies liees aux camps de refuges7 - Traumatisme lie auxmenaces terroristes

16 - Dengue17 - Ebola18 - Rougeole19 - Fievre vallee du rift

15 - Allergies et intoxication aux pesticides

9 - Malaria10 - Maladies diaheriques11 - Infections cutanees12 - Malnutrition13 - meningite14 - Malnutrition en annee mauvaise

20 - Crimee Congo21 - Maladies vectorielles (malaria, dengue)22 - Diarhee et deplacement de population23 - IRA chez l'enfant

Date de l'évaluation

01 Dec 15

Risque identifié Impact probabilité RisqueSurveillance active et

état minimum de préparation maintenu

plan de réponse défini pour le risque identifié

Etat de readiness atteint et maintenu

pour le risque5. Très élevé

Maladies diaheriques 4 5 20Malaria 4 5 20

4. ElevéMalnutrition 4 4 16IRA chez l'enfant 4 4 16Pneumoconiose 4 4 16Fievre vallee du rift 4 4 16Malnutrition en annee mauvaise 5 3 15Pathologies liees aux camps de refuges 3 5 15Intoxication au mercure 5 3 15Crimee Congo 4 3 12Cancer 4 3 12Traumatisme 4 3 12Dengue 3 4 12deshydratation 4 3 12

3. ModéréTraumatisme lie auxmenaces terroristes 5 2 10Ebola 5 2 10Infections cutanees 2 5 10Tuberculose 3 3 9meningite 4 2 8

2. FaibleDiarhee et deplacement de population 2 3 6Maladies vectorielles (malaria, dengue) 3 2 6Allergies et intoxication aux pesticides 3 2 6Rougeole 3 2 6

Mesures de préparation recommandéesRisques

Mauritanie


Countries develop and maintain real time surveillance capability

Daily rumours and alerts detected, investigated and reported on a systematic and timely basis

Staff at health care facilities trained on IDSR (case definitions, triage and reporting for diseases under surveillance)

– Case definitions and triage protocols in place, and training plan commenced by January 2016

– 60% of community health facilities reporting weekly by June 2016


Countries deploy rapid response teams to investigate, assess, and respond.

ROLL OUT

KEY FEATURES

• The Rapid Response Teams Training aims at reinforcing the capacity and skills of multidisciplinary Rapid Response Teams (RRT) and their individual members to detect and effectively respond to a potential EVD outbreak and other disease outbreaks.

• Over 30 modular learning areas that can be included or replaced based on country needs.

• Skill based application during 2.5 days of practical exercises.

• Training in Gambia (August) Niger (16-21 Nov), Mauritania (22-27 Nov), Togo (30 Nov-5Dec), Guinea-Bissau training assessments completed.

OBJECTIVE


Countries develop and maintain an emergency logistic capability

Logistics capacity in place at AFRO IST-West, Ouagadougou– Strategy for continued logistics capacity strengthening agreed in West Africa– Logistics assessments and development of stockpile management systems

Logistics HR training by WHO and Bioforce.– 10-day training with alternating theoretical sessions and practical exercises. – Designed to give participants technical knowledge and an understanding of factors that

affect field operations

Logisticians from Benin, Burkina Faso, Congo, Cote d’Ivoire, Guinea Bissau, Madagascar, Mali, Mauritania, Niger, Senegal and Togo were trained in Senegal from 16 – 24 November.

Logisticians from Gambia, Ghana, Kenya, Sudan, South Sudan, Tanzania, Zimbabwe and Ethiopia from 7 – 16 December in Uganda (MSF training centre).


Functionality and Systems Testing

Simulations test the existing capability to respond to Ebola and other infectious diseases in a safe and effective manner, using tailor-made scenarios that define who should undertake key actions required, thereby enabling evidence-based monitoring and evaluation.

Post response evaluations

Other tools including the new Joint External Evaluation Tool for the International Health Regulations also enable countries to monitor the strengthening of preparedness and response systems.

Joint External Evaluation Missions– Guinea Bissau: 18-22 Jan– Niger: 25-30 Jan– The Gambia and Mauritania: 01-05 Feb– Togo and Tanzania: 08-12 Feb


Programme of Training, Exercises and Testing


From theory to practice

Exercises improve operational readiness for response because they:

Reveal planning weaknesses and resource gaps in a controlled environment

Improve coordination and clarify roles and responsibilities

Develop enthusiasm, knowledge, skills and willingness to participate in emergencies

Gain public recognition and trust of the emergency response process

Test equipment

Test operational guidelines and Standard Operating Procedures


Evidence Based Testing

Outbreak Response Exercise will stress test national capability to determine overall readiness to:-

Detect through surveillance

Contain through control measures and contact tracing

Provide incident management and coordination

Protect healthcare workers

Communicate at all levels


A stepwise approach to testing systems

WHO and partners are developing and implementing a modular simulation package consisting of 4 interrelated and increasingly complex exercises implemented for EVD and other emergency health preparedness.


Collective and Synergised Approach

How to maximise our collective efforts to ensure coordinated timely support to countries:-

Aligned planning

Commonality of tools and guidance

System wide capability

Regional and national level

evd preparedness update | for internal use only 1 |1 | health emergency preparedness 12 january 2016

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