management of public health events in air transport training meetings seminars and worksho… ·...

Management of Public Health Events in Air Transport Training

Management of Public Health Events in

Air Transport Training

ICAO-WHO

Sixth Meeting of the CAPSCA-EUR NAT Programme

CAPSCA Workshop and Training for Technical Advisors

Minsk, Belarus

July 12, 2017


Emergency / Contingency Plans

Civil Aviation

Public Health

National

National Aviation Plan for a Public Health Emergency

• ICAO Annex 9

• ICAO Facilitation Manual

• CAPSCA Template for an Aviation

Public Health Emergency

Preparedness Plan

National Public Health Emergency Contingency

Plan – Aviation & PoEs

• WHO International Health

Regulations (IHR)

Airport

Aerodrome Emergency Plan – Public Health Emergencies –

procedures for initial response to unexpected event until

handing over to appropriate authority (e.g. report of suspected

case on board of arriving aircraft)

• ICAO Annex 14 & Doc 4444 (PANS-ATM)

• ICAO Airport Emergency Planning Manual

Aviation SOPs

Airport Public Health Emergency Contingency Plan

– core capacities and procedures for managing

public health event (local outbreak or PHEIC)

• WHO International Health Regulations

(IHR) Annex 1B

• WHO Guide for Public Health

Emergency Contingency Planning at

Designated Points of Entry

Health SOPs


Aviation Emergency Contingency Plans

State / National level – National Aviation Plan,

developed by national civil aviation authority, in line with ICAO SARPS

– National Public Health Emergency contingency plan, developed by Ministry of Health with relevant stakeholders including PoE

Point of Entry (Airport)

– Each international

aerodrome must have an

Aerodrome Emergency

Plan

– Airport emergency plan

should include a public

health component,

developed between the

aerodrome and public

health authorities


Emergency Plans at PoE

Lessons learned from Pandemic and other events…

Need for preparedness (past experience and training counts…)

Updating/validating guidance and tools,

Revising standards

Cooperation and coordination as key issue

Risk assessment and risk communication

Political pressure and potential and real impact of event on decision

making and adopting health measures

Globalization of information and risk perception

IHR and new role of PoE (NOT ONLY ENTRY BARRIERS…)

The traveller and employees and its potential active role….


Developing a PHECP at designated POE is an important minimum requirement under IHR

Improving and sustaining “readiness” is a continuing process (e.g. EOC, risk assessment capacity and operational research)

A broader approach is required to operationalize the plans (local, national and international context)


IHR Requirements for Core capacities

AT ALL TIMES (ROUTINE)

Designation of PoE for development of core capacities for routine and emergency response.

(Arts.19,20 21 and Annex 1B)


Capacity requirements for responding to potential PHEIC

(emergency)

a

Public Health

Emergency

Contingency plan:

coordinator, contact

points for relevant

PoE, PH & other

agencies

Provide assessment &

care for affected travellers

or animals: arrangements

with medical, veterinary

facilities for isolation,

treatment & other services

b c Interview suspect or

affected persons:

Provide space,

separate from other

travellers

d

Assessment and

quarantine of suspect

or affected travellers:

preferably in facilities

away from airport

e

To apply

recommended

measures: disinsect,

disinfect,

decontaminate,

baggage, cargo,

containers,

conveyances, goods,

postal parcels, etc

f To apply entry/exist

control for departing &

arriving passengers

g

Transfer of travellers

with infection/

contamination:

Provide access to

required equipment,

personnel with

protection gear for


IHR Requirements for Core capacities

FOR COORDINATION AND COMMUNICATION OF EVENT

Designation of PoE for development of core capacities for routine and emergency response. (Arts.19,20 21

and Annex 1A)

(a) International communication

link with competent authorities at

other points of entry

(b) National communication link

between competent authorities at points

of entry and health authorities at local,

intermediate and national levels

(c) Direct operational link with other

senior health officials

(e) Assessment of all reports of

urgent events within 24 hours

(f) Communication mechanism for the

dissemination of information and

recommendations received from WHO

(e) Procedures and legal and administrative

provisions to conduct inspections and receive

reports of cases of illness and or other evidence of

public health risk on board arriving conveyances

WHO

(d) Communication link with conveyance

operators, travellers for health related

information, with service providers



Piloted in Accra, Ghana May 8-10, 2017

ICAO, Airport Authority, Port Health, WHO Country Office all participated

Multi-sectoral approach (Customs, Immigration)

Exceptional response from WHO AFRO and ICAO

Next Steps

Train the Trainer from the 47 African Countries

English Session – Accra, Ghana, Oct 31 to Nov 2, 2017

French Session – Dakar, Senegal Dec. 5-7, 2017

Portuguese Session- Mozambique Q1 2018

E-learning version Q1 2018


Developing a PHECP at designated POE is an important minimum requirement under IHR

Improving and sustaining “readiness” is a continuing process (e.g. EOC, risk assessment capacity and operational research)

A broader approach is required to operationalize the plans (local, national and international context)


Managing Public Health Events at PoE

Mechanisms:

- Event communication

- Collaborative investigation

- Coordinated response

(e.g. examination, disinsection, derating, disinfection, decontamination, contact tracing, etc)

Public health authority: National Surveillance

and Response system

Relevant sectors

& stakeholders

Hospitals & facilities

PoE

:Arrangements

- transportation

- treatment

- isolation

- diagnosis

Arrangements

- Quarantine

- Conveyance inspection

- vector control

- disinfection…

Coordinator

Infect. Dis. ………. security

NFP

WHO



Synergies between Public Health and International travel and transport sectors

• IHR (2005) annex 9 and Convention of Intentional Civil Aviation Annex

9 – Facilitation

• Health part of aircraft general declaration

Fever (38°C/100°F or greater) plus one or more of the following signs or symptoms: • Appearing obviously unwell •Persistent coughing •Impaired breathing •Persistent diarrhoea •Persistent vomiting •Skin rash •Bruising or bleeding without previous injury •Confusion of recent onset

Air Sector



Synergies between Public Health and International travel and transport sectors

Air Sector

• HR (2005) annex 9 and Convention of Intentional Civil Aviation Annex 9 -

Facilitation

Health part of aircraft general declaration

• Pilot-in-command to notify ATC as soon as he is aware of a suspected case of

communicable disease on board ( IHR Art 28)


WHO Guidance and Tools related to PoE


PUBLIC HEALTH

Thank you

شكرا

Merci

Gracias

谢谢

Obrigado r/ports_airports/en/hw w w . w h o . i n t / i

[email protected]

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