Regional Workshop of the Global Ebola Vaccine

Introduction Team

Geneva, 27th to 29th October 2015

Epidemiological situation and

preparedness to the introduction

of Ebola Vaccine in Guinea

Présented by:

Dr Samah /

Dr Richard

Presentation outline

1. Introduction

2. Epidemiological situation

3. Preparedness:

• Coordination

• Capacity strengthening

• Logistics and Safe delivery

• Communication

• Surveillance :

�EVD

�AEFI

• Funding

4. Challenges

5. Conclusion

I. Introduction

Area: 245.857 km2

Population: 10 862 811Hbts (ref: census 2014)

Health Districts : 38

HC :410 et HP: 860

Radios: 47 (all

prefectures covered)

TV: 6 stations (in

Conakry)

Telephone operator: 05

Literacy rate: 41%

II. EPIDEMIOLOGICAL SITUATION

Ebola outbreak’s distribution in Guinea, 26/10/2015

Monthly distribution of cases and deaths among confirmed cases

Guinea, 30/12/2013 – 26/10/2015

1

44

7871

99

49

240

393

445

525

496

153

214

265

89

6154 50

10 7 61

26

55

32

78

34

132

219

274

333

296

118

140

170

62

4130 29

8 2 2

0

100

200

300

400

500

600

Févr.-14 Mars-14 Avr-14 Mai-14 Juin-14 Juil-14 Aout-14 Sept.-14 Oct.-14 Nov.-14 Déc.-14 Jan.-15 Févr.-15 Mars-15 Avr-15 Mai-15 Juin-15 Juil-15 Aout-15 Sept.-15 Oct.-15

No

mb

re d

e c

as

Mois de confirmation ou décès

Cas confirmés (n=3350)

Décès (n=2082)

Note: as of October 26th, 6 confirmed cases, ie 88% compared to September

Situation of EVD per prefecture in Guinea since the outbreak began

III. PREPARATION FOR THE INTRODUCTION

OF EBOLA VACCINE

III-1. Coordination and management

Management and coordination bodies currently in the country:

1. Central level

�Crisis management committee

�Ebola Coordination

� ICC

�Piloting Committee (EPI, DNPL, DPLM, DNPS/WHO/UNICEF/Civ Soc,

GAVI …..)

2. Intermediate level

�HRD/Rural Radio stations/NGOs

3. Operational

�HDD/Rural Radio stations/NGOs

�Prefectoral coordination

III-2. Capacity strengthening

Strength:

� 126 HW GCP/Ebola vaccine clinical trial:

CVV/proximity mobile

� over 5000 HW in IPC

� 38 Coord team IPC

� 50 Field co teams, logisticians, mobilisers…

� 2 Maintenance operators and power supply,

� 1 data manager

� Nomination of one data manager EPI_MOH

III-3. Logistics and safe deliveryBenefits with respect to staff:

•3 staff at central level trained on the use of Arktek

•3 staff in charge of vaccine’s and cold chain management trained and deployed for

the vaccine trial

•Many cold chain managers at operational level

Benefits with respect to logistics:

•Logistics of the Ebola vaccine’s trial available (WCO)

•120 m3 positive cold chain and 20 m3 negative cold chain in EPI not adapted

Logistics for safe delivery:

•Existence of two (2) blinders (Hospitals Ignace Deen and Sino-Guinean)

•17 Hospitals /33 prefectures have functional incinerators

•7 others to be installed by the end of November

•ADSs and SBs available at all vaccination posts

III-4. Communication 1/2

� WR Advocacy towards national authorities and partners

� Commitment of authorities at all levels

� Launching of the vaccine trial (mars 2015) widely broadcasted by

national and international media

� Existence of IPC in EPI, including the introduction of new vaccines

� Existence of a Media plan for the Ebola vaccine trial

III-4. Communication2/2

• The preliminary results of the Ebola vaccine presented and

broadcasted to thee general public � hope

• Existence of a daily interactive radio program (Ebola Chrono)

broadcasted nationwide

III-5. SURVEILLANCE1/2

Existence of policy documents

�Existence of triennal plan for system reboot

�Technical guide SIMR 2nd Edition – 2010

�Strategies for strengthening surveillance of infectious diseases– August 2015

� AEFI surveillance guide

Existence of systems:

� Surveillance system in DPLM: routine for diseases under surveillance

� Surveillance system in EPI: EPI target diseases

�Daily surveillance system (38 National and international WHO experts teams)

PFR

Central

Team

Central

Team

HC/CC/Hosp

DFP

Ref hosp

DNPL/PEV

MOH

NEC

Health workers

-Detection & notification

-Patient’s care

-Classification � seriousness

-Reference of serious cases

District focal point

- Collection and validation of

notifications

- Identification of cases (code)

- Summary & transmission

Reference hospital

- Diagnosis (positive,

etiological, differential)

- Treatment of serious cases

Regional focal point

- Data compilation

- Investigation

- Summary & transmission

National Experts Committee

-Final classification

-Data Analysis

-Decisions

DNPL & PEV

-Transmission and follow-up

of decisions

-Coordination of the system

National

Regional

Prefectoral

: Transmission données

: Feedback

CHW

III-5. AEFI surveillance1/2: notification flow

No financial resources are currently available for the introduction

or Ebola vaccine

III-6. FUNDING

IV. CHALLENGES1/2

Coordination

• Possible interference of response to other outbreaks (PVdVc, Measles, Men.) with the activities of the Ebola vaccine’s introduction

• Leadership of the piloting committee

Logistics and safe delivery

• Adaptation of cold chain to introduce Ebola vaccine

• Strengthening capacity for wastemanagement

IV. CHALLENGES2/2

Communication

• Implementation of the IPC of the EPI communication plan

• Strengthening community commitment in the context of Ebola vaccination

Surveillance

Implementation of the plan for strengthening disease surveillance

Finance:

How to raise funds for the Ebola vaccine’s introduction

KOBARIKA

WOUONOUWUALIALBARKA

MAI LAPSE

ありがとうありがとうありがとうありがとう

谢谢谢谢谢谢谢谢

Xièxiè

MATONDO MINGI شكرا