REPORT OF THE THIRD MEETING OF ASEAN HEALTH CLUSTER 2: RESPONDING TO ALL HAZARDS AND EMERGING THREATS AUGUST 2017 PUTRAJAYA, MALAYSIA

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1 ADOPTED For Final Review REPORT OF THE THIRD MEETING OF ASEAN HEALTH CLUSTER 2: RESPONDING TO ALL HAZARDS AND EMERGING THREATS AUGUST 2017 PUTRAJAYA, MALAYSIA INTRODUCTION 1. The Third Meeting of the ASEAN Health Cluster 2: Responding to All Hazards and Emerging Threats was held in Putrajaya, Malaysia, on August The Meeting was attended by ASEAN Health Cluster 2 Country Coordinators and other representatives from Brunei Darussalam, Cambodia, Indonesia, Lao PDR, Malaysia, Philippines, Singapore and Thailand, and the ASEAN Secretariat. Invited partners such as UNAIDS, UN Children s Fund (UNICEF), World Health Organisation (WHO), Canada s Global Partnership Programme (GPP) through BlueDot Inc., International AIDS Alliance, and the Japan International Cooperation Agency (JICA) attended the open sessions of the Meeting. The List of Participants appears in ANNEX 1. OPENING CEREMONY a. Remarks 2. Dr. Chong Chee Kheong, Acting Deputy Director General of Health (Public Health), Ministry of Health - Malaysia delivered the opening remarks. The full remarks appears as ANNEX 2. b. Business arrangements 3. The Host Country informed the Meeting on various administrative and logistics arrangements for the two-day event. The Policy of ASEAN Smoke-Free for All Health-Related Events adopted during the 11 th ASEAN Health Ministers Meeting (AHMM) in Phuket, Thailand, in July 2012, was also read and observed. 4. The Meeting was held in plenary. There were open and closed sessions. AGENDA ITEM 1: INTRODUCTION OF THE CHAIR AND CALL TO ORDER FOR THE ASEAN HEALTH CLUSTER 2 MEETING 5. The ASEAN Secretariat, based on the endorsed Governance and Implementation Mechanism (GIM) of the ASEAN Post-2015 Health Development Agenda (APHDA) introduced the Chair and Vice Chair of the ASEAN Health Cluster 2 on Responding to All Hazards and Emerging Threats. Considering that the incumbent ASEAN Health Cluster 2 Vice Chair

2 Myanmar is unable to attend the Meeting, the Health Cluster 2 Country Coordinator of the Philippines served as the Vice Chair of the Third Meeting on the basis of alphabetical rotation. The APHDA and GIM appear as ANNEX The Meeting was chaired by SOMHD Malaysia through Dr. Chong Chee Kheong, Acting Deputy Director General of Health (Public Health), Ministry of Health - Malaysia. Dr. Irma Asuncion, Director of Epidemiology Bureau of the Department of Health - Philippines served as Vice Chair. AGENDA ITEM 2: ADOPTION OF THE AGENDA OF THE THIRD MEETING OF ASEAN HEALTH CLUSTER 2 7. The Meeting reviewed and subsequently adopted the Annotated Agenda and Programme of the Third Meeting of the ASEAN Health Cluster 2. The adopted agenda appears as ANNEX 4. AGENDA ITEM 3: REVIEW OF OUTCOMES OF THE SECOND MEETING OF ASEAN HEALTH CLUSTER 2 8. The ASEAN Secretariat briefed the Meeting on the outputs and outcome documents resulting from the Second Meeting of Health Cluster 2 held on November 2016 in Putrajaya, Malaysia. The Matrix of Follow Up presented appears as ANNEX 5. AGENDA 4: OUTCOMES OF MEETINGS/EVENTS RELEVANT TO ASEAN HEALTH CLUSTER ASEAN Meetings/Events (Summit, SOC-COM/ Other Non-Health Sectors) a. 28 th, 29 th and 30 th ASEAN Summits 9. The ASEAN Secretariat presented updates and outcomes from the 28 th and 29 th ASEAN Leaders Summits conducted on 6-7 September 2016 in Vientiane, Lao PDR, and the 30 th Leaders Summit held on 29 April 2017 in Manila, Philippines, which may have implications to the Work Programme of ASEAN Health Cluster 2. These include the following adopted documents: a. One ASEAN One Response Declaration, which is relevant for Health Priorities: Environmental Health and Health Impact Assessment, and Disaster Health Management i. The ASEAN Health Sector is currently defining its role and function to this Declaration, which will be articulated through the implementation of the relevant project activities in ASEAN Health Cluster 2 Work Programme, and through the operationalization of the ASEAN Leaders Declaration on Disaster Health Management once adopted at the 31 st ASEAN Summit in November 2017 in Manila, Philippines. b. Vientiane Declaration on the Adoption of the Initiative for ASEAN Integration Work Plan, which is relevant for Health Priorities on Prevention and Control of Communicable Diseases and Strengthening Laboratory Capacity 2

3 i. Through the Mitigation of Biological Threats Programme under the Letter of Agreement of ASEAN and Canada s Global Partnership Programme, coordination among Health and AIA Focal Points of Cambodia, LaoPDR, Myanmar and Viet Nam have been facilitated. c. ASEAN Declaration of Commitment on HIV and AIDS: Fast-Tracking and Sustaining HIV and AIDS Responses to End the AIDS Epidemic by 2030, which is relevant for Health Priority on Prevention and Control of Communicable Diseases, particularly on HIV and AIDS-related concerns i. Through HIV and AIDS Focal Points of ASEAN Member States, the Fifth Work Programme (AWP5) on HIV and AIDS was produced in February 2017 to operationalise the Declaration. The AWP5 became an Annex to the ASEAN Health Cluster 2 Work Programme and endorsed by the 12 th SOMHD. This Annex includes activities that further elaborated the project activity Ending AIDS in ASEAN under Health Priority 8 of the ASEAN Health Cluster 2 Work Programme. d. The ASEAN-China and ASEAN Plus Three Summits outlined areas of cooperation in health which include initiatives relevant to the Health Priorities under ASEAN Health Cluster 2. These cooperation present possibilities for maximizing opportunities in the mobilization of Trust Funds managed by these Dialogue Partners. e. The Joint Declaration on the Comprehensive Partnership between ASEAN and UN as noted during the ASEAN-UN Summit would facilitate collaboration with UN agencies through the development of relevant plans of action agreed by concerned ASCC Sectors without the need to develop separate memorandum of understanding. ASEAN and relevant UN agencies, such as UNICEF, UNFPA, UNAIDS, WHO and others, would only need to agree on a work plan highlighting areas of common interest and initiatives. f. The 11 th East Asia Summit noted Russia s initiative to organize an EAS Meeting on epidemic risks in the region tentatively set in October b. 17 th ASEAN Socio-Cultural Community (ASCC) Council, 22 nd Meeting of Senior Officials Committee for the ASCC (SOCA), and 12 th Coordinating Conference on the ASCC (12 th SOC-COM) 10. The Meeting noted the presentation of the ASEAN Secretariat on the key discussions and decisions that resulted from the above-mentioned Meetings, such as the thematic priorities, outcome documents and commemorative activities during the Philippines Chairmanship in 2017; the implementation and review of the ASCC Blueprint 2025; the complementarities between ASEAN Vision 2015/ASCC Blueprint 2025 and 2030 UN Agenda for Sustainable Development; and the ASCC-based Culture of Prevention (CoP) Agenda. The ASEAN Secretariat s presentation appears as ANNEX An ASEAN Leaders Declaration on the Culture of Prevention is being proposed for adoption during the 31 st ASEAN Leaders Summit. The ASEAN Secretariat indicated that after the adoption, the ASEAN Health Cooperation may be tasked to provide inputs that 3

4 attribute to the implementation of the CoP Agenda, such as the thrust on Preventing Risks to Physical and Mental Well-Being. c. 12 th Senior Officials Meeting on Health Development (SOMHD), 7 th ASEAN Plus Three SOMHD and 7 th ASEAN-China SOMHD 12. The ASEAN Secretariat presented the highlights of the above-mentioned Meetings. The presentation appears as ANNEX The Meeting noted the following key decisions and points relevant to the ASEAN Health Cluster 2 Work Programme: 12 th SOMHD a. Endorsed the ASEAN Health Cluster 2 Work Programme b. Requested all ASEAN Health Clusters to provide inputs to the draft Principles and Mechanisms for the Engagement of Entities with the ASEAN Health Sector, which provides a common position to be presented to partners that express interest in collaborating with the sector. The document also ensures that partner principles and priorities are aligned with that of the ASEAN Health Sector and the ASEAN Post Health Development Agenda. c. Tasked all ASEAN Health Clusters to identify capacity building activities from respective Work Programmes that Timor Leste can participate 7 th ASEAN Plus Three SOMHD a. Agreed priority areas of collaboration for that are relevant for ASEAN Health Cluster 2, which includes: Responding to communicable diseases and emerging health threats; Anti-microbial resistance, and Disaster health management. 7 th ASEAN China SOMHD a. Agreed priority areas of collaboration for that are relevant for ASEAN Health Cluster 2, which includes: Prevention and control of communicable diseases in GMS countries; Public health emergency response mechanism and capacity for health impact of natural disasters (Health Security). 14. The Meeting was also informed that the concept papers of project activities under the ASEAN Health Cluster 2 Work Programme follow the template prescribed by the ASEAN Secretariat to enable Lead Countries to access resources from Trust Funds managed by Dialogue Partners Other Meetings/Events Relevant to ASEAN Health Cluster 2 a. 7 th Meeting of the Joint Task Force on Promoting Synergy with Other Relevant Bodies on Humanitarian Assistance and Disaster Relief (JTF-HADR) b. Global Health Security Agenda (GHSA) Meetings/Events i. Global Health Security Agenda (GHSA) Meeting: 4-year Workplan 4

5 Development & Strengthening Workforce Development ii. Global Health Security Agenda (GHSA) Meeting: Enhancing Collaborative Efforts for Laboratory Preparedness iii. WHO Strategic Partnership Network for Health Security: Delivering Global Health Security through Sustainable Financing 15. The ASEAN Secretariat presented the above-mentioned Meetings which are relevant to the ASEAN Health Cluster 2. Meeting reports and relevant documents appear as ANNEX 8. AGENDA ITEM 5: HEALTH-RELATED ASEAN DECLARATIONS RELEVANT TO ASEAN HEALTH CLUSTER Status of Consultation Processes of ASEAN Declaration of Commitment on Combatting Antimicrobial Resistance 16. Lead Country Philippines briefed the Meeting on the status of consultations of the draft ASEAN Leaders Declaration on Antimicrobial Resistance: Combating AMR through One Health Approach. Philippines presentation and the latest version of the draft Declaration appear as ANNEX In consideration of the recent query by Viet Nam regarding their inputs, the Meeting agreed with the ASEAN Secretariat recommendation for Philippines to communicate with Viet Nam to clarify that these have already been reviewed and considered. 18. Upon adoption of the Declaration during the 31 st ASEAN Leaders Summit in November 2017, the Philippines also informed the Meeting that a consultative meeting/workshop will be organised in March 2018 to draft the plan of action to operationalize the Declaration. Action Line: Philippines, ASEAN Secretariat 5.1. Status of Consultation Processes of ASEAN Leaders Declaration on Disaster Health Management 19. Lead Country Thailand briefed the Meeting on the status of consultations of the draft ASEAN Leaders Declaration on Disaster Health Management which is proposed to be adopted during the 31 st ASEAN Leaders Summit in November Thailand s presentation and the latest version of the draft Declaration appear as ANNEX The ASEAN Secretariat also informed that Meeting that it would communicate with Viet Nam regarding their inputs to the draft Declaration. 21. Thailand will internally discuss on activities to develop plans together with relevant ASEAN sectors and partners to operationalise the Declaration upon its adoption. Action Line: Thailand, ASEAN Secretariat 5.2. Monitoring of Progress of Health-Related ASEAN Declarations 5

6 22. The ASEAN Secretariat presented the Monitoring Matrix of Declarations/Statements under the ASCC, as one of the tools of the ASCC Blueprint 2025 Implementation-Focused Monitoring System. The Matrix intends to document ASEAN level developments which may be completed by the ASEAN Secretariat, as well as national level developments which ASEAN Member States are requested to provide. The Monitoring Matrix appears as ANNEX The Meeting was also informed that the reporting of progress can be linked to the conduct of ASEAN Leaders Summit held twice a year. The format will be shared to ASEAN Members States to facilitate reporting of national progress, and share progress of implementation of health-related declarations. Action Line: AMS, ASEAN Secretariat AGENDA ITEM 6: COLLABORATION AND PARTNERSHIPS 6.1. Overview of current and potential collaboration with ASEAN by Development and Dialogue Partners, other international organisations/agencies, and other sectors and pillars in the ASEAN 24. The ASEAN Secretariat briefed the Meeting on current and potential collaboration, including existing agreements and initiatives, with Development and Dialogue Partners that are relevant to ASEAN Health Cluster 2. The presentation and pertinent documents appear as ANNEX Presentations by invited partners on priorities and programmes, and areas of collaboration or cooperation relevant to ASEAN Health Cluster 2 Work Programme 25. The Meeting invited Development and Dialogue Partners to present their [a] brief organizational background and update on programming priorities vis-à-vis APHDA Health Clusters and Health Priorities; [b] Proposed areas of collaboration with the ASEAN Health Sector (specifying health priorities and project activities); and [c] Proposed ways to operationalise collaboration. Each presentation from an invited partner was followed by open discussion. a. World Health Organisation 26. WHO briefed the Meeting on the roles and responsibilities of the different levels of the organisation, as well as the categories of WHO work priorities between which includes: communicable diseases, non-communicable diseases, health through the life course, health systems, preparedness, surveillance and response, and corporate services and enabling functions. WHO also presented key programmes and tools which may be relevant for the ASEAN Health Cluster 2: a. Advancing International Health regulations (2005) b. WHO Emergency Response Framework c. Western Pacific Regional Framework for Action in Disaster Risk Management for Health 6

7 d. Global Action Plan on AMR 2015 e. Health and Environment including Health Impact Assessment 27. The Meeting was also reminded about the on-going memorandum of understanding between ASEAN and WHO which highlight emerging infectious diseases, healthy borders, access to quality medicines and technologies, and healthy lifestyles as strategic areas of cooperation. The following potential areas of collaboration were highlighted: a. Dealing with the unfinished agenda of communicable disease b. Treating health through healthier behaviours and safer environment c. Designing health system towards universal health coverage d. Addressing health security threats and emergencies. 28. The WHO s presentation appears as ANNEX 13. b. UNAIDS 29. UNAIDS provided the Meeting with a summary of recent and on-going collaboration with the ASEAN Health Sector, particularly on the development and adoption, as well as the operationalization of the 2016 ASEAN Declaration of Commitment on HIV and AIDS: Fasttracking and Sustaining HIV and AIDS Response to End the AIDS Epidemic by UNAIDS had been instrumental in supporting the development of the Fifth ASEAN Work Plan on HIV and AIDS (APW5) which aims to operationalise the earlier-mentioned Declaration, and which is an Annex of the recently-endorsed Work Programme of ASEAN Health Cluster UNAIDS provided an overview of the HIV and AIDS situation in, and key messages for, ASEAN based on the 2017 UNAIDS Global Report on AIDS. Some of the messages include: a. Substantial progress in responding to HIV but lagging behind global trends b. Gains are threatened by growing epidemics in key populations in some countries c. Countries are gradually becoming less dependent to external support and are using their domestic resources for HIV response, but prevention spending on key populations is still heavily-dependent on external sources 31. The UNAIDS presentation appears as ANNEX 14. c. UNICEF 32. UNICEF presented their intention to collaborate with the ASEAN Health Cluster 2 by mentioning comparative advantages on equity, quality and resilience focus, engaging and working with communities, and in behavior and social change. UNICEF indicated Health Priorities 8 and 12 as potential broad areas of cooperation, highlighting integrated primary health care approach, national capacity building and local leadership as ways of working. 33. More specifically, UNICEF indicated that they can collaborate with the ASEAN Health Cluster 2 through the following specific priorities: a. Collection, analysis and use of disaggregated/aggregated data b. Building capacity at sub-national level c. Support for engaging with communities d. ICT solutions, such as real-time monitoring 7

8 34. The UNICEF presentation appears as ANNEX 15. d. Canada s Global Partnership Programme (GPP) 35. The ASEAN Secretariat read a letter from the Canada s GPP which could not participate in the meeting. The letter pointed out the value Canada s GPP places on the effective partnership established with ASEAN Member States and the ASEAN Secretariat, as well as noted the growth of the partnership including a wide range of collaborations in many different disciplines to address infectious disease threats. Canada s GPP also expressed gratefulness for the commitment and engagement of experts and senior officials of ASEAN Member States and ASEAN Secretariat, and the collective willingness to pursue multisectoral solutions to global health security problems. 36. The current Letter of Agreement with Canada s GPP is until 31 March While Canada s GPP could not make new commitments until the renewal of their new mandate, the Programme is keen to initiate discussions with ASEAN partners about possible future collaboration. Canada s GPP has also invited ASEAN Member States and the ASEAN Secretariat to the Second Global Biological Threat Reduction Conference, which will be held on 31 October-2 November in Ottawa, Canada, and which is organized by the World Organisation for Animal Health, and sponsored by Canada s GPP. 37. BlueDot Inc., Canada s GPP partner in the implementation of the ASEAN BioDiaspora, one of the projects under the Mitigation of Biological Threats Programme which is being led by the Philippines, provided an overview of the web application for the conduct of risk assessments and the utilisation by ASEAN Member States until this date. In the implementation of the project s second phase, BlueDot Inc. sought guidance of ASEAN Member States in further building regional capacity through maximising the ASEAN BioDiaspora s support to AMS programmes. The Canada s GPP s letter and BlueDot Inc s presentation appear as ANNEX 16. e. International HIV/AIDS Alliance 38. The Alliance briefed the Meeting on the situation of HIV and people who use and inject drugs (PWU/ID) in Asia Pacific region, the keys to effective HIV responses, as well as strategic priorities and measures to end AIDS as a public health problem. The Alliance works with partner civil society organisations, community-based organisations and community networks in Asia to promote, implement and advocate for comprehensive HIV prevention and harm reduction services for PWU/ID in Asia. 39. The Alliance offered to collaborate with the ASEAN Health Cluster 2 on the coordination of HIV prevention among people who use drugs through the development of a briefing paper and conduct of workshop, working with countries to develop or update national HIV prevention strategic plans, and to support review of progress on the implementation of operational recommendations of the UNGASS 2016 outcome document. The HIV/AIDS Alliance presentation appears as ANNEX 17. f. Japan International Cooperation Agenda (JICA) 8

9 40. JICA briefed the Meeting on the on-going Project for Strengthening the ASEAN Regional Capacity on Disaster Health Management (ARCH Project) which is being implemented between July 2016-July Led by Thailand and Viet Nam and supported by JICA, the Project aims to strengthen regional coordination on disaster health management with the following outputs: regional coordination platform, collaboration framework, developing collaboration tools, academic network and capacity development activities. The JICA presentation appears as ANNEX Presentation of principles and mechanisms in the engagement of the ASEAN Health Sector with entities (following discussion/decisions of SOMHD) 41. The ASEAN Secretariat briefed the Meeting on the draft Principles and Mechanisms for the Engagement of the ASEAN Health Sector with Entities, the key discussions as well as guidance from the 12 th SOMHD on collaboration with potential partners. This was subsequently presented to the meetings of the ASEAN Health Cluster 1 and ASEAN Health Cluster 3 held in July 2017, where inputs were received. The revised document that incorporated the inputs of SOMHD and ASEAN Health Clusters 1 and 3 appears as Annex The Meeting agreed that the revised document be circulated to the ASEAN Health Cluster 2 Country Coordinators for further inputs. Considering that this is one of the documents proposed to be endorsed during the 13 th ASEAN Health Ministers Meeting (AHMM) on 3-7 September 2017 in Brunei Darussalam, the ASEAN Health Cluster 2 Country Coordinators were also requested to provide feedback, and submit to ASEAN Secretariat by 28 August Action Line: AMS, ASEAN Secretariat AGENDA ITEM 7: OPERATIONALISATION OF THE ASEAN HEALTH CLUSTER 2 WORK PROGRAMME Presentation of endorsed work programme 43. The ASEAN Secretariat presented the ASEAN Health Cluster 2 Work Programme ( ) and its Annex of project activities on HIV and AIDS to operationalise the Declaration on ending AIDS by 2030, which were endorsed during the 12 th SOMHD in April 2017 in Brunei Darussalam. The Meeting was reminded that the Work Programme is aligned with relevant strategic measures of the ASEAN Socio-Cultural Community Blueprint 2025, as well as the goals and targets of the 2030 UN Agenda for Sustainable Development. The Work Programme also has overall cluster strategies, strategies for each health priority, and key performance indicators and targets. The endorsed work programme appears as Annex Lead countries were requested to articulate key performance indicators and targets in the concept papers, especially if the project activity seeks funding from trust funds within ASEAN that are managed by Dialogue Partners. Lead Countries were also reminded to develop concept papers that consider the inputs from invited partners to the Meeting, particularly those that have identified areas of collaboration. 9

10 45. In relation to the monitoring and evaluation of the progress of the ASEAN Health Cluster 2 Work Programme, and in reference to the agreements made at the 22 nd SOCA and the 17 th ASCC Council, the Meeting agreed that the M&E concept paper for Health Cluster Work Programmes will be drafted by the ASEAN Secretariat with technical assistance from Philippines. This concept paper will be circulated to Health Cluster 2 on 15 September 2017 for feedback. Action Line: AMS, ASEAN Secretariat 7.2. Updates of on-going projects and activities to implement Health Priorities under the purview of ASEAN Health Cluster The ASEAN Secretariat presented the Meeting a matrix of implementation of project activities which are part of the endorsed Work Programme of ASEAN Health Cluster 2 that were implemented since the 2 nd Meeting of the ASEAN Health Cluster 2. The matrix appears as ANNEX Presentation of concept notes for projects and activities to be implemented in Lead Countries presented overviews of the implementation of their respective project activities in the endorsed ASEAN Health Cluster 2 Work Programme. They also indicated activities that will commence or be carried out during the period of 2017 and The presentations were based on concept notes that Lead Countries prepared and submitted to the ASEAN Secretariat before the Meeting. The development of the concept notes was based on the template of project proposal utilised in the the project appraisal and approval process within ASEAN Secretariat. The presentation of project activities followed the order of Health Priorities and Project Activities as reflected in the endorsed Work Programme. I. Health Priority 8: Prevention and Control of Communicable Diseases, Emerging Infectious Diseases, and Neglected Tropical Diseases a. ASEAN Dengue Day and ASEAN Dengue Conference [2018: Malaysia] 48. Malaysia briefed the Meeting that the proposed theme for the ASEAN Dengue Day is Integrated Management Towards Reducing Dengue Burden. Considering that 15 June 2018 falls during the Eid Festival period, Malaysia proposed that the regional observation be held in early July. 49. The Philippines informed the Meeting that the observance of the ASEAN Dengue Day on 15 June was a result of a lengthy consultation process amongst the focal points of the ASEAN Expert Group on Communicable Diseases (AEGCD) in 2010, which was subsequently endorsed by the 9 th SOMHD and 10 th AHMM. A concern on the conduct of project activity for the ADD by changing the date of observance may be a precedence of when and how ASEAN Dengue Day is observed, and may potentially create confusion. The Meeting exchanged views and agreed that: a. Malaysia will still be the Lead Country for the ASEAN Dengue Day observation in 15 June 2018 b. Simultaneous observation of ADD on 15 June by AMS will still be practiced and documented 10

11 c. The proposed activity for the observance of ADD in 2018 by Lead Country Malaysia be repackaged to include a press release on 15 June 2018 which articulates the theme and simultaneous observation of ADD by ASEAN Member States; and include a list of regional and national activities to be conducted around the time of ADD. d. For additional activities, please refer to ANNEX The ASEAN Secretariat informed the Meeting that Sanofi has conveyed its interest to be a partner in the conduct of the ASEAN Dengue Day. The Meeting agreed to consider engagement with other partners in the conduct of ASEAN Dengue Day activities, as well as to review future engagement based on the principles and mechanisms in the engagement of entities with the ASEAN Health Sector. Action Line: Malaysia, ASEAN Secretariat b. Elimination of Lymphatic Filariasis Development of work plan, and conduct of experience sharing activities/study visits [Philippines and Cambodia] 51. Philippines presented the concept note of the above-mentioned project activity. The presentation appears as ANNEX 23. The need for cooperation, exchange of information, good practices and technical expertise among countries was highlighted as critical for the infectious disease elimination programme. Through the conduct of an annual ASEAN Lymphatic Filariasis Forum until 2020, alternately by Philippines and Cambodia, a consolidated work plan will be produced and will serve as roadmap for affected ASEAN Member States. c. ASEAN - Canada s GPP Project Activities: Action Line: Philippines and Cambodia 52. Lead Countries of projects that are part of the Mitigation of Biological Threats Programme and covered by the Letter of Agreement between the ASEAN and Canada s GPP provided the Meeting with updates on implementation. i. Strengthening laboratory capacity for emerging and dangerous pathogens in the ASEAN region [Malaysia & Singapore] 53. The Meeting noted the update provided by Malaysia on the above-mentioned project activity, which included an analysis of the strengths, weaknesses and lessons learned. The presentation and relevant documents appear as ANNEX 24. The Project was completed in December 2016, and has been accorded a no-cost extension until September Further updates on the progress of this project, and potential follow-up beyond the period of the ASEAN Canada s GPP LOA will be reported accordingly by the Lead Countries. Action Line: Malaysia, Singapore ii. Strengthening regional diseases surveillance networks [Thailand] 11

12 54. Thailand, as requested by the Mekong Basin Disease Surveillance (MBDS) Network, presented an update of the above-mentioned project. The presentation and relevant materials appear as ANNEX 25. The project includes activities such as: cross border information exchange and collaboration, strengthening bio-threat surveillance in CLMV countries, and the setting up of a biosafety and biosecurity webpage. 55. The project will be completed in December The Meeting exchanged views on the need to have a mechanism that captures lessons learned of initiatives that are implemented by partners, and that facilitates knowledge or capacity transfer to other countries. Further updates on the progress of this project, and potential follow-up beyond the period of the ASEAN Canada s GPP LOA will be reported accordingly by the lead countries/proponent. Action Line: MBDS with Thailand iii. ASEAN BioDiaspora: Enhancing regional capacity in big data analytics and visualisation [Philippines] 56. Philippines provided the Meeting with an update on the above-mentioned project. The presentation appears as ANNEX 26. The Project Phase II is implemented until March 2018 and has recently completed the regional training and collaboration meeting series with seven ASEAN Member States. The Meeting exchanged views on challenges in the achievement of project objective related to sharing of data among AMS, management of big data analytics, and sustainability of related activities since the software for this project is accessed only through partner organization BlueDot Inc. Further updates on the progress of this project, and potential follow-up beyond the period of the ASEAN Canada s GPP LOA will be reported accordingly by the lead countries/proponent. Action Line: Philippines with BlueDot, Inc. d. Regional mechanism to support AMS to meet supply shortfall in drugs/vaccines during outbreaks of rarely seen diseases [Singapore] 57. Singapore presented the concept note on the above-mentioned project activity. The presentation and relevant material appear as ANNEX 27. The Lead Country emphasized that the project is focused on ensuring availability of life-saving drugs and vaccines during outbreaks of rarely-seen diseases. The Meeting exchanged views, which highlighted the considerations of internal processes and regulations among AMS on the movement of such goods as a challenge. 58. Malaysia highlighted the importance of the project taking into account a recent experience where the country was able to positively and quickly received response from Singapore and Thailand for the loan of diphtheria anti-toxins. 59. The Meeting was informed that one of the programmes of the ASEAN Health Cluster 3 is on Policy Development on Drug and Vaccine Security and Self-Reliance. The programme includes an activity on the conduct of a baseline assessment on drugs and vaccines, which are being led by Malaysia and Thailand. In view of this, the Meeting agreed that the project concept notes be shared to the involved Lead Countries, and that the ASEAN Secretariat 12

13 facilitate securing a copy of the concept note on the conduct of baseline assessment under ASEAN Health Cluster 3. Action Line: ASEAN Secretariat e. Operationalise ASEAN Rabies Elimination Plan of Action Review ARES Phase 1, and conduct ASEAN Rabies Conference [Viet Nam and Indonesia] 60. The ASEAN Secretariat informed the Meeting that follow-up with Viet Nam will be done regarding the submission of concept papers in consultation with Co-lead Indonesia. Submitted concept papers will be subsequently circulated to AMS for review and/or endorsement. Indonesia will also consult national contact points on the matter. Action Line: Viet Nam, Indonesia, ASEAN Secretariat f. Continue ASEAN+3 FETN as coordinating platform for multi-country training collaboration Capacity building, experience sharing, collaboration with animal health sector and other working groups [Thailand Coordinating Office, and Chairs: Singapore (2017), Cambodia (2018)] 61. Thailand provided an update on the implementation of on-going priorities as well as planned activities of ASEAN+3 FETN, which includes, amongst others, the continued conduct of quarterly video conferences, meeting of FETN and ASEAN Veterinary Group in early 2018, and, trainer trainee exchange and the Ninth Steering Committee Meeting in June The presentation also included the advocacy for policy support for global workforce development for better health. The presentation and relevant material appear as ANNEX 28. g. Establish ASEAN EOC Network among AMS [Malaysia] 62. Malaysia provided an update on the implementation of activities of the abovementioned project. The presentation and relevant materials appear as ANNEX The Meeting exchanged views on the scope for regional simulation exercises proposed by WHO Geneva in 2018; and how these will be carried out considering differences of the functions of AMS in emergency situations, as well as the complexity involved and the need to involve experts in the different phases of the exercise. The Meeting also discussed that taking into account the adoption of the ALD on Disaster Health Management, the project will engage with the ASEAN Coordinating Centre for Humanitarian Assistance in disaster management (AHA Centre) and Thailand as Lead Country of the ARCH Project, and eventually other countries in operationalising ASEAN s health response to all hazards and emerging threats. Action Line: Malaysia h. Regional TB prevention and control activities ASEAN World TB Day and ASEAN TB Conference; IHR on TB programme [Malaysia] 64. Malaysia presented the concept note of the above-mentioned project activity. The presentation appears as ANNEX 30. The project intends to facilitate ASEAN level activities to 13

14 observe World TB Day. The ASEAN TB Conference will be held every two years from 2019 and; ASEAN Secretariat will communicate with Myanmar as the upcoming Chair of ASEAN Health Cluster on the readiness to convene the World TB Day in Revision of the concept paper will be done including inputs from the Meeting regarding the conduct and hosting of the first event by Malaysia. Action Line: ASEAN Secretariat 65. Malaysia will formulate the guideline and standardise the format for case referral and distribute through ad-referendum for comments in two weeks time. i. Activities related to Ending AIDS in ASEAN Action Line: Malaysia 66. This group of activities includes nine activities that are reflected in the main body of the ASEAN Health Cluster 2 Work Programme and six additional standalone activities for the operationalization of the Ending AIDS Declaration as annexed to the Health Cluster 2 Work Programme and termed by Development Partners (eg. UNAIDS) as the Fifth ASEAN Work Plan on HIV/AIDS (AWP5). Activities, such as the Response to Ending AIDS through highlevel advocacy (development of a Declaration and follow up) with Lead Country Lao PDR, and (b) Review AWP-IV and development of AWP-V, have already been completed. i.1. Implement ASEAN Cities Getting to Zero, Phase III [Indonesia] 67. Indonesia provided a summary of the achievements of Phases I and II, and an outline of planned activities that are part of Phase III. The presentation appears as ANNEX 31. After an exchange of views on the proposed activities, and availability of tools as well as expertise in the conduct of planned assessments, Indonesia agreed to coordinate with UNAIDS and the International HIV/AIDS Alliance with assistance of ASEAN Secretariat. Action Line: Indonesia with UNAIDS & Alliance, ASEAN Secretariat i.2. Advocacy on Preventing HIV among people who inject drugs [Malaysia] 68. Malaysia presented the concept paper of the above-mentioned project activity. The presentation appears as ANNEX 32. The Meeting was informed that the proposed activity is scheduled earlier to facilitate the conduct of back-to-ba 69. ck activities, such as the World AIDS Day message and activities. The Meeting was informed that, even if this activity has been endorsed by HC2 and SOMHD, not all AMS are expected to be involved in the activity. Lead Country Malaysia will coordinate with UNAIDS and International HIV/AIDS Alliance with assistance of ASEAN Secretariat. Action Line: Malaysia with UNAIDS & Alliance, ASEAN Secretariat i.3.produce/publish the Third ASEAN HIV and AIDS Regional Report [Philippines] 70. The ASEAN Secretariat informed the Meeting that the 2 nd ASEAN HIV and AIDS Regional Report with Lead Country Philippines and with the assistance of UNAIDS was published in As such, the next regional report is recommended to be produced and 14

15 published in Further discussion on this activity will be done by ASEAN Secretariat with Philippines and UNAIDS. Action Line: Philippines with UNAIDS & Alliance, ASEAN Secretariat i.4. Continue to prepare articles for ASEAN E-Health Bulletin [Philippines] 71. The ASEAN Secretariat informed the Meeting that this is a continuing activity with Lead Country Philippines as the chief editor of the bulletin. Relevant discussions on this matter are also reflected in Agenda 9. Other Matters. Action Line: Philippines, ASEAN Secretariat i.5. Share lessons learned/study visit to EMTCT [Thailand] 72. Thailand indicated to the Meeting that this activity will initially be conducted in November 2017 with Myanmar and Malaysia as part of the delegation for the study visit. A concept note will be shared to AMS through the ASEAN Secretariat in the next two months (such as, by 23 October 2017). Technical support and/or funds will be coordinated with UNAIDS by Thailand through ASEAN Secretariat. i.6. Publish World AIDS Day (WAD) Message Action Line: Thailand with UNAIDS, ASEAN Secretariat 73. The Meeting was informed that the activity will be facilitated by the ASEAN Secretariat with the ASEAN Health Cluster 2 Chair and UNAIDS. The drafting of the WAD message will be through the current Chair of Health Cluster 2. Action Line: Malaysia as HC2 Chair i.7. Conduct training/workshop on HIV co-infections and ARV treatment [Cambodia/Indonesia] 74. The ASEAN Secretariat informed the Meeting that further consultation will be done with Cambodia and Indonesia focal points for HIV and AIDS; with the Health Cluster 2 Country Coordinator; and with UNAIDS to discuss the implementation of this activity. Updates to Health Cluster 2 will be provided accordingly. Action Line: Cambodia with UNAIDS, ASEAN Secretariat Annex: Additional activities to operationalise the Ending AIDS declaration to the Fifth ASEAN Work Plan on HIV/AIDS i.8. Advocacy on the prevention of sexual transmission, including prevention among young people [Thailand] 15

16 75. Thailand informed the Meeting that a concept paper will be submitted to Health Cluster 2 for input/feedback or concurrence within two months (ie. by 23 October 2017). Further coordination will be done with UNAIDS through ASEAN Secretariat in the conduct of this activity. Action Line: Thailand with UNAIDS, ASEAN SEcretariat i.9. Promote community-based testing and treatment, reaching KAP, including young people [Malaysia] 76. Malaysia presented the concept paper for this activity. Further coordination will be done with UNAIDS with ASEAN Secretariat in the conduct of this activity. Please refer to ANNEX 33. Action Line: Malaysia with UNAIDS, ASEAN Secretariat i.10. Eliminate stigma and discrimination, particularly in health-care settings [Thailand] 77. Thailand informed the Meeting that a concept paper will be submitted to Health Cluster 2 for input/feedback or concurrence within two months (such as, by 23 October 2017). Further coordination will be done with UNAIDS through ASEAN Secretariat in the conduct of this activity. Action Line: Thailand with UNAIDS, ASEAN SEcretariat i.11. Meeting to follow-up on HIV/AIDS treatment cases [Philippines] 78. The ASEAN Secretariat informed the Meeting that further consultation will be done with Philippines focal points for HIV and AIDS; with the Health Cluster 2 Country Coordinator; and with UNAIDS to discuss the implementation of this activity. Updates to Health Cluster 2 will be provided accordingly. Action Line: Philippines with UNAIDS, ASEAN Secretariat i.12. Planning and tool development for external funding transitions [Cambodia, Myanmar (TBC)] 79. The ASEAN Secretariat will coordinate with Lead Countries for this activity together with UNAIDS in finalizing the concept paper. Updates will be provided accordingly. Action Line: Cambodia or Myanmar with UNAIDS, ASEAN SEcretariat i.13. South to South collaboration in the development of a how-to tool for integrating HIV/AIDS services into the essential package of UHC programme. 80. Thailand informed the Meeting that a concept paper will be submitted to Health Cluster 2 for input/feedback or concurrence within two months (such as, by 23 October 2017). Further coordination will be done with UNAIDS through ASEAN Secretariat in the conduct of this activity. 16

17 Action Line: Thailand with UNAIDS, ASEAN Secretariat j. Transform ASEAN RCRC to ASEAN Risk Assessment and Risk Communication Centre [Malaysia] 81. Malaysia updated the Meeting on on-going and planned activities of the abovementioned project. The presentation appears as ANNEX 34. The Meeting discussed that the project may need to consider logistical and operational issues taking into account the different technical profiles of risk assessment and risk communication experts, which may impact participation in the workshop. Action Line: Malaysia II. Health Priority 9: Strengthening Laboratory Capacity a. Conduct capacity building activities on bio-risk management in AMS once a year [Indonesia] 82. Indonesia presented the concept note of the above-mentioned project activity. The presentation appears as ANNEX 35. The complete narrative concept paper will be submitted to the ASEAN Health Cluster 2 through ASEAN Secretariat. Action Line: Malaysia, ASEAN Secretariat b. Continue implementation of laboratory capacity strengthening initiatives [Malaysia, Singapore and Indonesia] 83. Malaysia presented the concept note of the above-mentioned project activity. The presentation appears as ANNEX 36. The complete narrative concept paper will be submitted to the ASEAN Health Cluster 2 through ASEAN Secretariat. Action Line: Malaysia, ASEAN Secretariat c. Assess laboratory capacity and gaps vis-à-vis emerging dangerous pathogens [Thailand, Indonesia, Singapore and Philippines] 84. Thailand presented the concept note of the above-mentioned project activity. The presentation appears as ANNEX 37. The complete narrative concept paper will be submitted to the ASEAN Health Cluster 2 through ASEAN Secretariat. Action Line: Thailand, ASEAN Secretariat d. Develop a mechanism for quality assurance system for EDP at regional level [Thailand] 85. Thailand presented the concept note of the above-mentioned project activity as the next phase of activity under this health priority. The complete narrative concept paper will be submitted to the ASEAN Health Cluster 2 through ASEAN Secretariat. 17

18 Action Line: Thailand, ASEAN Secretariat 86. The Meeting exchanged views on the project activities presented where the following points were put forward: a. Singapore suggested countries with most gaps as identified by the JEE identify which areas they would like to work on and collectively organize regional initiatives to address them together with relevant partners. b. Cambodia also proposed the consideration of the laboratory capacity and referral system of some AMS in the development of regional referral mechanism. National level laboratory capacity of some AMS are project-based. c. ASEAN Member States may consider ASEAN disaster management mechanisms in addressing bigger laboratory testing needs, potentially in responding to outbreaks. III. Health Priority 10: Combating Antimicrobial Resistance (AMR) 87. In consideration of the proposed adoption of the ASEAN Leaders Declaration on Antimicrobial Resistance and the planned consultation meeting in March 2018, the Meeting noted the concept papers presented by Lead Countries as reference for Philippines in the preparation of the consultation meeting. The Meeting also discussed the project activities are to be aligned with the Declaration and the proposed strategic plan. a. Develop monitoring and evaluation framework of AMR in ASEAN [Thailand and Singapore] 88. Thailand in consultation with Singapore decided to put on hold the development of the concept paper in consideration of the proposed consultation in March b. Share best practices on rational use of antimicrobials through antimicrobial stewardship and antibiotics utilization surveillance programme [Malaysia] 89. Malaysia presented the concept note of the above-mentioned project activity. The presentation appears as ANNEX 38. A two-day seminar will be conducted and a seminar report will be produced and disseminated in order to meet the project objectives. Action Line: Malaysia, ASEAN Secretariat c. Capacity building on antimicrobials stewardship and antibiotics utilization surveillance [Philippines] 90. Philippines presented the concept note of the above-mentioned project activity. The presentation appears as ANNEX 39. The project will be implemented for two years starting January In implementing the project activity, consultation and coordination mechanisms with ASEAN Member States will be utilized. Action Line: Philippines, ASEAN Secretariat d. Continue rapid assessment on regulatory measures in combating AMR both in animal and human health [Malaysia and Philippines] 18

19 91. Malaysia provided an update on the on-going project activity, which has been part of the ASEAN Working Group on Pharmaceutical Development (AWGPD) Work Plan and agreed to be incorporated in the ASEAN Health Cluster 2 Work Programme. The presentation appears as ANNEX 40. The project has already received completed survey forms from ASEAN Member States. A draft report will be produced in early October 2017 and the final report in February The Meeting was also informed that reports reflecting ASEAN regional situation needs the endorsement of SOMHD. Action Line: Malaysia, ASEAN Secretariat e. Establish human, animal, and food platform to discuss on AMR at ASEAN level [Malaysia, Indonesia, and Philippines] 93. Malaysia presented the concept paper of the project activity, the conduct of an ASEAN One Health Scientific Meeting on Antimicrobial Resistance involving relevant ASEAN health and non-health sectors. The presentation appears as ANNEX 41. The scientific meeting will be conducted in September 2019, with the assumption that national surveillance data on AMR are available in Action Line: Malaysia, ASEAN Secretariat IV. Health Priority 11: Environmental Health and Health Impact Assessment [HIA] a. Conduct ASEAN Training Needs Assessment on Environmental Health for AMS [Malaysia] 94. Malaysia presented the concept paper of the above-mentioned project activity. The presentation appears as ANNEX 42. The project output will be used as reference for Lead Countries of other project activities under this Health Priority. ASEAN Member States were encouraged to support the survey which is planned to be conducted during the second and third quarters of 2018 so that the report will be available by the fourth quarter in the same year, and other project activities under the Health Priority can also commence. Action Line: Malaysia, ASEAN Secretariat b. Develop mechanism to strengthen capacity among AMS, including conduct of capacity building activities among AMS [Thailand, Malaysia] c. Share knowledge and best practices among AMS [Thailand] d. Joint capacity building among AMS in collaboration with relevant partners through joint research, share experiences, advocate for legislation/policy on HIA, integration into ASEAN universities curriculum [Thailand] 95. Thailand presented a concept paper Strengthening Environmental Health Network and Empowering Health Impact Assessment which consolidates Activities (b), (c) and (d) under this Health Priority. The presentation appears as ANNEX 43. The project will be implemented between with the aim of strengthening the ASEAN Environmental Health Network 19

20 through creating a platform for sharing of information, knowledge and best practices among AMS. 96. The Meeting agreed that contact points for Environmental Health to facilitate regional coordination in the implementation of the project. The engagement of the ministries of environment was also proposed to be considered in the implementation of the project. V. Health Priority 12: Disaster Health Management Action Line: Thailand, ASEAN Secretariat a. Develop national and community health emergency and disaster risk reduction management [Philippines and Malaysia] a.1. Public health emergency operation centre (PHEOC) committee a.b. Public health awareness and preparedness through advocacy, developing guideline/tor, capacity building and developing network 97. Philippines presented the concept paper of the above-mentioned project activity. The presentation appears as ANNEX 44. The Philippines noted the Activity (g) under Health Priority 8 on Establish ASEAN EOC Network among AMS led by Malaysia and which has commenced in The Meeting concurred that these project activities will be incorporated in the on-going project on ASEAN EOC Network Development led by Malaysia. Action Line: ASEAN Secretariat b. Develop Declaration/Joint Statement on Disaster Health Management [Thailand and Philippines] 98. Thailand presented the concept paper of the above-mentioned project activity. The presentation appears as ANNEX 45. Thailand confirmed that more information will be provided to AMS through ASEAN Secretariat on the way forward on the operationalization of the ALD on DHM once adopted. Action Line: Thailand, ASEAN Secretariat c. Implement ASEAN ARCH Project [Thailand, Viet Nam, and Philippines] 99. Thailand updated the Meeting on conducted and planned activities of the abovementioned project. The presentation appears as ANNEX 46. AGENDA ITEM 8: IDENTIFICATION OF ASEAN HEALTH CLUSTER 2 CAPACITY BUILDING ACTIVITIES FOR THE PARTICIPATION OF TIMOR LESTE 20