Idris Al Abaidani IHR Focal Point, Oman

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1 Idris Al Abaidani IHR Focal Point, Oman

2 Total population = 2,773,479 (2010) Non-Omani = 29.4% Distribution Northern capital (Muscat): 28% Coastal Batinah: 28% Southern Dhofar: 9% Interior Dakhliyah: 12% Eastern Sharqiyah: 13% Western Dhahira & Buraimi: 8% Central Al Wustah: 2% Northern tip of Musandam: 1% 9% 1% 8% 2% 28% 12% 28% 13%

National IHR Technical Core Capacities 8 Core capacities

Response Preparedness Risk Communications Human

Peripheral/Community Potential Hazards Biological

3 National IHR Technical Core Capacities 8 Core capacities Legislation and Policy Coordination Surveillance Response Preparedness Risk Communications Human Resources Laboratory 3 levels National Intermediate Peripheral/Community Potential Hazards Biological Zoonosis Food safety Other Infectious Chemical Radio nuclear Events at Points of Entry

4 Public Health Legislation Draft Public Health Law A review of the National Legislation was conducted and recommendations related to IHR were included in the Public Health Law (under revision) Consultation STC: Mr Bruce Plotkin and Dr John Jabbour Dates: February 2008 ToR: to provide legal support on the revision of national legislation and Public Health Law to be in-line with IHR (2005)

5 National Focal Points The Focal Persons Dr Idris Al Abaidani (DCDS&C) Dr Issa al Shuaili (DoEH) Terms of reference (ToR) (Coordination & Communication) To coordinate between concerned Ministries and other stakeholders Coordinate with counterparts in other countries Coordinate with international agencies

6 National Committee National Committee for implementation of IHR was established ToR Assess the potential risks of the spread of any epidemic or the occurrence of any event on the local or international scale Review and update the requirements of the application of the IHR and make recommendations for actions and monitor its implementation Develop and update maps of potential dangerous sources such as water sources, veterinary and industrial activities, vectors, rodents and petrochemicals Assess the epidemic or event to know whether it constitutes a public health emergency that raises concern locally, within the Gulf or internationally and work to contain it in coordination with the concerned parties Facilitation and creation of a mechanism for exchanging information between the concerned ministries and the National Focal Point Develop and modernize national plans of action for responding to public health emergencies and activation when necessary Work to strengthen awareness among officials on the importance of the Health Regulations in their ministries and institutions

7 Composition of National Committee Chairman His Excellency Undersecretary of Health Affairs Vice-Chairman Director General of Health Affairs Members DG of Civil Defense (Royal Omani Police) DG of Health & Sanitation (Ministry of Regional Municipalities & Water Resources) DG of Marine time Affairs (Ministry of Transport and Communications) DG of Civil Aviation and Meteorology (Ministry of Transport and Communications) Assistant Director General of Livestock (Ministry of Agriculture &Fisheries) Deputy DG of Environmental Affairs (Ministry of Environment and Climate Affairs) Administrative Director of Health Affairs (Muscat Municipality) Royal Armed Forces, in charge of CBRN Head of NCCD (National Civil Defense) Director of Public Health Laboratory Services (Ministry of Health) Director of Dept of Environment & Occupational Health (Ministry of Health) Director of Dept of Nutrition (Ministry of Health) Director of DCDSC, Rapporteur (Ministry of Health)

8 Communication & Coordination Coordination among stakeholders was established by conducting several meetings Algorithm was agreed upon for verification and notification of all Public Health Events of International Concern (PHEIC). Flow-Chart was designed both in English and Arabic and was widely distributed. Secure id was created for communication: moh.gov.om

11 SULTANATE OF OMAN National Inter-Ministerial Committee on Implementation of International Health Regulations (2005) Algorithm for reporting Public Health Event of International Concern (PHEIC) MINISTRY OF HEALTH Ministry of Health Communicable Diseases specified under IHR viz. Cholera, Pneumonic plague, Yellow fever, VHF (e.g. dengue, RVF), Smallpox, Polio, SARS, HPAI, pandemic influenza, meningococcal disease and other unknown diseases Categories of events required to be reported under IHR: Concerned Ministries & their Representatives Ministry of Agriculture Zoonotic diseases amongst animal population e.g. CCHF, RVF, West Nile fever or others Ministry of Environment & Ministry of Health Chemical disasters, Oil spills or other environmental pollutants Ministry of Regional Municipality & Ministry of Health Food-safety and security issues Royal Oman Police Use of agents of bioterrorism chemical weapons nuclear radiation Dr Idris Al Abaidani Mr Salem Al Mahrooqi Dr Ali Al Sahmi Dr Hadi Al Lawati Dr Ibrahim Al Ajmi Dr Issa Al Shuaili Eng Said Al Alawi Brig Dr Suleiman Al Harthi Brig Hamad Al Bortumani Communicable Diseases Technical Task Force Dr Salim Al Wahaiby (Chair) Dr Idris Al Abaidani (Reporter) Dr Suleiman Al Busaidy Dr Ali Al Sahmi (for Zoonosis) Dr Mohamed Al Balushi DG Health Services (Affected Region) National IHR Committee Chairman issues directives EVENT VERIFICATION Within 24 hours by event-specific Technical Task Force Whether the event constitutes PHEIC? Provide appropriate scientific advise and technical guidance for intervention Chemical Disaster Technical Task Force Dr Salim Al Wahaibi (Chair) Dr Ibrahim Al Ajmi (Reporter) Dr Issa Al Shuaili Royal Oman Police Dr Idris Al Abaidani DG Health Services (Affected Region) Food Safety & Security Technical Task Force Dr Salim Al Wahaibi (Chair) Eng Said Al Alawi (Reporter) Mr Mohammed Al Hajri Dr Idris Al Abaidani DG Health Services (Affected Region) National IHR Focal Point Department of Communicable Disease Surveillance & Control Ministry of Health, Sultanate of Oman Dr Idris Al Abaidani / (Focal point for declaration & Termination of PHEIC) Other contact personnel: Dr Issa Al Shuaili Nuclear Disaster Technical Task Force Dr Salim Al Wahaibi (Chair) Brig Hamad Al Bortumani Dr Issa Al Shuaili (Reporter) Dr Idris Al Abaidani National Civil Defense Committee DG Health Services (Affected Region) IHR Coordinator Ms Rahma Al Sharji Address for Communication: Department of Communicable Disease Surveillance & Control, Directorate General of Health Affairs, PO Box 393, PC 100, Ministry of Health HQ, MUSCAT, Sultanate of Oman Phone: , Fax: YES Report NO Discard Ministry of Health, 2011

SULTANATE OF OMAN MINISTRY OF HEALTH National Inter-Ministerial Committee on Implementation of International Health Regulations (2005) Algorithm for reporting Public Health Event of International

12 SULTANATE OF OMAN MINISTRY OF HEALTH National Inter-Ministerial Committee on Implementation of International Health Regulations (2005) Algorithm for reporting Public Health Event of International Concern (PHEIC) Ministry of Health Communicable Diseases specified under IHR viz. Cholera, Pneumonic plague, Yellow fever, VHF (e.g. dengue, RVF), Smallpox, Polio, SARS, HPAI, pandemic influenza, meningococcal disease and other unknown diseases Categories of events required to be reported under IHR: Concerned Ministries & their Representatives Ministry of Agriculture Zoonotic diseases amongst animal population e.g. CCHF, RVF, West Nile fever or others Ministry of Environment & Ministry of Health Chemical disasters, Oil spills or other environmental pollutants Ministry of Regional Municipality & Ministry of Health Food-safety and security issues Royal Oman Police Use of agents of bioterrorism chemical weapons nuclear radiation Dr Idris Al Abaidani Mr Salem Al Mahrooqi Dr Ali Al Sahmi Dr Hadi Al Lawati Dr Ibrahim Al Ajmi Dr Issa Al Shuaili Eng Said Al Alawi Brig Dr Suleiman Al Harthi Brig Hamad Al Bortumani

13 HPAI, pandemic influenza, meningococcal disease and other unknown diseases population e.g. CCHF, RVF, West Nile fever or others Chemical disasters, Oil spills or other environmental pollutants Food-safety and security issues Use of agents of bioterrorism chemical weapons nuclear radiation Dr Idris Al Abaidani Mr Salem Al Mahrooqi Dr Ali Al Sahmi Dr Hadi Al Lawati Dr Ibrahim Al Ajmi Dr Issa Al Shuaili Eng Said Al Alawi Brig Dr Suleiman Al Harthi Brig Hamad Al Bortumani Communicable Diseases Technical Task Force Dr Salim Al Wahaiby (Chair) Dr Idris Al Abaidani (Reporter) Dr Suleiman Al Busaidy Dr Ali Al Sahmi (for Zoonosis) Dr Mohamed Al Balushi DG Health Services (Affected Region) National IHR Committee Chairman issues directives EVENT VERIFICATION Within 24 hours by event-specific Technical Task Force Whether the event constitutes PHEIC? Provide appropriate scientific advise and technical guidance for intervention Chemical Disaster Technical Task Force Dr Salim Al Wahaibi (Chair) Dr Ibrahim Al Ajmi (Reporter) Dr Issa Al Shuaili Royal Oman Police Dr Idris Al Abaidani DG Health Services (Affected Region) Food Safety & Security Technical Task Force Dr Salim Al Wahaibi (Chair) Eng Said Al Alawi (Reporter) Mr Mohammed Al Hajri Dr Idris Al Abaidani DG Health Services (Affected Region) National IHR Focal Point Department of Communicable Disease Surveillance & Control Ministry of Health, Sultanate of Oman Dr Idris Al Abaidani / (Focal point for declaration & Termination of PHEIC) Other contact personnel: Dr Issa Al Shuaili Nuclear Disaster Technical Task Force Dr Salim Al Wahaibi (Chair) Brig Hamad Al Bortumani Dr Issa Al Shuaili (Reporter) Dr Idris Al Abaidani National Civil Defense Committee DG Health Services (Affected Region) IHR Coordinator Ms Rahma Al Sharji Address for Communication: Department of Communicable Disease Surveillance & Control, Directorate General of Health Affairs, PO Box 393, PC 100, Ministry of Health HQ, MUSCAT, Sultanate of Oman Phone: , Fax: YES Report NO Discard Ministry of Health, 2011

prepared Priority communicable diseases were

14 Surveillance Communicable Disease Surveillance was established in March 1991 SOP manual was prepared Priority communicable diseases were listed List revised in 2005 Will be revised again in 2012

(sentinel sites) Regrouping (measles/rubella) in September 1993 CCHF added to Group A in September 1995 SARS added

15 Priority Disease Grouping Group A (8 diseases & 6 syndromes) Reporting within 24 hours by phone or fax Group B (20 disease categories) Reporting within one week Group C (2 diseases & 3 syndromes) Routine monthly reporting (sentinel sites) Regrouping (measles/rubella) in September 1993 CCHF added to Group A in September 1995 SARS added in March 2003 Complete revision in January 2005 Next revision based on IHR requirements and changing priorities is due in 2012

16 Surveillance (cont..) In-depth review of surveillance system: WHO Review Mission from September 2007 and recommendations were implemented Early warning system for respiratory diseases was established under the National ARI Surveillance (Weekly ILI monitoring) Rumors notification & registry exists at central and regional level Exchange information on communicable disease Surveillance: Communicable disease feedback system included as component of surveillance to inform the stakeholder and concerned parties Exchanging information on Zoonotic diseases with Ministry of Agriculture was achieved through establishment of National Zoonotic Committee All issues related to the IHR would be included in the NEW SOP manual (2012) VRAM

19 Human Resources Capacity Building An inter-country meeting on Outbreak investigation Training was conducted in Oman during 2008 with participation from EMR states. An Outbreak management training course was conducted in Oman from the 17th April 2011 to the 21st April The vision was Capacity building within the country for sustainable outbreak management training programs that cater to the perceived needs of the country with multidisciplinary approach and use of adult learning teaching methods. Two workshops on training for trainers on laboratory biosfatery biosecurity on Four Regioal workshops on laboratory biosfatery biosecurity on 2010 Training workshops Disasters management were carried on n 2011

20 Laboratory The WHO/EU/MOH project on all hazards bio-safety and bio-security public health preparedness and response is a unique collaborative project launched in 2010, that focuses on national capacity building in two main areas: to prepare for and respond to all Hazards emergencies to upgrade laboratory organization and competence for biosafety and bio-security. Assessment conducted in 2010 and recommendation carried on viz regular training workshop, abroad training fellowship in Germany & CDC in detection of highly pathogenic virus and molecular epidemiology of viruses.

21 Points of Entry (PoE) IHR core capacity of pointsof-entry in Oman (18 to 22 April 2009). Issuing international Certificate of Vaccination or Prophylaxis Algorithm developed for event notification at port of entries PoA for PoE developed including human resource development

23 IHR-related hazards (Chemical/Radiological) Formation of task force Developments of SOPs manuals including emergency response team Development of laboratory capacity

24 Thanks

Past Influenza Pandemics

Past Influenza Pandemics Outline Background Pandemic Response in Oman Pre Pandemic Phase Pandemic Phase Post Pandemic Phase p(h1n1) vaccination strategy Cost of Pandemic Impact on Health System Lessons learnt Conclusions 2 Oman..