GPHIN (intelligence tool) & GOARN (operational arm) of IHR (2005)
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1 GPHIN (intelligence tool) & GOARN (operational arm) of IHR (2005)
2 Intelligence (GPHIN) Verification Risk assessment Response (RRT,GOARN) Logistics Influenza polio SARS smallpox cholera meningitis yellow fever food safety chemical safety radionuclear safety
3 What is the Global Public Health Intelligence Network (GPHIN)? GPHIN is a secure, internet-based "early warning" system that gathers preliminary reports of public health significance in seven languages on a real-time, 24/7 basis. Arabic, Chinese (Simplified and Traditional), English, Farsi, French, Russian, & Spanish Portuguese Monitoring global media sources such as news wires and web sites Web based Password protected
4 GPHIN Taxonomy Human diseases Ebola Animal diseases Streptococcus Suis Plant diseases Asian soybean rust Other biologics Pathogens Chemical incidents Chemical spill Radioactive incidents Nuclear material trafficking Unsafe products Botulism & peanut butter Natural disasters Tsunami, Dec 2004 Source: Public Health Agency of Canada
5 GPHIN Users - National National Public Health Agency of Canada (PHAC) Canadian Food Inspection Agency (CFIA) Canadian Security Intelligence Service (CSIS) Royal Canadian Mounted Police (RCMP) Source: Public Health Agency of Canada
6 GPHIN Users - International World Health Organization (WHO) UN Food and Agriculture Organization (FAO) World Organization for Animal Health (OIE) European Commission (EC) European Centre for Disease Prevention and Control (ECDC) Centers for Disease Control and Prevention (CDC) Source: Public Health Agency of Canada
7 GPHIN Flow of Information Source: Public Health Agency of Canada
8 WHO has verified. >2,400 events between Jan 01 Apr 08 Total events
9 PHEIC Decision instrument 4 diseases that shall be notified polio (wild-type polio virus), smallpox, human influenza new subtype, SARS. Disease that shall always lead to utilization of the decision intrument: cholera, pneumonic plague, yellow fever, VHF (Ebola, Lassa, Marburg), WNF, others. Q1: public health impact serious? Q2: unusual or unexpected? Q3: risk of international spread? Q4: risk of travel/trade restriction? Insufficient information: reassess
10 GOARN - April 2000 Coordinate rapid international team support to countries for outbreak response Focus and coordinate resources: local > regional > global
11 GOARN s Primary Aims n Assist countries with disease control efforts by ensuring rapid appropriate technical support to affected populations n Investigate and characterize events and assess risks of rapidly emerging epidemic disease threats n Support national outbreak preparedness by ensuring that responses contribute to sustained containment of epidemic threats
12 GOARN Field Operations countries 50+ GOARN partners 550+ experts 97 events
13 GOARN Structure Training Programs Regional Networks Specialized Networks Collaborating Centres Steering Committee + Operational Support Team (FIMS) WHO NGOs UNOs National Centres
14 Field Information Systems Case-based data for investigation of clusters of cases with integrated management of case, exposure, contact, laboratory and clinical data Aggregated data: field early warning systems Software and technical support available:
15 WHO Event Management Process Formal Reports Informal Initial Screening Event Verification WRO/RO/HQ Risk Assessment Response Strategy and Operations Media Social Mobilization Operational and Technical Coordination Logistics Security Finance Epidemiological Investigation Infection control Containment & Control Clinical Management Information Management Field Communications Laboratory Environmental health Medical Anthropology
16 GOARN in the Field
17 Outbreak Response Training Residential courses in international outbreak response: WHO role, objectives and procedures Team leadership Personal and operational security Outbreak logistics Health on mission Field epidemiology Case management and infection control Social mobilization Working in support of national partners Risk communication
18 What can GOARN provide? Equitable and appropriate participation in field missions Clear Terms of Reference for International Missions Access to information exchange and sharing of best practice, technology transfer Alleviate costs, by improving the use/mobilization of resources, and providing surge capacity Dependable field logistics and consistent operational support Strengthen transparency and credibility, enhance dialogue and build trust Recognized as the operational arm of the IHR
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