Working with US and International Partners to Strengthen Preparedness & Response at the Domestic-International Interface
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1 How can the U.S. efforts in international public health disaster and emergency response strengthened and who should take the lead? Working with US and International Partners to Strengthen Preparedness & Response at the Domestic-International Interface Maria Julia Marinissen, PhD Director, Division of International Health Security Office of Policy and Planning Office of the Assistant Secretary for Preparedness and Response U.S. Department of Health and Human Services
2 Strengthening the Domestic/International Interface: I. Public Health and Health Systems Capacity Building II. Preparedness and Response Planning
3 I - Public Health and Health Systems Capacity Building
4 National Response Framework State, Territorial & Tribal Governments Federal Government Local Governments Private Sector & NGO II- Preparedness and Response Planning International Coordination International Annex-ESF#8: DOS,USAID, HHS as co-lead?
5 National Response Framework State, Territorial & Tribal Governments Federal Government International Local Governments Private Sector & NGO II- Preparedness and Response Planning International Coordination International Annex-ESF#8: DOS,USAID, HHS as co-lead?
6 2006 Pandemic and All-Hazards Preparedness Act (PAHPA) & 2013 Reauthorization Act (PAHPRA) HHS is lead of Federal public health and medical response to public health emergencies and National Response Framework (NRF) incidents (ESF#8) Creates the Office of the Assistant Secretary for Preparedness and Response (ASPR) Duties: 1. Leadership 2. Personnel 3. Countermeasures 4. Coordination 5. Logistics 6. Leadership* *Establishes ASPR leadership in international preparedness and response initiatives and activities
7 Challenges Legal Regulatory Intellectual property Funding Logistical Information management Ethical USG and International Coordination
8 Challenges during past disasters and emergencies During the 2009 H1N1 influenza pandemic HHS/ASPR led the deployment of 820,000 doses of antivirals to Mexico and WHO/PAHO 16.8 million doses of vaccine to WHO Former WHO/PAHO Director Dr. Mirta Roses accepts HHS donation of antivirals (Panama, 2009) Images and data courtesy of World Bank and Image World courtesy Economic of WHO/PAHO Forum
9 Challenges during past disasters and emergencies During the 2009 H1N1 influenza pandemic HHS/ASPR led the deployment of 820,000 doses of antivirals to Mexico and WHO/PAHO 16.8 million doses of vaccine to WHO Former WHO/PAHO Director Dr. Mirta Roses accepts HHS donation of antivirals (Panama, 2009) Images and data courtesy of World Bank and Image World courtesy Economic of WHO/PAHO Forum
10 Challenges during past disasters and emergencies I ve directed my administration to launch a swift, coordinated, and aggressive effort to save lives and support the recovery in Haiti. President Obama January 14, 2010
11 Challenges during past disasters and emergencies Photo Credit: Greg Webb / IAEA Image Credit: CDC/NIOSH Photo Credit: Greg Webb / IAEA
12 Challenges during past disasters and emergencies Images and data courtesy of World Bank and World Economic Forum
13 Challenges during past disasters and emergencies Images and data courtesy of World Bank and World Economic Forum
14 Challenges during past disasters and emergencies Images and data courtesy of World Bank and World Economic Forum
15 Challenges during past disasters and emergencies Images and data courtesy of World Bank and World Economic Forum
16 Challenges during past disasters and emergencies
17 Challenges during past disasters and emergencies
18
19 We need to learn from our lessons and prepare for the next threat!
20 WHO S Health Emergencies Programme Priority Areas 1. Unified WHO emergency programme 2. Global health emergency workforce 3. IHR core capacities and resilient national health systems 4. Improvements to the IHR 5. Accelerated research and development 6. International financing/contingency Fund One single Programme, with one workfoce, one budget, one set of rules and processes, and above all one clear line of authority - Dr. Margaret Chan Director-General of the WHO Addresses the 138 th Session of the Executive Board, January 2016 Photo Credit: WHO/Pierre Albouy
21 Areas for the U.S. to strengthen preparedness and response at the domestic/international interface Internationally: 1. World-wide IHR implementation 2. WHO Health Emergencies Program 3. Health Security Multilateral and Bilateral Partnerships
22 Areas for the U.S. to strengthen preparedness and response at the domestic/international interface Domestically: 1. National Plan to address US Gaps in IHR implementation 2. WHO Health Emergencies Program 3. US Health Security through Multilateral and Bilateral Partnerships
23 Acknowledgements ASPR/OPP/DIHS team - Special thanks to Julie Barsic, Lauren Barna, Roby Moudy, Brent Davidson, Cody Thornton World Bank/World Economic Forum Ryan Morhard NAS Team A world prepared, a nation prepared
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