EBOLA: A TEST OF THE DECISION ON SERIOUS CROSS-BORDER THREATS TO HEALTH Health Policy Forum 19 March Brussels

Transcription

1 EBOLA: A TEST OF THE DECISION ON SERIOUS CROSS-BORDER THREATS TO HEALTH Health Policy Forum 19 March Brussels Charles Price, Policy Officer, Unit C3 Health Threats

2 14 March 14

3 1998 Decision 2119/98/EC of the European Parliament and of the Council network of epidemiological surveillance and control of communicable disease 2001 EU Health Security Committee (informal) 2005 European Centre for Disease Prevention and Control Surveillance Threats and risk assessment 2007 WHO International Health Regulations (IHR) adopted by all EU MSs All-inclusive threats approach; core capacities

4 2009 Lisbon Treaty Article 168 Monitoring, early warning of and combating serious cross-border threats to health 2011 Commission's legal proposal of serious cross-border threats to health 2013 Decision 1082/2013 on serious cross border threats to heatlh In force since 6 November Implementation of the legal proposal: EU assessment and management of serious cross-border threats to health

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6 EU Health Security Committee - Coordination mechanism for serious cross border health threats: GHSI: Global Health Security Initiative EU Member States EEA & EFTA HSC - HOME - ECHO - EEAS - DEVCO - ENER - MOVE - JRC - SG - ARGUS - MIC / CECIS - ECURIE - RASFF - ADNS - RAPEX - EUROPHYT - EWRS - RAS CHEM

7 22 March 2014 Guinea Confirms outbreak of Ebola virus disease (EVD) Symptoms: high fever, bleeding and central nervous system damage Spread by body fluids: blood and saliva-live and dead Fatality rate can reach 90% Incubation period is 2 to 21 days No proven vaccine or cure Combat by - Identificaiton, isolation, contact tracing and monitoring, supportive care with rigorous attention to infection control, safe burials - communication and cooperation of public And whole health system.

8 25 March Health Security Committee considers ECDC risk assessment -low overall risk to EU but need to consider: -travellers and migrants from affected countries -patients with Ebola coming to EU -laboratory samples Previous guidance for preparation and information for public and professionals highighted.

9 EU Health Security Committee audio meetings

10 28 March

11 April May initial response 11 April HSC considers: a) information given to passengers at airports in the affected countries; b)use of passenger locator cards by airlines in case of need for contact tracing) c) hygiene requirements at EU hospitals in the case of a person suspected for Ebola is admitted, d) communication with public and professionals 18 April HSC adopts travel advice on Ebola 3 May WHO report suggests situation is coming under control

12 June August from outbreak to global emergency - 4 June HSC - many new cases reported from Sierra Leone and Liberia. -17 June EU establishes coordination mechanism -23 June MSF declares outbreak out of control -25 July USA/Liberian dies of Ebola in Lagos -1 August HSC template for information sharing, sharing of hospital and laboratory capacity, media lines, revised travel advice -8 August WHO declares public health emergency

13 Aug-Dec Crisis to control -HSC weekly meetings on all aspects of response - 12 August Spanish priest dies of Ebola in Madrid -28 August WHO publishes roadmap -15 Sept USA and EU announce package of measures -18 Sept UN security council resolution UN establishes UNMEER - UK, FR, DE and other EU MSs announce measures -6 October ES confirms first case of Ebola acquired in EU -4 Nov EU workshop on infection control in hospital settings - Commissioners Andriukaitis and Stylianides visit W Africa - Dec 29 cases exceed 20,000 slowdown in Liberia

14 Weekly number of Ebola Virus Disease (EVD) cases Figures published on 12 March 2015

15 From Emergency to Recovery High Level Conference in Brussels (3 March 2015) Getting to Zero and sustaining Zero Preparedness, Prevention and The development of new tools Alpha Condé, President of Guinea Ellen Johnson-Sirleaf, President of Guinea Boosting the recovery and accelerating development Designing a roadmap Ernest Bai Koroma, President of Sierra Leone

16 Ebola Figures up to 15 March ,666 cases -10,179 deaths (491 health workers) 4,162 Liberia 3,629 Sierra Leone 2,170 Guinea 8 Nigeria 6 Mali Photograph: Baz Ratner / Reuters

17 Outputs - Ebola

18 Exit and entry screening -ECDC expert review -High Level Meeting to discuss options -entry screening for direct flights -Audit of exit screening Gomes et al. PLOS current outbreaks 2 September 14

19 EU Laboratories and treatment facilities - EU Joint Action QUANDHIP organises laboratory support - Countries offer hospital facilities,

20 Medical Evacuation -open to all international health and humanitarian assistance - 10 countries offer treatment and/or air transport - coordination from SANTE/ECHO -EU funds transport

21 Infection control transport, PPE, training, disinfection, waste etc Personal Protective Equipment (PPE) What sort of equipment? how to use it? Where to get it? - EU Clinical network supported by ECDC - Expert workshops on prevention in health care settings - Joint Procurement of PPE

22 Together with our Member States, we have mobilised more than 1.2 billion for the fight against this disease. We will continue to help until we win the battle against Ebola Jean-Claude Juncker, President of the European Commission

23 Next steps Get to zero Learn the lessons

24 Thank you