DG SANTE actions under the CBRN Action Plan

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1 DG SANTE actions under the CBRN Action Plan Antonis Lanaras DG SANTE C3 Crisis management and preparedness in health 10 th Meeting of the CoU on Secure, Safe and Resilient Societies CBRNE 8 March 2018, Brussels

2 Decision 1082/2013/EU on serious cross-border threats to health Public health emergencies at EU level are managed under the health security framework of Decision 1082/2013/EU Provides for a comprehensive and coordinated approach for preparedness, early warning, risk assessment and crisis response Supports Member States to fight cross-border health threats such as communicable diseases, but also chemical, environmental and unknown threats

3 Structures and mechanisms Network for epidemiologic surveillance EWRS alert system Health Security Committee, and working groups Capacity building and technical assistance through Health Programme Commission internal mechanisms for crisis coordination and response

4 Epidemiological surveillance Communicable diseases are permanently monitored by the European Centre for Disease Prevention and Control (ECDC) Network for the epidemiological surveillance of communicable diseases and of related special health issues: Brings into permanent communication the Commission, the ECDC and national authorities responsible for epidemiological surveillance. MS communicate comparable and compatible data on epidemiological surveillance of notifiable communicable diseases and the progression of epidemics by using the EU case definitions

5 Early Warning and Response System (EWRS) Rapid alert system for notifying alerts in relation to serious cross-border threats to health. Enables the Commission and the national authorities to be in permanent communication for the purposes of: alerting assessing public health risks and determining the measures that may be required to protect public health

6 EWRS update The remodelled EWRS will include modules to: Support efficiently the detection and management of serious cross-border threats to health; Link to other EU rapid alert systems (RAS); Provide access to contextual information allowing an informed assessment and coordination of response; Ensure appropriate flexibility through a modular architecture to adjust to future changes

7 Risk Assessment For the coordination of response the Commission, where necessary, makes available to the Member States risk assessment of the potential severity of the threat, including possible public health measures Communicable diseases Food safety e.g. Chemical threats NATIONAL COMPETENT AUTHORITIES

8 Coordination of response MS to consult each other within the Health Security Committee composed of Member States representatives and in liaison with the Commission to coordinate: national responses to serious cross-border health threats risk and crisis communication to the public and to healthcare professionals

9 Preparedness Commission supports Member States to: build capacity to implement the core capacity standards of the International Health Regulations ensure adequate coordination between MS for a consistent level of preparedness and interoperability between national preparedness and response plans. Member States regularly report on the state of play on preparedness and response planning Sharing best practice and experience in preparedness and response planning Promoting interoperability of national preparedness plans Supporting implementation of core-capacity requirements for surveillance and response (as per Art. 5 and 13 of the IHR) Addressing intersectoral dimension of preparedness and response planning at Union level

10 Coordination within the Commission DG SANTE DG ECHO DG HOME DG GROW-EEAS DG RTD DG DEVCO DG ECHO-JRC DG EEAS Frameworks for food safety and animal health and for pharmaceutical products EU Civil Protection Mechanism, European Medical Corps, European Voluntary Aid Corps European Agenda on Security, Security Union; EU CBRN Action Plan EU Joint Framework on countering hybrid threats EU Framework Programme for Research and Innovation Horizon 2020 Bilateral programmes - IHR implementation within health systems strengthening and promoting universal health coverage EU Action Plan on the Sendai Framework for Disaster Risk Reduction Strategy on Foreign and Security Policy

11 Coordination under the EU health security framework EU Member States EEA & EFTA GHSI: Global Health Security Initiative

12 CBRN Action Plan actions to improve preparedness and response capacity 1. EXERCISES/WORKSHOPS with Member States Inter-sectoral table-top exercise on hybrid threats, January Cross-sectoral table-top exercise on business continuity planning during a pandemic, Q Workshops on preparedness and IHR implementation, 1 st workshop, April Training on best practices regarding entry and exit screening (Q3 2018)

13 "CHIMERA" Hybrid threat Table-top Exercise, January 2018

14 CBRN Action Plan actions to improve preparedness and response capacity 2. JOINT ACTIONS with Member States Joint action on preparedness and action at points of entry (ports, airports, ground crossings) - Healthy GateWays with emphasis on biological (particularly vector-borne) and chemical threats (Q2 2018) Joint Action on vaccination to enhance cooperation and build concrete tools to improve vaccination coverage in Europe (2018) Joint Action on efficient response to highly dangerous and emerging pathogens at EU level EMERGE ( ) Joint Action on preparedness and IHR implementation, including laboratory strengthening (Q4 2018)

15 Joint procurement of medical countermeasures Joint Procurement Agreement, adopted in 2014, provides for a voluntary mechanism for procuring jointly. So far 24 MS participate. First procurement procedure for Botulinum anti-toxin in Procurement procedure for pandemic influenza vaccines involving 18 MS + Commission is underway, Other medical countermeasures are under preparation.

16 ECDC activities under the CBRN Action Plan Cross-sectoral biorisk awareness and mitigation training - 2nd Edition, Jointly organised by ECDC & EUROPOL, Olhão- Portugal, April 2018 Handbook on the threat from bioterrorism - a European perspective - Part 1 ready by mid-april 2018 Raise awareness and exchange best practices as regards Do it yourself biology - a commercially available bio-kits to produce genetically modified microorganisms which may lead to intentional attack or accidental contamination with modified viruses or bacteria. ECDC-Country Preparedness Support Section, PHC Unit, preparedness@ecdc.europa.eu

17 Thank you!