Emerging Infectious Diseases Australia is not an Island

Size: px
Start display at page:

Download "Emerging Infectious Diseases Australia is not an Island"

Transcription

1 Emerging Infectious Diseases Australia is not an Island Bart Currie Global and Tropical Health Division Menzies School of Health Research, Darwin Infectious Diseases Department, Royal Darwin Hospital

2 Borneo Sulawesi Papua Timika Jakarta Java Bali Wallace s Line Lombok Weber s Line Timor Darwin Northern Territory

3 Borneo Sulawesi Papua Timika Jakarta Java Bali Wallace s Line Lombok Weber s Line Timor Darwin Northern Territory

4 Which infections for our region? Tuberculosis (incl MDR XDR) HIV Influenza; H1N1 (swine) & H5N1 (avian) Malaria Dengue Hepatitis B MRSA Other bacterial sepsis Multi-resistant Gm -ves Melioidosis Leptospirosis Rickettsial diseases scrub typhus, other JE Chikungunya Zika & other arboviruses Nipah; other bat-associated Ebola? The next SARS?

5 Which infections for our region? Tuberculosis (incl MDR XDR) HIV Influenza; H1N1 (swine) & H5N1 (avian) Malaria Dengue Hepatitis B MRSA Other bacterial sepsis Multi-resistant Gm -ves Melioidosis Leptospirosis Rickettsial diseases scrub typhus, other JE Chikungunya Zika & other arboviruses Nipah; other bat-associated Ebola? The next SARS?

6 Which infections for our region? Tuberculosis (incl MDR XDR) HIV Influenza; H1N1 (swine) & H5N1 (avian) Malaria Dengue Hepatitis B MRSA Other bacterial sepsis Multi-resistant Gm -ves Melioidosis Leptospirosis Rickettsial diseases scrub typhus, other JE Chikungunya Zika & other arboviruses Nipah; other bat-associated Ebola? The next SARS?

7 The Red Plague Refers to emerging resistance in Gram negative organisms (E. coli, Klebsiella spp.) Cause common infections e.g. UTI in community High rates of resistance in Asia- Pacific region Some strains pan-drug resistant

8 Resistance (%ESBL) in the Asia Pacific region India ECOL: 78% KPNE: 64% China* ECOL: 54% KPNE: 41% Thailand* ECOL: 55% KPNE: 50% Malaysia ECOL: 36% KPNE: 45% Hong Kong ECOL: 46% KPNE: 23% Korea ECOL: 37% KPNE: 40% Singapore ECOL: 21% KPNE: 32% Philippines ECOL: 47% KPNE: 23% Japan ECOL: 17% KPNE: 11% Taiwan ECOL: 91% KPNE: 75% Indonesia ECOL: 71% KPNE: 64% Courtesy John Turnidge ACSQHC Australia ECOL: 12% KPNE: 15% New Zealand ECOL: 11% KPNE: 10%

9 Resistance (%ESBL) in the Asia Pacific region India ECOL: 78% KPNE: 64% China* ECOL: 54% KPNE: 41% Thailand* ECOL: 55% KPNE: 50% Malaysia ECOL: 36% KPNE: 45% Hong Kong ECOL: 46% KPNE: 23% Korea ECOL: 37% KPNE: 40% Singapore ECOL: 21% KPNE: 32% Philippines ECOL: 47% KPNE: 23% Japan ECOL: 17% KPNE: 11% Taiwan ECOL: 91% KPNE: 75% Indonesia ECOL: 71% KPNE: 64% Courtesy John Turnidge ACSQHC Australia ECOL: 12% KPNE: 15% New Zealand ECOL: 11% KPNE: 10%

10 Multi-resistant organisms post 2002 Bali bombings 35 patients with severe burns transferred to Royal Perth 19 Multi-resistant Acinetobacter baumannii (MRAB) 15 Extended-spectrum B- lactamase producing Gm-negs (ESBL) 9 Vancomycin-resistant enterococci (VRE) 6 Multi-resistant Pseudomonas aeruginosa (MRPA - 2 fatal) 3 MRSA Transmission of MROs to 41 non-bali pts in RPH 11 bacteremias 4 deaths with MRPA Heath C et al. Aust Infect Control 2003;8:43-54

11 Then introduction and spread of carbapenem-resistant bacteria In 2010, a multi-drug carbapenem-resistant K. pneumoniae was introduced into the ICU of a Sydney Metropolitan Hospital by a patient recently returned from Egypt. Three additional patients acquired the organism over several months before termination of the outbreak. All four patients who developed an infection with this organism died.

12 Now community spread of carbapenem-resistant bacteria Tal et al. Med J Aust 2015;202:270 There have been previous documented cases of infection with imported blandm-1- containing bacteria in Australia. We hypothesise that this carbapenem-resistant Enterobacteriaceae isolate was acquired after transmission from an unidentified carrier of blandm-1, possibly during previous hospital admissions or receipt of home nursing care.

13 Resistance in Australia: public attention & funding

14 Which infections for our region? Tuberculosis (incl MDR XDR) HIV Influenza; H1N1 (swine) & H5N1 (avian) Malaria Dengue Hepatitis B MRSA Other bacterial sepsis Multi-resistant Gm -ves Melioidosis Leptospirosis Rickettsial diseases scrub typhus, other JE Chikungunya Zika & other arboviruses Nipah; other batassociated Ebola? The next SARS?

15 Bats and emerging human viral diseases Australian bat rabies (lyssavirus) Nipah & Hendra virus SARS & MERS Ebola What next?? Bat-filled tree may have been ground zero for the West African Ebola epidemic

16 So what else is out there? "I would not say that the future is necessarily less predictable than the past - I think the past was not predictable when it started." Donald Rumsfeld

17 So what else is out there? Prediction is very difficult, especially about the future." Niels Bohr

18 Which infections for our region? Tuberculosis (incl MDR XDR) HIV Influenza; H1N1 (swine) & H5N1 (avian) Malaria Dengue Hepatitis B MRSA Other bacterial sepsis Multi-resistant Gm -ves Melioidosis Leptospirosis Rickettsial diseases scrub typhus, other JE Chikungunya Zika & other arboviruses Nipah; other bat-associated Ebola? The next SARS?

19 Malaria globally and regionally 198 million cases globally 584,000 deaths (78% <5yo) 24 million Southeast Asia 41,000 deaths (29% <5yo) (44% P. vivax) 1 million Western Pacific 3,300 deaths (49% <5yo)

20

21 But Its Worse Than We Thought: February 2015

22 Asia Pacific Malaria Elimination Network 17 Member Countries (from the initial 11 in 2009) Bangladesh, Bhutan, Cambodia, China, India, Indonesia, DPR Korea, Republic of Korea, Laos, Malaysia, Nepal, Philippines, Solomon Islands, Sri Lanka, Thailand, Vanuatu, Vietnam 18 Research and Service Partners Vivax Working Group Identify key research priorities Build local capacity Workshops: Genotyping, G6PD, Clinical Trials Technical grants Genotyping G6PD deficiency testing Parasite Prevalence Clinical Trials

23 Asia Pacific Malaria Elimination Network

24 Successful elimination of malaria in Solomon Islands and neighbouring countries would be a historic achievement for the health of the peoples of our region, and it would also pay a dividend for Australia s own public health and biosecurity. Harin Karunajeewa et al. MJA 202 (7) 20 April 2015

25 Asia Pacific Leaders Malaria Alliance Created at 2013 East Asia Summit in Brunei Secretariat formally commenced operations January 2014

26 Asia Pacific Leaders Malaria Alliance

27 East Asia leaders commit to eliminate malaria from Asia Pacific by th November 2014

28 Papua New Guinea: our forgotten friends & colleagues? 198 million cases globally 584,000 deaths (78% <5yo) 24 million Southeast Asia 41,000 deaths (29% <5yo) (44% P. vivax) 1 million Western Pacific 3,300 deaths (49% <5yo)

29 Papua New Guinea: our forgotten friends & colleagues? 198 million cases globally 584,000 deaths (78% <5yo) 24 million Southeast Asia 41,000 deaths (29% <5yo) (44% P. vivax) 1 million Western Pacific 3,300 deaths (49% <5yo)

30

31 Which infections for our region? Tuberculosis (incl MDR XDR) HIV Influenza; H1N1 (swine) & H5N1 (avian) Malaria Dengue Hepatitis B MRSA Other bacterial sepsis Multi-resistant Gm -ves Melioidosis Leptospirosis Rickettsial diseases scrub typhus, other JE Chikungunya Zika & other arboviruses Nipah; other bat-associated Ebola? The next SARS?

32 MDR TB: PNG TSI Where next?? October 14, 2014 Amy Remeikis The 32-year-old Torres Strait Islander died on 29/09/14 Close connection" with another TSI woman who died from MDR TB in 2013 Contact with at least 50 people

33 Papua New Guinea: our forgotten friends & colleagues? October 14, 2014 Amy Remeikis The 32-year-old Torres Strait Islander died on 29/09/14 Close connection" with another TSI woman who died from MDR TB in 2013 Contact with at least 50 people Adult wards at PMGH Mortality 10% 1989 Mortality 32% 2013 TB 25% of deaths HIV/AIDS 24% of deaths Vincent Pyakalyia M Med Thesis UPNG 2013

34 World TB Day March = LTBI active TB = LTBI (Mx +ve)

HIV / AIDS & HUMAN RIGHTS

HIV / AIDS & HUMAN RIGHTS SIXTH ANNUAL MEETING Asia Pacific Forum of National Human Rights Institutions "A Partnership For Human Rights In Our Region" HIV / AIDS & HUMAN RIGHTS 24 th 27 th September 2001 Colombo, Sri Lanka 1 BACKGROUND

More information

Risks of Emerging Infectious Diseases in ASEAN. Prasit Palittapongarnpim, M.D. Department of Microbiology, Faculty of Science, Mahidol University

Risks of Emerging Infectious Diseases in ASEAN. Prasit Palittapongarnpim, M.D. Department of Microbiology, Faculty of Science, Mahidol University Risks of Emerging Infectious Diseases in ASEAN Prasit Palittapongarnpim, M.D. Department of Microbiology, Faculty of Science, Mahidol University Despite the socio-economic progress of ASEAN and increased

More information

AAHL s Regional One-Health Activities

AAHL s Regional One-Health Activities International partnerships Disease reservoirs Unique capability AAHL s Regional One-Health Activities Dr. Kurt Zuelke Director, Health & Biosecurity and AAHL 30 October 2015 6 th Asia Pacific Workshop

More information

The Global Burden of Viral Hepatitis

The Global Burden of Viral Hepatitis The Global Burden of Viral Hepatitis Benjamin Cowie WHO Collaborating Centre for Viral Hepatitis Victorian Infectious Diseases Reference Laboratory Doherty Institute, University of Melbourne benjamin.cowie@mh.org.au

More information

Population. B.4. Malaria and tuberculosis

Population. B.4. Malaria and tuberculosis Statistical Yearbook for Asia and the Pacific 2013 B. Health B.4. Malaria and tuberculosis Malaria and tuberculosis (TB) are two infectious and potentially lethal diseases that have greatly affected the

More information

aids in asia and the pacific

aids in asia and the pacific HIV AIDS AND DEVELOPMENT IN ASIA AND THE PACIFIC a lengthening shadow aids in asia and the pacific World Health Organization Regional Offices for South East Asia and the Western Pacific Region 9 10 OCTOBER

More information

APPENDIX 1 DATA COLLECTION AND DISSEMINATION STEPS

APPENDIX 1 DATA COLLECTION AND DISSEMINATION STEPS APPENDIX 1 DATA COLLECTION AND DISSEMINATION STEPS 97 Country/ area APPENDIX 2a DRUG REGIMENS SEA REGION, 2001 (dosage for adults) : P. falciparum Lab confirmed Treatment failure Severe malaria Pregnancy

More information

Infectious Diseases Weekly Report. 12 January 2018 / Number 1. The infectious diseases which all physicians must report

Infectious Diseases Weekly Report. 12 January 2018 / Number 1. The infectious diseases which all physicians must report Infectious Diseases Weekly Report TOKYOIDWR Tokyo Metropolitan Infectious Disease Surveillance Center 12 January / Number 1 Surveillance System in Tokyo, Japan The infectious diseases which all physicians

More information

Infectious Diseases Weekly Report. 23 August 2018 / Number 33. The infectious diseases which all physicians must report

Infectious Diseases Weekly Report. 23 August 2018 / Number 33. The infectious diseases which all physicians must report Infectious Diseases Weekly Report TOKYOIDWR Tokyo Metropolitan Infectious Disease Surveillance Center 23 August / Number 33 Surveillance System in Tokyo, Japan The infectious diseases which all physicians

More information

Infectious Diseases Weekly Report. 8 November 2018 / Number 44. The infectious diseases which all physicians must report

Infectious Diseases Weekly Report. 8 November 2018 / Number 44. The infectious diseases which all physicians must report Infectious Diseases Weekly Report TOKYOIDWR Tokyo Metropolitan Infectious Disease Surveillance Center 8 November / Number 44 Surveillance System in Tokyo, Japan The infectious diseases which all physicians

More information

Infectious Diseases Weekly Report. 15 November 2018 / Number 45. The infectious diseases which all physicians must report

Infectious Diseases Weekly Report. 15 November 2018 / Number 45. The infectious diseases which all physicians must report Infectious Diseases Weekly Report TOKYOIDWR Tokyo Metropolitan Infectious Disease Surveillance Center 15 November / Number 45 Surveillance System in Tokyo, Japan The infectious diseases which all physicians

More information

Infectious Diseases Weekly Report. 14 March 2019 / Number 10. The infectious diseases which all physicians must report

Infectious Diseases Weekly Report. 14 March 2019 / Number 10. The infectious diseases which all physicians must report Infectious Diseases Weekly Report TOKYOIDWR Tokyo Metropolitan Infectious Disease Surveillance Center 14 March / Number 10 Surveillance System in Tokyo, Japan The infectious diseases which all physicians

More information

Infectious Diseases Weekly Report. 22 March 2019 / Number 11. The infectious diseases which all physicians must report

Infectious Diseases Weekly Report. 22 March 2019 / Number 11. The infectious diseases which all physicians must report Infectious Diseases Weekly Report TOKYOIDWR Tokyo Metropolitan Infectious Disease Surveillance Center 22 March / Number 11 Surveillance System in Tokyo, Japan The infectious diseases which all physicians

More information

Infectious Diseases Weekly Report. 28 March 2019 / Number 12. The infectious diseases which all physicians must report

Infectious Diseases Weekly Report. 28 March 2019 / Number 12. The infectious diseases which all physicians must report Infectious Diseases Weekly Report TOKYOIDWR Tokyo Metropolitan Infectious Disease Surveillance Center 28 March / Number 12 Surveillance System in Tokyo, Japan The infectious diseases which all physicians

More information

Infectious Diseases Weekly Report. 4 April 2019 / Number 13. The infectious diseases which all physicians must report

Infectious Diseases Weekly Report. 4 April 2019 / Number 13. The infectious diseases which all physicians must report Infectious Diseases Weekly Report TOKYOIDWR Tokyo Metropolitan Infectious Disease Surveillance Center 4 April / Number 13 Surveillance System in Tokyo, Japan The infectious diseases which all physicians

More information

Infectious Diseases Weekly Report. 11 April 2019 / Number 14. The infectious diseases which all physicians must report

Infectious Diseases Weekly Report. 11 April 2019 / Number 14. The infectious diseases which all physicians must report Infectious Diseases Weekly Report TOKYOIDWR Tokyo Metropolitan Infectious Disease Surveillance Center 11 April / Number 14 Surveillance System in Tokyo, Japan The infectious diseases which all physicians

More information

February Emerging Infectious Diseases: The Global Picture

February Emerging Infectious Diseases: The Global Picture Emerging Infectious Diseases: The Global Picture Breaches in species barrier: emerging infections in humans Infection Animal linked Year infection to transmission first reported Ebola virus Bats 1976 HIV-1

More information

WHO priorities for 2016 in US PICTs

WHO priorities for 2016 in US PICTs WHO priorities for 2016 in US PICTs By Dr Sevil Huseynova CLO for WHO Country Liaison Office in Northern Micronesia 1 (FSM, RMI, ROP) History: WHO s Mandate 1945, UN Conference, San Francisco 1948, 1 st

More information

Australia's role in promoting and supporting tuberculosis control in the Western Pacific Region

Australia's role in promoting and supporting tuberculosis control in the Western Pacific Region Australia's role in promoting and supporting tuberculosis control in the Western Pacific Region Kerrie A. Shaw South Eastern Sydney Local Health District (Northern Sector) and St Vincent s Hospital (formerly

More information

PROJECT DOCUMENT. Cooperative Agreement for Preventing the Spread of Communicable Diseases through Air Travel (CAPSCA)

PROJECT DOCUMENT. Cooperative Agreement for Preventing the Spread of Communicable Diseases through Air Travel (CAPSCA) INTERNATIONAL CIVIL AVIATION ORGANIZATION PROJECT DOCUMENT Title: Number: Initial Duration: Project Site: Sector & Sub-Sector: Government Implementing Agencies: Executing Agency: Cooperative Agreement

More information

Regional Overview of the implementation of National Control Strategies for Avian Influenza. Summary review of questionnaire OIE RRAP

Regional Overview of the implementation of National Control Strategies for Avian Influenza. Summary review of questionnaire OIE RRAP Regional Overview of the implementation of National Control Strategies for Avian Influenza Summary review of questionnaire OIE RRAP The OIE Questionnaire on Influenza A surveillance in animals in the Asia

More information

TB in the SEA Region. Review Plans and Progress. Dr Md Khurshid Alam Hyder Medical Officer TB SEARO/WHO

TB in the SEA Region. Review Plans and Progress. Dr Md Khurshid Alam Hyder Medical Officer TB SEARO/WHO TB in the SEA Region Review Plans and Progress Dr Md Khurshid Alam Hyder Medical Officer TB SEARO/WHO The SEA Region: 25% of the world s people, but >33% of TB patients Eastern M editerranean Region 5%

More information

Call to Action. Global and Regional Hepatitis Action Plans: Opportunities and considerations for China

Call to Action. Global and Regional Hepatitis Action Plans: Opportunities and considerations for China Call to Action Global and Regional Hepatitis Action Plans: Opportunities and considerations for China Po-Lin Chan, Senior Advisor Hepatitis/HIV/STI Lan Zhang, Senior Medical Officer Hepatitis/HIV/STI WHO

More information

A UNIQUE NETWORK OF EXPERTISE DEDICATED TO THE FIGHT AGAINST INFECTIOUS DISEASES

A UNIQUE NETWORK OF EXPERTISE DEDICATED TO THE FIGHT AGAINST INFECTIOUS DISEASES A UNIQUE NETWORK OF EXPERTISE DEDICATED TO THE FIGHT AGAINST INFECTIOUS DISEASES Since 1888, date of its creation, has been committed to contain infectious diseases by working directly in regions where

More information

Table 1. Measles case classification and incidence by country and area, WHO Western Pacific Region,

Table 1. Measles case classification and incidence by country and area, WHO Western Pacific Region, Volume 7 Issue 5 May 2013 ISSN 1814 3601 Table 1. case classification and by country and area, WHO Western Pacific Region, 2008 2013 1 confirmed 2 2 009 per confirmed 2 2 010 2 011 2 012 2013 1 Confirmed

More information

Infectious Diseases Weekly Report. 14 March 2013 / Number 10

Infectious Diseases Weekly Report. 14 March 2013 / Number 10 Infectious Diseases Weekly Report TOKYOIDWR Tokyo Metropolitan Infectious Disease Surveillance Center 14 March / Number 10 Surveillance System in Tokyo, Japan The infectious diseases which all physicians

More information

Influenza Situation Update

Influenza Situation Update Influenza surveillance summary This influenza surveillance summary includes countries where routine surveillance is conducted and information is available. Countries in the temperate zone of the Northern

More information

A/P Regional Capacity Building Approach Overview

A/P Regional Capacity Building Approach Overview WCO A/P Regional Workshop on Strategic Initiative for Trade Facilitation 16-18 March 2015 Jakarta, Indonesia A/P Regional Capacity Building Approach Overview Kazunari IGARASHI1 Head of the ROCB A/P Presentation

More information

Western Pacific Regional Office of the World Health Organization WPRO Dengue Situation Update, 2 October 2013 Recent Cumulative No.

Western Pacific Regional Office of the World Health Organization WPRO Dengue Situation Update, 2 October 2013 Recent Cumulative No. Western Pacific Regional Office of the World Health Organization WPRO Dengue Situation Update, 2 October 2013 http://www.wpro.who.int/emerging_diseases/denguesituationupdates/en/index.html Regional dengue

More information

Bi-weekly Influenza Situation Update

Bi-weekly Influenza Situation Update Bi-weekly Influenza Situation Update 16 January 2018 Virological Surveillance Summary The total number of specimens and number of positive specimens reported to FluNet by the Western Pacific Region countries

More information

REVIEW OF TUBERCULOSIS EPIDEMIOLOGY

REVIEW OF TUBERCULOSIS EPIDEMIOLOGY Part I REVIEW OF TUBERCULOSIS EPIDEMIOLOGY 1. 2. 3. Estimated Tuberculosis Burden 7 Tuberculosis Case Notification 10 Prevalence and Tuberculin Surveys 22 PART 1 5 TABLE 1: Latest notification of tuberculosis

More information

Annex 2 A. Regional profile: West Africa

Annex 2 A. Regional profile: West Africa Annex 2 A. Regional profile: West Africa 355 million people at risk for malaria in 215 297 million at high risk A. Parasite prevalence, 215 Funding for malaria increased from US$ 233 million to US$ 262

More information

Public Health Emergencies Preparedness Planning in the Aviation Sector: The CAPSCA - Asia Pacific Story

Public Health Emergencies Preparedness Planning in the Aviation Sector: The CAPSCA - Asia Pacific Story Public Health Emergencies Preparedness Planning in the Aviation Sector: The CAPSCA - Asia Pacific Story 3 rd CAPSCA Global Coordination Meeting & 4 th CAPSCA Americas Meeting Santiago, Chile; 8 to 12 October

More information

Influenza Situation Update

Influenza Situation Update http://www.wpro.who.int/emerging_diseases/influenza/en/index.html Influenza surveillance summary This surveillance summary includes countries where routine surveillance is conducted and information is

More information

Trends of Pandemics in the 21 st Century

Trends of Pandemics in the 21 st Century Trends of Pandemics in the 21 st Century 1 H5N1 influenza, Hong Kong, 1997: 18 human infections/6 deaths 500 450 400 350 300 250 200 150 100 50 0 #H5N1 #sampled Parks Live domesticated foul markets Source:

More information

Bi-weekly Influenza Situation Update

Bi-weekly Influenza Situation Update Bi-weekly Influenza Situation Update 15 August 2018 Virological Surveillance Summary The total number of specimens and number of positive specimens reported to FluNet by Western Pacific Region countries

More information

WCPT COUNTRY PROFILE December 2017 JAPAN

WCPT COUNTRY PROFILE December 2017 JAPAN WCPT COUNTRY PROFILE December 2017 JAPAN JAPAN NUMBERS WCPT Members Practising physical therapists 88,607 Total number of physical therapist members in your member organisation 128,000 Total number of

More information

Influenza Situation Update 11 November 2014 http://www.wpro.who.int/emerging_diseases/influenza/en/index.html Influenza surveillance summary This influenza surveillance summary includes countries where

More information

Essential Medicines. WHO

Essential Medicines. WHO 12 Health Technology and Pharmaceuticals Participants to the Workshop on Pharmaceutical Policies and Access to Good Quality Essential Medicines for Pacific Island Countries observing pharmaceutical services

More information

Population. B.3. HIV and AIDS. There has been mixed progress in reducing new HIV infections and AIDSrelated

Population. B.3. HIV and AIDS. There has been mixed progress in reducing new HIV infections and AIDSrelated Statistical Yearbook for Asia and the Pacific 2013 B. Health B.3. The HIV epidemic has been stabilizing in the Asian and Pacific region overall. However, new HIV infections and AIDS-related deaths are

More information

Public Health Emergencies Preparedness Planning in the Aviation Sector: The CAPSCA - Asia Pacific Story

Public Health Emergencies Preparedness Planning in the Aviation Sector: The CAPSCA - Asia Pacific Story Public Health Emergencies Preparedness Planning in the Aviation Sector: The CAPSCA - Asia Pacific Story 4 th CAPSCA Global Coordination Meeting & 3 rd CAPSCA Europe Meeting Bern, Switzerland; 18 to 21

More information

Bi-weekly Influenza Situation Update

Bi-weekly Influenza Situation Update Bi-weekly Influenza Situation Update 2 January 2019 Virological Surveillance Summary The total number of specimens and number of positive specimens reported to FluNet by Western Pacific Region countries

More information

Emerging TTIs How Singapore secure its blood supply

Emerging TTIs How Singapore secure its blood supply Emerging TTIs How Singapore secure its blood supply Ms Sally Lam Acting Division Director I Blood Supply Management I Blood Services Group I Health Sciences Outline Risk Mitigation Strategies to secure

More information

9/26/2014. Epidemiology of chronic hepatitis B in key priority populations. Declaration of Interest. Advisory. Prevalence - similarities

9/26/2014. Epidemiology of chronic hepatitis B in key priority populations. Declaration of Interest. Advisory. Prevalence - similarities Epidemiology of chronic hepatitis B in key priority populations Declaration of Interest I receive no funding of any kind from any pharmaceutical company Benjamin Cowie WHO Regional Reference Laboratory

More information

Promoting Public Health Dialogue between Asia and Europe

Promoting Public Health Dialogue between Asia and Europe Promoting Public Health Dialogue between Asia and Europe ASEF Public Health Network Joint ECDC and ASEF workshop How can we be better prepared for the next global health threat? Planning and implementing

More information

TUBERCULOSIS CONTROL IN THE WHO WESTERN PACIFIC REGION In the WHO Western Pacific Region 2002 Report

TUBERCULOSIS CONTROL IN THE WHO WESTERN PACIFIC REGION In the WHO Western Pacific Region 2002 Report TUBERCULOSIS CONTROL IN THE WHO WESTERN PACIFIC REGION 2000 Tuberculosis Control In the WHO Western Pacific Region 2002 Report World Health Organization Office for the Western Pacific Region iii TUBERCULOSIS

More information

Asia: Portrait of a Changing Region

Asia: Portrait of a Changing Region Asia: Portrait of a Changing Region December 2004: Indian Ocean Earthquake and Tsunami: 230,000 dead October 2005: Kashmir Earthquake: 80,000 dead May 2008: Sichuan Earthquake: 70,000 dead Kashmir EURASIA

More information

Western Pacific Regional Office of the World Health Organization.

Western Pacific Regional Office of the World Health Organization. Western Pacific Regional Office of the World Health Organization WPRO Influenza Situation Update, 19 November 2013 http://www.wpro.who.int/emerging_diseases/influenza/en/index.html SUMMARY Northern Hemisphere

More information

Tuberculosis Control

Tuberculosis Control 2005 Report Tuberculosis Control in South-East Asia and Western Pacific Regions A Bi-Regional Report World Health Organization South-East Asia Region Western Pacific Region TUBERCULOSIS CONTROL in South-East

More information

Health Security in Southeast Asia

Health Security in Southeast Asia Health Security in Southeast Asia J. Kevin Baird, Ph.D. P.T. Hygienica Jakarta Health Risks & Security What is health security? Awareness of possible threats Monitoring likely threats Minimizing likely

More information

Bi-weekly Influenza Situation Update

Bi-weekly Influenza Situation Update Bi-weekly Influenza Situation Update 24 October 2017 Virological Surveillance Summary The total number of specimens and number of positive specimens reported to FluNet by the Western Pacific Region countries

More information

Main developments in past 24 hours

Main developments in past 24 hours ECDC DAILY UPDATE Pandemic (H1N1) 2009 Update 02 October 2009, 09:00 hours CEST Main developments in past 24 hours Weekly Influenza Surveillance Overview to be published today; Media highlights and Eurosurveillance

More information

Influenza Situation Update 14 October 2014 http://www.wpro.who.int/emerging_diseases/influenza/en/index.html Influenza surveillance summary This surveillance summary includes countries where routine surveillance

More information

Legend: No confirmed case With confirmed case No case based data

Legend: No confirmed case With confirmed case No case based data Volume 10 Issue 4 il 2016 ISSN 1814 3601 Figure 1. Distribution of confirmed measles cases with rash onset 1 31 ch 2016, WHO Western Pacific Region Legend: No confirmed case With confirmed case No case

More information

Figure 1. Incidence rate of total (confirmed and compatible) measles cases with rash onset 1 31 December 2018, WHO Western Pacific Region

Figure 1. Incidence rate of total (confirmed and compatible) measles cases with rash onset 1 31 December 2018, WHO Western Pacific Region Volume 13 Issue 1 uary 2019 ISSN 1814 3601 Figure 1. Incidence rate of total ( and compatible) measles cases with rash onset 1 31 ember, WHO Western Pacific Region Legend: No cases

More information

Figure 1. Distribution of confirmed measles cases with rash onset 1 31 December 2014, WHO Western Pacific Region

Figure 1. Distribution of confirmed measles cases with rash onset 1 31 December 2014, WHO Western Pacific Region Volume 9 Issue 1 uary 2015 ISSN 1814 3601 Figure 1. Distribution of confirmed measles cases with rash onset 1 31 ember 2014, WHO Western Pacific Region Legend: No confirmed case With confirmed case No

More information

Influenza surveillance summary

Influenza surveillance summary http://www.wpro.who.int/emerging_diseases/influenza/en/index.html Influenza surveillance summary This influenza surveillance summary includes countries where routine surveillance is conducted and information

More information

AUSTRALIA. WCPT COUNTRY PROFILE December 2018

AUSTRALIA. WCPT COUNTRY PROFILE December 2018 AUSTRALIA WCPT COUNTRY PROFILE December 2018 17,900 30,351 143,585 280,322 1,583,361 420,254 AUSTRALIA NUMBERS 35000 30000 25000 20000 15000 10000 5000 0 Physical therapists in the country Members in MO

More information

Pandemic H1N Dr. Maria Neira Global Influenza Programme WHO, Geneva

Pandemic H1N Dr. Maria Neira Global Influenza Programme WHO, Geneva Pandemic H1N1 2010 Dr. Maria Neira Global Influenza Programme WHO, Geneva WHO Role during pandemic (H1N1) 2009 Under the International Health Regulations (2005) Detect event (notification by Member States

More information

This presentation discusses

This presentation discusses Unpaid Work An Obstacle to Gender Equality and Economic Empowerment including Women s Labour Force Participation Indira Hirway Centre For Development Alternatives, India Expert Trigger Presentation Sex-disaggregated

More information

Global and Regional Strategies for HPAI and CSF

Global and Regional Strategies for HPAI and CSF Global and Regional Strategies for HPAI and CSF 2 Key Strategic Approach Strengthening of Veterinary Services and related national capacity, including compliance with OIE standards and guidelines on quality

More information

GLOBAL AND REGIONAL SITUATION OF AVIAN INFLUENZA

GLOBAL AND REGIONAL SITUATION OF AVIAN INFLUENZA GLOBAL AND REGIONAL SITUATION OF AVIAN INFLUENZA Dr Gounalan Pavade OIE Regional Expert Group Meeting for the Control of Avian Influenza in Asia Sapporo, Japan 3-5 October 2017 1 Avian influenza Outbreaks

More information

2009 Report. Tuberculosis Control. in the Western Pacific Region

2009 Report. Tuberculosis Control. in the Western Pacific Region 2009 Report Tuberculosis Control in the Western Pacific Region Prepared by Dr Angelito Bravo was the lead author of this report. The following WHO staff from the regional and the country offices contributed

More information

SDG Target 16.1 Measuring the prevalence of physical, psychological and sexual violence

SDG Target 16.1 Measuring the prevalence of physical, psychological and sexual violence 1 SDG Target 16.1 Measuring the prevalence of physical, psychological and sexual violence Jessica Gardner Violence against Women (VAW) Data Analyst Dr. Henriette Jansen International Researcher Violence

More information

Health Task Force Workplan

Health Task Force Workplan 2006/SOM 3/HTF/021 Agenda Item: VI Health Task Force Workplan 2006-2007 Purpose: Information Submitted by: Chair Health Task Force Meeting Da Nang, Viet Nam 14 15 September 2006 APEC HEALTH TASK FORCE

More information

ASEAN+3 FETN. ASEAN Plus Three Field Epidemiology Training Network

ASEAN+3 FETN. ASEAN Plus Three Field Epidemiology Training Network Working Collaboratively to Build National & Regional Capacity through Field Epidemiology Training June 2012 TABLE OF CONTENTS Foreword v 1 Introduction 2 Who We Are 4 Focal Points 5 Strategies & Workplan

More information

Summary and Recommendations - APEC Dialogue on Avian Influenza Risks in the Live Bird Market System (LBMS)

Summary and Recommendations - APEC Dialogue on Avian Influenza Risks in the Live Bird Market System (LBMS) 2008/ATCWG12/031 Agenda Item: XII Summary and Recommendations - APEC Dialogue on Avian Influenza Risks in the Live Bird Market System (LBMS) Purpose: Information Submitted by: United States 12 th Agricultural

More information

Dengue Situation Update Number 534. Update on the Dengue situation in the Western Pacific Region

Dengue Situation Update Number 534. Update on the Dengue situation in the Western Pacific Region Dengue Situation Update Number 534 16 January 2018 Update on the Dengue situation in the Western Pacific Region Northern Hemisphere Cambodia As of 2 January 2018, a total of 3,216 suspected dengue cases

More information

Legend: No confirmed case With confirmed case No case based data

Legend: No confirmed case With confirmed case No case based data Volume 11 Issue 1 uary 2017 ISSN 1814 3601 Figure 1. Distribution of confirmed measles cases with rash onset 1 31 ember, WHO Western Pacific Region Legend: No confirmed case With confirmed case No case

More information

SEVERE ACUTE RESPIRATORY SYNDROME (SARS) Regional Response

SEVERE ACUTE RESPIRATORY SYNDROME (SARS) Regional Response SEVERE ACUTE RESPIRATORY SYNDROME (SARS) Regional Response SARS Preparedness and Response Team World Health Organization Western Pacific Regional Office Western Pacific Region of WHO Jilin Ulaanbaatar

More information

Update on the Dengue situation in the Western Pacific Region

Update on the Dengue situation in the Western Pacific Region Dengue Situation Update Number 537 27 February Update on the Dengue situation in the Western Pacific Region Northern Hemisphere Cambodia As of 2 February, a total of 132 suspected dengue cases have been

More information

JOINT STATEMENT OF ASEAN PLUS THREE HEALTH MINISTERS SPECIAL MEETING ON EBOLA PREPAREDNESS AND RESPONSE Bangkok, Thailand, 15 December 2014

JOINT STATEMENT OF ASEAN PLUS THREE HEALTH MINISTERS SPECIAL MEETING ON EBOLA PREPAREDNESS AND RESPONSE Bangkok, Thailand, 15 December 2014 JOINT STATEMENT OF ASEAN PLUS THREE HEALTH MINISTERS SPECIAL MEETING ON EBOLA PREPAREDNESS AND RESPONSE Bangkok, Thailand, 15 December 2014 We, the Health Ministers of Brunei Darussalam, Cambodia, Indonesia,

More information

Recommended composition of influenza virus vaccines for use in the 2007 influenza season

Recommended composition of influenza virus vaccines for use in the 2007 influenza season Recommended composition of influenza virus vaccines for use in the 2007 influenza season September 2006 This recommendation relates to the composition of vaccines for the forthcoming winter in the southern

More information

Legend: No confirmed case With confirmed case No case based data

Legend: No confirmed case With confirmed case No case based data Volume 11 Issue 3 ch ISSN 1814 3601 Figure 1. Distribution of measles cases with rash onset 1 28 ruary, WHO Western Pacific Region Legend: No case With case No case based data Dots are placed at random

More information

Figure 1. Distribution of confirmed measles cases with rash onset 1 30 September 2014, WHO Western Pacific Region

Figure 1. Distribution of confirmed measles cases with rash onset 1 30 September 2014, WHO Western Pacific Region Volume 8 Issue 10 ober 2014 ISSN 1814 3601 Figure 1. Distribution of confirmed measles cases with rash onset 1 30 tember 2014, WHO Western Pacific Region 1 dot = 1 case Legend: No confirmed case With confirmed

More information

Antimalarial drug resistance

Antimalarial drug resistance Antimalarial drug resistance Md Mushfiqur Rahman*, Leonard Ortega**, R M Rastogi* and Krongthong Thimasarn* Abstract Antimalarial drug resistance is of great concern in the WHO South-East Asia (SEA) Region.

More information

INTERNATIONAL HEALTH REGULATIONS

INTERNATIONAL HEALTH REGULATIONS W O R L D H E A L T H ORGANIZATION ORGANISATION MONDIALE DE LA SANTÉ REGIONAL OFFICE FOR THE WESTERN PACIFIC BUREAU RÉGIONAL DU PACIFIQUE OCCIDENTAL REGIONAL COMMITTEE WPR/RC63/9 Sixty-third session 29

More information

Dengue Situation Update Number Update on the Dengue situation in the Western Pacific Region

Dengue Situation Update Number Update on the Dengue situation in the Western Pacific Region Dengue Situation Update Number 517 23 May 2017 Update on the Dengue situation in the Western Pacific Region Northern Hemisphere Cambodia As of 16 May 2017, a total of 302 suspected cases of dengue fever

More information

HIV Drug Resistance Surveillance and Monitoring in the Southeast Asia Region

HIV Drug Resistance Surveillance and Monitoring in the Southeast Asia Region HIV Drug Resistance Surveillance and Monitoring in the Southeast Asia Region Padmini Srikantiah, MD MPH HIV/AIDS Unit WHO- Regional Office for Southeast Asia The HIV epidemic in Southeast Asia Estimated

More information

MONTHLY NOTIFIABLE DISEASE SURVEILLANCE REPORT

MONTHLY NOTIFIABLE DISEASE SURVEILLANCE REPORT ISSN 2324-254X May 2016 MONTHLY NOTIFIABLE DISEASE SURVEILLANCE REPORT Data contained within this monthly report is based on information recorded on EpiSurv by Public Health Service (PHS) staff as at 20

More information

CIDRAP Leadership Forum Infectious Disease BRIEFING

CIDRAP Leadership Forum Infectious Disease BRIEFING Center for Infectious Disease Research and Policy University of Minnesota CIDRAP Leadership Forum Infectious Disease BRIEFING December 13 th, 2017 CLF BRIEFING HOT TOPICS 1. Influenza (surveillance, vaccine,

More information

The Antibiotic Resistance Laboratory Network

The Antibiotic Resistance Laboratory Network The Antibiotic Resistance Laboratory Network 1 Antibiotic Resistance in the United States Sickens >2 million people per year Kills at least 23,000 people each year Plus 15,000 each year from C. difficile

More information

Figure 1. Incidence rate of total (confirmed and compatible) measles cases with rash onset 1 31 December 2017, WHO Western Pacific Region

Figure 1. Incidence rate of total (confirmed and compatible) measles cases with rash onset 1 31 December 2017, WHO Western Pacific Region Volume 12 Issue 1 January 2018 ISSN 1814 3601 Figure 1. Incidence rate of total ( compatible) measles with rash onset 1 31 ember, WHO Western Pacific Region Legend: Pacific isl countries areas No

More information

The Scaling-up of TB/HIV Collaborative Activities in the Asia-Pacific

The Scaling-up of TB/HIV Collaborative Activities in the Asia-Pacific Health System Strengthening and Sustaining the Response The Scaling-up of TB/HIV Collaborative Activities in the Asia-Pacific Jintana Ngamvithayapong-Yanai, Ph.D. On behalf of TB/HIV Working Group, the

More information

The Threat of Emerging Infectious Diseases in Asia

The Threat of Emerging Infectious Diseases in Asia The Threat of Emerging Infectious Diseases in Asia Linfa Wang/Professor and Director EID Program, Duke-NUS Graduate Medical School, Singapore CSIRO Australian Animal Health Laboratory, Geelong, Australia

More information

Geographic Opportunistic Infections

Geographic Opportunistic Infections Epidemiology of HIV Associated Opportunistic Infections in the United States Siriluck Anunnatsiri, MD Division of Infectious Diseases and Tropical Medicine Department of Medicine, Khon Kaen University

More information

Regional GF-TADs for Asia and the Pacific - Progress report -

Regional GF-TADs for Asia and the Pacific - Progress report - Regional GF-TADs for Asia and the Pacific - Progress report - Hirofumi Kugita OIE Regional Representative for Asia and the Pacific Bangkok, Thailand, 16-17 July 2014 Contents GF-TADs Structure and Governance

More information

Biosecurity and Emerging Threats

Biosecurity and Emerging Threats Biosecurity and Emerging Threats Dr Belinda Herring Sexually Transmitted Infections Research Centre University of Sydney Biosecurity Biosafety Breaches 2007 - Institute for Animal Health, Pirbright, UK

More information

Nosocomial Infections. Khachornsakdi Silpapojakul MD Prince of Songkla University Hat yai, Thailand

Nosocomial Infections. Khachornsakdi Silpapojakul MD Prince of Songkla University Hat yai, Thailand Nosocomial Infections Khachornsakdi Silpapojakul MD Prince of Songkla University Hat yai, Thailand What? Nosocomial comes from the Greek word nosokomeion meaning hospital (nosos = disease, komeo = to take

More information

BULLETIN. World Health Organization, Western Pacific Regional Office, Manila, Philippines Issue 8 January 2006 ISSN

BULLETIN. World Health Organization, Western Pacific Regional Office, Manila, Philippines Issue 8 January 2006 ISSN BULLETIN World Health Organization Regional Office for the Western Pacific Expanded Programme on Immunization World Health Organization, Western Pacific Regional Office, Manila, Philippines Issue 8 January

More information

Cross-Border Cooperation in the Global Fight against Communicable Diseases

Cross-Border Cooperation in the Global Fight against Communicable Diseases "Cross-Border Cooperation in the Global Fight against Communicable Diseases," East Asian Regional Cooperation in the Fight Against HIV/AIDS, Tuberculosis, and Malaria; (Beijing Conference, 2006), Tokyo:

More information

Western Pacific Regional Office of the World Health Organization

Western Pacific Regional Office of the World Health Organization Western Pacific Regional Office of the World Health Organization WPRO Influenza Situation Update, 30 July 2013 http://www.wpro.who.int/emerging_diseases/influenza/en/index.html SUMMARY Northern Hemisphere

More information

REVIEW OF 6GCHP FROM WPR COUNTRIES. 11 August 2005

REVIEW OF 6GCHP FROM WPR COUNTRIES. 11 August 2005 REVIEW OF 6GCHP FROM WPR COUNTRIES 11 August 2005 Malaysia Brunei 6GCHP Proud to be part of this historic conference Timely Two decades after Ottawa Early 21 century Theme - relevant Strength in Diversity

More information

AI surveillance of domestic birds in Vietnam. Under the OIE/Japan Trust Fund Project (JTF) for Strengthening HPAI Control in Asia,

AI surveillance of domestic birds in Vietnam. Under the OIE/Japan Trust Fund Project (JTF) for Strengthening HPAI Control in Asia, AI surveillance of domestic birds in Vietnam Under the OIE/Japan Trust Fund Project (JTF) for Strengthening HPAI Control in Asia, 2008-2012 Kenji Sakurai, OIE Asia-Pacific Tokyo, 13-14 December 2012 Contents

More information

Experiences on Workforce Development in Other Regions

Experiences on Workforce Development in Other Regions Experiences on Workforce Development in Other Regions The USA Experience John MacArthur, MD, MPH (EIS 98) Director Thailand MOPH US CDC Collaboration CDC/Southeast Asia Regional Office Epidemic Intelligence

More information

TREAT Asia Education and Training Program

TREAT Asia Education and Training Program TREAT Asia Education and Training Program TREAT Asia Network Annual Meeting Chiang Mai, Thailand 11 November 2011 Phiangjai Boonsuk Education and Training Project Manager Outline TREAT Asia training calendar

More information

Emerging infections. Perspectives. Examples. How to predict/ prepare/ prevent/ handle

Emerging infections. Perspectives. Examples. How to predict/ prepare/ prevent/ handle Emerging infections Perspectives Examples How to predict/ prepare/ prevent/ handle Perspective on infectious disease One can think of the middle of twentieth century as the end of the most important social

More information

The Scaling-up of TB/HIV Collaborative Activities in the Asia-Pacific

The Scaling-up of TB/HIV Collaborative Activities in the Asia-Pacific Health System Strengthening and Sustaining the Response The Scaling-up of TB/HIV Collaborative Activities in the Asia-Pacific Jintana Ngamvithayapong-Yanai, Ph.D. On behalf of TB/HIV Working Group, the

More information

When the last member of a species dies without any surviving

When the last member of a species dies without any surviving 89 Here Today, Gone Tomorrow? TA L K I N G I T OV E R When the last member of a species dies without any surviving offspring, we say that that species has become extinct. Every species alive today is related

More information