ASEAN+3 Countries Field Epidemiology Training Network. 24 th January 2011 Holiday Inn, Bangkok, Thailand

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1 ASEAN+3 Countries Field Epidemiology Training Network 24 th January 2011 Holiday Inn, Bangkok, Thailand

2 F E T P A Capacity Building Program in Epidemiology and Public Health Thailand Ministry of Public Health World Health Organization Centers for Disease Control and Prevention

3 Philosophy and Focus of FETP Learning by doing Surveillance Monitoring and early detection of health problems Investigation & Field Research Response to disease outbreaks and others Training Creating a network

4 Ministry of Public Health Office of Permanent Secretary Department of Disease Control Department. Provincial Health office Hospitals/ Health Centers Bureau of GCD Bureau of AIDS,STD,TB Bureau of VBD Bureau of Epidemiology FETP

5 Investigation of Avian Influenza Outbreak in Rural Community of Thailand, 2004

6 FETP Development in Thailand FETP for Veterinarians (FETPV) 2001 WHO Designated Collaborating Centre 1998 International FETP-Thailand 1985 FETP approved for Board of Preventive Medicine 1980 FETP established by MOPH/WHO/CDC 1972» Division of Epidemiology 1970» Epi. Office» Office of Permanent Secretary Started National Notifiable Disease System (14 diseases)

7 Cases Number of avian influenza (H5N1) cases by week of illness onset, Thailand (N=25) 3 2 Training Veterinarians week Source: Bureau of Epidemiology

8 Flood-related Leptospirosis Outbreak in Nan Province, 2006

9 First School Outbreak of Novel H1N1 2009, Thailand

10 Distribution of FETP graduates (N=190) Autonomous People Organization (6) International organization (13) UNAIDS, UNDP, WHO, US CDC Self-employed (10) Other Ministries (20) Universities (5) Army/Navy (7) Agriculture (8) Cambodia (7) China (6) Lao PDR (5) Malaysia (5) Myanmar (4) Vietnam (6) Ministry of Health (108) Central level (55) Provincial level (53) Data as of June

11 Number of Graduates from IFETP, FETP TOT and Current Fellows by Country, (n = 41) Bhutan, 1 Taiwan, 1 Vietnam, 6 Bhutan Cambodia, 7 Cambodia Myanmar, 5 China China, 9 Indonesia Malaysia, 5 Lao PDR. Malaysia Lao PDR., 6 Myanmar Taiwan Indonesia, 1 Vietnam 36 graduates 5 current trainees

12 Joint outbreak investigation & surveillance study

13 Joint outbreak investigation & surveillance study

14 Needs for FETP Graduates in Thailand 10-year Master Plan: 200 FETP graduates 2 in each province

15 Public Health Emergency Response Team National Level FETP (MD & DVM) 2-year training Subnational Level (Provincial Level) SRRT (Public Health/Animal Health/Laboratory) 6-month training Local Level Public Health Volunteer/ Livestock Volunteers/Wildlife Park Rangers One Health Concept

16 ASEAN+3 Countries Field Epidemiology Training Network for ASEAN Community 2015

17 Thank you

18 Thank you

19 2. Field Epidemiology Training Network FET Network is a field-based epidemiology training network, based on in-service training concept among ASEAN+3countries that collectively works for the goal of Healthy People, Healthy Region Main objectives of the FET network are: 1.1 Enhance capacity of member countries in field-based epidemiology training 1.2 Promote career ladders of field epidemiologists in public health service of member countries 1.3 Co-operate and synergistically respond to outbreaks or public health emergency of international or of regional concern.

20 Expected outcomes of Field Epidemiology Training Network Immediate: Start the network, agree upon a draft MOU by 25 Jan. 2011, for endorsement by health ministers by 2012 Medium: Draft guiding principles and work plan ( ), obtain endorsement by senior official of all member countries by 2011 Long term: Mobilize resource and implement of major collaborative projects/activities Review the program annually for its progress and policy implications in disease control.

21 Formulation of ASEAN+3 FET Network Meeting, January 2011 Meeting Objective: 1. To discuss and agree on the guiding principles, mechanisms and processes in establishing the ASEAN+3 Field Epidemiology Training Network Expectation: 1. A spirit of commitment and networking among members in ASEAN+3 and with partners around the world 2. A draft MOU of the ASEAN+3 Field Epidemiology Training Network to be considered by their Secretaries of Health by 2012.

22 Agenda Formulation of ASEAN+3 FET Network Meeting, January Special guest speakers - Group discussion and present results Participants: approx. 60 persons - 26 persons: 2 persons for each countries (Brunei, Cambodia, Indonesia, Lao PDR, Malaysia, Myanmar, Philippines, Singapore, Thailand, Vietnam, China, Japan and South Korea) - 15 persons from WHO (WPRO/SEARO/WR Thailand), TUC, RF, UNAIDS, FAO, UN OCHA, MBDS, NTI, COARDS persons from Ministry of Foreigner Affair, MOPH Thailand, Division of Planning, Bureau of Strategic and Policy, Bureau of International Health, Bureau of Epidemiology and others.

23 1. Background (cont.) Field Epidemiology Training Program or FETP is a field-based training program to grow a commit and competent epidemiologist who can really serve the Ministry of Health in disease control and health protection. FETP involve directly in surveillance and investigation and study of outbreak. In ASEAN+3 countries, FETP in Thailand, Phillippines, Indonesia (1980s), EIP Malaysia (2004). Cambodia, Lao PDR and Vietnam (2009) and Singapore also started the program after the outbreak of SARS and H5N1. Although Myanmar and Brunei do not have conventional FETP but there is national unit responsible for providing short training for epidemiologist. For the plus three countries, China, Japan and Korea already established the program.

24 Joint Statement of ASEAN+3 Ministers of Health Meeting, 26 April 2003 Request Thailand, as the coordinator of the ASEAN Epidemiologic Network to strengthen capacity building for epidemiological surveillance

25 Joint Statement of 4th ASEAN+3 Health Ministers Meeting, 23 July 2010 We support the development of networking Among field epidemiology training programmes in ASEAN and Plus Three Countries.

26 Network of Field Epidemiology

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