Health Security Workshop: How to benefit from European projects? An EU Member State Initiative to disseminate the results of the 2 nd EU Health Programme (2008-2013) in the health security area 13-14 November 2014 Brussels Metropole hotel Place de Brouckère 31, 1000 Brussels, Belgium --------------------------------------------------------------------------------------------------------------------------------- DAY 1: 9.30-10.00 Registration 10.00-10.30 Welcome and introduction of the workshop Representative of the Belgian Federal Public Service, Health, Food chain safety and environment Mr Paolo Guglielmetti, policy officer, Health Treats unit of the European Commission, Directorate Health and Food Safety Mr Jacques Remacle, Head of Health Unit, Consumers, Health and Food Executive Agency (CHAFEA, EC), 10.30-11.00 EU Decision on serious cross border threats to health. Implementation of the Decision at the national level: Belgian experience Mr Paolo Guglielmetti, policy officer, Health Treats unit of the European Commission, Directorate Health and Food Safety Representative of the Belgian Federal Public Service, Health, Food chain safety and environment 11.00-13.15 Session 1: Risk Management at National Level Chair: Mr Dirk De Groof, Public Health Emergencies, Belgian Federal Public Service Health, Food chain safety and environment Objectives of the session: 1. To demonstrate the impact of their achievements for the improvement of knowledge about the health security at MS level 2. To identify what are the main gaps on health security preparedness and risk management at national level 3. To propose ideas on how to ensure the sustainability of the achievements 4. To identify what are the main future actions for strengthening the preparedness to combat health threats in EU, especially during the future implementation of the Decision (1082/2013) on serious cross border threats to health WHO Direct Grant Agreement on strengthening health system emergency preparedness. Speaker: Ms Corinna Reinicke, World Health Organization, regional office for Europe (15') CriCoRM - project on crisis communication in the area of risk management. Speaker: Ms Grazia Orizio, Local Health Agency for Brescia region (15') 1
Coffee Break (30') RISK ASSETS project on risk assessment and management European Training Programme. Speaker: Ms Raquel Duarte Davidson Public Health England (15') FLURESP project on cost effectiveness assessment of European influenza human pandemic alert and response strategies. Speaker: Mr Ariel Beresniak, Paris Descartes University (15') Discussion/Questions & Answers (30') 13.15-14.45 Lunch break 14.45-17.00 Session 2: Risk Management at Point of Entry Chair: Health Security Committee member (t.b.c) Objectives of the session: 1. To show the effect of the actions and how they have contributed to improve preparedness at Point of Entry (air, sea, ground crossing), focusing on the risk assessment and management capacities for all health threats. 2. To identify what are the main gaps on health security preparedness at Point of Entry. 3. How to ensure the sustainability of the results achieved. 4. To identify what are the priority topics for the planning of future actions for strengthening the preparedness at port of entries. Globalisation and global warming: new health risks study report - specific service. Speakers: Ms Julia Pearce and Mr Richard Amlot, Public Health England (15') SHIPSAN ACT joint action The impact on maritime transport of health threats due to biological, chemical & radiological agents, including communicable diseases. Speaker: Mr Gordon Nichols, Public Health England AIRSAN project focused on control of infectious diseases transmission on the aircrafts. Speaker: Mr Andreas Gilsdorf, Robert Koch-Institute (15') CARRA-NET Specific services for establishing risk assessment networks of toxic industrial chemicals and radioactive threats and risks & ECHEMNET -project on European Chemical Emergency Network). Speaker: Ms Raquel Duarte Davidson, Public Health England (15') CARIMEC Specific services for an inventory of public health measures and medical countermeasures to respond to toxic industrial chemicals and radioactive threats and risks and ASHT III - project on Alerting, Reporting and Surveillance System for Chemical Health Threats, Phase III. Speaker: Mr Rob Orford, Public Health England (15') Discussion/Questions & Answers (30') 2
19.00-21.00 Networking cocktail DAY 2: 9.30-12.30 Session 3: Laboratory preparedness Chair: Health Security Committee Health Security Committee member (t.b.c) Objectives of the session: 1. To demonstrate the impact of their achievements for the improvement of laboratory capacities at MS and EU level 2. To identify what are the main priority areas and gaps on laboratory health security preparedness and risk management at national and EU level 3. To share ideas on how to ensure the sustainability of the achievements 4. To identify what are the main future actions for strengthening the laboratory preparedness to combat health threats in EU EPISOUTH PLUS project on network for the Control of Public Health Threats and other biosecurity risks in the Mediterranean Region and Balkans. Speakers: Ms Maria Grazia Dente & Ms Silvia Declich, Italian National Institute for Health (20') QUANDHIP joint action Quality Assurance Exercises and Networking on the Detection of Highly Infectious Pathogens main results, lessons learnt and how this will be used for the design of the new Joint action on Laboratories of reference for efficient response to highly dangerous and emerging pathogens at EU level. Speaker: Mr Roland Grunow, Robert Koch-Institute Centre for Biological Threats and Special Pathogens and Dr Giuseppe Ippolito, INMI (20') Discussion/Questions & Answers (30') Coffee Break (30') Workshop conclusions (60') 12.30-14.30 Lunch 3
EpiSouth Plus (2010-14) Maria Grazia Dente Communicable Disease Epidemiology Unit National Institute of Health, Rome-Italy Health Security Workshop: How to benefit from European projects? CHAFEA Brussels, 13-14 November 2014
EpiSouth Plus (2010-14) General Objective to increase the health security in the Mediterranean area and South-East Europe by enhancing and strengthening the preparedness to common health threats and bio-security risks at national and regional levels in the countries of EpiSouth Network in the framework of the IHR implementation
Partners in EpiSouth Plus 1. ITALY 2. FRANCE 4. SPAIN 5. BULGARIA 6. CROATIA 7. GREECE 8. MALTA 9. ROMANIA 10. SLOVENIA 11.MECIDS-Middle East Consortium on Infectious Disease Surveillance; 12.WHO-IHR International Health Regulations Coordination, Lyon, France 1. ALBANIA 2. ALGERIA 3. BOSNIA & HERZEGOVINA 4. EGYPT 5. FYROM Former Yugoslav Republic of Macedonia 6. ISRAEL 7. JORDAN 8. KOSOVO 9. LEBANON 10. LIBYA 11. MONTENEGRO 12. MOROCCO 13. PALESTINE 14. SERBIA 15. SYRIA 16. TUNISIA
Collaborating Institutions in EpiSouth Plus 1. ECDC-European Centre for Disease Prevention and Control, Stockholm, Sweden; 2. EUROPEAN UNION DG SANCO Public Health Directorate, Luxembourg; 3. EUROPEAN AGENCY FOR HEALTH AND CONSUMERS, Luxembourg; 4. EUROPEAN UNION EuropeAid, Brussels, Belgium; 5. MOH-Ministry of Health, Rome, Italy; 6. WHO EMRO Regional Office for Eastern Mediterranean, Cairo, Egypt; 7. WHO-EURO Regional Office for Europe, Copenhagen, Denmark; 8. SHIPSAN- Ship sanitation project 9. SEEHN- South East Europe Health network http://www.episouthnetwork.org/
Objectives i. Establishment of a Mediterranean Regional Laboratories Network ii. Promotion of common procedures in Generic Preparedness and Risk Management iii. Enhancing Mediterranean Early Warning Systems and cross-border Epidemic Intelligence iv. Facilitating IHR implementation
1. Network development Methods - The EpiSouth Network was shaped around the definition coined by Chisholm in 1998 that identifies a Network as a set of autonomous organizations that come together to reach goals that none of them can reach separately. -the strategies were considered in the light of critical aspects connected with the desirable long term impact of the results. 2. Implementation of the activities -training needs assessments; -prioritization exercises; -situation analysis; -development of Strategic Documents based on studies and lessons learned; -design and delivery of trainings and technical workshops; -a web based access-restricted platform, to share cross-border alerts for early warning; - a web based portal to disseminate project s information and results.
to a Mediterranean Network of PHI/MoH and LAB (27 Countries: 10 EU, 17 non-eu) Main results and achievements From an European project (9 EU Countries)
Main results and achievements Network development (Public Health Institutes/MoH and Lab)
Training Main results and achievements
Capacity building process Core-Capacity for preparedness Assessments (Epi & Lab training needs) Two Workshops (sharing experiences); Four Trainings (strenghtening capacities: Preparedness & WNV, Dengue & biosafety); EI stages Emergency Preparedness & Response Planning (EPREP) Tool Simulation Exercise (performing) Capacities installed
Identification of priority areas for lab network Sending of a Questionnaire to define the priority areas for the Region (Aug. 2011) West Nile virus, Biosafety and Dengue -first questionnaire (27 countries) to select the Lab to be included in the EpiSouth Lab Network as per set minimum requirements (Lab that are a reference for Dengue and West Nile or the Lab of Virology which are dealing with these pathogens if no specific reference laboratories exist); - second questionnaire to assess the needs of the selected lab; 12
-one-week training on Dengue/Biosafety at Institut Pasteur, Paris (July 2012) -one-week training on WNV at ISCIII, Madrid (June 2013) - Set up an Evaluation Quality Assessment for Dengue and West Nile -«onsite» training Lab capacity building - Stages at the Institut Pasteur 13
3 different tools to share information on public health threats e-web: Weekly epidemiological bulletin n=264 (since March 2008) PUBLIC Thematic Notes ad hoc (CCHF, Melamine, Arenavirus, H1N1, Alkhurma, West Nile, Hajj pilgrimage, Olympic games, FIFA world cup, NCoV, YF, etc.) PUBLIC Secure platform Live For EpiSouth countries CONFIDENTIAL / RESTRICTED
Added Value of the EpiSouth Thematic Notes Availability of an overview on selected health threats from the unique regional perspective of the Mediterranean. Leading to Increased awareness of public health risks from this Mediterranean regional perspective
More than thematic notes annual surveys. Since unprecedent WN outbreak in 2010: close monitoring of the all related events (eweb and Thematic notes) Survey launched in EpiSouth countries during 3 consecutive years: 3 outbreaks documented: 2010, 2011 & 2012. Contribution from FPs and country laboratory contacts Excellent Response rate and countries feedback Articulation with WP4-laboratory
SUPPORT THE IMPLEMENTATION OF IHR IN THE MEDITERRANEAN COUNTRIES The EpiSouth Plus National Situation Analysis (ENSA), was designed to how four countries of the EpiSouth network have addressed coordination of surveillance between PoE and NHS: How the exchange of information is organized; Availability of formal procedures in place and legal constraints; Main strengths and challenges. F. Riccardo, P. Nabeth, G. Priotto, M.G. Dente, A. Leventhal, L. Vellucci, T. F. Melillo, S. A. Saleh, A. Rguig on behalf of the EpiSouth WP7 Steering Team. The EpiSouth Plus Project. Situation analysis on coordination of surveillance between points of entry and the national health system- Methodology Available at: http://www.episouthnetwork.org/sites/default/files/outputs/wp7_ensa_methodology.pdf F. Riccardo, P. Nabeth, G. Priotto, MG. Dente, S. Declich. The EpiSouth Plus Project. WP7 EpiSouth Plus Strategic Document: Coordination of epidemiological surveillance between points of entry and the national health system in the framework of the international health regulations 2005 in the EpiSouth region. Available at: http://www.episouthnetwork.org/.
The EpiSouth National situation analysis Recurring strengths> reccomandations Invest on a solid legal framework that is supportive to the implementation of coordinated surveillance between PoE and NHS in the framework of IHR. This framework should establish a strong link between the IHR NFP and the Competent Health Authorities (CHA) at PoE; Ensure the presence of dedicated personnel covering the function of CHA in PoE. This personnel should work with other actors in the PoE, in liaison with the IHR NFP; Elaborate and update national protocols and local processes and procedures on coordination of human health surveillance between PoE and the NHS; Ensure, through training, that those protocols, processes and procedures are known and applied consistently at central and PoE level.
Networks (Epi & Lab) Sustainability Identification of further needs and priorities New Projects: MediLabSecure MediEpiet Methodology Appropriate/suitable approaches for other initiatives and studies WHO Guidance for PoE Chafea Celeste Study on preparedness Deliverables Possible use in other contexts EPREP tool Lab resources mapping Lab Directory
EpiSouth Project European Health Award 2014 Winner EHFG President Prof Helmut Brand said in his praise of the project: The project is of particular importance for strengthening preparedness to health threats, health security and bio-security, also outside the EU. The achievements of EpiSouthPlus are an eloquent example that in the field of public health, cross-border cooperation is not just useful but, in many cases such as these, simply indispensable The Award is dedicated to all those who have inspired, participated, supported, and advised the EpiSouth Network. It is thanks to those experts that the implementation of the EpiSouth and the EpiSouth Plus Projects activities was possible and that the Projects results were achieved.
The contents of this presentation are the sole responsibility of the authors and can in no way be taken to reflect the views of the European Union. Acknowledgements The EpiSouth-Plus project was co-funded by the European Union DG SANCO/EAHC, now renamed Consumers Health And Food Executive Agency (CHAFEA), and DEVCO/EuropeAid together with the participating national partner Institutions. The financial support of the Italian Ministry of Health and ECDC is also acknowledged.