Emergency Preparedness and Response Plan -

2011

Dr. Ajay KheraDeputy Commissioner

Ministry of Health & FW, Government of India

Outline of the Presentation

Emergency Preparedness Overview of actions at national, state and

district level Current status

Emergency Response – Urgent Actions in response to detection of wild poliovirus (WPV)

“ From now onwards, any wild polio virus from any source will be considered a public health emergency and responded to with urgent mop-ups”

“ Government and partners will deploy additional, highly experienced human resources to ensure that mop-up rounds are of the highest quality”

“ Mop-ups will target both the area of detection of the virus in a case or in the environment and, if there is a clear genetic link, the area of origin of the virus”

Guiding Principles

Actions at National level Central Emergency Preparedness &

Response Group (Central EPRG)

Sufficient buffer stocks of vaccines to undertake mop ups at short notice

Media Response plan

National Actions

Inform Union Health Minister & Secretary

Review findings of field investigation and decide: Area of response Timing of response; number of proposed

rounds Vaccine type

Visit state/districts to review/monitor planning and implementation (members of Central EPRG)

Urgently mobilize appropriate vaccine from buffer stocks

Actions at State level

State Emergency Preparedness & Response Group (State EPRG) in each state

Identification of Rapid Response Team (RRT) members

Identification of high risk districts/ areas and assigning these to senior state officials

Actions to improve SIA and RI coverage in these areas

Communication and media response plan for use following the detection of a wild poliovirus

State Actions Activate State EPRG within 24 hours of

information

Inform Divisional Commissioners and District Magistrates of affected area

Assign geographical areas to RRT members and senior state officials for visit and support

Meet State Steering Committee to seek involvement of non-health departments – Panchayati Raj, Education, Social Welfare, others

Mobilize additional Govt. Medical Officers to mop up districts

District Actions Before mop up

o Mobilize block officials immediately to start preparations for mop up

o District Task Force (DTF) meets within 5 days of information

o Tehsil/ Block Task Force meets within 7 days

o Review all microplans within 10 days

o Re-train all vaccinators and supervisors prior to mop up

o Develop local IEC and media plan

o Plan for intensive monitoring

During mop up Implement under direct oversight of DM

and supervision of CMO

Intensive monitoring by all agencies

Daily review of activity at block and district level by DM, BDOs, CMO, BMOs, central and state monitors

After mop up Implementation report by DM to State

Secretary & State EPRG

District Actions (2)

States with Emergency Preparedness and Response

Group constituted

EPRG formed in 23 States/UTs *

(out of 35 States/UTs)

* Data as on 8 July’11

States with Rapid Response Team Members identified

RRT members identified in 23 States/UTs *

(out of 35 States/UTs)

* Data as on 8 July’11

Trainings of RRT members

Five training programs scheduled to train the identified RRT members across India

More than 125 RRT members will be trained during July-August 2011

High risk areas identification, India

June 2011

~ 150,000 Migrant sites

Migrant sites High risk areas in settled

population

~ 50,000 HR areas in settled population

= 10 Migrant sites = 10 HR sites

Role of NPSP Assist training of Rapid Response Team Members

Support state government to conduct epidemiological investigation in WPV area in collaboration with Immunization Division, NCDC/IDSP and UNICEF

Deploy additional experienced Medical Officers to support planning, training and monitoring in mop up area

Support monitoring of the preparedness and response at the district, state and national levels

Role of UNICEF

Assist training of Rapid Response Team Members on communication and media planning

Conduct communication risk analysis in area of WPV detection

Deploy additional experienced communication experts to guide & support IEC/social mobilization activities

Support state to develop & implement Media strategy

Role of Rotary International

Advocacy at state and district levels

Support IEC/ social mobilization activities & media management in coordination Govt., UNICEF and NPSP

Any other essential emergency support activities

Emergency Response (West Bengal)

Confirmation of polio case on 7 Feb ’11 GoI communication to Chief Secy. (GoI) : 8 Feb Field Investigation (NCDC, NPSP, UNICEF) : 9

Feb Decision on mop up size, date, vaccine (GoI) : 9 Feb Intensified HR plan (WHO - NPSP) : 9 Feb Plan for Support of IEC activities (UNICEF) : 9 Feb 14 SMOs of NPSP arrive in districts (NPSP) : 10

Feb Marker pens procured (Rotary) : 10 Feb District Task Force Mtg. (GoWB) : 10 Feb Coordination mtgs. with partners (Delhi) : 11 Feb Media plan operationalized (UNICEF) : 11 Feb Vaccine arrives in districts (GoI/ GoWB) : 11 Feb

Mop up conducted from 13 Feb’11

Thank You