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FAO/WHO/USAID development of integrated desktop simulation exercises on
avian influenza in animal and human populations for Eurasia
Dr. Katinka de Balogh
Overview
๏ Emergency preparedness and simulation exercises
๏ The Armenia pilot desktop simulation exercise
๏ The Albania desktop simulation exercise
๏ Upcoming simulation exercises (Azerbaijan, regional)
๏ Lessons Learned
2
Overall Aim of FAO/WHO/USAID project
๏ Enhanced preparedness and capacity of countries to face outbreaks of HPAI and other zoonotic diseases in animal and human populations
๏ Integration of animal and human health components of contingency plans
๏ Improved communication, coordination and chain of command between the different sectors involved.
3
Preparedness planning
๏ political commitment for preparedness planning๏ funding made available๏ persons identified to write the plan or provide
inputs
๏ Plan adapted to the prevailing reality considering:- legislation- structures and mechanisms- chain of command- emergency resources- contingency plans/SOPs- capacity building needs, etc
4
Preparedness planning
Evaluating preparedness through simulations:
- tabletop
- field
- combined tabletop and field
- computer
5
Country free of HPAI
HPAI cases in humans
HPAI outbreaksin animals
(domestic/wildlife)
Preparedness planning
Control activities
6
Preparedness Planning
7
Start-up of the FAO/WHO/USAID project
๏ contracting the Health Protection Agency (UK)exercise teamhttp://www.hpa.org.uk
๏ Feb. 2007 Rome meeting at FAO with WHO, USAID, HPA, resource persons, Armenia delegates to develop 1st pilot exercise for Armenia
8
The tabletop exercise
->define clearly the aim of the exercise
-> realistic scenario
-> participants carefully selected
(stakeholders)
-> available contingency plan available?
-> ‘lessons learned’ to adapt exercise
integrated simulation exercise for avian influenza in
animal and human populations
9
The pandemic phases
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Pre-event
๏ mission to country to host exercise (lead organisation)
๏ status of plans
๏ interest of MoA and MoH
๏ identify potential participants
๏ official letter
๏ determine dates
๏ focal points, scenario writer(s) ( training in UK)
๏ possible venue
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Selecting the venue
๏ The main room:- space- carpet- electricity connections- round tables- event control table- observer tables- registration table (outside)-equipment
๏ coffee and tea, snacks ad libitum in room
๏ catering/lunch, reception
12
Selecting the venue
๏ translation facilities
- simultaneous
- for documentation
๏ computer
๏ printing, copying facilities
๏ projections
๏ microphones (mobile)
13
Past exercises
๏ one day (Armenia)
๏ two days (Albania, Azerbaijan)
๏ number of participants: max. 50 (+observers) 8-10 persons/round-table
๏ Ministry level, technical and local authorities
14
Session set ups
๏ plenary sessions (simultaneous translation)
๏ working group sessions (whispering translation for observers)
๏ special programme for observers
๏ simulated press releases and press conference
15
Exercise Agenda
0830 Arrival and registration (including refreshments)
0900 Welcome IntroductionExercise Briefing
1030
1200
Session 1 – Day 1Players work in groups (at tables)Plenary feedback
1230 Lunch
131513201515
Session 2 – Day 10Players work in groups (at tables)Plenary feedback
1530 Session 3 – Day 50Players work in groups (at tables)
1630 Plenary feedback & Player Hot Debrief
1700 Depart
16
Exercise Structure Armenia
Inter Ministerial Task Force (incl. other Ministries)
Local Commission(incl. Community Level)
Expert Group
Rapid Response Team
Observers
GROUPS:
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The methodology
Scenarios
Session 1: first outbreak of HPAI in animals suspected
Session 2: outbreaks in animals confirmed first human cases,
Session 3: human fatalities due to H5N1
Session 4: situation gets under control, rehabilitation phase
18
Scenarios and Injects
Create situations; provide specific instructions or data; keeps the scenario on track
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Answer sheets
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Injects – Answer Sheets
21
Lessons learned
Armenia
๏ one day
๏ homogenous groups
๏ low interaction between groups
๏ observers got some injects
๏ facilitators briefed
๏ follow-up meeting
Albania
๏ two days
๏ mixed groups
๏ mock press conference
๏ neigbouring countries as observers (special programme provided)
๏facilitators trained
๏ action plan followed by donor meeting
22
Some lessons learned
- buy in of country
- involvement of different sectors
- language (translations)
- new working methods/interactive
- need for good organisation and facilitation- time-limit, what is achievable?
- how to enhance discussions between groups
- importance of a very good event control team
- clear follow-up after the simulation
23
Follow-up in country after exercise
๏ Presentation of Exercise report
๏ Identified needs discussed in country
๏ Elaboration of Action plan in country
๏ Presented to donors for funding
๏ Improvement of country preparedness
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Upcoming activities
๏ national exercise in Azerbaijan (1-2 July 2008)
๏ development of regional simulation exercise (fall 2008)
๏ regional exercise for the Balkan countries (end 2008/early 2009)
25
Regional exercise
Issues to be addressed:
- cross border communication and cooperation
- outbreak communication
- cross border movement (control)
- harmonization of procedures (eg.compensation)
- how to deal with outbreak in border area
- - etc
26
emergency preparedness is a continuous process
desktop simulation exercise is a useful tool to assess the contingency plan and communication mechanisms
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Thank you for your attention!
28
Questions?
31