ASSESSMENT OF NEEDS: COUNTRY PERSPECTIVES AND EXPERIENCES OF 

PVS AND IHR 

Teerasak ChuxnumBureau of EpidemiologyMinistry of Public Health

THAILAND

INTERNATIONAL HEALTH REGULATIONS : IHR 2005

Thailand National Core Capacity

Adopted by 58th WHA 23 May 2005

Thai Cabinet accepted 5 June 2007

Entered to force on 15 June 2007

IHR Committee Review plan 20

Communicable Disease Acts 1980

Port Health Authority

Cholera, Yellow fever, Tuberculosis

INTERNATIONAL HEALTH REGULATIONS : IHR 2005

Thailand National Core CapacityCapacities

• Legal framework

• Coordination and collaboration

• Epidemiology Surveillance

• RapidResponse

• HospitalPreparedness and Infection Control

CommitteesPublic Health

emergencysurveillance

Laboratory System

Point of Entry IntegratedCoordination Global Health Security Agenda

Thailand Development on IHR&PVS&GHSA

Timeline in years 

2007 2009 2012 2014 2018

Planning Implementation

2 + 3 + (2) + 5

Extension

GHSA

Strengthen

PVS

National Focal Point

International Health Regulation 2005

Core Capacities Legislation and policy  Coordination and Communications  Surveillance

Response for PHEIC Preparedness Risk Communication Human Resource Capacity Laboratory

Diseases and hazards 

Infectious  Zoonosis Food safety Chemical event Radiation emergency

Point of Entry 

PREVENT

• Antimicrobial resistance; AMR

• Zoonosis; ZOO• Food Safety; FOOD• Chemical; CHEM• Radiological and Nuclear; RAD

• Hospital Infection Control; IC

DETECT

• Laboratory; LAB• Point of Entry; PoE• Situation Awareness Team; SAT

RESPOND

• Surveillance Rapid and Response Team; SRRT

• Emergency Operation Center; EOC

Field Epidemiology Training Program; FETP 

Global Health Security Agenda (GHSA)

PVS ??

GAP: Institutional owner and bureaucratic procedure

National Committee on AI 

Response & Pandemic Influenza 

Preparedness

GovernmentNational EIDs Strategic Plan

(2013-2016)

Emerging Infectious Diseases 

preparedness & response

Rational for using a multi‐sectoralapproach

The outbreaks of SARS and HPAI sent an alarm to the world regarding the pandemic threats that human beings are confronting

Thailand has developed a new 5‐year National Strategic Plan for EIDs Preparedness, Prevention and Control 2013‐2016

The key emphasis is the importance of an interdisciplinary and multi‐sectoral collaboration using the One Health approach 

Thailand’s    National Strategic Plan for Emerging Infectious Disease Preparedness, Prevention and Response  2013‐2016

Improve  EID preparedness and to strengthen the capacity of the key government employees responsible for human, animal and wildlife health 

Strategy Preparedness Prevention and Resolved National Emerging Infectious Diseases

(2013-2016)Strategy 1 : Strengthen disease surveillance, prevention,  treatment  and  control  systems  on  the basis of  “One Health” conceptStrategy 2  :  Strengthen  systems  to enhance disease‐free  animal  husbandry,  improve  animal  health  and health of wild animals Strategy  3  :  Intensify  knowledge  management systems  and promote  research  and development on EIDs Strategy  4  :  Establish  integrated  management  of preparedness  and  response  for  public  health emergencies Strategy  5  :  Enhance  public  information,  education and communication on EIDs

Strengthening collaborations among multi‐sectoral units in each level

FETP/

FETPV/FETPW 

SRRT(Public Health/Animal Health/Environmental Health/Laboratory)

Public Health Volunteers/Animal Health Volunteers/Wildlife Park 

Rangers/Zoo Keepers

Surveillance under “One  Health” Concept

Advanced level

Intermediate level

Basic level

National

Provincial

Community

SRRT: MD, DVM, Health Officers, Lab Scientists, Pathologists, 

Wildlife Experts

Hospital

Laboratory

Animal Team

PathologicalExamination

Active case finding

Wild bird surveillance

Development Surveillance Rapid Response Team  : SRRT  (>10,000  teams) at  the provincial, district and sub‐district level

Flow of SRRT Outbreak Responses

12

FETP FETPV FETPW Joint Outbreak Investigation

Unknown death of wild gaurs  in Kuiburi national park

FETP FETPV FETPW

The review of the IHR monitoring framework questionnaire and linkages to the PVS tool

Bangkok 26‐27 March 2014