PanamericanHealth Organization

HEALTH SECURITY: PUBLIC HEALTH THREATS AND RESPONSE

HEALTH SECURITY: PUBLIC HEALTH THREATS AND RESPONSE

Cristina V. Beato, M.D. Deputy Director

Cristina V. Beato, M.D. Deputy Director

Hemispheric Security CommissionOrganization American States

PanamericanHealth Organization

Health and securityHealth and security

• Global Health is a matter of national and international security

• Certain infectious diseases are becoming an ever-increasing global threat

• International Health Regulations (IHR) is a global respond to Health Security concern

• Global Health is a matter of national and international security

• Certain infectious diseases are becoming an ever-increasing global threat

• International Health Regulations (IHR) is a global respond to Health Security concern

PanamericanHealth Organization

Declaration on Security in the Americas: Clauses related to Health

Declaration on Security in the Americas: Clauses related to Health

• Clause 38: Epidemic diseases as national and international security threat

• Clause 39: Natural and man-made disaster

• Clauses 40 & 41: Environmental deterioration and global climate change

• Clause 42: Strengthen the systems, institutions, and mechanisms of the Inter-American system

• Clause 38: Epidemic diseases as national and international security threat

• Clause 39: Natural and man-made disaster

• Clauses 40 & 41: Environmental deterioration and global climate change

• Clause 42: Strengthen the systems, institutions, and mechanisms of the Inter-American system

PanamericanHealth Organization

Health Security Response: International Health Regulation

Health Security Response: International Health Regulation

The purpose and scope of these Regulations

are to prevent, protect, and provide

a public health response to the

international threat and spread of

diseases. Also, avoid unnecessary disruption of

international travel and trade

The purpose and scope of these Regulations

are to prevent, protect, and provide

a public health response to the

international threat and spread of

diseases. Also, avoid unnecessary disruption of

international travel and trade

Contain the international

spread of diseases

Maintain the sovereignty of

states and cause minimal disruption to international

flow of people and goods

PanamericanHealth Organization

IHR: Member States commitment to implement

IHR: Member States commitment to implement

• PAHO/WHO and its Member States initiated work on activities related to the implementation of the International Health Regulations (IHR) well before their entry into force.

• By 15 June 2009, Member States must have assessed the ability of their existing national public health infrastructure, to include human and financial resources, to meet core surveillance and response capacity requirements described in Annex A of the IHR (2005).

• PAHO/WHO and its Member States initiated work on activities related to the implementation of the International Health Regulations (IHR) well before their entry into force.

• By 15 June 2009, Member States must have assessed the ability of their existing national public health infrastructure, to include human and financial resources, to meet core surveillance and response capacity requirements described in Annex A of the IHR (2005).

PanamericanHealth Organization

IHR: Status UpdateIHR: Status Update

• Almost all Member States have successfully participated in simulation tests of communication with PAHO

• Several Member States in the Southern Cone and Central America are already conducting assessments of their national capacity for surveillance and response

• PAHO has supported Member States by providing guidance and tools for IHR implementation and by raising awareness of the key elements of the IHR at subregional and national meetings

• Almost all Member States have successfully participated in simulation tests of communication with PAHO

• Several Member States in the Southern Cone and Central America are already conducting assessments of their national capacity for surveillance and response

• PAHO has supported Member States by providing guidance and tools for IHR implementation and by raising awareness of the key elements of the IHR at subregional and national meetings

PanamericanHealth Organization

Actions on HIV/AIDS, TB, malaria and other epidemic diseases

Actions on HIV/AIDS, TB, malaria and other epidemic diseases

• The Three Ones principles, represents an approach to the organization of the response to HIV in the countries

• Through the Strategic Fund, PAHO has helped countries that participate in global antiretroviral initiatives as well as Global Fund projects

• The Regional Strategy for Tuberculosis Control for 2005–2015 was established in order to provide a response tailored to the problems in each country

• PAHO is working with countries to fight against malaria in endemic regions. Malaria has declined in the Region in recent years, but the disease continues to be a public health problem of first magnitude.

• The Three Ones principles, represents an approach to the organization of the response to HIV in the countries

• Through the Strategic Fund, PAHO has helped countries that participate in global antiretroviral initiatives as well as Global Fund projects

• The Regional Strategy for Tuberculosis Control for 2005–2015 was established in order to provide a response tailored to the problems in each country

• PAHO is working with countries to fight against malaria in endemic regions. Malaria has declined in the Region in recent years, but the disease continues to be a public health problem of first magnitude.

PanamericanHealth Organization

• PAHO has established a regional response team for emergencies and disasters.

• PAHO has consolidated the experience gained in the countries in the Region by producing guides and technical materials for comprehensive management of emergencies and disasters in the field of health

• PAHO assists the Member States by mobilizing funds and response teams and providing technical expertise.

• PAHO has established a regional response team for emergencies and disasters.

• PAHO has consolidated the experience gained in the countries in the Region by producing guides and technical materials for comprehensive management of emergencies and disasters in the field of health

• PAHO assists the Member States by mobilizing funds and response teams and providing technical expertise.

Actions on natural and man-made disasterActions on natural and man-made disaster

PanamericanHealth Organization

Actions on environmental deterioration and global climate change

Actions on environmental deterioration and global climate change

• 28% of the Member States had national policies, and nearly 55% had national plans for solid waste management

• PAHO organized a series of five-day training workshops to create regional awareness and plans to control use of fossil fuels in dwellings

• A regional publication has been prepared on the effects of air pollution

• PAHO/WHO and the World Meteorological Organization sponsored a conference in San Jose, Costa Rica, on August 2007 to study the potential consequences of climate change in the Americas

• PAHO/WHO has designated World Health Day 2008 as Health and Climate Change

• 28% of the Member States had national policies, and nearly 55% had national plans for solid waste management

• PAHO organized a series of five-day training workshops to create regional awareness and plans to control use of fossil fuels in dwellings

• A regional publication has been prepared on the effects of air pollution

• PAHO/WHO and the World Meteorological Organization sponsored a conference in San Jose, Costa Rica, on August 2007 to study the potential consequences of climate change in the Americas

• PAHO/WHO has designated World Health Day 2008 as Health and Climate Change

PanamericanHealth Organization

• Since 2003 PAHO has hosted the Inter American Coalition for the Prevention of Violence (IACPV)

• PAHO/WHO and the IACPV have implemented in selected municipalities an intersectorial-based model aimed to solve the problem of inconsistent information on deaths from intentional or unintentional injuries

• PAHO/WHO has implemented the Youth Development and Violence prevention project in Nicaragua, Honduras, El Salvador, Colombia, Peru and Argentina. The Youth Development and Violence prevention strengthen the networks from government and nongovernmental organizations.

• Since 2003 PAHO has hosted the Inter American Coalition for the Prevention of Violence (IACPV)

• PAHO/WHO and the IACPV have implemented in selected municipalities an intersectorial-based model aimed to solve the problem of inconsistent information on deaths from intentional or unintentional injuries

• PAHO/WHO has implemented the Youth Development and Violence prevention project in Nicaragua, Honduras, El Salvador, Colombia, Peru and Argentina. The Youth Development and Violence prevention strengthen the networks from government and nongovernmental organizations.

Actions: Inter-American System strength Actions: Inter-American System strength

PanamericanHealth Organization

Thank you!Thank you!