GLOBAL PUBLIC HEALTH PERSPECTIVES
Multisectoral Collaboration for Global Public Health Risks
World Health Organization
Modern Global Health Security threats
3 |
The IHR (2005) is the legal framework for collective responsibility for global health security
The IHR specify the roles, responsibilities and core capacities for States Parties to the Regulations and WHO
The IHR reinforce WHO's central role in managing acute public health risks, including providing information and technical support to countries
The effectiveness of the IHR requires international, multisectoral and multilevel operational readiness and responsiveness
Two major areas for implementation 1) national core capacity requirements 2) global event management
The International Health Regulations (IHR)
4 |
Protect the health of the worlds human populations
Cross-sectoral and multi-disciplinary approaches Collaboration is an obvious need under IHR And fundamental under the principles of Global Health Security For
Zoonoses
Antimicrobial resistance (AMR)
Food safety
Other emerging and existing infectious threats to health at the human-animal interface
Other areas (chemical, radiation)
GHSA creates an enabling environment and synergies for the implementation of WHOs IHR
WHO collaborates closely with FAO and OIE on cross-sectoral activities at the national, regional, and international level
WHO/GHSA : Synergistic mandates
5 |
WHA67.25 ...... To develop a draft global action plan to combat AMR.....to ensure that all countries...have the capacity to combat AMR.
Takes into account existing action plans and all available evidence and best practice
To apply a multisectoral approach by consulting:
Member States
Other relevant (multilateral) stakeholders including FAO and OIE
To strengthen the tripartite collaboration between FAO, OIE and WHO for combatting AMR
WHO Action on Antimicrobial Resistance
6 |
WHO Helping Countries Build Core Capacities
National core capacities required under IHR: Surveillance, Reporting, Notification, Verification, Response,
and Collaborative activities
Both existing & emerging threats (including biological threats)
Building capacities translates to health systems strengthening Strong national health systems are required for collective
defense against threats to global health security
Alignment with national animal health sector to ensure technical collaboration at the human-animal interface Strong public health systems and strong animal health
systems nationally
PLUS require standard national tools, mechanisms, and processes to normalise planning, assessing and responding together
Based on joint priorities and shared references Example: WHO IHR/OIE PVS project
7 |
Overlap Between GHSA and IHR
Legislation, Policy &
Financing
Risk communication
Coordination and NFP
Communication Points of Entry
Food Safety
Chemical Events
Radiological Emergencies
Prevent AMR
Vaccination Programs
Nosocomial infection control
Regional bio surveillance hubs
Sample sharing
Novel diagnostics
Sharing medical countermeasures and personnel
Surveillance Laboratory Preparedness Response Zoonotic diseases Human Resources
GHSA IHR
RISKS
Preparedness for all risksincreases country resilience
Early detection allowsrapid response, reducesthe number of peopleaffected and reduces theimpact on the economy:travel and trade
A few countries not able toprevent, detect or respondto the risks will create amajor threat for the rest ofthe world.
MOVING FORWARD
Shared Value Shared Responsibility
OPPOTURNITIES
Several opportunities canbe used to build capacities
interest in specific diseases(influenza, Mers, Ebola)
Comprehensive nationalhealth systemsstrengthening approaches
Collaboration with othersectors: animal health,tourism, trade, defence(biosecurity threats)New technologies availablefor better surveillance
PRIORITIES
Support the developmentof political commitment,financial investment andintersectoral collaborationat global, regional andnational level.
Systems best built onNational Priority HealthIssues
Strengthen CULTURE ofRoutine Cross-SectoralCollaboration and Useexisting Tools, Norms,Platform, Network,Systems
Conclusions
Better risk management for emerging and re-emerging diseases require all countries to have International Health Regulations (IHR) capacities in place and WHO to ensure a global safety net. National commitment is key.
Need to maintain continued and balanced attention to high-risk threats such as Ebola and AMR as well as all hazards approach.
WHO, FAO and OIE are critical to maintain global preparedness and alert and provide coordinated international response to mitigate the multisectoral impact of these events.
As there is major OUTBREAK now, immediate Action for renewed political attention and investment is required.
CONCLUSIONS
If countries can prevent, detect, and effectively assess/respond to known diseases early, they will be able to detect what is unusual or unknown
and implement effective response actions while the problem is small