Transcript Legislation and Disease Surveillance Speaker: Dr. Hashim Elzein

Central Asia Regional Health Security Workshop
Co-organized with the Command Surgeon, US Central Command and
the George C. Marshall European Center for Security Studies
17-19 April 2012, Garmisch-Partenkirchen, Germany
Legislations and Disease Surveillance
In IHR
(2005)
Dr Hashim Elzein Elmousaad
Public Health Specialist
17 April 2012
Learning objectives
On completion of the exercise, participants will be able
to:
- Identify the hazards to be assessed and the core
capacities needed for implementation of IHR.
- Identify what are the needs for developing a
legislation policy compatible with IHR (2005) as well as
strong event surveillance system.
Introduction
 ALL
member States have legal frameworks (may support
many IHR 2005)
 IHR
(2005) may have many functions and provisions not
considered in current legislation
Main Question:
What needs to be adjusted in the national legal framework
to ensure that your country can implement all rights and
obligations in the IHR ?
IHR (2005)
• Under the IHR (2005), each Member State
is required to develop, strengthen and
maintain, as soon as possible but no later
than five years from the entry into force of
these Regulations (i.e. by 2012). The
capacity to detect, assess, notify, report
and respond promptly and effectively to
public health risks and public health
emergencies of international concern.
You are the Director of International Health
Department in country C. You were called by H.E.
the Ministry of Health for a meeting 2 days later to
discuss the preparation of your department with
the Director of Epidemiology to assess the core
capacities of the IHR (2005) in the country. H.E.
the Minister has fair knowledge on IHR (2005) and
its importance. He wants to know more about
certain components of the planned assessment
so as to help him facilitating the formation of
health coordination committee when meeting
representative of other line ministries.
H. E. the Minister put the following 3 Questions to
be answered:
3 Questions
• What are the hazard areas and core capacities that
will be assessed?
• What needs to be adjusted in the national legislation
and policy frame work to ensure that the country can
implement all rights and obligations in the IHR?
• What are the requirements needed in order for the
national surveillance to comply with the IHR (2005)?
Question 1
What are the hazard areas and core capacities
that will be assessed?
• The main hazards (Infectious diseases, zoonoses,
Chemical, food safety and in some countries radionuclear)
• Core Capacities
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National legislation and policy
Coordination.
Surveillance.
Response.
Preparedness.
Risk communication.
Laboratory.
Human resource capacity.
Question 2
What needs to be adjusted in the national
legislation and policy frame work to ensure that
the country can implement all rights and
obligations in the IHR?
Assessment and Decision
 Assess
to identify gaps or other potential concern.
-Compares IHR provisions with existing national legal framework
 Decide
for each gap or concern
- country to decide what action is required to address it.
 Further
more: Updating
- Any additional legislation changes (e.g. general update to
legislation)
Legally Binding……
IHR is legally binding upon each
country as a whole, not only the
Ministry of Health or other part of
the government.
Areas and functions affected by IHR
implementation
• Health
• Environment
• Ports, airports, ground
crossings
• Customs
• Food safety
• Borders
• Immigration
• Security
•
•
•
•
•
•
•
•
Agriculture (and animal health)
Radiological / nuclear activities
Chemical related activities
International transport/trade/travel
Human rights
Industry / Commerce
Defense
Dissemination of health
information
Prioritize
–What needs to be done most urgently?
–What are the most important elements
for each country?
–Consider options to expedite the
legislative process if urgently needed.
Strengthening the Role of NFP
Establish a clear, specific legal
/ governmental mandate for all
NFP functions
Resources
IHR
Disease Surveillance
Question 3
What are the requirements needed in order for
the national surveillance to comply with the
IHR (2005)?
Surveillance System Structure
• Legislation
• Surveillance Strategy
• Trained Human Resources
• Trained Stakeholders
• Networking - Partnership
Surveillance Core Functions
• Case Detection
• Case Registration
• Case Confirmation
• Case Definitions
• Reporting
• Data Analysis and interpretation
• Epidemic Preparedness
• Response and Control
• Feedback
Surveillance Quality
• Completeness
• Timeliness
• Usefulness
• Simplicity
• Acceptability
• Flexibility
• Sensitivity and Specificity
• Positive predictive value
• Representativeness
Other Supporting Aspects
• Standards and guidelines
• Training
• Supervision
• Communication Equipment
• Resources (Material, Money, Manpower)
• Monitoring & Evaluation
• Coordination
Questions
Questions?
Dr. Hashim A. Elzein Elmousaad
Public Health Specialist
Cairo – Egypt
[email protected]
Tel: 00201120400733