Transcript RISCHIO CHIMICO

TASK FORCE ON WRDs
SURVEILLANCE
Monica Francesca Blasi, Paola Meli, Mario Carere, Enzo
Funari
National Institute of Health
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Origin

The First Meeting of the Parties
(Geneva, 17-19 January 2007)
established a Task Force on
“Surveillance and early-warning
systems, contingency plans and
response capacities” , lead by Italy.
Base of activities
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work accomplished before the first
Meeting of the Parties under the Water
Convention’s Working Group on Water
and Health;
guidance documents of the World Health
Organization (WHO) related to
communicable disease surveillance;
International Health Regulations IHR
(2005).
Framework of cooperation
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WHO Centralized Information System for
Infectious Diseases (CISID);
WHO Health for All database;
European Centre for Disease Surveillance and
Control;
WHO Epidemic and Pandemic Alert and
Response system;
WHO Collaborating Centre for HealthPromoting Water Management and Risk
Communication.
WORK TO BE UNDERTAKEN
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(a)
Prepare guidelines on surveillance,
outbreak detection and early warning
systems, contingency plans and capacity
response, taking into account established
WHO guidelines for adoption by the Parties at
their second meeting:
(b)
Support the guidelines’ implementation
by providing assistance, upon request, to
Parties and non-Parties through in-country
missions (up to six missions should be
organized in 2008-2009).
1° meeting of the task force
 At
the Italian National Institute of Health,
in Rome on 24-25 September 2007.
 The
meeting was attended by
representatives from Finland, Germany,
Hungary, Italy, Kyrgyzstan, Norway,
Romania and Slovakia
Activities of the task force
 Questionnaire
to assess the current
capacity of water-related disease
surveillance, and elaboration and
publication of replies;
 (b) Guidance materials (technical and
policy guidelines);
 (c) Scientific workshop;
 (d) Assistance and in-country support.
Questionnaire

information on the surveillance of diseases which
can be transmitted through water in relation to:
 priority, emerging and locally important diseases;
 organization of the surveillance systems;
 laboratory capabilities to detect pathogenic
microorganisms;
 public information on the importance of waterrelated diseases;
 outbreak detection; capacity of response;
 training;
 databases and mapping/GIS resources
Questionnaire
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hosted in electronic format on a protected site
of the ISS (http://cms2.iss.it/).
questionnaire, as well as information on
registration, access and compiling: sent to the
Protocol’s national focal points.
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only eight countries have replied so far
(Andorra, Czech Republic, Estonia, Finland,
Hungary, Norway , Slovakia and Turkey)
… language barrier……..
Questionnaire
information from the questionnaire→
 updated state-of-the-art on the
surveillance systems of water-related
diseases in the UNECE region;
 burden of water-related diseases in the
region;
 critical areas/situations
 assistance programs and training
activities.
Policy guidelines
SECTION 1: POLICY SETTING
Problem setting
Water-related diseases
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Definition of water-related diseases
Economic importance to national development
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National policy requirements
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National health systems and water-related diseases
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Core functions
Laboratory management and accreditation
Capacity building and continuous education
Importance of outbreak detection, prevention and management
Intersectoral collaboration
International policy aspects
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Transboundary cooperation
Compliance with binding international agreements
Participating to international cooperation programmes
Technical guidelines
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(This section is based on guidance previously
prepared by the WHO collaborating centre on
health promoting water management and risk
communication at the Institute of Hygiene,
University of Bonn, Germany. Unless otherwise
indicated, the collaborating centre will update
the information contained herein in line with the
time table foreseen in the body of the report)
 Introduction
 Water-related pathogens
 Chemical risks
Technical guidelines
 Water
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safety
Water source
Water treatment
Water distribution networks
Monitoring
Water safety plans
Technical guidelines
 Water-related
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disease surveillance
Setting up a national water-related disease
surveillance system
Evaluating a surveillance system
Epidemiology
Specific methodological challenges
Detection, investigation and reporting of
water-related disease outbreaks
Technical guidelines
 Application
of geographical information
systems (GIS) to epidemiological studies
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Introduction
Application of GIS to water-related disease
epidemiology
Case studies
 Conclusions
 Case
studies
Scientific workshop
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opportunity to organize specific scientific
workshop on how to assess the relative
weight of water-related diseases in the
overall burden of communicable disease
in the WHO European Region
Assistance and training
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To be better defined on the basis of the
analysis of the replies to the
questionnaire
Ssome countries have already requested
assistance for the organization of waterrelated disease surveillance system or
training.
Future workplan
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The activities of the Task force are scheduled as
follows:
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May 2008: first draft of the policy guidance document;
September 2008: first draft of the document with the
analysis of the results from the replies to the
questionnaire; completion of the technical guidelines
October 2008: Second meeting of the Task Force;
December 2008: Scientific workshop.