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Centre for Health Security, managed
to secure the presence of an expert
in Chemical agents. For that we are
very fortunate. The participation was
very encouraging and we will
continue to source for experts for our
upcoming video conferences.
Sincerely, Dr Chong Chee Kheong For Lead Country Malaysia Director of Disease Control Ministry of Health Malaysia
INSIDE THIS ISSUE
Editorial………………………. 1
Video Conference on VX … 1
Feature of the month………..2
Visit to LaoPDR EOC….…... 3
Upcoming Events:
1.In-country SOP on EOC network workshop 2.VC on H5N1
1
Disease Control Division,
Ministry of Health Malaysia
Volume 1, Issue 4
March 2017
Figure 1: VC at the PHEOC of MOH Malaysia
Indonesia, LaoPDR, Singapore, Thailand and also
Malaysia joined this event. Other participation was from
ASEAN Secretariat and Canada’s GPP. The other
expert was Dr Tom Inglesby, Director of John Hopkins
Centre for Health Security. Incidences of VX nerve
agent are very rare and most countries are not prepared
for such events. Yet in today’s world the likelihood of
terrorists resorting to chemical and biological agents as
a means to attack are even greater. The opportunity in
this VC to engage experts in the chemical and
biosecurity arena was indeed fortuitous. It has helped
us to understand more about the agent and
subsequently our preparedness towards it, in the hope
that we will never have the need to respond. For the
benefit of all members, the powerpoint presentation on
VX nerve agent by George R Famini is available at the
ASEAN website.
EDITORIAL
Some notable
events happened
in Malaysia in
February which
reinforces the
need of an “all
hazards” approach to public health
preparedness and response. Thus,
our monthly Video Conference (VC)
was on the subject VX nerve agent. It
was our good fortune that Dr Tom
Inglesby, the Director of John Hopkins
We are very grateful to have George R Famini,
Ph.D. founder and the only former Director of
Chemical Security Analysis Centre, Department of
Homeland Security, USA, present on the VX nerve
agent during our video conference on March 3th,
2017 organized by the Ministry of Health Malaysia.
The presentation was very educative, informative,
and in-depth. Although only a 2-day notice was
given for the VC, AMS from Brunei, Cambodia,
GEORGE R FAMINI The Presentation TOM INGLESBY
8
Public Health Emergency Operation Centre (PHEOC) is a place to run incidence management system to gather information, determine priorities and to coordinate decisions and actions as well as necessary communication. The aims of PHEOC are : 1) strengthening the implementation of detect, prevent and respond to the communicable diseases of outbreak potential in order to prevent the outbreak; 2) Encouraging of increased core capacities in the implementation of the International Health Regulations (IHR 2005) and the implementation of the key activities in the Global Health Security Agenda (GHSA); 3) Facilitating the transfer of knowledge, information sharing and capacity building at the national, regional and global levels. HISTORY OF PHEOC In 2005, when the first outbreak of Avian influenza was reported in Indonesia, the Ministry of Health established the Outbreak Incident Command Post (Posko KLB). Posko KLB formed aims to monitor the incidence of outbreaks within 24 hours in 7days. To strengthen the surveillance systems, a continuous monitoring-based events known as Event Based Surveillance (EBS) was launched. In 2016, Posko KLB has already had room and new
infrastructure. Posko KLB was redesigned into a Public Health Emergency Operation Centre (PHEOC). On January 2017, MoH held a Basic Training in Public Health Emergency Management (PHEM) and the Incident Command System (ICS) for the staffs, with facilitators from CDC Atlanta. PHEOC was inaugurated on February 27, 2017 by the Minister of Health, Prof.Dr.Nila Djuwita F.Moeloek in the first night of the National Annual Health Meeting (Rakernas) 2017 in Jakarta. PHEOC ACTIVITIES The key activities of PHEOC supported by passive surveillance through Indicators Based Surveillance (IBS) to receive daily reports of outbreaks, routine weekly and monthly reports from health facilities and health authorities through the mechanism of SMS gateway, electronic system and report based paper. Besides that, through the Event Based Surveillance (EBS) with active surveillance of disease of outbreak potential reported continuously for 24 hours including verification of rumors in the media. In addition, PHEOC also receives reports directly by telephone from the community or from health-related disease event. PHEOC every moment of being in watch mode with the observation and feedback report disease of outbreak potential or
ASEAN EOC NEWSLETTER
2
INTRODUCTION
With its densely populated, biodiversity, deforestation, and climate vulnerability, Indonesia is considered a hotspot country for emerging infectious diseases of pandemic potential and has been one of the global epicenter on human H5N1 with more human fatalities and human cases in the world, because of that, strengthening our national capacity to prevent, detect, and control emerging and re-emerging pandemic threat is a must. The first meeting of the ASEAN EOC Network was a very interesting discussion, good presentation and good outcomes. We were also impressed and took lessons from Canada’s GPP, which is a regional partner for the . ASEAN EOC. In the EOC meeting of ASEAN we obtained information and knowledge sharing that are very meaningful and useful in running PHEOC system as well as good management in addressing emergencies within their respective countries member of the AMS.
Sincerely, dr Jane Soepardi Director of Surveillance and Health Quarantine Directorate General of
Disease Control
Figure 2 : PHEOC Indonesia Figure 3: Video teleconference in coordinating of response
suspected outbreak of regional reports that will rise to the alert mode when there is a strong indication of outbreak. PHEOC is activated (response mode) when it has an outbreak of large-scale (criteria: emerging disease or the attention of international community outbreak with high morbidity / mortality, Outbreaks of the public concern through the media / leaders, outbreaks in the spatial area and, the area asking for help center) and made a quick response to control the outbreak . Each incoming report both alerts and outbreaks, PHEOC coordinate with various programs and sectors to jointly cope with the outbreak. OUTBREAKS OF ANTHRAX ON JANUARY 2017 One of the PHEOC role to make
the response. When an anthrax
outbreak happened, it caused
media attention in Indonesia on
January 2017. PHEOC improve
planning and purpose
ASEAN EOC NEWSLETTER
coordination capacity in the outbreak containment effectively. PHEOC cooperate with various relevant programs and cross sectors at the center, the Provincial Health Office and the districts to monitor and update the progress of outbreaks that are useful in the decision making to determine the strategy of responsive and effective outbreak management. The presence of anthrax outbreaks provides a very meaningful lesson in terms of monitoring of illness or health problems regularly and accurately. In addition, it can strengthen surveillance systems and emergency or outbreak management both at regional and central levels. The outcome of PHEOC is to strengthen capacities for One Health, effective and sustainable prevention and control of targeted zoonosis and EIDs. THE NEXT STEP PHEOC Indonesia is in the early
stage of growth and there is still
space for improvement.
Therefore, sharing of
information and knowledge with
other neighbouring countries
involved in ASEAN EOC
Network is essential. Thus, with
the EOC network ASEAN can
help system capacity building
and emergency management
capacity for health / outbreaks
response in Indonesia.
Contact : PHEOC Indonesia : Building C, Floor 3 Sub-directorate Surveillance Directorate Surveillance and Health Quarantine Directorate General of Disease Control Ministry of Health Republic of Indonesia Percetakan Negara Street, No 29 Central Jakarta Indonesia Email address : [email protected] [email protected] Office Phone Number : +62 426-5974 ; +62 425-7125 WA Phone Number : +62 878-0678-3906
Consultation visit to LaoPDR Emergency Operation
Centre (EOC) was one of the planned activities under the
ASEAN EOC network development. Our public health
consultant Dr Norhayati bt Rusli took this opportunity to
have an in-depth discussion with Dr Vilavanh who is in-
charge of the EOC in the Ministry of Health. The EOC has
been established and located at main building at MoH in
Health Minister Office and ready to actively participate in
the ASEAN EOC network. It is encouraging to note that
they are updating their SOPs as well as the SOP for the
running of the EOC itself.
In Parting…
We apologize for the short notice given for the VX nerve agent VC, this was unavoidable because we have to suit the time of the VC to the availability of the experts. We will try to give more ample time in the future in the hope of a full participation from all AMS.
We welcome any questions, suggestions and comments. Please email: [email protected]. Thank you.
Dr Novia Kuswara Project Coordinator
“Change will not come if
we wait for some other
person or if we wait for
some other time. We are
the ones we’ve been
waiting for. We are the
change that we seek.”
Obama,2008
3
Figure 4: Dr Norhayati during the visit
