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Emergency Preparedness and Response Plan - 2011. Dr. Ajay Khera Deputy Commissioner Ministry of Health & FW, Government of India. Outline of the Presentation. Emergency Preparedness Overview of actions at national, state and district level Current status - PowerPoint PPT Presentation
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Emergency Preparedness and Response Plan -
2011
Dr. Ajay KheraDeputy Commissioner
Ministry of Health & FW, Government of India
Outline of the Presentation
Emergency Preparedness Overview of actions at national, state and
district level Current status
Emergency Response – Urgent Actions in response to detection of wild poliovirus (WPV)
“ From now onwards, any wild polio virus from any source will be considered a public health emergency and responded to with urgent mop-ups”
“ Government and partners will deploy additional, highly experienced human resources to ensure that mop-up rounds are of the highest quality”
“ Mop-ups will target both the area of detection of the virus in a case or in the environment and, if there is a clear genetic link, the area of origin of the virus”
Guiding Principles
Actions at National level Central Emergency Preparedness &
Response Group (Central EPRG)
Sufficient buffer stocks of vaccines to undertake mop ups at short notice
Media Response plan
National Actions
Inform Union Health Minister & Secretary
Review findings of field investigation and decide: Area of response Timing of response; number of proposed
rounds Vaccine type
Visit state/districts to review/monitor planning and implementation (members of Central EPRG)
Urgently mobilize appropriate vaccine from buffer stocks
Actions at State level
State Emergency Preparedness & Response Group (State EPRG) in each state
Identification of Rapid Response Team (RRT) members
Identification of high risk districts/ areas and assigning these to senior state officials
Actions to improve SIA and RI coverage in these areas
Communication and media response plan for use following the detection of a wild poliovirus
State Actions Activate State EPRG within 24 hours of
information
Inform Divisional Commissioners and District Magistrates of affected area
Assign geographical areas to RRT members and senior state officials for visit and support
Meet State Steering Committee to seek involvement of non-health departments – Panchayati Raj, Education, Social Welfare, others
Mobilize additional Govt. Medical Officers to mop up districts
District Actions Before mop up
o Mobilize block officials immediately to start preparations for mop up
o District Task Force (DTF) meets within 5 days of information
o Tehsil/ Block Task Force meets within 7 days
o Review all microplans within 10 days
o Re-train all vaccinators and supervisors prior to mop up
o Develop local IEC and media plan
o Plan for intensive monitoring
During mop up Implement under direct oversight of DM
and supervision of CMO
Intensive monitoring by all agencies
Daily review of activity at block and district level by DM, BDOs, CMO, BMOs, central and state monitors
After mop up Implementation report by DM to State
Secretary & State EPRG
District Actions (2)
States with Emergency Preparedness and Response
Group constituted
EPRG formed in 23 States/UTs *
(out of 35 States/UTs)
* Data as on 8 July’11
States with Rapid Response Team Members identified
RRT members identified in 23 States/UTs *
(out of 35 States/UTs)
* Data as on 8 July’11
Trainings of RRT members
Five training programs scheduled to train the identified RRT members across India
More than 125 RRT members will be trained during July-August 2011
High risk areas identification, India
June 2011
~ 150,000 Migrant sites
Migrant sites High risk areas in settled
population
~ 50,000 HR areas in settled population
= 10 Migrant sites = 10 HR sites
Role of NPSP Assist training of Rapid Response Team Members
Support state government to conduct epidemiological investigation in WPV area in collaboration with Immunization Division, NCDC/IDSP and UNICEF
Deploy additional experienced Medical Officers to support planning, training and monitoring in mop up area
Support monitoring of the preparedness and response at the district, state and national levels
Role of UNICEF
Assist training of Rapid Response Team Members on communication and media planning
Conduct communication risk analysis in area of WPV detection
Deploy additional experienced communication experts to guide & support IEC/social mobilization activities
Support state to develop & implement Media strategy
Role of Rotary International
Advocacy at state and district levels
Support IEC/ social mobilization activities & media management in coordination Govt., UNICEF and NPSP
Any other essential emergency support activities
Emergency Response (West Bengal)
Confirmation of polio case on 7 Feb ’11 GoI communication to Chief Secy. (GoI) : 8 Feb Field Investigation (NCDC, NPSP, UNICEF) : 9
Feb Decision on mop up size, date, vaccine (GoI) : 9 Feb Intensified HR plan (WHO - NPSP) : 9 Feb Plan for Support of IEC activities (UNICEF) : 9 Feb 14 SMOs of NPSP arrive in districts (NPSP) : 10
Feb Marker pens procured (Rotary) : 10 Feb District Task Force Mtg. (GoWB) : 10 Feb Coordination mtgs. with partners (Delhi) : 11 Feb Media plan operationalized (UNICEF) : 11 Feb Vaccine arrives in districts (GoI/ GoWB) : 11 Feb
Mop up conducted from 13 Feb’11
Thank You