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Health Threat Unit SANCO C3
Health Threats UnitSANCO C3
Epinorth5 September 2005
Health Threat Unit SANCO C3
Projects
Projects
Working groups
Working groups
NetworkCommittee
HealthSecurityCommitte
e
Heal thThreat
Uni t
EWRS
Communicablediseases
RAS BICHAT
Biological Chemical RadiologicalThreats
GHS N
WHO
Internationalrelations
Other Rapid AlertSystems
Commission’ DGs
Riskmanagement
Risk assessmentEU Member States
EEA CountriesEU Candidate
countriesScanning the
HorizonMedISys,
...
Up to May 2005
Health Threat Unit SANCO C3
«Hea
lth T
hrea
t Uni
t P
roje
cts
* Pertussis * IRIDE * EUNID * VENICE * EURONET P4
* ETHREAT
* EUVACNET(Measles)
* EPIET * Basic Network* Smallpox diagnosis
* EPINORTH
* EuroHIV * EuroTB * ListerNet * IPSE (ex Helics)
* Eurosurveillance Monthly * ENIVD (VHF)
* EUCAST
L
I
P
M
T
V
C
Surveillance
Training
Vaccines
Chemicals
Information
Laboratories
Modelling
Preparedness
A Antimicrobial resistance
S
* EURO-CJD * ENTERNET * EWGLINET * ESSTI * ModelRel * EU-IBIS (Mening°)
* Hemophilus Influenza * EU-REQAS * Eurosurveillance Weekly
* GSCT (Chemicals)
* ASHT (Chemicals )
S
S
S
S
S
S
I
A
M
C
C
* ESACA
* EARSS * EISS * INSIGHT * DIVINE-NET
A
S
V
S
S
T
T
T
L
L
IT
S
A
S
P
V
L
I
S
S
S
S
Health Threat Unit SANCO C3
2005 and beyond – New structures
May 2005: ECDC – Stockholm
September 2005: Executive Agency Luxembourg
End 2006: New Public Health Programme
Health Threat Unit SANCO C3
Collaboration with ECDC Surveillance:
ECDC: search for, collect, collate, evaluate and disseminate relevant scientific and technical data;Commission: legal framework, case definitions, methodologies….
Scientific opinions and scientific and technical assistance including training:
ECDC: provision of opinions and assistanceCommission: requesting opinion and assistance
Early Warning and Response:ECDC: provide timely information to the Commission, the Member States, Community agencies and international organisations in the field of public health; rapid scientific assessment of incoming alert messages;Commission: Crisis management, measures
European networking:ECDC: Co-ordinating the European networking of bodies, and operating the dedicated surveillance networks;
Health Threat Unit SANCO C3
Main delegated tasksManage all phases of projects
Publication of calls, evaluation,Contract negotiation, signature, payment
Public procurement proceduresLogistical and technical support :
Non political expert working groupsSeminars; conferences
Executive agency
Legal existence1/1/2005 – 31/12/2010
Structure = 2 units Staff : approx. 30 people
Health Threat Unit SANCO C3
Health objectives and actions
Surveillanceof
threats
Deliver effective response
TackleDeterminants
Prevent diseases
Information
Health systems
co-operation
Reduce disease
Promote health
Protect citizens
Help nationalsystems
Provide +
information
Health Objectives
Action strands
newnewnew
New health programme
Health & consumer360 M€ > 1,200M€
Health Threat Unit SANCO C3
Health objectives and actionsACTION STRANDS
Reinforce existing 3 action strands Monitoring/Surveillance of Threats Address DeterminantsProvide Information
Add 3 new action strandsDeliver effective response to threatsPrevent/tackle diseases and injuriesAchieve synergies between national health systems
New health programme
Health Threat Unit SANCO C3
Health objectives and actions
ACTION STRANDS (6)
1) Enhance surveillance of threats Surveillance of non communicable diseasesCo-ordination with ECDCLaboratory network (rare/risky pathogens)
2) Respond effectively to threats (new)
Improve preparedness for rapid intervention: contingency planning, training, alert systemsNetworking and best practice exchange
New health programme
Health Threat Unit SANCO C3
Health objectives and actions3) Promote health tackling determinants
Life style/addictions: smoking, alcohol, nutrition, exercise, drugsEnvironment and socio economic
4) Prevent diseases and injuries (new)Complement determinants strand with action on major diseases: HIV, cancer, cardiovascular and mental diseasesReduce accidents and injuries
5) More and better Health informationStrengthen knowledge baseMore dissemination
6) Achieve synergies between national health systems (new)
Health technology assessmentPatient safety and mobility
A network of centres of reference
New health programme
Health Threat Unit SANCO C3
2006 & New developments in HTUOrientations for Work plan 2006 (Health threat Strand)
& developments
Generic Preparedness PlanningInternational aspectsNew Health Emergency Operations Facility [HEOF]
RAS CHEMMATRIXHEDIS
Health Threat Unit
Health Threat Unit SANCO C3
Not to be covered anymore by HTU (ECDC)
SurveillanceCo-operation of laboratoriesCapacity building (surveillance, training)Surveillance activities on antimicrobial resistanceInformation on surveillance (e.g. Eurosurveillance etc.)
Health Threat UnitOrientations 2006
Health Threat Unit SANCO C3
Preparedness and responseEmphasis on preparedness. This heading could become very large and possibly split in two.
Logistics, transportation issuesInfluenza (e.g. preventive measures for veterinary workers in case of Avian flu), in agreement with ECDCRisk communication, EU network of public health media officers, in agreement with ECDCLinking hospitals to prepare for mass eventsTraveller traceability (networking airports for contact tracing and providing coordinated information to travellers)Environmental sampling and analysisRisk and threat analysis for health security incidentsEnvironmental (e.g. biosensors) and human biomonitoring (e.g. for levels of bioagents in humans)Psychological impact of health emergenciesCapacity building for joint law enforcement and health authority operations
Health Threat UnitOrientations 2006
Health Threat Unit SANCO C3
Providing risk management tools
Providing evidence-based information to steer action (in co-ordination with ECDC)
Capacities needed for implementation of IHRIHR implementation in the EU
Health Threat UnitOrientations 2006
Health Threat Unit SANCO C3
Strategies on vaccines and other drugs relevant to communicable diseases control and Health Security
Exchanging information on vaccination and immunisation strategies
Exchanging information on other medicines (e.g. antivirals)
Planning and policy implementation and strategies related to addressing areas of decreasing or lower rates; and in preparedness strategies (such as pre-event vaccinations or stockpiling), especially for serious health threats such as bioterrorism.
ECDC should be involved in all issues concerning the scientific basis for planning and policies
Health Threat UnitOrientations 2006
Health Threat Unit SANCO C3
Antimicrobial resistance and healthcare associated infections – health services aspects
Surveillance part of AMR will go to ECDC but patient safety and healthcare related actions may be required
impact on CD of mobility of patients and healthcare staff migrant health, cross-borderpatient safety issues
Health Threat UnitOrientations 2006
Health Threat Unit SANCO C3
Safety of blood, tissues and cells, organs
Aims to promote the quality, safety and availability of substances of human origin
Minimize risks and ensuing threats to patients’ health associated with their collection, processing, preservation, storage, distribution and use.
Activities should support implementation of existing EU legislation
Health Threat UnitOrientations 2006
Health Threat Unit SANCO C3
Objectives of GPPPublic health attention points for MS plans
comparisons, reviews, improvements and fine-tuningAttention points for EC in support to MSReduce the vulnerability for the EU
Contact points (Community - MS)Identification of minimal requirements in plans (Community - MS)Checklist
Reduce potential conflicts between the different national plans
Mutual awarenessInteroperability
Health Threat UnitGeneric preparedness planning
Health Threat Unit SANCO C3
Focus of threats in the GPP> outbreak> local interestFocus on 4 threats: biological , chemical, radiological, environmental, deliberate or not
Major outbreak of an unknown illness (ex: SARS)Previously unrecognised pathogen in the blood supplyChemical, biological, or radiological contamination of a water supplyLost source or an accidental release of radiation affecting >1MSSerious imported infection affecting a number of countriesInternational concern over the safety of a vaccineNext influenza pandemicSuspected deliberate or accidental release of a serious biological agent
Health Threat UnitGeneric preparedness planning
Health Threat Unit SANCO C3
Future orientationsFocus on role, functions and relations of public health partner
Set up a peer review process of national plans To review the minimal requirementsTo follow-up, test and exercise interoperability
Improve systematic information exchange and co-ordinationEuropean measures in other sectors should be open to take into account the public health aspect for countermeasuresCOM will consider adopting relevant decisions on declaring emergencies and on consultation of countermeasures Propose algorithms, terminology and use of equivalent levelsDevelop an EU-plan or process on triggering and building a liaise and response structure Continue the process
Health Threat UnitGeneric preparedness planning
Health Threat Unit SANCO C3
Basic conceptsRisk assessment
A scientifically based process consisting of the following steps: I) hazard identification, ii) hazard characterization, iii) exposure assessment, and iv) risk characterization
Risk management A process, distinct from risk assessment, of weighing policy alternatives, in consultation with interested parties, considering risk assessment and other factors relevant for health protection of consumers and for the promotion of fair trade practices, and if needed selecting appropriate prevention and control options.
Risk communication
Health Threat UnitGeneric preparedness planning
Health Threat Unit SANCO C3
DefinitionsPublic Health Threat
An event (incident) or condition involving one or more agents, which has resulted in or has the potential to produce rapidly harm, directly or indirectly, to the health of an exposed population.
Public Health Crisis A sequence of events following a public health threat, where the limited time available for deciding and the large degree of uncertainty leads to overburdening the normal response capacity and/or undermining of authority.
Health Threat UnitGeneric preparedness planning
Health Threat Unit SANCO C3
Health Threat UnitGeneric preparedness planning
Health Threat Unit SANCO C3
Health Threat UnitGeneric preparedness planning
Health Threat Unit SANCO C3
Health Threat Unit SANCO C3
Sanco’s traditional international role
Involvement in international organisationsWorld Health Organization, OECD, CoE, G7+
Enlargement 10 countries joined in May 2004Now new candidate/potential candidate countries (Bulgaria, Romania, Turkey, Croatia, Western Balkans)
Health Threat UnitInternational aspects
Health Threat Unit SANCO C3
Sanco’s expanding international role
Greater involvement in development of international health treaties (FCTC, IHR)
“New” European Neighbourhood Programme CountriesIsrael, Jordan, Moldova, Morocco, the Palestinian Authority,
Tunisia, Ukraine, Armenia, Azerbaijan, Egypt, Georgia, Lebanon, Algeria, Belarus, Libya, Syria
Russia – Partnership and Cooperation Agreement, Four “common spaces”.
A growing number of bilateral agreements with public health element requested e.g. China, USA, India, Thailand
Health Threat Unit SANCO C3
Health Threat Unit SANCO C3
Why? GloballyHealth growing as a global foreign policy concern
Global commerce and health Recent wave of multilateral and bilateral free trade agreements - exchange of goods and services that affect health and health care
Disease and international securityPublic health preparedness now more important than during Cold War eraPrevention of bioterrorismAwareness globalisation means epidemics such as SARS, Avian Flu can spread more quicklyRole of diseases (e.g HIV/AIDS) in devastating economies
Health Threat Unit SANCO C3
EU Coordination mechanism
Other RASMIC
ECURIERASFF
EUROPHYTADNS TRACES
RAPEXEUROPOL
RELEXECHO
HEDIS CIRCA
ALERTNOTIFICATIONS
& Follow up
INFO BICHATBICHAT bulletin
News to authorities
Warning systems
RAS BICHAT
EWRS
RAS CHEM
Digital mapping
MATRIX
Supporting tools
GenericPreparedness
planning
GPHIN PromedNexis Lexis FactivaNews wires Satellite TVsUN & specialised sites
DSN- Dedicated surveillance networksInput from projects supported by EC
« Scanning the Horizon »
MEDISYS TARIQA
HEOF - Health Emergency Operations Facility
25 Member States3 EEA Countrie
2 CandidateCountries
ECDC
GHSN(USA, Canada,Japan, Mexico,
WHO)
Health Emergency &
Diseases Info Centre
Health Threat UnitHEOF
Health Threat Unit SANCO C3
Thank you for your attention!
http://europa.eu.int/comm/dgs/health_consumer/publichealth.htm
Questions?