March 2008 Copyright© Information & Decision Support Center 2006 (IDSC), All Rights Reserved Egyptian Plan For The Pandemic Influenza Preparedness

March 2008March 2008 Copyright© Information & Decision Support Center 2006 (IDSC), All Rights Reserved Copyright© Information & Decision Support Center 2006 (IDSC), All Rights Reserved

Egyptian Plan For The Pandemic Influenza Preparedness

Egyptian Plan For The Pandemic Influenza Preparedness

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Contents• Overview of Avian Flu in Egypt.

• Command & Control in Egypt.

• National Plan for Preparedness & Response to the Pandemic Influenza.

• Recent Response And Preparedness Achievements for the Pandemic Influenza.

• Participating Directorates & Sectors on the Local Operational Level (Governorates’ Level).

• Lessons Learned during the whole Process

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Overview of Avian Influenza in Egypt

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• One of the major recent disasters that occurred in Egypt, is the widespread of Avian Influenza nationwide since February 2006, It resulted into 19 deaths and 26 recovered cases of infection. The poultry sector suffered major economic losses.

Overview of Avian Influenza in Egypt

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Cumulative Number of Confirmed Human Cases of Avian Influenza (H5N1) according to WHO Report

Country

Confirmed Human Cases

TotalPercentage of

Deaths (%) Recovered Cases

Deaths

1Indonesia2410512981.4%

2Viet Nam545110548.6%

3Egypt26194542.2%

4China10203066.7%

5Thailand8172568%

6Turkey841233.3%

7Azerbaijan35862.5%

8Cambodia077100%

9Iraq12366.7%

10Lao People's Democratic Republic022100%

11Nigeria011100%

12Djibouti1010%

13Myanmar1010%

14Pakistan011100%

Total13623437063.2%

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Command & Control in Egypt

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Strategic Level (Political)

Strategic Level (Political)

Planning & Preparation Level

(Tactic)


(Tactic)

Executive Level (Operational)

Executive Level (Operational)

Higher Ministerial Committee

Higher Ministerial Committee

National Pandemic Inter-ministerial

Committee

National Pandemic Inter-ministerial

Committee

Governorates Governorates

Command And Control in Egypt

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1) Strategic level (Political): The Higher Ministerial Committee for Crisis Management, headed by H.E. the Prime Minister & the membership of:Minister of Defense & Military ProductionMinister of Interior AffairsMinister of InformationMinister of Foreign AffairsMinister of Health & PopulationConcerned Minister / Governor (According to the type of the

Crisis / Disaster)Representative of National Security CouncilSpecialized Experts (according to the need)

Strategic Level

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2) Planning & Preparation Level (Tactic): The National Pandemic Inter-ministerial Committee headed by the Ministry of Health & Population, & the membership of concerned ministries (Essential Services).


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National Plan for Preparedness & Response to the Pandemic Influenza

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- Objectives: Assurance of the strict application of the ongoing

preventive measures & response and contingency procedures of Avian Flu, toward avoiding mutation of the virus.

Providing the concerned parties with the standard response measures & contingency procedures to ensure effective inter-agancy communication in handling of pandemic Influenza.

Preparation of all governorates for an effective response & management of Pandemic Influenza on all levels.

National Plan for Preparedness & Response to the Pandemic Influenza

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- Objectives: Secure the normal provision of essential services. Maintain the provision of all essential services for

health sector during the Pandemic. Application of strict control on the internal immigration

between governorates as a precautionary & preventive measure to contain the Pandemic if occurred.

National Plan for Preparedness & Response to the Pandemic Influenza (cont’d)

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- The Egyptian National Plan for Preparedness & Response to encounter the Pandemic Influenza relied on the following three major components: Preparation of the National Scenario for the Pandemic

Influenza Management (Prepared in consultation with all concerned parties).

Development of the National Plan of the Health Sector to encounter the Pandemic Influenza (Prepared by the Ministry of Health & Population and delivered to all Governorates).

Development of Governorates’ Response Plans to encounter the Pandemic Influenza “Prepared by the Local Operational Level (Governorates)” with the support of IDSC.

National Plan for Preparedness & Response to the Pandemic Influenza (cont’d)

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Recent Response And Preparedness Achievements for the Pandemic

Influenza

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• Establishing Simulation Sub-committee to organize the Pandemic Simulations & Exercises, headed by The Cabinet Information & Decision Support Center (IDSC) and the membership of:

- Ministry of Defense & Military Production.- Ministry of Interior Affairs.- Ministry of Health & Population.- Ministry of Information.- Ministry of Agriculture & Land Reclamation.- Ministry of State for Environment Affairs.- Ministry of State for Local Development.- Representative of National Security Council.

• The Committee holds regular meetings to discuss the mechanisms of organizing Table-top, & Simulations Exercises.

Recent Response & Preparedness Achievements for the Pandemic Influenza

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- IDSC has developed three Notification & Response chains of Command, in order to help Ministries, Governorates & concerned entities in developing their plans as follows:

Flow of Pandemic Alert. Notification Flow during Pandemic Phase. Pandemic Response Chain of Command on the

National Level.

- The three Chains of Command were endorsed by the Cabinet Secretary General & circulated to all concerned parties.

Recent Response & Preparedness Achievements for the Pandemic Influenza (cont’d)

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Flow of “Pandemic” AlertFlow of “Pandemic” Alert

National “Pandemic” Inter-Ministerial

Committee

National “Pandemic”Inter-Ministerial

Committee

Operational Room(IDSC)

Operational Room(IDSC)

(MOH)Local Directorates

Hospitals

Ministry of Health )MOH(

Emergency Police

Other Community Gatherings

Schools / Universities Private Clinics

Health care Units

Civil Society

Governorate(local authority)

WHO

The Higher Ministerial Committee(Cabinet secretariat)


The CabinetInformation and Decision Support Center

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Ministry of Interior Directorates

Cities / Centers / Districts

)MOH(Sub-local unit

Emergency Police

Schools / Universities

Hospitals / Private Clinics

Health care Units

Civil Society

Mass Media

Notification FlowNotification Flowduring Pandemic phaseduring Pandemic phase



National “Pandemic”Inter-Ministerial Committee


Operational Room)IDSC(



WHOGovernorate

)local authority(

Other Community Gatherings

)MOH(Local Directorates


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)MOH(Sub-local unit

(MOH)Local Directorates

Ministry of Health (MOH)

Hospitals / Health care

Units

Ministry of Communication and Information Technology

Ministry of Water Resources & Irrigation

Ministry of Higher Education and the State for Scientific Research

Ministry of Agriculture and Land Reclamation

Supreme councils of Youth & Sports

Ministry of International Cooperation

Ministry of State for Local Development

Ministry of Education

Ministry of Finance

Ministry of Interior affairs

Foreign Affairs

Ministry of Petroleum

Ministry of Tourism

NGOs

Ministry of Information

Ministry of Awqaf

Ministry of Justice

Ministry of Culture

Suez canal authority

Ministry of Transport

WHO

Ministry of defense

Ministry of Civil Aviation

Ministry of State for Environment Affairs

Ministry of Social Solidarity

Ministry of Electricity and Energy

Ministry of Manpower and Immigration

Ministry of trade and Industry

The Higher Ministerial Committee)Cabinet secretariat(






““Pandemic” Response Chain of CommandPandemic” Response Chain of Command)National Level()National Level(


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- IDSC initiated the following activities:A. On the National Level:

A Simulation Training Exercise was conducted at the Ministry of Health & Population in order to test Reporting Track, & the procedures taken by the health directorates to validate detection of the Pandemic Influenza. The training was held with 3 Governorates (El-Beheira, Red Sea & Menia Governorate).

B. On the Local Level: Reviewed, developed, & evaluated Menofiyah

Governorate plan aiming at encountering the Pandemic Influenza to be used as a model for the other Governorates.


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A Simulation Training Exercise (using Desktop Exercise) was held in Menofiyah Governorate in order to test & revise the procedures set to encounter the Pandemic Influenza, test the Reporting Track, Soundness of the procedures, different roles of the directorates & ensure comprehensiveness of the plan.

Preparation of a Pandemic Response Chain of Command on the Local Level (Governorate Level).

Preparation of a Manual on how to develop Governorates Response Plans to the Pandemic Influenza.


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Governorate)local authority(

Mass MediaMass Media


WHO

)MOH(Local Directorates

)MOH(Sub-local unit

Hospitals / Health Units / Private Clinics

Governorate Higher Committee for Crisis Management

Governorate Crisis Management UnitCities

Essential Services

Directorates

Ministry of State for Local Development

““Pandemic” Response Chain of CommandPandemic” Response Chain of Commandat Governorate levelat Governorate level


Committee


Committee




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Holding a meeting for all Governorates General Secretaries to discuss how governorates could prepare their integrated preparedness plans to face the Pandemic Influenza. The meeting aimed at presenting the following: The Manual of Developing Governorates’ Response

& Preparedness Plans to encounter the Pandemic Influenza.

Menofiyah Governorate Plan to encounter the Pandemic Influenza.

Ministry of Health & Population Plan to encounter Pandemic Influenza.


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- The IDSC received all Governorates’ Response & Preparedness plans.

- All Plans have been revised & accepted.- Accordingly, the Egyptian National Plan for Preparedness &

Response to the Pandemic Influenza has been completed by finalizing its 3 previous mentioned components.

- The next step is to organize A Simulation Training Exercise in all Governorates in order to test, revise & validate the Plans.


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Participating Directorates & Sectors on the Local Operational

Level (Governorates’ Level)

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NO.Directorate / SectorNO.Directorate / Sector

1Health & Population Directorate13Universities

2Quarantine (Governorates that have Airports,

Shipping Ports, Border checkpoint)14Communication Sector

3Ambulance Utility15Information & Mass Media

4Agriculture Directorate16Social Solidarity Directorate

5Veterinary Directorate17Tourism Sector (Tourist Governorates)

6 Security Directorate18Electricity Sector

7Passports, Emigration & Nationality

Administration (Governorates that have Airports, Shipping Ports, Border checkpoint)

19Awqaf (Endowments) Directorate

8Food Supply Directorate20Water Resources & Irrigation Directorate

9Housing Directorate21Internal Transportation Utility

10Branch of Environmental Affairs Agency (If

available)22Roads & Bridges Directorate

11Education Directorate 23Civil Society Organizations (NGOs)

12Youth & Sport Directorate 24Local Authorities for Cities & Districts

25Offices of Suez Canal Authority (Suez Canal

Governorates)

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Lessons Learned during the whole Process

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1) Tourism Sector: Dealing with large numbers of Tourists & Foreigners.

2) Education Sector: Closing Schools & Universities. Using schools as temporary hospitals / health units

& Shelters. Role of Universities in response to the Pandemic

(Final Year Students).3) Information & Mass Media: relation with media & the

need to identify the spokesman of the governorate.

Lessons Learned

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4) Quarantine: Governorates that have Airports, Shipping Ports, Border checkpoint.

5) Role of Passports, Emigration & Nationality Administration.

6) Ships sailing through the Suez Canal.7) Role of NGOs in response to the Pandemic. 8) Religious Groups & group burial (dealing with mass

deaths). 9) Role of Private Sector (Business Continuity).10)The need to Identify governorates’ needs in order to be

able to apply their plans effectively.

Lessons Learned (cont’d)

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Thank You

Documents

March 2008 Copyright© Information & Decision Support Center 2006 (IDSC), All Rights Reserved Egyptian Plan For The Pandemic Influenza Preparedness