Papua New Guinea Update

3rd NIC Meeting

18 – 20 Beijing, China

Berry Ropa National CSR OfficerDepartment of Health Papua New Guinea

Latest developments in light of the Pandemic H1N1 2009

Latest update on Pandemic H1N1 2009 Pandemic Plan ILI Surveillance Laboratory Health Systems

Current on Pandemic H1N1 2009 - PNG

12 confirmed cases as 18 August, 2009 First case lab confirmed 18/6/09 with onset

14/6/09 Surveillance strategy; Case-based surveillance to detect ILI and

Severe Acute Respiratory Illness cases with travel history together with Routine and Event-based surveillance to detect cases and clusters

Community transmission not established Some positive System developments due to the

Pandemic Influenza (H1N1)

Stage of Epidemic in-country

Surveillance Goal Surveillance Strategy

No reported cases Early detection and investigation of initial cases

Case-based surveillance to detect ILI cases with travel history

Transition

Sporadic cases and localized community clusters (e.g. school outbreaks)

Comprehensive assessment

Provide accurate

description of disease

epidemiology and clinical

and virological features

Routine and Event-based surveillance to detect cases and clusters

Widespread community transmission

Pandemic monitoring

Track spread, occurrence, intensity of transmission, impact on health care system and monitoring of circulating influenza viruses.

Routine surveillance using traditional influenza indicators

Use of a variety of information sources to assess and monitor geographical spread, trends, intensity and impact.

Surveillance strategy in PNG –current ..Surveillance strategy in PNG –current ..

Response to Pandemic H1N1 2009

Searching of cases using case definition Home isolation unless require hospitalization Provided Tamiflu who met the case definition Contact tracing Triage, infection control Advise to public Supply of Tamiflu and PPE

Pandemic Plan

The initial Plan was initiated due to the threat of SARS and Avian Influenza

National Executive Council approves the revised plan responding to H1N1 2009 in July 2009 with initial injection of approx US$3.5Million

Plan to be integrated into the National Disaster Plan Provinces responded by re-activating their own plans

ILI Surveillance

2xNew additional ILI surveillance sites established

Plan for 3 more sites to be established

Laboratory

The Pacific Ministerial Meeting agrees for improved laboratory service to provide real-time results for pandemic influenza’s and other public health events

PNG plans to have its NIC to be upgraded to do R-T-PCR/ 2009

Health Systems

Establishment of Control & Command Center for Public Health Events

Hospitals establish triage, infection control and clinical management protocols

Strengthen weekly events reporting Development of Weekly surveillance bulletin Experience in IHR reporting

Future plans

Continue review of the NPP, integrate into the Nat Disaster Plan

Upgrade NIC to do R-T-PCR Expansion of ILI surveillance sites Strengthen Surveillance and response capacity for

public health events including Public Health Lab Continue support for hospitals to establish triage,

infection control and clinical management of respiratory infections

Continue support to provinces develop plans

Thank you