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ECDC Preparedness WorkHow ECDC is supporting Commission and the Member States
Prof. Karl EkdahlHead of Public Health Capacity and Communication Unit, ECDC
Emergency preparedness is a programme of long-term
activities whose goals are to strengthen the overall capacity
and capability of a country or a community to manage
efficiently all types of emergencies and bring about an orderly
transition from relief through recovery, and back to sustained
development. It requires that emergency plans be developed,
personnel at all levels and in all sectors be trained, and
communities at risk be educated, and that these measures be
monitored and evaluated regularly.
UN Strategy for Disaster Reduction
Public Health Emergency Preparedness
Preparedness lessons from the H1N1 pandemic
• Develop core capacities as per IHR
• Flexible planning assumptions
• Improve sharing of best practices
• Ensure cross-sectoral response
• Strengthen the multi-sectoral approach
• Transparency and governance
• Consider legislative changes that may be needed
• Business continuity planning guidance for different sectors
lessons from 2009 H1N1- Council recommendations
Decision 1082/2013/EU
Article 4
Member States and the Commission shall consult each other (…) with a view to coordinating their efforts to develop, strengthen and maintain their capacities for the monitoring, early warning and assessment of, and response to, serious cross-border threats to health.
That consultation shall be aimed at:
(a) sharing best practice and experience in preparedness and response planning;
(b) promoting the interoperability of national preparedness planning;
(c) addressing the intersectoral dimension of preparedness and response planning at Union level; and
(d) supporting the implementation of core capacity (…) of the IHR.
IHR Core Capacities Component of core capacity
1: National legislation, policy and financing
National legislation and policy
Financing
2: Coordination and NFP communications
IHR coordination, communication and advocacy
3: Surveillance Indicator based surveillance
Event based surveillance
4: Response Rapid response capacity
Case management
Infection control
Disinfection, decontamination and vector control
5: Preparedness Public health emergency preparedness and response
Risk and resource management for IHR preparedness
6: Risk communication Policy and procedures for public communications
7: Human resources Human resource capacity
8: Laboratory Policy and coordination of laboratory services
Laboratory diagnostic and confirmation capacity
Specimen collection and transport
Generic vs. Specific Preparedness
80%
15%
5%
Response elements in emergencies
Generic
Hazard-specific
Event specific
WHO e-atlas of disaster risk for the European Region
All-hazard approach:
1. common elements in responses
2. standardized management
3. greater capacity to address events.
Cycle of preparedness activities
1. Identify risks
2. Prioritise top risks
3. Understand prioritised risks
in detail
4. Identify preparedness
options
5. Design preparedness
strategies
6. Implement preparedness
strategies
7. Monitor progress
and update strategy
Adapted from Kunreuther, Michel-Kerjan and Useem, 2013, Corporate Strategies for Managing Catastrophic Risks in the S&P 500: Linking Intuitive and Deliverative Thinking. The Wharton School, University of Pennsylvania.
Public Health Emergency Preparedness infrastructure
Workforce capacity &
competency
Capacitybuilding
Risk/CrisisCommunication
Legislation &policies
Scientific research & advice
Information platforms & data systems
Epidemic Intelligence & investigationSurveillance
Laboratorypractice
Organisational & system capacity
Public Health Response
Basic Infrastructure
Essentialcapacities
Core supportfunctions
Public Health Emergency Preparedness infrastructureHow does ECDC work with countries?
Workforce capacity &
competency
Capacitybuilding
Risk/CrisisCommunication
Legislation &policies
Scientific research & advice
Information platforms & data systems
Epidemic Intelligence & investigationSurveillance
Laboratorypractice
Organisational & system capacity
Public Health Response
Basic Infrastructure
Essentialcapacities
Core supportfunctions
SurveillanceEarly warningPreparedness
• EU Surveillance• Support to Risk
Management• Outbreak
Communication
• Epidemic Intelligence • Risk Monitoring• Rapid Alert• Risk Assessment• Public Communication
•National risk assessments > preparedness priorities•Preparedness plans •Inter-operability of plans•Intersectoral collaboration•Training & Exercising•Crisis management procedures•Continuity of operations plans
Outbreak Response Assistance
RecoveryResponsePreparedness
Recovery
ECDC contribution to health security(Classical PPRR model)
• Guidance on rehabilitation/ decontamination
• Crisis Mgt and Response Evaluation
• Lessons identified > case studies
• Update detection/response protocols
• Outbreak investigation• Mobilisation of networks• Deployment of OAT
Prevention
•Scientific research and guidance•Health determinants•Prevention guidance (AMR, VPD)•Risk communication
Prevention
ECDC Emergency Preparedness actions and objectives 2014-2020
Health Emergency
Preparedness
1. Identification of good practice
2. Dissemination of good practice
3. Capacity strengthening
Literature review
Case studies
Development of tools
Good practice workshops
Training
Specific capabilities
• Support countries in improving their capacities and plan activities for public health emergency preparedness;
• Foster interoperability in planning for cross-border health threats;
• Promote capabilities and cooperation with other sectors involved in preventing and preparing for cross-border health threats;
• Ensure support for cross-border health threats among EU, enlargement and ENP countries in the Mediterranean basin.
Specific Case of Ebola
Preparedness
simultaneous with
Response
ECDC activities to support Ebola preparedness
• Analyse EWRS surveys on MS preparedness
• Support national exercises
• Country visits
• Share technical resources through dedicated extranets
• Support to clinical network
• Training
• Tutorial on proper use of PPE
• Courses on planning for pre-hospital management of suspected VHF patients
Planning and Preparedness
“By failing to prepare, you are preparing to fail.”
- Benjamin Franklin
“Give me six hours to chop down a tree and I will spend the first four sharpening the axe.”
- Abraham Lincoln
“Plans are of little importance, but planning is essential.”
- Winston Churchill
“Everybody has a plan until they get punched in the face.”
- Mike Tyson
Thank you for your attention !