25–27 April 2018 Siem Reap, Cambodia
Meeting Report
MEETING TO ADVANCE
NATIONAL PANDEMIC PREPAREDNESS
IN THE THREE MEKONG COUNTRIES
WORLD HEALTH ORGANIZATION
REGIONAL OFFICE FOR THE WESTERN PACIFIC
English only
MEETING REPORT
MEETING TO ADVANCE NATIONAL PANDEMIC PREPAREDNESS IN THE THREE MEKONG COUNTRIES
Convened by:
WORLD HEALTH ORGANIZATION
REGIONAL OFFICE FOR THE WESTERN PACIFIC
Siem Reap, Cambodia 25–27 April 2018
Not for sale
Printed and distributed by:
World Health Organization Regional Office for the Western Pacific
Manila, Philippines June 2019 REPORT SERIES NUMBER: RS/2018/GE/17(KHM)
2 NOTE
The views expressed in this report are those of the participants of the Meeting to Advance National Pandemic Preparedness in the Three Mekong Countries and do not necessarily reflect the policies of the conveners.
This report has been prepared by the World Health Organization Regional Office for the Western Pacific for Member States in the Region and for those who participated in the Meeting to Advance National Pandemic Preparedness in the Three Mekong Countries in Siem Reap, Cambodia from 25 to 27 April 2018.
3 CONTENTS
SUMMARY ... 4
1. INTRODUCTION ... 5
1.1 Meeting organization ... 5
1.2 Meeting objectives ... 5
2. PROCEEDINGS ... 5
2.1 Session 1: Opening session... 5
2.2 Session 2: Review status, progress, and lessons on national pandemic influenza preparedness ... 5
2.3 Session 3: Approaches to renew planning for pandemic preparedness ... 7
2.4 Session 4: Engaging the whole of society in planning for pandemic preparedness ... 9
2.5 Session 5: Testing pandemic preparedness plans ... 9
2.6 Session 6: Essential components of pandemic preparedness ... 10
2.7 Session 7: Updating national pandemic preparedness and response plans ... 11
2.8 Session 8: Keeping momentum towards sustainable pandemic preparedness ... 11
3. CONCLUSIONS AND RECOMMENDATIONS ... 12
3.1 Conclusions ... 12
3.2 Recommendations ... 13
ANNEXES ... 14
Annex 1 - List of participants ... 14
Annex 2 - Programme of activities ... 18
Keywords
Pandemics – prevention and control / influenza, Human – prevention and control / Regional health planning / Mekong Valley
4 SUMMARY
The Meeting to Advance National Pandemic Preparedness in the Three Mekong countries took place in Siem Reap, Cambodia from 25 to 27 April 2018.
The overall objective of the meeting was to further strengthen pandemic preparedness in the Mekong subregion. Guided by the Asia Pacific Strategy for Emerging Diseases and Public Health Emergencies (APSED III), the three Mekong countries (Cambodia, the Lao People’s Democratic Republic and Viet Nam) in the Western Pacific Region have made significant progress in pandemic influenza preparedness. At the same time, the health security context is changing globally, with endorsement of the Sustainable Development Goals and
establishment of the WHO Health Emergencies Programme. Under such shifting
circumstances, it is critical to identify a renewed approach to further strengthen national pandemic preparedness.
The objectives of the meeting were:
(1) to review status, progress and lessons on national pandemic influenza preparedness in the three Mekong countries;
(2) to identify common issues and propose renewed approaches to advance national pandemic preparedness considering the changing health security context and new developments; and
(3) to test critical elements in responding to a pandemic through a simulation exercise.
The meeting consisted of eight sessions and a table-top simulation exercise. Specific topics for seven of the sessions were as follows: (1) review status, progress and lessons on national pandemic influenza preparedness; (2) approaches to renew planning for pandemic
preparedness; (3) engaging whole-of-society in planning for pandemic preparedness;
(4) testing pandemic preparedness plans;
(5) essential components of pandemic preparedness; (6) updating national pandemic
preparedness and response plans; and (7) keeping momentum towards sustainable pandemic preparedness.
The meeting participants recognized the persistent threat posed by pandemic influenza and the need to further invest in strengthening pandemic preparedness despite considerable progress. Challenges remain, including: limited intersectoral collaboration at national and local levels, limited resource allocation, competing priorities, gaps in legal and regulatory frameworks, logistical issues, and insufficient investment in preparedness. The participants recognized the importance of engaging the whole of society, including relevant government sectors, the private sector, civil society and communities in pandemic preparedness and response. The need to plan for continuity of essential services was also noted.
Member States were encouraged to advance national pandemic preparedness by updating national pandemic plans, engaging relevant stakeholders and reporting progress in future WHO meetings. Additionally, WHO was requested to continue supporting Member States in advancing national pandemic preparedness.
5
1. INTRODUCTION
1.1 Meeting organization
The Meeting to Advance National Pandemic Preparedness in the Three Mekong Countries took place at the Apsara Angkor Hotel in Siem Reap, Cambodia from 25 to 27 April 2018.
The meeting was coordinated by the World Health Organization (WHO) Regional Office for the Western Pacific. The aim of the meeting was to bring together representatives from the governments of Cambodia, the Lao People’s Democratic Republic and Viet Nam, WHO and other international partners to discuss issues, challenges and new approaches to pandemic preparedness. The list of participants and meeting programme are given in Annexes 1 and 2, respectively.
1.2 Meeting objectives
The objectives of the meeting were:
(1) to review status, progress and lessons on national pandemic influenza preparedness in the three Mekong countries;
(2) to identify common issues and propose renewed approaches to advance national pandemic preparedness considering the changing health security context; and (3) to test critical elements in responding to a pandemic through a simulation exercise.
2. PROCEEDINGS
2.1 Session 1: Opening session
The meeting was opened by Dr Ly Sovann, Director, Department of Communicable Diseases, Ministry of Health, Cambodia. Dr Masaya Kato, Programme Area Manager, Country Health Emergency Preparedness and IHR, WHO Regional Office for the Western Pacific, delivered the opening remarks on behalf of Dr Shin Young-Soo, WHO Regional Director for the Western Pacific. Dr Heather Papowitz, Programme Area Manager, Emergency Operations, WHO Regional Office for the Western Pacific, presented the objectives and proposed agenda of the meeting.
2.2 Session 2: Review status, progress and lessons on national pandemic influenza preparedness
Chair: Dr Ly Sovann - Ministry of Health, Cambodia
6
2.2.1 Managing pandemic threats in a changing context: Investing in preparedness through APSED III
Dr Masaya Kato, WHO Regional Office for the Western Pacific
Dr Kato emphasized that influenza continues to pose a threat and remains a priority infectious hazard within the Asia–Pacific region, and that the world is still ill-prepared for severe
outbreaks and pandemics. The risk of pandemic influenza persists and the impacts of such a pandemic would be devastating. The global context, including the social, economic and political environments as well as availability of novel technologies, is rapidly changing, which brings new challenges but also opportunities to address public health threats. There is substantial momentum for health security as well as interest and investment from
stakeholders from a variety of sectors.
The Asia Pacific Strategy for Emerging Diseases and Public Health Emergencies (APSED III) provides a framework for action for Member States to advance their core capacities under the International Health Regulations (2005), or IHR (2005), to manage all emerging infectious disease threats and public health emergencies, including influenza pandemics. In particular, Dr Kato drew attention to the two-tier approach proposed by APSED III that drives continuous testing and updating of a response plan as well as strengthening of readiness of systems to implement the response plan.
2.2.2 Cambodia – Pandemic planning update Dr Ly Sovann – Ministry of Health, Cambodia
Dr Ly Sovann gave an overview of the indicator- and event-based surveillance systems currently active in Cambodia, including the data flow, information sources and the early warning system.
He provided insight into how data from these systems are used for public health action, using the example of the 115 disease hotline – direct call to the Communicable Disease Control Department at the Ministry of Health. In terms of the response system, he reviewed how the rapid risk assessment methodology is adjusted for field operations. This included a brief description of intersectoral collaboration during human and avian influenza outbreaks.
He described the incident management system (IMS) and the establishment of an emergency operations centre (EOC). He identified key issues related to pandemic preparedness including limited intersectoral collaboration, financial support, and commitment to develop, update and test pandemic and public health emergency response and contingency plans. Key priorities for the future include developing an all-hazards public health emergencies plan, finalizing the contingency plan for multisectoral public health emergency response, conducting national- level risk profiling, and conducting targeted simulation exercises.
2.2.3 Lao People’s Democratic Republic – Pandemic planning update
Dr Sibounhom Archkhawongs – Ministry of Health, Lao People’s Democratic Republic
Dr Sibounhom Archkhawongs provided an overview of the existing public health emergency preparedness mechanism, which is guided by the National Committee for Disaster Prevention and Control (NCDPC) and the National Committee for Communicable Disease Control.
He detailed the key legislation, plans and guidelines that form this mechanism. In particular,
7
he highlighted the whole-of-society approach used to coordinate sectors in charge of essential services, and involving communities. He noted that while the Prime Minister’s office has authority during a response effort, the NCDPC coordinates with all concerned ministries.
While coordination among ministries during the 2009 pandemic worked well, strengthening multisectoral collaboration between health and non-health sectors would be beneficial.
He identified key issues surrounding logistics, procurement of essential medicines and supplies, and infection prevention and control (IPC). Key priorities for the future include reviewing the existing pandemic preparedness plan within a multisectoral two-tier framework, and conducting simulation exercises to test this plan.
2.2.4 Viet Nam – Pandemic planning update
Dr Tran Dai Quang – General Department for Preventive Medicine, Viet Nam Dr Tran Dai Quang provided an overview of the legal framework and guidance documents surrounding pandemic influenza preparedness and avian influenza prevention and control.
He detailed their pandemic planning structure within the two-tiered approach, noting specifically surveillance of respiratory infections, risk communication, coordination with wider health systems, and technical guidance. He noted that multisectoral coordination and communication was the key to effective pandemic preparedness and response, citing coordination mechanisms such as the National Steering Committees for Avian and Human Influenza, and the One Health Partnership for Zoonoses. He identified challenges, including:
the existence of strain-specific response plans but no comprehensive national pandemic plans; stockpiling and deployment not currently part of response plans; and a lack of sustainable financing for preparedness, with support coming predominantly from external donors. Key priorities for the future include reviewing and revising the national pandemic preparedness plan, securing continued commitment from the Government, and enhancing multisectoral collaboration.
2.3 Session 3: Approaches to renew planning for pandemic preparedness 2.3.1 Planning approach for pandemic preparedness
Dr Masaya Kato, WHO Regional Office for the Western Pacific
Dr Kato focused on three aspects of pandemic planning: (1) the two-tiered approach to public health emergency preparedness; (2) involving the whole of society in planning; and
(3) risk- and severity- based approaches for a flexible response. He noted that APSED III proposes a two-tiered approach to public health emergency preparedness. Tier one is emergency planning, whereby it is essential to develop, test and update public health
emergency plans. Tier two advocates for strengthening the system that enables key functions, people, resources, tools and facilities across the health and non-health systems to implement the response plans effectively and efficiently. Experience has shown that putting all the right components in plans before an event provides the foundation for delivering prompt and effective management of an emergency. Furthermore, tier two requires strengthening of both all-hazards systems and hazard-specific components. He also stressed the importance of whole-of-government and whole-of-society engagement in the preparedness, response and recovery phases – involving national governments, civil society and the private sector.
One lesson from the influenza A(H1N1) 2009 pandemic was highlighted, that being: It is important to promote risk-based approaches to preparedness and response. Most
8
Member States had prepared for a pandemic of high severity and appeared unable to adapt their responses adequately to a more moderate event. Dr Kato emphasized the need for Member States to develop flexible plans that can be adjusted by severity and risk assessments using multiple sources of information.
2.3.2 Pandemic influenza risk and impact management: building sustainable and resilience capacities for pandemic response – WHO’s approaches
Dr Weigong Zhou, WHO headquarters
Dr Weigong Zhou provided an overview of the strategies, guidance, tools and approaches for resilient and sustainable pandemic preparedness within the framework of WHO’s Pandemic Influenza Risk and Impact Management (PIRM) guidance. He highlighted the risk-based and integrated approaches of the PIRM framework, specifically the all-hazards approach to risk management, strengthening the whole-of-government and whole-of-society approaches, and emphasizing risk- and severity-based approaches. He listed key guidance tools currently being used by WHO, as well as those currently in development. He noted that the key to moving from strategy to practice was to leverage existing mechanisms and strengthen
collaboration between existing networks and partners for pandemic influenza preparedness in the context of strengthening IHR core capacities and health security.
2.3.3 Financing pandemic preparedness and response Dr Netsanet Workie, World Bank
Dr Netsanet Workie stressed that within the framework of health security financing, the goal was to strengthen systems to achieve universal health security through adequate and
sustainable financing. He noted that information about health security financing was scarce, and that currently, programmes in this field are largely financed through general revenue and donor funding. However, a greater gap remains in sustainable financing for preparedness than in financing for outbreak response. He noted the need to increase the evidence base on
financing for health security to inform policy and strategy development, including further research on financing options such as increased budget allocations, and greater involvement from the private and insurance sectors.
2.3.4 Roles of vaccines and pharmaceuticals in response to pandemics Dr Erica Dueger, WHO Regional Office for the Western Pacific
Dr Erica Dueger emphasized the importance of vaccines as the primary means of preventing influenza, with strong seasonal vaccination programmes as the foundational pandemic response strategy. She compared the proposed deployment of a pandemic vaccine in
countries with strong seasonal influenza vaccine programmes with countries with no or weak seasonal influenza vaccine programmes, stressing the time and lives saved as a result of effective vaccine planning. She noted two key public–private partnerships that have contributed to a strengthened influenza vaccination programme, namely: the Pandemic Influenza Preparedness (PIP) Framework and the Partnership for Influenza Vaccine Introduction (PIVI). The key to ensuring vaccine supply is to ensure that supply meets
9
demand, that manufacturers have the capacity and plans to switch from seasonal to pandemic influenza vaccine production and that Member States have a vaccine deployment
infrastructure to manage their distribution when needed.
2.4 Session 4: Engaging the whole of society in planning for pandemic preparedness 2.4.1. Panel discussion: Whole-of-society approach
Dr Heather Papowitz, WHO Regional Office for the Western Pacific
Dr Heather Papowitz moderated a panel featuring Dr Dai Quang Tran (Viet Nam), Dr Kol Hero (Cambodia), Dr Sibounhom Archkhawongs (Lao People’s Democratic Republic), Dr Jeffrey Gilbert from the International Federation for the Red Cross and Red Crescent Societies (IFRC), and
Dr Etienne Poirot from the United Nations Children’s Fund (UNICEF) to discuss the whole- of-society approach, as well as the engagement and roles of communities in pandemic preparedness and response. In particular, they discussed how communities were engaged in their respective countries.
Participants recognized the important roles communities play in pandemic preparedness and response, citing examples of community-based health programmes that are currently
supporting epidemic control and disaster risk management – in particular surrounding health promotion and community engagement. All three Member States cited examples of engaging unions and local leaders for awareness-raising and advocacy in response to outbreaks of circulating vaccine-derived poliovirus, avian influenza and rabies. However, they recognized the need for greater involvement of these groups in preparedness whereby the government empowers communities to act. Furthermore, defining their roles in the preparedness cycles can facilitate this process, for example, in event-based surveillance (e.g. Cambodia’s 115 hotline), advocacy and community messaging (e.g. social responsibility), and contact tracing.
Finally, sustainable financing of community engagement programmes for epidemic control was raised as an ongoing issue as community groups are predominantly funded by external donors.
2.5 Session 5: Testing pandemic preparedness plans
Chair: Dr Duy Nghia Ngu - National Institute of Hygiene and Epidemiology, Viet Nam 2.5.1 Simulation exercise
Mr Fred Copper, WHO headquarters
A table-top simulation exercise was conducted so that participants could deepen their
awareness and understanding of the whole-of-society approach to pandemic preparedness and the essential components of pandemic response. The objectives of the simulation exercise were, in the context of an emerging outbreak, to test risk communication through traditional media and social media channels, test coordination mechanisms across health and non-health sectors focusing on the whole-of-society approach, and test the availability and flow of financial resources in an emergency. Using a simulated outbreak scenario in a fictitious country, the scenario progressed over time, moving through detection, response and mitigation of the widespread impact on the whole of society.
10
In terms of risk communication, Member States noted that strategies to avoid rumours and misinformation among the communities should address both physical and political risks.
Furthermore, identifying key risk communication personnel (official spokespersons) and communication channels for information dissemination is an important action. While the three Member States differ on the use of social media for official messaging and whether it is considered an official communication channel, there was consensus that social media
strategies should be included in broader risk communication strategies. For whole-of-society coordination, key issues identified were information flow between key stakeholders during preparedness and response, and gaps in business and essential service continuity planning.
Examples of business continuity plans not being developed drew attention to this issue.
Furthermore, the different complexities in national response structures (e.g. multisectoral response versus health response, single decision-making body versus multiple decision- making bodies) can contribute to issues with information flow. Finally, in terms of financing, the key issue identified was the proportion of external funding distributed to response efforts over preparedness efforts, and the sustainable implementation of these funds. Further
developing the investment case for pandemic preparedness was considered valuable.
2.6 Session 6: Essential components of pandemic preparedness
2.6.1 WHO checklist for pandemic influenza risk and impact management Dr Weigong Zhou, WHO headquarters
Dr Weigong Zhou presented on the updated WHO guidance, A Checklist for Pandemic Influenza Risk and Impact Management: Building Capacity for Pandemic Response.
This checklist builds on the up-to-date knowledge on pandemic and emergency preparedness, considering lessons learnt from the 2009 pandemic, best practices and knowledge from updated pandemic preparedness plans. Its key tenets are that pandemic influenza
preparedness and response capacities can be strengthened through capacity-building efforts that address all-hazards – namely IHR core capacities – as well as efforts to address
pandemic influenza–specific needs. Strengthening seasonal influenza programmes
contributes particularly to the latter. Dr Zhou noted that Member States may use this checklist to “crosswalk” or integrate with other existing disease- or programme-specific preparedness and response plans to coordinate planning activities. This ensures consistent strengthening of IHR core capacities across multiple disease preparedness and response programmes.
2.6.2 Group discussion 1
Following the introduction of the WHO checklist for pandemic influenza risk and impact management by Dr Weigong Zhou, this group discussion allowed participants to identify and discuss the key components of pandemic preparedness in their national contexts. Three key areas, and their corresponding sections in the checklist, were discussed: (1) public health and health service delivery; (2) essential service continuity and community engagement; and (3) financing for pandemic preparedness and response. Furthermore, participants discussed the feasibility and challenges in preparing for these components in their respective national contexts.
11
The Member States agreed that situation analyses to inform the development or update of national pandemic preparedness and health emergency management plans are needed. It was emphasized that results from existing evaluation mechanisms such as Joint External
Evaluations (JEEs), IHR annual reporting, after-action reviews and simulation exercises would contribute to this process. Such analysis will provide a starting point for identifying which component areas require further investment and development. For example, all three countries noted that they had financial support mechanisms for outbreak response at various levels and agreed that all-hazards capacity-building is cost-effective. However, they also remarked that there has been limited sustainable financing for preparedness. Furthermore, all three countries identified their respective multisectoral coordination mechanisms as an essential component of pandemic preparedness. The Member States noted the leading role of the health sector in the response structure, and the varying levels of involvement of disaster management agencies and executive offices. There was consensus that there needs to be strengthened collaboration between all sectors during preparedness and response.
2.7 Session 7: Updating national pandemic preparedness and response plans
Chair: Dr Sibounhom Archkhawongs – Ministry of Health, Lao People’s Democratic Republic
2.7.1 Essential steps for updating national pandemic preparedness plans and simulation exercises to validate pandemic preparedness plans
Dr Weigong Zhou, WHO headquarters
Dr Weigong Zhou presented on the new WHO guidance, Essential Steps for Updating a National Pandemic Influenza Preparedness Plan. It outlines objectives, steps, considerations and tasks for each of the three phases in developing and updating a national pandemic
influenza preparedness plan, namely: (1) preparation and situation analysis; (2) developing and/or updating the plan; and (3) testing, evaluating, finalizing and disseminating the plan.
The aim is to use the guidance in conjunction with the checklist, linking pandemic influenza preparedness planning and the development of a national action plan for health security.
Dr Zhou also provided a brief overview of draft WHO guidance focusing on the use of simulation exercises to test and validate pandemic influenza preparedness plans. It provides guidance on how to select, plan, design, conduct and evaluate simulation exercises for pandemic influenza preparedness and response.
2.8 Session 8: Keeping momentum towards sustainable pandemic preparedness 2.8.1 Group discussion 2
This group discussion focused on the way forward in terms of updating national pandemic preparedness and responses plans. Country groups discussed three key areas: (1) essential steps, considerations and coordination mechanisms in the pandemic preparedness planning;
(2) essential components and priorities of the national pandemic plans; and (3) operationalizing the whole-of-society approach. By considering key questions surrounding coordination mechanisms to update plans, methods to ensure the whole-of-
12
society involvement, continuity of essential services, sustainable financing for pandemic preparedness, and testing plans, Member States presented a roadmap of actions they intend on taking to strengthen their national pandemic preparedness capacities.
All three Member States recognized that their priority was to review and update their respective health sector pandemic influenza preparedness plan and initiate the process to either develop all-hazards health emergency preparedness plans or update their existing plans.
Furthermore, there was consensus on testing their plans through a series of simulation
exercises and after-action reviews that involve both health and non-health sectors. This would include exploring strengthening coordination within the health sector and with non-health sectors (e.g. national disaster management, defence and finance) and essential service providers (e.g. transport, water, energy and business continuity) in the preparedness cycle through country-specific mechanisms, resource mapping, strengthening surge and human resource capacities, further involving communities in preparedness, and strengthening national capacities in risk communication as it applies to pandemic response. In terms of financing, there was consensus that more options to ensure sustainable financing for preparedness and response need to be explored. Given the current dependency on external donors, the difficulty remains in making the investment case to relevant stakeholders to mobilize sustainable domestic and international resources for preparedness and response.
3. CONCLUSIONS AND RECOMMENDATIONS
3.1 Conclusions
Participating Member States – Cambodia, the Lao People’s Democratic Republic and Viet Nam – recognized the persistent threat posed by pandemic influenza and reaffirmed the need to further invest in strengthening pandemic preparedness.
While the Member States have made considerable progress in pandemic preparedness, there are still challenges such as limited intersectoral collaboration at national and local levels, limited financial resources, logistical and regulatory issues, competing priorities, gaps in legal frameworks, and insufficient investment in preparedness.
The Member States discussed a need to clarify the objectives of and streamline the multiple types of plans, including all-hazard and hazard-specific plans, and multisectoral and sector-specific plans. Important lessons from responding to the 2009 influenza pandemic and other public health emergencies included good practices such as:
• activation of a high-level multisectoral coordination body
• timely risk assessment involving multisectoral stakeholders to inform response decision
• timely risk communication through a designated spokesperson
• collaboration and information sharing with international partners.
APSED III, especially its two-tier approach of emergency planning and system readiness, is an important strategic framework to strengthen pandemic preparedness – placing system
13
readiness as the foundation for implementation of response plans. Joint External
Evaluations (JEEs) of IHR core capacities and the national action plans for health security also provide the necessary momentum to strengthen pandemic preparedness.
The Member States recognized the importance of engaging the whole of society: relevant government sectors, the private sector and civil society. This includes the need to plan for continuity of essential services. The meeting enhanced participants’ recognition of the potential and roles of communities in contributing to pandemic preparedness and response.
Simulation exercises add value and benefits for validating pandemic plans and using them to enhance preparedness and response.
The Member States identified essential components and priorities for pandemic preparedness for their respective countries, including:
• coordination mechanisms
• communication plans
• surveillance and risk assessment
• health and non-health essential service continuity
• clinical management
• infection prevention and control
• pharmaceutical interventions (including systems to deliver vaccines and antivirals)
• non-pharmaceutical interventions
• rationale for investment (including costing) in preparedness
• mobilizing funds for pandemic preparedness and response.
Further, the Member States discussed potential steps, processes, priorities, outlines and timelines for updating national pandemic preparedness and response plans. They intend to update and validate pandemic plans, and work towards improved investment in
preparedness for pandemics and other public health emergencies. Partners expressed their willingness to provide necessary support in line with national plans.
3.2 Recommendations
3.2.1 Recommendation for Member States
Member States are encouraged to advance pandemic preparedness by updating national pandemic plans, engaging relevant leaders and stakeholders and reporting progress in future WHO meetings.
3.2.2 Recommendation for WHO
WHO is requested to, in collaboration with partners, continue supporting Member States in advancing national pandemic preparedness.
14 ANNEXES
Annex 1 - List of participants
PROVISIONAL LIST OF PARTICIPANTS, OBSERVERS/PARTNERS AND SECRETARIAT MEMBERS
1. PARTICIPANTS
Dr Ly Sovann, Director, Department of Communicable Disease Control, Ministry of Health, #80 Samdech Penn North Boulevard, Phnom Penh, Cambodia. Tel. no. +855 12 825424, Email: sovann_ly@online.com.kh
Dr Sok Srun, Director, Department of Hospital Services, Ministry of Health,
#80 Samdech Penn North Boulevard, Phnom Penh, Cambodia. Tel. no. +855 12 912122, Email: soksrun@online.com.kh
Dr Kol Hero, Director, Department of Preventive Medicine, Ministry of Health,
#80 Samdech Penn North Boulevard, Phnom Penh, Cambodia. Tel. no. +855 23 885904, Email: khero@online.com.kh
H.E Soth Kimkolmony, Advisor and Deputy Director, Department of Preparedness and Training, National Committee for Disaster Management, New Building, ST. 516 Sangkat Toulsangke, Khan Reuseykeov, Phnom Penh, Cambodia. Tel. no. +855 12 272107, Email:
soth_mony@yahoo.com
Dr Yi Sengdoeurn, Deputy Director, Department of Communicable Disease, Ministry of Health,
#80 Samdech Penn North Boulevard, Phnom Penh, Cambodia. Tel no: +855 17 670909, Email: _doeurn.cdc@gmail.com
Dr Sibounhom Archkhawongs, Deputy Director General, Department of Communicable Disease Control, Ministry of Health, Vientiane Capital, Lao People’s Democatic Republic , Tel. No.: +856 20 553 92648, Email: sbh_dohp@yahoo.com
Mr Kindavong Luangrath, Chief of Disaster Management Division, Department of Social Welfare, Ministry of Health, Labour and Welfare, Ministry of Health, Labour and Welfare, Pangkham Road, P.O. Box 347, Vientiane Capital, Tel. No.: +856 21 219525,
Fax No.: +856 21 219450, Email: kanphet_ndmo@yahoo.com
Dr Khamla Choumlivong, Deputy Director, Setthathirath Hospital, Department of Healthcare and Rehabilitation, Ministry of Health, Simuang Road, Vientiane Capital,
Lao People;s Democatic Republic. Tel. No.: +856 20 222 6104, Fax No.: +856 21 214011, Email: khamla_choumlivong@yahoo.fr
15
Mrs Pathoumphone Sitaphone, Technical Official and Secretary, Emergency Operation Centre, Ministry of Health, Simeuang District, Thadeua Road, Vientiane Capital,
Lao People’s Democatic Republic. Tel. No.: +856 21 253017, Fax No.: +856 21 253017, Email: pathoumphone.sitaphone@yahoo.fr
Dr Duy Nghia Ngu, Deputy Head, Epidemiology Department, National Institute of Hygiene and Epidemiology, N1 Yerson Street, Hanoi, Viet Nam. Tel. No.: +84 906 270275,
Email : ndn@nihe.org.vn
Mr Nguyen Thang Anh, Deputy Head, Ministry of Health, 138A Giang Vo, Hanoi, Viet Nam. Tel. No.: +84 914 863989, Email: thangnamoh@gmail.com
Dr Cuc Thi Kim Pham, Senior Officer, Division of Professional Medical and Pharmaceutical, Viet Nam Administration for Medical Services, Ministry of Health, 138A Giang VoStreet, Ba Dinh District, Hanoi, Viet Nam. Tel. No.: +84 462 732445, Fax No.: +84 4627 32094, Email: ptcuc.kcb@gmail.com
Dr Dai Quang Tran, Government Officer, General Department of Preventive Medicine, Lane 135/1 Nui Truc St., Ba Dinh District, Hanoi, Viet Nam. Tel. No.: +84 932 299677, Fax No.:
+84 437 366241, Email : trandaiquang1984@gmail.com 2. OBSERVERS
Dr Sonalini Khetrapal, Health Specialist, Sustainable Development and Climate Change Department, Asian Development Bank, 6 ADB Avenue, Mandaluyong City, Philippines.
Tel. No.: +632 632 4444, Fax No.: +632 636 2444, Email: skhetrapal@adb.org
Dr Jeffrey Gilbert, Senior Officer, Health Security and Risk Management, Community and Emergency Health Unit, Health Department, International Federation of Red Cross and Red Crescent Societies, Route de Pré-Bois, 1 | 1214 Vernier, Geneva, Switzerland, Tel. No.: + 41(0) 22 730 4412, Fax No.: ++41(0) 22 733 0395, Email:
Jeffrey.Gilbert@ifrc.org
Dr Etienne Poirot, Chief Child Survival and Development, United Nations Children's Fund, Exchange Square, 5th Floor, No. 19&20, Street 106, Sangkat Wat, Phnom, Khan Daun Penh, Phnom Penh, Cambodia. Tel. No.: +855 23 260 604 ext 400, Email: epoirot@unicef.org Dr Joshua A. Mott, Director, Influenza Program, Thailand MOPH – US CDC Collaboration, CAPT United States Public Health Service, US Centers for Disease Control and Prevention, DDC 7 Building, 4th Floor, Ministry of Public Health, Si 4 Tivanon Rd, Nonthaburi 11000, Thailand. Tel. No.: +662 580 0669, Fax No.: +662 580 0712, Email: jmott@cdc.gov Dr Patrick Lumumba Osewe, Global Health, Healthy Societies, The World Bank, Office of the Special Representative to the United Nations, 1 Dag Hammarskjold Plaza, New York, United States of America, Tel. No.: +1 202 458 1217, Fax No.: +1 212 355 4523, Email: posewe@worldbank.org
16
Dr Sutayut Osornprasor, Senior Human Development Specialist, East Asia and the Pacific Regions, Human Development Unit, The World Bank, 30th Floor, Siam Tower, 989 Rama I Road, Patumwan, Bangkok 10330, Thailand. Tel. No.: ++66 26868351,
Email: sosornprasop@worldbank.org
Dr Netsanet Walelign Workie, Senior Health Economist, The World Bank, Washington, DC, United States of America, Email: nwalelign@worldbank.org
3. SECRETARIAT
Dr Masaya Kato, Progamme Area Manager, Country Health Emergency Preparedness &
International Health Regulations, WHO Health Emergencies Programme (WHE), WHO Regional Office for the Western Pacific, P.O. Box 2932, 1000 Manila, Philippines.
Tel. No.: +632 528 9828, Fax No.: +632 521 1036. Email: katom@who.int
Dr Heather Papowitz, Programme Area Manager, Emergency Operations, WHO Health Emergencies Programme (WHE), World Health Organization, Regional Office for the Western Pacific, P.O. Box 2932, 1000 Manila, Philippines. Tel. No.: +632 528 9949, Fax No.: +632 521 1036, Email: papowitzh@who.int
Dr Erica Dueger, Medical Officer (Influenza), Emerging Disease Surveillance and Response, World Health Organization, Regional Office for the Western Pacific,
P.O. Box 2932, 1000 Manila, Philippines. Tel. No.: +632 528 8001, Fax No.: +632 521 1036, Email: duegere@who.int
Mr Hitesh Chugh, WHO Regional Office for the Western Pacific, P.O. Box 2932, 1000 Manila, Philippines, Tel. No.: +632 528 9783, Fax No.: +632 521 1036,
Email: chughh@who.int
Dr Kab Vannda, Technical Officer (Surveillance and Infection Control), Emerging Disease Surveillance and Response, Office of the WHO Representative in Cambodia, 1st Floor, No.
61-64, Preah Norodom Blvd, (corner Street 306), Sangkat Boeung Keng Kang 1, Khan Chamkamom, Phnom Penh, Cambodia. Tel. No.: +855 23 216610, Fax No.: +855 23 216211, Email: kabv@who.int
Dr Reiko Tsuyuoka, Team Leader, Emerging Disease Surveillance and Response, Office of the WHO Representative in Lao People's Democratic Republic, World Health Organization, 125 Saphanthong Road, Unit 5, Ban Saphangthongtai, Sisattanak District, Vientiane Capital, Lao People's Democratic Republic, Tel. No.: +856 21 33 902/04, Fax No.: +856 21 353 905, Email: tsuyuokar@who.int
Dr Satoko Otsu, Team Leader, Emerging Disease Surveillance and Response, Office of the WHO Representative in Viet Nam, World Health Organization, 304 Kim Ma Street, Hanoi, Viet Nam, Tel. No.: +844 38 500 100, Fax No.: +844 37 265 519, Email: otsus@who.int Dr Weigong Zhou, Medical Officer, Global Influenza Programme, Influenza Preparedness and Response, Infectious Hazard Management Department, World Health Organization, Avenue Appia 20 CH-1211 Geneva 27, Switzerland, Tel. No.: +4122 791 4241, Email: zhouw@who.int
17
Mr Frederick Copper, Technical Officer, Simulation Exercise and After Action Review Team, HQ/CPI/Core Capacity Assessment and, Country Planning Unit, World Health Organization, Avenue Appia 20, CH-1211 Geneva 27, Switzerland.
Tel. No.: +4122 791 2349, Email: copperf@who.int
18 Annex 2 - Programme of Activities
PROGRAMME OF ACTIVITIES Day 1 – Wednesday, 25 March 2018
08:30 – 09:00 Registration
09:00 – 10:00 Session 1: Opening session Welcome remarks
- Dr Ly Sovann, Director, Department of Communicable Diseases, Ministry of Health, Cambodia
Opening remarks
- Dr Masaya Kato, Programme Area Manager, Country Health Emergencies Preparedness and IHR, WHO Health Emergency Programme, WHO/WPRO
Self-introductions
Overview of objectives and agenda Nomination of Chairs and Co-Chairs Administrative announcements
Managing pandemic threats in a changing context: Investing in preparedness through APSED III
- Dr Masaya Kato, WHO/WPRO
Group photo 10:00 – 10:30 Coffee break
10:30 – 12:00 Session 2: Review status, progress and lessons on national pandemic influenza preparedness
Country presentations Cambodia
Lao People's Democratic Republic Viet Nam
Discussion: Lessons in pandemic influenza preparedness and response 12:00 – 13:00 Lunch
19
13:00 – 15:00 Session 3: Approaches to renew planning for pandemic preparedness Planning approach for pandemic preparedness
- Dr Masaya Kato,WHO/WPRO
Pandemic influenza risk and impact management: building sustainable and resilient capacities for pandemic response – the WHO’s approaches - Dr Weigong Zhou, WHO Headquarters (WHO/HQ)
Discussion 1
Financing pandemic preparedness and response - Dr Netsanet Workie, World Bank
Roles of vaccines and pharmaceuticals in response to pandemics - Dr Joshua Mott, US CDC, Dr Erica Dueger, WHO/WPRO
Discussion 2 15:00 – 15:30 Coffee break
15:30 – 17:00 Session 4: Engaging whole-of-society in planning for pandemic preparedness
Panel discussion: Whole-of-society approach Panel members:
Cambodia
Lao People's Democratic Republic Viet Nam
International Federation for the Red Cross and Red Crescent Societies United Nations Children's Fund
Moderator: Dr Heather Papowitz, WHO/WPRO
Topics:
Coordination mechanism across sectors Roles of communities in pandemic response Risk communication
Non-pharmaceutical interventions 17:30 –19:00 Welcome reception
20 Day 2 – Thursday, 26 April 2018
08:30 – 08:40 Recap of day 1
08:40 – 12:30 Session 5 & 6: Simulation Exercise (Includes Coffee Break)
1230 – 1330 Lunch
1330 – 1700 Session 7 & 8: Essential components of pandemic preparedness (Includes Coffee Break)
Presentation – WHO Checklist for pandemic influenza risk and impact management
- Dr Weigong Zhou, WHO/HQ
Breakout Session: Essential components for national pandemic preparedness
Group 1: Public health and health service delivery
Group 2: Essential service continuity and community engagement Group 3: Financing pandemic response
Feedback to plenary Plenary discussion Day 3 – Friday, 27 April 2018 08:30 – 08:40 Recap of day 2
08:40 – 12:00 Session 9 & 10: Updating National pandemic preparedness and response plans (Includes Coffee Break)
Presentation – Essential steps for updating national pandemic preparedness plans and simulation exercises to validate pandemic preparedness plans - Dr Weigong Zhou, WHO/HQ
Breakout Session: Discussion by country teams Topics:
Essential steps, considerations and coordination mechanism in the pandemic preparedness process
Essential components, and priorities of the national pandemic plans Operationalizing whole-of-society approach
Feedback to plenary
21 12:00 – 13:00 Lunch
13:00 – 14:45 Session 11: Keeping momentum towards sustainable pandemic preparedness
Plenary discussion:
Keeping momentum towards sustainable pandemic preparedness – Next steps
Conclusion
14:45 – 15:00 Session 12: Closing session Closing remarks
15:15 Coffee break
