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In the name of God, the Compassionate, the Merciful

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22/05/2006 ss EPID-CYPRUS

In the name of God, the Compassionate, the Merciful

Message from

DR HUSSEIN A. GEZAIRY REGIONAL DIRECTOR

WHO EASTERN MEDITERRANEAN REGION to the

THE SECOND REGIONAL TRAINING WORKSHOP ON EPIDEMIC PREPAREDNESS

Limassol, Cyprus, 30 June–3 July 1997

Ladies and Gentlemen, Dear Colleagues,

It is my pleasure to welcome you to this intercountry training workshop on epidemic preparedness which is kindly hosted by the Cypriot Government. This is the second workshop of its kind to take place this year, with a third expected to be held in September. This series of workshops aims at enhancing national capabilities in the early recognition of, proper investigation of and appropriate response to epidemics. It comes at a time of increased awareness, both among communities and among health staff, of the need for preparedness in the face of increasing occurrence of outbreaks and epidemics of communicable diseases, particularly emerging diseases.

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Dear Colleagues,

I am sure that most, if not all of you, have lived through at least one epidemic of communicable disease in your country. Thus, you must be aware of the panic created by epidemics among the public and the media, as well as among politicians. Epidemics place such pressure on health authorities that, if they are not properly prepared, there is little time for proper discussion on what to do to control them. Therefore, success in dealing with epidemics depends largely on the state of preparedness in advance of any action. It demands thorough thinking and planning at a time when there is no pressure concerning cases needing treatment, a public that needs quietening or politicians who need assuring that appropriate action will be taken.

Epidemic preparedness means taking several steps in order to deal with epidemics.

These steps include the organization of an emergency health service as an integral part of communicable disease prevention and control programmes. This service must be able to cope rapidly with an epidemic, and so it is essential to develop a contingency plan for intervention in which all available and necessary resources are identified in advance, including finance, human resources, laboratory support, vector control services, supplies, transport, communication and other needs for field work and, more importantly, community participation and international cooperation.

Another important step is the establishment of an early warning system for rapid detection of unusual occurrence of a communicable disease that could cause an epidemic.

Systematic analytic methods are vital in investigating an epidemic; and last but not least, identification of the appropriate control measures. Needless to say that for all these steps, creation of a good information system is of prime importance.

Dear Colleagues,

The Eastern Mediterranean Regional Office recognized the importance of surveillance of communicable diseases and preparedness for its epidemics a long time ago. Several activities were undertaken during the 1970s and 1980s to help Member States in developing epidemiological services and surveillance systems. With new developments in and

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approaches to surveillance, the Regional Office for the Eastern Mediterranean Region has developed and structured a regional course on epidemiological surveillance of communicable diseases. In the past two years many national trainers have been trained through these courses, not only on disease surveillance but also on the control of epidemics. These master trainers have been able in some Member States to initiate national training courses on the same subjects.

Dear Colleagues,

The present workshop, which is held in collaboration with the Division of Emerging and Other Communicable Diseases Surveillance and Control at WHO headquarters, adds strength to our plans for developing the national capacities needed. I have noted from the prospectus of this workshop that its purpose is to identify the preliminary measures needed to set up an effective information system at the occurrence of an outbreak; and to identify the measures needed for the control of the outbreak, including the need for information and relations with the media.

I hope that by the end of this workshop you abilities in developing and strengthening national plans for preparedness to epidemics will be widened and that you will be better prepared to transfer the knowledge and skills gained to your colleagues at home. You must, however, always remember that although the approach to understanding an epidemic or an outbreak follows general principles, experience has shown that every epidemic is different.

This is what makes it difficult but interesting for the epidemiologist, and this is where the epidemiological “sixth” sense, which can only be acquired through personal experience, is so valuable.

Dear Colleagues,

Before ending I would like to thank the Government of Cyprus for its kind offer to host this workshop and to acknowledge the input of our colleagues at WHO headquarters who will participate actively in facilitating it. I wish you all a beneficial experience and a pleasant stay in Limassol.

Références

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