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International Health Regulations 1 |1 | Building international public health security.

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Presentation on theme: "International Health Regulations 1 |1 | Building international public health security."— Presentation transcript:

1 International Health Regulations 1 |1 | Building international public health security

2 International Health Regulations 2 |2 | Why revised International Health Regulations? In today’s world, diseases travel fast and no single country can protect itself on its own. Acknowledging this, the 193 WHO Member States unanimously adopted a new version of the International Health Regulations (IHR). The revised IHR enter into force in June It will now be up to the world to translate the new code of the Regulations into the reality of greater international public health security. Dr Margaret Chan, WHO Director-General

3 International Health Regulations 3 |3 | Our world is changing as never before Populations grow, age, and move Diseases travel fast Microbes adapt Chemical, radiation, food risks increase Health security is at stake

4 International Health Regulations 4 |4 | 30 years of international health in security HIV/AIDS CHERNOBYL PLAGUE EBOLA / MARBURG NvCJD NIPAH YELLOW FEVER... ANTHRAX SARS MENINGITIS CHOLERA CHEMICAL AVIAN INFLUENZA XDR-TB...

5 International Health Regulations 5 |5 | /163/193/223/253/283/31 4/34/64/9 4/12 4/154/184/214/244/274/30 5/35/65/9 5/12 5/15 5/18 5/21 5/24 5/275/30 6/26/56/8 6/116/146/17 Number of passenger WHO travel recommendations removed WHO travel recommendations 2 April May May27 March23 June Screening of exit passengers SARS: an unknown coronavirus 8098 cases 774 deaths 26 countries affected trends in airline passenger movement drop economic loss: US$ 60 billion 2003: SARS changes the world

6 International Health Regulations 6 |6 | H5N1: Avian influenza, a pandemic threat

7 International Health Regulations 7 |7 | The 58th World Health Assembly adopts the revised International Health Regulations, “IHR”

8 International Health Regulations 8 |8 | International public health security is the goal Ensuring maximum public health security while minimizing interference with international transport and trade Come into force on 15 June 2007* * A later date applies to States that have submitted reservations Legally binding for WHO and the world’s countries that have agreed to play by the same rules to secure international health.

9 International Health Regulations 9 |9 | What’s new? From three diseases to all public health threats From preset measures to adapted response From control of borders to, also, containment at source

10 International Health Regulations 10 | All public health threats The revised IHR recognize that international disease threats have increased Scope has been expanded from cholera, plague and yellow fever to all public health emergencies of international concern They include those caused by infectious diseases, chemical agents, radioactive materials and contaminated food

11 International Health Regulations 11 | Adapted response International public health security is based on strong national public health infrastructure connected to a global alert and response system. This is at the core of the IHR.

12 International Health Regulations 12 | Containment at source Rapid response at the source is: the most effective way to secure maximum protection against international spread of diseases key to limiting unnecessary health-based restrictions on trade and travel

13 International Health Regulations 13 | What do the IHR call for? Strengthened national capacity for surveillance and control, including in travel and transport Prevention, alert and response to international public health emergencies Global partnership and international collaboration Rights, obligations and procedures, and progress monitoring

14 International Health Regulations 14 | Why should countries implement the IHR? Countries will receive: WHO assistance in building core capacities WHO’s guidance during outbreak investigation, risk assessment, and response WHO’s advice and logistical support information gathered by WHO about public health risks worldwide assistance to mobilize funding support To detect and contain public health threats faster, to contribute to international public health security, and to enjoy the benefits of being a respected partner.

15 International Health Regulations 15 | The IHR foster global partnership Other intergovernmental organizations: – UN system (e.g. FAO, IAEA, ICAO, IMO) – others: regional (e.g. EU, ASEAN), technical (e.g. OIE) Development agencies: – governments, banks WHO Collaborating centres Academics & professional associations Industry associations NGOs and Foundations

16 International Health Regulations 16 | Acute public health threats are collectively managed The key functions of this global system, for States and WHO, are to: detect verify assess inform assist The IHR define a risk management process where States Parties work together, coordinated by WHO, to collectively manage acute public health risks.

17 International Health Regulations 17 | WHO to help countries managing events New WHO global Event Management System WHO Regional Alert and Response teams Train countries’ NFPs and WHO contact points for event management Expand GOARN and other specialized and regional support networks Develop new tools and standard operating procedures Carry out IHR exercises

18 International Health Regulations 18 | As each country builds its capacity, the entire world wins The greatest assurance of public health security will come when all countries have in place the capacities for effective surveillance and response, for: infectious diseases radiological-related diseases chemical-related diseases food-related diseases Timeline 15 June PlanningImplementation 2 years (2) + (up to 2) "As soon as possible but no later than five years from entry into force"

19 International Health Regulations 19 | Countries’ challenges for IHR implementation Mobilize resources and develop national action plans Strengthen national capacities in alert and response Strengthen capacity at ports, airports, and ground crossings Maintaining strong threat-specific readiness for known diseases/risks Rapidly notify WHO of acute public health risks Sustain international and intersectoral collaboration Monitor progress of IHR implementation

20 International Health Regulations 20 | What will WHO do under the IHR? Designate WHO IHR contact points Support States Parties in assessing their public health risks, through the notification, consultation, and verification processes Inform State Parties of relevant international public health risks Recommend adapted public health measures Assist States Parties in their efforts to investigate outbreaks and meet the IHR national requirements for surveillance and response

21 International Health Regulations 21 | Lives saved Good international image No unilateral travel and trade restrictions Public trust No political and social turmoil Benefit from IHR implementation

22 International Health Regulations 22 | International Health Regulations Building international public health security w w w. w h o. i n t / i h r


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