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Health Threat Unit SANCO C3 Health Threats Unit SANCO C3 Epinorth 5 September 2005.

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Presentation on theme: "Health Threat Unit SANCO C3 Health Threats Unit SANCO C3 Epinorth 5 September 2005."— Presentation transcript:

1 Health Threat Unit SANCO C3 Health Threats Unit SANCO C3 Epinorth 5 September 2005

2 Health Threat Unit SANCO C3 Up to May 2005

3 Health Threat Unit SANCO C3

4 2005 and beyond – New structures May 2005: ECDC – Stockholm September 2005: Executive Agency Luxembourg End 2006: New Public Health Programme

5 Health Threat Unit SANCO C3 Collaboration with ECDC Surveillance: ECDC: search for, collect, collate, evaluate and disseminate relevant scientific and technical data; Commission: legal framework, case definitions, methodologies…. Scientific opinions and scientific and technical assistance including training: ECDC: provision of opinions and assistance Commission: requesting opinion and assistance Early Warning and Response: ECDC: provide timely information to the Commission, the Member States, Community agencies and international organisations in the field of public health; rapid scientific assessment of incoming alert messages; Commission: Crisis management, measures European networking: ECDC: Co-ordinating the European networking of bodies, and operating the dedicated surveillance networks;

6 Health Threat Unit SANCO C3 Main delegated tasks Manage all phases of projects Publication of calls, evaluation, Contract negotiation, signature, payment Public procurement procedures Logistical and technical support : Non political expert working groups Seminars; conferences Executive agency Legal existence 1/1/2005 – 31/12/2010 Structure = 2 units Staff : approx. 30 people

7 Health Threat Unit SANCO C3 Health objectives and actions Surveillance of threats Deliver effective response Tackle Determinants Prevent diseases Information Health systems co-operation Reduce disease Promote health Protect citizens Help national systems Provide + information Health Objectives Action strands new New health programme Health & consumer 360 M > 1,200M

8 Health Threat Unit SANCO C3 Health objectives and actions ACTION STRANDS Reinforce existing 3 action strands Monitoring/Surveillance of Threats Address Determinants Provide Information Add 3 new action strands Deliver effective response to threats Prevent/tackle diseases and injuries Achieve synergies between national health systems New health programme

9 Health Threat Unit SANCO C3 Health objectives and actions ACTION STRANDS (6) 1) Enhance surveillance of threats Surveillance of non communicable diseases Co-ordination with ECDC Laboratory network (rare/risky pathogens) 2) Respond effectively to threats (new) Improve preparedness for rapid intervention: contingency planning, training, alert systems Networking and best practice exchange New health programme

10 Health Threat Unit SANCO C3 Health objectives and actions 3) Promote health tackling determinants Life style/addictions: smoking, alcohol, nutrition, exercise, drugs Environment and socio economic 4) Prevent diseases and injuries (new) Complement determinants strand with action on major diseases: HIV, cancer, cardiovascular and mental diseases Reduce accidents and injuries 5) More and better Health information Strengthen knowledge base More dissemination 6) Achieve synergies between national health systems (new) Health technology assessment Patient safety and mobility A network of centres of reference New health programme

11 Health Threat Unit SANCO C3 2006 & New developments in HTU Orientations for Work plan 2006 (Health threat Strand) & developments Generic Preparedness Planning International aspects New Health Emergency Operations Facility [HEOF] RAS CHEM MATRIX HEDIS Health Threat Unit

12 Health Threat Unit SANCO C3 Not to be covered anymore by HTU (ECDC) Surveillance Co-operation of laboratories Capacity building (surveillance, training) Surveillance activities on antimicrobial resistance Information on surveillance (e.g. Eurosurveillance etc.) Health Threat Unit Orientations 2006

13 Health Threat Unit SANCO C3 Preparedness and response Emphasis on preparedness. This heading could become very large and possibly split in two. Logistics, transportation issues Influenza (e.g. preventive measures for veterinary workers in case of Avian flu), in agreement with ECDC Risk communication, EU network of public health media officers, in agreement with ECDC Linking hospitals to prepare for mass events Traveller traceability (networking airports for contact tracing and providing coordinated information to travellers) Environmental sampling and analysis Risk and threat analysis for health security incidents Environmental (e.g. biosensors) and human biomonitoring (e.g. for levels of bioagents in humans) Psychological impact of health emergencies Capacity building for joint law enforcement and health authority operations Health Threat Unit Orientations 2006

14 Health Threat Unit SANCO C3 Providing risk management tools Providing evidence-based information to steer action (in co-ordination with ECDC) Capacities needed for implementation of IHR IHR implementation in the EU Health Threat Unit Orientations 2006

15 Health Threat Unit SANCO C3 Non-communicable health threats Specific actions might address: Chemical threats, antidotes, decontamination Adverse effects (vaccines, chemicals, antivirals, medicines) Making an inventory of other possible non- CD threats (non-ionising radiation) Environmental issues (e.g. relevance to Legionella) Health Threat Unit Orientations 2006

16 Health Threat Unit SANCO C3 Strategies on vaccines and other drugs relevant to communicable diseases control and Health Security Exchanging information on vaccination and immunisation strategies Exchanging information on other medicines (e.g. antivirals) Planning and policy implementation and strategies related to addressing areas of decreasing or lower rates; and in preparedness strategies (such as pre-event vaccinations or stockpiling), especially for serious health threats such as bioterrorism. ECDC should be involved in all issues concerning the scientific basis for planning and policies Health Threat Unit Orientations 2006

17 Health Threat Unit SANCO C3 Antimicrobial resistance and healthcare associated infections – health services aspects Surveillance part of AMR will go to ECDC but patient safety and healthcare related actions may be required impact on CD of mobility of patients and healthcare staff migrant health, cross-border patient safety issues Health Threat Unit Orientations 2006

18 Health Threat Unit SANCO C3 Safety of blood, tissues and cells, organs Aims to promote the quality, safety and availability of substances of human origin Minimize risks and ensuing threats to patients health associated with their collection, processing, preservation, storage, distribution and use. Activities should support implementation of existing EU legislation Health Threat Unit Orientations 2006

19 Health Threat Unit SANCO C3 Objectives of GPP Public health attention points for MS plans comparisons, reviews, improvements and fine-tuning Attention points for EC in support to MS Reduce the vulnerability for the EU Contact points (Community - MS) Identification of minimal requirements in plans (Community - MS) Checklist Reduce potential conflicts between the different national plans Mutual awareness Interoperability Health Threat Unit Generic preparedness planning

20 Health Threat Unit SANCO C3 Focus of threats in the GPP > outbreak > local interest Focus on 4 threats: biological, chemical, radiological, environmental, deliberate or not Major outbreak of an unknown illness (ex: SARS) Previously unrecognised pathogen in the blood supply Chemical, biological, or radiological contamination of a water supply Lost source or an accidental release of radiation affecting >1MS Serious imported infection affecting a number of countries International concern over the safety of a vaccine Next influenza pandemic Suspected deliberate or accidental release of a serious biological agent Health Threat Unit Generic preparedness planning

21 Health Threat Unit SANCO C3 Future orientations Focus on role, functions and relations of public health partner Set up a peer review process of national plans To review the minimal requirements To follow-up, test and exercise interoperability Improve systematic information exchange and co-ordination European measures in other sectors should be open to take into account the public health aspect for countermeasures COM will consider adopting relevant decisions on declaring emergencies and on consultation of countermeasures Propose algorithms, terminology and use of equivalent levels Develop an EU-plan or process on triggering and building a liaise and response structure Continue the process Health Threat Unit Generic preparedness planning

22 Health Threat Unit SANCO C3 Basic concepts Risk assessment A scientifically based process consisting of the following steps: I) hazard identification, ii) hazard characterization, iii) exposure assessment, and iv) risk characterization Risk management A process, distinct from risk assessment, of weighing policy alternatives, in consultation with interested parties, considering risk assessment and other factors relevant for health protection of consumers and for the promotion of fair trade practices, and if needed selecting appropriate prevention and control options. Risk communication Health Threat Unit Generic preparedness planning

23 Health Threat Unit SANCO C3 Definitions Public Health Threat An event (incident) or condition involving one or more agents, which has resulted in or has the potential to produce rapidly harm, directly or indirectly, to the health of an exposed population. Public Health Crisis A sequence of events following a public health threat, where the limited time available for deciding and the large degree of uncertainty leads to overburdening the normal response capacity and/or undermining of authority. Health Threat Unit Generic preparedness planning

24 Health Threat Unit SANCO C3 Health Threat Unit Generic preparedness planning

25 Health Threat Unit SANCO C3 Health Threat Unit Generic preparedness planning

26 Health Threat Unit SANCO C3

27 Sancos traditional international role Involvement in international organisations World Health Organization, OECD, CoE, G7+ Enlargement 10 countries joined in May 2004 Now new candidate/potential candidate countries (Bulgaria, Romania, Turkey, Croatia, Western Balkans) Health Threat Unit International aspects

28 Health Threat Unit SANCO C3 Sancos expanding international role Greater involvement in development of international health treaties (FCTC, IHR) New European Neighbourhood Programme Countries Israel, Jordan, Moldova, Morocco, the Palestinian Authority, Tunisia, Ukraine, Armenia, Azerbaijan, Egypt, Georgia, Lebanon, Algeria, Belarus, Libya, Syria Russia – Partnership and Cooperation Agreement, Four common spaces. A growing number of bilateral agreements with public health element requested e.g. China, USA, India, Thailand

29 Health Threat Unit SANCO C3

30 Why? Globally Health growing as a global foreign policy concern Global commerce and health Recent wave of multilateral and bilateral free trade agreements - exchange of goods and services that affect health and health care Disease and international security Public health preparedness now more important than during Cold War era Prevention of bioterrorism Awareness globalisation means epidemics such as SARS, Avian Flu can spread more quickly Role of diseases (e.g HIV/AIDS) in devastating economies

31 Health Threat Unit SANCO C3 Health Threat Unit HEOF

32 Health Threat Unit SANCO C3 Thank you for your attention! http://europa.eu.int/comm/dgs/health_consumer/publichealth.htm Questions ?


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