1. The Global Threat of Avian and Human Influenza Stocktaking: Conclusions of Geneva & Review of Recent Progress David Nabarro United Nations System Influenza Coordinator January 17 2006 (With support from Peacepath Consulting and Nan Kasonde)

2. 2 ‘Taking Stock’ and Moving Forward 1.Progress since November 7th 2005 2.Coordination: Supporting Countries 3.One UN System Approach 4.Moving Forward

3. 3 1. Progress Since November 2005 Starting point: The 12 conclusions of Geneva LocalGlobalRegional Development of integrated national plans Aggressive control of Avian Influenza in birds and human pandemic preparedness Voluntary compliance of International Health Regulations Assess needs of veterinary infrastructures 4 3 2 1 Multi-country technical networks Expanded network of influenza laboratories Stronger country and regional capacity ‘Rapid response’ teams of experts 8 7 6 5 Finalize coordination framework building on existing mechanisms Costing of country plans and regional and global requirements Global strategy for vaccine research and development Expanded global anti-viral stockpile 12 11 10 9

4. 4  Notable achievements by countries  Contributions by the international community  Development of new public private partnerships  Actions by civil society Key Successes to Date

5. 5 2. UN System Requirements Animal Health Human Health Governance and Rule of Law Economic and Social Systems Humanitarian and Relief Communication and Coordination Inter-linked Dimensions Animal Health Humanitarian & Relief Coordination & Communication Human Health Economy & Society Governance & Rule of Law

6. 6 One UN System Approach Animal Health Human Health Governance & Rule of Law Economic & Social Systems Humanitarian & Relief; Logistics Communication & Coordination FAO  WHO  UNDP  R/C  UNICEF  WFP  OCHA  ICAO  UNWTO  UNEP 

7. 7 A Coordinated UN System Animal Health Human Health Humanitarian & Relief Economy & Society Governance & Rule of Law Direct UN System Interventions Catalyse other actors to contribute National governments Regional bodies Civil society Private sector Coordination & Communication

8. 8 3. Levels of Coordination Coordination is active at three levels and practiced both regionally and globally In Country Inter Agency Inter-country Provide local leadership Join up government departments, civil society and partners Jointly implement and monitor Facilitate information exchange Set global standards Prioritize and implement Monitor achievements Align strategy Progress assessment by peers Fill gaps and surmount blocks Resolve difficulties

9. 9 Importance of country level coordination (Proposed Nov. 2005) National Coordination Mechanism (Country Led) Integrated Country Plan International Consortium on Avian & Pandemic Influenza (Countries, Agencies, Financiers, Civil Society) Regional and Global Support Financing Partners: MDBs, Bilaterals, etc Private Initiatives Regional Organizations: APEC, ASEAN, etc FAOOIEWHO Other UN System Alignment and Harmonization

10. 10 6 040317-GMH-FAO-Coordv05BOS Coordination Framework (01/2006),, National Coordination Mechanism (Country Led) Country Coordination Integrated Country Plan International and Regional Influenza Partnerships Inter-country coordination Political and policy Consensus FAOOIE Regional Organizations: APEC,ASEAN,AU Regional Development Banks Regional WHO Other UN Financing Partners: MDBsBilaterals etc Private Initiatives Alignment and Harmonization Global FAO OIEWHO Other UN System Interagency Coordination

11. 11 4. Taking the Next Steps: Together Applying lessons and taking action Moving funds and managing them Supplying skilled people Changing behaviour Sustaining coodination Monitoring progress and assessing performance Peer reviews Reporting progress

12. 12 There is no choice We are being put to the test. We can stamp out avian influenza We can reduce death rates and economic impact We can improve prospects for future generations