1. TTX Pandemic Influenza Simulations Pandemic Influenza Contingency(PIC) PIC / OCHA

2. Table Top Exercise Goal: To Raise Awareness of the impact of an influenza pandemic (1 day)  Buy-in at high level  Identification of key preparedness elements  Identification of areas required to support national preparedness e.g.: PIC TTX Success=  High-level participation  Gaps & follow-up Actions identified Goal: To Test the Plan (conceptually / logically) (1-2 day)  Does the plan make sense?  Are there gaps?  Clear up misunderstandings e.g.: UNCT simulation Success=  Participants were familiar with the plan  Plan held up during test Goal: To Test Systems & SOPs (1/2 day)  Test the SOPs  Test the Phone tree  Can the staff / systems perform as trained/planned? Success=  Key systems work  Key staff can use them Joint Exercise Goal: To Test Multi-Actor Coherence (5+ days)  Full-scale, Multi- actor Dress Rehearsal Success=  SOPs are fully understood and carried out Functional Exercise Skill Drill 1 2 3 4 PIC / OCHA

3. The TTX Scenario Confusion, confirmation and containment Initial confused reports of respiratory illness. Government commences a containment operation. Confirmation of a novel highly pathogenic virus with human to human transmission. Area Affected Limited to regional non bordering country Virus spreads Containment operation fails to prevent a rapid spread of the virus. Commencement of border controls and travel restrictions. Disruption to many essential services Area Affected Spreads through the region and reaches your country Pandemic Virus spreads throughout your country. Continuation of operations affected by lack of staff and disruption to public services. Increase in mortality rate. Humanitarian crisis. Area Affected Global pandemic with varying degrees of severity by region PIC / OCHA

4. TTX Simulation Process Participatory approach involving senior level officials and key staff Forum to discuss and examine simulated emergency situations to test assumptions and arrangements of an emergency plan and identify gaps Time scale is usually few hours Table-top guided by simulated series of events PIC / OCHA

5. Planning elements PIC / OCHA Organisational Structure – modes of operation to be used during the various stages of pandemic including the command and control and mechanisms for internal coordination. Triggers – identification of triggers, policies and actions to be taken based on the agreed organisational structure. Continuity of operations – prioritisation of essential programmes to be continued and identification of the requirements / resources needed to ensure this continuity. Staff health and safety – measures to be considered in order to ensure staff are able to continue to provide essential services. Support to National Government – assistance to national planning and preparedness and identification and planning for possible additional support during pandemic External communications – determine the protocols and messages for external communications

6. TTX Simulation Objectives Raise the level of awareness of an influenza pandemic and the impact that it might have on staff health / safety and continuity of business. Understand through the use of scenarios the key requirements for preparedness measures to ensure health / safety of staff and continuity of essential services during pandemic. Plan for addition possible additional requirements to support national pandemic preparedness actions. PIC / OCHA

7. Agenda 09:15- 09:45Welcome and introduction 09:45 - 10:00Simulation briefing 10:00 - 10:30Scenario 1 10:30 - 11:15Scenario 2 11:15 - 11:30Coffee break 11:30 - 12:45Scenario 3 13:00 - 14:00Lunch 14:00 - 14:25Breakout Groups – identification of key issues / gaps 14:30 - 14:40Group presentations summaries 14:45 - 15:30Plenary discussion: Strengths & Weaknesses of UN System Influenza Contingency Planning 15:30 - 15:45Coffee break 16:00 - 16:20Breakout Groups – prioritisation and next steps 16:20 – 16:40Group presentations 16:40 – 17:00Summary 17:00Questions and open issues

8. EXERCISE