EVD PREPAREDNESS UPDATE | FOR INTERNAL USE ONLY 1 |1 | Health Emergency Preparedness 12 January 2016

EVD PREPAREDNESS UPDATE | FOR INTERNAL USE ONLY 2 |2 | Countries are readier than ever to respond to Ebola Implementation of EVD preparedness checklist - % tasks completed 50% indicator

EVD PREPAREDNESS UPDATE | FOR INTERNAL USE ONLY 3 |3 | Countries have tested their response systems through field & functional exercises

EVD PREPAREDNESS UPDATE | FOR INTERNAL USE ONLY 7 |7 | Immediate aim for all priority countries to ensure that they are operationally ready to effectively detect, investigate and report potential EVD cases and to mount a response. Longer term aim for all vulnerable countries to detect, investigate and report unknown or unusual acute public health events and to mount an effective, safe, and coordinated response. Ebola Preparedness and beyond

EVD PREPAREDNESS UPDATE | FOR INTERNAL USE ONLY 8 |8 | Countries maintain a coordination platform to manage emergency responses Strengthening WHO Office capacity Risk and Capacity assessment Consolidated national response planning Functional incident management systems in place –In collaboration with EOC-Net, 2-day workshop Nov to lead countries through the development a National PHEOC Implementation Plan clearly describing the necessary activities for establishing a PHEOC. –High level participation from Gambia; Guinea Bissau; Mauritania; Niger; Tanzania; & Togo. –Action plans developed to engage partners in discussion and reach consensus on roles of PHEOC, particularly vis-à-vis the NDMAs or their counterparts. The plans describe deliverables, timelines and budgets, roles and responsibilities.

EVD PREPAREDNESS UPDATE | FOR INTERNAL USE ONLY 9 |9 | Countries conduct strategic assessments to prioritise risks

EVD PREPAREDNESS UPDATE | FOR INTERNAL USE ONLY 10 | Strategic risk assessment products

EVD PREPAREDNESS UPDATE | FOR INTERNAL USE ONLY 11 | Countries develop and maintain real time surveillance capability Daily rumours and alerts detected, investigated and reported on a systematic and timely basis Staff at health care facilities trained on IDSR (case definitions, triage and reporting for diseases under surveillance) –Case definitions and triage protocols in place, and training plan commenced by January 2016 –60% of community health facilities reporting weekly by June 2016

EVD PREPAREDNESS UPDATE | FOR INTERNAL USE ONLY 12 | Countries deploy rapid response teams to investigate, assess, and respond. ROLL OUT KEY FEATURES The Rapid Response Teams Training aims at reinforcing the capacity and skills of multidisciplinary Rapid Response Teams (RRT) and their individual members to detect and effectively respond to a potential EVD outbreak and other disease outbreaks. Over 30 modular learning areas that can be included or replaced based on country needs. Skill based  application during 2.5 days of practical exercises. Training in Gambia (August) Niger (16-21 Nov), Mauritania (22-27 Nov), Togo (30 Nov-5Dec), Guinea-Bissau training assessments completed. OBJECTIVE

EVD PREPAREDNESS UPDATE | FOR INTERNAL USE ONLY 13 | Countries develop and maintain an emergency logistic capability Logistics capacity in place at AFRO IST-West, Ouagadougou –Strategy for continued logistics capacity strengthening agreed in West Africa –Logistics assessments and development of stockpile management systems Logistics HR training by WHO and Bioforce. –10-day training with alternating theoretical sessions and practical exercises. –Designed to give participants technical knowledge and an understanding of factors that affect field operations Logisticians from Benin, Burkina Faso, Congo, Cote d’Ivoire, Guinea Bissau, Madagascar, Mali, Mauritania, Niger, Senegal and Togo were trained in Senegal from 16 – 24 November. Logisticians from Gambia, Ghana, Kenya, Sudan, South Sudan, Tanzania, Zimbabwe and Ethiopia from 7 – 16 December in Uganda (MSF training centre).

EVD PREPAREDNESS UPDATE | FOR INTERNAL USE ONLY 14 | Functionality and Systems Testing Simulations test the existing capability to respond to Ebola and other infectious diseases in a safe and effective manner, using tailor-made scenarios that define who should undertake key actions required, thereby enabling evidence-based monitoring and evaluation. Post response evaluations Other tools including the new Joint External Evaluation Tool for the International Health Regulations also enable countries to monitor the strengthening of preparedness and response systems. Joint External Evaluation Missions –Guinea Bissau: Jan –Niger: Jan –The Gambia and Mauritania: Feb –Togo and Tanzania: Feb

EVD PREPAREDNESS UPDATE | FOR INTERNAL USE ONLY 15 | Programme of Training, Exercises and Testing

EVD PREPAREDNESS UPDATE | FOR INTERNAL USE ONLY 16 | From theory to practice Exercises improve operational readiness for response because they: Reveal planning weaknesses and resource gaps in a controlled environment Improve coordination and clarify roles and responsibilities Develop enthusiasm, knowledge, skills and willingness to participate in emergencies Gain public recognition and trust of the emergency response process Test equipment Test operational guidelines and Standard Operating Procedures

EVD PREPAREDNESS UPDATE | FOR INTERNAL USE ONLY 17 | Evidence Based Testing Outbreak Response Exercise will stress test national capability to determine overall readiness to:- Detect through surveillance Contain through control measures and contact tracing Provide incident management and coordination Protect healthcare workers Communicate at all levels

EVD PREPAREDNESS UPDATE | FOR INTERNAL USE ONLY 18 | A stepwise approach to testing systems WHO and partners are developing and implementing a modular simulation package consisting of 4 interrelated and increasingly complex exercises implemented for EVD and other emergency health preparedness.

EVD PREPAREDNESS UPDATE | FOR INTERNAL USE ONLY 19 | Collective and Synergised Approach How to maximise our collective efforts to ensure coordinated timely support to countries:- Aligned planning Commonality of tools and guidance System wide capability Regional and national level