1. -NEW EDUCATIONAL PATWAY FOR GLOBAL PUBLIC HEALTH SECURITY- (2) South Eastern Europe (SEE) PUBLIC HEALTH PREPAREDNESS SUPERCOURSE NETWORK Elisaveta Stikova, Ronald LaPorte, Faina Linkov, Margaret Potter, David Piposzar, Sam Stebbins

2. Global Health Security -invest in health, build a safe future- World Health Day 2007 - International Health Security WHO regional Office for Europe endorsed strategic direction towards public health security: Strengthening stewardship Implementing preparedness planning Multihazard approach Health risk reduction programmes Multisectoral coordination Marc Danzon, WHO Regional Office for Europe

3. Is disaster preventable? Nobody died of “disaster” People died of simple to treat and easy recognized conditions Health consequences of disasters are potentially catastrophic and preventable The preparedness is crucial!

4. Main Public Health Responsibilities Prevents epidemics and the spread of disease Protects against environmental hazards Prevents injuries Promotes and encourages healthy behaviors Responds to disasters and assists communities in recovery Assures the quality and accessibility of health services

5. 10 Essential Public Health Services (1) 1. Monitor health status 2. Diagnose and investigate 3. Inform, educate, and empower 4. Mobilize community partnerships 5. Develop policies and plans

6. 10 Essential Public Health Services (2) 6.Enforce laws and regulations 7.Link people to needed services/assure care 8.Assure a competent workforce 9.Evaluate health services 10.Research

7. Key elements of Public Health Preparedness Program Identifying the types or nature of events Planning activities in advance to prevent the occurrence of the events or ensure a coordinate response Building capabilities for effective response to the consequences of the events Recovering from the events

8. Key Preparedness Elements Hazard analysis Emergency response planning Health surveillance and epidemiology investigation Laboratory diagnosis and characterization Consequence management

9. Global Health Security -invest in health, build a safer future- Definition: Emergency “extraordinary” event that could spread or need international response normal procedure are suspended extraordinary measures are taken

10. Global Health Security -invest in health, build a safer future- DISASTER is present when: need exceeded resources the response needs exceeded available resources DISASTER = NEED > RESOURCES

11. VULNERABILITY DISASTER THREATS Population Govermance Poverty reduction Infrastructures Food security Lifelines Community empowement Health Care Education Emergency response Environmental management Health care and other services CAPACITY BUILDING DEVELOPMENT PLANNING Preparedness Planning Policies, Laws and By-laws Awareness & Partnership Operational Systems Human recources Early Warning Systems Contingency planning

12. Status assessment Threat Damage Impact Plan Prevent Mitigate Respond Recover Key elements of public health preparedness activities Event

13. Initial Needs Assessment Initial needs assessment Water and Sanitation Health Services Basic health care in emergency Immunization Public health surveillance Primary health Care & Outreach Control of communicable disease Post emergency health care Shelter Food and NutritionCoordination

14. Post Incident Audit RESPONSE REHABILITATION RECOVERY PREPAREDNESS MITIGATION DISASTER

15. The components of the recovery challenge SOCIAL IMPACTS HEALTH IMPACT ENVIRONMENTAL IMPACT ECONOMIC IMPACT RECOVERY

16. Health Sector Response Strategy - Implementing the legal framework -

17. A case of any of the following diseases: Smallpox Poliomyelitis due to wild type poliovirus Human influenza caused by a new subtype Severe Acute Respiratory Syndrome Any event that is a Potential public health emergency of international concert, including those of unknown causes of sources A case of any of the following diseases: cholera pneumonic plague yellow fever Viral hemorrhagic fevers (Ebola, Lassa and Marburg) West Nile fever Apply the criteria in the decision algorithm 1.Is the public health impact of the event serious 2.Is the event unusual of unexpected? 3.Is there a significant risk of international spread? 4.Is there a significant risk of international restrictions on travel or trade? Yes to any two of these criteria Event shall be notified to WHO under IHR (2005)

18. Global Response – Global Alert

19. Supercourse – Join us! http://www.pitt.edu/~super1/

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