1. March 2008 Copyright© Information & Decision Support Center 2006 (IDSC), All Rights Reserved Egyptian Plan For The Pandemic Influenza Preparedness

2. 2 Contents Overview of Avian Flu in Egypt. Command & Control in Egypt. National Plan for Preparedness & Response to the Pandemic Influenza. Recent Response And Preparedness Achievements for the Pandemic Influenza. Participating Directorates & Sectors on the Local Operational Level (Governorates’ Level). Lessons Learned during the whole Process

3. 3 Overview of Avian Influenza in Egypt

4. 4 One of the major recent disasters that occurred in Egypt, is the widespread of Avian Influenza nationwide since February 2006, It resulted into 19 deaths and 26 recovered cases of infection. The poultry sector suffered major economic losses. Overview of Avian Influenza in Egypt

5. 5 Cumulative Number of Confirmed Human Cases of Avian Influenza (H5N1) according to WHO Report Percentage of Deaths (%) Total Confirmed Human Cases Country Deaths Recovered Cases 81.4%129 10524Indonesia 1 48.6%105 5154 Viet Nam2 42.2%45 1926Egypt 3 66.7%30 2010China4 68%25178Thailand5 33.3%1248Turkey6 62.5%853Azerbaijan7 100%770Cambodia8 66.7%321Iraq9 100%220Lao People's Democratic Republic10 100%110Nigeria11 0%101Djibouti12 0%101Myanmar13 100%110Pakistan14 63.2%370234136Total

6. 6 Command & Control in Egypt

7. 7 Strategic Level (Political) Planning & Preparation Level (Tactic) Executive Level (Operational) Higher Ministerial Committee National Pandemic Inter-ministerial Committee Governorates Command And Control in Egypt

8. 8 1)Strategic level (Political): The Higher Ministerial Committee for Crisis Management, headed by H.E. the Prime Minister & the membership of:  Minister of Defense & Military Production  Minister of Interior Affairs  Minister of Information  Minister of Foreign Affairs  Minister of Health & Population  Concerned Minister / Governor (According to the type of the Crisis / Disaster)  Representative of National Security Council  Specialized Experts (according to the need) Strategic Level

9. 9 2)Planning & Preparation Level (Tactic): The National Pandemic Inter-ministerial Committee headed by the Ministry of Health & Population, & the membership of concerned ministries (Essential Services). Planning & Preparation Level

10. 10 National Plan for Preparedness & Response to the Pandemic Influenza

11. 11 -Objectives:  Assurance of the strict application of the ongoing preventive measures & response and contingency procedures of Avian Flu, toward avoiding mutation of the virus.  Providing the concerned parties with the standard response measures & contingency procedures to ensure effective inter-agancy communication in handling of pandemic Influenza.  Preparation of all governorates for an effective response & management of Pandemic Influenza on all levels. National Plan for Preparedness & Response to the Pandemic Influenza

12. 12 -Objectives:  Secure the normal provision of essential services.  Maintain the provision of all essential services for health sector during the Pandemic.  Application of strict control on the internal immigration between governorates as a precautionary & preventive measure to contain the Pandemic if occurred. National Plan for Preparedness & Response to the Pandemic Influenza (cont’d)

13. 13 -The Egyptian National Plan for Preparedness & Response to encounter the Pandemic Influenza relied on the following three major components:  Preparation of the National Scenario for the Pandemic Influenza Management (Prepared in consultation with all concerned parties).  Development of the National Plan of the Health Sector to encounter the Pandemic Influenza (Prepared by the Ministry of Health & Population and delivered to all Governorates).  Development of Governorates’ Response Plans to encounter the Pandemic Influenza “Prepared by the Local Operational Level (Governorates)” with the support of IDSC. National Plan for Preparedness & Response to the Pandemic Influenza (cont’d)

14. 14 Recent Response And Preparedness Achievements for the Pandemic Influenza

15. 15 Establishing Simulation Sub-committee to organize the Pandemic Simulations & Exercises, headed by The Cabinet Information & Decision Support Center (IDSC) and the membership of: -Ministry of Defense & Military Production. -Ministry of Interior Affairs. -Ministry of Health & Population. -Ministry of Information. -Ministry of Agriculture & Land Reclamation. -Ministry of State for Environment Affairs. -Ministry of State for Local Development. -Representative of National Security Council. The Committee holds regular meetings to discuss the mechanisms of organizing Table-top, & Simulations Exercises. Recent Response & Preparedness Achievements for the Pandemic Influenza

16. 16 -IDSC has developed three Notification & Response chains of Command, in order to help Ministries, Governorates & concerned entities in developing their plans as follows:  Flow of Pandemic Alert.  Notification Flow during Pandemic Phase.  Pandemic Response Chain of Command on the National Level. -The three Chains of Command were endorsed by the Cabinet Secretary General & circulated to all concerned parties. Recent Response & Preparedness Achievements for the Pandemic Influenza (cont’d)

17. 17 Flow of “Pandemic” Alert National “Pandemic” Inter-Ministerial Committee National “Pandemic” Inter-Ministerial Committee Operational Room (IDSC) Operational Room (IDSC) (MOH) Local Directorates Hospitals Ministry of Health (MOH) Emergency Police Other Community Gatherings Schools / Universities Private Clinics Health care Units Civil Society Governorate (local authority) WHO The Higher Ministerial Committee (Cabinet secretariat) The Higher Ministerial Committee (Cabinet secretariat) The Cabinet Information and Decision Support Center

18. 18 Ministry of Interior Directorates Cities / Centers / Districts (MOH) Sub-local unit Emergency Police Schools / Universities Hospitals / Private Clinics Health care Units Civil Society Mass Media Notification Flow during Pandemic phase The Higher Ministerial Committee (Cabinet secretariat) The Higher Ministerial Committee (Cabinet secretariat) National “Pandemic” Inter-Ministerial Committee National “Pandemic” Inter-Ministerial Committee Operational Room (IDSC) Operational Room (IDSC) Ministry of Health (MOH) WHO Governorate (local authority) Other Community Gatherings (MOH) Local Directorates The Cabinet Information and Decision Support Center

19. 19 (MOH) Sub-local unit ( MOH ) Local Directorates Ministry of Health ( MOH ) Hospitals / Health care Units Ministry of Communication and Information Technology Ministry of Water Resources & Irrigation Ministry of Higher Education and the State for Scientific Research Ministry of Agriculture and Land Reclamation Supreme councils of Youth & Sports Ministry of International Cooperation Ministry of State for Local Development Ministry of Education Ministry of Finance Ministry of Interior affairs Foreign Affairs Ministry of Petroleum Ministry of Tourism NGOs Ministry of Information Ministry of Awqaf Ministry of Justice Ministry of Culture Suez canal authority Ministry of Transport WHO Ministry of defense Ministry of Civil Aviation Ministry of State for Environment Affairs Ministry of Social Solidarity Ministry of Electricity and Energy Ministry of Manpower and Immigration Ministry of trade and Industry The Higher Ministerial Committee (Cabinet secretariat) The Higher Ministerial Committee (Cabinet secretariat) National “Pandemic” Inter-Ministerial Committee National “Pandemic” Inter-Ministerial Committee Operational Room (IDSC) Operational Room (IDSC) “Pandemic” Response Chain of Command (National Level) The Cabinet Information and Decision Support Center

20. 20 -IDSC initiated the following activities: A.On the National Level:  A Simulation Training Exercise was conducted at the Ministry of Health & Population in order to test Reporting Track, & the procedures taken by the health directorates to validate detection of the Pandemic Influenza. The training was held with 3 Governorates (El-Beheira, Red Sea & Menia Governorate). B.On the Local Level:  Reviewed, developed, & evaluated Menofiyah Governorate plan aiming at encountering the Pandemic Influenza to be used as a model for the other Governorates. Recent Response & Preparedness Achievements for the Pandemic Influenza (cont’d)

21. 21  A Simulation Training Exercise (using Desktop Exercise) was held in Menofiyah Governorate in order to test & revise the procedures set to encounter the Pandemic Influenza, test the Reporting Track, Soundness of the procedures, different roles of the directorates & ensure comprehensiveness of the plan.  Preparation of a Pandemic Response Chain of Command on the Local Level (Governorate Level).  Preparation of a Manual on how to develop Governorates Response Plans to the Pandemic Influenza. Recent Response & Preparedness Achievements for the Pandemic Influenza (cont’d)

22. 22 The Higher Ministerial Committee (Cabinet secretariat) The Higher Ministerial Committee (Cabinet secretariat) Governorate (local authority) Mass Media Ministry of Health (MOH) WHO (MOH) Local Directorates (MOH) Sub-local unit Hospitals / Health Units / Private Clinics Governorate Higher Committee for Crisis Management Governorate Crisis Management Unit Cities Essential Services Directorates Ministry of State for Local Development “Pandemic” Response Chain of Command at Governorate level National “Pandemic” Inter-Ministerial Committee National “Pandemic” Inter-Ministerial Committee Operational Room (IDSC) Operational Room (IDSC) The Cabinet Information and Decision Support Center

23. 23  Holding a meeting for all Governorates General Secretaries to discuss how governorates could prepare their integrated preparedness plans to face the Pandemic Influenza. The meeting aimed at presenting the following:  The Manual of Developing Governorates’ Response & Preparedness Plans to encounter the Pandemic Influenza.  Menofiyah Governorate Plan to encounter the Pandemic Influenza.  Ministry of Health & Population Plan to encounter Pandemic Influenza. Recent Response & Preparedness Achievements for the Pandemic Influenza (cont’d)

24. 24 -The IDSC received all Governorates’ Response & Preparedness plans. -All Plans have been revised & accepted. -Accordingly, the Egyptian National Plan for Preparedness & Response to the Pandemic Influenza has been completed by finalizing its 3 previous mentioned components. -The next step is to organize A Simulation Training Exercise in all Governorates in order to test, revise & validate the Plans. Recent Response & Preparedness Achievements for the Pandemic Influenza (cont’d)

25. 25 Participating Directorates & Sectors on the Local Operational Level (Governorates’ Level)

26. 26 Directorate / SectorNO.Directorate / SectorNO. Universities13Health & Population Directorate 1 Communication Sector14 Quarantine (Governorates that have Airports, Shipping Ports, Border checkpoint) 2 Information & Mass Media15Ambulance Utility3 Social Solidarity Directorate16Agriculture Directorate4 Tourism Sector (Tourist Governorates)17Veterinary Directorate5 Electricity Sector18 Security Directorate6 Awqaf (Endowments) Directorate19 Passports, Emigration & Nationality Administration (Governorates that have Airports, Shipping Ports, Border checkpoint) 7 Water Resources & Irrigation Directorate20Food Supply Directorate8 Internal Transportation Utility21Housing Directorate9 Roads & Bridges Directorate22 Branch of Environmental Affairs Agency (If available) 10 Civil Society Organizations (NGOs)23Education Directorate11 Local Authorities for Cities & Districts24Youth & Sport Directorate12 Offices of Suez Canal Authority (Suez Canal Governorates) 25

27. 27 Lessons Learned during the whole Process

28. 28 1)Tourism Sector: Dealing with large numbers of Tourists & Foreigners. 2)Education Sector:  Closing Schools & Universities.  Using schools as temporary hospitals / health units & Shelters.  Role of Universities in response to the Pandemic (Final Year Students). 3)Information & Mass Media: relation with media & the need to identify the spokesman of the governorate. Lessons Learned

29. 29 4)Quarantine: Governorates that have Airports, Shipping Ports, Border checkpoint. 5)Role of Passports, Emigration & Nationality Administration. 6)Ships sailing through the Suez Canal. 7)Role of NGOs in response to the Pandemic. 8)Religious Groups & group burial (dealing with mass deaths). 9)Role of Private Sector (Business Continuity). 10)The need to Identify governorates’ needs in order to be able to apply their plans effectively. Lessons Learned (cont’d)

30. 30 Thank You