1. World Health Organization, Regional Office for The Western Pacific Regional Activities Report and Preparation for the Upcoming Influenza Seasons THE 3rd MEETING OF NATIONAL INFLUENZA CENTRES IN THE WESTERN PACIFIC AND SOUTH EAST ASIA REGIONS 18 - 20 AUGUST 2009, BEIJING, CHINA

2. World Health Organization, Regional Office for The Western Pacific The 1 st NIC meeting of WPR and SEAR The 1 st NIC meeting of WPR and SEAR was hosted by WHO CC in Melbourne, Australia on 1 – 4 May 2007 –45 participants (Public Health Officials and NIC directors) from 19 countries in the two regions –Identified the gap, the need, and the way forward –A workplan for establishing/strengthening a comprehensive National Influenza Surveillance System was developed WER, 2007; 82 (45): 389-400; http://www.who.int/wer

3. World Health Organization, Regional Office for The Western Pacific The Gap Great contribution of influenza viruses to the Global Influenza Surveillance Network without understanding of influenza disease in most of the developing countries in the region

4. World Health Organization, Regional Office for The Western Pacific The Need Not only contribute the virus But also understand the disease Provide essential information for the development of national control policy Contribute to national pandemic preparedness

5. World Health Organization, Regional Office for The Western Pacific The Way Forward: Workplan for Building Capacity for A Comprehensive National Influenza Surveillance System (NISS) Goals of the Workplan by 2010: to develop and sustain comprehensive National Influenza Surveillance Systems through enhancing / strengthening the capacities of the National Influenza Centers and associated epidemiology programmes to have preliminary understanding of influenza disease burden in countries in Asia Pacific

6. World Health Organization, Regional Office for The Western Pacific Building Capacity For Comprehensive National Influenza Surveillance Systems (NISS): Workplan and Expected Outcomes by 2010 1.Improving virological testing capacity in the National Influenza Centres 2.Better understanding the epidemiology of influenza through link of virological and epidemiological surveillance for influenza 3.Improving the early warning function of national influenza surveillance 4.Contributing to the national rapid response and containment and pandemic preparedness

7. World Health Organization, Regional Office for The Western Pacific The WPRO Guidelines “A Practical Guide to Harmonizing Virological and Epidemiological Influenza Surveillance” “A Practical Guide for Designing and Conducting Influenza Disease Burden Studies”

8. World Health Organization, Regional Office for The Western Pacific ftp://ftp.wpro.who.int/Scratch/WproNic/

9. World Health Organization, Regional Office for The Western Pacific The 2 nd Bi-regional NIC meeting The 2 nd bi-regional NIC meeting of WPR and SEAR was hosted by WHO CC in NIID, Tokyo, Japan on 21 – 24 April 2008 –59 participants (Public Health Officials, NIC directors, and epidemiologists) from 21 countries in WPR and SEAR –The meeting reviewed and commented the two guidelines and the NIC laboratory database software and outlined the next steps WER, 2008; 83 (29): 253-260; http://www.who.int/wer

10. World Health Organization, Regional Office for The Western Pacific Influenza Surveillance Key to Success Influenza Virus Outbreak Events Influenza Disease sARI

11. World Health Organization, Regional Office for The Western Pacific The WPRO Surveillance Guideline SECTION 2: Event-Based Surveillance as Early Warning System Introduction Event Definitions Minimum Requirements Reporting Sources Reporting methods Minimum Information from Reporting Confirmation and Assessment Routine Feedback Monitoring and Evaluation

12. World Health Organization, Regional Office for The Western Pacific Surveillance for Pandemic Influenza: Outcome of the regional workshop on WHO revised pandemic influenza preparedness guidance 3-6 March 2009, Fukuoka, Japan A well established comprehensive national influenza surveillance system is the key to success for pandemic influenza surveillance The National pandemic preparedness process should facilitate strengthening or establishing the comprehensive national influenza surveillance system

13. World Health Organization, Regional Office for The Western Pacific Regional Trainings Since the 2 nd NIC Meeting Hands-on Influenza laboratory PCR training, 6 – 10 Oct 2008, Singapore –Organized by REDI Centre in collaboration with WPRO and SEARO –Singapore Public Health Laboratory/Singapore MoH, Singapore NIC, Singapore Polytechnic Institute Hands-on NIC laboratory database software training, 19 – 21 Nov 2008, WPRO, Manila, Philippines Hands-on Influenza Virus Isolation & Characterization Workshop, 30 March - 3 April 2009, Singapore –Organized by REDI Centre in collaboration with WPRO and SEARO –Singapore Public Health Laboratory/Singapore MoH, Singapore NIC, Singapore Polytechnic Institute –WHO CCs in Australia, Japan, USA –China NIC

14. World Health Organization, Regional Office for The Western Pacific Regional EQAP Progresses

15. World Health Organization, Regional Office for The Western Pacific Regional Trainings Planned in The Second Half of 2009 Hands-on Influenza Virus Isolation & Characterization Workshop, October 2009, Singapore Hands-on Antiviral Resistance Monitoring Workshop, November, 2009, Melbourne, Australia Others?

16. World Health Organization, Regional Office for The Western Pacific Guiding Documents Developed by WPRO for Pandemic Surveillance and Response Surveillance –Options for influenza A(H1N1) surveillance strategies in response to evolving in-country situations –Options for laboratory testing strategies in response to the emergence of influenza A(H1N1) virus –Pandemic (H1N1) 2009 Surveillance and Reporting Guide in the WHO Western Pacific Region Response –Preparing Responses to the 2009 Influenza A(H1N1) Pandemic –Responding to New Influenza A(H1N1): A framework for action for the next five months –Mitigating the impact of the new influenza A(H1N1): options for public health measures –Responding to New Influenza A(H1N1): Options for interventions at international points of entry –Options for use of antivirals for influenza A(H1N1) cases http://www.wpro.who.int/health_topics/h1n1/tech/tech_guidance.htm

17. World Health Organization, Regional Office for The Western Pacific

21. Preparing for The Upcoming Influenza Seasons in The Middle of A Pandemic Challenge and Opportunity Pandemic (H1N1) 2009 Influenza A (H5N1) Seasonal Influenza Others?

22. World Health Organization, Regional Office for The Western Pacific Framework for Action SURVEILLANCE COMMAND PUBLIC HEALTH INTERVENTIONS COMMUNICATION HEALTH CARE RESPONSE HEALTH SECTOR How to slow down transmission How to minimize preventable deaths Laboratory PARTNERS INDIVIDUAL LEVELSOCIETAL LEVEL

23. World Health Organization, Regional Office for The Western Pacific Preparing for The Upcoming Influenza Seasons in The Middle of A Pandemic Surveillance Strengthen/establish Comprehensive Influenza Surveillance –Influenza Disease –Influenza virus –Outbreak events –SARI NIC contingency plan Regional Surveillance Information Sharing Mechanism –Pandemic (H1N1) 2009 –Seasonal Influenza –Influenza A(H5N1) –Others? Regional Surveillance Summary?

24. World Health Organization, Regional Office for The Western Pacific Preparing for The Upcoming Influenza Seasons in The Middle of A Pandemic Response

25. World Health Organization, Regional Office for The Western Pacific Preparing for The Upcoming Influenza Seasons in The Middle of A Pandemic Response Public health interventions Prepare for rational public health actions, especially implementation options of nonpharmaceutical interventions based on assessed situations and country context. Advance planning is the key to smooth implementation. Implement individual and household public health measures, including hand and respiratory hygiene, to protect individuals from infection. Implement societal measures such as social distancing when necessary, to slow down or reduce transmission at population level.

26. World Health Organization, Regional Office for The Western Pacific Thank you!