1. ASDPE Asia Pacific Strategy for Emerging Diseases (2010) and Influenza Activities Health Security and Emergencies (DSE) WHO Western Pacific Regional Office (WPRO)

2. 2 Division of Health Security and Emergencies (DSE) WHO Western Pacific Regional Office (WPRO) APSED Approach to Address Capacities One Framework: “3 in 1” Is a common strategy for countries to strengthen national capacities required for managing emerging diseases Is a common framework in the Region to develop the IHR core capacities Is also a framework for strengthening the basic capacities required for pandemic preparedness and response

3. 3 Division of Health Security and Emergencies (DSE) WHO Western Pacific Regional Office (WPRO) Time Difference from outbreak start to outbreak discovery and public communication Fig. 4. Box plots of the median time difference from estimated outbreak start to outbreak discovery and public communication about the outbreak for selected WHO-verified outbreaks,1996–2009, across various WHO regions Source: Emily h. Chan etc, PNAS, Dec 2010

4. 4 Division of Health Security and Emergencies (DSE) WHO Western Pacific Regional Office (WPRO) Process of Developing APSED (2010) Country Consultations Bi-Regional Consultation on APSED and Beyond 24-27 May 2010 5 th TAG Meeting 6-9 July 2010 RCM (Oct 2010) Discussion Papers Draft APSED (2010) Independent Review

5. 5 Division of Health Security and Emergencies (DSE) WHO Western Pacific Regional Office (WPRO) Process of Developing APSED (2010) Voice/Outcomes of Country and Regional Consultations Results of APSED (2005) Common Indicators Assessments Lessons learned from Pandemic preparedness & response APSED (2010)

6. 6 Division of Health Security and Emergencies (DSE) WHO Western Pacific Regional Office (WPRO) Structure of APSED (2010)

7. 7 Division of Health Security and Emergencies (DSE) WHO Western Pacific Regional Office (WPRO) APSED Five Objectives 1. Reduce the risk of emerging diseases 2. Strengthen early detection 3. Strengthen rapid response 4. Strengthen effective preparedness 5. Build technical partnership

8. 8 Division of Health Security and Emergencies (DSE) WHO Western Pacific Regional Office (WPRO) Expanded Scope: 8 Focus Areas APSED (2005) 1.Surveillance and Response 2.Laboratory 3.Zoonoses 4.Infection Control 5.Risk Communication APSED (2010) 1.Surveillance, Risk Assessment and Response 2.Laboratory 3.Zoonoses 4.Infection Prevention and Control 5.Risk Communication 6.Public Health Emergency Preparedness 7.Regional Preparedness, Alert and Response 8.Monitoring and Evaluation

9. 9 Division of Health Security and Emergencies (DSE) WHO Western Pacific Regional Office (WPRO) 8 Focus Areas: Key Components Each focus area contains key components for actions

10. 10 Division of Health Security and Emergencies (DSE) WHO Western Pacific Regional Office (WPRO) FOCUS AREA 1: Surveillance, Risk Assessment and Response Sensitive and timely surveillance systems can trigger early alerts and rapid response to minimize the impact of a potential outbreak. Key components –Event-based surveillance –Indicator-based surveillance –Risk assessment capacity –Rapid response capacity –Field epidemiology training APSED (2010) 1.Surveillance, Risk Assessment and Response 2.Laboratory 3.Zoonoses 4.Infection Prevention and Control 5.Risk Communication 6.Public Health Emergency Preparedness 7.Regional Preparedness, Alert and Response 8.Monitoring and Evaluation

11. 11 Division of Health Security and Emergencies (DSE) WHO Western Pacific Regional Office (WPRO) FOCUS AREA 2: Laboratory Timely, accurate laboratory diagnosis in a safe environment is a cornerstone of any health system for emerging diseases Key components –Accurate laboratory diagnosis –Laboratory support for surveillance and response –Coordination and laboratory networking –Biosafety APSED (2010) 1.Surveillance, Risk Assessment and Response 2.Laboratory 3.Zoonoses 4.Infection Prevention and Control 5.Risk Communication 6.Public Health Emergency Preparedness 7.Regional Preparedness, Alert and Response 8.Monitoring and Evaluation

12. 12 Division of Health Security and Emergencies (DSE) WHO Western Pacific Regional Office (WPRO) FOCUS AREA 6: Public Health Emergency Preparedness Comprehensive plans and well- prepared systems can reduce the negative health, social and economic impacts of public health emergencies Key components –Public health emergency planning –National IHR Focal Point functions –Points of entry preparedness –Response logistics –Clinical case management APSED (2010) 1.Surveillance, Risk Assessment and Response 2.Laboratory 3.Zoonoses 4.Infection Prevention and Control 5.Risk Communication 6.Public Health Emergency Preparedness 7.Regional Preparedness, Alert and Response 8.Monitoring and Evaluation

13. 13 Division of Health Security and Emergencies (DSE) WHO Western Pacific Regional Office (WPRO) Conclusion APSED (2010) –Provides a common framework for countries to strengthen national and local capacities required for managing all emerging infectious diseases and public health emergencies –A road map for Member States in the Asia Pacific Region to build up the IHR core capacity requirements –As APSED (2005), it can incorporate influenza activities to ensure its effective implementation

14. 14 Division of Health Security and Emergencies (DSE) WHO Western Pacific Regional Office (WPRO)