BILATERAL/MULTILATERAL JOINT EFFORTS AND NETWORKING TO COPE WITH - - PowerPoint PPT Presentation

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BILATERAL/MULTILATERAL JOINT EFFORTS AND NETWORKING TO COPE WITH - - PowerPoint PPT Presentation

3 rd Asian Science & Technology Forum Issue for Discussion BILATERAL/MULTILATERAL JOINT EFFORTS AND NETWORKING TO COPE WITH INFECTIOUS DISEASES FOR SUSTAINABLE DEVELOPMENT IN ASIA by DR. HASAN ABDUL RAHMAN Director, Disease Control


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Ministry of Health Malaysia

BILATERAL/MULTILATERAL JOINT EFFORTS AND NETWORKING TO COPE WITH INFECTIOUS DISEASES FOR SUSTAINABLE DEVELOPMENT IN ASIA

by

  • DR. HASAN ABDUL RAHMAN

Director, Disease Control Division Ministry of Health Malaysia

3rd Asian Science & Technology Forum

Issue for Discussion

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3rd Asian Science & Technology Forum Ministry of Health Malaysia

Factors contributing to disease re-emergence

DISEASE DISEASE EMERGENCE EMERGENCE 1 1 4 4 2 2 3 3 5 5

Changes/Evolution

  • f existing
  • rganisms

Environmental sources harboring new/unusual infectious agents Antimicrobial resistance in existing agents Previously unrecognized infections appear in persons living and working in areas with ecological changes Breakdown in public health measures for previously controlled infections Diseases spread to new geographic areas or new human populations

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3rd Asian Science & Technology Forum Ministry of Health Malaysia

ID Spectrum Changing Threat

Vulnerable to Vulnerable to a wide array a wide array

  • f new and
  • f new and

resurgent resurgent infectious infectious diseases diseases

Encroach territories

Technology International travel

Explosive population growth, Expanding poverty & urban migation

Worldwide

Mass population movement Rapid change Affects risk

  • f exposure

to infectious agent

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3rd Asian Science & Technology Forum Ministry of Health Malaysia

Emergence of Infectious Disease Outbreaks

New diseases with old infectious agents

Food poisoning (E. coli 0157:H7)

New diseases with new infectious agents

Nipah, SARS, Ebola, AI , Pandemic I nfluenza

Old diseases in new location

West Nile Virus, Rift Valley Fever Chikungungya

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3rd Asian Science & Technology Forum Ministry of Health Malaysia

Infectious Disease Outbreak

Global implications Among the poultry August 2004 (4) 2006 & 2007 (2)

HIV SARS NIpah Encephaliis Leptospirosis Avian influenza

MALAYSIA MALAYSIA

High mortality Endemic New manifestation Major social implication

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3rd Asian Science & Technology Forum Ministry of Health Malaysia

Actions taken…

Assistance from Public Health expert Establishment of ID surveillance

syndromic notification

Capacity and capability building

Strengthening the National Laboratory facilities; Enhanced BSL-3 Research capability Establishment of Epidemic Intelligence Program (EIP Malaysia) Improving risk communication strategy

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3rd Asian Science & Technology Forum Ministry of Health Malaysia

Actions taken…

Effective cooperation and coordination Collaboration among multi-disciplinary expert and between agency Development of guideline of outbreak preparedness and response

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3rd Asian Science & Technology Forum Ministry of Health Malaysia

Actions needed…

Develop Early Warning and Response System Rapid response; success factor

Providing services Health roles Communicable disease risk

Risk communication Crisis preparedness plan Develop collaboration and communication

Bilateral / Multilateral

  • Exchange information
  • Exchange expertise
  • Multinational response team
  • Training
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3rd Asian Science & Technology Forum Ministry of Health Malaysia

Actions needed… Sharing information through

Website Guidelines Standard Operating Procedure (SOP)

Collaboration work

Stockpile of drug & PPE Sharing expertise & training Simulation exercise

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3rd Asian Science & Technology Forum Ministry of Health Malaysia

JAPAN – MALAYSIA - ASEAN

Collaboration

1

I n 2 0 0 4 ASEAN + 3 Em erging I nfectious Diseases ( EI D) Program m e Bilateral collaboration for Reference Laboratories

2

Strengthening hum an capacity & capability: Field epidem iology training program m e betw een EI P M’sia & FETP Japan

3

Surveillance of em erging and re-em erging diseases

Aim : to establish system s, partnership & netw orks Aim : to im prove & strengthen health personnel in rapid response and surveillance Strengthen inter-country surveillance m echanism for early response

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3rd Asian Science & Technology Forum Ministry of Health Malaysia

Conclusion

1 1 2 2

Need Information Sharing & Experience

  • Conducting research and findings
  • Guidelines & SOP
  • Training

3 3

Establish close partnership & Relationship

  • Bilateral / Multilateral
  • Practise common system

Infectious diseases spread DO NOT recognize boundaries

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Ministry of Health Malaysia