International Health Regulations new procedures and tools to global - - PowerPoint PPT Presentation

Eduardo Hage Carmo

• Director. Communicable Diseases Surveillance. Secretariat of Health

Surveillance.Ministry of Health

August 22th, 2016

Operationalizing assistance and cooperation by States Parties to prevent or in response to disease

• utbreaks

BRAZILIAN RESPONSE TO THE PUBLIC HEALTH EMERGENCIES

International Health Regulations – new procedures and tools to global public health

• Purpose – Public Health Emergency of International Concern
• Public health events – regardless source, origin or nature
• Development of core capacity (Article 5)

“Each State Party shall develop, strengthen and maintain … the capacity to detect, assess, notify and report events in accordance with these Regulations” 2007 2012 2014 2016

2005 2006

Global Outbreak Alert and Response Network

2003

• Nacional center – MoH - 2006
• Receive and share information 24/7
• Public Health Event Monitoring
• Capture information on electronic media and
• thers open-source information sources
• Coordinated response

Source: CIEVS/SVS/MoH

CIEVS Number States 27 Municipalities – Capital and strategic 28

National network of alert and response to public health emergencies

Brazil by regions Northeastern Southeastern South Midwest North

National Health Regulatory Agency 1

Power generator Power generator Nobreak Nobreak

12

work 24/7/365 National center of alert and response to public health emergencies - Cievs

Monitoring and response elements of Cievs Network Surveillance Epidemiological, Environmental and Sanitary Assessment Health assistance Food, drugs and Immunization Urgency and Emergency Field Investigation Biosafety

Rapid Response Team to public health emergencies Field Epidemiology Training Program - EPISUS Stablished – 2000 Graduated – 115 + 12 Outbreak investigated - 294 Assistance/support to other countries – South America, Africa

7

National Laboratory Capacity

National reference laboratories

Public Health Emergency of National Importance Federal Legislacion - November, 2011

Epidemics Epidemics

• Present risk of national

dissemination

• Produced by infectious agents

unexpected

• Represent the reintroduction of

eradicated disease

• High severity
• Extrapolate the responsiveness of

state management of SUS

Disasters Disasters

• Emergency situation or

public calamity recognized by the Federal Executive Level, involving direct action in Public Health

• Event that exceeds the

response capacity of the local level

Lack of assistance Lack of assistance

• Event recognized as emergency by

decree or public calamity affecting citizens by unresponsiveness of state direction, district and municipal of SUS

Response and contingency plans for public health emergencies

Generic Plan Contingency Plans for specific emergencies

• Emergency Plan, Contingency Plans and

Action Plans

• Epidemiological emergencies, Accidents

involving chemicals, biological, radiological and nuclear agents, disasters

Disaster response and public health emergency

Medical Supply Kit (MSK)

• 30 medicines
• 18 other products
• 500 persons for 3 months

11

Disaster interagency response in PHEC

• NBCR – MoD e MoH
• Chemistry Emergencies - CETESB
• Nuclear Emergencies – FEAM
• Radiological accident – CNEN e IRD
• P2R2 – MI, MMA e MS
• Disaster and Emergencies - MoI, MoH e MoD
• CEMADEN – MoCTI

Hipótese/Suspeita de Notificação N % Vector borne diseases 709 33.01 Respiratory diseases 486 22.63 Food and water borne diseases 454 21.14 Unknown etiology 261 12.15 Zoonosis 59 2.75 Adverse events: Health produtos and services 56 2.61 Disasters 43 2.00 Epizootics 42 1.96 Unusual or unexpected events 30 1.40 Others 8 0.37 Total 2.148 100.00

33% 23% 21% 12% 3% 3% 2% 2% 1% 0%

Notificações por Tipo de Evento - 2012 a 2015

Doenças Transmitidas por Vetores Doenças de Transmissão Respiratória Doenças de Transmissão Hídrica/Alimentar Etiologia desconhecida Zoonoses Evento Adverso: Produtos e Serviços Desastres Naturais ou Antropogênicos Epizootias Evento Incomum/Inesperado Outros

Notification by group of public health events. Brazil, 2012 - 2015

Ebola fever outbreak. Alert and response in Brazil

• Operational center actived
• Risk assessment of introdution (24h/7d)
• Point of entries monitored
• Suspected case investigated (Guiné)
• 350 evaluated and monitored
• Case discarded

Olympics and Paralympics Games Response Operations’ Centers (CIOCS)

CIOCS Amazonas CIOCS São Paulo CIOCS Bahia CIOCS - MoH

7 CIOCS (1 national and 6 locals) 7 CIOCS (1 national and 6 locals)

Surveillance of communicable diseases and environmental Points of entry, health services Logistic and communication Prevention and Promotion International surveillance Medical emergencies

CIOCS Minas Gerais CIOCS Distrito Federal CIOCS Rio de Janeiro

• Network available in 6 host cities
• Mobile units of SAMU (ambulance, ships and air units)
• Emergency Units (UPA) in the 6 host cities
• Reference hospitals in the host cities of SUS
• Teams of the National Professional SUS Force
• Risk assessment produced for each host city

Olympic and Paralympic Games Structure, work force and procedures

• Publication especially prepared for those traveling for pleasure or business in Brazil or abroad.
• Portuguese, English, Spanish and French

www.saude.gov.br/viajante

Olympics and Paralympics Games Health, food and service inspection (ANVISA and state level surveillance)

Specific regulations for mass gatherings

• Food trade
• Health services
• Sanitary control on the entry of goods and products for use in mass

gatherings 6 health surveillance plans drawn up Assessment and sanitary inspection of health facilities and venues plants in the areas of handling and food trade

Obrigado!

www.saude.gov.br/svs

Disque Saúde - 136 Disque Notifica 0800-644-6645 notifica@saude.gov.br www.saude.gov.br/combateaedes